For Kaiser Permanente physicians practicing with SCPMG

The Kaiser Permanente SCPMG Keogh Election Is Made Once. What It Depends On.

Written for Southern California Permanente Medical Group physicians who are choosing a Keogh contribution level that cannot be changed later, or planning around one that already is.

The election

Should You Commit to the SCPMG Keogh, and at What Level?

It is the question almost every Associate Physician asks, and this page will not answer it for you. What it will do is set out exactly what the answer depends on.

The SCPMG Keogh Plan is a qualified defined contribution plan for Partner Physicians. You generally become eligible to contribute on the later of becoming a Partner or completing two years of service. The decision about whether to take part, and at what level, is generally made earlier than that, while you are an Associate Physician.

The plan's summary plan description sets the window. If you were hired as an Associate, you may enroll at any time during your first 180 days. If you started as a Per Diem Physician, the deadline depends on how long you worked per diem and when in the year you transferred. In either case the enrollment period generally ends just before you first become eligible for the 401(k) Plan.

There are four contribution levels: 25%, 50%, 70% or 100% of the contribution percentage the plan sets each year. Not enrolling is a fifth outcome, and the plan's audited financial statements list it that way, as 0%. Whichever you land on is irrevocable. The summary plan description says you cannot move from one level to another, contributions cannot be suspended for any reason, and missing the deadline means you elected not to contribute, a decision that cannot be changed in the future.

That permanence is why this page names no level, no range and no direction. A choice that binds every year of a partnership depends on income, household, other savings and plans that sit outside SCPMG entirely. Any lean offered without those is a guess, and on a decision you cannot revisit, a guess is the wrong kind of help.

A stethoscope resting on a folded cloth
The level is chosen once, early, and then applies to every year that follows.

Three common misreadings

Three Things the Keogh Election Is Often Mistaken For

  1. “I'll pick my level once I see what partnership actually pays.”

    The choice is generally made as an Associate Physician, before partnership. Hired as an Associate, your window is your first 180 days, and once it closes the level, including not enrolling, is irrevocable.

  2. “Choosing 100% means putting all of my pay into the Keogh.”

    The level applies to a contribution percentage an outside actuarial firm sets each year, and the plan caps that percentage at 15% of Eligible Earnings. 100% means the full rate for that year, not all of your pay.

  3. “The Keogh and the 401(k) each have their own limit, so one doesn't affect the other.”

    They share one. Combined contributions to the Keogh, the 401(k) Plan and any other SCPMG-sponsored qualified defined contribution plan cannot exceed the lesser of 100% of your earnings or the IRS dollar limit for the year. Catch-up contributions sit outside it.

The rate

What an SCPMG Keogh Level Actually Applies To

A level is a share of a rate, and the rate moves. That is the part people most often misread.

Each year an outside actuarial firm calculates the Keogh contribution percentage. Your contribution is your level, times that percentage, times your Eligible Earnings. Because the percentage is recalculated every year, the same level produces a different dollar amount from one year to the next. The plan caps the percentage at 15% of Eligible Earnings. It does not publish the rate for any given year, and neither does this page.

For a Partner Physician, Eligible Earnings means net earned income from self-employment. It includes Imputed Income, the cost of the medical, dental, disability and life coverage SCPMG pays for on your behalf, and your Year-End Performance Draw, adjusted for unreimbursed business expenses and self-employment taxes. The 401(k) Plan counts pay differently, which the table below sets out.

Contributions come out by payroll deduction, or for a full-year Partner as a lump sum made before the second pay period of the plan year. Nothing is deducted from the first paycheck of the year. If you fall behind what your level requires, the plan takes catch-up deductions of up to $300 a pay period. Once the year's earnings are known, any amount still owed for that year is spread across the pay periods left before April 15, and any excess is refunded by April 15.

Two levels are fixed rather than chosen. Physicians who were previously eligible for another SCPMG retirement plan contribute at the 50% level, and the three business administrators the plan names contribute at 70%.

