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Aetna Employees: A Smarter Way to Prepare for 2026 Taxes in Retirement

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Healthcare Provider Update: Healthcare Provider Information for Aetna Aetna, part of the CVS Health family, has been a key player in the Affordable Care Act (ACA) marketplace, providing health insurance plans to individuals and families. However, significant changes are on the horizon for 2026, as Aetna will exit the ACA marketplace in 17 states, impacting approximately 1 million members. This withdrawal is attributed to the company's challenges in maintaining competitiveness and providing value in a rapidly evolving healthcare landscape. Potential Healthcare Cost Increases in 2026 As the healthcare landscape shifts, substantial premium hikes are anticipated for those enrolled in ACA marketplace plans, with projections of up to 75% increases in out-of-pocket costs due to the potential loss of enhanced federal subsidies. In some states, insurers have filed for rate increases exceeding 60%, driven by surging medical costs and the expiration of premium tax credits established under the American Rescue Plan. For Aetna's former members, this change further complicates their healthcare landscape as they seek new insurance options amid heightened financial pressures. Click here to learn more

“Many Aetna employees are surprised to learn that long-term success can create significant tax friction in retirement. Proactive modeling and coordinated planning can help Aetna employees manage embedded gains thoughtfully and avoid letting a single tax year dictate their financial flexibility.” – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.

“For Aetna employees nearing retirement, the real challenge often isn’t market performance but how and when taxes are triggered. Thoughtful coordination and forward-looking tax modeling can help Aetna employees access their savings with greater flexibility and fewer surprises.” – Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. How long-term investment growth can create unexpected tax challenges for Aetna retirees.

  2. How a tax-aware long-short strategy can generate losses to help offset capital gains.

  3. When this strategy may be appropriate—and the risks and tradeoffs to consider.

Mary and Joe* did everything thoughtfully.

They refrained from making rash decisions during market turbulence, invested patiently, and saved consistently throughout their careers. Like many Aetna employees who have spent decades building wealth through disciplined investing and retirement plan contributions, their portfolio grew significantly by the time they retired in their late 60s.

There was only one issue. They had substantial unrealized capital gains on nearly everything they owned.

As we began outlining their retirement income plan—including withdrawals for living expenses and a long-planned home renovation—the numbers became sobering. Selling approximately $300,000 in appreciated investments could have triggered capital gains taxes close to $50,000, depending on federal and state tax brackets.

For reference, long-term capital gains are taxed at 0%, 15%, or 20% federally depending on taxable income, with an additional 3.8% Net Investment Income Tax (NIIT) potentially applying to higher-income households.

Mary summed it up perfectly: “On paper, we feel rich, but it costs money to touch the money.”

Many Aetna employees transitioning into retirement are surprised by how common this situation can be.

When a Successful Investment Becomes a Tax Challenge

Long-term investors frequently accumulate concentrated positions with significant embedded gains. For Aetna employees, this may include long-held company stock, taxable brokerage assets, or other investments that have appreciated steadily over time.

The longer assets are held—and the stronger they perform—the higher the eventual tax liability when they’re sold.

That creates a difficult trade-off in retirement:

  • - Sell investments and trigger a substantial tax bill.

  • - Or hold them longer than desired and delay using your own money.

Traditional tax-loss harvesting can be helpful earlier in an investment’s life. But after years of strong markets, many portfolios simply don’t have meaningful losses left to harvest.

That’s exactly where Mary and Joe found themselves.

Introducing a Tax-Aware Long-Short Layer

Instead of immediately selling appreciated assets, we implemented a tax-aware long-short strategy (TALS) inside their taxable account.

To be clear, this is not market timing or speculation. It is disciplined tax management.

Here’s how it worked: Their core long-term holdings remained intact. Then, using a modest amount of borrowing within the account, we added a long-short overlay that included:

  • - Buying stocks expected to perform well

  • - Shorting closely related stocks expected to underperform

Because these positions were highly correlated—often within the same industry—they tended to move together.

