Ensign Group 401(k) Plan
A guide to thinking through your 401(k) as a Ensign Group employee.
By Zac Murphy, CFA charterholder, CFP® professional. Last reviewed June 30, 2026.
Healthcare workers in for-profit settings typically have access to a 401(k) plan, while those at nonprofit hospitals and health systems usually have a 403(b) instead. The two plan types are similar in many respects but differ in some rules. Shift schedules and variable hours can also affect how and when contributions land.
Common questions
What's the difference between a 401(k) and a 403(b)?
401(k) plans are offered by for-profit employers and 403(b) plans by certain nonprofits, including most hospitals and health systems. The two are similar in tax treatment and contribution structure but differ in investment menus, available employer contribution structures, and certain catch-up provisions.
How do shift work and variable hours affect contribution decisions?
When pay varies meaningfully across pay periods, percentage-based contributions translate into different dollar amounts each period. How that affects the overall retirement plan depends on cash flow needs, total expected annual income, and whether the employer match is structured per pay period or annually.
What happens to a 403(b) balance when leaving a healthcare employer?
Options generally include leaving the balance in the former employer's plan, rolling it into a new employer's plan, rolling it into an IRA, or taking a distribution. Each option has different implications for fees, investment choices, and tax treatment, and the appropriate choice varies by situation.
Decisions around 401(k) and 403(b) contributions can interact with pension benefits, equity compensation in pharma roles, and broader tax planning. A financial advisor can help review the specifics.
Common challenges
Rollovers are messier than they look. Leave it, roll to a new plan, roll to an IRA, or cash out — each has different tax, fee, and access tradeoffs. Cashing out before 59½ usually triggers tax plus a 10% penalty. Most people delay the decision and lose track of old accounts.
Knowing if you're on track is hard. The real question depends on spending, Social Security timing, healthcare, and taxes — assumptions most calculators skip.
If any of these apply to your situation, the contact info below is the fastest way to start a conversation.
Have any questions about your 401(k)? Reach out to us by email or phone at the contact info below.
Email: [email protected]
Phone: (904) 654-3336
This page is for educational purposes only and does not constitute investment, tax, or legal advice.