The SCPMG Keogh Plan and the 401(k) Plan for Permanente Medical Groups, side by side
SCPMG Keogh Plan401(k) Plan for Permanente Medical Groups
Who can contributePartner Physicians, certain Partner Emeriti, and three named business administratorsAssociate and Partner Physicians, and former Partners working as a Partner Emeritus or per diem
When you can startThe later of becoming a Partner or completing two years of serviceGenerally after 180 days of service as an Associate
How much goes inYour level (25, 50, 70 or 100%) of a rate set each year, never above 15% of Eligible Earnings1% to 75% of eligible earnings each pay period
Can you change itNo. The level is irrevocable and contributions cannot be suspendedYes. Start, stop or change at any time
Tax treatmentPre-taxTraditional pre-tax, Roth, traditional after-tax, or a mix
What pay countsNet self-employment income, including Imputed Income and the Year-End Performance DrawPartnership net earnings including Supplementary Compensation, excluding imputed income, and not taken from Year-End Performance Draw paychecks
Self-directed brokerageThe PCRA, limited to classes of investment set by the Retirement CommitteeThe Schwab PCRA, for up to 50% of your 401(k) account
After you leave SCPMGA full or partial distribution at any time after you have terminated from SCPMGYour account can be distributed upon your separation from SCPMG
Annual limitOne combined limit with the 401(k) PlanThe same combined limit. Catch-up contributions sit outside it

What this assumes

A stethoscope beside a handwritten notebook and a laptop

The SCPMG Keogh Level Is Locked. Almost Everything Around It Is Not.

Once the level is set, a Partner still decides how much goes into the 401(k) Plan and in what tax form, how both accounts are invested, when to stop working, and when and how the money comes out. Those decisions interact, and they are where the rest of this page goes.

Before it locks

What the SCPMG Keogh Decision Depends On

Five factors, none of which points in a direction on its own.

It binds a career you cannot see yet. The level chosen as an Associate governs every year as a Partner. Income, household and plans outside SCPMG will change over that span. The level will not.

It is a rate, not a dollar amount. The actuarially set percentage and your Eligible Earnings both move from year to year, and the Year-End Performance Draw is part of those earnings, so the same level can mean quite different sums.

It shares a limit. Keogh contributions count toward the same annual limit as everything you put into the 401(k) Plan. A higher Keogh level uses more of that limit, and a lower one leaves more of it for the 401(k) Plan, including the traditional after-tax contributions described below.

The tax treatment differs. Keogh contributions are pre-tax. The 401(k) Plan offers traditional pre-tax, Roth and traditional after-tax contributions, so the balance between the two plans also shapes how much of your savings is taxed going in and how much coming out.

It cannot be paused. Once you are in, contributions cannot be suspended for any reason, so the level has to be one you can sustain in lean years as well as good ones.

Which way those net out depends on facts this page does not have. That is the conversation worth having before the window closes, not after it.

The shared limit

One Annual Limit Across the SCPMG Keogh and the 401(k) Plan

This is the interaction a Partner can still manage every year, and both plans' summary plan descriptions describe it the same way.

Total combined contributions to the Keogh, the 401(k) Plan for Permanente Medical Groups and any other SCPMG-sponsored qualified defined contribution plan cannot exceed the lesser of 100% of your earnings for the plan year or the IRS dollar limit for that year. Both summary plan descriptions say contributions may be stopped once the combined total reaches the limit, or refunded if it goes over.

Inside the 401(k) Plan, traditional pre-tax and Roth contributions also have their own annual cap, and from the calendar year you turn 50 you can add catch-up contributions, which the 401(k) Plan's summary plan description says do not count against the combined limit. This page does not quote dollar limits, because the IRS resets them each year. The plan's own document points readers to irs.gov for the current figures.

