Cash Balance Plans & Locum Tenens Retirement Planning

Many physicians work under Locum Tenens conditions. This is because of the great need for medical providers, especially in lower income and rural areas.

But with large income derived by these contracts come a large tax bill. Cash balance plans are one way to reduce this tax liability.

In this post, we discuss Locum Tenens and provide some insight on our favorite tax strategy.

How does a cash balance plan work?

A cash balance plan is a defined benefit pension plan that combines features of traditional defined benefit plans and defined contribution plans. You can also add a 401(h) to it. It is designed to provide employees with a guaranteed retirement benefit, similar to a traditional defined benefit plan.

Still, the benefit is funded through individual accounts that are credited with a fixed percentage of the employee’s pay and a guaranteed rate of return, similar to a defined contribution plan.

A 401(k) plan is a defined contribution plan that allows employees to save and invest for retirement on a tax-deferred basis. Employees can allocate or contribute a portion of their pay to the plan, and the employer typically matches their contributions.

Combining a cash balance plan (or CBP) with a 401(k) plan is possible, but specific rules and regulations must be followed. The combination of these two types of plans is known as a “hybrid” plan, and it can provide employees with the benefits of both a defined benefit plan and a defined contribution plan.

The maximum contribution limit is one important consideration when combining a cash balance plan with a 401(k) plan. The Internal Revenue Service (IRS) limits the total contributions that can be made to these types of plans.

The maximum annual contribution limit for defined contribution plans, including 401(k) plans, is around $60,000 to $70,000. The maximum allowable contribution to a cash balance plan is determined using a formula that considers the employee’s age, pay, and overall funding level of the plan.

In addition to the contribution limits, hybrid plans are subject to other rules and regulations designed to protect employee benefits and ensure the plan is funded adequately. For example, hybrid plans must pass a nondiscrimination test to ensure they do not disproportionately benefit highly compensated employees.

Overall, combining a cash balance plan with a 401(k) plan can provide employees with a more comprehensive retirement savings strategy. However, it’s essential to carefully consider the rules and regulations that apply to these types of plans and to consult with a financial advisor or professional before making any investment decisions.

What is Locum Tenens?

Locum tenens, a Latin term “to hold the place of,” refers to a temporary medical professional who fills in for a regular physician or clinician who is unavailable. This can occur for various reasons, such as a doctor taking a leave of absence, a shortage of staff, or a sudden increase in patient volume. In these cases, a locum tenens physician can provide temporary coverage to ensure patients receive the necessary medical care.

Locum tenens physicians typically work on a contract basis, with the assignment ranging from a few days to several months. They generally are highly experienced, licensed medical professionals who undergo rigorous screening and training. These physicians work in various specialties, including primary care, emergency medicine, psychiatry, and surgery.

One of the benefits of using locum tenens physicians is that they bring a fresh perspective and new ideas to the healthcare facility where they work. They can help to improve processes, implement new technologies, and provide training to staff. In addition, locum tenens physicians can also help to relieve burnout among permanent staff members, as they take on some of the workloads and provide additional support.

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Another advantage of locum tenens is that it can be a flexible career option for physicians. They can choose the locations and specialties where they work and take assignments that fit with their lifestyle and career goals. This flexibility can be especially appealing to physicians looking to take a break from their regular practice or who want to gain experience in a new specialty.

Despite the many benefits of locum tenens, some challenges come with this work. One of the biggest challenges is the need for frequent travel, as locum tenens physicians may be required to work in different parts of the country. In addition, there can be some difficulties in adapting to new working environments and the need to establish new relationships with patients and staff members.

Retirement Accounts for Locum Tenens Physicians

Employers can make tax-deductible contributions to these plans, helping them save on taxes while providing valuable retirement benefits to their employees. For employees, contributions made by the employer grow tax-deferred until withdrawal, potentially leading to significant tax savings over time.

The tax-efficient nature of cash balance plans makes them an appealing option for businesses looking to enhance their retirement offerings while providing employees with a secure and tax-advantaged way to save for retirement.

Final thoughts

Cash balance plans are increasingly popular retirement strategies that offer a unique blend of features from both defined benefit and defined contribution plans. These plans provide participants with the predictability and security of a defined benefit plan, while also offering the portability and flexibility typically associated with defined contribution plans.

One key advantage of cash balance plans is their simplicity and transparency, making them easier for participants to understand compared to traditional defined benefit plans. Participants receive annual statements showing their accrued benefits, which are typically based on a predetermined formula set by the plan.

This clarity can help employees better plan for their retirement and understand the value of their benefits over time. Additionally, cash balance plans offer portability, allowing employees to take their accrued benefits with them if they change jobs, providing greater control and flexibility over their retirement savings. Furthermore, cash balance plans are attractive to both employers and employees due to their tax advantages.

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In conclusion, locum tenens are essential to the healthcare industry, providing temporary medical coverage when needed. Whether you are a healthcare facility needing additional support, or a physician looking for a flexible career option, locum tenens can be a valuable solution. With its many benefits and challenges, it is an option that should be considered carefully before making a decision.

Paul Sundin

About the Author

Paul Sundin, CPA | Founder & CEO of Emparion

Paul Sundin is a CPA with over 30 years of experience with tax planning and retirement structuring. He has helped thousands of business owners, including Inc. 5000 companies, global brands, and Silicon Valley startups.

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Emparion, LLC does not provide legal, investment or tax advice. The information herein is general and educational in nature and should not be considered legal or tax advice. Tax laws and regulations are complex and subject to change, which can materially impact financial results. Emparion cannot guarantee that the information herein is accurate, complete, or timely. Emparion makes no warranties with regard to such information or results obtained by its use, and disclaims any liability arising out of your use of, or any tax position taken in reliance on, such information. Please consult an attorney or tax professional regarding your specific situation.