401(h) Basics

Can You Combine a Money Purchase Plan With a 401(k)? Here's How it Works

Discover how combining a Money Purchase Plan with a 401(k) can unlock powerful retirement savings strategies, especially for small business owners and high-income earners.

By 401h.com EditorialPublished Jun 27, 2026Updated Jun 27, 20263 min read

Key takeaways

  • A Money Purchase Plan is a defined benefit plan with mandatory employer contributions.
  • Combining a Money Purchase Plan with a 401(k) offers flexibility and increased savings potential.
  • The 401(h) account can be added to a combined plan, providing tax-advantaged health benefits in retirement.
  • This strategy is particularly beneficial for small business owners and high-income professionals.
  • Proper plan design and administration are crucial for optimizing benefits and compliance.

Understanding the Money Purchase Plan

A Money Purchase Plan is a type of defined contribution pension plan. Unlike a profit-sharing plan where contributions can vary, a Money Purchase Plan requires employers to contribute a fixed percentage of each eligible employee's compensation every year.

This predictability can be a double-edged sword. While it offers a consistent contribution stream for employees, it also means the employer is legally obligated to make these contributions, regardless of the company's profitability. This mandatory contribution is its primary distinction and can be its biggest drawback if not planned for carefully.

The Power of Combining with a 401(k)

While a Money Purchase Plan provides a reliable savings vehicle, it lacks the flexibility of employee deferrals. This is where combining it with a 401(k) plan becomes a powerful strategy. By integrating both, you can offer the best of both worlds:

  • Employer contributions: Through the Money Purchase Plan, providing a guaranteed contribution.
  • Employee deferrals: Via the 401(k), allowing participants to save additional funds on a pre-tax or Roth basis.

This combination significantly boosts total contribution limits, making it an attractive option for business owners, doctors, and other high-income professionals looking to maximize their tax-advantaged retirement savings.

Introducing the 401(h) Account: A Hidden Gem

One of the most compelling reasons to utilize a Money Purchase Plan, either standalone or combined, is its classification as a 'pension plan.' This classification opens the door to adding a 401(h) account, a unique feature designed for retiree health benefits.

A 401(h) account allows employers to contribute funds on a tax-deductible basis to pay for healthcare expenses in retirement. These contributions grow tax-deferred, and qualified distributions for medical expenses are tax-free. It's a strategic way to manage the rising cost of healthcare in retirement, often overlooked by many plan sponsors.

Who Benefits Most from This Strategy?

The combined Money Purchase Plan and 401(k) with an optional 401(h) account is particularly advantageous for specific groups:

  • Small Business Owners: Seeking to shelter significant income while offering robust benefits to key employees.
  • Doctors and Medical Practices: Looking for advanced strategies to reduce taxable income and plan for future medical costs.
  • High-Income Earners: Who have already maximized contributions to other retirement accounts and are looking for additional tax-advantaged savings avenues.

This integrated approach allows for substantial contributions, well beyond what a standalone 401(k) might permit, while also addressing future healthcare needs.

Designing Your Optimal Retirement Plan

Implementing a combined plan requires careful consideration and expert guidance. The design must align with your business goals, employee demographics, and desired contribution levels. Key aspects to consider include:

  • Contribution Formulas: Determining the fixed percentage for the Money Purchase Plan and matching/profit-sharing options for the 401(k).
  • Compliance & Administration: Ensuring all plan components meet IRS and Department of Labor regulations.
  • Integration with 401(h): Properly structuring the health benefit component to maximize its tax advantages.

Working with a qualified retirement plan specialist is essential to navigate the complexities and optimize your plan for maximum benefit and compliance.

Looking Ahead: Secure Your Future with a Smart Plan

The landscape of retirement planning is ever-evolving, but strategies that combine multiple levers of tax advantage remain powerful. By understanding and strategically utilizing vehicles like the Money Purchase Plan, in conjunction with a 401(k) and a 401(h) account, you can build a truly comprehensive and resilient retirement strategy.

Planning for retirement income and healthcare costs simultaneously provides a significant advantage, ensuring a more secure and comfortable future for yourself and your employees. Explore these advanced options to tailor a plan that fits your unique financial aspirations.

Frequently asked questions

A Money Purchase Plan requires mandatory, fixed employer contributions, distinguishing it from a 401(k), which primarily relies on employee deferrals and optional employer contributions like matching or profit-sharing.

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.

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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.

Next step

Find out whether a 401(h) strategy may fit

Talk with a 401(h) specialist about your plan, participant group, and retiree medical objectives.

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.