University of California Employees Face Mounting Health Insurance Costs—How Rising Expenses Could Impact Financial Stability
Healthcare Provider Update: For the University of California, the primary healthcare provider is Kaiser Permanente, which is part of a network that offers comprehensive medical services to faculty and staff. They participate in programs designed to provide quality health care as well as manage costs effectively.
Looking ahead to 2026, healthcare costs for University of California employees are projected to rise significantly. Premiums in the Affordable Care Act (ACA) marketplace are expected to increase sharply, with some states anticipating hikes exceeding 60%. This situation may result in more than 22 million marketplace enrollees facing increases in their out-of-pocket premiums by over 75% due to the potential expiration of enhanced federal subsidies. The combination of escalating medical costs and these subsidy changes will likely strain budgets and access, prompting employees to reevaluate their healthcare options for the upcoming year.
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'Rising health care costs have become a silent strain on long-term financial wellness, and University of California employees should regularly evaluate their benefit options and adjust their retirement plans to keep pace with medical inflation,' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.
'With health care expenses climbing faster than wages or inflation, University of California employees must treat medical costs as a core part of their retirement strategy, not an afterthought, to maintain lasting financial resilience,' – Brent Wolf, CFP®, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
How rising health insurance costs are reshaping employee and retiree financial outlooks.
The impact of health care inflation on long-term retirement readiness and workforce dynamics.
Practical strategies to manage escalating medical expenses and maintain financial resilience.
Rising Health Insurance Costs Are Driving Growing Financial Difficulties
by Brent Wolf, CFP®, Wealth Enhancement
The rising cost of health insurance continues to strain budgets across the nation. For University of California workers and retirees, higher premiums expected for 2026 could significantly affect long-term fiscal outcomes. Pharmaceutical inflation, institutional inefficiencies, and soaring medical expenses have combined to make health care one of the most persistent budget pressures of this decade.
“One of the most destabilizing factors in personal finance is health care,” said Brent Wolf, CFP®, of Wealth Enhancement. Because premiums, copays, and deductibles tend to increase faster than both income and inflation,
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even University of California professionals with competitive compensation packages may feel the tightening impact.
A Stressed-Out Health Care System
According to the Kaiser Family Foundation (KFF) 2025 survey, employees now contribute $6,850 on average toward the annual cost of employer-sponsored family health coverage (with total premiums surpassing $26,993 nationwide)—an increase of roughly 7% from last year and up 26% since 2020.
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Hospital consolidations, postponed care during the pandemic, and high prescription drug costs have created the perfect storm. As deferred treatments resume, utilization surges—leading insurers and large employers, such as University of California, to shift a greater portion of costs to workers.
According to Wolf, “the system is under immense pressure.” Retirees are seeing similar inflation in their Medicare supplement premiums, while employers are balancing how much of those costs to absorb versus pass on.
Medical breakthroughs, from targeted cancer therapies to weight-loss medications, are improving outcomes but driving costs higher. Meanwhile, for-profit intermediaries and opaque pricing structures continue to inflate overall health care spending.
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The Unspoken Effect on Future Financial Readiness
Rising health care costs quietly eat into retirement readiness. Many University of California employees nearing retirement underestimate how much medical expenses may increase once paychecks stop.
“Most people include taxes and living expenses in their retirement plans, but they don’t consistently account for medical inflation,” Wolf explained. “Health care can easily consume 20% to 30% of a retiree’s budget—and that figure continues to grow each year.”
For current workers, rising premiums can limit 401(k) contributions or reduce savings rates. A University of California employee who reduces retirement plan contributions by $500 per month to offset health care costs could lose over $1 million in potential retirement assets over 30 years. “That’s the hidden cost few people calculate,” said Wolf.
Employers Reevaluating Their Position
Many corporations are reassessing how to balance premium subsidies and employee well-being. For companies like University of California, maintaining comprehensive health coverage is a key part of retaining experienced talent and safeguarding long-term productivity.
