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Navigating the Generation-Skipping Transfer Tax for Kaiser Permanente Families

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Healthcare Provider Update: Healthcare Provider: Kaiser Permanente Kaiser Permanente is a leading integrated healthcare provider that offers a range of medical services including preventive care, hospitalization, and specialty care across various states. Potential Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases are expected, especially for Kaiser Permanente customers. Health insurance premiums for Affordable Care Act (ACA) plans are projected to rise dramatically, with some individuals facing increases of over 75% due to the anticipated expiration of enhanced federal premium subsidies. Coupled with higher medical costs and aggressive rate hikes from major insurers, many policyholders could experience unprecedented out-of-pocket expenses, signaling a challenging financial landscape for consumers in the near future. Click here to learn more

It is important for KP employees to pay specific attention to interest rates as some of the KP pension plans are sensitive to rate changes. Some KP employees are allowed to take their pension utilising new rates each month. If interest rates continue to rise, KP employees will find this article useful as it will help with the retirement planning process.

'Thoughtful multigenerational planning can help Kaiser Permanente 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 Kaiser Permanente 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:

  1. Key concepts behind the generation-skipping transfer tax (GSTT).

  2. Common exemptions and exclusions that may lessen transfer tax exposure.

  3. 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 Kaiser Permanente 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 Kaiser Permanente 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 Kaiser Permanente 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 Kaiser Permanente 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 Kaiser Permanente families:

  • - Grandparents may give up to $19,000 directly to a grandchild in 2026 without triggering gift tax or GSTT.

  • - 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.

  • Transfers above exemption thresholds are subject to a 40% GSTT.

  • 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 Kaiser Permanente 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 Kaiser Permanente 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 Kaiser Permanente 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 Kaiser Permanente 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 401(k) plan offered by Kaiser Permanente?

The 401(k) plan offered by Kaiser Permanente is a retirement savings plan that allows employees to save a portion of their salary on a pre-tax basis, helping them build a nest egg for retirement.

How does Kaiser Permanente match contributions to the 401(k) plan?

Kaiser Permanente provides a matching contribution to the 401(k) plan, where they match a percentage of employee contributions, up to a certain limit, helping employees maximize their savings.

What are the eligibility requirements for Kaiser Permanente's 401(k) plan?

Employees of Kaiser Permanente are generally eligible to participate in the 401(k) plan after completing a specified period of service, which is outlined in the plan documents.

Can employees of Kaiser Permanente make changes to their 401(k) contributions?

Yes, employees of Kaiser Permanente can change their contribution amounts to the 401(k) plan at any time, subject to the plan's guidelines.

What investment options are available in Kaiser Permanente's 401(k) plan?

Kaiser Permanente's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their portfolios.

Does Kaiser Permanente provide educational resources for employees regarding the 401(k) plan?

Yes, Kaiser Permanente offers educational resources and tools to help employees understand their 401(k) options and make informed investment decisions.

What is the vesting schedule for Kaiser Permanente’s 401(k) matching contributions?

The vesting schedule for Kaiser Permanente’s 401(k) matching contributions varies based on years of service, and employees can find specific details in the plan documents.

Can Kaiser Permanente employees take loans against their 401(k) savings?

Yes, Kaiser Permanente allows employees to take loans against their 401(k) savings, subject to the terms and conditions outlined in the plan.

What happens to the 401(k) plan when an employee leaves Kaiser Permanente?

When an employee leaves Kaiser Permanente, they have several options regarding their 401(k) plan, including cashing out, rolling it over to another retirement account, or leaving it in the plan if allowed.

Is there an automatic enrollment feature in Kaiser Permanente's 401(k) plan?

Yes, Kaiser Permanente may have an automatic enrollment feature that enrolls eligible employees into the 401(k) plan at a default contribution rate unless they choose to opt-out.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Kaiser Permanente offers a defined benefit pension plan providing retirement income based on compensation and years of service. The plan does not include a cash balance component. Employees can also contribute to additional retirement accounts with potential employer matching.
Kaiser Permanente announced significant layoffs, cutting over 100 IT roles in 2023, primarily impacting Northern California. This decision followed an earlier reduction of 49 workers in human resources services. These layoffs coincided with a major strike by over 75,000 employees protesting short-staffing and corporate outsourcing, highlighting ongoing labor tensions within the healthcare industry. In response to labor disputes, Kaiser Permanente ratified a new four-year contract in November 2023 with more than 85,000 healthcare workers. The agreement includes annual wage increases, a minimum wage boost, and more investments in employee training and hiring. This move aims to address worker burnout and staffing shortages, reflecting the pressures on the healthcare sector amidst economic challenges and rising operational costs.
Kaiser Permanente offers RSUs to its employees, vesting over a period and converting into shares upon vesting. Stock options are not typically part of their compensation package, focusing more on RSUs and other performance incentives.
Kaiser Permanente, a leader in integrated healthcare, has made several significant updates to its employee healthcare benefits in recent years, adapting to the changing economic, investment, tax, and political landscapes. In 2023 and 2024, Kaiser Permanente has emphasized connected care, combining care and coverage to simplify access to health services. Noteworthy updates include $0 copays for telehealth services, $15 chiropractic services (up to 20 visits per year), and enhanced rewards programs where employees can earn up to $150 in Healthy Rewards. The health plan also continues to support employees' mental and emotional well-being through free access to the Calm and myStrength apps, providing meditation and personalized mental health resources at no cost​ (Kaiser Permanente)​​ (Kaiser Permanente)​. Given the current economic uncertainties and evolving healthcare regulations, Kaiser Permanente's approach to healthcare benefits underscores the importance of comprehensive, accessible, and affordable healthcare for its employees. This strategy not only addresses immediate health needs but also enhances overall employee satisfaction and retention. Discussing healthcare benefits is crucial in today's climate as companies like Kaiser Permanente strive to balance cost management with the delivery of high-quality healthcare services. The company's proactive measures ensure that their employees are well-supported, promoting a healthier and more productive workforce​ (Kaiser Permanente)​​ (Working at Kaiser Permanente)​.
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For more information you can reach the plan administrator for Kaiser Permanente at one kaiser plaza Oakland, CA 94612; or by calling them at 510-271-5940.

https://healthplans.kaiserpermanente.org/federal-employees-fehb/wp-content/uploads/2022/10/2023FEHB-Brochure-73-822.pdf - Page 5, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2023/summary-of-benefits-puget-sound-wa.pdf - Page 12, https://account.kp.org/2024/summary-benefits.pdf - Page 15, https://account.kp.org/2023/summary-benefits.pdf - Page 8, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2024/summary-of-benefits-puget-sound-wa.pdf - Page 22, https://account.kp.org/2022/summary-benefits.pdf - Page 28, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2022/summary-of-benefits-puget-sound-wa.pdf - Page 20, https://account.kp.org/2024/benefits-summary.pdf - Page 14, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2023/benefits-summary-puget-sound-wa.pdf - Page 17, https://account.kp.org/2023/benefits-summary.pdf - Page 23

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