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Upcoming Changes to Health Insurance Plans for 2026

10/20/2025, 11:57:14 AM

Overview of NUFlex Enrollment Changes

The University of Nebraska–Lincoln (UNL) is set to initiate its annual NUFlex benefits enrollment period from October 27 to November 14, 2025. This enrollment period will introduce significant changes to the university's health insurance plan for the 2026 plan year, marking the first structural updates in over a decade. Key changes include a 7.25% increase in health insurance premiums, which translates to monthly increases ranging from $10 to $59 for employees, depending on their selected plans. Deductibles and out-of-pocket maximums will also rise, with individual deductibles increasing by $100 and family deductibles by $200. Additionally, pharmacy copays will see a $5 increase for a 30-day supply of both generic and brand-name medications.

Context of Rising Health Costs

The adjustments to the UNL health insurance plan reflect broader trends in rising healthcare costs across the United States. Brian Schlichting, assistant vice president and director of benefits, noted that the changes aim to maintain the sustainability of the plan amid increasing healthcare utilization and costs. Despite these increases, the university's premium hike remains below the national average of approximately 10% for employer-sponsored plans.

Additional Benefits and Resources

While many health-related costs are increasing, several benefits will remain unchanged or improve in 2026. Dental premiums will remain stable, and the university's contribution will increase by $2 per month. Long-term disability insurance premiums will decrease by 25%, and the limit for the Dependent Care Flexible Spending Account (FSA) will rise from $5,000 to $7,500. Furthermore, paid parental leave has expanded to eight weeks for all new parents. Employees are encouraged to complete a Health Risk Assessment during enrollment to access additional benefits, including $0 copays for generic medications through mail-order providers and a $400 annual preventive care allowance.

Pennsylvania's Health Insurance Rate Increases

In Pennsylvania, the Insurance Department has announced significant increases in health insurance premiums for the 2026 plan year, driven by ongoing uncertainty at the federal level and rising medical costs. The average premium increase is expected to affect both the individual and small group markets. For instance, Ambetter Health of Pennsylvania requested a 30.1% increase, with an approved rate of 37.8%. The Pennsylvania Insurance Commissioner, Michael Humphreys, emphasized the importance of extending enhanced premium tax credits to mitigate these increases.

Illinois and New York Premium Trends

Similar trends are observed in Illinois, where residents are encouraged to seek assistance as they face potential premium hikes due to the expiration of enhanced tax credits. Illinois Insurance Director Ann Gillespie highlighted that many residents depend on these credits, which could lead to significant out-of-pocket costs if not renewed. In New York, approximately 220,000 enrollees in ACA plans are expected to experience an average premium increase of 38% unless Congress acts to renew federal subsidies.

Criticism and Opposition

Critics argue that the impending premium increases will disproportionately affect lower-income families and those who rely on the Affordable Care Act for coverage. Concerns have been raised regarding the potential for many individuals to drop their insurance due to unaffordable costs, exacerbating the healthcare crisis. The ongoing federal budget stalemate, particularly the expiration of enhanced tax credits, has intensified these concerns.

Conclusion

As the enrollment periods approach for various health insurance plans across states, employees and families must navigate significant changes and potential cost increases. The situation underscores the importance of understanding available options and seeking assistance to maintain coverage amid rising healthcare costs.