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Health Insurance Newsletter

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August 25, 2025
Illustration with the word "Premiumrs" and increasing bar graph bars. Instability-leading-to-higher-health-insurance-premiums.

NAIC panel cites ‘instability,’ ACA turmoil as 2026 premium hikes loom

Health insurance premiums are trending upward due to instability in the marketplace, a panel of experts said.

August 25, 2025

ICHRA: An ‘and’ instead of an ‘or’

For years, individual coverage health reimbursement arrangements were framed as a fallback solution for small employers who couldn’t swing traditional group coverage.

Aflac study reveals the impact of paid leave on employers and employees

August 21, 2025

More than 40% of employees experienced burnout when a coworker’s leave period extended beyond eight weeks.

August 20, 2025
Illustration of conumers standing on a $100 dollar bill with prescription capsules. What-would-MFN-pricing-mean-for-prescription-drugs?

What would Trump’s ‘most favored nation’ pricing mean for prescription drugs?

On July 31, the Trump administration called on drug manufacturers to lower prescription drug prices in the U.S. to “most favored nation” – or MFN – pricing, the lowest cost paid for the same medications in other countries.

Small, midsized businesses fear they can’t afford health insurance

August 20, 2025

Nine out of 10 of those currently sponsoring group health plans worry they won’t be able to afford it within three years.

August 20, 2025
Illustration showing medical professonals. Employers-find-challenging-environment-for-health-care-costs.

Employers brace for more steep health care increases in 2025, 2026

For the second consecutive year, employers found their health care costs were higher than projected, with increases in 2023 and 2024 and forecasted increase of 8% for 2025 and 9% for 2026.

August 19, 2025

A checklist for success in Medicare AEP

After you’ve crossed each of these tasks off your AEP prep checklist, you’ll have everything in place to make the most of this year’s annual enrollment period.

August 11, 2025

Congress could consider PBM reform, gig worker benefits

Congress is on recess after passing the “big beautiful bill” in early July, but a few health and retirement related issues are expected to come before lawmakers when they get back to work in September.

August 7, 2025
Image of a long-term-care patient being assisted by a medical staffer. LTCi-industry-experience-is-the-focus-of-new-study.

LTCi industry experience is the focus of new study

Industry data on long-term care insurance hasn’t been updated since 2006, so three industry organizations are launching a study on the LTCi industry experience.

August 6, 2025
Illustration showing the words "Health Premiums" with a fever graph arrow moving upward. Health-premiums-driven-by-public-policy-market-forces.

How market forces and federal policy will shape 2026 health plan premiums

Public policy as well as market forces shape the individual and small-group health insurance marketplace and drive the cost of premiums.

The Hartford finds continued stress among U.S. workers

August 5, 2025

Financial stress remains high among U.S. workers, according to the latest research from The Hartford.

August 4, 2025
Illustration showing two health marketplace enrollees react in surprise to sticker shock of health plans. Health-marketplace-enrollees-in-for-sticker-shock-for-2026.

Health marketplace enrollees in for ‘big brutal increases,’ sticker shock for 2026

“The forecast is clear; Americans will face big brutal health care increases this summer on individual marketplace,” said Anthony Wright, executive director of Families USA, during a news conference.

Wellabe introduces customizable critical illness insurance in 14 states

July 29, 2025

Wellabe has launched a new critical illness insurance product in 14 states to protect the well-being of customers when they suffer from cancer, heart attack, stroke, or other critical illnesses.

July 25, 2025

Health agents must start now to keep clients from losing ACA coverage

Health insurance agents who work in the Affordable Care Act market need to begin working with clients now to help them prepare for new regulations that will impact their eligibility for coverage.

July 24, 2025

4 tough questions as renewal season approaches

The health benefit landscape is shifting. Here’s what to watch.

July 23, 2025

LTCi environment ripe for innovation

Four in 10 workers believe they will need long-term care at some point in their lives while 40% of U.S. households are projected to run out of money in retirement.

July 22, 2025

What’s behind ACA premium increases for 2026?

The American Academy of Actuaries delved into the factors influencing double-digit proposed premium hikes for next year.

July 22, 2025

The strategic TPA: From cost center to growth engine

As insurers face new growth pressures and rising consumer expectations, the role of the TPA is evolving.

New Hampshire requires advance notice of health plan terminations

July 18, 2025

New Hampshire Governor Kelly Ayotte has signed into law SB 121, which requires any health insurance carrier intending to discontinue coverage in the Granite State, including Medicare Advantage plans, to provide the Insurance Department with at least 90 days’ advance written notice before informing affected consumers.

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