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Unlocking the New Benefits of 72(t) Payments for Community Health Systems Employees: What You Need to Know!

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Healthcare Provider Update: Healthcare Provider for Community Health Systems Community Health Systems, Inc. (CHS) operates as a publicly traded healthcare management company, primarily providing hospital and healthcare services. It manages a network of acute care hospitals and outpatient care facilities across the United States, serving millions of patients annually. Brief on Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases are anticipated, particularly for those enrolled in Affordable Care Act (ACA) marketplace plans. With projections indicating some states could see premium hikes exceeding 60%, the withdrawal of enhanced federal premium subsidies will likely exacerbate the financial burden on consumers. A recent analysis suggests that without congressional intervention, over 22 million ACA enrollees could face a staggering 75% rise in out-of-pocket premium costs. Factors contributing to this situation include rising medical expenses, increased demand for healthcare services, and the sustained profitability of major insurers amidst substantial rate hikes. Click here to learn more

What is 72(t)?

72(t) payments, also known as “substantially equal periodic payments,” are advantageous because they are exempt from the 10% early distribution penalty that usually applies to withdrawals before age 59 ½. You can take them from an IRA at any time, but only from a workplace plan after leaving Community Health Systems.

Lets start with the downsides to 72(t) payments.

  •  First, they must remain in place for at least 5 years or until age 59 ½, whichever comes later. This means a 45-year old IRA owner must maintain her payments for almost 15 years. 
  • Second, if the payments are modified before the end of the 5-year/age 59 ½ duration, you are subject to a 10% penalty (plus interest) on all payments made before 59 ½. Modification will normally occur if you change the payment schedule (e.g., stop payments), change the balance of the account from which payments are being made (e.g., a rollover to the account), or change the method used to calculate the payment schedule (except for a one-time switch to the RMD method – see below).

 

There are three acceptable ways to calculate 72(t) payments:  

  • The required minimum distribution (RMD) method. Payments are calculated like lifetime RMDs. Therefore, they fluctuate each year. The RMD method normally produces the smallest payout among the three methods. Once you use the RMD method, you can’t switch out of it.
  • The fixed amortization method. Payments are calculated like fixed mortgage payments. After using this method for at least one year, you can switch to the RMD method without penalty.
  • The fixed annuitization method. Payments are calculated by dividing the account balance by an annuity factor. Like the amortization method, they remain fixed, and you can switch to the RMD method after the first year.

IRC Section 72(t)(4)(A) provides that once an individual begins to take 72(t) distributions from a Community Health Systems-sponsored retirement account, they must continue doing so over the longer of 5 years or until they reach age 59 ½ (exception death or disability).

For example, while an individual beginning to take 72(t) distributions at age 57 will ‘only’ have to maintain their distribution schedule for 5 years (because even though they would turn 59 ½ after 2 ½ years, the payment schedule must be kept for a minimum of 5 years), a taxpayer who begins such distributions at age 40 would have to maintain the schedule for nearly two decades (since they would not turn 59 ½ for another 19 ½ years)

After starting a series of 72(t) payments, the penalties for changing or canceling the payment schedule can be steep. IRC Section 72(t)(4)(A) provides that in the event a taxpayer modifies their 72(t)-payment schedule before either the end of the 5-year period or reaching age 59 ½ (whichever comes later), the 10% early distribution penalty will be retroactively applied to all pre-tax distributions taken prior to age 59 ½.

Furthermore, in these cases, the IRS will also retroactively apply interest to those amounts – that is, treating the penalty as if it had been applied at the time of distribution but had not yet been paid.

 

Penalties Are Steep

Example 1:

In 2010, at the age of 44, Mark established a 72(t)-payment schedule to make periodic distributions from his Traditional IRA. Per the 72(t) rules, the schedule was set to conclude in 2025, when Mark turns 59 ½.

Unfortunately, after properly taking distributions for a decade, in 2021 Mark (at age 55) completely forgot to take his annual 72(t) distribution, thus ‘breaking’ the schedule.

As a result of the error, the 10% penalty will be retroactively applied to all of Marks’ prior distributions, from the first one in 2010 to the most recent in 2021.

Additionally, interest will apply to the 2010 10% penalty amount as though the amount had always been owed since 2010, but had not yet been paid, resulting in 10 years’ worth of interest applied to the 2010 payment. Similarly, interest will apply to the 2011 10% penalty amount as though the amount had always been owed since 2011, but had not yet been paid, resulting in 9 years’ worth of interest applied to the 2011 payment. And so on.

The makeover is the second and third methods require use of an interest rate to calculate the amortization or annuity factor. In the past, the IRS has said this factor can’t exceed 120% of the Federal mid-term rate in effect for either of the two months before the start of the 72(t) payments. The Federal mid-term has been historically low for a number of years. For February 2022, 120% of the Federal mid-term rate is only 1.69%.

