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Right Size Your Cash Reserve for Commission Careers

  • Writer: David Dedman
    David Dedman
  • 2 days ago
  • 13 min read


Right-Size Your Cash Reserve for Commission Careers (Especially Medical Sales)

If you’re in medical sales, you already know the weird truth: you can have a great year on paper and still feel like you’re one delayed commission check away from stress-eating airport pretzels for dinner.


That’s not you “being bad with money.” That’s the job. Commission income is designed to swing, and medical sales adds its own flavor: credentialing delays, hospital purchasing cycles, territory shakeups, quota resets, and the classic “closed in March, paid in… whenever accounting feels spiritually ready.”


So when people casually toss out “just keep 3–6 months of expenses,” it can sound helpful while being totally disconnected from the reality of variable comp. In this post, we’ll walk through a cash reserve sizing framework for commission-based careers using a framework that fits how medical sales actually works—so you can protect family time, invest consistently, and stop making decisions from a place of panic.


And if you want a second set of eyes on your numbers (no pressure, no product pitch), you can start with Pulse Wealth’s free financial assessment or schedule a free intro call with David.



The commission-income problem: you can earn a lot and still feel behind

Let’s normalize something: income volatility is common even outside sales. The JPMorgan Chase Institute analyzed U.S. bank-account data and found that median take-home income swings about 36% month-to-month over the prior year for many families. That’s not a rounding error—that’s a lifestyle whiplash. (JPMorgan Chase Institute findings on income & spending volatility)


Now layer medical sales on top of that. Your compensation plan might look stable in January when you’re staring at OTE, but real life shows up fast: quota attainment isn’t guaranteed, territories change, procurement drags, and sometimes the “pipeline” is just a very expensive to-do list.


This is why high earners can still feel cash-tight. When your lifestyle is built around a strong quarter, a soft quarter doesn’t feel like “a dip.” It feels like a threat.


Cash reserves are what keep that threat from turning into reactive decisions—like pausing investing every time commissions lag, floating life on credit cards, or raiding retirement accounts (which may create taxes, penalties, and other costs).



Why the classic “3–6 months” rule often breaks for medical sales

The traditional emergency-fund rule assumes one big risk: job loss. If your paycheck is steady and you’d likely find a new job quickly, “months of expenses” is a decent shortcut.


Commission careers have a different primary risk. It’s not always unemployment. It’s the dreaded combo platter: a temporary income dip plus an expense spike. Your income drops because commissions lag or quotas reset, and at the exact same time your life does what life does: HVAC dies, kid needs braces, car needs tires, flight gets rebooked three times and the reimbursement takes forever.


JPMorgan Chase Institute put numbers to this concept. They found families need about 6 weeks of take-home income in liquid assets to weather a combined shock (income down + expenses up), yet 65% of families lack that buffer. (JPMorgan Chase Institute: buffer needed to handle income & expense shocks)


If that’s the situation for the general population, commission earners often need a stronger plan—not because you’re fragile, but because your pay structure is.


And just for context on preparedness: Bankrate reports that only 46% of U.S. adults have enough emergency savings to cover three months of expenses. (Bankrate emergency savings findings) If the average household is under-buffered, a commission household that lives off OTE instead of base salary is playing on hard mode.



What “cash reserve” should actually cover (and what it shouldn’t)

Before we size anything, we need to clean up terminology, because a lot of stress comes from mixing buckets.


When I say “cash reserve,” I mean: liquid money set aside to keep your household stable through income interruptions and true surprises. It’s boring on purpose. It’s not there to “make money.” It’s there to help you avoid doing dumb things with the money that does need to make money.


Where people get into trouble is treating one pile of cash like it’s responsible for everything:


Your emergency fund is for unexpected events and income gaps. Sinking funds are for predictable expenses you can see coming (annual insurance premiums, property taxes if not escrowed, upcoming car replacement, a known home repair). Opportunity cash is for optional moves (like investing extra if markets are down or making a career transition). And tax cash is… for taxes. (Taxes have a special talent for arriving exactly when you wished they wouldn’t.)


Those can all be “cash,” but they shouldn’t be the same cash. If you blur them together, you’ll constantly feel like your reserve is either too big (because it includes everything) or too small (because you keep stealing from it).


One more boundary: a cash reserve shouldn’t replace real risk management. A properly structured plan also considers things like insurance coverage (disability is a big one for high earners) and debt structure. Cash is powerful, but it’s not a superhero.



