Healthcare Provider Update: Ensign Group Healthcare Provider The Ensign Group primarily operates skilled nursing facilities, assisted living facilities, and memory care services. They are known for providing a diverse range of healthcare services, including rehabilitation and care for patients with chronic conditions. Their operating model emphasizes patient-centered care, and they often partner with various healthcare providers to ensure comprehensive service delivery to their residents. Potential Healthcare Cost Increases in 2026 As the landscape of healthcare continues to evolve, significant premium hikes are anticipated in 2026, particularly for Affordable Care Act (ACA) marketplace plans. With some states forecasting increases exceeding 60%, the loss of enhanced federal premium subsidies could lead to average out-of-pocket costs spiking by over 75% for the majority of policyholders. This surge is attributed to rising medical costs and the record profits reported by major insurers, creating a perfect storm for healthcare consumers facing steep financial challenges ahead. As consumers prepare for 2026, proactive financial strategies will be essential to mitigate the impact of these escalating costs. Click here to learn more
'Thoughtful multigenerational planning can help Ensign Group employees navigate GSTT considerations more effectively, making it an essential part of preparing families for long-term financial transitions.' -- Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'Carefully structuring multigenerational wealth transfers can help Ensign Group employees stay aligned with GSTT rules and should be considered when discussing long-term family planning priorities.' -- Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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Key concepts behind the generation-skipping transfer tax (GSTT).
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Common exemptions and exclusions that may lessen transfer tax exposure.
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Planning methods that can help families pass wealth across generations.
Important Takeaways on How to Transfer Wealth Across Generations
The generation-skipping transfer tax (GSTT) is relevant for any Ensign Group employees transferring wealth to grandchildren or other individuals that skip over your children's generation.
Both GSTT and gift or estate taxes may apply when transferring assets to heirs more than one generation below the transferor.
Exemptions may lower transfer tax liability if planning is structured thoughtfully.
Federal gift and estate taxes—applicable to transfers during life or at death—are familiar to many Ensign Group employees. However, when assets move to people more than one generation below the transferor, such as a gift from a grandparent to a grandchild, the federal generation-skipping transfer tax (GSTT) may also apply.
Generation-Skipping Transfer Tax: What Is It?
Transfers to “skip persons,” those more than one generation below the transferor or more than 37½ years younger, are subject to the GSTT. This federal tax applies in addition to any federal gift or estate tax due and equals the highest federal gift and estate tax rate in effect—a flat rate of 40%—which is relevant for Ensign Group employees engaging in multigenerational planning.
The GSTT was introduced in 1976 to address concerns that affluent families could shift assets in ways that bypassed estate taxes at each generational level. 1
Lifetime Exemptions and Gift Tax Exclusions
Transfers made during life or at death to anyone other than a spouse or qualified charity may be subject to federal gift or estate tax. Key exclusions include several that may benefit Ensign Group employees:
Annual gift tax exemption: In 2026, individuals may give up to $19,000 per recipient without incurring federal estate or gift tax. Couples may combine exclusions for a total of $38,000 per beneficiary. 2 For example, a married couple with two children could give $76,000 total ($38,000 to each child) annually without gift tax.
Qualified transfers: Payments made directly to educational institutions for tuition or to medical providers for medical expenses are not considered taxable gifts. There is no dollar limit on these transfers. 1
Lifetime unified exclusion: Individuals may transfer up to $13.99 million (or $27.98 million per married couple) during life or at death without federal gift or estate tax. 2 Lifetime gifts reduce the remaining exclusion available at death.
Transfers exceeding these exclusions are taxed at the top federal estate and gift tax rate of 40%.
Exclusions & Exemptions from GSTT
The GSTT has rules similar to traditional gift tax laws, which can influence planning for Ensign Group families:
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- Grandparents may give up to $19,000 directly to a grandchild in 2026 without triggering gift tax or GSTT.
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- Each individual has a $13.99 million lifetime GSTT exemption ($27.98 million per couple), though this exemption is not independent from estate or gift tax rules.
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Transfers above exemption thresholds are subject to a 40% GSTT.
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GSTT applies only at the federal level, although some states may impose their own estate or inheritance taxes.
When Does the GSTT Start to Apply?
The GSTT applies to three types of taxable events, all of which may arise in multigenerational planning for Ensign Group families:
Direct skips: Transfers made directly to a skip person or to a trust for their exclusive benefit. The transferor or their estate pays the tax.
