1-C PBGC Comprehensive Premium Filing

Payment of Premiums (29 CFR part 4007)

2008 COMP booklet FINAL version_12.20.07_ to OMB

Payment of Premiums (29 CFR part 4007)

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2008 Comprehensive Filing instructions (to OMB)

2008
Comprehensive Premium Payment Instructions
Pension Benefit Guaranty Corporation

To All Plan Administrators:
Enclosed are instructions for paying premiums to the Pension Benefit Guaranty Corporation
(PBGC) for the 2008 plan year. As a result of the Pension Protection Act of 2006 (PPA 2006)
and amendments to the premium regulations, there are significant changes from last year. We
encourage you to read this entire booklet.
Here are the key items to note for 2008:

New comprehensive filing. The previous final filing forms (Form 1-EZ and Form 1/Schedule A)
are being replaced by one new comprehensive filing. See “Data to be Submitted” section.

Changes in the flat-rate premium to reflect inflation. The inflation-adjusted per-participant
flat-rate premium for 2008 is $33 for single-employer plans and $9 for multiemployer plans.

Change in the filing due date structure. As a result of regulatory changes, the due date is
either the same as it was under the 2007 rules or later. See “When to File” section.

Changes in how the variable-rate premium is calculated and reported. See “How to
Determine Unfunded Vested Benefits” and “Description of Data Elements” sections.

Booklet format. The format of this booklet has changed substantially. (See the Table of
Contents for an overview.) Note that contact information has been moved to Appendix 2.

To help with the transition to the new PPA 2006 requirements, we have provided information in
this booklet and on our Web site (www.pbgc.gov). To view online information on PPA 2006 and
other premium-related information, go to the Practitioners Page and click on the applicable link,
e.g., “What’s New,” “Online premium filing (My PAA),” and “Premium forms and instructions.”
Starting with 2009 — the third year electronic premium filing is required for all plans —
premium instructions will no longer be mailed to practitioners unless specifically requested.
Premium instructions will continue to be available on our Web site and within PBGC’s e-filing
application, My Plan Administration Account (My PAA).
For all premium-related inquiries, please call our toll-free practitioner number, 1-800-736-2444,
and select the “premium” option, or e-mail us at [email protected]. If you have a complaint
about the service you have received or still need assistance after calling our practitioner number,
please contact our Problem Resolution Officer at 1-800-736-2444, ext. 4136 (202-326-4136 for
local calls) or by e-mail at [email protected].

Charles E. F. Millard
Director
Pension Benefit Guaranty Corporation

Contact information can be found in Appendix 2

Reminder to Single-employer Plans About Reportable Events
The Plan Administrator or contributing sponsor may have to notify PBGC about certain
events, such as a 20% reduction in active participants, bankruptcy, insolvency, or similar
settlements with creditors, or excess distributions to a substantial owner within a 12-month
period. For a complete list of reportable events, go to the Practitioners Page of PBGC’s Web
site (www.pbgc.gov).
In most cases, notice is required within 30 days after the Plan Administrator or contributing
sponsor knows or has reason to know that an event has occurred. In certain cases involving
privately-held companies or controlled groups whose pension plans have aggregate unfunded
vested benefits of more than $50 million, the contributing sponsor (but not the Plan
Administrator) must notify PBGC 30 days before the effective date of certain events. See
section 4043 of ERISA and PBGC’s regulation on Reportable Events and Certain Other
Notification Requirements (29 CFR Part 4043). (From time to time, we also publish technical
guidance on our Web site (www.pbgc.gov), about reportable events filing obligations.)
Failure to give PBGC timely notice may result in assessment of penalties under section 4071
of ERISA.
NOTE: PBGC provides Form 10 and Form 10-ADV for notifying PBGC of reportable
events. These forms can be downloaded from PBGC’s Web site.

December 3, 2007

Page 2

Contents

Customer Service Plan For Plan Administrators ……………………………………..

Introduction and What’s New.………………………………………………………….

Who Must File.…………………………………………………………………………...

When to File.……………………………………………………………………………...

How to File………………………………………..……………………………………...

How to Count Participants .…………………………………………………………….

How to Determine Unfunded Vested Benefits………………………………………….

Data to be Submitted …………………………………………………………………...

Description of Data Elements…………………………………………………………...

Late Payment Charges………...………………………………………………………...

Correcting Filings and Reconciling Estimates…………………………………………

Recordkeeping Requirements; PBGC Audits………………………………………….

Appendices

Appendix 1 — Definitions……………………………………………………………

Appendix 2 — Contact information………………………………………………….

Appendix 3 — Online Premium Filing with My PAA……………………………….

Appendix 4 — Business codes……………………………………………………….

Appendix 5 — Additional information for paper filers………………………………

Appendix 6 — Paperwork Reduction Act Notice……………………………………

December 3, 2007

Page 1

Customer Service Plan for Plan Administrators
What is Our Mission?
The Pension Benefit Guaranty Corporation (PBGC) encourages a stable, adequately funded
system of private pension plans and provides responsive, timely, and accurate services to
participants in insured plans, Plan Administrators, Plan Sponsors, and other pension practitioners.

Who Are Our Customers and What Services Do We Provide?
As a Plan Administrator of a pension plan that pays premiums to PBGC, you are one of PBGC’s
principal customers. In administering the premium collection program, we:

Collect premiums from covered plans;

Issue annual premium instructions;

Answer questions from Plan Administrators, Plan Sponsors, and other practitioners about
premium payments;

Process premium-related requests, including requests for refunds and administrative changes;

Issue past due filing notices and statements of account (premium invoices), as appropriate;

Make decisions on requests for reconsideration of agency determinations in the premium
administration area.

Of course, our dealings with Plan Administrators, Plan Sponsors, and other pension practitioners
go beyond premium collections. Should a defined benefit pension plan terminate, as either a
standard or a distress termination, you have dealings with PBGC to bring the case to closure.
Our Service Pledge
Our customers deserve our best effort as well as our respect and courtesy.
On the first call from you, our customer, we will say —

what we can do immediately and what will take longer,

when it will be done, and

who will handle your request.

In addition,

We will call you if anything changes from what we first said, give you a status report and
explain what will happen next.

We will have staff available from 8:00 a.m. to 5:00 p.m. Eastern Time to answer your calls. If
you leave a message, we will return the call within one workday.

We will acknowledge your letter within one week of receipt.

December 3, 2007

Page 1

Customer Service Plan for Plan Administrators
Survey Results and Service Improvement Efforts
The most recent customer satisfaction survey of premium filers shows increased satisfaction with
our service and the lowest-ever level of practitioner complaints. We are pleased with this
improvement, but also note that you would like us to continue to improve both customer care and
the timeliness of premium refunds, two areas we will continue to focus on.
Our new premium accounting system is expected to contribute to faster resolution of questions
and timelier invoices and notices (e.g., statements of account). We also expect premium e-filing
via My PAA (My Plan Administration Account) to contribute to more accurate and timely filings,
plan account histories, and notices. We hope that our efforts will mean a positive experience for
you whenever and however you interact with PBGC. We continue to seek ways to make our
processes more responsive to the needs of the practitioner community. If you have
any comments, questions or complaints, please contact us by telephone, fax or e-mail (see
Appendix 2).

December 3, 2007

Page 2

Introduction and What’s New
Introduction
Payment of premiums to the Pension Benefit Guaranty Corporation (PBGC) is required by sections
4006 and 4007 of the Employee Retirement Income Security Act of 1974 (ERISA), and PBGC’s
Premium Regulations (29 CFR Parts 4006 and 4007). You can find these regulations by going to
the Practitioners Page of PBGC’s Web site (www.pbgc.gov).
There are two kinds of annual premiums: the Flat-rate Premium, which applies to all plans, and the
Variable-rate Premium, which applies only to Single-employer Plans.
Every covered plan under ERISA section 4021 must make a premium filing each year. The due
dates for these filings vary based on Plan Size. See “When to File” section.
Electronic filing is mandatory for all plans. My Plan Administration Account (My PAA) is a
secure Web-based application that enables pension plan professionals to electronically submit
premium filings to PBGC in accordance with PBGC’s regulations. Electronic filings may be
prepared using My PAA’s data entry screens or with compatible private-sector software. See
“How to File” section for more information. For more information on e-filing options, see
Appendix 3.
PBGC may grant exemptions from the electronic filing requirement for good cause in appropriate
circumstances. See Appendix 5 for information on how to request an exemption and what to do if
an exemption is granted.
This document provides information for plans paying premiums for plan years beginning in 2008,
including instructions for each data element that must be reported. (Filing instructions for Large
Plans paying an estimate of the 2008 Flat-rate Premium are contained in a separate document.)
Your premium filing will be considered improper if it is not made in accordance with the Premium
Regulations and instructions in this document, if you do not make any required premium payment,
or if your filing is otherwise incomplete.

