Healthcare Provider Update: Healthcare Provider for Boston Scientific Boston Scientific does not have a single healthcare provider; rather, employees may access healthcare through various plans that might include partnerships with major insurance carriers such as UnitedHealthcare, Cigna, and others. Specific details about available providers would vary based on the health plan chosen by employees. Potential Healthcare Cost Increases in 2026 As we approach 2026, Boston Scientific employees may face significant healthcare cost pressures exacerbated by anticipated increases in Affordable Care Act (ACA) marketplace premiums, some exceeding 60%. The confluence of rising medical expenses, a potential lapse of enhanced subsidy programs, and adjustments in employer-sponsored coverage models could see out-of-pocket costs for many employees increase dramatically. Companies like Boston Scientific, responding to these market forces, might shift more healthcare costs onto employees, making it crucial for them to understand upcoming benefit changes and explore financial strategies to mitigate the impact on their budgets. Click here to learn more
“Boston Scientific employees reviewing IDGTs can benefit from understanding how these trusts may support long-term legacy planning, although qualified legal and tax professionals should review these strategies to determine whether they fit into their overall goals.” ~ Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.
“Boston Scientific employees considering an IDGT should recognize how this strategy may support long-term wealth transfer goals, although these structures should be reviewed with qualified legal and tax professionals to determine whether they align with each household’s broader plan.” ~ Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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How intentionally defective grantor trusts (IDGTs) work.
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The advantages and potential limitations of using an IDGT.
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Key considerations for Boston Scientific employees evaluating this type of planning strategy.
An irrevocable trust arrangement known as an intentionally defective grantor trust (IDGT) allows the grantor to move assets out of their taxable estate while still being treated as the owner of those assets for income tax purposes. Many people, including Boston Scientific employees with high-growth or income-producing holdings, may benefit from using this strategy to support long-term wealth preservation.
How an Intentionally Defective Grantor Trust Works
For tax purposes, different kinds of trusts receive different treatment, and understanding the distinctions can help Boston Scientific professionals review planning strategies more effectively.
Revocable Trusts
In a revocable trust, the grantor is taxed on trust income and is regarded as the owner for income tax purposes. A separate trust income tax return is usually unnecessary. These assets generally remain inside the grantor’s taxable estate because the grantor maintains full control.
Irrevocable Trusts
An irrevocable trust is treated as its own tax entity, filing its own return and taking its own deductions. When properly drafted so the grantor does not retain certain powers or interests, assets transferred to an irrevocable trust are generally removed from the taxable estate, a detail that can matter for Boston Scientific professionals with substantial savings or investment holdings.
How IDGTs Combine These Features
An IDGT is structured as an irrevocable trust for estate and gift tax purposes, removing assets from the taxable estate, but is treated as a grantor trust for income tax purposes. As long as the grantor pays income taxes on trust earnings, the trust’s assets can grow outside the estate, which may appeal to Boston Scientific professionals with long-term legacy goals.
Why It’s Called “Intentionally Defective”
The trust is drafted so that, under IRS grantor-trust rules, the grantor remains the owner for income tax purposes due to certain retained powers. At the same time, the trust is irrevocable for estate tax purposes, allowing the assets to remain outside the taxable estate—a structure that may assist with multigenerational planning.
Advantages of an Intentionally Defective Grantor Trust
Because an IDGT is a grantor trust for income tax purposes, the grantor pays income tax on trust earnings. This leads to two important benefits that may interest Boston Scientific employees with high-value assets:
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- Trust assets can grow for beneficiaries without being reduced by income tax payments.
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- Income tax paid by the grantor reduces the taxable estate without being classified as a gift.
- This dynamic—where grantors use personal funds to pay taxes that would otherwise reduce trust assets—is often referred to as a “tax burn.”
How Assets Are Transferred to an IDGT
Boston Scientific employees reviewing wealth transfer strategies may encounter two common approaches:
1. Gift or Partial Gift/Sale
A grantor can move assets to an IDGT as a gift. If the gift stays within the lifetime gift and estate tax exemption, it typically does not create out-of-pocket gift tax. Some planning approaches combine a partial gift with a sale to balance estate goals.
2. Sale to the IDGT
Many grantors sell assets to an IDGT in exchange for a promissory note with an interest rate at or above the IRS Applicable Federal Rate (AFR).
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- The sale is typically not treated as a taxable gift if conducted at fair market value.
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- Appreciation above the AFR occurs outside the grantor’s estate for beneficiaries.
