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Step 1: Know What You Borrowed, Know From Whom You Borrowed, and Know Who Services the Loans

Step 1: Know what you borrowed, from whom you borrowed, and who services the loans.

Step 2: Know the "relative cost" of your student loans.

Step 3: Know your grace periods, deferment options, and forbearance options.

Step 4: Know your "decision points" and keep a calendar.

Step 5: Run the numbers before choosing a repayment option of consolidating your student loans.

Step 6: Commit to keeping good records.

Step 7: Keep a budget and know when you need the help of a financial professional.

Step 8: Know and use your support systems.

Topics in this Section

The first step for managing your student loans is knowing exactly what kind of loans are in your portfolio. This information should have been provided for you at your senior loan exit interview, and may also be available on your loan servicer's Web site. You can also check the National Student Loan Data System (NSLDS) to track your Federal loans.

Regardless of source (Federal or state government, your institution, various lenders, etc.), all of your student loans fall into two categories: subsidized loans and unsubsidized loans.

Subsidized Loans
Subsidized loans are those that have no interest cost to the borrower during school, grace, and any deferment period(s) for which the borrower may qualify. In general, many would consider it wise to try and qualify for deferment on subsidized loans since there is no interest cost to the borrower during the deferment period. The most familiar subsidized loan for medical students is the Federal Subsidized Stafford Loan. Subsidized loans which residents may have borrowed during medical school include:

  • Federal Subsidized Stafford Loan
  • Federal Direct Subsidized Stafford Loan (loan funds borrowed directly from the federal government through Direct Lending)
  • Federal Perkins Loan
  • Health Professions Student Loan (HPSL)
  • Primary Care Loan (PCL)
  • Loans for Disadvantaged Students (LDS)
  • Some institutional loans (check your promissory note or ask your financial aid officer)

Unfortunately, in many cases, the majority of student borrowing comes from unsubsidized loans.

Unsubsidized Loans
Unlike subsidized loans, borrowers are responsible for all interest that accrues on unsubsidized loans, and interest begins to accrue immediately upon disbursement with unsubsidized loans. Accrued and unpaid interest on unsubsidized loans is eventually capitalized (added back to the principal thereby increasing the total balance on the loan). Borrowers should contact their loan servicer(s) or medical school financial aid officer if they are unsure of the capitalization policy on their unsubsidized loans (see Step #2 - Know the "relative cost" of your student loans).

Unsubsidized loans which residents may have borrowed during medical school include:

  • Federal Unsubsidized Stafford Loan
  • Federal Direct Unsubsidized Stafford Loan
  • Health Education Assistance Loans (HEAL, these loans are no longer made)
  • Other private loan programs
  • Some institutional loans (check your promissory note)

In general, borrowers who want and are able to make voluntary payments on their student loans during periods of grace, deferment, and in the case of some loans, forbearance, will likely want to have these payments applied against any unsubsidized loans they have in their portfolio. This is addressed in more detail in Step #2 - Know the "relative cost" of your loans".

In addition to knowing what you borrowed, it is also important that you know who you borrowed from, and perhaps most important, know who services your student loans. The loan servicer is the organization you will be working with throughout repayment, to whom you will be applying for deferment and forbearance, and with whom you will be working when it comes time to pick a repayment option.

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Players in the Student Loan Industry
Residents frequently complain that they do not know where their loans are, who owns them, or to whom they actually owe repayment. The following information may help you get a better understanding of the parties that may be involved with your student loans. In all honesty, you could probably skip this section as long as you know who your loan servicer is. However, you may see other names or references on lender correspondence and information you received at your senior loan exit interview, so this section may help you sort out these various organizations.

The original lender of your student loan(s) may have sold (or may eventually sell) some or all of your loans to another lender, as will be explained in the list of players which follows. Lenders are required to notify you when this happens. The terms and conditions of your loans should not change when your loans are bought and sold.

Lender
The lender is the organization that actually loans you the money (the actual source of the money), and to whom you owe repayment (at least initially). In the case of the Federal Stafford Loan, the lender is either a bank (or other lending institution) or the federal government for students borrowing their Stafford Loans "directly" through the Direct Loan Program. In the case of institutional loans, the lender is your school. In the case of the Federal Perkins, Primary Care Loan (PCL), Health Professions Student Loan (HPSL), and Loans for Disadvantaged Students (LDS), the lender is also the school, on behalf of the federal government (these are called "campus based loans" since they are administered by your school). In the case of HEAL loans and private loans, the lender is a bank or other lending institution.

Holder
The holder is simply the organization that owns your loan, and to whom you owe repayment. In some cases, the original lender and the holder are one and the same, and remain one and the same. However, as referenced above, some lenders sell your loan(s) to other institutions to help free up money to loan to other students. The new institution that buys the loan is now the holder, and that is the organization you now owe.

Guarantee Agency
The guarantee agency is the organization that agrees to pay back your lender should you ever default on your loan. You may have borrowed loans that had some fees deducted against the principal amount you borrowed. In general, these fees are set aside to cover the cost of any potential defaults. In many cases, the guarantee agency also processes your loans and sends the loan proceeds to your school's financial aid office. The federal government reimburses guarantee agencies for defaulted loans, hence the reference to these loans being "guaranteed". The guarantee agency may be completely transparent to the borrower.

Secondary Market
Secondary markets are companies that buy loans from lenders. In essence, they become the holder of the loans, as we referenced earlier.

Servicer
The servicer is without question the most important player or organization involved in your student loans, at least once you graduate. The servicer is the organization the holder contracts with to work with you on repayment issues including processing any deferment and forbearance requests, and who works with you in repayment. This is called loan servicing. Your loan servicer will likely provide you with a toll free number and a Web site for contacting them, and you may actually be able to track your student loans on their Web site. Should you not know who your loan servicer is, contact your medical school financial aid officer. One reminder about loan servicing. Should you ever consider consolidating your student loans, be sure you know who the loan servicer will be. This is addressed in Step #5 - "Run the numbers" before choosing a repayment option or consolidating your student loans.

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