Defined terms
Appendix 1 provides definitions for terminology used throughout this document. In general, the
defined terms are capitalized to signal the reader to refer to Appendix 1 for more information.
However, the convention of capitalizing the defined terms is not followed for a few defined terms
such as “participant,” “we,” “you,” and “your.”

How to Obtain Instructions
It is the responsibility of the Plan Administrator to obtain the necessary instructions and submit
filings on time. The easiest way to get the most current information and instructions for premium
filings is to go to the Practitioners Page on PBGC’s Web site (www.pbgc.gov). In addition, if you
use My PAA to create or import filings, instructions for each data item are available by clicking the
instructions link by the item.
What’s New
As a result of The Pension Protection Act of 2006 (“PPA 2006”), our amended Premium
Regulations (29 CFR Parts 4006 and 4007), and changes to the instructions provided in this
document, there are several changes that first apply to 2008 premium filings. The key changes
include:

A change in the filing due date structure (see “When to File” section).

December 3, 2007

Page 3

Introduction and What’s New

Several changes in how the Variable-rate Premium is calculated:
-

The assumptions and methods used to determine unfunded vested benefits have been
modified (see “How to Determine Unfunded Vested Benefits” section);

The measurement date for purposes of calculating unfunded vested benefits has changed
(see definition of UVB Valuation Date);

The alternative calculation method and the modified alternative calculation method are
no longer available;

An option has been added (for some plans) to pay an estimated Variable-rate Premium
and then reconcile at a later date without being subject to a penalty for late payment (see
“When to File” and “Correcting Filings and Reconciling Estimates” sections);

Some of the Variable-rate Premium exemptions applicable for years before 2008
(including the full funding limit exemption) are no longer available; and

The accrued benefit relief rules are no longer available.

An explanation of when certain benefits are considered vested (see “How to Determine
Unfunded Vested Benefits” section).

A change in reporting requirements for plans that are eligible for the Variable-rate Premium
cap (i.e., certain plans sponsored by small employers) — instead of requiring that both the
uncapped and capped amount be reported and premiums be paid on the lesser of the two
amounts, such plans may choose to report and pay the Variable-rate Premium based solely on
the cap (see “Description of Data Elements” section, item 7b).

A new rule requiring that an explanation be included with any amended filing that reports a
lower premium than what was reported in the original filing unless the reduction is due solely
to reconciling an estimated Variable-rate Premium (see “Correcting Filings and Reconciling
Estimates” section).

Changes to the rules on recordkeeping and audits to clarify and strengthen those rules (for
current rules, see the section on “Recordkeeping Requirements; PBGC Audits”).

December 3, 2007

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Who Must File
All Covered Plans Must File
The Plan Administrator of each pension plan covered under ERISA section 4021 is required
annually to file the prescribed premium information and pay the premium due in accordance with
PBGC’s Premium Regulations and instructions.
Most private-sector defined benefit plans that meet tax qualification requirements are covered. If
you are uncertain whether your plan is covered, you should promptly request a coverage
determination. Note that a request for a coverage determination does not extend the due date for
any premium that is finally determined to be due.
If your plan is covered, you must make a premium filing even if no premium is owed.
One Plan, Or More Than One?
If several unrelated employers participate in a program of benefits wherein the funds attributable to
each employer are available to pay benefits to all participants, then there is a single Multiemployer
or Multiple-employer Plan and the Plan Administrator must file and pay premiums for the plan as a
whole. Separate filings and premiums cannot be submitted for each individual employer.
If several employers participate in a program of benefits wherein the funds attributable to each
employer are available only to pay benefits to that employer’s employees, then there are several
plans (one for each employer) and the Plan Administrator must file and pay premiums separately
for the plan of each individual employer.
If separate plans are maintained for different groups of employees, regardless of whether each is
maintained by the same employer or by employers that are part of the same controlled group, then
the Plan Administrator(s) must file and pay premiums separately for each plan.

When Filing Obligation Ceases
You must continue to make premium filings and pay premiums through and including the plan year
in which any of the following occurs:

Plan assets are distributed in satisfaction of all Benefit Liabilities pursuant to the plan’s
termination.

A trustee is appointed for the plan under ERISA section 4042.

The plan disappears by transferring all its assets and liabilities to one or more other plans in a
Merger or Consolidation.

The plan ceases to be a covered plan under ERISA section 4021.

The following examples illustrate when the filing obligations ceases:
Example 1 — A calendar-year plan terminates in a standard termination with a termination date of
September 30, 2007. On April 7, 2008, assets are distributed in satisfaction of all Benefit
Liabilities. The Plan Administrator must file and make the premium payments for the 2007 and
2008 plan years.
Example 2 — A plan with a plan year beginning July 1 and ending June 30 terminates in a distress
termination with a termination date of April 28, 2008. On July 7, 2008, a trustee is appointed to
administer the plan under ERISA section 4042. Premium filings and payments must be made for
this plan for both the 2007 and 2008 plan years, because a trustee was not appointed until after the
beginning of the 2008 plan year.

December 3, 2007

Page 5

When to File
General
This section describes when premium filings are due. A filing includes both the submission of
required data and the payment of any required premium. In general, if a filing is not made by the
due date, late payment charges will apply. Late payment charges include both interest charges and
penalty charges. See “Late Payment Charges” section for more information on the ramifications of
missing a deadline.
The date by which a filing must be made varies depending on the number of participants for whom
premiums were owed in the prior plan year. In addition, special rules apply if:

The plan year has been changed since last year,

The plan is a New or Newly-covered Plan,

The due date falls on a weekend or Federal Holiday, or

Disaster relief has been granted.

Each of these situations is discussed below.

Filing Due Dates for Pre-existing Plans with no change in plan year
This section describes filing due dates for the most common situation — plans that are neither New
Plans nor Newly-covered Plans and had no change in plan year since the prior plan year.
For these plans, the filing due dates vary based on the Plan Size. For this purpose, Plan Size is
based on the number of participants for whom Flat-rate Premiums were payable for the plan year
preceding the Premium Payment Year.

Small Plans (prior year Participant Count - fewer than 100) — Both the Flat-rate Premium and
the Variable-rate Premium are due the last day of the 16th full calendar month following the
end of the plan year preceding the Premium Payment Year (e.g., April 30, 2009, for 2008
calendar-year plans).

Mid-size Plans (prior year Participant Count - 100 or more but fewer than 500)
-

Flat-rate Premium — The due date is the 15th day of the 10th full calendar month in the plan
year (e.g., October 15, 2008, for 2008 calendar-year plans). 1

Variable-rate Premium — The due date is the 15th day of the 10th full calendar month in the
plan year.1 However, if the Premium Funding Target is not yet known, an estimated
Variable-rate Premium may be paid, and an amended filing made at a later date to
reconcile the final Variable-rate Premium with the estimate. Note that this reconciliation
date is the same date all premiums are due for Small Plans (e.g., April 30, 2009, for 2008
calendar-year plans).
For rules related to estimating and reconciling Variable-rate Premiums, see the “Correcting
Filings and Reconciling Estimates” section. For information on how to avoid late payment
penalties if an estimated Variable-rate Premium is paid on the due date, see “Automatic
Penalty Waiver for Late Variable-Rate Premiums – Large and Mid-size Plans” in the “Late
Payment Charges” section. Note – there is no way to avoid interest charges on late
payments.

Technically, the due date is the 15th day of the 10th full calendar month following the end of the plan year preceding
the Premium Payment Year. In situations involving a short plan year, this due date may not be “in the plan year.”

December 3, 2007

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When to File

Large Plans (prior year Participant Count - 500 or more)
-

Flat-rate Premium — The due date is the last day of the 2nd full calendar month in the plan
year (e.g., the last day of February for calendar-year plans). 2 However, if the final Flat-rate
Premium is not known by that time, an estimate may be paid, and a reconciliation filing
made at a later date to reconcile the final Flat-rate Premium with the estimate. Note that for
plans that pay a Variable-rate Premium, this reconciliation date is the same date the
Variable-rate Premium is due.
For rules related to estimating and reconciling Flat-rate Premiums, see the “Correcting
Filings and Reconciling Estimates” section. For information on how to avoid late payment
penalties if an estimated Flat-rate Premium is paid on the due date, see “Automatic Penalty
Waiver for Late Flat-rate Premiums – Large Plans” in the “Late Payment Charges”
section. Note – there is no way to avoid interest charges on late payments.

Variable-rate Premium — Same as for Mid-size Plans. See above.

