Most employer retirement plans do not allow outside advisers to manage assets while the physician is still employed. Kaiser Permanente's PCRA brokerage window at Schwab is an exception. Once you open the PCRA within your Keogh, Qubera can manage it on a discretionary basis — giving you institutional-quality investment management inside your employer plan, not just a blueprint to implement yourself.
What Kaiser Permanente SCPMG physicians can save in 2026
The Keogh ceiling is among the highest available to any employed physician in Los Angeles. Combined with Backdoor Roth IRAs, total household tax-advantaged contributions can exceed $165,000 per year for a dual-physician family.
Keogh — up to $72,000 total, contribution election matters
Kaiser Permanente SCPMG physicians participate in the SCPMG Keogh, a defined contribution plan that allows combined contributions (employer + employee) up to the IRC 415(c) annual additions limit of $72,000 for 2026. The contribution percentage you elect is applied to compensation. This election is typically set annually but is not easily adjusted mid-year.
Getting the election right at the start of each plan year matters. Under-electing means you leave pre-tax contribution room on the table — a real cost at a combined 46%+ marginal rate. Over-electing can create cash flow strain. We model the right election based on your expected compensation, personal cash flow needs, and whether you have additional income sources (e.g., private practice, speaking, consulting).
PCRA at Schwab — the highest-value feature most SCPMG physicians underuse
The Personal Choice Retirement Account (PCRA) is a self-directed brokerage window within your Keogh, held at Charles Schwab. Unlike the standard Keogh fund menu, the PCRA allows investment in individual stocks, ETFs, index funds, bonds, and other securities. For physicians who want institutional-quality investment management, the PCRA is the vehicle to use — and it's the only Kaiser retirement account Qubera can manage while you're still employed.
To set up Qubera's management access, you open the PCRA, then grant Schwab limited third-party adviser access. We handle the paperwork and investment management from there. The standard Keogh fund menu sits outside our management scope.
Pre-tax Keogh + Backdoor Roth IRA — the Kaiser physician blueprint
For most SCPMG physicians, the Keogh pre-tax contribution at the $72,000 ceiling is the single highest-value action — saving $33,000–$38,000 in combined federal and California taxes on that amount annually. Alongside the Keogh, Backdoor Roth IRAs for both spouses add $15,000/year in tax-free Roth accumulation.
Important: the Backdoor Roth IRA requires careful sequencing if you have any pre-tax IRA balances (traditional IRA, SEP-IRA, SIMPLE IRA). The pro-rata rule requires you to treat all pre-tax and after-tax IRA dollars proportionately when converting — if you have $200,000 in a pre-tax IRA and try to convert an $8,000 after-tax IRA contribution, you'll owe tax on most of the conversion. The fix is usually a reverse rollover of pre-tax IRA balances into the Keogh, which accepts incoming rollovers from traditional IRAs. We verify and sequence this correctly.
Keogh election modeling · PCRA management · Post-separation IRA rollover
Qubera provides an annual Keogh contribution election recommendation at the start of each plan year based on your compensation and cash flow. We set up and manage the PCRA on a discretionary basis while you're employed at Kaiser, providing the same institutional investment management we use for non-employer accounts.
At separation from Kaiser, we coordinate the Keogh rollover to Schwab IRA, sequence any Backdoor Roth IRA actions to avoid the pro-rata rule, and continue managing the assets post-rollover. There is no 457(b) distribution election complication as there is at USC Keck — the Keogh rolls cleanly to an IRA.
What we fix in the first engagement
Wrong Keogh contribution election
The Keogh contribution percentage is elected annually and applied to compensation for the plan year. Physicians who elect too low leave pre-tax savings capacity — and $30,000+ in annual tax savings — on the table. Physicians who elect too high without modeling cash flow can face mid-year shortfalls. The right election depends on your base compensation, bonus structure, and cash flow needs for the year.
Never opening the PCRA
The PCRA is an optional feature — you must actively elect to open it. Most SCPMG physicians never do, leaving their Keogh on the default plan fund menu indefinitely. This is the only Kaiser account where an outside adviser can provide direct investment management while you're employed. If your Keogh balance is six figures, the difference between default fund selection and active management in the PCRA compounds meaningfully over a 20-year career.
Backdoor Roth blocked by pre-tax IRA balances
Kaiser SCPMG physicians who previously funded a traditional IRA, SEP-IRA, or rolled over a prior employer 403(b) to an IRA may face the pro-rata rule when attempting a Backdoor Roth conversion. The fix — a reverse rollover of pre-tax IRA balances into the Keogh — is available if the plan accepts incoming rollovers. We verify plan eligibility, execute the reverse rollover, and then proceed with the clean Backdoor Roth conversion.
What Kaiser SCPMG physicians ask before working with us
Not at Kaiser Permanente?
Each employer's retirement plan is different. Find yours below.
UCLA Health
Governmental 457(b) that rolls to IRA, UC DCP Mega Backdoor Roth (~$45K/yr)
UCLA breakdown →USC Keck
Non-governmental 457(b) distribution election trap, TIAA 403(b) strategy
USC Keck breakdown →Cedars-Sinai
DB vs. DC Choice Retirement decision, Voya 403(b), no 457(b)
Cedars breakdown →Working at Kaiser? Let's set up your PCRA and Keogh election.
Bring your SCPMG Keogh statement to a complimentary 30-minute call. We'll review your contribution election, walk through PCRA setup, and show you how to execute the Backdoor Roth alongside your Keogh.
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