Healthcare Provider Update: Healthcare Provider for IQVIA Holdings IQVIA Holdings operates as a leading global provider of advanced analytics, technology solutions, and contract research services focused on the healthcare sector. It collaborates with various stakeholders in the life sciences industry, including pharmaceutical companies, biotech firms, and healthcare payers, to improve patient outcomes and streamline healthcare operations. Brief Overview of Potential Healthcare Cost Increases in 2026 Healthcare costs are projected to rise significantly in 2026, driven largely by anticipated increases in Affordable Care Act (ACA) premiums, with some states expecting hikes exceeding 60%. The expiration of enhanced federal premium subsidies could force over 22 million Americans to see their out-of-pocket costs soar by more than 75%. Coupled with rising medical expenses and aggressive rate increases from major insurers, consumers may find themselves increasingly burdened by healthcare costs, necessitating proactive planning and strategic decision-making regarding their health coverage. Click here to learn more
'IQVIA Holdings employees navigating concentrated stock positions should view strategies like collars as part of a broader wealth and tax planning discussion that requires careful coordination with qualified professionals.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'IQVIA Holdings employees with significant stock holdings can benefit from understanding how thoughtful planning techniques provide both flexibility and time to make informed decisions about future diversification.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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How an options collar can help manage concentrated stock positions without triggering immediate taxes.
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Key considerations for constructive sale treatment under Section 1259.
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Practical examples and alternatives for IQVIA Holdings employees holding appreciated stock.
By Tyson Mavar, advisor at Wealth Enhancement
The Difficulty of Keeping Valuable Stock
Many IQVIA Holdings employees hold highly valued company stock, which may have been built up over years of employment or from investments that performed better than expected. Leaving these shares without a hedge exposes them to downside risk if the stock price falls, but selling would create a significant capital gains tax liability.
One method of limiting potential losses without selling outright is an options collar. Even if the stock is not sold, certain hedging techniques can be treated as taxable sales under Section 1259 of the Internal Revenue Code, which governs 'constructive sales.'
The Operation of an Options Collar
A collar strategy combines shares already owned with two option positions:
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Put option: Purchasing a put option gives you the right to sell shares at a set strike price. For example, if you own stock at $100 and buy a $90 put, you can still sell at $90 even if the price falls further.
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Covered call: Selling a call requires selling at a higher strike price. For instance, selling a $120 call limits gains above $120.
When paired, the call premium can offset the put’s cost. This creates a range where downside is limited and upside is capped. Additionally, with careful planning, the collar can often be cost-neutral.
The Use of Collars by Investors
IQVIA Holdings stockholders and others might use collars in the following cases:
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Concentrated positions: A large portion of wealth tied to one company.
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Market uncertainty: When downside management is needed but selling isn’t desirable.
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Estate and legacy planning: Preserving value while postponing capital gains.
The Problem of Constructive Sales
Section 1259 defines some hedges as constructive sales, including:
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- Short sales of stock you already own.
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- Contracts for future delivery of the stock.
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- Deep in-the-money calls and puts that eliminate both risk and reward.
If the IRS views a collar as removing nearly all economic exposure, it can be treated as a constructive sale, triggering immediate recognition of capital gains.
Collar Design to Steer Clear of Constructive Sales
To reduce the risk of Section 1259 issues, IQVIA Holdings employees can structure collars with careful attention:
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- Keep strike prices wide enough to allow both risk and reward.
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- Use out-of-the-money calls and puts rather than in-the-money options.
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- Roll collars forward instead of holding outdated positions.
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- Document investment intent with an advisor.
An Example
Suppose you hold $2 million in stock purchased years ago for $200,000. Selling outright could result in over $400,000 in federal taxes, depending on your state.
Instead, you might sell calls at 120% of the stock’s value and purchase puts at 80%. In this design:
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- Losses are limited to 20%.
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- Gains are capped above 120%.
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- The position retains risk and reward, so it generally avoids being classified as a constructive sale.
This approach can provide time to manage sales across multiple tax years or to wait for a more favorable tax environment.