Because Plan Size for due date purposes is based on the Participant Count for the prior plan year, a
New Plan or a Newly-covered Plan is not considered a Small, Mid-size or Large Plan for this
purpose (regardless of how many participants are in the plan). Thus, the above rules do not apply
to New or Newly-covered Plans. See “Filing Due Dates for New and Newly-covered Plans” below.
There are also special due date rules for pre-existing plans changing plan years. See “Filing Due
Dates for Plans Changing Plan Years” below.
The following table uses a calendar-year plan to illustrate the due date information explained
above:
Filing Due Dates for Pre-existing Calendar-Year Plansa
Flat-rate
Premium

Reconciliation
of estimated
Flat-rate
Premiumb

Variable-rate
Premium

Reconciliation of
estimated
Variable-rate
Premiumb

April 30th
after year-end

N/A

April 30th
after year-end

N/A

Mid-size

October 15th
during year

N/A

October 15th
during year

April 30th
after year-end

Large

February 28th
during year

October 15th
during year

April 30th
after year-end

Plan Size

Small

a. Table assumes none of the dates shown are Saturdays, Sundays, or Federal
Holidays, and that there has been no change in the plan year.
b. If certain conditions are met, late payment interest charges will apply, but late
payment penalties will not. See “Late Payment Charges” section.
Example — Consider a pre-existing calendar-year plan that had 525 participants on December 31,
2006 and 490 participants on December 31, 2007.
Because the Participant Count was 500 or more as of the Participant Count Date (formerly called
“snapshot date”) for the 2007 Premium Payment Year (i.e., 12/31/2006), the plan is considered a
Large Plan for the 2008 Premium Payment Year and the 2008 Flat-rate Premium is due on
February 29, 2008 (the Large Plan Flat-rate Premium due date). For 2008, the Flat-rate Premium
2

Technically, the due date is the last day of the 2nd full calendar month following the end of the plan year preceding the
Premium Payment Year. In situations involving a short plan year, this due date may not be “in the plan year.”

December 3, 2007

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When to File
due is based on 490 participants (the Participant Count on 12/31/2007). The fact that premiums are
due for fewer than 500 participants for 2008 does not negate the fact that the early Flat-rate
Premium due date applies for 2008.
However, for the 2009 Premium Payment Year, the plan will be considered a Mid-size Plan
(because the Participant Count for 2008 was more than 100 and fewer than 500 participants).
Therefore, for 2009, the Flat-rate Premium is not due until October 15, 2009.
The following table shows the due dates for pre-existing plans for the 2008 Premium Payment Year
(assuming there has been no change in the plan year).

2008 Filing Due Dates
Large Plans
Premium Payment
Year Begins

1/1/2008

02/29/2008

01/02 - 02/01/2008

03/31/2008

02/02 - 03/01/2008

04/30/2008

03/02 - 04/01/2008
04/02 - 05/01/2008
05/02 - 06/01/2008

Variable-rate
Premiumb

Flat-rate
Premiuma

06/02/2008

10/15/2008
11/17/2008

06/30/2008
07/31/2008

06/02 - 07/01/2008

09/02/2008

07/02 - 08/01/2008

09/30/2008

08/02 - 09/01/2008

10/31/2008

Small Plans

Flat-rate and
Variable-rate
Premiumb

Flat-rate and
Variable-rate
Premium

10/15/2008
c

12/15/2008
c

Mid-size Plans

11/17/2008

04/30/2009
c

12/15/2008

01/15/2009

06/30/2009

01/15/2009

02/17/2009

03/16/2009

06/01/2009 c

07/31/2009

02/17/2009

08/31/2009

03/16/2009

09/30/2009

04/15/2009

11/02/2009c

05/15/2009

11/30/2009

06/15/2009

12/31/2009

07/15/2009

02/01/2010 c

08/17/2009 c

03/01/2010 c

09/02 - 10/01/2008

12/01/2008

10/02 - 11/01/2008

12/31/2008

11/02 - 12/01/2008

02/02/2009 c

09/15/2009

03/31/2010

12/02 - 12/31/2008

10/15/2009

04/30/2010

03/02/2009

a. If the estimated Flat-rate Premium is reported and paid by this date, the late payment penalty charge (but not
the late payment interest charge) may be waived if certain requirements are met. See “Automatic Penalty
Waiver for Late Flat-rate Premiums – Large Plans” in the “Late Payment Charges” section.
b. If the estimated Variable-rate Premium is reported and paid by this date, the late payment penalty charge
(but not the late payment interest charge) may be waived if the variable-rate reconciliation filing is made by
the date shown in the “Small Plans” column.
c. The actual due date falls on a Saturday, Sunday or Federal Holiday, so the date shown above is the first
business day following the actual due date. See “Late Payment Charges” section for information on how
late charges are determined if filing is made after the date shown in the table.

December 3, 2007

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When to File
Filing Due Dates for New and Newly-covered Plans
New Plans and Newly-covered Plans are not classified as Small, Mid-size or Large Plans because
those classifications are based on the number of participants for whom premiums were payable for
the plan year preceding the Premium Payment Year. Therefore, special due dates rules apply to
these first-time filers. For New Plans and Newly-covered Plans, both the Flat-rate Premium and
the Variable-rate Premium are due on the later of:

The last day of the 16th full calendar month that began on or after the first day of the
Premium Payment Year (in the case of a Newly-covered Plan) or that began on or after the
effective date (in the case of a New Plan), or

90 days after the Plan Adoption Date.

The following examples show how the filing rules work for plans filing for the first time.
Example 1 — A new calendar-year plan was adopted and effective on January 1, 2008, and had
650 participants on that date. Although there are more than 500 participants, the plan is not
considered a Large Plan for 2008 because Plan Size is based on the number of participants for
whom 2007 premiums were required to be paid. Because the plan is a New Plan, the 2008 Flat-rate
Premium is not due on February 29, 2008 (the Flat-rate Premium due date applicable for preexisting Large Plans). Instead, the plan would be required to pay its Flat-rate and Variable-rate
Premiums by April 30, 2009. As a New Plan, its 2008 Participant Count Date is January 1, 2008
(the first day of the plan year), so the 2008 Flat-rate Premium is based on a Participant Count of
650 as of January 1, 2008.
In 2009, this plan will be considered a Large Plan because the Participant Count for the 2008
Premium Payment Year was above 500. As a Large Plan, the 2009 Flat-rate Premium will be due
on March 2, 2009. 3 Note that this is before the date 2008 premium payments are due (April 30,
2009). The 2009 Variable-rate Premium will be due on October 15, 2009.
Example 2 — A New Plan is adopted on December 1, 2008, and has a July 1 - June 30 plan year.
The plan became effective for benefit accruals for future service on December 1, 2008. The filing
due date for the plan’s first year (December 1, 2008 through June 30, 2009) is March 31, 2010,
regardless of the Participant Count on the Participant Count Date (December 1, 2008).
Example 3 — A professional service employer maintains a plan with a calendar plan year. If this
type of plan has never had more than 25 active participants since September 2, 1974, it is not a
covered plan under ERISA section 4021. On October 18, 2008, the plan, which always had 25 or
fewer active participants, has 26 active participants. It is now a covered plan and will continue to
be a covered plan regardless of how many active participants the plan has in the future. Note that
the Premium Payment Year begins on January 1, 2008, even though the plan did not become
covered until after that date. The due date for the plan’s first premium filing is April 30, 2009 (the
last day of the 16th full calendar month that began on or after the first day of the Premium Payment
Year).

Filing Due Dates for Plans Changing Plan Years
For a plan that changes its plan year, the filing due dates for the short year are unaffected by the
change in plan year. For the first plan year under the new cycle, the due date is whichever is later:

30 days following the date on which a plan amendment changing the plan year was adopted, or

The date the filing would otherwise be due.

The actual due date, February 28, 2009, is a Saturday.

