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Case study · 401(k) plan transformation

How a medical group turned an idle 401(k) into a plan people use.

A multi-specialty medical organization overhauled its retirement plan to improve participation, reduce fees, and strengthen fiduciary governance.

A stethoscope resting on a clinic wall rack
Client
Multi-specialty medical org
Industry
Medical
Employees
260
Plan type
401(k) Safe Harbor
Plan assets
$12,000,000
Relationship
New

83%

Participation rate, up from roughly 52%

5.48%

Average deferral rate, up from 2.13%

26%

Lower overall plan expenses for every employee

01 · The challenge

Good intentions. No structure.

The pain points and plan design concerns the client faced before any changes were made.

  1. 01

    Employee education

    No education program. Guidance was limited to HR efforts with no structured approach.

  2. 02

    Fiduciary oversight

    No formal fiduciary processes or procedures, and no clear process to govern the plan.

  3. 03

    Investment lineup

    Outdated, with a bottom-quartile Target Date Series and excessive investment choices. No IPS or monitoring.

  4. 04

    Plan fees

    Not competitive relative to the plan's asset size, participant count, and ongoing contributions.

  5. 05

    Participation

    Below industry benchmarks, particularly among non-physician new hires, with low average deferral rates overall.

  6. 06

    Plan metrics

    No tracking in place to evaluate key plan health metrics and long-term employee impact.

02 · The solution

Eight changes across plan design, governance, and service.

The strategies and plan structure changes recommended to the client.

Team collaborating on retirement plan strategy at a whiteboard
  • Auto-enrollment & auto-escalation

    Immediate positive impact on participation and increased deferrals.

  • Investment Policy Statement (IPS)

    An IPS to define governance standards and give plan oversight a clear structure.

  • Roth deferral

    Added to complement the pre-tax offering and widen employee options.

  • Fiduciary oversight process

    Semi-annual retirement plan committee meetings, annual fiduciary training, and ongoing industry benchmarking data.

  • Employee education program

    A defined annual schedule of one-on-one meetings and group sessions on allocation, deferrals, and financial planning.

  • Annual service calendar

    An annual calendar of education dates, key deliverables, deadlines, and industry data.

  • Investment lineup overhaul

    Re-tooled with a new Target Date Series and active and passive funds that meet scorecard criteria.

  • Data tracking

    Data from every education session: participation, deferral changes, incoming rollovers, and investment questions.

Collaborative efforts

Plan documents refreshed, the fund lineup overhauled, and education structured, without disrupting daily operations.

Delivered in close partnership with

  • Third-party administrator
  • Existing recordkeeper
  • HR & executive team

03 · Implementation

A year-round service model, not a one-time fix.

  • Annual service calendar

    A clear education schedule and collateral for participants.

  • Quarterly newsletters

    Employee and employer editions with industry updates, plan metrics, and targeted education.

  • Targeted outreach

    Demographic and participation data used to address specific employee needs.

  • Fund scoring system

    An independent system with quarterly monitoring so every fund meets IPS standards.

  • Streamlined administration

    One point of contact for the plan.

  • New hire onboarding

    Enrollment meetings so every employee gets a consistent experience.

04 · Results

Measured outcomes, before and after.

Quantitative outcomes of a structured retirement plan strategy.

Participation rate

Up from roughly 52% to 83%, a 60% improvement in employee engagement.

83% +60%

Average deferral rate

Rose from an average of 2.13% to 5.48%, a 157% increase in savings rates.

5.48% +157%

Plan fees

Overall plan expenses reduced by approximately 26%, directly benefiting all employees.

−26%

TPA & compliance testing

Transitioned TPAs, eliminating a conflict of interest and improving transparency and plan efficiency, while cutting annual fees by roughly 37%.

−37%

Investment lineup simplified

Simpler participant choices. Replaced 10 funds, including a bottom-quartile Target Date Series that did not meet scoring criteria and IPS standards.

49 21 funds

05 · Takeaways

Don't allow your plan to sit idle. Participant education and prudent fiduciary oversight are the foundation of a well-run retirement plan.

Without consistent engagement, governance, and monitoring, even a well-designed plan can create unnecessary risk for the plan sponsor and poor outcomes for participants.

What we learned as advisors

Most retirement plans have good intentions but need ongoing attention as objectives and regulatory standards evolve. Investment reviews, benchmarking, compliance oversight, and participant education need consistent management to keep a plan aligned with company objectives.

Final thought

A retirement plan should not simply exist. It should increase employee engagement and retention, strengthen employees' financial security as they work toward retirement, and drive measurable progress toward retirement readiness.

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