The sizing framework: how to find an appropriate cash reserve size for commission-based careers

Here’s the approach I prefer because it produces an answer that fits your reality, not someone else’s Reddit thread.


Start with one number: your essential monthly spend. Not “what we spend in a fun month.” Not “what our credit card statement says after a conference in Vegas.” Essentials are what keeps the lights on and life moving: housing, utilities, insurance premiums, groceries, minimum debt payments, transportation baseline, and any work costs that truly aren’t optional.


Then we pressure-test that baseline against the things that make commission pay unstable. In medical sales, four factors tend to drive reserve size more than anything else:


How commission-dependent you are. Some reps have a base that can cover most essentials. Others have a base that covers… vibes. The more your life requires commissions to function, the more cash you may need.


Your lag time from performance to pay. Close does not always mean paid. Even a great rep can experience timing gaps, and timing gaps are exactly how people end up living on credit cards while “waiting for the big check.”


Your concentration risk. If a meaningful chunk of your income depends on a few big accounts or one product line, your reserve may need to reflect that. Diversification isn’t just an investing concept—it’s a cash-flow concept too.


Your fixed obligations at home. High income often brings high fixed costs: bigger mortgage, childcare, activities, maybe a second car because your travel schedule is basically a part-time logistics company. Fixed costs raise the minimum amount of cash you need to stay stable.


And this is where it helps to sanity-check comp benchmarks. RepVue reports median base salary for medical device sales reps around $70,000 with median OTE around $160,000, and top performers can exceed $350,000. (RepVue: medical device sales compensation data) MDLiaison also notes compensation commonly splits around 50/50 base vs. variable in medical device sales. (MDLiaison: medical sales compensation benchmarks)


That split matters because a 50% variable structure can feel stable in a good year and chaotic in a normal year. To make it even more real, RepVue shows only about 53.5% of medical device reps hit quota. (RepVue: quota attainment data) Translation: planning your household around “we’ll obviously hit plan” is like planning your travel day around “there will obviously be no delays.”



A simple rule that works better than rules of thumb: base + commission dependency

If your base salary reliably covers essentials, you have more flexibility. Your reserve can focus on timing gaps, surprise expenses, and the occasional down quarter.


If your base doesn’t cover essentials (or only covers them if nothing goes wrong), your cash buffer has to do heavier lifting. In that situation, your emergency fund for variable income is less like a “nice-to-have” and more like the foundation your whole financial plan sits on.


The key is that we size the reserve off expenses, not income. Two reps can make $300k and need wildly different reserves depending on their burn rate and commission mix.



Commission lag: the hidden reason many reps feel ‘cash poor’

Medical sales has a special talent for creating psychological confusion: you can be winning and still feel broke.


Why? Lag.


When payment is delayed—or when payout timing is inconsistent—your checking account becomes the scorecard you react to, even if your pipeline is strong. That’s how good reps end up feeling financially behind despite doing everything right professionally.


A reserve designed for commission lag is basically a shock absorber. It can help reduce the need to “solve” timing issues with expensive tools like high-interest debt.



Reserve targets that fit real commission careers (Core / Comfort / Strong)

Once you know your essentials and your volatility drivers, a tier system helps you pick a range without overengineering it. Think of these tiers as decision aids, not moral judgments.


Here’s a simple guide you can use to self-identify:


Reserve tier

Income profile

Common risk factors

Target cash reserve

Core

Stable base; commissions are a smaller portion

Occasional missed months, minor delays

3–6 months of essential expenses

Comfort

Meaningful commissions; moderate volatility

Quota swings, travel costs, payment timing gaps

6–9 months of essential expenses

Strong

Commission-heavy; long cycles/high fixed costs

60–120 day lags, territory/account concentration

9–12+ months of essential expenses



Notice what’s missing: “12 months because the world is ending.” This is about matching cash to the reality of your pay structure and household obligations.


Also, notice what the targets are based on: essential expenses. If you build the reserve around full lifestyle spending, it will feel impossible and you’ll never finish it. If you build it around essentials, it becomes achievable and functional—and you can always carry separate sinking funds for travel and lifestyle goals.


If you want help identifying your tier quickly (without it turning into a weekend-long spreadsheet event), that’s exactly the kind of thing we do in a first conversation. You can take the free financial assessment with Pulse Wealth or book a free intro call.



What counts as “essential expenses” (so you don’t overshoot or undershoot)

The fastest way to get the wrong emergency fund for variable income is to use a vague definition of “expenses.” So here’s a clean worksheet-style table. Fill it in with your real numbers, then multiply by your target months.


Category

Essential?

