SIRMIUM CAPITAL
403(b) Fee Alert
Your Hospital Retirement Plan
Might Be Costing You
$180,000
And HR will never tell you — because they don't know either.
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SIRMIUM CAPITAL
The Problem
Most 403(b) Plans Use
Insurance Products — Not Index Funds
- Hospital plans often default to annuity-wrapped products
- Expense ratios of 1–2% are standard — buried in fine print
- The fee disclosure is in your orientation packet — nobody reads it
- You're paying 10–50x more than necessary every single year
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SIRMIUM CAPITAL
The Math
$180K
The cost of a 1.5% expense ratio vs. 0.04% index fund
on a $500,000 account over 30 years.
Same job. Same contributions. Same market. $180,000 less at retirement — just from fees.
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SIRMIUM CAPITAL
Why It Happens
It's Not Your Fault.
The System Is Set Up This Way.
- Insurance companies pay hospitals to be the default 403(b) provider
- Vanguard and Fidelity index funds ARE available — just not the default
- Nobody from HR will flag this. It's not their job to optimize your investments.
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SIRMIUM CAPITAL
The Fix — 5 Minutes
How to Find Your
Fee and Switch Funds
Step 1
Log into your 403(b) portal → go to "Investment Options"
Step 2
Sort funds by expense ratio — look for anything under 0.15%
Step 3
Find the S&P 500 or Total Market Index fund — usually exists
Step 4
Move your balance and future contributions there. Done.
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SIRMIUM CAPITAL
Free Calculator + 15-Min Call
Run Your Specific Numbers
See exactly what your current fees are costing — and what you'd have at retirement after switching.
sirmiumcapital.com/calculators
Free calculator — no email required · 15-min call also available
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🎙 Teleprompter — Slide 1 of 6
"I work with a lot of nurses. And the one thing that keeps coming up is the overtime money — people pull $20, $30K extra and it just disappears. But that's actually not the biggest financial leak. The biggest one is what's happening inside your 403(b) right now, every single day, without you noticing."