
How a Traveling Doctor Saved $101,850 in Taxes with a Custom 401K/Pension Plan

Alex Howard
8 Minutes min read • Jun 29, 2025
How a Traveling Doctor Saved $101,850 in Taxes with a Custom 401K/Pension Plan
The Challenge: Unpredictable Income and Tax Nightmares
As a busy 39-year-old orthopedic surgeon working LOCUMS assignments, Dr. Emily faced a common problem among traveling medical professionals: her income spikes and dips made quarterly tax estimates a constant headache. Operating in the 50% tax bracket with no formal retirement vehicle in place, she was losing a significant portion of her hard-earned income to taxes.
Key Challenges:
- Irregular income from LOCUMS assignments.
- 50% tax bracket with no tax-advantaged savings.
- Difficulty planning quarterly tax estimates.
- No structured retirement plan in place.
The Solution: Strategic Plan Design for Maximum Impact
MyPensionTree deployed a comprehensive retirement strategy combining multiple plan types to maximize Dr. Emily's tax savings and retirement contributions:
1. Profit Sharing 401K Plan
We established a profit sharing 401K that allowed Dr. Emily to make a $23,000 salary deferral, providing immediate tax relief while building her retirement nest egg.</p>
2. Cash Balance Pension Plan
The cornerstone of the strategy was implementing a cash balance pension plan, enabling a massive $160,000 contribution. This provided the bulk of her tax savings while ensuring substantial retirement funding.
3. Tax Deduction Strategy
All deductions were strategically taken on Form 1040 Schedule 1, Part II, line 16 (Self Employed SEP, Simple, and qualified plans), maximizing her tax benefits.
Total Annual Contributions:
- 401K Salary Deferral: $23,000
- Profit Sharing Contribution: $20,700
- Cash Balance Contribution: $160,000
- Total: $203,700
The Innovation: Life Insurance Within the Pension Plan
One of the most sophisticated aspects of Dr. Emily's plan was the integration of whole life insurance as an investment within her pension plan. This strategy provided multiple benefits:
- Tax-deductible premium payments through pension contributions.
- Life insurance protection for her family.
- Additional investment diversification within the pension.
- Guaranteed cash value growth component.
The Results: Transformational Tax Savings
The impact of this comprehensive strategy was immediate and substantial:
Annual Results:
- Tax Savings: $101,850 in federal and state income taxes.
- Retirement Increase: 291% over standard SEP-IRA maximum.
- Family Protection: Life insurance coverage included.
- Tax Simplification: Eliminated quarterly estimate stress.
Why This Strategy Works for LOCUMS Professionals
Traveling medical professionals face unique challenges that make traditional retirement planning difficult. This strategy addresses those challenges directly:
Flexibility for Variable Income
The combination of salary deferrals and profit sharing contributions allows for adjustments based on annual income, perfect for the variable nature of LOCUMS work.
Maximized Tax Benefits
High-earning medical professionals benefit enormously from the substantial contribution limits available through cash balance plans.
Simplified Administration
Despite the sophistication of the plan, administration remains streamlined for busy professionals who don't have time for complex paperwork.
"I never realized how easy it could be. Tax season is no longer a stress point." — Dr. Emily S.
Key Takeaways for Medical Professionals
- Cash balance plans can provide massive contribution limits for high earners.
- Combining multiple plan types maximizes tax benefits.
- Life insurance can be incorporated into pension plans for additional benefits.
- Professional plan design eliminates tax planning stress.
- LOCUMS professionals have excellent retirement planning options.
Is This Strategy Right for You?
If you're a medical professional, especially one working LOCUMS or with variable income, this type of comprehensive retirement strategy could transform your financial future. The key is working with specialists who understand both the complexities of retirement plan design and the unique needs of medical professionals.
Dr. Emily's success demonstrates that with the right plan design, even the most complex tax situations can be simplified while dramatically increasing retirement savings and reducing tax burden.
Ready to Explore Your Options?
Every medical professional's situation is unique. Our team specializes in creating custom retirement strategies that maximize tax savings while building substantial retirement wealth.
Contact MyPensionTree today to discover how much you could save.