The Price of Success: Managing Student Loan Repayment. American College of Foot and Ankle Surgeons Webinar August 30, 2018

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The Price of Success: Managing Student Loan Repayment American College of Foot and Ankle Surgeons Webinar August 30, 2018

Presenters Todd Woodlee, Vice President igrad Nicholas Smith, DPM, FACFAS Columbus Foot and Ankle

Some Perspective $1.5 Trillion in student loan debt 44 Million borrowers 2.2 Million borrowers with over $100,000 in debt $850 Billion for borrowers over age 40 (11%) 68% of students have loan debt Averages: $37,000 for UG and $190,000 for Health Professions

1. What is your current medical profession status? Student Resident Post Graduate Fellow In Profession 3 years or fewer In Profession 4 years or greater Other

Repayment Strategy Terms and conditions of student loans Interest rates and capitalization Repayment and postponement options Forgiveness provisions Personal Control of your own debt How disciplined you are to aggressively pay Risk averse or non-risk averse Confidence in federal government * Factors in play when determining repayment strategy on loans.

Considerations Best options are on Direct Loans One servicer for federal loans IDRs* provide manageable payments regardless of debt No penalty for overpayment Refinancing an option for many * Income Driven Repayment plans like IBR, PAYE, or REPAYE

More Considerations Interest rates up this year Repayment more complicated than ever Income plans have a downside Changes likely

Interest Rates Year Unsub* Grad PLUS* 2018-2019 6.60% 7.60% 2017-2018 6.00% 7.00% 2016-2017 5.31% 6.31% 2015-2016 5.84% 6.84% 2014-2015 6.21% 7.21% 2013-2014 5.41% 6.41%

2. What best represents your current student loan debt level? Less than $50,000 $51,000 - $100,000 $101,000 - $150,000 $151,000 - $200,000 $201,000 - $250,000 $251,000 or greater Other

Repayment Plans* 1. Time driven 2. Income driven * Federal loans

Time Driven End of term, debt retired Standard 10 and Extended 25 year Payment calculation has nothing to do with income, marital status, how you file taxes, family size Great for budgeting Can switch to income plan later

Income Driven Designed for high debt borrowers who can t afford Standard 10 year Bigger the gap between federal debt and income, more likely you need IDR Multiple plans, PAYE and REPAYE newest and best plans, IBR older Consider plan with lowest payment

IDR Calculations Payments based on income and family size Payments change annually Never EVER miss a deadline Prior year AGI or current income, if significantly different than prior AGI

Married and IDR Spousal income counted under all plans when filing jointly Spousal income always counted with REPAYE, regardless of filing status Spousal income not counted with IBR and PAYE when filing separately

Once in an IDR 1. PSLF kicks in after 10 years* 2. You retire the debt before the term is up 3. Debt left at end of term is forgiven, but is taxable * Public Service Loan Forgiveness

IBR, PAYE and REPAYE * Discretionary Income ** Taxable *** Must demonstrate Partial Financial Hardship 2017 PGPresents, LLC * All Rights Reserved * www.pgpresents.com * October 2017

Switching plans* Work with loan servicer Capitalization likely when switching income plans Forgiveness clock does not reset * Federal loans

Examples Start in time driven, move to income plan later Start in income plan, then overpay, no need to switch plans

PSLF* Designed to encourage borrowers to enter public sector by promising to forgive their debt tax free Podiatrists and PSLF PSLF may be on chopping block** Requirements 1. 120 timely IDR payments on 2. Direct Loans 3. While working FT for eligible employer * Public Service Loan Forgiveness ** Changes likely impacting first time borrowers

3. What is your current student loan repayment status? Medical Student and an in-school deferment Resident in an in-school deferment Resident or Fellow in an Income Driven Repayment Program Professional in a 10 year Standard Repayment Plan Professional in an Extended Repayment Plan Professional in an Income Driven Repayment Program (IBR, PAYE or REPAYE) Other

$200,000* debt with $120,000 starting salary Standard 10 years Extended 25 years REPAYE 25 years PAYE 20 years IBR 25 years Monthly Payments Total Amount Paid PSLF 10 yr. Paid Out/ Forgiven $2,602 $312,240 Nothing to forgive * Direct Unsub and Grad PLUS with applicable rates for Class of 2016 * 6 month window prior to repayment, no aggressive payments * 3 year residency at $52,000, starting salary of $120,000, single, family size of 1 Non PSLF 20 or 25 yr. Plan Forgiveness NA $1,532 $459,708 Not eligible NA $285 to $1,645 $285 to $1,406 $427 to $2,468 $329,004 $89,307/ $259,353 $236,202 $89,307/ $287,393 $493,506 $133,961/ $242,671 $232,769 (taxable) $285,888 (taxable) $44,330 (taxable)

$200,000* debt with $160,000 starting salary Standard 10 years Extended 25 years REPAYE 25 years PAYE 20 years IBR 25 years Monthly Payments Total Amount Paid PSLF 10 yr. Paid Out/ Forgiven $2,602 $312,240 Nothing to forgive Non PSLF 20 or 25 yr. Plan Forgiveness NA $1,532 $459,708 Not eligible NA $285 to $2,266 $285 to $1,941 $427 to $2,602 $451,151 $119,957/ $239,145 $323,249 $119,957/ $256,743 $433,116 $179,936/ $192,869 * Direct Unsub and Grad PLUS with applicable rates for Class of 2016 * 6 month window prior to repayment, no aggressive payments * 3 year residency at $52,000, starting salary of $160,000, single, family size of 1 $81,238 (taxable) $192,245 (taxable) $0

Private refinancing Trading debt for debt Risky in residency, viable in practice Lenders generally consider credit, employment history, debt to income ratio More competitive than ever

Questions to ask Interest rates and capitalization Repayment options (term) Postponement options Cosigner provisions Forgiveness Aggressive payments on principal

Interest Rates Fixed or variable Comparison to federal rates Realistic estimate of savings For variable rates Minimum and maximum How often reset and when disclosed Don t overcommit for lower rate

Questions to ask Interest rates and capitalization Repayment options (term) Postponement options Cosigner provisions Forgiveness Realistic comparison of numbers

Should you refinance Maybe, if you are ready to repay, perhaps aggressively are not risk averse don t need flexibility of federal loans have trust concerns with government Maybe not, if you need payments tied to income are interested in forgiveness are a bit on the cautious side

What to watch for New repayment plan options/simplification Changes to PSLF* PSLF and October 2019 Fewer consumer protections More lenders offering refinancing New borrowers or new loans

Takeaways Repayment is absolutely doable Unlikely you have made any really bad decisions to this point Don t switch plans without careful consideration Documentation invaluable

Resources and Calculators Some allow NSLDS upload Note assumptions AAMC Medloans Organizer and Calculator at www.aamc.org/first Repayment Estimator at www.studentloans.gov Student Loan Resources at www.hacu.org Enrich

Questions

Special Thanks to Paul Garrard of PGPresents for content and resources.