
For a nurse 10 to 15 years from retirement, a 403(b) loan usually costs less than a hardship withdrawal, Midflorida Credit Union advisors point out, because hardship money is taxed and never goes back. Many nurses assume a loan is free because the interest goes back to them, but the real risk is leaving the hospital: an unpaid loan balance becomes taxable unless you deposit that amount into an IRA by your tax-filing deadline. One piece of older advice is now incomplete. Federal rules no longer require a 6-month pause in contributions after a hardship withdrawal, so your plan's own terms matter more. Nurses ask Midflorida Credit Union these questions all the time, and the numbers below follow one hypothetical couple through a $30K roof bill.
By Hiroshi Tanaka, CFP — Retirement Planning Specialist | Reviewed by Robert Kim, AIFHiroshi builds retirement income plans using the bucket strategy, coordinating taxable, tax-deferred, and tax-free accounts.
If you might leave your job inside the 5-year repayment window, price the loan as if the balance will be taxed. Then compare it honestly with a withdrawal.
CPA and Tax Director, Midflorida Credit Union
At 22%, a $24K unpaid balance is a $5,280 tax bill. Ask the plan administrator in writing what happens to it at separation.
Senior Financial Planner, Midflorida Credit Union
Three beliefs about 403(b) money
Nurses bring us the same three beliefs, usually in the first 10 minutes of a first meeting. Each one is partly right, which is why it sticks.
'A loan costs nothing because I pay myself interest.' That's wrong in 2 ways. The $30K you borrow sits out of the market while you repay it, so you miss whatever the market does in those years. And if you leave the job with a balance, the unpaid part turns into a taxable distribution.
'I can put a hardship withdrawal back later.' You can't. It can't be repaid to the plan or rolled over. It's ordinary income in the year you take it, plus a 10% additional tax before age 59½ unless an exception applies (the IRS reports this on Form 5329).
'Taking hardship money means I must stop contributing for 6 months.' That suspension is no longer required by federal rules. Check your own plan document, though, because the plan sets its own terms and may still pause deposits.
This article compares 403(b) routes only. It doesn't cover 457(b) unforeseeable-emergency rules, and it assumes your plan offers both options, which many don't. If emergency savings or a hospital billing payment plan can cover the bill, either is usually cheaper than touching retirement money at all.
The loan belief
The hardship beliefs
How much can a 403(b) loan or hardship withdrawal give you?
A 403(b) loan is capped at the lesser of $50,000 or 50% of your vested balance, generally repaid within 5 years through payroll, at least quarterly. A hardship withdrawal is limited to the need itself, tax bill included. A $40K balance allows only a $20K loan.
The IRS safe-harbor reasons for hardship include medical bills, repairing casualty damage to your main home, tuition, a funeral, and preventing eviction or foreclosure. The plan may ask for proof. Because the tax bill can be part of the need, a $30K gap can turn into a $44K withdrawal.
Read the last row of the table first: only the loan puts money back in your account.
After age 59½, many plans allow an in-service distribution with no hardship test at all. Reggie, at 61, may not need the hardship route. Ask the plan before you fill out a hardship form.
Loan limits
Hardship limits
| Feature | Loan | Hardship withdrawal |
|---|---|---|
| Limit | Lesser of $50K or 50% vested | Only the need, tax bill included |
| Repayment | About 5 years, by payroll | None allowed |
| Income tax | None if repaid | Ordinary income this year |
| 10% additional tax | None if repaid | Yes before 59½, unless exception |
| Money back in account | Yes, as you repay | Never |
The first call to HR or the custodian
If this is you (a big bill this month and a 403(b) you rarely open), run this list before you call anyone.
Old 403(b)s from earlier hospitals count too, and fewer accounts make the call shorter. At Midflorida Credit Union, we ask clients to bring both spouses' statements to the same meeting.
Then ask the plan administrator in writing: 'If I separate from service, when is the loan balance due and how is the offset reported?' An answer of 'due in full within 60 days, then reported as a distribution' is the one that should worry anyone retiring within 5 years. The plan reports an unpaid loan on Form 1099-R.
Two more answers should worry you. One is no loans offered at all (some plans don't). The other is a loan that stops if you go part-time or per diem. Many nurses drop to PRN status before fully retiring, and that's when a stopped loan bites.
The list to run
Questions for the administrator
- Does each plan you and your spouse hold offer loans?
- What is your vested balance (the part that's yours today)?
- Do you already have an open loan?
- Does the plan need your spouse's consent?
- What happens to a loan if you leave the job?
- Is in-service money available at 59½?
Reggie and Abena's storm roof: whose 403(b) pays
Reggie and Abena need $30K to cover a storm-damaged roof their insurance only partly pays (hypothetical, round numbers; loan interest ignored). Reggie, 61, is a respiratory therapist who wants to stop at 62. Abena, 59, is an OR nurse. The house is paid off, and they hold $830K in 403(b)s and $90K in a 457(b).
Roof repair counts as casualty damage to a main home, so a hardship withdrawal is allowed. That's one of 3 routes. Find the 'Federal tax bill' row first, because that's where the routes drift furthest apart.
