2015 REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS:

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1 2015 REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS: Women Physicians Segment Start Here 2015 AMA Agency, Inc. a subsidiary of the American Medical Association

2 Introduction Women are playing an increasingly prominent role in the medical profession. More than one-third of today s U.S. physicians are women, and in the age forty and under group, 49 percent are women. Across ages and specialties, they share a host of characteristics in their lifestyles and profession. But a striking characteristic is their top personal financial goal achieving a secure retirement for themselves and their spouses or partners. And more than half of them are well on their way - 53 percent consider themselves on track or ahead of schedule in saving for retirement. A comprehensive view of women physicians; personal finance However, despite this good news, there is a world of personal financial challenges unique to being a physician. We delved into them in our 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment, covering their personal financial goals and concerns, family situations, financial acumen, retirement readiness, and future plans. We also uncovered six (6) key traits shared by financially prepared women physicians and asked for wish I had known this earlier in my career advice to share with other physicians. The result is a current, comprehensive view of today s woman physician and her attitudes and behavior about personal finance. Report data offers age comparisons in key financial areas While women physicians across all age groups share common personal financial goals, the report data also indicates differences by age in how they approach personal finance and financial issues. These can be seen by comparing women physicians age 40 and under, 41-50, and over age 60 in these areas: family life, top financial concerns, personal finances, financial acumen, insurance protection and retirement readiness. Report offers insights, peer and expert advice We believe that setting a healthy foundation for personal financial security is paramount to success as well as peace of mind. AMA is committed to offer insights, tools, and advice from experts and peers customized to women physicians to help achieve that goal. Mostly, we hope that this report resonates with women physicians, and that all physicians find it of value. We wish to thank the women physicians who contributed to the report, the American Medical Association (AMA), and Robin Robertson CLU of Millennium Brokerage Group, LLC, for their support. As always, we look forward to any questions or comments you may have. Denise S. Friday, CLU Vice President Sales & Marketing, AMA physiciansinfocus@amainsure.com REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

3 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Introduction Readiness 7 Savings 8 Personal Knowledge 11 Use of Professional Advisor 14 Why A Planner is Not Used 17 Confidence Making Right Decisions 18 Contribution to Household Income 20 Personal Decisions 21 Household Composition 25 Emergency Funds 26 Income Disruptions 30 Have Estate Plan 31 Have Disability Plan in Force? 32 Through Work 33 How ly Prepared if Emergency? 37 Fund Long Term Care 38 Age 40 Specialty 41 Practice Environment 42 Primary Employment 43 Where Trained REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

4 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Objective The 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment is the latest data release from AMA designed to understand the attitudes and corresponding behaviors of physicians related to personal financial planning and retirement readiness across the continuum of ages, specialties, employment situations and practice environments. The report includes insights gleaned from three national studies representing 3,077 U.S. women physicians. The Women Physicians features insights specific to U.S. women physicians from the 2014 Report on U.S. Physicians Preparedness [N=570], with supporting data from the 2014 Work/Life s of Today s U.S. Physician [N=1885] and the 2013 Report on U.S. Physicians Preparedness [N=622]. Each national survey was sent to approximately 125,000 practicing U.S. physicians. Survey data collected through Qualtrics. Full report confidence interval 95%, +/- 4% margin of error REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

5 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment About half (52%) of women physician respondents believe they have unique and/or more complicated financial needs than their peers in other professions. More complicated The same Not sure 18% Q: Do you believe physicians have unique and/or more complicated financial needs than other professions? 30% 52% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

6 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Women physicians say a doctor s personal financial life is more complicated because they begin their careers later than other professions, work in an environment with more liability risks, carry medical school debt that delays savings, and don t have the time to learn about personal finances. Q: What are the top reasons you believe physicians have unique and/or more complicated financial needs than other professions? (Choose up to 3 reasons) Begin careers later than other professions Concerns over malpractice and other liability risks Medical school debt repayment delays savings Lack of time to spend learning about financial issues Not as financially savvy as other professions Tend to plan to work later in life than other professions Other Base N=298 Multiple answers permitted REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

7 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Fifty-three percent (53%) of women physicians consider themselves to be on-track or ahead of schedule when describing the overall status of their retirement financial plans. 47% say they are behind where they d like it to be Ahead of schedule On-track Behind where I d like it to be Q: How would you describe the overall status of your retirement financial plans? 46% 47% 7% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

8 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Forty-eight percent (48%) of women physicians have at least $500,000 saved for retirement. 22% have less than $100,000 4% have more than $3,000,000 in their retirement portfolio Q: What is the approximate value of your current retirement savings portfolio? 30% Under $100,000 $100,000 - $500,000 $500,001 - $1,000,000 $1,000,001 - $3,000,000 More than $3,000,000 22% 24% 20% 4% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

