'Exelon employees planning their retirement should consider how income levels influence ACA subsidies, as even small adjustments in taxable withdrawals can affect future health care affordability.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
Healthcare Provider Update: Healthcare Provider for Exelon Exelon does not operate as a healthcare provider; rather, it is a major energy company known for its utility services. However, it is associated with Exelon (the medication), which is a treatment for Alzheimer's and Parkinson's diseases, marketed by Knight Therapeutics in Latin America and licensed from Novartis. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are projected to surge significantly, with the potential for national average increases in premium rates reaching around 15%, making it the most substantial hike in years. This rise is fueled by escalating medical expenses, the expiration of enhanced federal premium subsidies, and hefty rate requests from major insurers. For many consumers, this may translate to over a 75% increase in out-of-pocket expenses, as more than 22 million individuals could be affected by the loss of subsidies that currently ease their premium burdens. As a result, it is crucial for consumers to prepare strategically in 2025 to mitigate these rising costs. Click here to learn more
'Exelon employees approaching retirement should recognize that proactive income and health care planning can make the difference between preserving subsidy eligibility and facing sharply higher ACA premiums.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
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Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
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Practical steps Exelon professionals can take before enrolling in 2026 Marketplace plans.
by Brent Wolf, CFP®, Wealth Enhancement
As open enrollment for 2026 Marketplace plans begins, many households are seeing dramatic shifts in their renewal letters. Rising base premiums and the possible end of enhanced subsidies after 2025 could mean significantly higher out-of-pocket costs for anyone purchasing coverage through the Affordable Care Act (ACA) exchange.
The Kaiser Family Foundation (KFF) estimates that if Congress does not extend enhanced premium tax credits, average net premium payments could more than double in 2026. 1
“It feels like a second mortgage to pay this premium.”
Profile: A couple in their early 60s who retired a few years before becoming Medicare-eligible.
What changed: Their ACA premium had been manageable due to increased subsidies. Their renewal now indicates a rise of about $1,000 to $1,200 monthly if enhanced credits expire.
Decision pressure: They faced hard choices—drawing more taxable income from IRAs, going without coverage, or returning to the workforce for employer-based insurance.
Our response: We reworked their income plan to align with the ACA’s income-based subsidy structure. By controlling their Modified Adjusted Gross Income (MAGI) through smaller IRA withdrawals, use of cash reserves, and partial Roth conversions, we kept them eligible for key subsidies. Comparing a Bronze high-deductible plan with a health savings account (HSA) to a Silver plan revealed the Silver plan—thanks to cost-sharing reductions—was more economical given their expected medical treatments.
“I can’t risk losing coverage while battling an illness.”
Profile: A single client in her early 60s undergoing ongoing medical treatment.
What changed: Without enhanced subsidies, her premiums nearly tripled.
Decision pressure: Balancing affordability with the need to keep her care team and prescriptions consistent.
Our response: We prioritized staying with her provider network and controlling her out-of-pocket costs. A dedicated “medical reserve” fund—equal to one year’s maximum out-of-pocket limit—gave her a cushion without liquidating investments during market declines. We also worked with her physicians to identify lower-cost prescriptions through her plan’s formulary.
“The new premiums are hurting our business margins.”
Profile: A self-employed couple—one partner managing asthma and the other a cardiac rhythm condition.
What changed: Without subsidies, their net premiums are expected to rise sharply.
Decision pressure: Continue paying high premiums, choose a plan with a very high deductible, or seek W-2 employment for benefits.
Our response: We compared total annual costs for a Silver plan versus a Bronze option, factoring in frequent specialist visits and prescriptions. Once total medical costs were considered, the Silver plan proved more cost-effective. We also aligned their life and disability coverage and tailored their tax approach to reflect potential changes in premium tax credits.
“I’m young and healthy—do I even need full coverage?”
Profile: An independent contractor in their 20s with minimal expected medical use.
What changed: Premiums for mid- and high-tier plans nearly quadrupled.
Decision pressure: Choosing between a high-deductible Bronze HSA plan and catastrophic coverage.
