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Kaiser Permanente Employees: Save on Health Care Taxes with the 2026 HSA Expansion

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Healthcare Provider Update: Healthcare Provider: Kaiser Permanente Kaiser Permanente is a leading integrated healthcare provider that offers a range of medical services including preventive care, hospitalization, and specialty care across various states. Potential Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases are expected, especially for Kaiser Permanente customers. Health insurance premiums for Affordable Care Act (ACA) plans are projected to rise dramatically, with some individuals facing increases of over 75% due to the anticipated expiration of enhanced federal premium subsidies. Coupled with higher medical costs and aggressive rate hikes from major insurers, many policyholders could experience unprecedented out-of-pocket expenses, signaling a challenging financial landscape for consumers in the near future. Click here to learn more

It is important for KP employees to pay specific attention to interest rates as some of the KP pension plans are sensitive to rate changes. Some KP employees are allowed to take their pension utilising new rates each month. If interest rates continue to rise, KP employees will find this article useful as it will help with the retirement planning process.

'With the 2026 expansion of HSA eligibility, Kaiser Permanente employees have a rare opportunity to integrate tax-advantaged health care savings into long-term retirement planning, turning modest contributions into meaningful, tax-favored reserves.' – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.

'Kaiser Permanente employees can leverage the expanded HSA rules in 2026 to build a versatile, tax-advantaged reserve for future health care costs, complementing their broader retirement strategy.' – Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will cover:

  1. The expansion of Health Savings Account (HSA) eligibility in 2026.

  2. The triple tax advantages that HSAs offer.

  3. How Kaiser Permanente employees can incorporate HSAs into long-term retirement planning

By Kevin Won, Wealth Enhancement advisor

Health Savings Accounts Are Expanded: Millions More May Qualify in 2026

Thanks to a key change in tax law, an estimated 10 million more Americans may qualify for Health Savings Accounts (HSAs) starting in 2026. 1  For eligible employees at Kaiser Permanente, this could represent a major chance to manage taxes while building long-term health care reserves.

Kevin Won, an advisor at Wealth Enhancement, describes this as “one of the most underused yet effective ways to mitigate taxes while planning for health care costs in retirement.” He further notes that many more households will now have access to powerful solutions for growing tax-favored savings that support long-term goals.

How HSAs Work

For eligible medical expenses, HSAs function as tax-advantaged accounts. Because contributions are made before taxes, taxable income is reduced immediately. After funding, account balances may be invested and grow without yearly tax drag. A triple benefit emerges when qualified medical withdrawals are made, as those withdrawals are not taxed. Kaiser Permanente employees may find these features especially compelling, because unused balances carry forward indefinitely, somewhat like a 401(k).

What Changes in 2026

Under current rules, only individuals in high-deductible health plans (HDHPs) are eligible for HSAs. As of January 1, 2026, however, certain policies purchased through the Affordable Care Act's marketplace and other insurance plans will also be eligible. Specifically, it will become possible to pair HSAs with marketplace bronze plans and catastrophic plans, which will be treated as HDHPs going forward. 2  For Kaiser Permanente retirees, this shift may open new possibilities that were previously closed. The updated law offers an additional way to enhance tax efficiency and plan for future medical costs.

The Triple Tax Advantage

Won outlines three core benefits of HSAs:

  1. Contributions are deductible, which lowers taxable income upon deposit.

  2. Investments grow on a tax-free basis.

  3. Withdrawals for eligible health costs are untaxed.

Thanks to these features, HSAs offer a tax-efficient way to save for health care costs. After age 65, HSA funds can even be used for non-medical expenses, although withdrawals for those purposes are taxable. 3  This allows Kaiser Permanente employees to use them like a supplemental retirement pool to address medical costs or to provide additional income when used strategically. 

Bottom Line

For millions of Americans, the expanded eligibility in 2026 is a strong opportunity to manage taxes and plan for medical expenses more effectively. “The earlier you begin, the greater the compounding effect,” Won stated. Over time, even modest contributions can accumulate into significant tax-free funds.

In 2026, the annual contribution limit for HSAs will rise to $4,400 for single plans and $8,750 for family coverage. 4  For those age 55 and older, the $1,000 annual HSA catch-up contribution will also remain in 2026, permitting larger tax-favored deposits. For Kaiser Permanente employees nearing retirement, that extra buffer may be especially helpful in offsetting rising health care costs.

A Final Analogy

Imagine an HSA as planting a resilient oak tree in your financial landscape. Each contribution is a seed placed with tax perks, sheltered from erosion as it grows, and harvested tax-free when needed for medical costs. With the 2026 expansion, Kaiser Permanente employees now gain broader access to this fertile territory. By integrating HSAs into their broader retirement plans, participants can map contributions and growth, helping today’s modest seed grow into lasting tax-free shade for tomorrow’s health care needs.

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Sources:

1. Barron's. ' More People Can Save Taxes on Health Expenses With These Accounts Under the New Law ,' by Karen Hube. 5 Oct. 2025.

2. KFF. ' Expansions to Health Savings Accounts in House Budget Reconciliation ,' by Meghan Salaga and Kaye Pestaina. 29 May 2025.

3. Fidelity Viewpoints. ' 5 Ways HSAs Can Help with Your Retirement. Fidelity , Sept. 2025. 

4. CNBC. ' IRS unveils new HSA limits for 2026, ' by Kate Dore. 2 May 2025.

Other Resources: 

1. Kiplinger Editors. 'Seven Things You Should Do Before 2026 Because of One Big Beautiful Bill Changes.'  Kiplinger , 3 Oct. 2025,  www.kiplinger.com/taxes/what-you-should-do-before-2026-because-of-obbba-changes

2. Morgan Stanley Wealth Management. 'HSAs: An Overlooked Retirement Savings Vehicle.'  Morgan Stanley , 17 Apr. 2024,  www.morganstanley.com/articles/health-savings-account-retirement-tax-advantages.