“Organizations that absorb a greater share of premiums typically see higher engagement, lower turnover, and stronger morale,” Wolf said. “While the upfront cost is high, the return is often a healthier, more stable workforce.”
However, smaller industry players and contractors may not have the same flexibility. Wolf advises workers to assess total compensation—including health care contributions—when evaluating job opportunities.
“It’s effectively a 5–10% raise if your employer covers half your premium,” Wolf added. “Recognizing those hidden compensation advantages is vital for long-term planning.”
How to Handle Medical Expenses
Wolf recommends several steps for University of California employees to manage health care costs and help strengthen long-term fiscal positioning:
1. Take full advantage of employer benefits. Use available premium-sharing programs, flexible savings accounts (FSAs), and health savings accounts (HSAs). HSAs, in particular, offer triple-tax advantages that can significantly reduce future health care burdens.
2. Incorporate medical cost inflation in retirement plans. Health care costs should be assumed to rise at least 5% annually, especially for those with chronic health concerns or long-term care needs.
3. Compare Medicare and supplemental plans carefully. Lower premiums can mask higher long-term expenses due to limited coverage or prescription restrictions.
4. Review coverage each year. The annual open enrollment period provides a chance to identify network changes or premium adjustments before they negatively affect your budget.
5. Plan early for long-term care. With private nursing home costs averaging more than $100,000 annually,
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hybrid life insurance or long-term care coverage can help preserve accumulated assets.
The Wider Financial Consequences
Rising health care costs influence more than personal budgets—they shape national economic patterns, retirement timing, and workforce participation.
“Health care expenses pose a real threat to long-term wealth for many,” Wolf warned. “They affects when people can afford to retire, how long they remain in the workforce, and how sustainable their income will be afterward.”
According to KFF research, health care premiums grew 6% since 2024, compared to a 4% rise in worker earnings and a 2.7% rate of inflation.
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For University of California employees, this imbalance underscores the need for proactive planning.
Creating a Long-Term Financial Structure
Wolf stresses that health care should be integrated into your overall financial strategy, not treated as a fixed expense. For University of California employees, that means crafting retirement and investment plans that can weather ongoing medical cost pressures.
“Finding the cheapest plan isn’t the goal,” Wolf said. “The goal is to build a financial structure that supports your family, your health, and your long-term fiscal well-being. Health care is not just a cost—it’s a cornerstone of long-term budget health.”
A study by Milliman Inc. found that a healthy 65-year-old retiring in 2025 may face lifetime health care costs of approximately $275,000 (men) to $313,000 (women) under Original Medicare with Medigap and Part D coverage.
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Retiring five years earlier could increase those lifetime costs by roughly 56%.
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Health care inflation—combined with premiums surpassing $25,000 per year and a 26% rise in health insurance costs since 2020—has created a new fiscal reality for University of California employees and retirees alike. By leveraging HSAs and FSAs, accounting for annual medical cost inflation, and reassessing coverage each year, individuals can take active steps toward conserving long-term budget health.
Think of health care expenses as a slow leak in your financial tank. Each copay or premium increase might seem minor, but over time, it drains the resources meant for a dependable retirement. Like a skilled engineer maintaining vital equipment, University of California employees must monitor their health care costs, plug fiscal leaks early, and fortify their plan before small issues become costly impairments.
About the Author
Financial planner Brent Wolf, CFP®, of Wealth Enhancement , focuses on health care expense planning and retirement income strategies. He helps clients align their medical coverage with broader fiscal goals to maintain long-term stability amid changing market and health care conditions.
How does the University of California Retirement Plan (UCRP) define service credit for members, and how does it impact retirement benefits? In what ways can University of California employees potentially enhance their service credit, thereby influencing their retirement income upon leaving the University of California?
