Her Hospital’s 403(b) Will Charge a 63-Year-Old Nurse $31,000 to Leave. The Same Money in a 401(k) Would Have Walked Out for Free

A hospital nurse discovered that leaving her retirement plan comes with a price tag most workers never see until it's too late. Whether paying it makes sense depends on a calculation her plan administrator has no reason to share with…

Published October 20, 2026, 9:15am ET · 4 min read

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A 63-year-old nurse has $440,000 in her hospital’s 403(b), and nearly all of it sits inside an insurance company’s annuity contract. If she rolls the full balance into an IRA today, the insurer keeps about $31,000 in surrender charges. If she had put the same savings into a typical corporate 401(k) of mutual funds, she could move it with a phone call.

This setup is common, as hospitals and school systems running non-ERISA plans often channel employee savings through an insurer’s annuity. The contract’s exit rules come with it. Consumer advocate Clark Howard has handled similar cases for years. In 2018, one caller learned he would pay $500 to surrender a 403(b) holding $12,000. Howard’s conclusion: “Your 403 may have a horrendous junk fee known as a surrender charge.”

Annual Fees Cost More Than the Exit Charge

The surrender charge catches attention, but the yearly fees do more damage. Mortality-and-expense charges plus subaccount fees run about 2% a year, compared with 0.1% for an index fund. On her balance, that works out to roughly $8,800 a year in drag.

Compare the two, and paying the entire charge today pays for itself in about 3½ years. This money may need to last into her late 80s or 90s, and every year she stays put to avoid the charge, she pays the higher fees again.

Her $31,000 Charge Is Really Dozens of Smaller Ones

These contracts usually start the charge around 7% and step it down over seven to ten years. The key detail is that the schedule applies to each contribution on a rolling basis. Deposits from a decade ago may already be free to leave, while last year’s paycheck deferrals still carry the full charge. The $31,000 figure combines them all.

Her age helps with taxes but doesn’t remove the insurer’s charge. Withdrawals after age 59½ avoid the 10% additional tax. Leaving her job at 55 or later would also remove that penalty, but it won’t affect the surrender schedule, and many plans allow in-service rollovers after 59½, so she may be able to start moving money while still working. Her benefits office can confirm whether her plan allows it.

Two Exit Strategies, and the One That Usually Wins

Path 1: Wait for the Schedule to Run Out

Most contracts allow a 10% penalty-free withdrawal each year. On her balance, that is about $44,000, which she can roll to an IRA annually while older contributions age out. The cost is that her newest money stays in a 2% fee structure for up to a decade. For most people, waiting until every dollar is free is the weaker choice, because the fee drag keeps compounding on the money left behind.

Path 2: Leave Selectively Now

She should ask the insurer for a surrender schedule broken out by contribution date. Then:

  1. Move everything at 0% immediately. Older contributions past their window cost nothing to roll, and each one moves from roughly 2% fees to roughly 0.1%.
  2. Pay the charge on contributions near the end of their schedule. A contribution carrying a 2% charge earns that back in about one year of lower fees. Bearing that cost now is clearly worth it.
  3. Use the annual 10% free withdrawal on the newest money. Apply it to deposits still carrying 6% or 7% charges, since those are the most expensive to surrender.
  4. Repeat every year. As charges step down, more contributions cross the line where paying the charge beats keeping the fees.

For many people in her position, paying part of the charge is the right call. A 1035 exchange into a cheaper annuity usually leaves the surrender schedule in place, so it rarely solves the problem.

Mechanics That Can Cost Her Thousands

A direct rollover from the plan to an IRA is not taxable, and no withholding occurs. If the check is made out to her instead, the payer must withhold 20% even if she plans to roll it over. She would then have to make up the withheld amount from other cash or owe tax on the shortfall. Every transfer should go trustee-to-trustee.

Her First Phone Call and the Mistake to Avoid

Start with the contribution-level surrender schedule and the exact free-withdrawal amount. Those two documents tell her how much can move this year at little or no cost. A typical mistake is letting a one-time $31,000 charge keep her in a structure that costs about $8,800 every year with no end date.

One situation justifies paying an hourly advisor: a contract that includes a guaranteed fixed account or a lifetime income rider. Those guarantees carry real value, and pricing them takes some work. With the 10-year Treasury paying 5.10%, a guaranteed rate below that is easy to replace. A rider with rich income terms might be worth keeping, and an hour of analysis will tell her which one she has.

Contact [email protected] for any questions or corrections.

David Beren

David Beren has been a Flywheel Publishing contributor since 2022. Writing for 24/7 Wall St. since 2023, David loves to write about topics of all shapes and sizes. As a technology expert, David focuses heavily on consumer electronics brands, automobiles, and general technology. He has previously written for LifeWire, formerly About.com. As a part-time freelance writer, David’s “day job” has been working on and leading social media for multiple Fortune 100 brands. David loves the flexibility of this field and its ability to reach customers exactly where they like to spend their time. Additionally, David previously published his own blog, TmoNews.com, which reached 3 million readers in its first year. In addition to freelance and social media work, David loves to spend time with his family and children and relive the glory days of video game consoles by playing any retro game console he can get his hands on.

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