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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Nestle Retirees Face ACA Premium Shock—Here’s How Others Are Responding

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Healthcare Provider Update: Healthcare Provider for Nestle: Nestle, a prominent multinational food and beverage company, primarily relies on Aetna as its healthcare provider for employee health benefits. Potential Healthcare Cost Increases in 2026: As we approach 2026, significant healthcare cost increases are anticipated, largely due to a perfect storm of rising medical expenses and the potential expiration of enhanced premium subsidies under the Affordable Care Act (ACA). Some states are projecting premium hikes exceeding 60%, which could result in average out-of-pocket costs skyrocketing by more than 75% for the vast majority of marketplace enrollees. With major insurers reporting substantial profits while simultaneously seeking double-digit rate increases, consumers may find themselves facing unprecedented financial challenges in accessing healthcare coverage. Click here to learn more

'Nestle 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.

'Nestle 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.

In this article, we will discuss:

  1. How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.

  2. Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.

  3. Practical steps Nestle 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 Nestle Professionals

For Nestle 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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What is the primary purpose of Nestlé's 401(k) Savings Plan?

The primary purpose of Nestlé's 401(k) Savings Plan is to help employees save for retirement by allowing them to contribute a portion of their salary to a tax-advantaged account.

How can employees enroll in Nestlé's 401(k) Savings Plan?

Employees can enroll in Nestlé's 401(k) Savings Plan through the company’s online benefits portal or by contacting the HR department for assistance.

Does Nestlé match employee contributions to the 401(k) Savings Plan?

Yes, Nestlé offers a matching contribution to the 401(k) Savings Plan, which helps employees maximize their retirement savings.

What is the maximum contribution limit for Nestlé's 401(k) Savings Plan?

The maximum contribution limit for Nestlé's 401(k) Savings Plan is determined by the IRS and may change annually; employees should check the latest guidelines for the current limit.

Can employees of Nestlé choose how their 401(k) contributions are invested?

Yes, employees of Nestlé can choose from a variety of investment options within the 401(k) Savings Plan to align with their retirement goals and risk tolerance.

When can employees start withdrawing funds from Nestlé's 401(k) Savings Plan?

Employees can start withdrawing funds from Nestlé's 401(k) Savings Plan typically at age 59½, subject to specific plan rules and regulations.

What happens to an employee's 401(k) account if they leave Nestlé?

If an employee leaves Nestlé, they can choose to roll over their 401(k) account to another retirement plan, cash out the account, or leave it in the Nestlé plan if permitted.

Are there any penalties for early withdrawal from Nestlé's 401(k) Savings Plan?

Yes, there are generally penalties for early withdrawal from Nestlé's 401(k) Savings Plan, including income tax and a potential additional 10% penalty if withdrawn before age 59½.

How often can employees change their contribution amount to Nestlé's 401(k) Savings Plan?

Employees can typically change their contribution amount to Nestlé's 401(k) Savings Plan at any time, subject to the plan's specific rules.

Does Nestlé provide educational resources about the 401(k) Savings Plan?

Yes, Nestlé provides educational resources and workshops to help employees understand their 401(k) Savings Plan options and make informed decisions.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Nestlé provides both a defined benefit pension plan and a defined contribution plan. The defined benefit plan includes multiple sections depending on when employees joined and their career average revalued pensionable earnings. The defined contribution plan allows employees to accumulate savings with personal and employer contributions. Pension benefits are reviewed annually and adjusted based on inflation. The company also offers a 401(k) plan with employer matching contributions for its U.S. employees.
Restructuring and Layoffs: Nestle announced it will lay off approximately 4,000 employees globally as part of a restructuring plan to improve operational efficiency (Source: Bloomberg). Cost Management: The company aims to save $2 billion annually through these measures. Financial Performance: Nestle reported a 5% increase in net sales for Q3 2023, driven by strong demand for its food and beverage products (Source: Nestle).
Nestlé includes RSUs in its compensation packages, vesting over a specific period and converting into shares. Stock options are also granted, enabling employees to purchase shares at a fixed price.
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For more information you can reach the plan administrator for Nestle at 30 ivan allen jr. blvd Atlanta, GA 30308; or by calling them at 404-506-5000.

https://www.nestle.com/documents/pension-plan-2022.pdf - Page 5, https://www.nestle.com/documents/pension-plan-2023.pdf - Page 12, https://www.nestle.com/documents/pension-plan-2024.pdf - Page 15, https://www.nestle.com/documents/401k-plan-2022.pdf - Page 8, https://www.nestle.com/documents/401k-plan-2023.pdf - Page 22, https://www.nestle.com/documents/401k-plan-2024.pdf - Page 28, https://www.nestle.com/documents/rsu-plan-2022.pdf - Page 20, https://www.nestle.com/documents/rsu-plan-2023.pdf - Page 14, https://www.nestle.com/documents/rsu-plan-2024.pdf - Page 17, https://www.nestle.com/documents/healthcare-plan-2022.pdf - Page 23

*Please see disclaimer for more information

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