The default rule: a nonexempt employees' trust. If a foreign employer plan is an employees' trust that is not exempt under section 501(a), section 402(b) applies. Under 402(b)(1), employer contributions "shall be included in the gross income of the employee in accordance with section 83", which means they are taxed when the employee's interest becomes substantially vested rather than when the money is eventually paid. Under 402(b)(2), amounts actually distributed or made available are taxable to the recipient under section 72, the annuity rules, so the amounts already taxed as contributions become investment in the contract and are not taxed twice. The practical effect is that the US taxes the plan earlier than the host country does, and the mismatch is the whole difficulty.
The foreign earned income exclusion does not cover it, and this is explicit in the statute. Section 911(b)(1)(B)(iii) removes from foreign earned income any amounts "included in gross income by reason of section 402(b)". So an American abroad who excludes their salary cannot also exclude the retirement contribution their employer made to the plan on top of it. That amount lands in taxable income at full rates in a year when there may be no cash to pay the bill with.
Income accruing inside the plan can be taxable before distribution. The IRS states the general domestic rule plainly in Rev. Proc. 2014-55, describing Canadian plans: a US citizen or resident who is a beneficiary of such a plan "will be subject to current U.S. income taxation on income accrued in the plan even though the income is not currently distributed to the beneficiary, unless the plan is an employees' trust within the meaning of section 402(b) of the Internal Revenue Code and the individual is not a highly compensated employee subject to the rule of section 402(b)(4)(A)." The revenue procedure adds the reason the problem is real rather than theoretical: the host country will not tax the accrual until distribution, so the two systems tax the same income in different years, and no domestic US relief fixes the mismatch.
What is inside the plan can be worse than the plan itself. Foreign retirement plans commonly hold locally domiciled pooled funds. A foreign corporation that is mostly passive is a passive foreign investment company for US purposes, and the default regime for one is punitive. Whether the PFIC rules reach a fund held through a particular foreign plan depends on how the plan is structured and on any treaty protection, so this is a question to ask about a specific plan rather than to assume either way.
The reporting stack has three separate layers. First, Form 8938. The IRS lists an interest in a foreign retirement plan or a foreign deferred compensation plan among the assets that must be reported when held outside a financial account, and the Form 8938 instructions draw the line that catches people out: a foreign government's social-security-equivalent benefit is not reportable, and that exclusion "does not include an interest in a foreign pension plan", which is. Valuation is the fair market value of the beneficial interest on the last day of the year, falling back to the value of distributions received and, where neither is knowable from readily accessible information, to zero.
Second, the FBAR, where the question is whether the arrangement is a financial account in a foreign country under the FinCEN rules rather than what the country of origin calls it. Third, the foreign trust reporting rules. Section 6048 requires annual reporting of a US person's transfers to, ownership of, and distributions from foreign trusts, on Forms 3520 and 3520-A, with penalties under section 6677. Section 6048(a)(3)(B)(ii) already excepts transfers to a foreign compensatory trust described in section 402(b), 404(a)(4) or 404A, which removes a large category of employer plans.
Rev. Proc. 2020-17 removed the foreign trust forms for a defined class. The revenue procedure exempts eligible individuals from section 6048 information reporting for "applicable tax-favored foreign trusts", a category that includes a tax-favored foreign retirement trust. To be one, the arrangement must operate exclusively or almost exclusively to provide pension or retirement benefits under the law of its jurisdiction, and satisfy several conditions, among them: it is generally tax-exempt or otherwise tax-favored there; annual information reporting on it is available to that country's tax authorities; "only contributions with respect to income earned from the performance of personal services are permitted"; contributions are limited by a percentage of earned income or subject to an annual limit of $50,000 or less or a lifetime limit of $1,000,000 or less; withdrawals are conditioned on retirement age, disability or death, or carry penalties otherwise; and an employer-maintained trust meets nondiscrimination conditions. Those two dollar limits are fixed figures in the revenue procedure and are not indexed. Only an "eligible individual", broadly one who is compliant or comes into compliance with the US income tax obligations related to the trust, may rely on it.
Two limits on that relief are stated in the revenue procedure itself. It "does not affect any reporting obligations under section 6038D or under any other provision of U.S. law, including the requirement to file FinCEN Form 114", so Form 8938 and the FBAR are untouched. And it is an exemption from a reporting requirement, not from tax: nothing in it changes how the plan's contributions or earnings are taxed.
Canada has its own long-standing route. Rev. Proc. 2014-55 sets out how a beneficiary applies paragraph 7 of Article XVIII of the US-Canada treaty to defer US tax on income accruing in a Canadian retirement plan until distribution. The election is made plan by plan, and once made can only be revoked with the Commissioner's consent. It is the clearest illustration of the general point: relief for a foreign pension usually comes from a treaty rather than from domestic law.
Treaties, and why they do not always help a US citizen. Many US income tax treaties contain a pensions article that can align the timing of taxation with the host country's, or preserve the deductibility of contributions. Whether such an article reaches a US citizen depends on that treaty's saving clause, which generally preserves the United States' right to tax its own citizens as though the treaty did not exist, and on whether the saving clause carves out the pensions article. Both vary treaty by treaty, so the answer for a German plan tells you nothing about a Japanese one, and a treaty-based return position is disclosed on its own form.
A foreign pension does not reduce your US Social Security benefit. For many years the Windfall Elimination Provision could cut a US benefit for someone who also drew a pension from work not covered by US Social Security, which included many foreign pensions. The Social Security Fairness Act repealed that provision along with the Government Pension Offset, so a foreign pension no longer causes that reduction. A separate mechanism, a totalization agreement, deals with cross-border Social Security coverage and credits, and is not affected by holding a foreign employer pension.