Mosaic Retirees Face Rising Health Care Costs: What You Need to Know

'With rising premiums, shifting federal programs, and mounting medical debt, Mosaic employees must take a more deliberate approach to budgeting for health care in retirement to help avoid financial pitfalls that could derail long-term plans.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'As health care policy continues to evolve, Mosaic employees should regularly revisit their retirement strategies to account for potential coverage gaps and unexpected medical expenses that could strain fixed budgets.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article we will discuss:

How rising health care premiums and shrinking federal support may affect pre-Medicare retirees.
The impact of medical debt, weakened consumer protections, and changing credit rules on retirement outcomes.
Adjustments to Medicaid and government health care programs that could disrupt early retirement plans.

Health Care Costs Continue to Climb for Retirees

The following article has been revised to reflect recent changes in health care policy and economics for individuals with longstanding corporate careers. Mosaic retirees and employees preparing for retirement are experiencing higher medical expenses, tighter household budgets, and new health care regulations—an especially relevant concern for those managing fixed incomes or long-term savings goals.

Premiums Rising, Coverage Shrinking

One key factor driving up costs is the anticipated end of Affordable Care Act (ACA) premium subsidies. If these subsidies expire, annual out-of-pocket premiums could increase by an average of $1,247—a 75% jump. ¹ This would affect Mosaic retirees relying on ACA plans prior to Medicare eligibility. Additionally, the One Big Beautiful Bill Act (OBBBA), passed in July 2025, calls for nearly $1 trillion in cuts to federal health care spending, with Medicaid bearing the brunt over the next ten years. ²

These reductions could result in up to 10.9 million Americans losing health care coverage by 2034, according to the Congressional Budget Office (CBO). ³

Eroding Consumer Protections

Policy changes are also exposing Mosaic retirees to greater financial stress. A federal ruling overturned a consumer-friendly rule that prevented medical debts over $500 from appearing on credit reports. ⁴ As a result, credit scores for millions could be affected—an issue that carries implications for mortgages, employment applications, and other financial decisions during retirement transitions.

The Weight of Medical Debt

Across the country, medical debt remains a persistent challenge: ⁵

- 40% of adults report having dental or medical debt.
- 1 in 6 borrowed money or used credit cards to pay off medical bills.
- Over 20 million owe $250 or more; 14 million owe over $1,000; and 3 million owe more than $10,000.
- Adults aged 50–64 carry more debt than those 65–79 due to delayed Medicare access.

These statistics underscore the pressure on Mosaic employees who retire before reaching Medicare eligibility.

Health Decisions at Risk

According to Tyson Mavar, a financial advisor with Wealth Enhancement, 'Credit scores may not be affected for those who hold medical debt, potentially resulting in delayed treatment.' This concern is amplified for Mosaic retirees who may have limited health care coverage and rising expenses.

While some households cope with medical debt by cutting back on food and housing, depleting savings, or borrowing more, these approaches only serve to contribute to poorer health and higher stress.

Government Program Adjustments

Medicaid changes under OBBBA bring added burdens, particularly for early retirees in rural areas. Adjustments include stricter eligibility verification, new work requirements, and increased co-pays of up to $35 per visit for those near the poverty line. These revisions may impact millions of rural Americans and bring added stress to rural health care facilities that are already stretched thin.

A $50 billion Rural Hospital Transformation Fund was announced, but it is expected to address just 37% of anticipated losses and is set to expire by 2032. ⁶

Why It Matters for Mosaic Families

Recent health care changes are reshaping retirement planning. Even though Mosaic offers a range of employee benefits and retirement options, not all workers transition into Medicare or employer-based retiree coverage without gaps. According to Fidelity, a 65-year-old individual retiring in 2025 may need to spend $172,500 health care throughout retirement—not including long-term care. ⁷

Future policy shifts could add thousands more to that estimate. Keeping an eye on health care policy and evaluating benefit elections are now essential components of retirement planning.

The Bottom Line

Navigating today’s health care system is like taking a road trip with higher tolls, fewer exits, and less reliable maps. Mosaic employees near or in retirement are encountering a shifting landscape of costs, coverage, and legal rules. If these developments are overlooked, retirement plans may be exposed to financial disruptions that are difficult to recover from.

Being proactive with coverage reviews, medical budgeting, and credit management can help retirees steer clear of costly missteps and adapt to an increasingly complex health care environment.

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Sources:

1. Business Insider. “ Millions of Americans could pay up to $1,247 more for Affordable Care Act health insurance next year ,' by Juliana Kaplan, 23 July 2025.

2. The Guardian. “ Democrats Use New Tactic to Highlight Trump’s Gutting of Medicaid ,” by Stephanie Kirchgaessner, 27 July 2025.

3. USA Today. ' Neary 11 million Americians would lose insurance under Trump's tax bill, analysis says ,' by Ken Alltucker, 4 June 2025.

4. Medicare Rights Center. ' Federal Court Reverses Federal Medical Debt Protections ,' by Julie Carter, 31 July 2025.

5. Peterson-KFF, Health System Tracker. ' The burden of medical debt in the United States ,' by S. Rakshit, M. Rae, G. Claxton, K. Amin, and C. Cox, 12 Feb. 2024.