9 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Most women physicians have a 401k or 403b retirement savings plan in place. 43% have/also have a traditional IRA 35% have/also have a Roth IRA 401k Traditional IRA Q: Which of the following financial instruments do you have in place for retirement savings? (Choose all that apply.) 75% 43% 35% Roth IRA Simplified Employee Pension Plan Profit Sharing Plan Other (403b, etc.) None of the above 25% 22% 13% 5% Base N=570 Multiple answers permitted REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

10 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Only about 10% say it is very likely that they will receive an inheritance; most (57%) say an inheritance is very unlikely. Q: How likely is it that you will receive an inheritance? Very likely Somewhat likely Somewhat unlikely Very unlikely 57% 10% 19% 14% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

11 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment The majority of women physicians (76%) believe they are only somewhat or not very knowledgeable about personal financial planning. Q: In general, how would you rate your understanding of personal financial issues (such as personal financial planning, estate planning, investments, retirement planning, insurance?) 21% 43% Very knowledgeable Knowledgeable Somewhat knowledgeable Not very knowledeable 33% 4% Base N=481 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

12 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Nearly two-thirds (62%) of women physicians feel the time they spend on their personal finances is not adequate. Q: Do you feel the time you spend on your personal and family financial planning is adequate? Time spent is adequate Time spent is not adequate Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

13 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Nearly half of women physicians say lack of time is the main reason they don t spend more time on their personal family financial planning. One quarter (27%) say it s because it s not my area of expertise Q: What would you say is the main reason you don t spend more time on your personal and family financial planning? (Choose one) 47% Lack of time Not my area of expertise Someone else in my family handles it Don t think about it Other Isn t a priority 27% 12% 6% 4% 3% Base N=354 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

14 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Fifty-eight percent (58%) of women physicians work with a professional financial planner as a trusted advisor. Q: Do you/your family use a professional financial planner (a trusted advisor outside of your immediate family) to assist you in personal/financial and retirement planning matters? Work with professional advisor Do not work with professional advisor Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

15 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Eighty-eight percent (88%) of women physicians who use a financial planner believe their advisor understands physicians somewhat or very well. Q: How well do you think the financial advisor you work with understands physicians? Very well Somewhat Not very well Not sure 54% 34% 4% 7% Due to rounding, total may not add up to 100%. Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

16 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment The majority (84%) of women physicians who use a professional financial planner are very or somewhat satisfied with their current advisor. Only 2% are dissatisfied Q: How satisfied are you with your current financial advisor? Very satisfied Somewhat satisfied Neutral Somewhat dissatisfied Very dissatisfied 52% 32% 14% 2% 0% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

17 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Of those women physicians who have not engaged a financial advisor, 45% say it is because they haven t found someone I trust. 34% say it s because it costs too much 32% say lack of time 33% say they would rather do it myself or I used to but didn t find enough value in it 45% Haven t found someone I trust Costs too much Q: Why have you decided not to use a financial advisor to assist you with personal financial, retirement planning matters? (Choose all that apply.) 34% 32% 19% 18% 15% Lack of time Other (Please specify) I d rather do it myself I used to, but I didn t find enough value in it Base N=369 Multiple answers permitted REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

18 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment About half (52%) of women physicians feel somewhat confident that they are making the right financial decisions for themselves and their family. One quarter (25%) say they feel not very confident about their decisions Very confident Somewhat confident Not very confident Q: How confident are you that you are making the best personal financial decisions for you/your family? 52% 22% 25% Base N=570 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

19 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment When asked what would give them more confidence, most women physicians say a professional advisor (38%), webinars or events (27%), or advice from another established physician (28%). 37% are not sure 7% say nothing Guidance from a professional advisor Not sure Q: What would give you more confidence in your personal financial decision making? (Choose all that apply.) 38% 37% 28% 27% 21% Advice from another established physician Webinars or special events on financial decision-making More accessible online information Other (Please specify) Nothing 8% 7% Base N=443 Multiple answers permitted REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

20 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Seventy-one percent (71%) of women physicians are the breadwinners in their family, earning about 75% or more of their family s household income. Q: Your income makes up what percentage of your family s total household income? More than 75% About 75% About 50% About 25% Less than 25% 53% 18% 20% 7% 2% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

