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Understanding the SECURE Act and IRS Regulations: What AdaptHealth Employees Need to Know for Their Retirement Planning

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Healthcare Provider Update: Healthcare Provider for AdaptHealth AdaptHealth primarily partners with various healthcare providers to deliver home healthcare solutions, including respiratory therapy and durable medical equipment. Specific partnerships may vary by location, but AdaptHealth collaborates with hospitals, rehabilitation centers, and other healthcare professionals to ensure comprehensive patient care. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are anticipated to rise significantly, fueled by a combination of factors including the potential expiration of enhanced premium subsidies from the Affordable Care Act (ACA), which could leave millions facing drastically increased out-of-pocket expenses. With insurers requesting average premium hikes of approximately 20% nationwide, and some states experiencing spikes exceeding 60%, more than 22 million consumers could see their monthly premiums swell by over 75%. The outcome of these rising costs could severely limit access to affordable healthcare for middle-income families, as they grapple with the cumulative impacts of increasing medical costs and reduced financial assistance. Click here to learn more

In December 2019, the 'Setting Every Community Up for Retirement Enhancement  (SECURE) Act ' introduced transformative adjustments to the taxation of post-mortem distributions from qualified retirement accounts. A pivotal element of these changes was the elimination of the 'stretch' provision for most non-spouse beneficiaries, replaced by the 10-Year Rule, which mandates the full distribution of inherited retirement assets within a decade of the account holder’s death. This shift directly affects AdaptHealth employees planning for or managing inheritance scenarios.

By February 2022, the IRS had released Proposed Regulations extending the impacts of the SECURE Act by imposing requirements for annual Required Minimum Distributions (RMDs) over a 10-year period for beneficiaries, provided the deceased had been subject to RMDs prior to their death. This meant that annual distributions were mandatory even during the decennial distribution period, significantly altering the landscape for taxation and estate planning. This regulation demands attention from AdaptHealth advisors to assist their colleagues effectively.

This complexity was further emphasized with the IRS’s release of the Final Regulations on July 18, 2024, which not only confirmed these stipulations but also expanded the situations in which various beneficiaries would be impacted. These regulations have strengthened the framework for both eligible and non-eligible beneficiaries, introducing nuanced rules that address scenarios ranging from undistributed RMDs at the death of an account owner to the management of inherited estates through different types of trusts. Such intricacies require careful navigation to optimize outcomes for AdaptHealth families.

Key Provisions and Their Implications

1. Post-mortem Distribution Rules:  For beneficiaries inheriting after the Required Beginning Date (RBD) of the account holder, annual RMDs are mandatory until the end of the tenth year following the death. This rule emphasizes the IRS’s stance on reinforcing tax deduction benefits previously extended through the stretch measure. AdaptHealth employees must be aware of these timelines to make informed decisions about their retirement assets.

2. Management of Undistributed RMDs:  The regulations stipulate that if the deceased had not taken their full RMD at death, any beneficiary can fulfill this obligation. This flexibility helps simplify compliance for beneficiaries managing inherited estates, which is particularly relevant for AdaptHealth beneficiaries who may be navigating these waters for the first time.

3. Specific Rules for Spouses:  A new 'hypothetical RMD' rule requires surviving spouses who first opt for the 10-Year Rule and then decide to treat the inheritance as their own account, to carry out RMDs as if the assets were still in their account. This regulation highlights the importance of careful planning by surviving spouses in managing asset rotation schedules, a critical consideration for AdaptHealth families ensuring financial stability.

4. Trusts as Beneficiaries:  The regulations outline how Passage Trusts, whether Conduit or Accumulation types, are treated under the law, specifying the beneficiaries considered for RMD calculations. This ensures that trusts designed to extend asset distributions over an extended period are meticulously structured to comply with the new rules, offering strategic insights for AdaptHealth planners.

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5. Annuities and Retirement Accounts:  Clarifications on how annuities embedded in retirement accounts are to be treated for RMD calculations highlight the management of annual payments to meet RMD obligations. These clarifications are vital for AdaptHealth employees who have invested in these financial vehicles as part of their retirement planning.

Strategic Perspectives for Financial Advisors

Financial advisors face these regulations with a deep understanding of their implications on estate planning strategies. This evolution highlights the need to review future plans and beneficiary designations to adapt to the new legal framework. Advisors are tasked with interpreting these complex rules to provide clear, strategic expertise that minimizes tax liabilities and ensures compliance while achieving clients’ long-term financial goals, which is especially pertinent for AdaptHealth advisors working with their peers.

In conclusion, the latest regulations from 2024 mark a crucial evolution in managing retirement assets post-death. By strengthening rules regarding the timing and mode of distribution, the IRS aims to ensure quicker tax remedies while allowing some leeway in certain cases. For financial advisors, staying informed about these regulations is essential to effectively assist their clients, ensuring that strategic decisions are both tax-efficient and aligned with estate management goals. As this legislation continues to evolve, it will be crucial for advisors to engage proactively and continually educate themselves to deliver the best value to their clients in this complex environment. AdaptHealth advisors are uniquely positioned to navigate these changes, providing invaluable guidance to their colleagues and families.

What is the primary purpose of AdaptHealth's 401(k) plan?

The primary purpose of AdaptHealth's 401(k) plan is to help employees save for retirement by providing a tax-advantaged way to invest their earnings.

Who is eligible to participate in AdaptHealth's 401(k) plan?

All full-time employees of AdaptHealth who meet specific age and service requirements are eligible to participate in the 401(k) plan.

Does AdaptHealth offer a company match for contributions to the 401(k) plan?

Yes, AdaptHealth provides a company match for employee contributions to the 401(k) plan, enhancing the overall savings potential.

How can employees of AdaptHealth enroll in the 401(k) plan?

Employees can enroll in AdaptHealth's 401(k) plan by completing the enrollment process through the company's benefits portal or by contacting the HR department.

What types of investment options are available in AdaptHealth's 401(k) plan?

AdaptHealth's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

Can employees of AdaptHealth change their contribution amounts to the 401(k) plan?

Yes, employees can adjust their contribution amounts to AdaptHealth's 401(k) plan at any time, subject to the plan's guidelines.

What is the vesting schedule for AdaptHealth's 401(k) company match?

AdaptHealth has a vesting schedule for the company match, meaning employees must work for a certain period before they fully own the matched funds.

Are there any fees associated with AdaptHealth's 401(k) plan?

Yes, there may be administrative fees and fund expense ratios associated with AdaptHealth's 401(k) plan, which are disclosed in the plan documents.

What happens to the 401(k) plan if an employee leaves AdaptHealth?

If an employee leaves AdaptHealth, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave the funds in the plan, subject to certain conditions.

Can employees take loans against their 401(k) balance at AdaptHealth?

Yes, AdaptHealth allows employees to take loans against their 401(k) balance, subject to the terms and conditions set forth in the plan.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
AdaptHealth has announced a restructuring plan to streamline operations and reduce costs due to declining revenue in its home medical equipment segment. The company will be laying off 15% of its workforce as part of this plan.
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For more information you can reach the plan administrator for AdaptHealth at 220 West Germantown Pike, Suite 250 Plymouth Meeting, PA 19462; or by calling them at (844) 415-6016.

*Please see disclaimer for more information

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