1. Student Loans and Debt Management Exit Interview Cheri Marks Financial Aid Coordinator Spring 2011 Disclaimer: All information and estimates are based on AAMC interpretation of federal regulations as of January 2011 and are subject to change. These are estimates only. Students should always contact their servicer(s) to discuss exact loan balances and repayment options.

2. ©2011 Association of American Medical Colleges. All rights reserved. 86% of class report having educational debt 59% of class report debt $150,000 or higher All Schools Public Schools Private Schools Mean$157,944$148,222$172,422 Median$160,000$150,000$180,000 Class of 2010 Indebtedness Refer to page 1

3. “An investment in knowledge always pays the best interest” - Benjamin Franklin

4. Agenda Know Your Loan Portfolio How to Postpone Payments Repayment Plans Options During Residency Other Considerations

5. ©2011 Association of American Medical Colleges. All rights reserved. Know Your Loan Portfolio

6. ©2011 Association of American Medical Colleges. All rights reserved. Master Promissory Note Refer to page 6 A contract with the lender Has a multi-loan feature Rights and Responsibilities Details Terms and Conditions

7. ©2011 Association of American Medical Colleges. All rights reserved. Rights include the ability to: Prepay any federal loan without penalty Request a shorter repayment schedule Change repayment plans Request a deferment or forbearance Review your promissory note for all rights Refer to page 7 Rights and Responsibilities

8. ©2011 Association of American Medical Colleges. All rights reserved. Rights and Responsibilities Responsibilities include: Make on time loan payments Make payments despite receipt of bill Notify the lender of changes in contact info Attend an Exit Counseling session Review your promissory note for all responsibilities Refer to page 7

9. ©2011 Association of American Medical Colleges. All rights reserved. A Serious Obligation Student loans must be repaid Manage your debt - don’t let it manage you Refer to page 6

10. ©2011 Association of American Medical Colleges. All rights reserved. Delinquency Default Refer to page 8 Consequences of…

11. ©2011 Association of American Medical Colleges. All rights reserved. Terms and Conditions Discharge may be available in cases of: Review your promissory note for all terms

12. ©2011 Association of American Medical Colleges. All rights reserved. Finding Your Federal Loans To access, provide: - SS# - Date of Birth - First 2 letters (last name) - PIN # (www.pin.ed.gov)www.pin.ed.gov www.nslds.ed.gov Refer to page 4

13. ©2011 Association of American Medical Colleges. All rights reserved. Refer to page 11 Interest Rates

14. Repayment Strategy Prioritize repayment efforts – pay the most expensive debt FIRST!

15. ©2011 Association of American Medical Colleges. All rights reserved. Capitalization Addition of unpaid interest to the principal Principal + Interest = Larger Principal Refer to page 11

16. Repayment Strategy Pay the interest on unsubsidized loans PRIOR to capitalization

17. ©2011 Association of American Medical Colleges. All rights reserved. Loan Repayment Timeline Refer to page 13

18. ©2011 Association of American Medical Colleges. All rights reserved. How to Postpone Payments

19. ©2011 Association of American Medical Colleges. All rights reserved. Deferment A period when payments are not required Must apply and qualify Interest does not accrue on subsidized loans Unsubsidized loans continue to accrue interest NOTE: For more details on deferment or to request a deferment, contact your servicer. Postponement Options Refer to page 15

20. ©2011 Association of American Medical Colleges. All rights reserved. Postponement Options Refer to page 16 Forbearance A period when payments are not required Must request from the lender/servicer Interest accrues on sub and unsub loans Many types (administrative, discretionary, mandatory) NOTE: For more details on forbearance or to request a forbearance period, contact your lender/servicer(s).

21. ©2011 Association of American Medical Colleges. All rights reserved. Postponement Options Refer to page 16 Mandatory Medical Residency/Internship Used to postpone payments Interest accumulates on sub and unsub loans Requested annually from lender Continuous periods may avoid capitalization* *Check your servicer’s capitalization policy

22. ©2011 Association of American Medical Colleges. All rights reserved. Repayment Plans

23. ©2011 Association of American Medical Colleges. All rights reserved. Repayment Plans Determines the payment amount & interest cost Refer to page 18 $2,100 /mo $1,300 /mo $1,000 /mo $ 610 /mo $ 390 /mo

24. ©2011 Association of American Medical Colleges. All rights reserved. Equal monthly payments Higher monthly payments Lower total cost Repayment Plans Repayment term of 25 years Low monthly payment Likely the most expensive option Refer to page 18

25. ©2011 Association of American Medical Colleges. All rights reserved. Lower initial payments (tied to income) Possible higher costs Repayment Plans Payments start low, increase over time Possible higher costs Likely the lowest monthly payment Refer to page 19