21 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Half of women physicians say they are primarily responsible for personal financial planning decisions for their family. One-third (34%) say they share responsibility with their spouse or partner Only 16% say their spouse has the primary responsibility for their family s personal financial planning decisions Q: Who in your family would you say is primarily responsible for personal financial planning decisions for your family? Me My spouse Joint responsibility Base N=622* *Data Source: 2013 Report on U.S. Physicians Preparedness: Women Physicians Segment REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

22 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Sixty-seven percent (67%) of women physicians are married. Q: What is your marital status? 67% Married Single Unmarried, with a partner Separated Divorced Widowed 16% 5% 1% 9% 1% Base N=570 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

23 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment On average, 43% of women physicians are working mothers with children under 18 at home. Yes, I have children under 18 No children at home Q: Do you have children under 18 living at home? Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

24 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Twenty-eight percent (28%) of women physicians are or were married to another physician. 43% have a spouse who works in a non-healthcare field 8% of women physicians have a spouse who is a full-time homemaker 43% A physician (working or retired) A non-physician healthcare professional Employed in a field unrelated to healthcare Q: Your spouse or significant other/partner is/was: 28% A full-time homemaker (working and providing for the home) Employed part time Retired Other 7% 8% 5% 6% 3% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

25 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment FIfty-four percent (54%) of women physicians have three or more people living in their household. One Two or more Q: Including yourself, how many people live in your household? 41% 29% 17% 13% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

26 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Nearly two-thirds (65%) of women physicians have a separate and accessible emergency fund set aside. Have emergency fund Does not have emergency fund Q: Do you have a liquid emergency savings fund? (A separate fund set aside and accessible exclusively for emergencies.) Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

27 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment More than half (55%) of women physicians keep less than $50,000 in their emergency savings fund. 18% have been between $50,000 and $74,999 28% have at least $75,000 set aside for an emergency expense Q: How much do you keep in your emergency savings fund? Less than $25,000 $25,000 - $49,999 $50,000 - $74,999 $75,000 - $100,000 More than $100,000 29% 26% 18% 17% 11% Base N=368 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

28 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment The majority (62%) of women physicians with an emergency fund consider the amount adequate or more than enough for their needs. 38% say the amount they keep in their emergency fund is less than what they need or would like to have. More than enough Adequate Q: Do you consider your emergency fund to be: Less than what I need/ would like to have 46% 38% 16% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

29 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Forty-two percent (42%) of women physicians say they would have no problem covering a $25,000 emergency expense. 52% would have to move funds from another account or would have to liquidate assets 7% say they would have to borrow from family or simply couldn t do it Would have no problem Q: If you had to write a check today for $25,000 to cover an emergency expense you: 42% 32% 20% Would have to move funds from another account Would have to liquidate assets Other (e.g. borrow from family) 7% Base N=570 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

30 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Maternity leave (36%), personal sick leave (21%), and unemployment (18%) are the three most common income disrupters for women physicians. Maternity leave Aging parent leave Personal sick leave sick leave Unemployment Disability Other (please specify) None of the above Q: Which of the following family household income disruptions have you experienced? (Specific periods of time when all or a portion of your family s earnings were reduced.) Choose all that apply. 36% 9% 21% 11% 18% 6% 10% 33% Base N=570 Multiple answers permitted REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

31 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Overall, less than half (46%) of women physicians have an updated will in place. 43% have end-of life directives 42% have medical directives 44% do not have an estate plan at all Updated will End-of-life directives Estate tax plan Medical directives Q: Which of the following are currently in your estate plan? (Check all that apply.) Power of attorney Charitable giving provisions I don t have an estate plan 46% 43% 42% 40% 44% 25% 15% Base N=622* Multiple answers permitted *Data Source: 2013 Report on U.S. Physicians Preparedness: Women Physicians Segment REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

32 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment About three-quarters (72%) of women physicians currently have a disability income insurance policy in force. Q: Do you currently have a disability income insurance policy in force? Have disability insurance policy Do not have disability insurance Not sure Base N=622* *Data Source: 2013 Report on U.S. Physicians Preparedness: Women Physicians Segment REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

33 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment The majority of women physicians get malpractice, life, and disability insurance through work. 47% have maternity leave/short term disability insurance through their employer Malpractice Life Disability Q: Which of the following insurance benefits do you have through your employer? (Choose all that apply) 90% 70% 70% 47% Maternity/Paternity/Leave (Short Term Disability) Critical Illness Other (Please specify) 14% 7% Base N=410 Multiple answers permitted REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

34 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Most (78%) of women physicians agree that disability insurance is essential. 22% say it is nice to have, but optional It s essential It s nice to have, but optional It s not important Q: Which of the following best describes your attitude toward disability insurance for physicians? 78% 22% 0% Base N=622* *Data Source: 2013 Report on U.S. Physicians Preparedness: Women Physicians Segment REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