Service Credit in UCRP: Service credit is essential in determining retirement eligibility and the amount of retirement benefits for University of California employees. It is based on the period of employment in an eligible position and covered compensation during that time. Employees earn service credit proportionate to their work time, and unused sick leave can convert to additional service credit upon retirement. Employees can enhance their service credit through methods like purchasing service credit for unpaid leaves or sabbatical periods(University of Californi…).
Regarding the contribution limits for the University of California’s defined contribution plans, how do these limits for 2024 compare to previous years, and what implications do they have for current employees of the University of California in their retirement planning strategies? How can understanding these limits lead University of California employees to make more informed decisions about their retirement savings?
Contribution Limits for UC Defined Contribution Plans in 2024: Contribution limits for defined contribution plans, such as the University of California's DC Plan, often adjust yearly due to IRS regulations. Increases in these limits allow employees to maximize their retirement savings. For 2024, employees can compare the current limits with previous years to understand how much they can contribute tax-deferred, potentially increasing their long-term savings and tax advantages(University of Californi…).
What are the eligibility criteria for the various death benefits associated with the University of California Retirement Plan? Specifically, how does being married or in a domestic partnership influence the eligibility of beneficiaries for University of California employees' retirement and survivor benefits?
Eligibility for UCRP Death Benefits: Death benefits under UCRP depend on factors like length of service, eligibility to retire, and marital or domestic partnership status. Being married or in a registered domestic partnership allows a spouse or partner to receive survivor benefits, which might include lifetime income. In some cases, other beneficiaries like children or dependent parents may be eligible(University of Californi…).
In the context of retirement planning for University of California employees, what are the tax implications associated with rolling over benefits from their defined benefit plan to an individual retirement account (IRA)? How do these rules differ depending on whether the employee chooses a direct rollover or receives a distribution first before rolling it over into an IRA?
Tax Implications of Rolling Over UCRP Benefits: Rolling over benefits from UCRP to an IRA can offer tax advantages. A direct rollover avoids immediate taxes, while receiving a distribution first and rolling it into an IRA later may result in withholding and potential penalties. UC employees should consult tax professionals to ensure they follow the IRS rules that suit their financial goals(University of Californi…).
What are the different payment options available to University of California retirees when selecting their retirement income, and how does choosing a contingent annuitant affect their monthly benefit amount? What factors should University of California employees consider when deciding on the best payment option for their individual financial situations?
Retirement Payment Options: UC retirees can choose from various payment options, including a single life annuity or joint life annuity with a contingent annuitant. Selecting a contingent annuitant reduces the retiree's monthly income but provides benefits for another person after their death. Factors like age, life expectancy, and financial needs should guide this decision(University of Californi…).
What steps must University of California employees take to prepare for retirement regarding their defined contribution accounts, and how can they efficiently consolidate their benefits? In what ways does the process of managing multiple accounts influence the overall financial health of employees during their retirement?
Preparation for Retirement: UC employees nearing retirement must evaluate their defined contribution accounts and consider consolidating their benefits for easier management. Properly managing multiple accounts ensures they can maximize their income and minimize fees, thus contributing to their financial health during retirement(University of Californi…).
How do the rules around capital accumulation payments (CAP) impact University of California employees, and what choices do they have regarding their payment structures upon retirement? What considerations might encourage a University of California employee to opt for a lump-sum cashout versus a traditional monthly pension distribution?
Capital Accumulation Payments (CAP): CAP is a supplemental benefit that certain UCRP members receive upon leaving the University. UC employees can choose between a lump sum cashout or a traditional monthly pension. Those considering a lump sum might prefer immediate access to funds, but the traditional option offers ongoing, stable income(University of Californi…)(University of Californi…).
As a University of California employee planning for retirement, what resources are available for understanding and navigating the complexities of the retirement benefits offered? How can University of California employees make use of online platforms or contact university representatives for personalized assistance regarding their retirement plans?
