Multiemployer Health & Welfare plans are in the midst of an economic climate where rising healthcare costs will be transformative for both insured and self-funded plans. Increased cost implications, as a product of several factors such as the Affordable Care Act (ACA) provisions, increased insurance premiums and rising pharmaceutical drug prices have a direct financial impact on Multiemployer Health & Welfare plan assets. This paper aims to identify how rising health care costs will factor into how Multiemployer Health & Welfare plans make critical investment asset allocation decisions moving forward.