Route 1: Abena takes a hardship withdrawal. She's under 59½, so she needs $44K to net the cash. Federal tax at 22% is $9,680 and the 10% additional tax is $4,400. $44,000 minus $14,080 leaves about $29,900. The money never goes back.
Route 2: Reggie borrows $30K. He repays $500 monthly but retires 12 months later, owing $24K ($30,000 minus $6,000 repaid). Unless he deposits $24K into an IRA by his tax-filing deadline, 22% of $24K is a $5,280 tax bill.
Route 3: Abena borrows $30K. She keeps working, repays $500 monthly for 60 months and owes no tax. The spouse who keeps working longest is the better borrower, because payroll repayment only works while there's a paycheck.
They choose Abena's loan. Reggie is the beneficiary of her 403(b). If she dies with the loan open, the unpaid balance is treated as a distribution and reduces what he inherits, so he needs to know the loan exists.
Midflorida Credit Union puts the single open loan, its payoff month and the borrower's expected last workday on the one-page roadmap. That way both spouses can explain it to their adult kids. To test your own figures, plug them into the calculator on this site.
The three routes
What Reggie inherits
| Cost line | Hardship, Abena (59) | Loan, Reggie (retires in 12 months) | Loan, Abena (keeps working) |
|---|---|---|---|
| Taken from the 403(b) | $44K | $30K | $30K |
| Federal tax bill at 22% | $9,680 | $5,280 if not rolled over | $0 if repaid |
| 10% additional tax | $4,400 | $0 | $0 |
| Paycheck squeeze | $0 | $500 monthly, 12 months | $500 monthly, 60 months |
| Money back in the account | Never | $6K repaid | $30K repaid |
How long does a 403(b) loan follow you?
A 5-year 403(b) loan at $500 monthly follows you for 60 payments, each made with after-tax dollars. That squeezes the catch-up years, when you'd like to save the most. The IRS catch-up for 2026 is $8,000 at 50 and over, and $11,250 at ages 60 to 63.
Pause an $11,250 catch-up at a 22% rate and that year's tax bill rises about $2,475. Reggie, 61, would feel it in the years his savings should grow fastest. Our article on catch-up contributions at age 60 covers what you can add.
What age tips the choice toward a withdrawal?
Turning 59½ tips the choice, because the 10% additional tax disappears and a withdrawal costs only income tax. For Reggie at 61, a withdrawal of about $38,500 nets $30K at a 22% rate ($38,500 minus $8,470). That $8,470 is still more than the $5,280 he'd owe on a $24K unpaid loan balance.
So the withdrawal wins only if he expects to repay little or nothing before he stops at 62, or if his plan offers no loan.
Married? Compare both spouses' plans and borrow from the one working longest. Single? There's no second account, so 3 months of expenses in cash matters more than which plan you use. Balance matters too. Under $100K, the 50% cap limits the loan. Above $100K, the $50,000 cap applies.
One more age: if you leave the job during the calendar year you turn 55, or any year later, that employer's plan can pay out without the 10% additional tax.
Two small mistakes tend to travel together. Borrowing from the spouse who retires first turns the unpaid loan into income at separation ($5,280 on $24K at 22%). Pausing that spouse's $8,000 catch-up to afford the payments adds about $1,760 to the tax bill. Together that's about $7,040 that a loan from the longer-working spouse would have avoided.
Ages and balances
The two mistakes that pair up
Decision rule: If you expect to leave your hospital job before a 403(b) loan's 5-year repayment ends, and you couldn't deposit the remaining balance into an IRA in cash by that year's tax-filing deadline, count the loan as a likely taxable distribution when you compare it with a withdrawal.
The year after: room for surprises
Three things can break a loan after you take it. A layoff, a disability or a shift cut stops payroll repayment, and the loan can default into a taxable distribution. Markets can rebound while your $30K sits outside the account, so you miss gains you'd have kept. And tax rules change. Leave room: borrow less than the maximum, and keep 3 months of spending in cash while the loan is open. Midflorida Credit Union writes that cash cushion on the roadmap. Remember too that an account's value can fall below what you put in.
Midflorida Credit Union's first look at a loan request
Midflorida Credit Union looks first at which spouse's plan offers loans and how many more years that spouse expects to work. Then it checks whether in-service money at 59½ is available, and writes the tax bill of each route side by side on the roadmap before anyone signs a plan form.
The spouse who keeps working longest is the better borrower, because payroll repayment only works while there's a paycheck.
Frequently asked questions about 403(b) loan vs hardship withdrawal
What happens if I'm laid off or go per diem while my 403(b) loan is still open?
My mom is a nurse with a 403(b) loan; does the loan come out of what my siblings and I inherit?
Can I pay a 403(b) loan off early, or put a hardship withdrawal back once the bill is paid?
Sources and further reading
This article contains general information only and is not individual investment, tax or legal advice. Investing involves risk, including possible loss of principal. Before making any decision, consult a financial advisor, tax professional or attorney who knows your situation.