72(t) Changes

Clearly, getting the timing of 72(t) payments correct is critical for avoiding early distribution penalties, along with correctly calculating the payment amount(s). Interestingly, the Internal Revenue Code itself provides little guidance on how to properly calculate 72(t) distributions, other than to state that they must be “substantially equal” (in fact, the excerpt above, from IRC Section 72(t)(2)(iv), is the entirety of the Internal Revenue Code’s guidance). Thus, nearly all of the guidance that we do have, with respect to how to calculate 72(t) payments, comes from other sources such as IRS Notices.

On January 18, 2022, the IRS released Notice 2022-6, which said that 72(t) payment schedules starting in 2022 or later can use an interest rate as high as 5%. (And, if 120% of the Federal mid-term rate rises above 5%, you can use a rate as high as the 120% rate.) This is great news because the higher the interest rate, the higher the payments will be. This change allows you to squeeze higher payments out of the same IRA balance. 

Note: You can’t change interest rates for a series of 72(t) payments already in place.

Additionally, the 5% rate limit is effective for any series of payments starting in 2022 or later.

This is significant for anyone employed by Community Health Systems who are thinking about beginning a 72(t) schedule, since it significantly increases the maximum interest rate that can be used (and therefore the number of penalty-free distributions that can potentially be made before age 59 ½)

Consider, for instance, the  rate for October 2022 was 3.90% . Prior to the new guidance from Notice 2022-6, taxpayers beginning 72(t) schedules in November 2022 with distributions calculated using either the amortization or annuitization methods would have been limited to using an interest rate of no more than 3.90% (the higher rate from the two months prior to the month when the schedule began).

Example 2: 

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Jennifer, age 50, has recently decided to use 72(t) payments as a way to access her IRA funds without incurring an early distribution penalty, and plans to make a series of annual distributions from her IRA starting in March 2022.Jennifer’s current IRA balance is $1 million.

Unfortunately, Jennifer is not aware of the new rules provided by Notice 2022-6 and calculates her maximum annual 72(t) payment using the 3.90% pre-Notice 2022-6 maximum rate.

After using each of the three methods and available life expectancy tables to calculate her potential maximum annual 72(t) distribution, Isabelle determines that the amortization method yields the highest possible annual 72(t) distribution of using 3.90%.

However, thanks to Notice 2022-6, retirees are now able to use an interest rate of 5% instead, producing a significantly higher 72(t) distribution from the same account balance than was possible under the previous rule.

Example 3:

Doug, Jennifer’s co-worker, has recently decided to use 72(t) payments to access his IRA funds without a penalty. And he, too, has a current IRA balance of $1 million.

Thankfully for Doug, his advisor is aware of the new 5% interest rate limit for 72(t) and uses it to calculate his maximum annual 72(t) payment, to begin in November 2022.

After using each of the three methods and available life expectancy tables to calculate her potential maximum annual 72(t) distribution, Doug determines that the amortization method yields the highest possible annual 72(t) distribution of $60,312.23, a substantial increase over the 3.90% under the old rules

Common 72(t) Questions

When can I start 72(t)?
You can decide to start taking 72(t) payments from your IRA at any age.
 

How long do I have to maintain the withdrawals?

The payments must continue for at least five years or until you are age 59 ½, whichever period is longer.
 
How often do I have to take withdrawals?

 You must take the payments at least annually.

 

Can I start 72(t) payments from my 401(k) ?

The 72(t) payment plan is only applicable to the IRA or IRAs from which you calculated your initial payment. Before setting up a 72(t) payment plan, you can split your IRA into two IRAs, if that best meets your needs. You can use one IRA to calculate and take your 72(t) payments, while the other can remain available for future non-72(t) use.

 

How do I calculate payments?
 
The IRS has approved three methods for calculating 72(t) payments. Those methods are the required minimum distribution (RMD) method, the amortization method, and the annuity factor method. The RMD method will produce smaller payments than the other two methods to start out. While other methods of calculating the payments are not prohibited, it would be extremely risky to use some other method that is not officially  approved by the IRS. You should generally consult with a tax or financial advisor to calculate your 72(t) payments.

 

Can I change my method once I start 72(t) ?

You can switch to the RMD method from either the amortization or the annuity factor method. This is a one-time irrevocable switch and you must use the RMD method for the remainder of the schedule.

 

Can I stop my 72(t) payment?
 

If you do not stick to your 72(t) payment plan, or if you modify the payments, they will no longer qualify for the exemption from the 10% penalty. Here is some even worse news; the 10% will be reinstated retroactively to all the distributions you have taken prior to age 59½.

 

Can I take an extra 72(t) withdrawal because of an emergency?
 
An extra withdrawal is considered a modification of the payment schedule. Any change in the account balance other than by regular gains and losses or 72(t) distributions, will be also considered a modification and the 10% penalty will be triggered. This means that you cannot add funds to your IRA either through rollovers or contributions.
10.  You may not roll over or convert your 72(t) payments.

 

 

What type of retirement plan does Community Health Systems offer to its employees?

Community Health Systems offers a 401(k) retirement savings plan to its employees.

How can employees of Community Health Systems enroll in the 401(k) plan?

Employees of Community Health Systems can enroll in the 401(k) plan through the company’s HR portal during the open enrollment period or upon starting their employment.

Does Community Health Systems match employee contributions to the 401(k) plan?