35 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment About two-thirds (68%) of women physicians say their disability policy is own-occupation or own-specialty. 27% are not sure Q: Is your policy considered ownoccupation or own-specialty (meaning if you cannot perform the duties of your particular specialty at the time of claim, you are considered totally disabled and eligible to receive benefits even though you could practice outside your specialty)? Disability policy is own-specialty Disability policy is not own-specialty Not sure Base N=449* *Data Source: 2013 Report on U.S. Physicians Preparedness: Women Physicians Segment REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

36 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Fifty-six percent (56%) of women physicians are not sure if the disability benefit they would receive would be subject to tax. 35% say their disability benefit is not taxable 10% say their benefit would be taxable Q: Is the disability benefit amount you would receive taxable? 56% Not sure Benefit would not be taxable Benefit would be taxable 35% 10% Due to rounding, total may not add up to 100%. Base N=449* *Data Source: 2013 Report on U.S. Physicians Preparedness: Women Physicians Segment REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

37 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Forty-six percent (46%) of women physicians feel somewhat financially prepared in the event they become disabled and unable to practice medicine. About one-third (36%) feel not adequately prepared 17% feel very prepared Somewhat prepared Not adequately prepared Very prepared Q: How financially prepared do you feel you are in the event that you become disabled and unable to practice medicine? 46% 36% 17% Base N=622* Due to rounding, total may not add up to 100%. *Data Source: 2013 Report on U.S. Physicians Preparedness: Women Physicians Segment REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

38 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment About one third (36%) of women physicians don t know how they will pay for their long-term health care needs. 30% intend to use long term care insurance 35% plan to self-fund from retirement or other savings Don t know Long term care insurance Self-fund from retirement savings Q: How do you plan to pay for your long-term care? (Living assistance in the event of a chronic illness or disability?) 36% 30% 24% Self-fund from other savings besides retirement 11% Base N=570 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

39 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Among women physicians who have disability insurance as an employee benefit, 45% of women physicians say their employer pays for their disability insurance premium; nearly 20% are not sure. Employer pays premium Not sure I pay all or a portion of the premium Q: Does your employer pay 100% of the disability insurance premium of the policy you have through work? Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

40 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Women Physician Survey Age Groups: 27% age 40 and under 26% ages % ages % over age 60 Under Q: What is your age? 11% 16% 12% 14% 15% 16% 11% over 65 3% 0% Base N=570 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

41 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Women Physician Survey Specialty: 44% of responding women physicians are primary care doctors including: 18% Pediatrics 15% Internal Medicine 11% Medicine Q: What is your specialty? Other (Please specify) Pediatrics Internal Medicine Medicine Psychiatry Obstetrics and Gynecology Anesthesiology Emergency Medicine General Surgery Radiology Dermatology Opthalmology Hematology/Oncology Cardiovascular Disease Orthopedic Surgery 20% 18% 15% 11% 9% 9% 4% 3% 3% 2% 2% 2% 1% 1% 0% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

42 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Women Physician Survey Practice Environment: 22% work in a large group practice 19% work in a hospital Q: Which best describes your practice environment? Large group practice (More than 11 physicians) Hospital Small practice (2-5 physicians) Solo practice Mid-sized practice (6-11 physicians) Medical School Other (Please specify) Retired 22% 19% 16% 13% 10% 10% 10% 1% Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

43 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Women Physician Survey Primary Employment: Sixty-six percent (66%) of U.S. women physicians are employed in a group practice, hospital, or medical school. 19% are self-employed 9% are a partner in a group practice 66% Employed (in a group practice, hospital, medical school, etc.) Q: Which best describes your primary employment? Self employed Partner Other (Please specify) Not currently employed 19% Retired 9% 2% 2% 1% Base N=570 Due to rounding, total may not add up to 100% REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

44 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment Women Physician Survey Where Trained: Seventy-one percent (71%) of women physicians graduated from a U.S. or Canadian medical school. Q: Did you graduate from a medical school outside of the United States or Canada? Graduated from a U.S. or Canadian medical school Graduated from medical school outside the U.S. or Canada Base N= REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

