Financial Planning for Medical Graduates

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Financial Planning for Medical Graduates Vanderbilt University School of Medicine Presented by Michael C. Waters, CEBS Aaron D.Waters

FINANCIAL PLANNING 101

Pyramid of Financial Strategies Level 4: Investing Aggressively Speculative Investments for Greater Growth Potential Art Metals Oil & Gas Commodities Venture Capital Level 3: Financial Growth Wealth Accumulation Overcoming Inflation Level 2: Financial Foresight Capital Accumulation Saving for the Future Level 1: Necessary Foundation Risk Management Investment Real Estate Growth Stocks & Mutual Funds Variable Life Insurance & Annuities Buying a Home Vacations Providing for your Family (e.g. College Savings) Retirement Plans Money Market Accounts Corporate/Municipal Bonds Conservative Equities Medical Insurance Disability Insurance Life Insurance Auto & Property Insurance Emergency Savings

Debt Management Long Term Perspective View your school debt in relation to your next 10 years of income, not just your resident s salary Pay Yourself First Prioritize retirement plans, savings, investments Rate Reductions Auto-Pay and timely payments can significantly reduce your interest rate Repayment Extensions Stretch out your repayment period to lower monthly payments

Student Loan Deduction Deduct interest for life of loan Maximum deduction is $2,500 Income phase-out ranges apply Single: $60,000-$75,000 Married: $120,000-$150,000 When phased out, consider using a home equity loan or consolidate to lower interest rates

Tuition Deduction Maximum deduction of $4,000 on higher education expenses Income phase outs $130,000 to $160,000 for married, filing jointly $65,000 to $80,000 for single filers No need to itemize Education Credit vs. Deduction Could claim deduction in lieu of education credits. Need to compare which would yield greater benefit.

American Opportunity Credit $2,500 annual tax credit for education expenses 40% of credit amount is refundable Available for undergraduate, graduate & professional degrees Income up to: Single $ 80,000 Married $160,000 Need to coordinate with new tuition deduction

Buying a House? How long will you live in the house? Usually a good idea to plan on being in the area at least 5 years What are the taxes? What is the cost of insurance? What is the re-sale market?

Buying a House? Deductible mortgage interest on first and second homes Deduct up to $100,000 in home equity loan or line of credit interest Deduct points paid on mortgage or refinancing Deduct real estate property taxes

Planning for Your Future INVESTMENT STRATEGIES

Key Investment Questions Application question: What do I invest the money in? What are your investment goals? How liquid does the investment need to be? What is your risk tolerance? What is the impact of income taxes? What is the economic outlook? Is the skill and knowledge needed to manage the investment available? How much money is available to be invested?

Compound Growth: Rule of 72 and 115 How long for your money To double? Divide 72 by the interest rate. To triple? Divide 115 by the interest rate.

Asset Allocation Sample Financial Portfolio Cash Stocks Real Estate Bonds Sample Equities Portfolio Moderately Aggressive Allocation Category Allocation Fixed Income 20% Large Value 24% Large Growth 26% Small Cap 6% International Equity 24% Total Allocation 100%

How a Roth IRA Works Establishing an account Open anytime between Jan 1st of current year and the due date of the tax return Account is typically self-directed A separate Roth IRA may be established for a spouse with little or no earnings Contribution considerations $5,500 contribution limit in 2013 Earnings accumulate tax-deferred Contributions are not tax deductible Distributions typically during retirement or at death Also, option for first time home buyers

Roth IRA Contribution Limits Income limits for contributions Single Filers: $112,000 for full contributions $127,000 for partial contributions Joint Filers: $178,000 for full contributions $188,000 for partial contributions Good idea to take advantage of Roth IRA contribution allowance while income below limits 15

Establish an Emergency Fund An emergency fund is a necessary piece of foundation to any sound financial plan. Emergency savings help in the event of hardships or unexpected occurrences. At least 3 months of income saved Especially helpful in the event of a disability 6 months if possible 16

Summary / Action Points Establish a financial plan Develop the habit of paying yourself first Establish an Emergency Fund Roth IRA, 403(b), Money Market account, etc. View your debt with a long-term perspective Refinance High-Cost Loans Consolidate Loans