Considerations
IQVIA Holdings employees considering collars should note:
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Liquidity: Large-cap companies usually have strong options markets.
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Rolling: Positions can be extended as expiration approaches.
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Alternatives: Other hedging tools include donor-advised funds, charitable remainder trusts, gifting strategies, or exchange funds.
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Advisory guidance: Given the complexity of constructive sale rules, consulting tax and legal professionals is critical.
The Bottom Line
Options collars can help IQVIA Holdings employees preserve the value of appreciated stock while limiting downside and postponing taxable events. This strategy allows time for thoughtful diversification while maintaining both risk and opportunity. However, collars must be carefully designed to reduce the chance of triggering constructive sale treatment under the Internal Revenue Code.
Disclaimer: This material is for educational purposes only. Alternative investments may not be suitable for all investors and involve special risks such as leveraging the investment, potential adverse market forces, regulatory changes, and potential illiquidity. Investing involves risk, including possible loss of principal. Always consult your tax professional before making decisions, as tax laws are complex and subject to change.
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Sources:
1. United States Congress. 26 U.S. Code §1259 - Constructive Sales Treatment for Appreciated Financial Positions. Cornell Law School, Legal Information Institute, 5 Aug. 1997, amended 4 Oct. 2004. https://www.law.cornell.edu/uscode/text/26/1259.
2. Internal Revenue Service. Revenue Ruling 2003-7, 2003-1 C.B. 363. 2003. https://www.irs.gov/pub/irs-drop/rr-03-7.pdf.
3. Options Industry Council (OIC). Options Strategies Quick Guide. The Options Clearing Corporation, 2021. https://www.optionseducation.org/getattachment/007fe864-029a-490d-8dc1-3b58bd558f64/options-strategies-quick-guide.pdf?lang=en-US
4. Internal Revenue Service. 2024 Instructions for Form 5227, Split-Interest Trust Information Return. 26 Nov. 2024. https://www.irs.gov/pub/irs-pdf/i5227.pdf
What is the 401(k) plan offered by IQVIA Holdings?
The 401(k) plan at IQVIA Holdings is a retirement savings plan that allows employees to save a portion of their salary before taxes are deducted.
Does IQVIA Holdings match employee contributions to the 401(k) plan?
Yes, IQVIA Holdings offers a matching contribution to the 401(k) plan, which helps employees increase their retirement savings.
What is the eligibility requirement for IQVIA Holdings' 401(k) plan?
Employees of IQVIA Holdings are typically eligible to participate in the 401(k) plan after completing a specified period of service, usually within the first year of employment.
How can employees enroll in the 401(k) plan at IQVIA Holdings?
Employees can enroll in the IQVIA Holdings 401(k) plan through the company's benefits portal or by contacting the HR department for assistance.
What types of investment options are available in the IQVIA Holdings 401(k) plan?
The IQVIA Holdings 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to choose based on their risk tolerance.
Can employees take loans against their 401(k) savings at IQVIA Holdings?
Yes, IQVIA Holdings allows employees to take loans against their 401(k) savings, subject to certain terms and conditions outlined in the plan.
What happens to the 401(k) plan if an employee leaves IQVIA Holdings?
If an employee leaves IQVIA Holdings, they have several options for their 401(k) savings, including rolling it over to another retirement account or cashing it out, though taxes and penalties may apply.
Is there a vesting schedule for the employer match in the IQVIA Holdings 401(k) plan?
Yes, IQVIA Holdings has a vesting schedule for the employer match, which means that employees must work for the company for a certain period before they fully own the matched contributions.
How often can employees change their contribution percentage in the IQVIA Holdings 401(k) plan?
Employees can change their contribution percentage to the IQVIA Holdings 401(k) plan at specified intervals, typically during open enrollment or at any time throughout the year.
Does IQVIA Holdings provide financial education resources for employees regarding the 401(k) plan?
Yes, IQVIA Holdings offers financial education resources and workshops to help employees understand their 401(k) options and make informed investment decisions.



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