Why More CSX Employees Are Considering Social Security Early — And How Medicare Changes Play a Role
Healthcare Provider Update: Healthcare Provider for CSX:
CSX Corporation has partnered with Aetna, a division of CVS Health, to provide healthcare benefits for its employees. This collaboration allows CSX employees access to a wide range of health services and insurance plans tailored to meet their specific needs.
Potential Healthcare Cost Increases in 2026:
In 2026, CSX and its employees may face significant healthcare cost challenges, as the landscape for health insurance is set to experience considerable changes. With proposed premium hikes in the Affordable Care Act marketplace reaching as much as 66% in some states, the potential expiration of enhanced federal premium subsidies may exacerbate out-of-pocket expenses for many enrollees. A forecast indicates that over 22 million individuals could see their premiums increase by more than 75%, driven by rising medical costs and insurers' aggressive rate adjustments. This surge in costs could create financial strain not only for individual employees but also for the company's overall healthcare budget, necessitating strategic planning and proactive measures for 2026.
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'CSX employees weighing when to file for Social Security should consider both current health care costs and long-term income needs, so they can stay adaptable as retirement unfolds.' — Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'CSX employees can benefit from thoughtfully coordinating Social Security timing with health care expenses so their retirement income stays aligned with their evolving needs over time.' — Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
How Social Security filing age affects retirement income.
How Medicare expenses factor into when retirees claim benefits.
Why emotional concerns are shifting filing behavior for many Americans.
Written by Wealth Enhancement advisors Kevin Landis, CPA and Wesley Boudreaux
Advisors in the retirement-income space have long suggested that retirees consider delaying filing for Social Security benefits. For those with a full retirement age (FRA) of 67, waiting until age 70 can result in monthly payments that are around 24% higher.
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And for those with an FRA of 66, the increase if one waits until age 70 is closer to 32%.
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CSX employees nearing retirement often hear this same message.
However, new national data indicates a growing number of Americans plan to claim Social Security before age 70. Cost pressures and health care related issues are major influences in this trend.
The Retirees’ Reality
Today’s retirees face a very different environment than those in past decades, including less access to traditional pensions, rising health care costs, and mounting everyday living expenses. In the private sector, only about 15% of workers still have access to defined benefit pensions,
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affecting many households and CSX employees.
According to retirement consultant Wesley Boudreaux, 'most retirees are not choosing to claim early for the sake of it.” Instead, rising medical and living costs are driving earlier benefit decisions because of cash flow pressures.
One major factor? Health care. Nearly 39% of out-of-pocket health care spending by Medicare beneficiaries was equivalent to Social Security payments received, on average, in 2022.
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Medicare Advantage: A Key Planning Factor
Additionally, shifts in Medicare Advantage plans have left many retirees unsure about upcoming costs. Benefit structures can vary significantly by year or by region, causing cost surprises that CSX workers and their families may need to plan for.
“We are already seeing clients paying more for health care than expected,” said Kevin Landis, CPA. “When medical expenses rise, Social Security often becomes the first lever people pull to handle that burden.”
This is why coordinating Social Security filing decisions with Medicare coverage choices remains important, particularly when plans change annually.
“This is the intersection of Social Security and health care planning,” Landis adds. “Changes in one can influence the other.”
Emotional Considerations Also Matter
Money matters aren’t the only reason retirees claim earlier. Concerns about the future of Social Security have caused many to look for the emotional comfort of taking benefits sooner, including some CSX workers preparing for retirement.
While benefits are expected to continue—even if trust fund reserves decline in the 2030s—worries about future payouts can play a role.
“It’s not just about math,” Boudreaux explains. “People want control and stability in retirement, even if that means receiving less over time.”
Finding the Right Approach for You
Whether filing early is a good fit depends a lot on health, cash flow needs, and longer-term retirement goals. Thoughtful planning helps maintain flexibility, rather than driving you to respond under pressure.
“The best approach balances today’s needs with what lies ahead,” Landis says. “And that begins with understanding how Medicare and Social Security interact.”
Need Help Reviewing Your Options?
The Retirement Group, a division of Wealth Enhancement, helps individuals evaluate Medicare electives, analyze Social Security filing alternatives, and design retirement income strategies based on personal goals—including guidance tailored to those employed by CSX.
📞 Call (800) 900-5867 before your next enrollment period to schedule a Social Security & Health Care Review.
Work toward confidence in your long-term retirement income decisions.
About the Authors
Wesley Boudreaux and Kevin Landis, CPA, provide retirement income and tax planning guidance through Wealth Enhancement, helping people make informed choices about Social Security, Medicare, and financial well-being.
1. Social Security Administration.
When to Start Receiving Retirement Benefits: Publication No. 05-10147
. May 2024. U.S. Government Publishing Office, Washington D.C.
2. Topoleski, John J., Elizabeth A. Myers, and Sylvia L. Bryan.
Worker Participation in Employer-Sponsored Pensions: Data in Brief and Recent Trends (R43439)
. Congressional Research Service, 18 Sept. 2024.