When markets rose:

  • - Long positions gained

  • - Short positions declined in value

  • - Those short-side losses created tax-deductible losses

When markets fell:

  • - Long positions declined

  • - Short positions gained

  • - Losses were again generated from one side of the structure

Despite market movement, Mary and Joe’s overall portfolio still grew modestly during the year. More importantly, it generated over $60,000 in usable tax losses, which they used to offset their capital gains.

IRS rules allow capital losses to offset capital gains dollar-for-dollar, with up to $3,000 of excess losses deductible against ordinary income annually. Those losses allowed them to carefully sell appreciated holdings to fund retirement goals while significantly reducing their capital gains exposure.

Joe put it this way: “It didn’t feel like a loophole. It felt like we were finally using the tax code intentionally.”

For Aetna employees with sizable taxable accounts or concentrated holdings, thoughtful tax coordination can make a measurable difference.

The Advantages and Tradeoffs

It’s important to understand that this strategy does not eliminate taxes. It primarily changes the timing of when they are paid.

Over time, the long-short layer itself may build unrealized gains. If fully liquidated later, those gains may be taxable.

The value comes from:

  • - Managing marginal tax brackets

  • - Reducing the likelihood of a single-year tax spike

  • - Preserving flexibility

  • - Improving after-tax compounding

Mary and Joe weren’t trying to permanently sidestep taxes. They simply wanted to access their savings without losing $50,000 in one year.

Who This Strategy May Be Appropriate For

A tax-aware long-short strategy is generally suited for higher net worth investors facing substantial embedded gains and one or more of the following:

- Concentrated stock positions

- Large taxable brokerage balances

- Required asset sales to fund retirement

- Real estate or business sales

- Significant cryptocurrency gains

- Large one-time expenses

For certain Aetna employees nearing retirement, taxes—not market volatility—can become the primary planning obstacle. When that happens, more advanced planning approaches may be worth evaluating.

Risks to Consider Carefully

This is not a do-it-yourself solution.

The strategy involves leverage, financing costs, and precise execution. Improper implementation can create unintended consequences. Ongoing oversight is necessary.

For many retirees, simpler approaches—such as spreading sales across tax years, coordinating withdrawals during lower-income years, or incorporating charitable planning—may be more appropriate.

In Mary and Joe’s case, the additional complexity was justified by the numbers. But every situation must be evaluated independently.

Why This Matters for Retirement Planning

Taxes are often one of the largest retirement expenses, yet they’re frequently overlooked.

Mary and Joe didn’t pursue this strategy because they wanted something clever. They asked a better question: “Is there a more efficient way to use our money without letting taxes dictate our decisions?” That question reshaped their outcome.

For Aetna employees preparing for retirement, proactive tax modeling can be just as important as investment returns.

The Bottom Line

Selling appreciated investments doesn’t automatically require absorbing a large tax bill—but it does require careful modeling, disciplined execution, and coordinated planning.

A tax-aware long-short strategy can be one of several tools available to the right retiree to maintain flexibility and support after-tax wealth.

Because in retirement, what matters most isn’t just what you’ve earned—it’s what you’re able to keep and use comfortably.

How The Retirement Group Can Help

If you’re recently retired or approaching retirement and holding significant unrealized gains, your only choices are not “pay the tax” or “do nothing.” A detailed tax review may uncover strategies tailored to your specific situation.

At The Retirement Group, we work with Aetna employees to coordinate investment strategy with tax planning so taxes don’t dictate how retirement is funded. Call (800) 900-5867 to schedule a personalized conversation.

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Sources:

* Names changed for privacy.

1. Internal Revenue Service.  Investment Income and Expenses (Including Capital Gains and Losses) . Publication 550, 14 Feb. 2025,  www.irs.gov/pub/irs-pdf/p550.pdf .

2. McClelland, Robert, et al.  Net Investment Income Tax: A Primer . Urban Institute, Jan. 2025,  www.urban.org/sites/default/files/2025-01/Net%20Investment%20Income%20Tax.pdf .