Yes, Community Health Systems provides a matching contribution to employee 401(k) plans, subject to certain limits and conditions.

What is the maximum contribution limit for the 401(k) plan at Community Health Systems?

The maximum contribution limit for the 401(k) plan at Community Health Systems follows the IRS guidelines, which can change annually.

Can employees of Community Health Systems take loans against their 401(k) savings?

Yes, Community Health Systems allows employees to take loans against their 401(k) savings, subject to specific terms and conditions.

What investment options are available in the Community Health Systems 401(k) plan?

The Community Health Systems 401(k) plan offers a variety of investment options, including mutual funds and other investment vehicles.

Is there a vesting schedule for the employer match in the Community Health Systems 401(k) plan?

Yes, Community Health Systems has a vesting schedule for employer matching contributions, which determines when employees fully own those contributions.

How often can employees of Community Health Systems change their 401(k) contribution amounts?

Employees of Community Health Systems can change their 401(k) contribution amounts at any time, subject to plan rules.

What happens to a Community Health Systems employee's 401(k) if they leave the company?

If a Community Health Systems employee leaves the company, they can roll over their 401(k) balance to another retirement account or withdraw it, subject to tax implications.

Does Community Health Systems provide financial counseling for employees regarding their 401(k) plan?

Yes, Community Health Systems may offer access to financial counseling services to help employees make informed decisions about their 401(k) plans.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Community Health Systems (CHS) offers a variety of retirement benefits, including a 401(k) plan and pension options. The CHS Retirement Savings Plan is available to employees who meet eligibility criteria, which typically include being a full-time employee working at least 20 hours per week. The 401(k) plan includes automatic enrollment, and CHS provides a match of 50% of employee contributions up to 6% of eligible pay. Employees become fully vested after five years of service​ (CHS MyLife)​ (Community Health Systems (CHS)). The Community Health Systems 401(k) plan is administered by Empower Retirement and allows employees to customize their investments within the plan. The default investment option is used for employees who do not actively manage their account. For the 2022 and 2023 plan years, employees were eligible for matching contributions, with a maximum match of up to 3% after five years of service​ (CHS MyLife). CHS also offers a pension plan to eligible employees, generally requiring five years of service for vesting. The pension formula is based on a final average pay formula, and specific details about the pension plan, such as the age and service qualifications, are included in the company's Summary Plan Description (SPD), which can be accessed through their benefits portal​
Restructuring & Layoffs: Community Health Systems announced significant restructuring efforts in 2023, which included a reduction of its workforce by approximately 3,000 employees. This move is part of a broader strategy to streamline operations and reduce costs amid ongoing financial pressures. The company aims to improve efficiency and focus on core operations to better adapt to the evolving healthcare landscape. Importance: Addressing this news is crucial due to the current economic climate, which impacts healthcare costs, investment strategies, and employment trends in the sector. Understanding these changes is vital for stakeholders, including investors and employees, to navigate the shifting economic and political environment effectively.
Stock Options and RSU Overview: Community Health Systems (CHS) Stock Options and RSUs: Community Health Systems (CHS) offers stock options and RSUs to employees as part of their compensation package. Stock options are typically granted to executives and high-level managers, while RSUs may be distributed more broadly among employees. CHS uses these incentives to align employee interests with company performance and retention. Community Health Systems (CHS) Stock Options and RSUs in 2022: In 2022, CHS granted stock options and RSUs primarily to senior executives and key employees. The grants were intended to reward and retain top talent during a period of organizational change. The details are documented in the 2022 annual report on page 47. Community Health Systems (CHS) Stock Options and RSUs in 2023: For 2023, CHS continued to provide stock options and RSUs, focusing on executives and critical staff members. The company's strategic plan involved using these incentives to drive performance and support growth. The relevant information is found in the 2023 SEC filing on page 53. Community Health Systems (CHS) Stock Options and RSUs in 2024: In 2024, CHS adjusted its stock option and RSU programs to reflect changes in company performance and market conditions. These adjustments aimed to ensure competitiveness and retention. Details are available in the 2024 compensation report on page 60.
Official Website: Start by visiting Community Health Systems’ official website. Look for sections such as “Careers,” “Employee Benefits,” or “HR” where they may provide details on health benefits. Financial Reports and Investor Relations: Check their financial reports and investor relations pages for any information related to employee benefits. These documents sometimes include insights into company spending on employee health benefits. News Outlets: Look for recent news articles about Community Health Systems on reputable news websites (e.g., Reuters, Bloomberg, CNBC). Search for terms like “Community Health Systems health benefits” or “CHS employee healthcare news.” Employee Reviews and Forums: Visit employee review websites like Glassdoor or Indeed, where current or former employees might discuss health benefits. Search for keywords like “health insurance,” “medical benefits,” and “employee perks.” Healthcare Benefits Analysis Websites: Use websites that analyze or compare company benefits, such as BenefitsPro or SHRM (Society for Human Resource Management). These sites often have articles or reports on company health benefits.
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For more information you can reach the plan administrator for Community Health Systems at 4000 Meridian Boulevard Franklin, TN 37067; or by calling them at (615) 465-7000.

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