December 3, 2007

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When to File
The following examples show the due dates for plans changing plan years.
Example 1 — By plan amendment adopted on December 1, 2008, a Small Plan changes from a
plan year beginning January 1 to a plan year beginning June 1. This results in a short plan year
beginning January 1, 2008, and ending May 31, 2008. Both the Flat-rate and Variable-rate
Premiums for the short plan year are due April 30, 2009.
For the new plan year beginning June 1, 2008, the due date for the Flat-rate and Variable-rate
Premium is the date the filing would otherwise be due (September 30, 2009) because that is later
than 30 days after the date the plan amendment changing the plan year was adopted (December 31,
2008).
Example 2 — By plan amendment adopted on January 7, 2009, and made retroactively effective to
April 1, 2008, a Mid-size Plan changes from a plan year beginning on March 1 to a plan year
beginning on April 1. For the March 1, 2008 — March 31, 2008 short plan year, both the Flat-rate
and Variable-rate Premium are due December 15, 2008. For the new plan year beginning April 1,
2008, the due date for the Flat-rate Premium and Variable-rate Premium is 30 days after the
adoption of the plan amendment changing the plan year (February 6, 2009) because that is later
than the date the premium would otherwise be due (January 15, 2009).
Example 3 — By plan amendment adopted on July 8, 2008, and made retroactively effective to
May 1, 2008, a Large Plan changes from a plan year beginning February 1 to a plan year beginning
May 1. The plan has always had 500 or more participants. For the February 1, 2008 — April 30,
2008 short plan year, the Flat-rate Premium is due March 31, 2008, and the Variable-rate Premium
is due November 17, 2008. 4
For the new plan year beginning May 1, 2008, the due date for the Flat-rate Premium is 30 days
after the adoption of the plan amendment changing the plan year (August 7, 2008) because that is
later than the date the Flat-rate Premium would otherwise be due (June 30, 2008).
The Variable-rate Premium for the first plan year in the new cycle is due on the date the Variablerate Premium would otherwise be due (February 17, 2009) 5 because that is later than 30 days after
the adoption of the plan amendment (August 7, 2008).

Saturday, Sunday, and Federal Holidays
If your premium filing due date falls on a Saturday, Sunday or Federal Holiday, the due date is
extended automatically to the next business day. However, if your premium payment is filed after
the extended due date, interest and penalties will be computed from the actual (unextended) due
date. See “Late Payment Charges” section.
Example — The Flat-rate and Variable-rate Premium for a Small Plan with a plan year beginning
on July 1, 2008, normally would be due on October 31, 2009. Because that day is a Saturday, the
due date is Monday, November 2, 2009. If the filing is made after November 2, 2009, interest and
penalty charges will be computed from October 31, 2009.
Note regarding Disaster Relief — From time to time PBGC grants disaster relief by waiving late
filing and payment penalties for certain plans that are unable to meet the filing deadline as a result
of a major disaster (e.g., a hurricane). Disaster Relief Announcements are available on PBGC’s
Web site (www.pbgc.gov).

4
5

The actual due date, November 15, 2008, is a Saturday.
The actual due date, February 15, 2009, is a Sunday and the following day, February 16, 2009, is a Federal
Holiday.

December 3, 2007

Page 10

When to File

Additional information
You can find detailed rules about filing due dates in PBGC’s filing, issuance, computation of time,
and record retention regulation (29 CFR Part 4000). You can access this regulation through the
Practitioners Page of PBGC’s Web site (www.pbgc.gov).

December 3, 2007

Page 11

How to File
General
To make a complete premium filing, you must report certain required data and submit any required
premium payment. There are two types of filings:

Estimated Flat-rate Premium filings for Large Plans required to pay the Flat-rate Premium
early in the year, and

Comprehensive premium filings for all other purposes.

A comprehensive premium filing is used to report:

The Flat-rate Premium and related data (all plans),

The Variable-rate Premium and related data (Single-employer Plans), and

Additional data such as identifying information and miscellaneous plan-related or filing-related
data (all plans).

For Large Plans, the comprehensive premium filing also serves to reconcile an estimated Flat-rate
Premium paid earlier in the year.
A list of the data that must be reported in a comprehensive premium filing is included in the “Data
to be Submitted” section. For simplicity, the required data elements are shown in a traditional
“form” format. The purpose of the “form” included in this document is to provide a
comprehensive list of data that must be submitted electronically. This “form” is for illustrative
purposes only; you may not submit your filing using a paper form unless you request and receive
an exemption from e-filing.
Depending on how you choose to prepare electronic filings (My PAA data entry screens or private
sector software), the order in which the questions are asked may differ from the order shown on the
form. In addition, in some cases, the software may perform certain calculations instead of
requiring that you manually enter each required data element.
The form included in this document illustrates the data to be included in a comprehensive premium
payment filing. It replaces the prior Form 1-EZ, Form 1 and Schedule A. Information on how to
file an estimated Flat-rate Premium filing is contained in a separate document.
This document provides instructions as if they related to the illustrative form. These instructions
describe the information you must report in your comprehensive premium filing. If you use My
PAA’s data entry and editing screens, instructions are available on-line.

Instructions (and Forms) for Prior Years
If you are filing for a previous year, you must follow the instructions for that year, and if you make
a paper filing, you must use the prior year’s form(s). Prior years’ instructions and forms are
available on PBGC’s Web site (www.pbgc.gov). You may also obtain the instructions and form(s)
by contacting us.

Filing method
Electronic premium filing is mandatory for all plans. PBGC may grant an exemption from the
requirement to make a premium filing electronically for good cause in appropriate circumstances.
If you want to request an exemption or have been granted an exemption from e-filing, see
Appendix 5 for information related to paper filings.

December 3, 2007

Page 12

How to File
Electronic premium filing is done through PBGC’s e-filing application, My Plan Administration
Account (My PAA), which you access through the Practitioners Page of PBGC’s Web site
(www.pbgc.gov).
You may prepare the filing directly using My PAA’s data entry screens. Alternatively, you may
use private-sector software to prepare a filing and then “import” the data into My PAA’s editing
screens or “upload” the filing via My PAA. That means the software you use must be compatible
with My PAA. In other words, the software must be able to place your filing in an electronic file
that is in “XML” format and meets PBGC specifications.
Appendix 3 provides an introduction to My PAA. PBGC’s Web site provides detailed information
about My PAA.

Paying premiums
Although e-filing of premium information through My PAA is mandatory, premium payments may
be made either within My PAA or outside of My PAA. If you choose to pay within My PAA, you
may pay by an electronic funds transfer using automated clearing house (ACH), by electronic
check, or by credit card. If you pay outside of My PAA, you may pay by electronic funds transfer
(ACH or Fedwire) or paper check.
Additional information on payment options is included in Appendix 3.

December 3, 2007

Page 13

How to Count Participants
General
Plan participants must be counted because Flat-rate Premiums are based on the number of
participants. In addition, the number of participants for the prior plan year affects when a filing for
the current plan year is due (see “When to File” section).
The rules on when and how to count participants have not changed. However, there has been a
change in terminology. For years before 2008, the date on which participants are counted for
premium purposes was called the “premium snapshot date.” Beginning in 2008, this date is called
the “Participant Count Date.”
Participant Count Date
The Participant Count Date is the last day of the plan year preceding the Premium Payment Year
except as follows:

If the plan is a New Plan, the Participant Count Date is the first day of the Premium Payment
Year (i.e., the effective date).

If the plan is a Newly-covered Plan, the Participant Count Date is the first day of the Premium
Payment Year. This is the case even if the plan first became covered under ERISA section
4021 after the first day of the Premium Payment Year.

If the plan is the transferee plan in a Merger or the transferor plan in a Spinoff to a New Plan,
and the transaction meets the conditions described below, the Participant Count Date is the first
day of the Premium Payment Year. A plan Merger or Spinoff (as defined in the regulations
under section 414(l) of the Code) is covered by this rule if:
-

a Merger is effective on the first day of the transferee (the continuing) plan’s plan year, or a
Spinoff is effective on the first day of the transferor plan’s plan year, and

the Merger or Spinoff is not de minimis, as defined in the regulations under section 414(l)
of the Code with respect to Single-employer Plans, or in PBGC’s regulation under ERISA
section 4231 (29 CFR Part 4231) with respect to Multiemployer Plans.

The following examples illustrate the determination of the Participant Count Date.
Example 1 — An ongoing plan changes its plan year from a calendar year to a plan year that begins
June 1, effective June 1, 2008. The Participant Count Date for the:

January 1, 2008 – May 31, 2008 plan year is December 31, 2007,

June 1, 2008 – May 31, 2009 plan year is May 31, 2008.

Example 2 — A new calendar-year plan is adopted February 18, 2009, retroactively effective as of
January 1, 2008. The Participant Count Date is January 1, 2008.
Example 3 — A new calendar-year plan is adopted January 1, 2008, effective April 1, 2008. The
Participant Count Date is April 1, 2008.
Example 4 — Plan A has a calendar plan year and Plan B has a July 1 - June 30 plan year.
Effective January 1, 2008, Plan B merges into Plan A (and the Merger is not de minimis). Because
the Merger occurred on the first day of Plan A’s 2008 plan year, Plan A’s Participant Count Date
for the 2008 Flat-rate Premium is January 1, 2008. Note that the Participant Count includes Plan A
participants that used to be covered by Plan B.
Example 5 — Plan A has a calendar plan year. Effective January 1, 2008, Plan A spins off assets
and liabilities to form a New Plan, Plan B (and the Spinoff is not de minimis). Plan A’s Participant

December 3, 2007

Page 14

How to Count Participants
Count Date is January 1, 2008. (Plan B’s Participant Count Date also is January 1, 2008, since it is
a New Plan that became effective on that date.)
Example 6 — A calendar-year plan that was not covered plan under ERISA section 4021 becomes
covered on May 31, 2008. The first day of the Premium Payment Year is January 1, 2008, and the
Participant Count Date is January 1, 2008.

