1. |
Agreement to enter and practice primary health care (Section 723 Public Health Service Act:
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a. enter and complete a residency training program in primary health
care not later than 4 years after the date on which the Borrower graduates
from the Institution;
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b. practice in primary health care in a State (as defined in 42 USC 295) through the date on which the loan is repaid in full, and certify to the Institution on an annual basis until the loan is repaid in full that he/she is practicing in primary health care.
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c. not enter any subspecialty training (i.e. non-primary care residency, fellowships, etc. that could lead to board certification in a subspecialty) from the time of graduation until the loan is repaid in full.
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2.
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Definitions (Section 723 Public Health Service Act): |
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a. Primary Health Care is defined as family medicine, general internal medicine, general pediatrics, preventive medicine or osteopathic general practice.
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b. Residency Training Program in Primary Health Care is defined as
a 3-year residency program in allopathic or osteopathic family medicine,
internal medicine, pediatrics, combined medicine/pediatrics, or preventive
medicine, approved by the Accreditation Council on Graduate Medical Education
(ACGME) or the American Osteopathic Association (AOA) or a general practice
residency program approved by the AOA. This may include participation
in a rotating or primary health care internship approved by the AOA.
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3. |
Non-Compliance By Borrower (Section 723 Public Health Service Act): |
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a. This loan will accrue interest continuously at a rate of eighteen
(18) percent per annum beginning on the date of noncompliance, and ending
when the loan is paid in full.
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b. The Borrower is not eligible for the deferment provisions outlined
in #7 of this Promissory Note.
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4.
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Prohibition Against Consolidation: This Loan may not be consolidated as part of a Federal Consolidation Loan under the Higher Education Act of 1965.
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5. |
Repayment (Section 722 Public Health Service Act, 42 CFR 57.210): |
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a. Repayment shall be made in equal or graduated periodic installments
within the repayment period, except that the Institution may require repayment
to be made in an amount equal to not less than $40 per month. The repayment
period begins one year after the Borrower ceases to be a full-time student
at a school eligible to participate in the Primary Care Loan program.
The repayment period shall not be less than ten years, nor more than 25
years, at the discretion of the Institution. Periods of authorized deferment
are not included as part of the repayment period.
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b. The terms and conditions of repayment shall be set forth in a separate
repayment schedule which is approved by the Institution and agreed to
by the Borrower. Payments under the repayment schedule shall be made to
the Institution or its representative no less often than quarterly, except
that if the Borrower is more than 60 days past due on a payment, the remaining
balance of the loan shall be repaid on a monthly basis.
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6. |
Interest (Section 722 Public Health Service Act, 42 CFR 57.208:
Interest shall accrue from the beginning of the repayment period, except as specified in #3.
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7. |
Deferment (Section 722, 42 CFR 57.210): In
accordance with #1. above, periodic installments of principal and interest
need not be paid, and interest shall not accrue while the Borrower: (a)
serves on active duty as a member of a uniformed service of the United
States, for up to three years; (b) serves as a volunteer under the Peace
Corps Act, for up to three years; (c) pursues advanced professional training
in primary care, including internships and residencies; (d) pursues a
full-time course of study at a health professions school eligible for
participation in the Primary Care Student Loan program; (e) leaves the
Institution, with the intent to return to the Institution as a full-time
student, to engage in a full-time educational activity which is directly
related to the health profession for which the Borrower is preparing,
as determined by the Secretary of Health and Human Services (the Secretary),
for up to two years; and (f) participates in a fellowship training program
or a full-time educational activity which is directly related to the health
profession for which the Borrower prepared at the Institution, and is
engaged in by the Borrower within 12 months after the completion of the
Borrower's participation in advanced professional training (described
in #7(c) above) or prior to the completion of the Borrower's participation
in such training, for up to two years.
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8. |
Prepayment (Section 722 Public Health Service Act):
The Borrower may, at his or her option and without penalty, prepay all
or any part of the principal and accrued interest at any time.
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9.
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Exit Interview (42 CFR 57.210): The Borrower agrees to attend an exit interview prior to completing or terminating full-time student status at the Institution.
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10. |
Default (Section 721, 42 CFR 57.208): If the
Borrower fails to make an installment payment when due or fails to comply
with any other term of this Promissory Note, except for #1 above, the
loan will be considered in default.
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11. |
Late Charge (Section 721 Public Health Service Act,
42 CFR 57.210): The Institution shall assess a late penalty charge for failure of the Borrower to pay all or any part of an installment, or for failure to file satisfactory evidence of entitlement to deferment, if so entitled, at a rate, not to exceed an amount equal to 6 percent as determined by the Institution of the amount of such installment, on loans more than 60 days past due.
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12. |
Acceleration (42 CFR 57.208): If the Borrower
fails to make a scheduled repayment or fails to comply with any other
term of this Promissory Note, except as specified in #3 above, the entire
unpaid balance of the loan, including interest due and accrued and any
applicable penalty charges, will, at the option of the Institution, become
immediately due and payable.
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13. |
Credit Bureaus (42 CFR 57.210): The Institution may disclose the Borrower's loan, and any other relevant information, to credit bureaus. If the Borrower is more than 120 days past due in making a scheduled repayment, the Institution will disclose the Borrower's delinquent status, and any other relevant information, to credit bureaus.
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14. |
Collection Agents, Litigation, and Withholding of Services
(Section 722 Public Health Service Act, 42 CFR 57.210): If the
Borrower fails to make a scheduled repayment, or fails to comply with
any other term of this Promissory Note, except for #1 above, the Institution
may: (a) refer the Borrower's loan to a collection agent for further collection
efforts; (b) initiate legal proceedings against the Borrower; (c) withhold
Institutional services, such as transcripts and letters of recommendation,
from the Borrower; (d) refer the Borrower's loan to the Secretary for
collection assistance, including offset of Federal salaries; and (e) obtain
the Borrower's address from the Internal Revenue Service through the Secretary,
if the Institution has no current address for the Borrower.
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15. |
Death or Disability (42 CFR 57.211): In the
event of the Borrower's total and permanent disability or death, the unpaid
indebtedness remaining on the Promissory Note shall be canceled. Subject
to the regulations of the Secretary, the Institution may assess a charge
on the Borrower's loan to cover the costs of insuring against death or
disability cancellations.
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16. |
Waiver or Suspension of Service Obligation (Section
723): |
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a. If the Borrower does not graduate from a school of medicine or osteopathic
medicine, the agreement set forth in #1 above and the noncompliance provisions
set forth in #3 avobe shall be waived upon approval by the Secretary.
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b. If the Borrower terminates his or her studies before graduating
from a school of medicine or osteopathic medicine, but later resumes studies
and graduates from a school of medicine or osteopathic medicine, the agreement
set forth in #1above and the noncompliance provisions set forth in #3
above shall be considered to have been suspended for the period during
which the Borrower was not in attendance at a school of medicine or osteopathic
medicine and the original loan terms reinstated. |
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c. This section may not be construed as authorizing the
waiver or suspension of the obligation of the Borrower to repay this loan
in accordance with the terms of this Promissory Note.
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17. |
General: The Borrower will promptly inform
the Institution of any change in name or address after he or she ceases
to be a full-time student at the Institution. The terms of this Promissory
Note shall be construed according to the Federal statute and regulations
governing the administration of the Health Professions Student Loan and
Primary Care Loan programs, copies of which shall be kept by the Institution.
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