Healthcare Provider Update: Healthcare Provider for Quest Diagnostics Quest Diagnostics collaborates with several major health insurance providers, including UnitedHealthcare, Aetna, Humana, Cigna, and various Anthem and BlueCross BlueShield plans. This network allows for extensive coverage options and accessibility for patients utilizing Quest Diagnostics' lab services. Potential Healthcare Cost Increases in 2026 As we approach 2026, healthcare costs are projected to rise significantly, particularly for those relying on Affordable Care Act (ACA) marketplace plans. With some states anticipating premium hikes exceeding 60%, many consumers could see their monthly premiums increase by over 75% without renewed federal subsidies. This unprecedented surge is driven by escalating medical costs, the expiration of enhanced financial support, and aggressive rate requests from national insurers, potentially placing immense financial strain on millions of Americans who depend on these plans for healthcare coverage., 'sources': [], 'images': [] Click here to learn more
'Quest Diagnostics employees with concentrated stock positions should understand that strategies like a Section 351 exchange can offer flexibility in managing large unrealized gains while preserving long-term planning options.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
'Quest Diagnostics employees facing concentrated stock exposure may find that a Section 351 exchange provides an effective way to mitigate risk and maintain control over the timing of potential tax liabilities.' – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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When a Section 351 exchange can help diversify concentrated stock positions without an immediate tax bill.
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The core eligibility rules (80% control test) and basis/step-up mechanics that drive tax deferral.
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Sample case studies (James & Sarah) illustrating the numbers and outcomes.
The Strategic Potential of Section 351: An Analysis of a Multi-Stock Case in Tax-Deferred Reorganization
A sizable amount of the wealth of many high-earning professionals at Quest Diagnostics may be invested in a small number of highly valued equities, including company shares accumulated through restricted stock units (RSUs), the employee stock purchase plan (ESPP), or equity awards earned due to long tenure. While rebalancing may seem out of reach due to the tax ramifications of selling these positions, investors can make tax-deferred contributions of appreciated assets to a new business entity through a Section 351 exchange. When an investor wants to manage several sizable, embedded gains at once, this tactic may be especially useful.
Think about James, a client with a $10 million portfolio. The value of one stock investment, which he purchased for $50,000, has increased to $1 million, or 10% of his total portfolio. At a long-term capital gains rate that can reach 23.8% for certain high-income taxpayers (20% maximum long-term capital gains rate plus the 3.8% Net Investment Income Tax), selling this position would result in a $950,000 capital gain and an estimated $226,100 tax bill. The amount available for reinvestment would be reduced by this tax.
Section 351(a) of the Internal Revenue Code provides: “If property is transferred to a corporation by one or more persons solely in exchange for stock in such corporation and immediately after the exchange such person or persons are in control (as defined in section 368(c)) of the corporation, no gain or loss shall be recognized.” Under Section 368(c), “control” generally means ownership of at least 80% of the voting power and 80% of each class of non-voting shares.
The transferor or transferors must own at least 80% of the new corporation’s stock right after the exchange to qualify for this treatment. This can be done for investors with sizable portfolios by joining a larger seeding group or acting as the principal seeder of a new entity.
In a Section 351 transaction, any built-in gains are preserved because the shareholder’s basis in the received stock typically carries over from the contributed property. If the shares are held until death, a step-up in basis under Section 1014 may eliminate the deferred gain.
Another client example involves Sarah, who has a $13 million portfolio. She owns two appreciated stocks:
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Stock A: Originally $300,000, now worth $3 million.
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Stock B: Initial cost basis $500,000, now worth $3 million.
At a long-term capital gains rate that can reach 23.8% for certain high-income taxpayers, the aggregate unrealized gain of $5.2 million would translate into an estimated tax of roughly $1,237,600 if sold today, which can constrain portfolio adjustments.
For employees of Quest Diagnostics holding concentrated positions, taking part in a Section 351 exchange can reduce concentration risk and defer recognition of these gains without an immediate tax bill. If assets receive a step-up in basis at death, the deferred gain may be fully eliminated under current law, and deferral can provide flexibility in managing future tax obligations.
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- 7 Things to Consider Before Leaving Your Company
- How Are Workers Impacted by Inflation & Rising Interest Rates?
- Lump-Sum vs Annuity and Rising Interest Rates
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Sources:
1. Internal Revenue Service. Revenue Ruling 2003-51 . Internal Revenue Bulletin 2003-21, 2003. PDF.
2. Friedel, David B., and Yaw O. Awuah. “ Sec. 351 Control Requirement: Opportunities and Pitfalls .” The Tax Adviser , 1 July 2014. Web.
3. Internal Revenue Service. “ Net Investment Income Tax (NIIT) .” IRS.gov , last reviewed 1 July 2025. Web.
4. Internal Revenue Service. Publication 551: Basis of Assets . December 2024 revision, posted 18 February 2025. PDF.
5. FINRA Investor Education Foundation (FINRA). “ Concentrate on Concentration Risk .” FINRA.org , 15 June 2022. Web.
What is the 401(k) plan offered by Quest Diagnostics?
The 401(k) plan at Quest Diagnostics is a retirement savings plan that allows employees to save and invest a portion of their paycheck before taxes are taken out.
How does Quest Diagnostics match employee contributions to the 401(k) plan?
Quest Diagnostics offers a matching contribution to the 401(k) plan, matching a percentage of the employee's contributions up to a certain limit, helping employees maximize their retirement savings.
When can I enroll in the Quest Diagnostics 401(k) plan?
Employees at Quest Diagnostics can enroll in the 401(k) plan during their initial eligibility period, typically within the first few months of employment, as well as during annual open enrollment periods.
What types of investment options are available in the Quest Diagnostics 401(k) plan?
The Quest Diagnostics 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock, allowing employees to choose investments that align with their retirement goals.
Can I take a loan against my 401(k) plan with Quest Diagnostics?
Yes, Quest Diagnostics allows employees to take loans against their 401(k) balance under certain conditions, providing a way to access funds for emergencies or significant expenses.
What is the vesting schedule for the Quest Diagnostics 401(k) plan?
The vesting schedule for the Quest Diagnostics 401(k) plan determines how much of the employer's matching contributions an employee is entitled to keep, typically based on years of service.
How can I access my 401(k) account with Quest Diagnostics?
Employees can access their Quest Diagnostics 401(k) accounts online through the designated retirement plan portal, where they can view balances, make changes, and manage investments.
What happens to my 401(k) plan if I leave Quest Diagnostics?
If you leave Quest Diagnostics, you have several options for your 401(k), including rolling it over to an IRA or a new employer's plan, cashing it out, or leaving it in the Quest Diagnostics plan if permitted.
Does Quest Diagnostics offer financial education resources for 401(k) participants?
Yes, Quest Diagnostics provides financial education resources and workshops to help employees understand their 401(k) plan options and make informed investment decisions.
What is the maximum contribution limit for the Quest Diagnostics 401(k) plan?
The maximum contribution limit for the Quest Diagnostics 401(k) plan follows IRS guidelines, which are updated annually. Employees should check the current limits to ensure they are maximizing their contributions.