Participant
For premium purposes, “participant” means an individual (whether active, inactive, retired, or
deceased) with respect to whom the plan has Benefit Liabilities. Beneficiaries and alternate payees
are not counted as participants. However, a deceased participant will continue to be counted as a
participant if there are one or more beneficiaries or alternate payees who are receiving or have a
right to receive benefits earned by the participant.
An individual is not counted as a participant after all Benefit Liabilities with respect to the
individual are distributed through the purchase of irrevocable commitments from an insurer or
otherwise. In addition, a non-vested individual is not counted as a participant after:

A deemed “zero-dollar cashout,”

A one-year break in service under plan rules, or

Death.

Cashouts
If the plan has a separate cashout provision for zero benefits, terminated non-vested participants are
deemed to be cashed out as of the date specified in the deemed cashout provision or, if no date is
specified, as of the employment termination date. If the plan provides that zero benefit amounts
will be deemed to be paid as soon as possible, terminated non-vested participants also will be
deemed to be cashed out as of the employment termination date.
If the plan does not have a separate cashout provision for zero benefits, but does have a mandatory
cashout of small benefit amounts (e.g., benefits less than $5,000), terminated non-vested
participants are deemed to be cashed out in the same manner as terminated vested participants. If
the plan is silent as to the timing of actual cashouts of terminated vested participants, the plan is
deemed to read “as soon as practicable” and the terminated non-vested participants are deemed to
be cashed out immediately upon termination of employment. If the plan specifies a date as of
which actual cashouts of terminated vested participants take place (e.g., on the first day of the next
month), that rule also would apply to deemed cashouts of terminated non-vested participants.
These rules do not apply if, despite plan language, the plan has an obvious pattern or practice of
delaying distributions for long periods of time.
Example — Suppose a calendar-year plan provides that if a participant terminates employment and
the participant’s vested benefit has a value of less than $5,000, the plan will pay the vested benefit
to the participant in a lump sum as of the first of the month following termination of employment.
Suppose further that no plan provisions specifically address payment of benefits upon termination
of employment by non-vested participants. If a participant with a non-vested accrued benefit
terminates employment on December 15, 2007, the participant will be included in the Participant
Count as of December 31, 2007 (because the cashout is deemed to occur on January 1, 2008, the
first of the month following termination of employment). If, as is typically the case for a calendaryear plan, the plan’s Participant Count Date for 2008 is December 31, 2007, a Flat-rate Premium
must be paid for this participant for 2008.

December 3, 2007

Page 15

How to Count Participants
Breaks in service
A non-vested individual ceases to be a participant for premium purposes when the individual incurs
a one-year break in service under the plan.
Note that if the break in service occurs in a service computation period that coincides with the plan
year preceding the Premium Payment Year, we treat the individual as not being a participant for
purposes of determining the premium for the Premium Payment Year.
Example 1 — A calendar-year plan with five-year vesting provides that a participant who performs
500 or fewer hours of service in a service computation period incurs a one-year break in service as
of the last day of the computation period. The plan also provides that the annual service
computation period begins on the anniversary of a participant’s date of hire.
Consider an employee who was hired on December 1, 2005, and terminates employment on
February 1, 2007. Further assume that this participant does not perform more than 500 hours of
service during the December 1, 2006 — November 30, 2007 computation period. This participant
incurs a one-year break in service on November 30, 2007. Since the break occurred before
December 31, 2007 (the Participant Count Date for the 2008 premium), the individual would not be
included in the Participant Count for 2008.
Example 2 — A calendar-year plan provides that a participant who performs 500 or fewer hours of
service in a service computation period incurs a one-year break in service as of the last day of the
computation period. The plan also provides that the annual service computation period is the
calendar year.
Consider a non-vested employee who does not perform more than 500 hours of service during the
2007 calendar-year computation period. This participant incurs a one-year break in service on
December 31, 2007. Although the break occurs on the Participant Count Date for the 2008
premium, the individual would not be included in the Participant Count for 2008.

Comparison to Form 5500
The Participant Count for Flat-rate Premium purposes for the Premium Payment Year and the
number of participants reported for item 7 of Form 5500 for the plan year preceding the Premium
Payment Year (e.g., the 2008 premium filing and the 2007 Form 5500) are generally determined as
of the same date (i.e., the last day of the plan year preceding the Premium Payment Year).
However, the two counts may differ. For example:

For Flat-rate Premium purposes, individuals who are earning or retaining credited service but
with respect to whom a plan has no Benefit Liabilities are not counted as participants. But
individuals who are earning or retaining credited service are considered to be participants for
purposes of item 7 of the Form 5500, even if the plan has no Benefit Liabilities with respect to
them.

There is a difference in the break-in-service rules that apply when counting participants for
Flat-rate Premium purposes and for purposes of item 7 of Form 5500. For purposes of item 7
of Form 5500, whether a non-vested individual is excluded from the count because of a break
in service depends upon the plan language; under the provisions of most plans, the instructions
for item 7 would require that a separated non-vested individual be counted as a participant until
the individual has incurred five or more consecutive one-year breaks in service. For premium
purposes, on the other hand, a non-vested individual is excluded from the count because of a
break in service when the individual has incurred a one-year break in service under the terms of
the plan.

December 3, 2007

Page 16

How to Determine Unfunded Vested Benefits
General
“Unfunded vested benefits” is the term used to describe the underfunding measure on which the
Variable-rate Premium is based. For Variable-rate Premium purposes, unfunded vested benefits
means the excess, if any, of:

The Premium Funding Target, over

The fair market value of plan assets.

This section describes how the Premium Funding Target and fair market value of plan assets are
determined for this calculation.
Both the Premium Funding Target and the fair market value of assets are measured on the funding
valuation date (i.e., the measurement date for determining the minimum required contribution) for
the Premium Payment Year. For premium purposes, this date is called the UVB Valuation Date to
distinguish it from the Participant Count Date (see “How to Count Participants” section).

Premium Funding Target
The Premium Funding Target is the liability measure underlying the UVB calculation. It is
determined the same way the funding target is determined under ERISA section 303 (minimum
funding requirements) except that only vested benefits are included, and a special premium
discount rate structure is used. With the exception of the discount rate structure, all other
assumptions must be identical to those used to determine the minimum required contribution under
ERISA section 303. However, you may make an election (irrevocable for five years) to use the
same discount rates used to determine the minimum required contribution instead of the special
premium discount rates. Different terminology is used to describe the Premium Funding Target
depending on whether this election is in effect.

Standard Premium Funding Target — This term describes the Premium Funding Target that
applies unless the above-noted election is in effect. The discount rates used to determine the
Standard Premium Funding Target are the segment rates for the month preceding the month in
which the Premium Payment Year begins that are determined in accordance with ERISA
section 4006(a)(3)(E)(iv). For example, the December 2007 rates are used for a Premium
Payment year beginning in January 2008.
The ERISA section 4006(a)(3)(E)(iv) segment rates are based on the same bond yields as used
to determine the segment rates for the ERISA section 303 funding target. However, for
funding purposes, the yields are averaged over 24 months, whereas under ERISA section
4006(a)(3)(E)(iv), the yields are not averaged. In addition, for funding purposes, the segment
rates are generally phased-in for three years beginning in 2008, whereas for the Standard
Premium Funding Target, there is no discount rate phase-in.
The segment rates needed to calculate a Standard Premium Funding Target are published
monthly in the Federal Register and on the Practitioners Page of PBGC’s Web site
(www.pbgc.gov).

Alternative Premium Funding Target — This term describes the Premium Funding Target if
the above-noted election is made. In this case, the discount rates are identical to the rates used
to determine the ERISA section 303 funding target for the Premium Payment Year 6. Thus, if
an election is made under:

Note that this will not be the case if an election is made under PPA 2006 section 402, under which the funding target is determined
using an 8.25% discount rate. See “Plans Subject to Special Funding Rules” later in this section.

December 3, 2007

Page 17

How to Determine Unfunded Vested Benefits
-

ERISA section 303(h)(2)(D)(ii) to use the full yield curve instead of the three segment
rates for purposes of determining the minimum required contribution, that same yield curve
is used to determine the Alternative Premium Funding Target;

ERISA section 303(h)(2)(E) to use one of the four months preceding the valuation date as
the “applicable month,” instead of the month containing the valuation date, for determining
which month’s rates to use, that same month’s rates are used to determine the Alternative
Premium Funding Target;

ERISA section 303(h)(2)(G)(iv) to disregard the transition rule phasing into the new
segments rates from the prior current liability discount rate for 2008 and 2009, the
transition rule is also disregarded when determining the Alternative Premium Funding
Target.

