New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

Travelers Retirees Face ACA Premium Shock—Here’s How Others Are Responding

'Travelers employees approaching retirement should recognize that proactive income and health care planning can make the difference between preserving subsidy eligibility and facing sharply higher ACA premiums.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'Travelers employees planning their retirement should consider how income levels influence ACA subsidies, as even small adjustments in taxable withdrawals can affect future health care affordability.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
Practical steps Travelers professionals can take before enrolling in 2026 Marketplace plans.

by Brent Wolf, CFP®, Wealth Enhancement

As open enrollment for 2026 Marketplace plans begins, many households are seeing dramatic shifts in their renewal letters. Rising base premiums and the possible end of enhanced subsidies after 2025 could mean significantly higher out-of-pocket costs for anyone purchasing coverage through the Affordable Care Act (ACA) exchange.

The Kaiser Family Foundation (KFF) estimates that if Congress does not extend enhanced premium tax credits, average net premium payments could more than double in 2026. ¹

“It feels like a second mortgage to pay this premium.”

Profile: A couple in their early 60s who retired a few years before becoming Medicare-eligible.

What changed: Their ACA premium had been manageable due to increased subsidies. Their renewal now indicates a rise of about $1,000 to $1,200 monthly if enhanced credits expire.

Decision pressure: They faced hard choices—drawing more taxable income from IRAs, going without coverage, or returning to the workforce for employer-based insurance.

Our response: We reworked their income plan to align with the ACA’s income-based subsidy structure. By controlling their Modified Adjusted Gross Income (MAGI) through smaller IRA withdrawals, use of cash reserves, and partial Roth conversions, we kept them eligible for key subsidies. Comparing a Bronze high-deductible plan with a health savings account (HSA) to a Silver plan revealed the Silver plan—thanks to cost-sharing reductions—was more economical given their expected medical treatments.

“I can’t risk losing coverage while battling an illness.”

Profile: A single client in her early 60s undergoing ongoing medical treatment.

What changed: Without enhanced subsidies, her premiums nearly tripled.

Decision pressure: Balancing affordability with the need to keep her care team and prescriptions consistent.

Our response: We prioritized staying with her provider network and controlling her out-of-pocket costs. A dedicated “medical reserve” fund—equal to one year’s maximum out-of-pocket limit—gave her a cushion without liquidating investments during market declines. We also worked with her physicians to identify lower-cost prescriptions through her plan’s formulary.

“The new premiums are hurting our business margins.”

Profile: A self-employed couple—one partner managing asthma and the other a cardiac rhythm condition.

What changed: Without subsidies, their net premiums are expected to rise sharply.

Decision pressure: Continue paying high premiums, choose a plan with a very high deductible, or seek W-2 employment for benefits.

Our response: We compared total annual costs for a Silver plan versus a Bronze option, factoring in frequent specialist visits and prescriptions. Once total medical costs were considered, the Silver plan proved more cost-effective. We also aligned their life and disability coverage and tailored their tax approach to reflect potential changes in premium tax credits.

“I’m young and healthy—do I even need full coverage?”

Profile: An independent contractor in their 20s with minimal expected medical use.

What changed: Premiums for mid- and high-tier plans nearly quadrupled.

Decision pressure: Choosing between a high-deductible Bronze HSA plan and catastrophic coverage.

Our response: We modeled three options—a Bronze HSA-eligible plan, a mid-tier plan, and catastrophic coverage. The Bronze HSA option offered the best mix of lower premiums and long-term tax benefits. Monthly automated HSA contributions build a future medical fund that can later be used for qualified health care expenses or Medicare premiums (excluding Medigap) after age 65.

Five Steps to Take Before You Enroll

1. Evaluate your total annual cost, not just the premium. Factor in deductibles, copays, and the possibility of reaching your out-of-pocket maximum.

2. Manage your MAGI carefully. ACA subsidies depend on income. Coordinate Roth conversions, capital gains, and IRA withdrawals strategically.

3. Verify your doctor and prescription coverage. Always confirm your plan’s provider network and formulary before enrolling.

4. Maintain a medical reserve fund. Hold six to 12 months of premiums plus a portion of your maximum out-of-pocket in cash or short-term Treasuries.

5. Finalize your plan by December 15. Open Enrollment for 2026 coverage ends on December 15, with plans effective January 1.

If Affordability Is a Concern

Choosing to go without insurance can expose you to serious financial strain in case of illness or accident. Consider the most affordable Bronze plan that still meets ACA minimum coverage requirements. If your income decreases during the year, you may become eligible for Medicaid or CHIP and qualify for a Special Enrollment Period. ²

How The Retirement Group Supports Travelers Professionals

For Travelers employees approaching or already in retirement, the intersection of rising health care costs and income planning can be complex. The Retirement Group focuses on helping clients navigate ACA subsidy rules, tax-efficient withdrawal strategies, and health care cost planning during retirement transitions.

To speak with an advisor about aligning your retirement income and health care planning, call (800) 900-5867 today.

