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Why an Aging Workforce and Demographic Shifts Could Impact Stock Markets—and Molina Healthcare Employees' Retirement

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Healthcare Provider Update: Molina Healthcare is a prominent healthcare provider that offers a range of health insurance plans, primarily through the Affordable Care Act (ACA) marketplace. In Florida, Molina is proposing a significant rate increase of approximately 41% for individual plans in 2026, which is the highest among competing insurers. This surge in premiums is part of a broader trend expected across the ACA marketplace, where many participants may face increased costs due to various factors including the potential expiration of enhanced federal premium subsidies and rising medical expenses. If enacted, this could lead to substantial financial strain for a large portion of enrollees, particularly those who are reliant on affordable coverage under the ACA. Click here to learn more

'Understanding demographic trends, like the Middle-Old ratio, can offer invaluable insight for Molina Healthcare employees planning for retirement, as it highlights the potential for slower stock market growth in the future and suggests strategic adjustments to portfolios to align with shifting global economic conditions.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'By recognizing the impact of demographic shifts, such as the Middle-Old ratio, Molina Healthcare employees can better position their retirement portfolios to navigate upcoming market changes and demographic-driven economic shifts, helping their retirement planning to remain resilient in the face of long-term trends.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. The impact of demographic shifts, particularly the Middle-Old ratio, on stock market trends and retirement planning.

  2. How population changes influence market cycles and economic growth, with a focus on Molina Healthcare employees.

  3. Strategies for adjusting retirement portfolios based on demographic forecasts, including exposure to emerging markets.

The long-term outlook for stock markets and retirement planning is being affected by the demographic changes happening in the United States and other industrialized nations. The 'Middle-Old ratio' (M/O ratio), which analyzes the ratio of middle-aged to elderly individuals, is a key factor that investors, particularly Molina Healthcare employees, should consider when planning for the future. For those preparing their retirement plans over the next decade or more, this ratio offers a unique approach to forecasting long-term stock market trends.

The Effect of the M/O Ratio on Stock Markets

The M/O ratio is determined by dividing the number of individuals aged 40 to 49 by the number of people aged 60 to 69. This metric has shown a strong correlation with long-term stock market cycles, especially in the S&P 500. Research conducted by Alejandra Grindal, chief economist at Ned Davis Research, has revealed that shifts in the M/O ratio often coincide with significant highs and lows in the stock market. 1

For example, in 2000, when the internet bubble burst and the 1990s bull market reached its peak, the M/O ratio reached its highest point. This marked the end of an era of rapid economic growth and stock market gains. Following this peak, the ratio began to decline, mirroring the 2008 global financial crisis and the subsequent bear market. Since the middle of the 2010s, the M/O ratio has been rising, indicating that a shift may be on the horizon within the next decade.

It is essential to note that while the M/O ratio may act as an indicator for long-term market trends, it is not useful for forecasting short-term market movements. For instance, it did not signal the steep market declines in 2022. Nevertheless, it remains a valuable tool for understanding the cyclical nature of the stock market.

The Influence of Demographics on Stock Market Cycles

John Geanakoplos, a professor at Yale University, has made significant contributions to understanding the relationship between financial markets and demographics. His 2002 study highlighted that many of the boom-and-bust cycles in the stock market since World War II can be attributed to shifts in population composition, particularly the proportion of middle-aged versus elderly individuals. 2  Geanakoplos explained that stock markets tend to rise when a significant portion of the population is in their prime working years and decline when a larger share of the population is elderly and no longer contributing to the economy.

This demographic shift is driven by the relative sizes of different age groups, not just the overall population. While some may focus on population growth when forecasting economic outcomes, it is the relative sizes of the middle-aged and senior cohorts that most significantly impact stock market performance.

It is expected that the M/O ratio will continue to rise into the 2030s. However, it will begin to decline again around the mid-2030s, which may signal a slowdown in stock market growth. This long-term pattern suggests that investors, particularly those at Molina Healthcare preparing for retirement, should be ready for potentially weaker equity returns starting in the early 2030s.

Taking Demographic Trends into Account When Managing Your Retirement Portfolio

Anyone preparing for retirement, especially Molina Healthcare employees with a long investment horizon, should understand how demographic shifts influence stock markets. This information can help you adjust your portfolio to align with anticipated market conditions, particularly if you are more than ten years away from retirement. As the M/O ratio seems to be peaking, it may be time to consider reducing exposure to U.S. stocks and reallocating to other regions, such as emerging markets.

For those nearing retirement, traditional strategies like those in target-date funds often recommend gradually decreasing equity exposure. For example, Vanguard’s target-date funds suggest a 30% allocation to U.S. stocks by the time an investor turns 65. However, due to demographic trends, a more cautious approach may be needed, especially for those in their 60s who wish to limit exposure to U.S. stocks.