45 Conclusions & Women are becoming increasingly prominent in the world of medicine. More than one third of American physicians are women, and there is now an unprecedented 51/49 split between men and women physicians age 40 and under. As family breadwinners with multiple responsibilities at work and at home as well, women physicians particularly have little time to devote to their family s personal finances. Yet over half of them of all ages do spend what they consider to be adequate time on their personal finances and feel on-track or even ahead of schedule in preparing for a healthy retirement. Personal financial issues by age differ; create a complex financial picture While women physicians across all age groups share a secure retirement as a common personal financial issue, there are differences in almost every other area of their personal financial lives. The differences show up clearly in comparing women physicians by age age 40 and under, 41-50, and over age 60. Physicians can feel financially prepared for retirement at any age A key finding is that regardless of age, 53 percent of women physicians feel financially prepared for retirement, which is their number one personal financial goal. In fact, among women physicians age 40 and under, 54 percent feel on-track or ahead of schedule. While one might think of age as the prerequisite to financial preparedness, this is not the case with women physicians. With them, we discovered that it is more of an attitude and commitment to taking the steps needed to assure a secure personal financial future. ly prepared women physicians share 6 Traits 1. Considers retirement portfolio on-track or ahead of schedule (for their age, and career stage) 2. Keeps a liquid emergency fund adequate for their current lifestyle 3. Feels adequately protected in the event of a disability 4. Uses a professional financial advisor 5. Has an updated will, medical- and end-of-life directives in place 6. Feels more knowledgeable and confident about personal finances We especially wish to thank the respondents in the Women Physicians Segment survey for their advice and candor. We ve felt privileged to get to know this unique group better, and to be able to offer insights and recommendations that can help them succeed in their personal financial lives. We invite you to review the report in full, and hope you will forward it to your colleagues. We also welcome any questions or comments by to physiciansinfocus@amainsure.com REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

46 As family breadwinners with multiple responsibilities at work and at home, women physicians have little time to devote to their family s personal finances as a matter of practicality. Yet over half of them (of all ages) do spend what they consider to be adequate time on their personal finances and feel on-track or even ahead of schedule in preparing for a healthy retirement. Women physicians can feel financially prepared at any age While one might think of age as the prerequisite to financial preparedness, this is not the case with women physicians. In fact, with them, it s more of an attitude and commitment to taking the steps needed to assure a secure personal financial future. When we sifted through our research findings overall for the 2015 Report on U.S. Physicians Preparedness: Women Physicians Segment, we actually uncovered six traits shared by women physicians of all ages who are financially prepared. 6 Prepared Women Physicians 1. Considers retirement portfolio on-track or ahead of schedule (for their age and career stage) 2. Keeps a liquid emergency fund adequate for their current lifestyle 3. Feels adequately protected in the event of a disability 4. Uses a professional financial advisor 5. Has an updated will, medical- and end-of-life directives in place 6. Feels more knowledgeable and confident about personal finances The 47 percent of women physicians who said they feel behind where they d like to be in financial preparedness typically lack most or all of the traits. Their profile is very different from women physicians who believe they are prepared. It starts with developing a complete financial plan early in their career with a trusted professional advisor, counsels Senior Wealth and Planning Strategist Robin Robertson, CLU. Having that plan in place gives the physician a guide to manage her increases in income and successfully meet the challenges of changing work and life situations. Advice from another woman physician: I didn t really start figuring out finances until residency and that put me years behind. Now I m on the right track, but the catch-up was painful Preparedness Survey Participant What advice do you wish you would have received earlier? REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

47 : ly Prepared Trait #1: What is the approximate value of your current retirement savings portfolio? Has adequate retirement savings for their age and career stage current retirement savings portfolio? N=570 Over one third (38 percent) of financially prepared women physicians have more than $1 million in their retirement portfolio; only 10 percent of those who feel behind where they d like to be have that amount. Advice from another woman physician: Start getting serious about saving/investing from the get go, instead of 10 or 15 years later, as I did. Nearly 60 percent say they could write a $25,000 check to cover an emergency expense with no problem. Only half of women who consider themselves behind schedule have an emergency fund and 43 percent of those have less than $25,000 in it. Two-thirds would have to move funds or liquidate assets if faced with an emergency expense of $25,000. Seven percent would have to borrow from family or simply couldn t do it. Choice 'ly Prepared' 'Behind Schedule' Total Under Source: $100, Report on U.S. Physicians' Preparedness: 30Women Physician Segment $100,000 - $500, On average, 53% of all women physicians feel on-track, including 7 percent of women physicians who consider themselves ahead of schedule in saving for their number one personal financial goal a comfortable retirement for themselves and their spouse or partner. $500,001 - $1,000, $1,000,001 - $3,000, More than $3,000, ly prepared women physicians have significantly more retirement savings than peers who consider themselves behind where they d like to be Preparedness Survey Participant ly Prepared Trait #2: Nearly 80 percent of financially prepared women physicians have a separate fund for emergencies only. More than half keep more than $50,000 available exclusively for emergencies and consider their fund adequate or more than enough. Do you have a liquid emergency savings fund? (A separate fund set aside and accessible exclusively for emergencies.) Do you have a liquid emergency savings fund? (A separate fund set aside and accessible exclusively for emergencies.) Keeps a liquid emergency fund adequate for current lifestyle N=570 'ly Prepared' 'Behind Schedule' Total s' Preparedness: 30Women Physician Segment Choice 'ly Prepared' 'Behind Schedule' Total Source: 2014 Report on U.S. Physicians' Preparedness: Women Physician Segment Yes Data Source: AMA 2014 Report on U.S. Physicians Preparedness unless noted. * 2013 Report on U.S. No Physicians Preparedness N=570 ly Prepared Behind Schedule Choice 'ly Prepared' 'Behind Schedule' Total Do you have a liquid emerg for emergencies.) Source: 2014 Report on U.S. Physicians' Preparedness: Women Physician Segment Yes No REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