INSURANCE 101

Risk Management If injured or sick, will you have income? Disability Insurance If deceased, how will debts be covered and your family afford living expenses? Life Insurance If engaged in legal proceedings, how will expenses be covered? Malpractice Insurance Umbrella Policy Property & Casualty

Everything you own, plan to own, or plan to pay off, depends on your future ability to earn an income. DISABILITY INSURANCE

Post-Disability Income Disability income is typically broken into two categories: business and personal It typically takes multiple types of coverage to cover all your expenses through the duration of a disability Business Revenue and Cash Flow Overhead Expense Revenue and Cash Flow Personal Sick Pay & Vacation Short-Term Disability Supplemental Individual Disability Group Long-Term Disability Point of Disability Retirement Age

The Impact of Disability

What is the Likelihood I File a Claim? Approximately 30% of all people aged 35 to 65 will suffer a disability for at least 90 days, and approximately 15% will be disabled for five years or more.* This is higher than the probability of filing a claim for life insurance, homeowners insurance, or car insurance. *Health Insurance of America, 2000

Types of Disabilities TOTAL Inability to work in any occupation RESIDUAL/PARTIAL Ability to work in your occupation, but with a reduced capacity and earning potential OWN OCCUPATION Inability to work in your occupation or specialty, but ability to work in another occupation

Those doing residency in California or Florida Own-occupation definition of disability is imperative to have for physicians Protects education, years of training, future earning potential ONLY TWO INSURANCE CARRIERS PROVIDE THIS TYPE OF COVERAGE IN CALIFORNIA Extremely expensive if applied for in CA and choices are very limited. Other states such as Florida and New York offer limited choices 25

California/Florida continued If planning to do training or reside in one of these states it is very important to obtain coverage before moving there. Secure TN rates and own-occupation definition in contract and is portable wherever you go and cannot change from state to state. Have the ability to increase your benefit later on in CA, NY, FL, etc. with TN rates and specialtyspecific coverage with no medical questions 26

Group vs. Individual Disability Insurance Typical Group Quality Individual Tax Free Benefit No Yes Non-cancelable by insurer No Yes Guaranteed Rates No Yes Portable to new job No Yes Own Occupation Benefit Sometimes Yes Benefit Amount % of Income Full Benefit

Recommended Insurers for Physicians

Disability Insurance Standard Rate

Disability Insurance Discounted Rate

Summary / Action Points Disability Insurance is one of the most underrated Risk Management tools Locking in now protects against changes in your health status as you buy more coverage in future Take advantage of BPG s negotiated discounts and unisex rates These are only applicable while in medical school at Vanderbilt and not offered by other firms Saves women up to 60% compared to other contracts Can save men 20% or more on premiums

Providing for Your Family, Protecting Your Assets LIFE INSURANCE

General Purposes of Life Insurance Death Benefit Uses for Life Insurance Create an estate Pay death taxes and other estate settlement costs Fund a business transfer Pay off a home mortgage Protection from the loss of a key employee Replace a charitable gift Pay off loans Equalize inheritances Accelerated death benefits

Term Types of Life Insurance Level Term - Premium level for duration of term Annually Increasing Term Premium increases each year Decreasing Term Premium remains level, death benefit decreases Permanent Universal Life Guaranteed premium and death benefit Variable Life Few guarantees, cash value tied to the stock market Whole Life Guaranteed premium, death benefit, and cash value

Life Insurance Premiums for $1 Million of Coverage Male, Age 26, Preferred Plus 10 year 15 year 20 year Guardian $33 $37 $50 Banner $25 $28 $37 MetLife $28 $35 $45 AIG $27 $29 $45 Female, Age 26, Preferred Plus 10 year 15 year 20 year Guardian $28 $30 $40 Banner $22 $26 $33 MetLife $23 $31 $37 AIG $24 $26 $33

Summary / Action Points Will you have life insurance during residency to cover debts and provide for family? Term insurance is inexpensive while you re young and in good health

Questions? If you have questions or would like to see personalized quotes, please give us a call. (800) 225-7174 www.mybpginc.com info@mybpginc.com The Benefit Planning Group, Inc. 3400 Croasdaile Drive, Suite 206 Durham, NC 27705