Since all of the assumptions used to the determine the Alternative Premium Funding Target are the
same as those used to determine the funding target under ERISA section 303, the Alternative
Premium Funding Target is equal to the vested portion of the ERISA section 303 funding target.
The following table compares the various 2008 funding targets for a calendar-year plan with a
January 1 valuation date:

ERISA section 303

Standard Premium
Funding Target

Alternative Premium
Funding Target

All benefits earned or accrued as of the
beginning of the plan year

Vested portion of benefits
included in ERISA § 303
Funding Target

3 segments based on 24-month
average of high-quality corporate
bond yield curve phased-in over 3
years

3 segments based on highquality corporate bond
yield curve (no averaging
or phase-in)

Whatever is used for
ERISA § 303

Options

December 2007

Whatever is used for
ERISA § 303

Benefits
reflected in
calculation
Discount
rate basis

Disregard phase-in

Use full yield curve, no phase-in
or averaging

Which
month’s
yield curve?

January 2008

Options – December 2007, November
2007, October 2007, September 2007

Mortality

As prescribed by Treasury

Option – with Treasury approval, a
plan-specific table

All other
assumptions

Based on actuary’s expectations with
some prescribed modifications if plan is
at-risk

December 3, 2007

Page 18

How to Determine Unfunded Vested Benefits
An election to use the Alternative Premium Funding Target cannot be revoked for five years. In
other words, if you elect to use this alternative for the 2008 Premium Payment Year, you must also
use it for the 2009, 2010, 2011, and 2012 Premium Payment Years. You may revoke the election
for the 2013 Premium Payment Year or any year after 2013. But, until an election is officially
revoked, it remains in place. If you do not elect to use this method for 2008, you may elect it in a
subsequent year.
The election (or revocation) must be made by the date the Variable-rate Premium is due. An
election to use (or revoke) the Alternative Premium Funding Target is made as part of the
comprehensive premium filing.
Vested benefits
As noted previously, only vested benefits are taken into account when determining the Premium
Funding Target. For this purpose, a benefit does not fail to be considered vested solely because it
is not protected under Code section 411(d)(6) and thus may be eliminated or reduced by the
adoption of a plan amendment or by the occurrence of a condition or event. Such a benefit is
vested for premium purposes (if the other requirements for vesting have been met) so long as the
benefit has not actually been eliminated or reduced. In addition, certain benefits payable upon a
participant’s death do not fail to be considered vested solely because the participant is still living.
The benefits to which this rule applies are a qualified pre-retirement survivor annuity, a postretirement survivor annuity such as the annuity paid after a participant’s death under a joint-andsurvivor or certain-and-continuous option, and a benefit that returns a participant’s accumulated
mandatory employee contributions.
Also, a participant’s pre-retirement lump-sum death benefit (other than a benefit that returns
accumulated mandatory employee contributions) is not vested if the participant is living. Similarly,
a disability benefit is not vested if the participant is not disabled. The following examples illustrate
these concepts:
Example 1 — Under Plan A, if a participant retires at or after age 55 but before age 62, the
participant receives a temporary supplement from retirement until age 62. The supplement is not a
QSUPP (qualified social security supplement), as defined in Treasury Reg. §1.401(a)(4)-12, and is
not protected under Code section 411(d)(6). The temporary supplement is considered vested, and
its value is included in the premium funding target, for each participant who, on the UVB valuation
date, is at least 55 but less than 62, and thus eligible for the supplement. The calculation is
unaffected by the fact that the plan could be amended to remove the supplement after the UVB
valuation date.
Example 2 — Plan B provides a qualified pre-retirement survivor annuity (QPSA) upon the death
of a participant who has five years of service, at no charge to the participant. The QPSA is
considered vested, and its value is included in the premium funding target, for each participant
who, on the UVB valuation date, has five years of service and is thus eligible for the QPSA. The
calculation is unaffected by the fact that the participant is alive on that date.

Fair Market Value of Plan Assets
The asset measure underlying the UVB calculation is determined the same way assets are
determined under ERISA section 303 except that any averaging method adopted for funding
purposes is disregarded for premium purposes. For premium purposes, the market value of assets is
measured on the UVB Valuation Date and adjusted to account for contribution receipts using the
same methodology as is used for funding purposes.
Adjustments for prior year contributions

December 3, 2007

Page 19

How to Determine Unfunded Vested Benefits

If contributions for the prior plan year are made after the UVB Valuation Date, the market
value is increased to reflect such contributions.

Interest adjustments

For Premium Payment Years beginning in 2008, no discounting is required. The entire
amount contributed is included in the market value of assets as of the UVB Valuation Date.

For Premium Payment Years beginning after 2008, prior year contributions are discounted
to the UVB Valuation Date, using the effective interest rate for the plan year for which the
contributions were made. The effective interest rate is the rate determined under ERISA
section 303(h)(2)(A) for minimum funding purposes.

Prior year contributions are included only to the extent received by the plan by the date of a
premium filing.

Adjustments for current year contributions
If contributions for the current plan year are made before the UVB Valuation Date, the market
value is decreased to exclude the adjusted value of these current year contributions. For this
adjustment, current year contributions made before the UVB Valuation Date are increased to the
UVB Valuation Date using the ERISA section 303(h)(2)(A) effective interest rate for the current
plan year.
Note – this can happen only if the UVB Valuation Date is after the beginning of the plan year.
Comparison to asset value reported on Schedule SB
In general, the asset value used to determine unfunded vested benefits is identical to the market
value of assets reported in the 2008 Schedule SB (item 2a). The only situation in which the
amounts would differ is if a premium filing is made before the premium filing due date and prior
year contributions are made after premium filing is made (and thus not included in assets).

Plans Subject to Special Funding Rules
Sections 104, 105, and 106 of PPA 2006 delay the effective date of the funding amendments for
certain plans described in those sections, which in general deal with plans of cooperatives, plans
affected by settlement agreements with PBGC, and plans of government contractors. Section 402
of PPA 2006 applies special funding rules to certain plans of commercial passenger airlines and
airline caterers. None of these provisions affects how UVBs are determined. Plans in this small
group must determine UVBs in the same manner (and using the same discount rate basis) as all
other plans. In particular, under Section 402 of PPA 2006, certain plans may elect to use an 8.25%
discount rate for funding purposes and other plans may elect to use an 8.85% discount rate. These
rates may not be used to determine UVBs, even if the Alternative Premium Funding Target is
elected.

December 3, 2007

Page 20

Data to be Submitted
This form is for illustrative purposes only.

2008 PBGC Comprehensive Premium Filing

Amended filing

Disaster Relief (enter code) _ _ - _ _

Part I — General Plan Information
1 Plan sponsor information

Check for name/address change

a Name ___________________________________________________________________________________________________
b Address line 1 _____________________________________________________________________________________________
c Address line 2 _____________________________________________________________________________________________
d City _________________________

e State ______

h Six digit business code _ _ _ _ _ _ _
2 Plan administrator information

f Zip _______________

g Country (if not U.S.) _____________

i First six digits of CUSIP number _ _ _ _ _ _

Check if same as plan sponsor and skip to item 3

Check for name/address change

e State ______

f Zip _______________

g Country (if not U.S.) ______________

3 Plan information
a Plan name

_____________________________________________________________________

b Premium payment year information:
(1) This filing is for the premium payment year commencing _ _ /_ _ / _ _ _ _ and ending

_ _ /_ _ / _ _ _ _.

(2) If the plan year commencement date has changed since the most recent PBGC filing as a result of a plan amendment changing the plan
year, enter the date the plan year change was adopted _ _/_ _/_ _ _ _ .
(3)

Check box if plan qualifies to pay a prorated premium for this premium payment year (i.e., if plan has less than a full year of coverage).

c Employer Identification Number and Plan Number information:
(1) EIN and PN: EIN _ _ _ _ _ _ _ _ _ PN _ _ _
(2) If the EIN and PN are not both the same as on the most recent premium filing, enter EIN and PN from most recent premium filing:
EIN _ _ _ _ _ _ _ _ _ PN _ _ _. Otherwise, skip to item 3c(3).
(3) If the EIN and PN are not both the same as on the 2007 Form 5500, enter EIN and PN from 2007 Form 5500 and provide explanation:
EIN _ _ _ _ _ _ _ _ _ PN _ _ _. Explanation ____________________________________________________________________
_____________________________________________________________________________________Otherwise, skip to item 3d.
d Plan type:

Multiemployer

Single-employer (including multiple-employer plans)

e Plan size (based on prior year participant count):

4 Plan contact

Small (fewer than 100)
N/A; first year’s filing

Mid-size (100-499)

Large (500 or more)

Name: _________________________________________________ Phone number: _ _ _ -_ _ _ - _ _ _ _ ext _ _ _ _ _ _
E-mail address ___________________________________________

Part II— Alternative Premium Funding Target Election
Single-employer plans only. Multiemployer plans – skip to Part III
5

Check box to indicate that the plan is electing to use the alternative premium funding target instead of the standard premium funding
target, effective beginning with this premium payment year and for all subsequent premium years unless and until it is subsequently
revoked.
Note that an election cannot be revoked for any premium payment year that begins less than five calendar years after the date the
premium payment year reported in this filing begins. If an election is currently in effect, do not make an election again.