26. ©2011 Association of American Medical Colleges. All rights reserved. Effects of each Repayment Plan on Total Cost Repayment Plans Refer to page 24

27. Debt Fact The lower the monthly payment… the higher the interest cost

28. ©2011 Association of American Medical Colleges. All rights reserved. Estimated Monthly Payment Amounts Repayment Plans Refer to page 22

29. ©2011 Association of American Medical Colleges. All rights reserved. Options During Residency

30. ©2011 Association of American Medical Colleges. All rights reserved. The most feasible options during residency: Pay Later (using Forbearance) Pay Now (using Income-Based Repayment)

31. ©2011 Association of American Medical Colleges. All rights reserved. Income-Based Repayment IBR Repayment Plan Based on household AGI* and family size Partial interest subsidy during the first 3 years Unpaid interest does not capitalize when: Annual paperwork is filed timely Borrower demonstrates a PFH *As reported to the IRS. Annual verification required of both AGI and family size

32. ©2011 Association of American Medical Colleges. All rights reserved. Income-Based Repayment To obtain IBR, borrower must do the following Contact each lender individually to request Inform lenders, annually, of family size Give lenders permission to access tax returns Demonstrate a Partial Financial Hardship (PFH)

33. ©2011 Association of American Medical Colleges. All rights reserved. Income-Based Repayment Formula for a Partial Financial Hardship (PFH): Standard payment* > IBR payment  More likely to occur when income is lower and debt is higher  Max payment in IBR is the Standard amount*  1st post-M.D. year median stipend is $47,700 * As originally determined when calculating Partial Financial Hardship based on $182,000 entering repayment ($160,000 total education debt plus $22,000 of capitalized interest from 4-years of school and 6-months of grace). $2,100 / mo* $390 / mo

34. ©2011 Association of American Medical Colleges. All rights reserved. Income-Based Repayment Determined by Calculating 15% of income that exceeds 150% of the poverty line for a borrower’s family size Online IBR Calculators www.finaid.org www.IBRinfo.org www.aamc.org/FIRST

35. Repayment Strategy To reduce the cost of student loans - make extra payments

36. ©2011 Association of American Medical Colleges. All rights reserved. Other Considerations

37. ©2011 Association of American Medical Colleges. All rights reserved. Eligible Loans Qualifying Payments Qualifying Work Public Service Loan Forgiveness + + Loan Forgiveness Refer to page 37

38. ©2011 Association of American Medical Colleges. All rights reserved. Other programs listed at AAMC website: Loan Forgiveness www.aamc.org/stloan NIH Loan Repayment Programs: NHSC Repayment Program: www.lrp.nih.gov www.nhsc.hrsa.gov/loanrepayment

39. ©2011 Association of American Medical Colleges. All rights reserved. Private Loans Details of Private Loans Typically unsubsidized for life of loan A grace period/forbearance may be available Cannot be included in IBR or PSLF Be cautious when consolidating private loans Refer to page 40

40. ©2011 Association of American Medical Colleges. All rights reserved. Federal Loan Consolidation When to consider consolidation: Variable rates are low Multiple lenders to repay To obtain Public Service Loan Forgiveness (DL) To make Perkins or LDS loans eligible for IBR Refer to page 38

41. ©2011 Association of American Medical Colleges. All rights reserved. Federal Loan Consolidation Effects of consolidating A longer term will increase the interest costs* Able to prepay or change repayment plan A new loan with new benefits** May negatively affect grace, deferment, or forgiveness options * The rate will be a weighted-average that may be rounded up to the nearest 1/8 th ** Forfeiture of original borrower benefits is likely. Future borrower benefits vary by lender. Refer to page 38

42. ©2011 Association of American Medical Colleges. All rights reserved. Full Deduction Partial Deduction NO Deduction Single $60,000 or less $60,001 to $74,999 $75,000 or more Married filing Jointly $120,000 or less $120,001 to $149,999 $150,000 or more www.irs.gov/publications/p970 Taxpayer Relief Act of 1997 Student loan interest deduction max $2,500 per year Voluntary payments may be eligible Capitalized interest may be included Refer to page 39

43. ©2011 Association of American Medical Colleges. All rights reserved. Check your Credit Report www.annualcreditreport.com Refer to page 29

44. ©2011 Association of American Medical Colleges. All rights reserved. The FIRST Stop… www.aamc.org/FIRST Medloans ® Organizer and Calculator Refer to page 3

45. ©2011 Association of American Medical Colleges. All rights reserved. Your residency program Your loan servicers’ and their websites FIRST for Residents Mailbox Your medical school financial aid office Support Along the Way FACEBOOK: FIRST for Medical Education www.aamc.org/FIRST www.ombudsman.ed.gov

46. Questions? FIRST@AAMC.org