48 : How financially prepared do you feel you are in the event that you become disabled and unable to practice medicine? ly Prepared Trait #3: Feels adequately prepared in the event of a disability* o you feel you are in the event that you become disabled and unable to N=622 N-622 Source: 2013 Report on U.S. Physicians Preparedness: Women Physician Segment Most (81 percent) of financially prepared women physicians feel adequately prepared in the event that they become disabled and unable to practice medicine. They are also more likely to say: Choice 'ly Prepared' 'Behind Schedule' Total they have revisited their policy more recently and Very prepared Somewhat prepared S. Physicians Preparedness: Women Physician Segment they carry enough disability insurance to cover their current lifestyle. Not adequately prepared Over half (52 percent) of those behind schedule do not feel adequately prepared and 42 percent of them are only somewhat prepared. 'ly Prepared' 'Behind Schedule' Total About 70 percent of employed women physicians receive disability insurance through their employer. ly prepared women physicians are more likely to know whether their employer pays the premium and if their benefit would be taxable or not. Advice from another woman physician: Get a real education about disability insurance, long-term care insurance, etc Preparedness Survey Participant ly Prepared Trait #4: Two thirds (66 percent) of financially prepared women physicians use the services of a professional financial planner. Only half of those who consider themselves behind schedule use a professional advisor. Do you/your family Do you/your use a professional family use financial a professional planner financial (a trusted planner advisor (a outside trusted of advisor your outside of your immediate family) immediate to assist you family) in personal/financial to assist you personal/financial and retirement planning and retirement matters? planning matters? Uses a professional financial planner as a trusted advisor Choice Choice 'ly Prepared' 'ly Prepared' 'Behind Schedule' 'Behind Schedule' Total Total Yes Yes Source: 2014 Report Source: on U.S Physicians' Report on U.S. Physicians' Preparedness: Women Preparedness: Physician Segment Women Physician Segment No No Data Source: AMA 2014 Report on U.S. Physicians Preparedness unless noted. * 2013 Report on U.S. Physicians Preparedness N=570 Most women physicians found their planner through a referral and say their planner is an associate or advisor with a national wealth management firm. Those who do not use an advisor say the main reason is that they haven t found someone they trust. Robin Robertson, CLU recommends that young women physicians choose a young financial advisor they like so they can grow together. Make sure though that the advisor focuses on comprehensive financial planning. ly Prepared N=570 N=570 Do you have a liquid eme for emergencies.) Behind Schedule REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