Our response: We modeled three options—a Bronze HSA-eligible plan, a mid-tier plan, and catastrophic coverage. The Bronze HSA option offered the best mix of lower premiums and long-term tax benefits. Monthly automated HSA contributions build a future medical fund that can later be used for qualified health care expenses or Medicare premiums (excluding Medigap) after age 65.
Five Steps to Take Before You Enroll
1. Evaluate your total annual cost, not just the premium. Factor in deductibles, copays, and the possibility of reaching your out-of-pocket maximum.
2. Manage your MAGI carefully. ACA subsidies depend on income. Coordinate Roth conversions, capital gains, and IRA withdrawals strategically.
3. Verify your doctor and prescription coverage. Always confirm your plan’s provider network and formulary before enrolling.
4. Maintain a medical reserve fund. Hold six to 12 months of premiums plus a portion of your maximum out-of-pocket in cash or short-term Treasuries.
5. Finalize your plan by December 15. Open Enrollment for 2026 coverage ends on December 15, with plans effective January 1.
If Affordability Is a Concern
Choosing to go without insurance can expose you to serious financial strain in case of illness or accident. Consider the most affordable Bronze plan that still meets ACA minimum coverage requirements. If your income decreases during the year, you may become eligible for Medicaid or CHIP and qualify for a Special Enrollment Period. 2
How The Retirement Group Supports Exelon Professionals
For Exelon employees approaching or already in retirement, the intersection of rising health care costs and income planning can be complex. The Retirement Group focuses on helping clients navigate ACA subsidy rules, tax-efficient withdrawal strategies, and health care cost planning during retirement transitions.
To speak with an advisor about aligning your retirement income and health care planning, call (800) 900-5867 today.
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Sources:
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1. Cox, Cynthia, et al. “ACA Marketplace Premium Payments Would More Than Double on Average Next Year if Enhanced Premium Tax Credits Expire.” Kaiser Family Foundation (KFF) , 2025, pp. n.p., https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/ .
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2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
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Other resources:
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1. “When Can You Get Health Insurance? | Dates & Deadlines.” HealthCare.gov , U.S. Centers for Medicare & Medicaid Services, n.d., https://www.healthcare.gov/quick-guide/dates-and-deadlines/ .
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2. Publication 969: Health Savings Accounts and Other Tax-Favoured Health Plans. Internal Revenue Service, 2024, pp. 8–9, https://www.irs.gov/pub/irs-pdf/p969.pdf .
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3. “Silver vs. Bronze Plan Selection: Cost-Comparison Scenarios.” Centers for Medicare & Medicaid Services (CMS) , 23 Dec. 2024, pp. 1–3, https://www.cms.gov/files/document/silver-vs-bronze-cost-comparison-scenario-resource.pdf .
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4. Murphy, Tom. “Expect Health Insurance Prices to Rise Next Year, Brokers Say.” AP News , Associated Press, 24 Aug. 2025, https://apnews.com/article/health-insurance-drug-costs-2026-rates-c4d865ec09c7088ecc6b55dc520f3566 .
How does Exelon's separation process into RemainCo and SpinCo impact the retirement benefits for employees in both segments, and what should employees at Exelon consider regarding their retirement planning in light of this structural change?
Exelon’s Separation into RemainCo and SpinCo: The separation into RemainCo and SpinCo may result in different benefits structures for employees, with RemainCo focusing on regulated utilities and SpinCo on competitive energy generation. Employees should evaluate how their specific retirement benefits, such as pensions and 401(k) plans, may change or be restructured under the new entities. Employees need to consider the impact of this change on their long-term retirement planning, especially with regard to how the corporate shift may affect contributions, vesting, and retirement payouts.
In what ways can Exelon employees leverage the Employee Savings Plan to maximize their retirement savings, and what specific features of the plan should employees be aware of to ensure they are making the most of their contributions?
Maximizing Retirement Savings through the Employee Savings Plan: Exelon’s Employee Savings Plan offers tax-advantaged retirement savings with employer matching contributions. Employees should be aware of contribution limits, matching percentages, and vesting schedules to make the most of the plan. Additionally, employees should consider automatic enrollment features, target-date funds, and the availability of Roth contributions, ensuring they optimize their retirement savings through strategic contribution increases over time.