3. Paradise, Thomas, Kevin Khang, and Joel M. Dickson.  Tax-Loss Harvesting: Why a Personalized Approach Is Important . Vanguard Research, July 2024, corporate.vanguard.com/content/dam/corp/research/pdf/tax_loss_harvesting_why_a_personalized_approach_is_important.pdf.

How does Aetna Inc.'s frozen pension plan affect employees' eligibility for benefits, and what specific criteria must current employees meet to qualify for any benefits from the Retirement Plan for Employees of Aetna Inc.?

Eligibility for Benefits: Aetna Inc.'s pension plan has been frozen since January 1, 2011, meaning no new pension credits are accruing. Employees who were participants before this date remain eligible for benefits but cannot accrue additional pension credits. To qualify for benefits, participants need to have been vested, which generally occurs after three years of service​(PensionSPD).

In what ways can employees at Aetna Inc. transition their pension benefits if they leave the company, and what implications does this have for their tax liabilities and retirement planning?

Transitioning Pension Benefits: If employees leave Aetna, they can opt for a lump-sum distribution or an annuity. Employees can roll over their lump-sum payments into an IRA or other tax-qualified plans to avoid immediate taxes. However, direct rollovers must follow the tax-qualified plan's rules. If not rolled over, employees are subject to immediate tax and potential penalties​(PensionSPD).

What steps should an Aetna Inc. employee take if they become disabled and wish to continue receiving pension benefits, and how does the company's policy on disability impact their future retirement options?

Disability and Pension Benefits: Employees who become totally disabled and qualify for long-term disability can continue participating in the pension plan until their disability benefits cease or employment is terminated. No additional pension benefits accrue after December 31, 2010, but participation continues under the plan until employment formally ends​(PensionSPD).

Can you explain the implications of the plan amendment rights that Aetna Inc. retains, particularly concerning any potential changes in the pension benefits and what this could mean for employee planning?

Plan Amendment Rights: Aetna reserves the right to amend or terminate the pension plan at any time. If the plan is terminated, participants will still receive benefits accrued up to the date of termination, protected by ERISA. Any future changes could impact employees' planning and retirement options​(PensionSPD).

How does the IRS's annual contribution limits for pension plans in 2024 interact with the provisions of the Retirement Plan for Employees of Aetna Inc., and what considerations should employees keep in mind when planning their retirement contributions?

IRS Contribution Limits: The IRS sets annual contribution limits for pension plans, including defined benefit plans. In 2024, employees should ensure that their pension contributions and tax planning strategies align with these limits and the provisions of Aetna's pension plan​(PensionSPD).

What are the options available to Aetna Inc. employees regarding pension benefit withdrawal, and how can they strategically choose between a lump-sum distribution versus an annuity option?

Withdrawal Options: Aetna employees can choose between a lump-sum distribution or various annuity options when withdrawing pension benefits. The lump-sum option allows for immediate access to funds, while annuities provide monthly payments over time, offering a more stable income stream​(PensionSPD).

How does Aetna Inc. ensure compliance with ERISA regulations concerning the rights of employees in the retirement plan, and what resources are available for employees to understand their rights and claims procedures?

ERISA Compliance: Aetna complies with ERISA regulations, ensuring employees' rights are protected. Resources are available through the Plan Administrator and myHR, providing information on claims procedures, plan rights, and how to file appeals if necessary​(PensionSPD).

What documentation should employees of Aetna Inc. be aware of when applying for their pension benefits, and how can they ensure that they maximize their benefits based on their years of service?

Documentation for Benefits: Employees should retain service records and review their benefit statements to ensure they receive the maximum pension benefits. They can request additional documents and assistance through myHR to verify their years of service and other relevant criteria​(PensionSPD).

How do changes in interest rates throughout the years affect the annuity payments that employees at Aetna Inc. might receive upon retirement, and what strategies can they consider to optimize their retirement income?

Impact of Interest Rates on Annuities: Interest rates significantly affect annuity payments. Higher interest rates increase the monthly annuity amount. Employees should consider the timing of their retirement, especially at the end of the year, when interest rates for the following year are announced​(PensionSPD).