49 : Which of the following are currently in your estate plan? (Check all that apply) ly Prepared Trait #5: Has adequate retirement savings for Has their an updated age and will career and stage medicalend-of-life directives in place* are currently in your estate plan? (Check all that apply) Advice from another woman physician: Get mentorship on investing and financial/business practice NOW don t wait until you have a good income. Feels more knowledgeable and confident about personal financial issues and decisions In general, how would you rate your understanding of personal financial issues (such as pers In general, how would you rate your understanding of personal financial issues (such as perso financial planning, estate planning, investments, retirement planning, insurance?) financial planning, estate planning, investments, retirement planning, insurance?) 2015 Preparedness Survey Participant In general, how would you rate your understanding of personal financial issues (such as personal financial planning, estate planning, investments, retirement planning, insurance?) Source: 2013 Report on U.S. Physicians Preparedness: Women Physician Segment N=1585 N=1585 Multiple answers permitted Multiple answers permitted ly prepared women physicians typically work with planners who ensure that wills, and medical- and end-of-life directives are in place. This is particularly important once a physician starts accumulating assets, makes big changes and/or starts a family. Choice 'ly Prepared' 'Behind Schedule' Total Updated will End-of-life directives Estate tax plan Medical directives This is especially critical since most women physicians are the breadwinners in their family. on U.S. Physicians Power of attorney Preparedness: Women Physician Segment mitted Charitable giving provisions Over half (55 percent) of those who are behind schedule do not have any elements of an estate plan at all. I don t have an estate plan e 'ly Prepared' 'Behind Schedule' Total ly Prepared Trait #6: ly prepared women spend more time, are more knowledgeable about personal finances, and feel more confident that they are making the right decisions for themselves and their families. Most (89 percent) financially prepared women physicians are either very confident or somewhat confident in their ability to make financial planning decisions; 42% of those N=570 who are behind are not very confident. Over half of financially prepared women feel they spend adequate time on their finances; only 21 percent who are behind do. N=570 N=570 Choice 'ly Prepared' 'Behind Schedule' Tota Choice 'ly Prepared' 'Behind Schedule' Total Very knowledgeable Very knowledgeable Knowledgeable Knowledgeable Source: 2014 Report on U.S. Physicians' Preparedness: 89 Women Physician Segment Somewhat Source: 2014 knowledgeable Report on U.S. Physicians' Preparedness: 127 Women Physician Segment Somewhat Advice knowledgeable from another woman physician: Not very knowledgeable Not very knowledgeable Protect your assets before getting divorced Preparedness Survey Participant Choice 'ly Prepared' 'Behind Schedule' Total Very knowledgeable Knowledgeable Source: 2014 Report on U.S. Physicians' Preparedness: Women Physician Segment Somewhat knowledgeable Not very knowledgeable Data Source: AMA 2014 Report on U.S. Physicians Preparedness unless noted. * 2013 Report on U.S. Physicians Preparedness REPORT ON U.S. PHYSICIANS FINANCIAL PREPAREDNESS SEGMENT FOCUS: WOMEN PHYSICIANS

50 Overview Women Physicians Age 40 And Under Women Physicians Ages Women Physicians Ages Women Physicians Over Age 60 Women Physicians Age 40 And Under Women Physicians Ages Women Physicians Ages Women Physicians Over Age REPORT ON U.S. PHYSICIANS FINANCIAL MOTOROLA PREPAREDNESS SOLUTIONS ENROLLMENT SEGMENT GUIDE FOCUS: FOR WOMEN NEW EMPLOYEES PHYSICIANS

51 Overview Women Physicians Age 40 And Under Women Physicians Ages Women Physicians Ages Women Physicians Over Age 60 How financially prepared are you? Compare yourself to others in your age group. Their life situations and ages may be different, but their top personal financial goal is the same for U.S. women physicians providing a comfortable retirement for themselves and their spouse or partner. They also have two other key goals in common saving money for their children s education and long-term health needs. However, there are marked differences in how women physicians at different ages approach personal finance and financial issues. Here are four examples drawn from the report findings. About half of all women physicians believe that their profession has unique and/or more complicated financial needs than other professions. That belief decreases with age, normalizing as they pay off their medical school debt. Use of a professional financial advisor grows with age. Only about half of women physicians age 40 and under use a planner compared with 70 percent over age 60. Most (70 percent) women physicians age 40 and under have no estate plan. In contrast, most over age 60 have an updated will, end-of-life directives, medical directives and power of attorney in place. Still, at that age, one in five have no estate plan at all. Two-thirds (65 percent) of women physicians have an emergency savings fund. Just as many young women physicians have emergency funds as older women physicians. View more differences by age in these quick-read profiles for age 40 and Under, 41-50, and Over age 60. Compare personal financial status in these areas: Employment Status Life Top Concerns Personal Readiness Future Plans: 3 Years Advice from another woman physician: Don t assume financial matters will take care of themselves once you have an income Preparedness Survey Participant What advice do you wish you would have received earlier? REPORT ON U.S. PHYSICIANS FINANCIAL MOTOROLA PREPAREDNESS SOLUTIONS ENROLLMENT SEGMENT GUIDE FOCUS: FOR WOMEN NEW EMPLOYEES PHYSICIANS

