Intermountain Health Pension Freeze: Monthly Benefit vs. Lump Sum

by Marshall Nelson | Apr 6, 2026

The Intermountain Health Board of Trustees has announced a pension freeze effective December 31, 2026.

This change is not unique to Intermountain Health. Pensions are quickly becoming a thing of the past. In their earliest form, pensions date back to ancient times. The Roman Empire had one of the first pension systems. Military veterans were granted land or stipends after service to ensure loyalty and stability.

In the United States, pensions gained traction after the passage of Social Security Act of 1935. Private-sector pensions then expanded quickly after World War II, as large corporations used them to attract and retain employees in a growing industrial economy.

Why Pensions Have Been Declining

Pensions worked well at a time when people stayed with one employer for decades. Over the past 40 years or so, traditional pensions (defined benefit plans) have steadily declined. Here’s why:

  1. Rising Costs
    People are living longer, which means companies must pay benefits for much longer than originally expected. Making pensions far more expensive.
  2. Market Risk & Shift to 401(k)’s
    Employers bear the investment risk. A significant market decline could threaten a company’s ability to pay out. Plans like 401(k)s shift responsibility from employer to employee, giving companies cost predictability while offering workers portability and control. An employee can be much more growth oriented in their own retirement account. A 401(k)’s job is to grow; a pension’s job is to not shrink.
  3. Career Mobility
    It’s much rarer to see an employee stay with one company for their whole career. Pensions reward tenure, which doesn’t align with modern career paths.

Monthly Benefit vs. Lump Sum

Intermountain Health is requiring some employees to either annuitize (turn on) their pension and begin taking monthly withdrawals or take it as a lump sum benefit.

Most people wonder: am I better off taking the guaranteed monthly benefit, or is the lump sum my best option? As is the answer with most financial questions: it depends!

The monthly benefit guarantees a fixed amount for the life of the employee and gives an option for a guaranteed monthly benefit for the employee’s spouse upon death as well. There are 8 different benefit options, and choosing the right one can be stressful. The “wrong” choice could mean the difference of hundreds of thousands of dollars over time.

Monthly Annuity

✓ Pros✗ Cons
  • Fixed monthly benefit is guaranteed for the life of the retiree and beneficiary (if the “survivor benefit” is elected).
  • Not tied to investment performance, it won’t go down in value.
  • Payments won’t carry to heirs outside the retiree and beneficiary. Once both pass, payments stop. A serious risk if both die early.
  • The fixed monthly benefit will never increase.

Lump Sum Payment

✓ Pros✗ Cons
  • Can be rolled into a traditional IRA, if done correctly this is not a taxable event.
  • IRAs allow for tax/charitable strategies.
  • Immediately it becomes part of the retiree’s estate and can be inherited by heirs.
  • Can be invested for future growth. If invested wisely, it can present a much larger future benefit.
  • Investment risk in managing the full amount.
  • The lump sum calculation is lower when interest rates are higher.
  • No fixed monthly guaranteed amount.

Projected Portfolio Growth Over 25 Years

The chart below shows how an $800,000 lump sum benefit (rolled to an IRA) could grow over 25 years under three different return scenarios, compared to the $4,000/month fixed annuity being reinvested upon each monthly deposit. This chart does not account for spending or required minimum distributions with the lump sum.

Lump sum vs. reinvested annuity — projected growth over 25 years

Bottom Line

Ultimately, the right choice depends on your health, life expectancy, other income sources, risk tolerance, and estate & family goals. There is no one-size-fits-all answer. With 8 benefit options available, the details matter enormously. A qualified financial advisor can help you navigate your specific situation before the December 31, 2026 freeze.

Investment advisory services are offered through Crewe Advisors, a SEC registered Investment Advisor.
www.crewe.com. Crewe Advisors does not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

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