401(h) Plan Investment Options and Considerations
401(h) assets are typically invested alongside a qualified retirement plan, requiring careful design and fiduciary oversight. Learn about the key investment options and considerations.

Contents
Pooled Investment, Separate Accounting
While 401(h) sub-account assets can be invested as a part of the underlying qualified plan’s overall portfolio, it's crucial that recordkeeping meticulously maintains the 401(h) component as distinct. This separate accounting ensures proper allocation of contributions, earnings, and distributions, aligning with IRS regulations and ERISA requirements for exclusive benefit.
Many plan sponsors utilize a “notional allocation” methodology within a pooled investment portfolio. This approach allows the 401(h) sub-account to benefit from the size and diversification of the larger retirement plan’s asset pool, potentially reducing investment costs and administrative complexity. However, it requires robust internal accounting systems to track the sub-account's share of assets and earnings accurately.
Liquidity is Different
Unlike pure retirement assets, which are typically designed for long-term growth and distribution decades in the future, 401(h) assets are earmarked for current and near-term retiree medical benefits. This fundamental difference in payment timeline necessitates a distinct investment strategy focusing on liquidity.
The investment policy for 401(h) assets should reflect a meaningful short- and intermediate-duration sleeve. This might include investments like short-term bonds, money market instruments, or other highly liquid assets that can be readily accessed to cover healthcare expenses without forcing the sale of long-term growth assets at an inopportune time. Balancing this liquidity need with growth potential is a key challenge for fiduciaries.
Fiduciary Care
Plan fiduciaries owe the same stringent duties to 401(h) assets as they do to the primary retirement assets. These duties, mandated by ERISA, include prudence, diversification, and loyalty to the plan and its participants. This means investment decisions must be made in the best interest of the plan's beneficiaries, with the care, skill, prudence, and diligence that a prudent person acting in a like capacity and familiar with such matters would use.
Fiduciaries are responsible for establishing and adhering to an Investment Policy Statement (IPS) specifically addressing the 401(h) sub-account’s unique characteristics. Regular monitoring of investment performance, selection of qualified investment managers, and ensuring reasonable fees are all critical components of upholding fiduciary responsibilities.
Crafting the Investment Policy Statement (IPS)
An effective Investment Policy Statement (IPS) is paramount for guiding the management of 401(h) assets. This document should clearly articulate the plan's investment goals, risk tolerance, asset allocation strategy, and the criteria for selecting and monitoring investment options.
For 401(h) sub-accounts, the IPS must specifically address the shorter liability horizon and liquidity needs. It should outline how cash flow requirements for medical benefits will be met, potentially by allocating a portion of assets to more liquid investments, while also seeking reasonable long-term growth for residual assets. The IPS serves as a roadmap for fiduciaries and provides a framework for evaluating investment performance.
Contribution Limits and Tax Treatment
Understanding the specific contribution limits and tax treatment for 401(h) plans is essential for both plan sponsors and participants. Contributions to a 401(h) sub-account are typically made by the employer, concurrent with contributions to the associated defined benefit retirement plan.
There are specific IRS limitations on the amount that can be contributed to a 401(h) sub-account, generally restricting it to a percentage (e.g., 25%) of the employer's current contributions to the pension plan. These contributions are tax-deductible for the employer and grow tax-free within the trust. Unlike retirement plan distributions, qualified distributions from a 401(h) account for bona fide medical expenses are typically tax-free to the retiree, offering a significant advantage for healthcare funding in retirement.
Strategic Asset Allocation for Healthcare Costs
Designing the asset allocation for a 401(h) plan requires a nuanced approach, balancing the need for capital preservation and growth with the specific demands of healthcare expenditures. Unlike traditional retirement funds, which can often tolerate higher equity concentrations for longer periods, 401(h) assets must be aligned with a spending timeline that begins at retirement and continues throughout the retiree's life.
Consideration should be given to a diversified portfolio that includes a mix of equities for long-term growth, fixed income for stability and income generation, and highly liquid assets for immediate needs. The specific allocation will depend on factors such as the plan's demographics, projected healthcare costs, and the overall funding status of the associated pension plan. Regular actuarial projections of healthcare costs are invaluable in informing this strategic allocation.
Frequently asked questions
Availability, tax treatment, and plan design depend on the facts and circumstances of the employer, plan document, participant group, and applicable law. 401h.com provides general educational information only — not tax, legal, actuarial, investment, or ERISA advice. Consult qualified tax, legal, actuarial, and plan professionals.
401h.com Editorial
401h.com
The 401h.com editorial team publishes plain-English explainers on 401(h) retiree medical benefit plans. Educational only — not tax, legal, actuarial, investment, or ERISA advice.
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