6. KFF. ' A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law ,' by Zachary Levinson and Tricia Neuman, 4 Aug. 2025.

7. Fidelity. ' How to plan for rising health care costs ,' Fidelity Viewpoints, 12 Aug. 2024.

What is the 401(k) plan offered by Mosaic?

The 401(k) plan at Mosaic is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.

How does Mosaic match employee contributions to the 401(k) plan?

Mosaic offers a company match of 50% on employee contributions up to 6% of their salary, helping employees maximize their retirement savings.

When can employees at Mosaic enroll in the 401(k) plan?

Employees at Mosaic can enroll in the 401(k) plan during the initial onboarding process and during the annual open enrollment period.

Is there a vesting schedule for Mosaic's 401(k) plan?

Yes, Mosaic has a vesting schedule for company contributions, which typically requires employees to work for a certain number of years before they fully own the employer match.

What investment options are available in Mosaic's 401(k) plan?

Mosaic offers a variety of investment options, including target-date funds, index funds, and actively managed funds, allowing employees to choose based on their risk tolerance.

Can employees take loans against their 401(k) at Mosaic?

Yes, Mosaic allows employees to take loans against their 401(k) balance, subject to specific terms and conditions outlined in the plan.

What happens to my 401(k) if I leave Mosaic?

If you leave Mosaic, you can choose to roll over your 401(k) balance to another retirement account, cash it out, or leave it in the Mosaic plan if eligible.

Does Mosaic offer financial education resources for its 401(k) plan?

Yes, Mosaic provides financial education resources, including workshops and one-on-one consultations, to help employees make informed decisions about their 401(k) savings.

How often can employees change their contribution rate to the Mosaic 401(k) plan?

Employees at Mosaic can change their contribution rate at any time, subject to the plan’s guidelines.

Are there any fees associated with Mosaic's 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with Mosaic's 401(k) plan, which are disclosed in the plan documents.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

The Mosaic Company provides its employees with a robust 401(k) retirement plan, offering several benefits designed to enhance financial wellness. The Mosaic 401(k) plan allows employees to make pre-tax payroll deductions, which contribute to their retirement savings, with tax-deferred growth. Mosaic also supports employees through company matching contributions and annual company contributions, helping to grow their retirement accounts. The plan offers a wide range of investment options, and employees can manage their accounts through Fidelity, which provides access to tools, calculators, and account management options. Eligibility for the Mosaic 401(k) plan includes full-time employees, with options for part-time and hourly workers depending on their hours of service. The plan allows for automatic payroll deductions and enrollment at any time, providing flexibility to employees. Mosaic uses Fidelity's platform for all aspects of the 401(k) plan, including account management and beneficiary updates (Mosaic Benefits). For Mosaic's pension plan, details are typically outlined in the company's summary plan description documents. The pension plan, often referred to as a Defined Benefit Plan, considers factors such as years of service and age qualification. Employees typically qualify after completing a certain number of years of service, which is standard in defined benefit plans across industries. Further details about the pension plan name, specific formulas, and eligibility would be available in company documents, such as the Summary Plan Description, which can be requested from Mosaic's HR department

In 2024, Mosaic Insurance underwent a significant restructuring of its underwriting and operational teams. The restructuring was aimed at supporting the company’s strategic expansion and driving growth for its agency business. The reorganization led to the redistribution of roles across key operational areas and advancements in technological integration. Key personnel updates included the promotion of leaders in strategic finance, corporate affairs, digital and AI strategy, and underwriting. This restructuring demonstrates Mosaic’s focus on evolving its global agency model and fostering partnerships that bring innovative solutions to the market (Royal Gazette) (Royal Gazette).

Mosaic (MOS) offers both employee stock options and Restricted Stock Units (RSUs) as part of its compensation package, with specific eligibility and conditions tied to each. The stock options are divided into Non-Qualified Stock Options (NQSOs) and Incentive Stock Options (ISOs). NQSOs are available to employees, contractors, directors, and advisors, while ISOs are limited to employees and are capped at $100,000 per year in exercisable value. RSUs can also be awarded to employees, contractors, directors, and advisors, with no set annual limits. In 2022, 2023, and 2024, Mosaic has continued to offer stock options and RSUs to key personnel, especially employees contributing to long-term company growth. Mosaic stock options grant the right to purchase company stock at a set price, and vesting schedules are typically spread over several years.

Medical Premiums: For both 2023 and 2024, employees saw slight increases in medical premiums. The monthly premium rise was approximately $6 to $29 in 2023 and $5 to $25 in 2024, depending on the plan. These adjustments reflected national trends while maintaining lower increases than expected. Dental and Vision: For four consecutive years, Mosaic maintained stable costs for dental and vision plans, ensuring that employee contributions did not rise. Wellness Incentives: Mosaic offers a $500 wellness incentive for employees and spouses/domestic partners who participate in personal health screenings under the company’s health plan. This incentive continues into 2024 as part of their focus on preventive care. Flexible Time Off: In addition to health benefits, Mosaic implemented a "Flexible Time Off" program allowing employees to take time for vacation, illness, mental health, and volunteering.