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

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

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Healthcare Provider Update: Healthcare Provider for Sysco Sysco partners with Aetna to provide its healthcare benefits to employees. Those enrolled in Sysco's national medical plan have access to various services through Aetna, including options for MinuteClinic appointments. Potential Healthcare Cost Increases in 2026 As we look ahead to 2026, Sysco employees can expect substantial increases in healthcare costs, reflecting broader trends in the industry. Nationwide, health insurance premiums for Affordable Care Act (ACA) plans are set to rise significantly, with some states forecasting hikes of over 60%. This surge is driven by a combination of expiring federal premium subsidies and ongoing medical cost inflation, leaving many enrollees at risk of facing out-of-pocket premium increases exceeding 75%. Consequently, it's imperative for individuals to prepare strategically to mitigate financial impact as these shifts unfold. Click here to learn more

'Sysco 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.

'Sysco 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 Sysco 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 Sysco Professionals

For Sysco 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 type of retirement plan does Sysco offer to its employees?

Sysco offers a 401(k) Savings Plan to help employees save for retirement.

Does Sysco provide a matching contribution for its 401(k) plan?

Yes, Sysco provides a matching contribution to the 401(k) plan, which helps employees increase their retirement savings.

At what age can Sysco employees start participating in the 401(k) Savings Plan?

Sysco employees can typically start participating in the 401(k) Savings Plan as soon as they meet the eligibility requirements, usually at age 21.

How can Sysco employees enroll in the 401(k) Savings Plan?

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

What investment options are available in Sysco's 401(k) Savings Plan?

Sysco's 401(k) Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.

How much can Sysco employees contribute to their 401(k) plan each year?

Sysco employees can contribute up to the IRS limit for 401(k) contributions, which is adjusted annually.

Does Sysco allow employees to take loans from their 401(k) Savings Plan?

Yes, Sysco allows employees to take loans from their 401(k) Savings Plan under certain conditions.

What happens to a Sysco employee's 401(k) account if they leave the company?

If a Sysco employee leaves the company, they can choose to roll over their 401(k) account to another retirement plan, cash out, or leave it with Sysco.

Can Sysco employees change their contribution percentage to the 401(k) plan?

Yes, Sysco employees can change their contribution percentage to the 401(k) plan at any time, subject to certain guidelines.

Is there a vesting schedule for Sysco's matching contributions to the 401(k) plan?

Yes, Sysco has a vesting schedule for its matching contributions, meaning employees must work for a certain period before they fully own those contributions.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Sysco offers a defined benefit pension plan that was frozen on December 31, 2012. Employees hired before this date continue to accrue vesting service. Benefits are calculated based on 1.5% of eligible career earnings through the freeze date. Additionally, Sysco provides a generous 401(k) plan with automatic and matching contributions. The company automatically contributes 3% of eligible pay to employees' 401(k) accounts, and matches 50 cents for every dollar contributed up to 6% of pay. Employees are automatically enrolled at a 3% contribution rate, with annual increases until reaching 6%.
Layoffs and Restructuring: In 2024, Sysco implemented layoffs across various departments without publicly detailing the reasons. This follows similar restructuring efforts in previous years aimed at improving financial performance amidst economic challenges and rising supply chain costs (Sources: Peek Career, Layoff Insider). Union Strike: In early 2023, union workers at Sysco's Indianapolis distribution hub went on strike, demanding better wages, benefits, and shorter working hours. This labor unrest highlights ongoing challenges in employee relations and operational disruptions (Source: WBOI). Financial Performance: Despite the layoffs, Sysco reported strong financial health in 2024, with initiatives to enhance core business operations, invest in infrastructure like new distribution centers, and expand its electric vehicle fleet (Source: Sysco).
Sysco includes RSUs in its compensation packages, vesting over a specific period and converting into shares. Stock options are also provided, enabling employees to purchase shares at a predetermined price.
Sysco has made several significant updates to its healthcare benefits over the past few years, reflecting the company's commitment to supporting employee well-being amidst rising healthcare costs. For 2023, Sysco maintained stable premiums for medical, dental, and vision plans for non-union employees despite the general trend of increasing healthcare costs. Additionally, Sysco expanded its benefits to include domestic partner coverage across all Health & Welfare plans, such as medical, dental, vision, life insurance, and critical illness coverage. These changes highlight Sysco's efforts to adapt to the evolving needs of its workforce and ensure comprehensive coverage for employees and their families. In 2024, Sysco introduced several enhancements, including increased contribution limits for Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). The HSA limit for individual coverage rose to $4,150, while family coverage increased to $8,300, with catch-up contributions allowed for those 55 and older. The FSA limit also saw an increase, allowing employees to save up to $3,200. Sysco continues to offer various wellness programs, such as Headspace for mental health and Bloom for pelvic health, reflecting a holistic approach to employee well-being. These updates are particularly crucial in the current economic, investment, tax, and political environment, where healthcare costs and access are major concerns for employees.
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For more information you can reach the plan administrator for Sysco at 1390 enclave pkwy Houston, TX 77077; or by calling them at 1-281-584-1390.

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

*Please see disclaimer for more information

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