Taxable distributions: Distributions from a trust to a skip person. The beneficiary pays the tax.
Taxable terminations: Occur when a trust interest ends and only skip persons remain as beneficiaries. The trustee pays the tax.
GSTT Exemption Allocations
Transfers—outright or to a trust—may qualify for GSTT exemption as long as the exemption is properly allocated. Once allocated, all future growth on those trust assets is generally free from GSTT, a strategy Ensign Group families may want to use.
For example, if a person contributed $10 million to an irrevocable trust for grandchildren in 2024 and allocated the GSTT exemption, and the trust later grew to $20 million, future distributions would not incur GSTT. 1
Methods for Lowering GSTT
1. 529 Plan Contributions
Contributions to 529 college savings plans are treated as completed gifts, even though account owners can change the beneficiary. Grandparents may “superfund” a 529 plan with five years of annual exclusions at once—up to $95,000 per beneficiary in 2025 or $190,000 per beneficiary for a married couple filing jointly 3 —which may interest Ensign Group retirees.
2. Dynasty Trusts
Dynasty trusts are irrevocable trusts designed to last across multiple generations. Some states allow long-term or perpetual trusts, while others limit trust duration under the “rule against perpetuities.” These trusts can combine GSTT planning with long-term asset preservation features and, when fully exempt from GSTT, future distributions or terminations can occur without additional GSTT 4 —an appealing option for extended family planning.
Concluding Remarks
Although GSTT planning can be complex, exemptions and structured transfers may help Ensign Group employees reduce or eliminate federal taxes on wealth passed to grandchildren or other skip persons.
The Retirement Group can assist you with wealth transfer planning and retirement income strategies. Call our team at (800) 900-5867 for guidance.
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Sources:
1. Fidelity Investments. “Understanding the Generation-Skipping Transfer Tax.” Fidelity , 3 Oct. 2025, www.fidelity.com/viewpoints/wealth-management/insights/generation-skipping-transfer-tax .
2. Internal Revenue Service. “ IRS releases tax inflation adjustments for tax year 2027 .” IRS.gov , 9 Oct. 2025.
3. Bendig, Erin. “How This 529 ‘Superfund’ Strategy Can Transform Your Estate Plan.” Kiplinger , 12 Sept. 2025, www.kiplinger.com/personal-finance/this-super-529-strategy-can-help-you-jumpstart-college-savings .
4. Investopedia. ' What Is a Dynasty Trust? ' by Will Kenton. 31 March 2025.
What is the primary purpose of the 401(k) plan at Ensign Group?
The primary purpose of the 401(k) plan at Ensign Group is to help employees save for retirement by allowing them to contribute a portion of their salary on a tax-deferred basis.
Who is eligible to participate in Ensign Group's 401(k) plan?
All full-time employees of Ensign Group who meet the eligibility requirements, such as age and service time, are eligible to participate in the 401(k) plan.
How can employees enroll in the 401(k) plan at Ensign Group?
Employees can enroll in the 401(k) plan at Ensign Group by completing the online enrollment process through the designated benefits portal.
Does Ensign Group offer a company match for 401(k) contributions?
Yes, Ensign Group offers a company match for employee contributions to the 401(k) plan, which enhances the overall retirement savings.
What is the maximum contribution limit for the 401(k) plan at Ensign Group?
The maximum contribution limit for the 401(k) plan at Ensign Group is subject to IRS regulations, which are updated annually. Employees should refer to the latest guidelines for specific limits.
Can employees change their contribution percentage in Ensign Group's 401(k) plan?
Yes, employees can change their contribution percentage at any time during the year by accessing their account through the benefits portal.
What investment options are available in the Ensign Group 401(k) plan?
The Ensign Group 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.
How often can employees make changes to their investments in the Ensign Group 401(k) plan?
Employees can make changes to their investment allocations in the Ensign Group 401(k) plan on a regular basis, typically daily, depending on the plan's rules.
Is there a vesting schedule for the Ensign Group 401(k) company match?
Yes, Ensign Group has a vesting schedule for the company match, meaning employees must work for the company for a certain period before they fully own the matched contributions.
What happens to my 401(k) account if I leave Ensign Group?
If you leave Ensign Group, you have several options for your 401(k) account, including rolling it over to another retirement account or withdrawing the funds, subject to applicable taxes and penalties.



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