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
For Aetna employees nearing Retirement, understanding Massachusetts' new Millionaires tax could help avoid unwanted Tax consequences from financial transactions such as property sales that would push them over the USD 1 million income threshold, says [Advisor Name], of the Retirement Group, a division of Wealth Enhancement Group.
As Aetna employees navigate the changing tax landscape in Massachusetts, major transactions such as the sale of assets should not leave them with a higher tax bill,' says [Advisor Name], of the Retirement Group, a division of Wealth Enhancement Group.
In this article we will discuss:
1. Recent changes in Massachusetts tax structure reflect recent financial and legislative developments.
2. Massachusetts voters in November 2016 approved a constitutional amendment levying 4% on incomes over USD 1 million. This surtax on top of the 5% fixed rate means an effective 9% tax on incomes over seven figures.
3. That legislative amendment became effective at the beginning of this year.
In anticipation of that amendment's revenue stream, incumbent governor Maura Healey has set aside USD 1 billion from this tax already. That big sum is allocated to help with education and transportation projects, as provided in the budget she approved last week.
The financial advisory community nevertheless makes an important observation. Exceptions to the USD 1 million threshold could temporarily lift a subset of taxpayers following some significant financial dealings. Aetna employees who sell properties or enterprises, for example, may temporarily be in the surtax bracket. Leader of Darrow Wealth Management Kristin McKenna said the scope of this surtax was perhaps not entirely understood by voters. It includes high-value transactions like property sales that might mistake some for millionaires, she said.
In spite of these factors, the bigger picture suggests that the surtax may have modest effects. This tax will affect only about 0.6% of Massachusetts households in any given year - or about 21,000 taxpayers - according to a Tufts study.
Aetna employees need to understand how regional tax policies affect financial planning when they enter retirement. And many Aetna retirees live in Massachusetts, according to a 2022 report from the National Association of Retirement Plan Participants (NARPP). Understanding the state's surtax helps many of these people afford a comfortable retirement - they probably have assets, investments or stock options from their former employers. Particularly, they may be subject to the Massachusetts Millionaires Tax if their annual income exceeds USD 1 million through liquidation or other financial activities.
But financial experts differ on that. The majority remains unaffected,' said Chris Chen of Insight Financial Strategists. Still, projections are that by then 10% to 20% of the population would be affected,' he said.
Clear View Wealth Advisors' Steve Stanganelli has a different perspective. He described a scenario where he advised a client to alter a Roth conversion strategy in anticipation of a tax change. Stanganelli said perhaps the magnitude of the tax - especially for property sellers - was overstated. But he did not specify when a homeowner would be liable, for example if a low basis property appreciates significantly. Good news: Some capital gains from real estate sales in the state are exempt from tax.
Stanganelli stresses the importance of tax and financial planners in such circumstances and recommends consulting specialists before making major financial decisions such as property sales.
Financial planning sees this tax amendment as an opportunity. Advisors can use tax-efficient portfolio management or more complex techniques like trust utilization. So Edward Jastrem of Heritage Financial calls this a mix of estate and income-tax planning that will require bespoke solutions for each client.
An intriguing state-specific strategy emerged. The state of Massachusetts lets taxpayers filing joint federal returns file separately. Hence, couples with combined incomes approaching USD 1 million could snaffle the surtax.
But those alterations always have wider implications for Aetna retirees. Some financial experts say the surtax may push high-net-worth investors to leave for more tax-friendly states like New Hampshire or Florida.
No wonder then that opinions on this surcharge vary. Some, like Stanganelli, an Amesbury city council member, back it because it could fund local services, others have reservations. The trepidation stems from fears such fiscal policies would keep business magnates and aspiring entrepreneurs from settling in Massachusetts.
Yet others—including Chen—say even with this surtax, Massachusetts still has a competitive tax burden compared to states like California and New York.
Final Thoughts - while the Massachusetts Millionaires Tax is certainly a significant legislative initiative, the overall economic, business and individual wealth management implications are still to be fully assessed.
The new Massachusetts Millionaires Tax is like navigating the Cape Cod Canal. Aetna retirees and those nearing retirement need to understand this tax reform like sailors need to know tide schedules and channel widths. As a momentary misjudgment could run a ship aground in the canal, unexpected financial transactions such as the sale of property or the liquidation of assets could temporarily increase an individual's income to USD 1 million and pose tax risks. Still, with a little direction from an experienced captain on board, you can plot your course to profit from the financial tides and have a safe passage.
Added Fact:
A note to Aetna millionaires: The new surtax on incomes exceeding USD 1 million is now extended to certain capital gains from property sales in Massachusetts. This means highly-net-worth people who are involved in real estate transactions should monitor their income carefully lest they fall into the surtax bracket due to property sales. It highlights the need for careful financial planning and advice from tax and financial professionals when making major financial decisions such as purchasing a home or adjusting retirement and wealth management plans to the changing tax landscape in Massachusetts.
Added Analogy:
The new tax landscape in Massachusetts is like sailing in unpredictable waters—like the Cape Cod Canal. It's like being the captains of their financial ships for Aetna Millionaires, so knowing the Massachusetts Millionaires Tax is important for your voyage. As a skilled captain would study tide schedules and channel widths to avoid grounding their ship, high-net-worth individuals should also be wary of their income during major financial transactions like property sales to avoid unintended tax consequences. Like a canal navigator, they need help navigating this tax reform and making sound decisions about retirement and wealth management. As an experienced captain at the helm ensures a successful voyage, similarly sound financial planning and specialized advice can create safe financial seas and a harbor in Massachusetts.
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Sources:
1. Massachusetts Department of Revenue. '4% Surtax on Taxable Income Over $1,000,000.' Massachusetts Department of Revenue, 6 Feb. 2025, www.mass.gov/info-details/4-surtax-on-taxable-income-over-1000000 .
2. MassBudget. 'Even Among Retirees with High Wealth, Few Will Pay the Fair Share Tax.' MassBudget, 17 Oct. 2022, 3. www.massbudget.org .
3. Center for State Policy Analysis, Tufts University. 'Evaluating the Massachusetts Millionaires Tax.' Tufts University, Jan. 2022, cspa.tufts.edu/sites/g/files/lrezom361/files/2022-01/cSPA_Evaluating_MA_Millionaires_Tax.pdf.
4. WBUR News. 'A 'Millionaires' Tax' in Mass. Would Net $1.3 Billion in Revenue, Report Says.' WBUR News, 13 Jan. 2022, www.wbur.org/news/2022/01/13/millionaires-tax-report-massachusetts .
5. Lankford, Kimberly. 'Retirement Taxes: How All 50 States Tax Retirees.' Kiplinger , Apr. 2020, www.kiplinger.com/retirement/602202/taxes-in-retirement-how-all-50-states-tax-retirees .
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).