If employees want to learn more about their pension options or have inquiries regarding the Retirement Plan for Employees of Aetna Inc., what are the best channels to contact the company, and what specific resources does Aetna provide for assistance?

Contact for Pension Inquiries: Employees can contact myHR at 1-888-MY-HR-CVS (1-888-694-7287), selecting the pension menu option for assistance. Aetna also provides detailed resources through the myHR website, helping employees understand their pension options and benefits​(PensionSPD).

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Aetna provides a defined contribution 401(k) plan with company matching contributions. Employees can contribute pre-tax or Roth (after-tax) dollars, and Aetna matches 100% of the first 6% of eligible compensation. The plan includes various investment options such as target-date funds, mutual funds, and a self-directed brokerage account. Aetna also offers an Employee Stock Purchase Plan (ESPP) with a discount on company stock. Financial planning resources and tools are available to help employees manage their retirement savings.
Layoffs and Restructuring: CVS Health, the parent company of Aetna, announced plans to cut 5,000 jobs nationwide, including 521 positions at Aetna, primarily in non-customer-facing roles. This move is part of a broader strategy to achieve $800 million in cost savings in 2024 (Sources: Connecticut Public, Beckers Payer). Impact on Connecticut: The layoffs will significantly impact the Hartford-based insurer, with a substantial number of affected employees working remotely but reporting to supervisors in Connecticut (Source: Connecticut Public). Operational Strategy: These changes align with CVS Health's focus on improving operational efficiency and financial performance (Sources: Connecticut Public, Beckers Payer).
Aetna, part of CVS Health, offers stock options and RSUs as part of its equity compensation packages. Stock options allow employees to purchase company stock at a set price post-vesting, while RSUs vest over several years. In 2022, Aetna enhanced its equity programs with performance-based RSUs. This continued in 2023 and 2024, with broader RSU programs and performance metrics for stock options. Executives and management receive significant portions of compensation in stock options and RSUs, promoting long-term commitment. [Source: Aetna Financial Reports 2022-2024, p. 92]
Aetna updated its employee healthcare benefits in 2022 with improved mental health support and preventive care services. The company introduced advanced digital tools and expanded telemedicine options. By 2023, Aetna continued to enhance its benefits package with additional wellness programs and comprehensive care solutions. For 2024, Aetna’s strategy focused on leveraging technology to provide innovative and comprehensive employee support. The updates aimed to address evolving health needs and improve overall well-being. Aetna’s approach reflected a commitment to maintaining robust healthcare benefits.
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For more information you can reach the plan administrator for Aetna at 151 farmington ave Hartford, CT 6156; or by calling them at 1-800-872-3862.

https://www.aetnaretirees.com/Documents/2022_Retiree_Resource_Guide.pdf - Page 8, https://www.benefitsaccountmanager.com/wp-content/uploads/2023/04/2023-US-Costco-Employee-Benefit-Plan-Changes-Booklet.pdf - Page 12, https://emeriti.aetnamedicare.com/2023-aetna-plus-ppo-plan-benefits.pdf - Page 15, https://www.opm.gov/healthcare-insurance/healthcare/plan-information/plan-codes/2024/brochures/73-828.pdf - Page 22, https://www.mynavyexchange.com/assets/Static/ARC/2024-Benefits-Enrollment-Guide.pdf - Page 18, https://mcforms.mayo.edu/mc1000-mc1099/mc1034-43.pdf - Page 20, https://www.aetnaretirees.com/Documents/Aetna_Medicare_Advantage_Plan_2023.pdf - Page 14, https://www.aetnaretirees.com/Documents/2024_Aetna_PPO_Plan.pdf - Page 28, https://www.aetnaretirees.com/Documents/2023_Aetna_Employee_Benefits.pdf - Page 17, https://www.aetnaretirees.com/Documents/2022_Aetna_Health_Insurance.pdf - Page 11

*Please see disclaimer for more information

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