What retirement resources does Exelon provide to assist employees in understanding their pension options, and how does the company's support aim to facilitate a smooth transition into retirement?
Pension Options Resources: Exelon provides resources like retirement planning tools, financial counseling, and access to benefits specialists to help employees understand their pension options. These resources are designed to assist employees in making informed decisions regarding payout options such as lump sums versus annuities. The company’s goal is to help employees transition smoothly into retirement by offering educational sessions and personalized guidance on maximizing their benefits.
Can you elaborate on the diversity, equity, and inclusion efforts at Exelon, particularly how these initiatives impact the workplace environment for employees approaching retirement, and what specific policies or programs are in place to support them?
Diversity, Equity, and Inclusion (DEI) Efforts: Exelon's DEI initiatives positively impact employees approaching retirement by fostering an inclusive environment where employees from diverse backgrounds are supported in planning for their future. Policies such as anti-age discrimination and flexible working arrangements help ensure that older employees can transition smoothly into retirement while still contributing meaningfully in their final working years(Exelon_Corporation_Febr…).
How can Exelon employees evaluate their nonqualified deferred compensation options as they near retirement, and what implications should they consider regarding taxes and withdrawal strategies?
Evaluating Nonqualified Deferred Compensation: Exelon employees nearing retirement should carefully evaluate their nonqualified deferred compensation options, focusing on timing withdrawals to minimize tax liabilities. These plans are often subject to different tax treatments, and employees should consider potential penalties for early withdrawal and strategize around deferral and distribution schedules to optimize their retirement income.
What role does Exelon’s commitment to ESG principles play in its employee benefits structure, and how might changes in this area influence retirement planning for employees at Exelon?
ESG Principles and Employee Benefits: Exelon’s commitment to Environmental, Social, and Governance (ESG) principles influences its benefits structure by promoting sustainable and responsible practices. Employees may see continued enhancements in green investment options in their retirement plans, and changes to benefits programs may reflect a stronger focus on social responsibility and long-term sustainability, which could affect their retirement planning strategies(Exelon_Corporation_Febr…).
How can employees at Exelon access information about their total compensation packages, including retirement benefits, and what steps should they take to ensure they are maximizing their overall compensation as they approach retirement?
Accessing Total Compensation Information: Exelon employees can access information about their total compensation packages, including retirement benefits, through the company’s HR portal and benefits department. To ensure they are maximizing their compensation as they approach retirement, employees should regularly review their pension, 401(k) contributions, and healthcare benefits, seeking advice from the company’s financial planners or HR representatives(Exelon_Corporation_Febr…).
What constitutes the normal retirement age at Exelon, and how do retirement benefits adjust for employees who retire earlier or later than this age?
Normal Retirement Age and Early/Late Retirement: Exelon’s normal retirement age typically aligns with the age for full pension eligibility, which could be 65 or 67 depending on the plan. Employees who retire earlier may face reduced pension benefits, while those who delay retirement could receive enhanced payouts. It’s crucial for employees to understand how their specific retirement age affects their pension formula(Exelon_Corporation_Febr…).
How can Exelon employees provide feedback on employee benefits during the consultation process, especially those related to retirement, and what channels are available for them to voice their concerns or suggestions?
Providing Feedback on Retirement Benefits: Exelon encourages employees to provide feedback on benefits through regular surveys, town hall meetings, and direct consultations with the HR department. Employees can voice their concerns or suggestions regarding retirement plans during open enrollment periods or scheduled consultations with benefits specialists(Exelon_Corporation_Febr…).
What is the best way for employees to contact Exelon regarding questions about their retirement benefits and other related topics, and which resources or personnel should they turn to for the most accurate and reliable information?
Contacting Exelon for Retirement Questions: Employees with questions about retirement benefits can contact Exelon’s HR department, use the company’s dedicated benefits hotline, or access retirement planning resources on the company’s internal portal. For specific inquiries, employees may also reach out to benefits counselors or attend company-provided retirement planning seminars(Exelon_Corporation_Febr…).



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