Investors should also reevaluate the international component of their portfolios. While Vanguard's glide path recommends a 20% allocation to non-U.S. stocks, this may need to be adjusted based on the demographic outlook of specific countries. Over the next 25 years, developed nations outside the U.S. will also experience a decline in their M/O ratios, but not as sharply as in the U.S.

In the coming decades, emerging markets, particularly in Asia and Africa, are expected to see higher M/O ratios. As a greater portion of their populations enters middle age, these regions could experience economic expansion and market growth. To capitalize on these trends, it might make sense to increase your exposure to emerging markets, especially if you are nearing or already in retirement.

Conclusion: Preparing for Population Shifts and Stock Market Changes

Demographic trends, as illustrated by the M/O ratio, may influence stock markets and retirement planning. These trends indicate that starting in the early 2030s, investors, particularly those at Molina Healthcare with long-term horizons, may want to prepare for a period of potentially slower equity growth. As the middle-aged population reaches its peak, the stock market dynamics may shift, potentially leading to reduced returns in developed nations, including the United States.

To account for these anticipated demographic changes, it may be helpful to consider lowering your exposure to U.S. stocks and increasing your investment in emerging markets, where demographic trends appear more favorable. By adjusting your portfolio to reflect these long-term patterns, you can potentially position for a future with slower market growth and shifting global economic conditions. For a more sustainable retirement, begin planning now.

As the elderly population grows, the global workforce is shrinking, which could slow economic growth. A 2023 World Economic Forum report states that aging populations are contributing to a decline in the global workforce, potentially dampening economic productivity. This trend may lead to slower stock market returns and increased inflation, especially in developed countries where the aging population is advancing more rapidly.

Retirement planning must evolve as demographic changes and stock market patterns change. Understanding the M/O ratio and its implications could help you adjust your retirement portfolio, especially when considering opportunities in emerging markets. By aligning your investments with these demographic shifts, you can better prepare for a future where market growth may slow, supporting a more sustainable retirement.

Think of the stock market as a vehicle traveling along a winding road. For years, the car has been running smoothly, driven by a powerful engine (the large working-age population). But now, the engine is aging, and the fuel (economic growth and productivity) is running low. The aging population is like the car approaching a steep incline. Investors must adjust their speed, refuel with more strategic investments, and be ready for a slower journey into retirement.

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Sources:

1. Grindal, Alejandra. 'Why America's Aging Population Will Be a Problem for Stocks and Your Retirement.'  Morningstar , 2 June 2025.

2. Geanakoplos, John, Michael Magill, and Martine Quinzii. 'Demography and the Long-Run Predictability of the Stock Market.'  Brookings Institution , Jan. 2004, pp. 245–311.

3. Roberts, Stan. 'Why America's Aging Population Will Be a Problem for Stocks and Your Retirement.'  MarketWatch , 2 June 2025.

4. VanEck Research Team. 'Emerging Markets: Policy Uncertainty Tempers a Strong Start to 2025.'  VanEck , May 2025.

5. BlackRock. 'Five Forces Shaping Retirement.'  BlackRock , Feb. 2025.

What type of retirement savings plan does Molina Healthcare offer to its employees?

Molina Healthcare offers a 401(k) retirement savings plan to its employees.

Does Molina Healthcare match employee contributions to the 401(k) plan?

Yes, Molina Healthcare provides a matching contribution to the 401(k) plan, helping employees maximize their retirement savings.

What is the eligibility criteria for Molina Healthcare's 401(k) plan?

Employees of Molina Healthcare 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 Molina Healthcare employees choose how much to contribute to their 401(k) plan?

Yes, employees at Molina Healthcare can choose their contribution amount, subject to IRS limits.

What investment options are available in Molina Healthcare's 401(k) plan?

Molina Healthcare's 401(k) plan offers a variety of investment options, including mutual funds and other investment vehicles, allowing employees to diversify their portfolios.

How can Molina Healthcare employees access their 401(k) account information?

Molina Healthcare employees can access their 401(k) account information through the plan's online portal or by contacting the plan administrator.

Are there any fees associated with Molina Healthcare's 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with Molina Healthcare's 401(k) plan, which are disclosed in the plan documents.

Can Molina Healthcare employees take loans against their 401(k) savings?

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

What happens to Molina Healthcare employees' 401(k) accounts if they leave the company?

If Molina Healthcare employees leave the company, they have several options for their 401(k) accounts, including rolling over to another retirement account or cashing out, subject to tax implications.

Does Molina Healthcare offer financial education resources for employees regarding their 401(k) plan?