The 401(k) Plan also accepts traditional after-tax contributions and allows in-plan Roth rollovers, which convert pre-tax, rollover or traditional after-tax balances into the plan's Roth account. Each conversion is irrevocable, is taxable to the extent it converts pre-tax money, and starts its own five-year period. How much room there is for after-tax contributions in a given year depends on how much of the combined limit the Keogh and your other 401(k) contributions have already used.

Two plan rules catch people. Traditional after-tax contributions elected as an Associate stop when you become a Partner, and you have to re-enroll to restart them. And federal discrimination testing can require highly compensated participants' deferrals or after-tax contributions to be reduced, or partly refunded, for a year.

The brokerage window

The PCRA Inside the SCPMG Keogh and the 401(k) Plan

Both plans offer one. The rules are not identical, and one of them is written down more fully than the other.

The Keogh's summary plan description refers to "the self-directed fund (the PCRA)", and the plan's audited financial statements describe self-directed brokerage accounts in which participants choose individual securities, limited to classes of investments set by the Retirement Committee. Schwab is the plan's recordkeeper.

The 401(k) Plan's summary plan description is more specific. You may invest up to 50% of your 401(k) account in the Schwab Personal Choice Retirement Account. It is optional, it may carry additional fees, and it requires an online application. As of May 2023 it excluded, among other things, private placements, limited and master limited partnerships, cryptocurrency, uncovered options, and any securities issued by SCPMG or an affiliated organization.

It is not a niche feature here. The master trust that holds the Keogh together with one other SCPMG plan reported $2.04 billion in self-directed brokerage accounts at the end of 2024, out of $8.76 billion in total.

If you never choose, contributions to either plan go to the age-appropriate Vanguard Target Retirement Trust for the year you turn 65. A brokerage window is a decision to make deliberately, not a feature to use because it is there.

After you leave

When SCPMG Keogh and 401(k) Money Can Move After You Leave

Your retirement date decides when the money becomes available. It does not decide when you have to take it.

For the Keogh, a Summary of Material Modifications dated April 2023 states that effective April 1, 2023, you may receive a distribution of your Keogh Plan account at any time after you terminate from SCPMG. That is the statement this page relies on, and it goes no further.

For the 401(k) Plan, the May 2023 summary plan description states that your account can be distributed upon your separation from SCPMG.

In both plans a balance of $1,000 or less is paid automatically as a lump sum. Above that, you choose a lump sum or monthly, quarterly or annual installments. You do not have to take a distribution when you first can: both plans describe deferring it until as late as April 1 following the year you reach 73, or 72 if you reached 72 before January 1, 2023, or 70 1/2 if you reached 70 1/2 before January 1, 2020.

Stepping back from partnership is not always stopping work. Former Partners who continue as a Partner Emeritus or a Per Diem Physician remain eligible for the 401(k) Plan, and in certain cases a Partner Emeritus can continue in the Keogh. How the date you step back, the date you stop entirely and the order you draw the two accounts in fit together is a sequencing question more than a plan question, and it is the one your retirement date actually turns on.

The edges of this page

What This Page Does Not Cover About SCPMG Benefits

Everything above comes from the plans' own documents and filings. These are the limits of that.

Any benefit other than the SCPMG Keogh Plan and the 401(k) Plan for Permanente Medical Groups. We have not found public plan documents for other benefits that meet the standard this page is written to, so they are left out rather than summarised from secondhand material.

The Keogh contribution percentage for any particular year. It is set annually by an actuary and not published.

Current IRS dollar limits. They change every year and are published at irs.gov.

Anything newer than the documents. The Keogh summary plan description is dated April 2019, with changes summarised in April, June and July 2023, and the 401(k) Plan's is dated May 2023. Either plan may have changed since, and where a summary and the plan document differ, the plan document governs. Your Benefits Handbook for Partners and Associate Physicians and Schwab Participant Services are where to confirm what applies to you.

Questions people ask before booking

Is BAS Financial affiliated with SCPMG or Kaiser Permanente?

