IRS Form 15417-H – 403(b) Plan – Distributions Worksheet 15 – Determination of 403(b) Status

IRS Form 15417-H  – In the world of retirement planning for nonprofit and public sector employees, 403(b) plans play a crucial role. But ensuring compliance with IRS rules on distributions can be complex. That’s where IRS Form 15417-H comes in—a specialized worksheet designed to help determine the status of distributions under a 403(b) plan. Whether you’re a plan administrator, tax professional, or participant, this article breaks down everything you need to know about Form 15417-H, including its purpose, key sections, and how to use it effectively. We’ll draw from official IRS resources to provide accurate, up-to-date insights.

What Is a 403(b) Plan?

Before diving into the form, let’s clarify what a 403(b) plan is. Also known as a tax-sheltered annuity (TSA) plan, a 403(b) is a retirement savings vehicle offered by public schools, certain tax-exempt organizations under section 501(c)(3), and some ministers. It allows employees to contribute pre-tax dollars (or Roth after-tax contributions) to build retirement savings, similar to a 401(k) but tailored for nonprofit sectors.

Key features include:

  • Elective deferrals (employee contributions)
  • Employer matching or nonelective contributions
  • Investment options like annuity contracts or custodial accounts
  • Tax-deferred growth until withdrawal

Distributions from these plans must follow strict IRS guidelines to avoid penalties, making tools like Form 15417-H invaluable for compliance checks.

Purpose of IRS Form 15417-H

IRS Form 15417-H, officially titled “403(b) Plan – Distributions Worksheet 15 – Determination of 403(b) Status,” is a compliance tool released in April 2023. It’s not a form you file with the IRS but a worksheet used internally to evaluate whether a 403(b) plan’s distribution provisions meet Internal Revenue Code requirements.

The primary goal? To ensure distributions—such as withdrawals, loans, or rollovers—occur only under permissible events, preventing premature distributions that could trigger taxes and penalties. This worksheet is particularly useful during:

  • Plan audits or reviews
  • Qualification determinations for pre-approved plans
  • Amendments to plan documents
  • IRS examinations

By completing the worksheet, users can identify potential issues (marked as “No” answers) and explain them, helping maintain the plan’s tax-advantaged status. You can download the PDF directly from the IRS website: https://www.irs.gov/pub/irs-pdf/f15417h.pdf.

Key Sections of Form 15417-H

The form is structured as a yes/no questionnaire with spaces for explanations on “No” or “N/A” responses. It covers distribution rules for various contribution types, ensuring alignment with sections like 403(b), 72(p), and related regulations. Here’s a breakdown of the main sections:

Section I: Permissible Distribution Events for Elective Deferrals

This focuses on employee contributions (including Roth). Elective deferrals must be in a separate account, with distributions restricted to:

  • Death, disability, severance from employment, or age 59½
  • Hardships (using safe harbor standards or objective criteria)
  • Special cases like plan termination, QDROs (Qualified Domestic Relations Orders), IRS levies, or qualified birth/adoption distributions

If hardships are allowed, the plan must detail requirements explicitly—no relying solely on investment terms.

Section II: Employer Contributions from Annuity Contracts or Retirement Income Accounts

For nonelective or matching contributions:

  • General triggers: Severance, disability, or a fixed event (e.g., years of service)
  • Special allowances: Plan termination, excess corrections, disasters, or lifetime income investments

Section III: Employer Contributions from Custodial Accounts

Similar to Section II but stricter:

  • Limited to death, disability, severance, or age 59½
  • Includes special events like QDROs or coronavirus-related distributions (if applicable)

Section IV: After-Tax Employee Contributions

These can be distributed at any time, subject to investment terms.

Section V: Rollover Contributions

If separately accounted for, participants can access these anytime.

Section VI: Loans

If permitted, loans must have:

  • A fixed repayment schedule
  • Reasonable interest
  • Prudent safeguards
  • Compliance with section 72(p) limits

Section VII: Rollovers and Cash Outs

Covers direct rollovers, automatic IRA rollovers for small balances, and required notices under section 402(f).

Section VIII: Miscellaneous

Ensures proper definition of “severance from employment.”

All sections emphasize that “Yes” answers indicate compliance, while “No” requires detailed explanations and potential corrections.

Step-by-Step Guide: How to Use Form 15417-H

Filling out the worksheet is straightforward but requires careful review of your plan document. Follow these steps:

  1. Gather Plan Details: Reference your 403(b) plan document, including any amendments or investment contracts.
  2. Complete the Header: Enter the plan name.
  3. Answer Each Item: For every question, mark “Yes,” “No,” or “N/A.” Provide plan references (e.g., section numbers).
  4. Explain “No” Answers: Use the provided space to detail issues and proposed fixes. For example, if hardships lack safe harbor details, note how you’ll amend the plan.
  5. Review for Special Situations: Check for allowances like disaster distributions or in-plan Roth rollovers.
  6. Assess Overall Status: A predominance of “Yes” suggests strong compliance; multiple “No”s may require IRS guidance or plan revisions.

Tip: This worksheet ties into broader 403(b) compliance, so cross-reference with other IRS worksheets (e.g., for contributions or vesting).

Common Issues and How to Avoid Them

  • Premature Distributions: Failing to separate elective deferral accounts can lead to invalid early withdrawals.
  • Hardship Rules: Incomplete definitions often result in “No” answers—always use IRS safe harbors.
  • Loan Non-Compliance: Loans without 72(p) adherence can deem distributions taxable.
  • Rollover Oversights: Missing 402(f) notices or improper auto-rollovers are frequent pitfalls.

To mitigate, consult IRS publications or a tax advisor, and update plans per recent changes like SECURE 2.0 Act provisions for emergencies.

FAQs About IRS Form 15417-H

Who needs to use Form 15417-H?

Plan sponsors, administrators, or IRS reviewers during audits or pre-approval processes.

Is Form 15417-H filed with the IRS?

No—it’s an internal tool for compliance verification.

What if my plan has “No” answers?

Explain them on the form and consider plan amendments. Severe issues may require IRS correction programs.

How does this relate to other 403(b) worksheets?

It’s part of a series (e.g., Worksheet 4A for miscellaneous provisions) for comprehensive plan checks.

Where can I find more IRS resources on 403(b) distributions?

Visit the IRS website for Publication 571 (Tax-Sheltered Annuity Plans) or the 403(b) plan page.

Conclusion

IRS Form 15417-H is a vital resource for maintaining the integrity of 403(b) plan distributions, helping ensure tax benefits remain intact. By understanding its sections and applying it diligently, you can avoid costly errors and keep your retirement plan compliant. For the latest version, always download from the official IRS site. If you’re managing a 403(b), consult a professional to tailor advice to your situation.