Active employees taking age-59½ pension distributions may receive Section 401(h) medical benefits

Plain-English summary

An employer proposed letting pension-plan participants begin non-lump-sum retirement benefits after age 59½ while they remained employed, as IRC § 401(a)(36) permits. It also wanted those participants to receive retiree medical benefits from the pension plan's separate IRC § 401(h) account. The governing regulation treats an employee as retired for Section 401(h) purposes when the employee is eligible for pension benefits, unless separation from employment is a condition to receiving those benefits. Because the amendment would make the participants eligible without separating from service, the IRS concluded that they qualify as retired employees for this purpose. The changes will not violate IRC § 401(h), Treas. Reg. § 1.401-14, or otherwise harm the pension plan's qualified status.

Ruling snapshot

• Question: May active participants eligible for in-service pension payments after age 59½ also receive medical benefits from the plan's Section 401(h) account?
• Outcome: Approved
• Key authorities: IRC §§ 401(a), 401(a)(36), 401(h); Treas. Reg. § 1.401-14

Full text (IRS public release)

Internal Revenue Service
Department of the Treasury
Washington, DC 20224

Number: 202548023
Release Date: 11/28/2025
Index Number: 401.00-00, 401.27-00

Third Party Communication: None
Date of Communication: Not Applicable

Person To Contact:
----------------, ID No. -----------------

Telephone Number:

Refer Reply To:
CC:EEE:EB:QP3
PLR-122560-24

Date:
June 09, 2025

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LEGEND

Taxpayer = ----------------------------------
Pension Plan = ---------------------------------------------------------------------
Pension Plan’s 401(h) Account = ---------------------------------------------------------------------
-----------
Retiree Medical Plan 1 = ---------------------------------------------------------------------
Retiree Medical Plan 2 = ---------------------------------------------------------------------
Retiree Medical Plan 3 = ---------------------------------------------------------------------
------------------------
Date 1 = ----------------
Date 2 = -------------------
Date 3 = -------------------------
Date 4 = ------------------

Dear ------------:

This is in response to your letter dated December 13, 2024, submitted on your behalf by
your authorized representative. The letter requests a ruling related to the expansion of
eligibility for the payment of benefits provided for by a post-retirement medical account
under section 401(h) of the Internal Revenue Code. The expansion involves the
inclusion of certain employees who are eligible to commence in-service retirement
benefits under section 401(a)(36).

PLR-122560-24 2

Facts

The following facts and representations have been submitted under penalties of perjury
in support of the rulings requested:
Taxpayer maintains a pension plan (Pension Plan), which was established on Date 1
and received a favorable determination letter on Date 2. The Pension Plan maintains a
retiree medical account described in section 401(h) (Pension Plan’s 401(h) Account).
The Pension Plan’s 401(h) Account was also established on Date 1. The Pension Plan’s
401(h) Account has significantly more assets than needed to satisfy the liabilities for
post-retirement medical benefits.

Taxpayer maintains three post-retirement medical plans (Retiree Medical Plan 1,
Retiree Medical Plan 2 and Retiree Medical Plan 3), which are funded, in whole or in
part, by the Pension Plan’s 401(h) Account. Under these post-retirement medical plans,
participants (and their dependents) are eligible for benefits if they meet certain age and
service criteria upon termination of employment, or by reason of permanent disability.

Taxpayer represents that the Pension Plan was frozen to new participants as of Date 3,
and that benefit accruals under the Pension Plan were frozen as of Date 4. Taxpayer
further represents that the Pension Plan’s 401(h) Account was not funded, directly or
indirectly, by a section 420 transfer and Taxpayer does not have a contractual obligation
to fund the Pension Plan’s 401(h) Account.

Taxpayer is proposing to amend the Pension Plan as follows (Proposed Transaction):

(1) In accordance with section 401(a)(36), to allow eligible Pension Plan participants
who have yet to separate from service to elect to commence their pension
benefits beginning the first month after attainment of age 59½ in any available
form other than a lump-sum distribution (401(a)(36)-Eligible Participants); and

(2) To expand the class of individuals eligible to receive benefits funded by the
Pension Plan’s 401(h) Account to include Pension Plan participants who are
eligible to elect to receive Pension Plan benefits described in (1).

Ruling Requested

Taxpayer requests a ruling that the Proposed Transaction will not violate section 401(h)
or § 1.401-14 or otherwise adversely affect the qualified status of the Pension Plan
under section 401(a).

Law

Section 401(a) describes the requirements for a qualified trust created or organized in
the United States and forming part of a stock bonus, pension, or profit-sharing plan of
an employer for the exclusive benefit of the employer’s employees or their beneficiaries.

PLR-122560-24 3

Section 501(a) provides that an organization described in section 401(a) is generally
exempt from federal income tax.
Section 401(a)(36) provides that a trust forming part of a pension plan shall not be
treated as failing to constitute a qualified trust under section 401(a) solely because the
plan provides that a distribution may be made from the trust to an employee who has
attained age 59½ and who is not separated from employment at the time of the
distribution.

