Navigating Tax-Friendly States: A Aetna Employee's Guide

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

In today’s mobile society, state tax policies play a key role in decisions about residency and business locations. Comparing these differences can be complex, given the variety of factors involved. The Tax Foundation, a respected research organization, publishes an annual  State Tax Competitiveness Index , which evaluates over 150 variables across five categories: personal income taxes, corporate taxes, sales and use taxes, unemployment insurance taxes, and property taxes. This analysis is particularly relevant for Aetna employees considering relocation.

Key Findings from the Tax Competitiveness Index

The Tax Foundation’s index reveals several trends in state tax systems. A common feature among the top-ranked states is the absence of personal income tax. This year, four of the top ten states do not impose individual income taxes, which enhances their appeal for residents and businesses. However, the absence of this tax often comes with trade-offs, such as higher property taxes or sales taxes, which Aetna employees should account for in their financial planning.

Top States in Tax Competitiveness

Wyoming, South Dakota, and Alaska: Leaders in Tax Efficiency

The top three states—Wyoming, South Dakota, and Alaska—stand out for their tax structures and economic strategies. These states maintain low tax burdens by leveraging unique factors such as low population density and reliance on resource-based revenues.

• Wyoming and South Dakota:  Neither state imposes a corporate income tax, benefiting businesses.

• Alaska:  Alaska does not have a state sales tax and uses revenue from natural resources to fund public services, reducing its dependence on income taxes.

These strategies make these states appealing for businesses and individuals alike, particularly those employed by large corporations like Aetna.

Florida and Texas: Tax-Friendly for Residents and Businesses

Florida and Texas rank fourth and sixth, respectively, combining their lack of individual income tax with relatively moderate property tax rates. These policies make them attractive destinations for those looking to reduce tax burdens.

Analysis of 2025 Rankings

Key insights from the latest rankings include:

1. Wyoming  is ranked first for personal income taxation and seventh for wage taxes, but 44th for property taxation, illustrating disparities in tax burdens.

2. South Dakota  shares the top spot in personal taxes with Wyoming, ranks 10th for property taxation, and 31st for sales taxes.

3. Alaska  ranks highly for personal and business taxes but performs moderately in property taxation.

4. Florida  and  Texas  maintain strong positions due to their exemptions from personal income tax, complemented by reasonable property tax rates.

5. Other top performers, such as Montana, New Hampshire, and Tennessee, showcase diverse tax benefits aligned with their unique economic profiles.

Additional Considerations

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Although tax rankings are important, it’s essential to also consider factors like cost of living, access to services, and quality of life in these regions. For instance, a recent  Health Care Cost Institute (2024)  study highlights that tax-exempt states often have higher healthcare costs, potentially offsetting tax savings. Wyoming, for example, offers tax advantages but has relatively high healthcare expenditures. Future residents, especially retirees, should account for these factors to make well-rounded decisions.
(Source:  Health Care Cost Institute, 2024 )

Additionally, upcoming changes in IRS tax thresholds, 401(k) contribution caps, and standard deductions for 2025 may further influence financial planning. Employees at Aetna are encouraged to stay informed about these adjustments to optimize their financial outcomes.

Conclusion

While the absence of certain taxes can enhance a state’s appeal, evaluating the broader financial implications is critical. The Tax Foundation’s  State Tax Competitiveness Index  provides valuable insights, helping movers and businesses alike make informed decisions about state tax policies.

For retirees, healthcare costs, lifestyle considerations, and long-term expenses must be factored into relocation decisions. States like Wyoming, South Dakota, and Alaska demonstrate the benefits of well-structured tax policies but require careful assessment of other financial and lifestyle factors. By conducting thorough research and considering hidden costs, employees can plan effectively for a prosperous post-retirement phase.