December 3, 2007

Page 21

Data to be Submitted
Part III — Premium Information
6 Flat-rate premium
a Participant count date:

Month ___

Day ___

Year ____

b Flat-rate premium calculation
(1) Applicable rate (Single-employer plans enter $33; Multiemployer plans, enter $9)

______________

(2) Participant count as of participant count date

______________

(3) Flat-rate premium (item 6b(1) x item 6b(2))

______________

7 Variable-rate premium (VRP) - Single-employer plans only (Multiemployer plans – skip to item 8)
a Exemptions — If an exemption applies, check applicable box and skip to item 8.
No vested participants

412(e)(3) plan

Standard termination with a proposed termination date of _ _ /_ _ /_ _ _ _

b VRP cap qualification — If this plan qualifies for the VRP cap applicable to certain plans of small employers (those with 25 or fewer
employees), check box . If box is checked, items 7c through 7g(1) may, but need not, be omitted.
c UVB Valuation date:

Month ___

Day ___

d Premium funding target information —
(1) Premium funding target method:

Check box if the reported premium funding target information is an estimate.
Standard

(2) Discount rate(s)

Year ____

Alternative
nd

1 segment ____%

2 segment ____%

3 segment ____%

N/A, full yield curve used

(3) Premium funding target as of UVB valuation date

______________

e Market value of assets as of UVB valuation date

______________

f Unfunded vested benefits (excess, if any, of item 7d(3) over item 7e, rounded up to the next $1,000)

______________

g Variable-rate premium calculation
If the plan does not qualify for the VRP cap, omit the following two items and skip to item 7g(3).
(1) Variable-rate premium before reflecting the cap (item 7f x 0.009)

______________

(2) Maximum VRP ($5 x item 6b(2) x item 6b(2))

______________

(3) Variable-rate premium
If the plan does not qualify for the VRP cap, item 7f x 0.009.
If the plan qualifies for the VRP cap, the lesser of item 7g(1) and 7g(2) or, if item 7g(1) was omitted, item 7g(2).

______________

8 Premium proration (If the plan does not qualify for premium proration, skip to item 9)
a Number of months (complete and partial) in the short plan year

______________

b Total premium before reflecting proration (item 6b(3) + item 7g(3), if applicable)

______________

9 Total premium
If the plan does not qualify for premium proration, item 6b(3) + item 7g(3), if applicable
If the plan qualifies for premium proration, item 8b x item 8a ÷ 12.

______________

10 Premium credit (including any payments already made for this premium payment year and any overpayment from
prior plan year unless refund was requested)

______________

11 Amount due (excess, if any, of item 9 over item 10)

______________

Payment method (paper filers only)

Check enclosed

Electronic funds transfer

12 Treatment of overpayment
a Excess, if any, of item 10 over item 9

______________

b Treatment of balance (select one):
Credit towards next year’s premium

Refund by check

Refund by electronic funds transfer (preferred refund option)

If you select a refund by electronic funds transfer, complete the following information:
Type of account

Checking

Savings

Account number ___________________

December 3, 2007

Bank routing number

_______________________

Sub-account number (if any)

_________________

Page 22

Data to be Submitted

Part IV — Miscellaneous Information
Items that do not apply should be left blank
13 Final filing — If this is the last filing for this plan, enter the date of event _ _ /_ _ / _ _ _ _ and check box that that best describes why filing
obligation is ceasing: Merger/Consolidation Trusteeship Distribution pursuant to termination Cessation of covered status
14 New and newly covered plans — If this filing is for a new plan or a newly-covered plan, report the plan effective date _ _ /_ _ / _ _ _ _, the
adoption date _ _ /_ _ / _ _ _ _ and the plan coverage date _ _ /_ _ / _ _ _ _.
15 Transfers from other plans — If another plan transferred assets or liabilities to this plan since the most recent comprehensive premium
filing, provide the following information with respect to each plan from which assets or liabilities were transferred (if transfer involved a new or
newly-covered plan, see instructions).
EIN _ _ _ _ _ _ _ _ _

PN _ _ _

Date of transfer _ _ /_ _ / _ _ _ _

Type of transfer:

Merger

Consolidation

Spinoff

Other

EIN _ _ _ _ _ _ _ _ _

PN _ _ _

Date of transfer _ _ /_ _ / _ _ _ _

Type of transfer:

Merger

Consolidation

Spinoff

Other

If more than two transferor plans are involved, include the above information for each additional transferor plan as an attachment.
16 Transfers to other plans — If this plan transferred assets or liabilities to another plan since the most recent comprehensive premium filing,
provide the following information with respect to each plan to which the assets or liabilities were transferred (if transfer involved a new or
newly-covered plan, see instructions).
EIN _ _ _ _ _ _ _ _ _

PN _ _ _

Date of transfer _ _ /_ _ / _ _ _ _ Type of transfer:

Merger

Consolidation

Spinoff

Other

EIN _ _ _ _ _ _ _ _ _

PN _ _ _

Date of transfer _ _ /_ _ / _ _ _ _ Type of transfer:

Merger

Consolidation

Spinoff

Other

If more than two transferee plans are involved, include the above information for each additional transferee plan as an attachment.
17 Participation freeze — If, as of the beginning of the premium payment year, this plan is closed to new entrants, enter the date the plan
became closed to new entrants _ _/_ _/_ _ _ _ .
18 Accrual freeze — If, as of the beginning of the premium payment year, benefit accruals under this plan are partially or totally frozen, enter the
date the freeze became effective_ _/_ _/_ _ _ _ and check box that best describes the nature of the freeze:
For all participants, both pay and service are frozen

For all participants, service is frozen, pay is not

For some participants, both pay and service are frozen

For some participants, service is frozen, pay is not

Other (enter explanation)________________________________________________________________________________
19 Amended filing — Complete this item only if this is an amended filing
a If either the first or last day of the premium payment year reported in this amended filing (item 3b(1)) differs from what was reported in the
filing that is being amended, provide the dates that were reported in the original filing:
Date premium payment year commenced _ _ /_ _ /_ _ _ _

Date premium payment year ended _ _ /_ _ /_ _ _ _.

b If the EIN and PN reported in this amended filing (item 3c(1)) are not both the same as what was reported in the filing that is being
amended, enter the EIN and PN from the original filing:
EIN _ _ _ _ _ _ _ _ _ PN _ _ _.
c If the reason for amending the filing is other than reconciling an estimated variable-rate premium and the total premium reported in this
amended filing (item 9) is less than the amount reported in the filing that is being amended provide an explanation of why an amended filing
is necessary: __________________________________________________________________________________________________
_____________________________________________________________________________________________________________
20 Attachments (paper filers only) — If any attachments are included with this filing, check box

December 3, 2007

and see instructions.

Page 23

Data to be Submitted

Part V — Certifications
21 Certification of Plan Administrator — The plan administrator must sign and complete this item.
I certify under penalty of perjury, to the best of my knowledge and belief, that all the information in the filing is true, correct and complete and
has been determined in accordance with the PBGC's premium regulations and instructions, except that if the filing reports an estimated
premium funding target, the estimate is reasonable, takes into account the most current information available to the enrolled actuary, and
has been determined in accordance with generally accepted actuarial principles and practices, and that if I received variable-rate premium
information certified by an enrolled actuary for this filing, the variable-rate premium information in the filing is the same as the variable-rate
premium information certified by the enrolled actuary.
Name of person signing:

First name _______________

Last name _____________________________

____________________________________________

_ _ _ -_ _ _ - _ _ _ _ ext _ _ _ _ _ _

E-mail address

Telephone

___________________________________________

_ _ /_ _ /_ _ _ _

Signature

Date

22 Certification of Enrolled Actuary — An enrolled actuary must sign and complete this item unless the plan is a multiemployer plan, is
exempt from the variable-rate premium, or is eligible for and paying the maximum VRP and not reporting the uncapped VRP.
I certify under penalty of perjury, to the best of my knowledge and belief, that the variable-rate premium information in the filing is true,
correct and complete and has been determined in accordance with PBGC's premium regulations and instructions; except that if the premium
funding target is estimated, the estimate is reasonable, takes into account the most current information available to me and has been
determined in accordance with generally accepted actuarial principles and practices.
Name of person signing:

First name _______________

Last name _____________________________

_____________________________________________

_ _ _ -_ _ _ - _ _ _ _ ext _ _ _ _ _ _

Firm

Telephone

_____________________________________________

___________

E-mail address

Enrollment number

____________________________________________

_ _ /_ _ /_ _ _ _

Signature

Date

December 3, 2007

Page 24

Description of Data Elements
Overview
This section provides a description of each required data element. It is presented in the same order
as the “form” used to illustrate the data elements (see prior section). Item numbers are presented
solely to facilitate understanding. The My PAA screens do not include item numbers. If you are
using private sector software, item numbers may or may not be included. We recommend you
review these instructions with a copy of the “form” in front of you.