Featured Video

Articles you may find interesting:

Sources:

1. Cox, Cynthia, et al. “ACA Marketplace Premium Payments Would More Than Double on Average Next Year if Enhanced Premium Tax Credits Expire.” Kaiser Family Foundation (KFF) , 2025, pp. n.p., https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/ .
2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
Other resources:
1. “When Can You Get Health Insurance? | Dates & Deadlines.” HealthCare.gov , U.S. Centers for Medicare & Medicaid Services, n.d., https://www.healthcare.gov/quick-guide/dates-and-deadlines/ .
2. Publication 969: Health Savings Accounts and Other Tax-Favoured Health Plans. Internal Revenue Service, 2024, pp. 8–9, https://www.irs.gov/pub/irs-pdf/p969.pdf .
3. “Silver vs. Bronze Plan Selection: Cost-Comparison Scenarios.” Centers for Medicare & Medicaid Services (CMS) , 23 Dec. 2024, pp. 1–3, https://www.cms.gov/files/document/silver-vs-bronze-cost-comparison-scenario-resource.pdf .
4. Murphy, Tom. “Expect Health Insurance Prices to Rise Next Year, Brokers Say.” AP News , Associated Press, 24 Aug. 2025, https://apnews.com/article/health-insurance-drug-costs-2026-rates-c4d865ec09c7088ecc6b55dc520f3566 .

How does the Travelers 401(k) Savings Plan compare to market standards, and what strategies can employees implement to maximize their retirement benefits while working at Travelers, considering the various contribution options available?

Travelers 401(k) Savings Plan Comparison to Market Standards: The Travelers 401(k) Savings Plan offers immediate eligibility upon hire, automatic enrollment, and flexible contribution options between 1% and 75% of pay, with a mix of pre-tax and Roth options. Employees benefit from a generous dollar-for-dollar employer match on the first 5% of eligible pay, up to $6,000 annually. To maximize retirement benefits, employees should consider contributing at least enough to receive the full employer match and periodically review their investment choices with the aid of Financial Engines, an independent advisory firm provided by Travelers.

In what ways does the Travelers Pension Plan provide a safety net for employees as they transition into retirement, and how does participation in this defined benefit plan impact financial planning for retirement among long-term employees?

Impact of the Travelers Pension Plan: The defined benefit Pension Plan at Travelers, funded entirely by the company, provides a secure foundation for retirement with benefits based on age, salary, and years of service. This plan is crucial for long-term financial planning as it guarantees a predictable income stream in retirement, supplementing savings and Social Security benefits. Employees are eligible after one year of service, which encourages long-term commitment and aids in retirement readiness.

What resources does Travelers offer to assist employees in making effective investment decisions within their 401(k) plans, and how can employees leverage these resources to reach their personal retirement goals?

Investment Decision Resources in Travelers 401(k) Plans: Travelers offers resources such as Financial Engines to assist employees in making informed investment decisions within their 401(k) plans. This service helps employees tailor their investment strategies to their individual retirement goals and risk tolerance. Engaging with these resources can significantly enhance employees' ability to grow their retirement savings effectively.

How can employees best understand the interplay between their personal savings and the benefits provided by Travelers, particularly in relation to healthcare and retirement planning as they age?

Interplay Between Personal Savings and Travelers Benefits: Understanding the interplay between personal savings and company-provided benefits is vital for comprehensive retirement planning. Travelers employees should consider how their benefits package, including health care, life insurance, and disability coverage, complements their savings and Social Security. Regular consultations with financial advisors provided through the company can help employees strategize effectively as they age.

What should employees at Travelers know about the eligibility requirements and benefits associated with the company's Long-Term and Short-Term Disability policies as they prepare for a secure retirement?

Understanding Disability Policies at Travelers: Travelers provides both short-term and long-term disability coverage, which is crucial for protecting income in the event of an unforeseen health issue. Short-term disability covers up to 13 weeks at varying pay levels, while long-term disability kicks in for more severe cases, offering up to 60% of base salary. Employees should familiarize themselves with these policies early to ensure comprehensive coverage as they approach retirement.

How does the company's Paid Time Off (PTO) policy under Travelers facilitate work-life balance, and what implications does this have for employees' long-term health and preparedness for retirement?

Benefits of Travelers PTO Policy: The Paid Time Off (PTO) policy at Travelers allows employees to accrue significant time off based on service length, enhancing work-life balance and contributing to long-term health and well-being. This policy supports employees in maintaining a healthy work-life balance, which is crucial for long-term career sustainability and retirement preparedness.

What strategies can employees implement to effectively utilize the Educational Assistance Program offered by Travelers not only for their personal development but also as a way to enhance their retirement planning prospects?

Utilizing the Educational Assistance Program: Travelers' Educational Assistance Program supports employees in pursuing further education relevant to their professional growth and retirement planning. By investing in additional qualifications and skills, employees can not only enhance their career prospects at Travelers but also increase their earning potential for better retirement savings.

How does the Business Travel Accident Plan improve the overall financial protection for employees at Travelers, and what are the claims procedures if an incident occurs while conducting company business?

Financial Protection through the Business Travel Accident Plan: The Business Travel Accident Plan provides a safety net by offering coverage of up to three times the annual base salary, up to $2 million. This plan is crucial for financial protection against unexpected incidents during business travel, and employees should understand the claims procedures to utilize this benefit effectively.

In terms of post-retirement benefits, how does Travelers support its retirees concerning access to resources like financial planning services or health benefits?

Post-Retirement Benefits at Travelers: Travelers supports retirees by offering access to financial planning services and health benefits. These resources are vital for maintaining financial stability and health during retirement. Retirees should actively engage with these services to optimize their retirement lifestyle and financial management.

For employees looking for further information or assistance regarding their retirement plans and benefits at Travelers, what are the best ways to contact the company to ensure they receive accurate and timely information?

Accessing Retirement Plan Information at Travelers: Employees seeking information or assistance regarding their retirement plans can contact Travelers' Employee Services Unit via email at 4-ESU@travelers.com or by calling 800.441.4378. Utilizing these channels ensures employees receive accurate and up-to-date information about their retirement benefits.