3. AARP Editors. 'HSA May Be Your Secret Tax Weapon for Retirement Saving.'  AARP , 10 Sept. 2025,  www.aarp.org/money/retirement/hsa-secret-tax-weapon/.

What is the 401(k) plan offered by Kaiser Permanente?

The 401(k) plan offered by Kaiser Permanente is a retirement savings plan that allows employees to save a portion of their salary on a pre-tax basis, helping them build a nest egg for retirement.

How does Kaiser Permanente match contributions to the 401(k) plan?

Kaiser Permanente provides a matching contribution to the 401(k) plan, where they match a percentage of employee contributions, up to a certain limit, helping employees maximize their savings.

What are the eligibility requirements for Kaiser Permanente's 401(k) plan?

Employees of Kaiser Permanente are generally eligible to participate in the 401(k) plan after completing a specified period of service, which is outlined in the plan documents.

Can employees of Kaiser Permanente make changes to their 401(k) contributions?

Yes, employees of Kaiser Permanente can change their contribution amounts to the 401(k) plan at any time, subject to the plan's guidelines.

What investment options are available in Kaiser Permanente's 401(k) plan?

Kaiser Permanente's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their portfolios.

Does Kaiser Permanente provide educational resources for employees regarding the 401(k) plan?

Yes, Kaiser Permanente offers educational resources and tools to help employees understand their 401(k) options and make informed investment decisions.

What is the vesting schedule for Kaiser Permanente’s 401(k) matching contributions?

The vesting schedule for Kaiser Permanente’s 401(k) matching contributions varies based on years of service, and employees can find specific details in the plan documents.

Can Kaiser Permanente employees take loans against their 401(k) savings?

Yes, Kaiser Permanente allows employees to take loans against their 401(k) savings, subject to the terms and conditions outlined in the plan.

What happens to the 401(k) plan when an employee leaves Kaiser Permanente?

When an employee leaves Kaiser Permanente, they have several options regarding their 401(k) plan, including cashing out, rolling it over to another retirement account, or leaving it in the plan if allowed.

Is there an automatic enrollment feature in Kaiser Permanente's 401(k) plan?

Yes, Kaiser Permanente may have an automatic enrollment feature that enrolls eligible employees into the 401(k) plan at a default contribution rate unless they choose to opt-out.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Kaiser Permanente offers a defined benefit pension plan providing retirement income based on compensation and years of service. The plan does not include a cash balance component. Employees can also contribute to additional retirement accounts with potential employer matching.
Kaiser Permanente announced significant layoffs, cutting over 100 IT roles in 2023, primarily impacting Northern California. This decision followed an earlier reduction of 49 workers in human resources services. These layoffs coincided with a major strike by over 75,000 employees protesting short-staffing and corporate outsourcing, highlighting ongoing labor tensions within the healthcare industry. In response to labor disputes, Kaiser Permanente ratified a new four-year contract in November 2023 with more than 85,000 healthcare workers. The agreement includes annual wage increases, a minimum wage boost, and more investments in employee training and hiring. This move aims to address worker burnout and staffing shortages, reflecting the pressures on the healthcare sector amidst economic challenges and rising operational costs.
Kaiser Permanente offers RSUs to its employees, vesting over a period and converting into shares upon vesting. Stock options are not typically part of their compensation package, focusing more on RSUs and other performance incentives.
Kaiser Permanente, a leader in integrated healthcare, has made several significant updates to its employee healthcare benefits in recent years, adapting to the changing economic, investment, tax, and political landscapes. In 2023 and 2024, Kaiser Permanente has emphasized connected care, combining care and coverage to simplify access to health services. Noteworthy updates include $0 copays for telehealth services, $15 chiropractic services (up to 20 visits per year), and enhanced rewards programs where employees can earn up to $150 in Healthy Rewards. The health plan also continues to support employees' mental and emotional well-being through free access to the Calm and myStrength apps, providing meditation and personalized mental health resources at no cost​ (Kaiser Permanente)​​ (Kaiser Permanente)​. Given the current economic uncertainties and evolving healthcare regulations, Kaiser Permanente's approach to healthcare benefits underscores the importance of comprehensive, accessible, and affordable healthcare for its employees. This strategy not only addresses immediate health needs but also enhances overall employee satisfaction and retention. Discussing healthcare benefits is crucial in today's climate as companies like Kaiser Permanente strive to balance cost management with the delivery of high-quality healthcare services. The company's proactive measures ensure that their employees are well-supported, promoting a healthier and more productive workforce​ (Kaiser Permanente)​​ (Working at Kaiser Permanente)​.
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For more information you can reach the plan administrator for Kaiser Permanente at one kaiser plaza Oakland, CA 94612; or by calling them at 510-271-5940.

https://healthplans.kaiserpermanente.org/federal-employees-fehb/wp-content/uploads/2022/10/2023FEHB-Brochure-73-822.pdf - Page 5, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2023/summary-of-benefits-puget-sound-wa.pdf - Page 12, https://account.kp.org/2024/summary-benefits.pdf - Page 15, https://account.kp.org/2023/summary-benefits.pdf - Page 8, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2024/summary-of-benefits-puget-sound-wa.pdf - Page 22, https://account.kp.org/2022/summary-benefits.pdf - Page 28, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2022/summary-of-benefits-puget-sound-wa.pdf - Page 20, https://account.kp.org/2024/benefits-summary.pdf - Page 14, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2023/benefits-summary-puget-sound-wa.pdf - Page 17, https://account.kp.org/2023/benefits-summary.pdf - Page 23

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