3. Medicare Payment Advisory Commission.
Report to the Congress: Medicare Payment Policy – Chapter 11: The Medicare Advantage Program: Status Report
. Mar. 2025, medpac.gov/wp-content/uploads/2025/03/Mar25_Ch11_MedPAC_Report_To_Congress_SEC.pdf.
4. Board of Trustees, Social Security.
2025 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds
. 30 June 2025. U.S. Government Publishing Office, Washington D.C.
What is the purpose of the 401(k) plan at CSX?
The 401(k) plan at CSX is designed to help employees save for retirement by allowing them to contribute a portion of their salary on a pre-tax basis.
How can CSX employees enroll in the 401(k) plan?
CSX employees can enroll in the 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.
Does CSX offer a company match for 401(k) contributions?
Yes, CSX offers a company match for 401(k) contributions, which allows employees to increase their retirement savings.
What is the maximum contribution limit for CSX employees under the 401(k) plan?
The maximum contribution limit for CSX employees under the 401(k) plan is determined by the IRS and may change annually. Employees should check the latest IRS guidelines for the current limit.
Can CSX employees take loans against their 401(k) savings?
Yes, CSX allows employees to take loans against their 401(k) savings, subject to certain conditions and limits outlined in the plan documents.
What investment options are available in CSX's 401(k) plan?
CSX's 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to choose based on their risk tolerance and retirement goals.
When can CSX employees start withdrawing from their 401(k) plan?
CSX employees can start withdrawing from their 401(k) plan at age 59½, or earlier under certain circumstances, such as financial hardship.
Is there a vesting schedule for CSX's 401(k) company match?
Yes, CSX has a vesting schedule for the company match, which means employees must work for a certain period to fully own the matched contributions.
How often can CSX employees change their 401(k) contribution amount?
CSX employees can change their 401(k) contribution amount at any time, subject to the plan's guidelines and payroll processing schedules.
What happens to a CSX employee's 401(k) if they leave the company?
If a CSX employee leaves the company, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave the funds in the CSX plan if permitted.
With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
The pension plan for CSX employees is part of the Railroad Retirement Act, specifically referred to as the CSX Railroad Retirement plan.
Eligibility and Qualifications:
Years of Service: Employees typically need to have at least 10 years of service to be eligible for the pension plan benefits.
Age Qualification: Full retirement benefits are available at age 60 with 30 years of service or age 62 with fewer years of service.
Pension Formula: The pension is calculated based on the highest three earning years. The formula generally provides 80% of the average highest earnings after 30 years of service.
Specific Terms and Acronyms:
RRB (Railroad Retirement Board): Governs the administration of the railroad retirement benefits.
Tier I and Tier II Benefits: Components of the Railroad Retirement benefits, with Tier I similar to Social Security and Tier II providing additional benefits based on railroad earnings.
CSX 401(k) Plan:
Name of 401(k) Plan: CSX offers the CSXtra 401(k) plan.
Eligibility and Qualifications:
Who Qualifies: All full-time employees are eligible to participate in the CSXtra 401(k) plan.
Contribution Limits: Employees can contribute from 1% to 50% of their eligible pay up to the IRS limits, with additional catch-up contributions for those aged 50 and older.
Company Match: CSX matches 100% of the first 1% of the employee's contribution and 50% of the next 5% of the contributions.
Layoffs and Restructuring: CSX has not announced significant layoffs recently but is continuously adjusting its workforce through normal attrition and targeted hiring to meet changing market demands.
2022: In 2022, CSX granted stock options and RSUs to key executives, focusing on aligning their incentives with the company's strategic goals. The grants were part of the annual executive compensation review.
2023: The 2023 program continued to emphasize performance-based RSUs, rewarding employees for meeting specific operational and financial targets. This year's grants included a significant component tied to sustainability and ESG (Environmental, Social, Governance) metrics, reflecting the company's commitment to sustainable growth.
2024: In 2024, CSX expanded its RSU program to include more mid-level management positions, recognizing the broader impact of these roles on company performance. This year’s stock options included features to enhance retention and reward long-term loyalty among employees.
Health Insurance: CSX offers various health insurance plans, including options with low co-pays and comprehensive coverage through Aetna. These plans cover a wide range of medical services and prescriptions.
Wellness Programs: To promote physical and mental health, CSX has implemented wellness programs that include health assessments, fitness challenges, and access to wellness resources.
Flexible Spending Accounts (FSAs): Employees can set aside pre-tax dollars for healthcare expenses through Health Care FSAs. The contribution limit for 2024 is $3,050, with a carryover limit of $610 from the previous year.
Accidental Death and Dismemberment (AD&D) Insurance: CSX provides AD&D insurance, which covers employees in case of serious injuries or death due to accidents, with various coverage options based on annual pay.
Recent Employee Healthcare News:
In recent years, CSX has maintained stable health insurance premiums while enhancing the benefits package to meet evolving needs. The company continues to focus on offering competitive and comprehensive health benefits to attract and retain top talent. For instance, CSX has been recognized for its support of military and first responders through its Pride in Service program, which also contributes to the overall health and wellness of its employees.
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