How a New IRS Ruling Could Boost Retirement Flexibility for For Aetna Employees

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

A recent IRS ruling could change how Aetna employees can apply employer contributions to their benefits, offering more flexibility to direct those funds according to personal needs. While this ruling currently applies to one company, industry professionals believe it may set a precedent for broader adoption in the near future, potentially giving workers more personalized control over their financial benefits.

The private letter ruling allows employees, at the start of each year, to decide how to allocate employer matching contributions among four major areas: their 401(k) plan, a health savings account (HSA), student loan repayments, or a retiree health reimbursement arrangement. Employees cannot receive the funds as cash, but they can choose where the company's contributions will go based on their financial goals or stage of life.

'This innovative program allows plan sponsors to better address the diverse financial concerns of employees by letting individuals redirect company funds to where they need them most,' said Chris West, a benefits strategy specialist. For employers like Aetna, moving away from a 'one-size-fits-all' approach may provide a competitive advantage in attracting and retaining top talent. 'For employees, it offers different possibilities on how to direct employer funds, including paying off student loans,' West added.

The significance of this decision lies in its potential to reshape employee benefits, especially for those looking to improve contributions based on their specific financial obligations. For instance, younger employees at Aetna with student loan debt might prioritize using employer matching contributions for loan repayment, while those nearing retirement could focus on directing contributions to their 401(k) or retiree health reimbursement arrangements.

One industry professional emphasized the importance of this added flexibility: 'Employees appreciate control.' They value feeling empowered over their future. 'This strengthens employee benefits,' the professional stated. 'It gives employees the power to decide where their funds go, based on their life stage.' The ability to allocate funds according to personal financial priorities adds flexibility that could transform employer-provided benefit programs for Aetna workers.

Though the ruling currently applies only to the company that requested it, interest is growing among organizations looking to implement similar programs. The momentum from this decision could lead to wider adoption as other companies, including Aetna, might seek to offer employees the same flexibility in managing their benefits.

It’s important to note that similar programs, which began with private rulings, have historically seen broader acceptance over time.  A notable example is a provision in the SECURE 2.0 Act, which allows employers to match student loan repayments with contributions to an employee’s retirement account.  This measure began with a private letter ruling issued to a company in 2018. Many employee benefits that are widely available today, such as the SECURE 2.0 measure, originated from tight regulations like this one. It can take between 5 and 10 years for employee-directed benefit options to become commonplace among companies like Aetna.

Featured Video

Articles you may find interesting:

Essentially, this ruling marks a step forward in the evolution of employee benefits, offering more choice and control over financial planning. 'This is the next generation of employee financial wellness.' As more companies, potentially including Aetna, follow suit, the future of employer-funded benefits could offer unprecedented flexibility in managing workers' financial independence.

In addition to the flexibility offered by the recent IRS decision, a growing trend among companies is to offer 'catch-up' contributions for employees aged 50 and older.  Starting in 2024, employees in this age group can contribute an additional $7,500 to their 401(k) annually, significantly increasing retirement savings . Employers, including Aetna, can often match these contributions, providing even greater value for those looking to enhance their retirement plans. This feature, combined with the new flexibility options, could lead to more personalized retirement strategies for Aetna employees.

Think of employer matching contributions as a financial tool. In the past, there was only one tool in the kit: the 401(k). Today, thanks to the recent IRS decision, the toolkit has expanded, offering several tools, allowing Aetna employees to choose what fits their needs—whether it's increasing retirement savings, repaying student loans, or contributing to healthcare costs. Just as a flexible tool helps accomplish various tasks, this newfound flexibility allows you to customize your employer contributions to tackle the financial challenges you face at different stages of life.