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- When AFR rules and loan requirements are followed, the note is treated as valid consideration and carries an interest obligation.
Potential Drawbacks of an IDGT
Once established, an IDGT is difficult to modify, similar to other irrevocable trusts. Outcomes also depend on the trust assets growing at a rate higher than the AFR. If that does not occur, the intended estate planning benefits may fall short—an important consideration for Boston Scientific employees reviewing various asset types.
Who Might Consider an IDGT?
An IDGT can be appealing for families facing potential estate tax exposure, especially when transferring assets with strong growth potential. This approach works best when the grantor has sufficient liquidity to continue paying the trust’s income taxes personally, a factor some Boston Scientific employees review when assessing retirement and estate liquidity. Because the structure requires precise legal drafting, it should be established with qualified legal counsel.
Need Support with IDGTs or Retirement Planning?
The Retirement Group can assist you in reviewing whether an IDGT fits into your broader retirement and estate plan as a Boston Scientific employee. For guidance tailored to your long-term goals, call us at (800) 900-5867 .
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Sources:
1. BMO Wealth Management.
Herman, Brad.
Intentionally Defective Grantor Trust.
BMO Financial Group, Oct. 2021,
https://uswealth.bmo.com/media/filer_public/8b/3f/8b3f85c6-21b0-407e-bfbf-0f9b181c1673/bwm_idgtarticle_1103.pdf
.
2. Fidelity Wealth Management.
“What Is an Intentionally Defective Grantor Trust (IDGT)?”
Fidelity Viewpoints
, 4 Dec. 2025,
https://www.fidelity.com/viewpoints/wealth-management/insights/intentionally-defective-grantor-trusts
.
3. Hirtle, Callaghan & Co.
Estate Planning With Intentionally Defective Grantor Trusts.
Hirtle, Callaghan & Co., 2020,
https://www.hirtlecallaghan.com/wp-content/uploads/2020/08/Intentionally-Defective-Grantor-Trusts.pdf
.
4. Nevada Trust Company.
Ford-Grella, Jaclyn. “How Intentionally Defective Grantor Trusts Can Safeguard Assets for Future Generations.”
Nevada Trust Company
, 10 Dec. 2024,
https://www.nevadatrust.com/how-intentionally-defective-grantor-trusts-can-safeguard-assets-for-future-generations/
.
What is the Boston Scientific 401(k) Savings Plan?
The Boston Scientific 401(k) Savings Plan is a retirement savings plan that allows employees to save for their future by contributing a portion of their salary on a pre-tax or post-tax basis.
How can I enroll in the Boston Scientific 401(k) Savings Plan?
You can enroll in the Boston Scientific 401(k) Savings Plan by accessing the employee benefits portal or contacting the HR department for guidance on the enrollment process.
What types of contributions can I make to the Boston Scientific 401(k) Savings Plan?
Employees can make pre-tax contributions, Roth (after-tax) contributions, and, in some cases, catch-up contributions if they are age 50 or older, to the Boston Scientific 401(k) Savings Plan.
Does Boston Scientific offer a company match for 401(k) contributions?
Yes, Boston Scientific offers a company match for employee contributions to the 401(k) Savings Plan, which helps employees maximize their retirement savings.
What is the vesting schedule for the Boston Scientific 401(k) company match?
The vesting schedule for the Boston Scientific 401(k) company match typically follows a graded vesting schedule, where employees earn ownership of the match over a specified period of service.
Can I change my contribution rate to the Boston Scientific 401(k) Savings Plan?
Yes, you can change your contribution rate to the Boston Scientific 401(k) Savings Plan at any time by accessing the employee benefits portal or contacting HR.
What investment options are available in the Boston Scientific 401(k) Savings Plan?
The Boston Scientific 401(k) Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their portfolios.
How can I access my Boston Scientific 401(k) account information?
You can access your Boston Scientific 401(k) account information by logging into the employee benefits portal or by contacting the plan administrator for assistance.
What happens to my Boston Scientific 401(k) Savings Plan if I leave the company?
If you leave Boston Scientific, you have several options for your 401(k) Savings Plan, including rolling it over to an IRA or another employer's plan, or cashing it out (subject to taxes and penalties).
Is there a loan provision in the Boston Scientific 401(k) Savings Plan?
Yes, the Boston Scientific 401(k) Savings Plan may offer a loan provision that allows employees to borrow against their account balance under certain conditions.



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