Section 401(h) provides that, under regulations prescribed by the Secretary, and subject
to the provisions of section 420, a pension or annuity plan may provide for the payment
of benefits for sickness, accident, hospitalization, and medical expenses of retired
employees, their spouses and their dependents, but only if—

   (1) such benefits are subordinate to the retirement benefits provided by the plan;

   (2) a separate account is established and maintained for such benefits;

   (3) the employer’s contributions to such separate account are reasonable and
       ascertainable;

   (4) it is impossible, at any time prior to the satisfaction of all liabilities under the
       plan to provide such benefits, for any part of the corpus or income of such
       separate account to be (within the taxable year or thereafter) used for, or
       diverted to, any purpose other than the providing of such benefits; and

   (5) notwithstanding the provisions of section 401(a)(2), upon the satisfaction of all
       liabilities under the plan to provide such benefits, any amount remaining in
       such separate account must, under the terms of the plan, be returned to the
       employer.

Section 1.401-14(a) provides that, under section 401(h), a qualified pension or annuity
plan may make provision for the payment of sickness, accident, hospitalization, and
medical expenses for retired employees, their spouses, and their dependents. The term
“medical benefits described in section 401(h)” is used in § 1.401-14 to describe such
payments.

Section 1.401-14(b)(1) provides that, under section 401(h), a qualified pension or
annuity plan may provide for the payment of medical benefits described in
section 401(h) only for retired employees, their spouses, or their dependents. To be
“retired” for purposes of eligibility to receive medical benefits described in
section 401(h), an employee must be eligible to receive retirement benefits provided
under the pension plan, or else be retired by an employer providing such medical
benefits by reason of permanent disability. For purposes of the preceding sentence, an
employee is not considered to be eligible to receive retirement benefits provided under
the plan if he is still employed by the employer and a separation from employment is a

PLR-122560-24 4

condition to receiving the retirement benefits.

Section 1.401-14(c) sets forth requirements which must be met for a qualified pension
or annuity plan to provide medical benefits described in section 401(h):

(1) The plan must specify the medical benefits described in section 401(h) which will
be available and must contain provisions for determining the amount which will
be paid. Such benefits, when added to any life insurance protection provided for
under the plan, must be subordinate to the retirement benefits provided by such
plan.

(2) A separate account must be maintained with respect to contributions to fund
medical benefits described in section 401(h).

(3) Amounts contributed to fund medical benefits, as described in section 401(h),
must be reasonable and ascertainable.

(4) It must be impossible, at any time prior to the satisfaction of all liabilities under
the plan to provide for the payment of medical benefits described in
section 401(h), for any part of the corpus or income of the medical benefits
account to be (within the taxable year or thereafter) used for, or diverted to, any
purpose other than the providing of such benefits.

(5) The plan must provide that any amounts which are contributed to fund medical
benefits described in section 401(h) and which remain in the medical benefits
account upon the satisfaction of all liabilities arising out of the operation of the
medical benefits portion of the plan are to be returned to the employer.

Analysis

The second sentence of § 1.401-14(b)(1) provides that an employee is eligible to
receive medical benefits from a 401(h) account as a “retired employee” if the employee
is eligible to receive retirement benefits under the associated pension plan. Here, the
401(a)(36)-Eligible Participants will be eligible to receive retirement benefits under the
terms of the Pension Plan. Thus, the 401(a)(36)-Eligible Participants will satisfy the
definition of a “retired employee” as described in the second sentence of
§ 1.401-14(b)(1).

The third sentence of § 1.401-14(b)(1) provides that an employee is not considered to
be eligible to receive retirement benefits under the plan if he is still employed by the
employer and a separation from employment is a condition to receiving the retirement
benefits. Because 401(a)(36)-Eligible Participants will be eligible to receive retirement
benefits prior to separation from employment, separation from employment will not be a
condition to the 401(a)(36)-Eligible Participants receiving retirement benefits under the
Pension Plan. Accordingly, 401(a)(36)-Eligible Participants will not be excluded from

PLR-122560-24 5

being considered eligible to receive retirement benefits under the third sentence of
§ 1.401-14(b)(1).

Ruling

We conclude that the Proposed Transaction does not violate section 401(h) or
§ 1.401-14 or otherwise adversely affect the qualified status of the Pension Plan under
section 401(a).

The ruling contained in this letter is based upon information and representations
submitted by Taxpayer and accompanied by a penalties of perjury statement executed
by an appropriate party, as specified in Rev. Proc. 2024-1, 2024-1 IRB 1,
section 7.01(16). This office has not verified any of the material submitted in support of
the request for rulings. This material is subject to verification upon examination. The
Associate Office will revoke or modify a letter ruling and apply revocation retroactively if
there has been a misstatement or omission of controlling facts; the facts at the time of
the transaction are materially different from the controlling facts on which the ruling was
based; or, in the case of a transaction involving a continuing action or series of actions,
the controlling facts change during the course of the transaction. See
Rev. Proc. 2024-1, section 11.05.

Except as specifically set forth above, no opinion is expressed or implied concerning the
federal tax consequences of any aspect of any transaction or item discussed or
referenced in this letter ruling. Specifically, no opinion is provided on any income tax
consequences to Taxpayer as a result of the use of the 401(h) account to provide health
benefits to the employees who have not separated from employment. In addition, no
opinion is expressed as to whether the Pension Plan satisfies any requirements of
section 401(a) not expressly discussed.

This ruling is directed only to the taxpayer requesting it. Section 6110(k)(3) provides that
it may not be used or cited as precedent.

In accordance with the Power of Attorney on file with this office, a copy of this letter is
being sent to your authorized representative.

Sincerely,

Angelique Carrington
Branch Chief
Qualified Plans Branch 4
Office of Associate Chief Counsel
(Employee Benefits, Exempt
Organizations, and Employment Taxes)

PLR-122560-24 6

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