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March 12, 2024

Benefits: A Physician's Guide to Maximizing Employment Perks

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Job Hunting
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Residency

Learn about and understand important benefits that come with a W-2 contract, to significantly impact your overall compensation and financial well-being.

Nader Aboul-Fettouh MD
Dr. Aboul-Fettouh is a double board certified dermatologist and fellowship trained Mohs Surgeon who practices in Houston, TX.

Introduction

When evaluating employment opportunities, physicians often focus on salary and location, but it's crucial not to overlook the comprehensive benefits that come with a W-2 contract. Understanding and maximizing these benefits can significantly impact your overall compensation and financial well-being. I hope this article will guide you into delving more into each specific benefits. All information here should be validated by a trusted CPA and/or financial advisor. Here are key considerations for physician applicants:

401(k) Retirement Plans:

Inquire about the availability of 401(k) plans and whether the employer offers a matching contribution. Deposits into a 401(k) come from pre-tax income, providing an immediate boost to your investment. Consider the employer match as a crucial factor in your total salary calculations. Be aware of any vesting periods for new employees before 401(k) contributions kick in, as missing this window can affect your returns.

For Independent Contractors (1099):

Explore the option of starting a Self-Employed Retirement Plan (SEP) by establishing an LLC/PLLC for your practice. This allows your business to contribute up to 25% of your total compensation, up to $66,000 (2023), to your retirement account. Consult with a CPA to ensure compliance with contribution limits.

Health Savings Account (HSA):

Learn if the practice offers an HSA plan, which can act, in specific scenarios, as a retirement plan similar to a 401(k). Maximize your HSA contributions annually and consider keeping the funds invested for long-term growth (ask if the HSA account allows investing the funds within). Use the HSA strategically by withdrawing only when necessary, allowing the funds to grow over your career. Keep records of medical costs for penalty-free withdrawals at any time as long as costs occurred after the HSA was established.

Dental/Vision Benefits:

Check if the W-2 employment opportunity includes dental and vision benefits. These are often standard offerings and contribute to your overall well-being.

Life Insurance:

For physicians with families and dependents, inquire about the availability of life insurance coverage as part of the benefits package.

Paid Time Off (PTO):

Evaluate the PTO policy in the context of your salary structure. Salaried employees can enjoy continued pay during vacations, while those working on collections should be aware that PTO may result in reduced collections during that time.

Short-Term Disability:

Consider the importance of short-term disability coverage for shorter leaves, especially if your compensation is tied to collections. PTO may lead to a temporary dip in collections, impacting your paycheck.

Long-Term Disability:

Many employment opportunities may not provide robust long-term disability options. It's wise for physicians to explore specialty-specific long-term disability insurance through third-party providers. Purchasing this insurance early in your career can secure lower premiums for the long term. Specialty specific insurance is crucial. If you are ever unable to perform the functions required within the scope of your specialty, you will receive disability payout even if you were to find alternative employment opportunities.

In conclusion, as you navigate through physician employment opportunities, a comprehensive understanding of W-2 benefits is essential. These considerations not only contribute to your financial well-being but also enhance your overall job satisfaction and work-life balance. Always consult with a CPA to ensure accurate information tailored to your specific situation.

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