Resources for UC Employees' Retirement Planning: UC offers extensive online resources, such as UCnet and UCRAYS, where employees can manage their retirement plans. Personalized assistance is also available through local benefits offices and the UC Retirement Administration Service Center(University of Californi…).
What unique challenges do University of California employees face with regard to healthcare and retirement planning, particularly in terms of post-retirement health benefits? How do these benefits compare to other state retirement systems, and what should employees of the University of California be aware of when planning for their medical expenses after retirement?
Healthcare and Retirement Planning Challenges: Post-retirement healthcare benefits are crucial for UC employees, especially as healthcare costs rise. UC’s retirement health benefits offer significant support, often more comprehensive than other state systems. However, employees should still prepare for potential gaps and rising costs in their post-retirement planning(University of Californi…).
How can University of California employees initiate contact to learn more about their retirement benefits, and what specific information should they request when reaching out? What methods of communication are recommended for efficient resolution of inquiries related to their retirement plans within the University of California system?
Contacting UC for Retirement Information: UC employees can contact the UC Retirement Administration Service Center for assistance with retirement benefits. It is recommended to request information on service credits, pension benefits, and health benefits. Communication via the UCRAYS platform ensures secure and efficient resolution of inquiries(University of Californi…).
With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
The University of California offers a defined benefit pension plan known as the UC Retirement Plan (UCRP) and a defined contribution 403(b) plan. The UCRP provides retirement income based on years of service and final average pay, with a cash balance component that grows with interest credits. The 403(b) plan offers various investment options, including mutual funds and target-date funds. Employees also have access to financial planning resources and tools.
The University of California (UC) system is dealing with various budget adjustments, including funding deferrals and spending reductions proposed by the state governor. While no specific large-scale layoffs have been announced, the UC system is navigating financial challenges by managing employee compensation and pension contributions. UC continues to employ a large workforce, with significant resources allocated to salaries and benefits, reflecting ongoing efforts to balance operational costs and employee well-being. Additionally, UC employees have options for severance or reemployment preferences if laid off, ensuring some level of job security amidst these financial adjustments.
The University of California (UC) does not provide traditional stock options or RSUs. Instead, UC offers a comprehensive retirement savings program. The UC Retirement Plan (UCRP) is a traditional pension plan. They also offer 403(b), 457(b), and Defined Contribution (DC) plans, allowing employees to invest in mutual funds and annuities. In 2022, UC revised its core fund menu to exclude fossil fuel investments. In 2023, new funds like the UC Short Duration Bond Fund were introduced. By 2024, UC added options through Fidelity BrokerageLink®. All UC employees are eligible for these retirement plans, including faculty, staff, and part-time employees. [Source: UC Annual Report 2022, p. 45; UC Retirement Program Overview 2023, p. 28; UC Budget Report 2024, p. 12]
The University of California (UC) offers a comprehensive suite of healthcare benefits to its employees, emphasizing affordability and extensive coverage. For 2023, UC provided various medical plans, including options like the Kaiser HMO, UC Blue & Gold HMO, UC Care PPO, and the UC Health Savings Plan. Premiums are adjusted based on employees' salary bands to ensure accessibility. Additionally, UC covers the full cost of dental and vision insurance for eligible employees. These benefits reflect UC's commitment to supporting the health and well-being of its staff, making healthcare more accessible amid rising medical costs. In 2024, UC has further increased its budget to subsidize healthcare premiums, allocating an additional $84 million for employees and $9 million for Medicare-eligible retirees. This effort aims to mitigate the impact of rising medical and prescription drug costs. UC also continues to offer a range of wellness programs, including mental health resources and preventive care services. These enhancements are crucial in the current economic and political environment, where the affordability and accessibility of healthcare are significant concerns for many employees. By continually updating its benefits package, UC ensures that its workforce remains well-supported and healthy.
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For more information you can reach the plan administrator for University of California at 9500 gilman dr La Jolla, CA 92093; or by calling them at 858-534-2230.
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