A Willis Towers Watson survey of 6,000 U.S. employees found that financial security fell from 46% to 36% in 2026, its lowest level in seven years. About one-third of workers said they delayed or skipped medical or dental care over cost during the past year, including people with health insurance. Employees in their 40s reported the lowest financial security, and more than 40% in that age group said they put off or skipped care. Respondents also linked healthcare expenses to difficulty saving for retirement. The findings describe reported costs and choices, not a new government policy, and the material identifies no fees, forms, compliance rules or deadlines.
TLDR: WTW reports a seven-year low in employee financial security and says many workers have delayed or skipped care because of cost, even with insurance. The survey identifies high deductibles and out-of-pocket expenses as barriers but describes no new government policy or implementation schedule.
Financial security among U.S. employees fell to its lowest level in seven years in 2026, while many workers reported delaying or skipping medical and dental appointments because of cost, according to research by benefits company Willis Towers Watson. The findings point to a practical strain: health insurance does not always make care affordable when deductibles and out-of-pocket costs are high.
The survey’s stated purpose was to measure employees’ financial security and well-being, not to assess a government policy. It offers no official policy rationale or proposed government response. The results instead document workers’ reported experiences with household finances, healthcare costs, retirement expectations and job performance.
WTW surveyed 6,000 U.S. employees. The share who said they felt financially secure dropped from 46% to 36% in 2026, the lowest level in seven years. The firm said employees reported feeling better physically and described improved social connections, even as their financial well-being moved in the other direction.
Healthcare decisions were among the areas affected. Across age groups, about one-third of employees said they had put off or skipped a medical or dental appointment during the past year because of cost. Respondents reported doing so despite having health insurance, a distinction that shows coverage alone does not necessarily remove the immediate expense faced by patients.
Courtney Stubblefield, a health and benefits practice leader at WTW, told CBS News that employees face high deductibles and high out-of-pocket costs. She said those features can become barriers to receiving needed care. The survey excerpt does not specify the dollar amounts of deductibles or expenses, or identify particular health plans.
Workers in their 40s reported the weakest financial security among the age groups covered. Just 30% said they felt financially secure, compared with half of workers aged 60 and older. More than 40% of employees in their 40s said they had delayed or skipped medical care over money concerns, the highest share among the age groups.
Stubblefield said many mid-career workers carry several family responsibilities at once. They may have children, need family health coverage and help care for aging parents. She described the period as one of peak obligations, with some workers also supporting children in school or approaching college. The survey material does not provide a separate estimate of the healthcare costs associated with those responsibilities.
Retirement expectations are also a concern in the WTW findings. Roughly two in three employees said they expected to be worse off in retirement than their parents’ generation. Respondents cited healthcare costs as a barrier to saving, linking current expenses with concern about future financial security.
Separate research from Prudential Financial found that more than six in 10 retirees with at least $500,000 in investable assets did not feel comfortable spending money for enjoyment. Many cited inflation, the rising cost of living and healthcare expenses as reasons to limit entertainment spending. That finding concerns retirees with substantial investable assets, and it does not establish how all retirees manage their budgets.
Federal Reserve data cited in the report show a different pattern for some older households. The 18 million households headed by someone aged 75 or older had the highest median net worth among age groups nationwide, with a median of $504,000 in 2025. Households headed by people aged 65 to 74 saw wealth rise 37% between 2022 and 2025, according to the Fed. Those figures describe household wealth and do not erase the reported concerns about healthcare costs or spending confidence.
The practical impact in the WTW survey is clear: employees with insurance still reported postponing or skipping medical and dental care, and high deductibles and out-of-pocket expenses were identified as barriers. The survey gives no specific fees, forms, compliance rules, enforcement actions or deadlines because it describes no new policy. It also does not say that every worker delayed care or quantify the medical effects of those delays.
The findings are survey results, not a government program or a set of rules with an implementation schedule. No new deadlines or oversight process appear in the material. The next step described by the available evidence is continued measurement: the survey documents how workers report their financial security, healthcare choices and retirement outlook, while the reasons and costs remain central details in those reports.