No. BAS Financial is not an authorized financial services provider or vendor for Southern California Permanente Medical Group or Kaiser Permanente, and is not affiliated with, endorsed by, or sponsored by either. Company and plan names are used only to describe the benefit structures discussed. This is independent financial education, not a company benefit or a company-sponsored resource.

I practice with TPMG in Northern California. Does this page apply to me?

No. The Permanente Medical Group (TPMG) is a separate medical group with its own plan documents. This page is written from Southern California Permanente Medical Group documents and does not describe the TPMG plans. If you would like to talk through your own situation, you can book a consultation at www.bas-financial.com/book/kaiser-scpmg.

Does committing to the Keogh make sense, and at what level?

That depends on facts only you have, which is why this page does not suggest one. What the plan documents do settle is the shape of the choice: four levels of 25, 50, 70 or 100% of a rate set each year, or not enrolling, and all of them irrevocable once your enrollment window closes. The factors that bear on it are set out above.

Keogh or 401(k), or both?

They are separate plans and a Partner can be in both. The difference that matters most is flexibility: the Keogh level is fixed for good, while 401(k) contributions can be started, stopped or changed at any time. What ties them together is the single annual limit they share.

Can I do a mega backdoor Roth, or is the Keogh the replacement for it?

Neither plan's documents describe it in those terms. What the 401(k) Plan's summary plan description does say is that it accepts traditional after-tax contributions and allows in-plan Roth rollovers. Those contributions share one combined annual limit with the Keogh, so the room available for them in a year depends on what the Keogh and your other 401(k) contributions have already used.

What happens if I miss the Keogh election deadline?

The summary plan description treats it as an election not to contribute, and says that decision cannot be changed in the future.

Can I change my Keogh level after I make partner?

No. The level you select by your election deadline is irrevocable. You cannot move between levels, and contributions cannot be suspended for any reason.

When can I take money out of the Keogh after I leave SCPMG?

A Summary of Material Modifications dated April 2023 states that effective April 1, 2023, you may receive a distribution of your Keogh Plan account at any time after you terminate from SCPMG. Balances of $1,000 or less are paid automatically as a lump sum. Above that, you choose a lump sum or installments.

Is there a brokerage window?

Yes, in both plans. In the 401(k) Plan it is the Schwab Personal Choice Retirement Account, available for up to 50% of your 401(k) account. The Keogh's documents call it the self-directed fund, or PCRA, limited to classes of investment the Retirement Committee sets.

Do I have to be in San Diego to work with you?

No. BAS Financial is based in San Diego and works with clients nationwide.

A guide to both plans, by email

A plain-English guide to the Keogh and the 401(k) Plan: how a Keogh level works, the one limit the two plans share, the brokerage windows, and a checklist for the enrollment window and for the year you leave.

Request the complimentary SCPMG Keogh and 401(k) guide and it arrives by email.

Talk through the election, or what surrounds it

Bring your Benefits Handbook for Partners and Associate Physicians and your most recent Schwab statements. For an Associate, that is enough to lay the factors out against your own numbers before the window closes. For a Partner, it is enough to look at the combined limit, the two brokerage windows and the order the accounts come out in, together.

Book a consultation

A 30-minute call. No document gathering beforehand, and no obligation afterwards.

What these figures assume

Every number on this page depends on the assumptions below. Change one and the result changes.