Monthly amount

Notes

Housing (mortgage/rent)

Yes

$

Include HOA if required

Utilities

Yes

$

Electric, water, internet needed for work

Insurance

Yes

$

Health, auto, home; include premiums

Debt minimums

Yes

$

Minimums only (separate extra payoff)

Transportation

Yes

$

Car payment, fuel, maintenance baseline

Groceries

Yes

$

Reasonable baseline

Travel/work costs not reimbursed

Yes

$

Credentialing, supplies, gaps in reimbursement



Two quick coaching notes from the trenches:


First, keep the “essential” number honest. If you’re trying to make work optional early, you’re going to need margin. And margin starts with knowing what you truly need per month.


Second, if your essentials are uncomfortably high relative to your base salary, that’s not something to ignore. It doesn’t mean you’ve failed. It just means your cash reserve for commission income may need to be stronger and you may want to tighten fixed costs over time so your plan isn’t permanently dependent on perfect quarters.



Commission dependency vs. a practical starting point

Commission percentage is one of the cleanest “at-a-glance” predictors of how big your buffer should be. Here’s a starting-point table you can use before you fine-tune for household specifics and payout lag.


Variable pay as % of total comp

Typical volatility

Suggested starting reserve

0–25%

Lower

4–6 months essential expenses

25–50%

Moderate

6–9 months essential expenses

50%+

Higher

9–12+ months essential expenses



Why does this work? Because when half (or more) of your pay is variable, the downside months aren’t small inconveniences. They’re full-on budget events. You don’t need to guess how many months of expenses for commission jobs anymore—you can anchor the decision to the biggest driver of instability.



Where to keep the reserve (so it’s safe, liquid, and not a drag)

This is where people get tempted to overcomplicate things. The job of an emergency fund is not to impress your friends at dinner. It’s to be there on a bad Tuesday.


So the priorities are:


Liquidity first. You should be able to access it quickly without penalties, hoops, or market risk.


Safety second. True emergency funds shouldn’t depend on what the stock market does this week.


Yield third. Yes, you want it to earn something if it can. But reaching for yield with emergency money often backfires at the exact moment you need the money.


Practically, many high earners use a simple two-bucket approach: keep 1–2 months of essentials in a highly accessible account for immediate needs, and keep the rest in a separate savings vehicle that’s still liquid but mentally “not for spending.” That structure alone prevents a lot of accidental raids.


People often ask about high-yield savings vs money market for emergency fund needs. Both can be reasonable places for cash reserves depending on the specific account and features. What matters most is access speed, stability, and understanding protections/terms. (If you’re unsure what you have, it’s worth reading the account disclosures and confirming how quickly funds can be transferred.)


One more nuance for high earners: if you’re holding larger cash balances, it’s smart to be aware of insurance limits and how accounts are titled. For bank deposits, the official source is the FDIC—here’s the FDIC deposit insurance overview so you can confirm how coverage works for your situation.



How to build an emergency fund on fluctuating commissions (medical sales version)

The best plan is the one you’ll actually execute during a busy quarter when you’re living in hotels and your to-do list looks like it was assembled by a committee.


One mindset shift makes this dramatically easier: base salary runs the household; commissions build the future.


In plain English, if you can structure your fixed life around the base (or mostly around it), commissions become a tool instead of a requirement. That’s how you get leverage: you can invest more consistently, fund goals, and absorb down months without panic.


For many reps, the simplest execution is a “sweep” system. When a commission check hits, a pre-decided percentage automatically moves to the reserve until you hit your target. The key is that it happens before lifestyle inflation gets a vote.


Once the reserve is fully funded, you don’t keep sweeping forever. You redirect those dollars toward other priorities—tax planning strategies for high-income earners, building a long-term investing system, debt strategy, or saving toward making work optional. Defining the finish line is what prevents “I guess I’ll keep piling up cash because I’m nervous” from turning into a long-term wealth drag.


And a quick reality check from Bankrate's research: when people tap emergency savings, it’s most often for essentials like rent, medical bills, or car repairs. (Bankrate: emergency savings usage and adequacy) That’s exactly why your reserve has to be real, accessible cash—not a credit card strategy dressed up as confidence.



Common mistakes high-earning commission professionals make with cash reserves

Most mistakes aren’t math mistakes. They’re “smart people under pressure” mistakes.


Using credit cards as a cash-flow tool. A credit card is great for points. It’s a terrible substitute for a cash buffer for sales reps, especially when lag time stretches and balances quietly snowball.


