Osteopathic

This discussion is very informative. I have been considering taking advantage of this provision of SECURE 2.0. My wife has terminal brain cancer. She qualifies for social security disability insurance under the same language of prognosis defined in SECURE 2.0. But, my reading of the law does leave some unanswered questions. If she were to withdraw her 401(k) and submit the prognostic paperwork from her physician to the plan administrator, would we be required to repay the funds within three years to qualify for the 10% tax exemption? Or, is it only an option to refund the 401(k) within three years? When I spoke with her plan administrator a few months ago, they had little information on how they would verify the illness and prognosis. Their advice was to withdraw and submit the paperwork with our taxes. I'm not sure how that makes sense. I can't imagine that the IRS is verifying diagnoses. The language in this portion of the bill is so brief that it feels incomplete. Some resources interpreting the bill have stated that persons with a terminal illness can only withdraw when they are terminated from their job, or can only withdraw after 1/1/2024, or that it must be repaid within 3 years. I'm a physician and I have not had to deal with this for any patients. But, I'm hoping there is a clearer resource out there.