The two plans, and where each statement on this page comes from

  • SCPMG Keogh Plan, sponsored by Southern California Permanente Medical Group, EIN 95-1750445, plan number 008, plan effective date 1 January 1973. Form 5500 for plan year 2024, received 13 October 2025, with audited financial statements whose auditor's report is dated 9 October 2025. Form 5500 for plan year 2023, auditor's report dated 11 October 2024.
  • Summary Plan Description, SCPMG Keogh Plan, effective April 2019, with Summaries of Material Modifications dated April 2023, June 2023 and July 2023, as posted by the plan's recordkeeper, Schwab Retirement Plan Services, Inc.
  • Summary Plan Description, The 401(k) Plan for Permanente Medical Groups, SCPMG Physicians, effective May 2023, as posted by the same recordkeeper. Plan number 009 on SCPMG's Form 5500 filings. The plan covers more than one Permanente medical group, so its participant totals are not SCPMG figures and none are quoted here.
  • Contribution levels, verbatim from the Keogh SPD: "You can generally choose to contribute 25%, 50%, 70% or 100% of the contribution percentage determined for the Keogh Plan each year. The contribution level you select at your election deadline (described above) in the Keogh Plan is irrevocable." The plan's audited financial statements for 2023 and 2024 describe the choices as "100%, 70%, 50%, 25%, or 0%".
  • The cap, verbatim: "In no event will the contribution level for a year exceed 15% of your Eligible Earnings or Eligible Compensation (as applicable) for that year."
  • The $300 catch-up deduction, the first-paycheck rule, the April 15 year-end processing, and the two fixed levels (50% for physicians previously eligible for another SCPMG retirement plan, 70% for the business administrators) are from the same SPD.
  • The 401(k) Plan's eligibility, the 1% to 75% deferral range, the three tax treatments and the definition of eligible earnings are from the 401(k) Plan SPD, May 2023.
  • Where a summary plan description and the plan document differ, the plan document governs. Either plan may have been amended after the documents cited here.

The combined annual limit

  • Keogh SPD: total combined contributions to the SCPMG Physicians' 401(k) Plan and the Keogh Plan "(and any other SCPMG-sponsored qualified defined contribution retirement plans) cannot exceed the lesser of" 100% of earnings or compensation for the plan year or the applicable IRS dollar limit. The SCPMG Physicians' 401(k) Plan is the earlier name of the 401(k) Plan for Permanente Medical Groups; SCPMG's July 2023 Summary of Material Modifications uses the current name for the same plan.
  • 401(k) Plan SPD, May 2023: the same rule, adding "Note, however, that Catch-Up Contributions do not count against the applicable IRS dollar limit."
  • The re-enrollment rule for traditional after-tax contributions at partnership, in-plan Roth rollovers and discrimination testing are from the 401(k) Plan SPD, May 2023.
  • This section rests on the two summary plan descriptions alone. Neither audit filing addresses it. Dollar limits are not quoted because they reset annually.

The brokerage windows

  • Keogh: the SPD refers to "the self-directed fund (the PCRA)". The 2023 and 2024 audited financial statements describe self-directed brokerage accounts "limited to certain classes of investments established by the Retirement Committee".
  • 401(k) Plan, verbatim: "You may invest 50% of your 401(k) Plan account in the Schwab self-directed brokerage account, the Personal Choice Retirement Account (referred to as PCRA)." The exclusions are those listed "as of May 2023".
  • Master trust figure: Note 3 to the plan year 2024 audited financial statements, self-directed brokerage accounts of $2,040,400,695 within master trust net assets of $8,757,464,572 at 31 December 2024. The master trust also holds one other SCPMG plan; the Keogh's interest was approximately 90%.
  • Default investment: both SPDs name the age-appropriate Vanguard Target Retirement Trust by the year you turn 65.

Distributions after you leave

  • Keogh, verbatim from the April 2023 Summary of Material Modifications: "You can receive a full or partial distribution of your Keogh Plan account at any time after you have terminated from SCPMG." Effective April 1, 2023.
  • 401(k) Plan, verbatim from the May 2023 SPD: "Your 401(k) Plan account can be distributed upon your separation from SCPMG."
  • The $1,000 automatic lump sum and the choice of a lump sum or monthly, quarterly or annual installments: the same two documents.
  • Deferral to age 73, with the 72 and 70 1/2 transition rules: the June 2023 Keogh Summary of Material Modifications and the May 2023 401(k) Plan SPD.
  • This page makes no other statement about when either plan's money can be paid.
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