Keeping too much cash forever because the target was never defined. If your cash reserve size is a feeling instead of a number, it will tend to grow… and grow… and grow. Meanwhile, your long-term goals (work-optional timeline, passive income, travel) get delayed because money that could be working is sitting on the sidelines.


Counting retirement accounts as “emergency money.” In a true emergency, people do what they have to do. But planning to use retirement accounts as your emergency fund can create taxes, penalties, and permanent opportunity cost. It’s better to design the right buffer up front.


Mixing “tax cash” with “emergency cash.” Big commission year? Awesome. Also: potentially a bigger tax bill. If you don’t separate money earmarked for taxes, the emergency fund gets raided, and then the next surprise expense hits and you’re back to feeling behind.


Ignoring the real catastrophic risks. A cash reserve is great for short-term shocks. It’s not designed to replace things like adequate insurance planning. This isn’t about being alarmist—it’s about using the right tool for the right job.



Bringing it together: a quick self-check to pick your number this week

If you want to make progress fast, don’t try to be perfect. Try to be clear.


Take 30 minutes this week and answer three questions:


What are our essential monthly expenses? (Use the table above and keep it realistic.)


How dependent are we on commission to cover essentials? (If it’s 50%+ of your total comp, plan like volatility is normal—because it is.)


How bad could timing get? Think through your commission lag and the possibility of a soft quarter, not because you’re pessimistic, but because you’re building control.


Then choose a tier—Core, Comfort, or Strong—and set a target measured in months of essential expenses. Revisit it quarterly. Commission structures change. Life changes. Your reserve should evolve, not fossilize.


Most importantly, a properly sized reserve does something that’s hard to quantify but easy to feel: it buys you decision-making space. When you’re not reacting to every commission swing, you can invest more consistently, plan taxes more intentionally, and move toward “work optional” without the constant background noise of money stress.


If you’d like help pressure-testing what a right-sized cash reserve for a commission-based career looks like for your exact situation—and how to connect that reserve to a bigger plan (tax strategy, investing system, and making work optional) through ongoing flat-fee financial planning—you can book a free intro call.



FAQ: Cash reserves for commission careers

How much cash reserve should I have if my base salary covers the bills?


If your base reliably covers essential expenses, you can usually target the Core or Comfort range (often 3–9 months of essential expenses), depending on how volatile commissions are and how high your fixed obligations run. The point is that your reserve is still protecting you from commission lag, a down quarter, or an expense spike—just with a little less need to fund “full household operations” from savings. If your base covers essentials but commissions fund things like investing, travel, or extra debt payoff, a reserve can help you stay consistent and avoid stopping progress every time payouts are delayed.


Should I calculate my emergency fund using gross income or monthly expenses?


Use monthly expenses, specifically essential expenses. Gross income doesn’t tell you what it costs to run your household, and commission earners can have large swings in take-home pay due to both performance and withholding. Building your emergency fund for variable income around essentials keeps the target achievable and functional. Then you can maintain separate buckets for sinking funds (planned expenses), tax reserves, and lifestyle goals.


Is a 12-month emergency fund too conservative for medical sales?


Not always. A 12-month (or 9–12+ month) reserve can be reasonable if you’re commission-heavy, have a longer sales cycle, face meaningful commission lag, or carry high fixed expenses (mortgage, childcare, debt minimums). It can also make sense for single-income households or reps with concentrated territory risk. The downside is opportunity cost if you hold that much cash indefinitely without a plan. The best approach is to define the target, hit it, and then redirect future surplus toward investing and other goals rather than continuously stockpiling cash out of anxiety.


Where should I keep my emergency fund—HYSA or money market?


Both can work, as long as the account is liquid, stable, and you understand how quickly you can access funds. For an emergency fund, the priority order is generally liquidity and safety first, then yield. Many people use a two-step setup: a highly accessible bucket for the first 1–2 months of essentials, and a secondary bucket for the remaining months. If you’re holding larger balances, it’s also worth understanding how deposit insurance works; the official reference is the FDIC deposit insurance resource.


How do I build an emergency fund when commissions are unpredictable?


A commission-friendly system usually beats willpower. Many medical sales professionals do best with an automatic “percentage of commission” sweep: each commission check triggers a set transfer to the reserve until the target is fully funded. This avoids the common trap of spending first and saving whatever’s left. Another helpful approach is a floor/ceiling system: keep a defined floor (your target reserve level) and once you’re above it, redirect surplus to investing, taxes, or other priorities. The goal is to make saving automatic in good months so you don’t feel punished in average months.

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