52 Overview Women Physicians Age 40 And Under Women Physicians Ages Women Physicians Ages Women Physicians Over Age 60 Women Physicians Age 40 and Under % of U.S. Women Physicians Age 40 and Under 49% Employment Status 83% employed 5% self-employed 7% partner 54% group practice; 26% hospital Life 71% married 21% married to a physician Average 2 children at home* 69% earn 75%+ of family income Top Concerns 1. Enough money to retire 2. College funding for children 3. Funding long-term care 4. Paying off medical school debt Personal 84% paying off medical school debt* 66% have emergency fund 41% have less than $25K in fund 54% use financial advisor 23% have an updated will** 19% have medical directives** 17% have end-of-life directives** 19% knowledgeable or very knowledgeable about personal finances 59% say time spent on personal finances is not adequate 72% believe doctors have unique financial needs 71% have disability insurance as employer benefit 47% say employer pays disability premium; 22% are not sure 48% don t know how they will fund their long-term care Readiness 6% consider themselves ahead of schedule ; 47% are on-track ; 46% are behind in saving for retirement. 46% have less than $100K saved 37% have $100K-500K saved Future Plans: 3 Years 20% start or buy into practice 45% buy or remodel primary home 11% buy second home 14% get married 37% have children 23% plan to change employers* Data Source: AMA 2014 Report on U.S. Physicians Preparedness unless noted. * 2014 Report on U.S. Physicians Work/Life s, ** 2013 Report on U.S. Physicians Preparedness REPORT ON U.S. PHYSICIANS FINANCIAL MOTOROLA PREPAREDNESS SOLUTIONS ENROLLMENT SEGMENT GUIDE FOCUS: FOR WOMEN NEW EMPLOYEES PHYSICIANS

53 Overview Women Physicians Age 40 And Under Women Physicians Ages Women Physicians Ages Women Physicians Over Age 60 Women Physicians Ages % of U.S. Women Physicians Ages % Employment Status 58% employed 27% self-employed 11% partner 52% group practice; 19% solo; 17% hospital Life 74% married 25% married to a physician Average 2 children at home* 73% earn 75%+ of family income Top Concerns 1. Enough money to retire 2. Funding long-term care 3. College funding for children 4. Having right disability insurance Personal 46% paying off medical school debt* 63% have emergency fund 45% have between $25K and $75K in fund 56% use financial advisor 45% have an updated will** 40% have medical directives** 44% have end-of-life directives** 20% knowledgeable or very knowledgeable about personal finances 70% say time spent on personal finances is not adequate 52% believe doctors have unique financial needs 72% have disability insurance as employer benefit 39% say employer pays disability premium; 18% are not sure 36% don t know how they will fund their long-term care; 30% plan to use long-term care insurance Readiness 7% are ahead of schedule ; 44% are on-track ; 49% are behind where they d like to be in saving for retirement. 34% have $100K-500K saved 35% have $500K-1 million saved Future Plans: 3 Years 19% become employed 15% start or buy into practice 30% buy or remodel primary home 11% buy second home 5% get married 6% have children 16% plan to change employers* Data Source: AMA 2014 Report on U.S. Physicians Preparedness unless noted. * 2014 Report on U.S. Physicians Work/Life s, ** 2013 Report on U.S. Physicians Preparedness REPORT ON U.S. PHYSICIANS FINANCIAL MOTOROLA PREPAREDNESS SOLUTIONS ENROLLMENT SEGMENT GUIDE FOCUS: FOR WOMEN NEW EMPLOYEES PHYSICIANS

54 Overview Women Physicians Age 40 And Under Women Physicians Ages Women Physicians Ages Women Physicians Over Age 60 Women Physicians Ages % of U.S. Women Physicians Ages % Employment Status 62% employed 24% self-employed 8% partner 41% group practice; 17% solo; 16% hospital Life 62% married; 15% divorced 31% is/was married to a physician 59% still have one or more child at home* 73% earn 75%+ of family income Top Concerns 1. Enough money to retire 2. Funding long-term care 3. Having right disability insurance 4. College funding for children Personal 14% paying off medical school debt* 63% have emergency fund 66% have up to $74K in fund 54% have more than $50K in their fund 62% have an updated will** 58% have medical directives** 60% have end-of-life directives** 27% knowledgeable or very knowledgeable about personal finances 64% say time spent on personal finances is not adequate 45% believe doctors have unique financial needs 69% have disability insurance as employer benefit 49% say employer pays disability premium; 13% are not sure 32% don t know how they will fund their long-term care; 35% plan to use long-term care insurance Readiness 7% are ahead of schedule ; 43% are on-track ; 50% are behind where they d like to be in saving for retirement 32% have $1 million-$3 million saved 7% have more than $3 million saved Future Plans: 3 Years 13% become employed 17% retire 19% buy or remodel primary home 13% change employers* Data Source: AMA 2014 Report on U.S. Physicians Preparedness unless noted. * 2014 Report on U.S. Physicians Work/Life s, ** 2013 Report on U.S. Physicians Preparedness REPORT ON U.S. PHYSICIANS FINANCIAL MOTOROLA PREPAREDNESS SOLUTIONS ENROLLMENT SEGMENT GUIDE FOCUS: FOR WOMEN NEW EMPLOYEES PHYSICIANS