• linkedin
  • Increase Font
  • Sharebar

    Questions every physician should ask about their practice’s retirement plan

    What are my plan fees, and are they too high?

    It’s critical to understand how fees are structured in your practice’s 401(k) plan, because high fees can erode your retirement savings. The impact of fees was the first thing that Deborah Manjoney, MD, owner of the Wisconsin Vein Center & Medispa, reviewed when she was rethinking her practice’s current 401(k) plan. 

    “The whole point of offering a 401(k) is so people can have money that grows into retirement—but I noticed that there were a lot of people in my practice whose accounts were only growing by their deferral rates with no real increase in value,” she says. “When I realized it was because fees were eating away any account growth, I took on all the expenses I could as an owner, but it was necessary to look into other options.”

    Untangling what fees you’re paying is easier said than done. Many fees in the retirement industry are not transparent, so it’s important to understand who is responsible for what and how that cost will change over time as your savings grow. There is no such thing as a free 401(k); someone is paying fees and the cost may just be buried inside the funds in which you are invested.

    It’s also important to consider how the fees are charged. Some plans have flat fee structures—where the practice is charged based on the number of participants in the plan. Or they may be asset-based, where the charges are based on the total dollar amount invested. There is no one-size-fits-all answer for which one is better for your practice, so be sure to consider what your fees look like today compared to what they might look like two years from now, and also consider any anticipated growth in headcount or assets. The financial adviser responsible for the plan can be a valuable resource when figuring out what works best for your practice, but be sure that that person is acting in your best interest.


    Is my plan adviser a fiduciary?

    Doctors take the Hippocratic Oath to do no harm—but there is no same standard for financial advisers. If a financial adviser is a fiduciary, they are bound to act only in your best interests and give advice that directly benefits you, rather than guide you to take actions that lead to higher profits for them. Fortunately, the Department of Labor’s fiduciary rule—the first clauses of which went into effect in June of this year—mandates that any financial professionals who work with retirement plans or give retirement planning advice be fiduciaries and disclose any conflicts of interest and clearly outline fees and commissions. The rule is not yet fully in effect, however, and there’s still the chance it will be delayed or modified. 

    Practices that offer 401(k)s are already bound by those same standards to make sure that the plan offered is designed with the participants’ best interests in mind—so make sure that your 401(k) provider and financial adviser make the same pledge.

    Amy Ouellette
    Amy Ouellette is the head of operations at Betterment for Business, a technology-led 401(k) provider that aims to deliver better ...


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Latest Tweets Follow