Yes, Molina Healthcare provides financial education resources and tools to help employees make informed decisions about their 401(k) savings.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Molina Healthcare offers a competitive benefits package that includes both pension and 401(k) plans for its employees. As of 2022, 2023, and 2024, the Molina Healthcare 401(k) plan allows employees to save for retirement with both pre-tax and Roth options. The company matches 100% of employee contributions up to 4% of their salary. Employees are automatically enrolled at a 4% contribution rate. Eligibility for the company match occurs after one year of service, making Molina's retirement plan accessible to full-time employees. In addition to the 401(k) plan, Molina Healthcare provides a defined contribution retirement plan for employees. This plan does not specify an exact pension formula but is built around employee and employer contributions rather than a traditional defined benefit structure. Full-time employees working a minimum of 30 hours per week qualify for these retirement benefits. Additionally, the Employee Stock Purchase Plan (ESPP) is available, which allows employees to purchase company stock at a discounted rate, further enhancing retirement savings. The 401(k) and pension plans are managed with a focus on employee participation and long-term financial wellness. These plans are designed to encourage active savings for retirement while offering the flexibility of both traditional and Roth contribution options. Molina emphasizes the importance of long-term service by vesting employer contributions after one year.
Restructuring Layoffs: In 2023 and early 2024, Molina Healthcare announced multiple layoffs as part of their ongoing restructuring efforts. One significant wave involved a 10% reduction in the corporate and health plan workforce, impacting approximately 1,400 employees. This was part of a larger restructuring initiative aimed at reducing operating expenses and aligning the company with the changing healthcare landscape​ (Molina Healthcare)​ (Molina Healthcare). Importance: It is critical to address these layoffs because they are happening in a period of heightened economic uncertainty and shifts in government healthcare funding. These workforce reductions may affect service delivery and the overall financial performance of the company, influencing its stock value and investment outlook in 2024.
Molina Healthcare provides its employees with stock-based compensation, including stock options and Restricted Stock Units (RSUs), to align their interests with those of shareholders and incentivize long-term performance. Molina's Employee Stock Purchase Plan allows eligible employees to buy company stock at a 15% discount. RSUs are granted to key executives and senior employees as part of their compensation package, which vests over a multi-year period based on performance targets and continued employment. In 2022, 2023, and 2024, Molina Healthcare granted stock options and RSUs through its equity incentive plan. These awards are designed for executives and select employees who meet performance criteria. Stock options are priced at the market value on the grant date, and RSUs are granted based on company performance and employee role. In 2023, Molina reported $115 million in stock-based compensation​ (Molina Healthcare)​ (Stock Analysis). Stock options and RSUs at Molina Healthcare are available to senior management and executives, with eligibility determined by job role and performance metrics. The 2024 Proxy Statement and the 2023 Annual Report provide details on the structure of these equity incentives (page 30, Proxy Statement 2024)
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For more information you can reach the plan administrator for Molina Healthcare at , ; or by calling them at .

https://carlsoncap.com/articles/nua-net-unrealized-appreciation/ https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://www.sec.gov/Archives/edgar/data/1179929/000117992922000025/moh4q21_examendedandrestat.htm https://recosa.org/update-regarding-457b-deferred-compensation-plan-changes/8270/07/27/2023/14/35/ https://www.thelayoff.com/t/1qkf8P4H https://careers.molinahealthcare.com/benefits https://www.principal.com/businesses/trends-insights/2023-pension-lump-sums-dropping-new-years-ball https://www.einnews.com/pr_news/584645135/2023-pension-buyouts-how-interest-rates-are-affecting-lump-sum-offers https://www.irs.gov/retirement-plans/recent-interest-rate-notices https://www.mercer.com/en-us/insights/retirement/defined-benefit-plans/pension-discount-yield-curve-and-index-rates-in-us/ https://investors.molinahealthcare.com/news-releases/news-release-details/molina-healthcare-reports-fourth-quarter-and-year-end-2022 https://www.nerdwallet.com/p/reviews/insurance/medicare/molina-medicare-advantage https://mergr.com/company/molina-healthcare https://labusinessjournal.com/healthcare/long-beach-based-molina-healthcare-lay-nearly-170/ https://www.marketscreener.com/quote/stock/MOLINA-HEALTHCARE-INC-13588/news/Molina-Healthcare-Plans-to-Layoff-10-of-the-Corporate-and-Health-Plan-Employees-35022012/ https://www.emparion.com/cash-balance-pension-plan-faq/ https://www.futureplan.com/resources/news-articles/defined-benefit-cash-balance-plan-key-priorities/ https://www.milliman.com/en/insight/2023-lump-sums-defined-benefit-plans-much-lower-as-interest-rates-rise https://www.irs.gov/irb/2024-34_IRB

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