Note for plans with more than one plan year beginning in 2007 or 2008:
References in these instructions to the 2007 plan year (and to filings for the 2007 plan year) should
be considered to refer to your plan’s most recent complete plan year. For example, a plan that
changes its plan year could have two plan years beginning in calendar 2008. When such a plan
makes its premium filing(s) for its second 2008 plan year, the references in these instructions to the
2007 plan year (and to filings for the 2007 plan year) should be considered to refer to the plan’s
first 2008 plan year (and to filings for that plan year), because that is the plan’s most recent
complete plan year. Similarly, if your plan had two plan years beginning in calendar 2007, the
references in these instructions to the 2007 plan year (and to filings for the 2007 plan year) should
be considered to refer to the plan’s second 2007 plan year, which is the plan’s most recent
complete plan year.

Note about reporting dollar amounts
With the exception of total premium, premium credits, the amount due PBGC, and the amount of
any overpayment, money amounts reported should be in dollars only (no cents).

Amended filing
Check this box only if you are amending a filing for a plan year that began in 2008. Note that a
Variable-rate Premium reconciliation filing (in which you provide final Premium Funding Target
information after having reported an estimated Premium Funding Target) is considered an amended
filing.
If you amend a comprehensive filing for a reason other than reconciling an estimated Variable-rate
Premium and the amended filing shows a lower premium than the amount that was originally
reported, you must provide an explanation of the specific circumstances or events that caused the
reduction.
If you are amending a filing for a plan year beginning before 2008, you must follow the
instructions and regulations applicable for that plan year.
Disaster relief
From time to time, when major disasters occur, PBGC grants disaster relief by waiving late filing
and payment penalties for certain plans. Disaster Relief Announcements are available on PBGC’s
Web site (www.pbgc.gov). If your plan is covered by a PBGC Disaster Relief Announcement for
this premium filing, report the four-digit code provided in the applicable Disaster Relief
Announcement.

December 3, 2007

Page 25

Description of Data Elements
Instructions for Part I – General Plan Information.
1 Plan sponsor information
a – g Report the name and address of the Plan Sponsor. If either has changed since your last
filing, check the box to report that fact.
h Business Code — Report the 6-digit code that best describes the nature of the employer’s
business. If more than one employer is involved, report the business code for the predominant
business activity of all employers. A list of business codes is included in Appendix 4.
i CUSIP number — If a CUSIP number has been assigned to publicly traded securities of the
Plan Sponsor or any member of the Plan Sponsor’s controlled group, report the first 6 digits of
the CUSIP number. Otherwise, leave this item blank.
A CUSIP number is a nine-digit number assigned to the publicly traded securities of a Plan
Sponsor (or member of the Plan Sponsor’s controlled group) under the securities numbering
system of the Committee on Uniform Securities Identification Procedures. The first six digits
of the CUSIP number identify the securities issuer, the next two digits identify the specific
securities issue, and the last digit is a check digit.
2 Plan administrator information
Report the name and address of the Plan Administrator. Note that this is the address where we
send official correspondence to the plan (e.g., an invoice for late payment charges). To keep our
records current and enable us to send correspondence to the correct address, you should inform us
of address changes as soon as they occur. You may do so by contacting us either in writing or by
e-mail. See Appendix 2 for contact information.
If the Plan Administrator’s name and address is the same as that of the Plan Sponsor, you may
satisfy this requirement by checking the box to report that fact.
If the Plan Administrator’s name or address has changed since your last filing, check the box to
report that fact (even if you informed us of the change prior to submitting this filing).

3 Plan information
a Plan name — Report the complete name of the plan as stated in the plan document. For
example, “The ABC Company Pension Plan for Salaried Personnel.”
b Premium Payment Year information
(1) Report the date the Premium Payment Year commences and the date it ends. If you are
filing for the first year of a New Plan, the Premium Payment Year commencement date
(“PYC”) should generally be the plan effective date.
(2) If the plan year beginning date has changed since the most recent PBGC filing as a result of
a plan amendment changing the plan year, enter the adoption date of the plan year change.
(3) Check box if plan qualifies to pay a prorated premium for this Premium Payment Year. A
plan qualifies to pay a prorated premium only if the Premium Payment Year is:

a short first year of a New or Newly-covered Plan;

a short year created by an amendment that changes the plan year (but note that an
amendment is not considered to change the plan year if the plan merges into or

December 3, 2007

Page 26

Description of Data Elements
consolidates with another plan or otherwise ceases its independent existence either
during the short plan year or at the beginning of the full plan year following the short
plan year);

a short year created by distribution of plan assets pursuant to plan termination; or

a short year created by the appointment of a trustee for a Single-employer Plan under
ERISA section 4042.

Note that the short year need not have ended by the time you pay a prorated premium, but
if the plan year turns out to be longer than you anticipated, you will have to make up any
premium underpayment, which will be subject to interest and penalties.
There is no premium proration where a plan ceases to be a covered plan before the end of
the plan year.
c Employer Identification Number (EIN) and Plan Number (PN) information
(1) Report the 9-digit EIN of the Plan Sponsor and the 3-digit PN of the plan.
(2) If the EIN and PN for this filing do not both match exactly the EIN and PN reported in the
most recent premium filing, report both the EIN and PN that were reported in the most
recent premium filing. If this is the first premium filing for this plan, leave this item blank.
Please note the following exceptions that apply only if this is an amended filing:

If item 3c(2) was reported incorrectly in the original filing, provide the information
that should have been reported in the original filing,

If item 3c(2) was reported correctly in the original filing, provide the same
information that was reported on the original filing.

(3) If the EIN and PN for this filing do not both match exactly the EIN and PN reported in the
2007 Form 5500, report both the EIN and PN that were reported in the 2007 Form 5500,
and attach an explanation. If a 2007 Form 5500 was not required, leave this item blank.
d Plan type — Indicate whether the plan is a Multiemployer Plan or a Single-employer Plan.
e Plan size — Premium due dates vary based on whether the plan is classified as a Small Plan,
Mid-Size Plan, or Large Plan. Indicate which Plan-Size classification applies for the Premium
Payment Year. Note that this classification is based on the Participant Count for the prior plan
year (i.e., the number of participants for whom a Flat-rate Premium was owed for the prior
year.) If this is a New Plan or a Newly-covered Plan, check the “N/A; first filing” box.
4 Plan contact — Report the name and phone number of the person we may contact if we have
any questions concerning this filing. If this person has an e-mail address, report that e-mail
address. If the filing is completed by a plan consultant, you may report the consultant’s
identifying information.

Part II – Alternative Premium Funding Target election
This Part applies only to Single-employer Plans. Multiemployer Plans should skip to Part III.
A plan may elect to use the Alternative Premium Funding Target to determine unfunded vested
benefits instead of the Standard Premium Funding Target (see “How to Determine Unfunded
Vested Benefits” section). Note that once an election is made, it remains in effect for all subsequent
Premium Payment Years unless and until it is subsequently revoked. Therefore, if you are making
an election with this filing, do not make an election again in a future filing.

December 3, 2007

Page 27

Description of Data Elements
An election cannot be revoked for any Premium Payment Year that begins less than five years after
the beginning of the Premium Payment Year for which the election was first applicable. For
example, if you make the election for a Premium Payment Year that begins on April 1, 2008, the
Alternative Premium Funding Target must be used to determine unfunded vested benefits for all
Premium Payment Years beginning before April 1, 2013. The plan may revoke the election first
effective for any Premium Payment Year beginning on or after April 1, 2013, but unless the
election is revoked, it will remain in place. My PAA will be modified in the future to allow for this
revocation.
Note that if an election to use the Alternative Premium Funding Target is subsequently revoked,
another election to use the Alternative Premium Funding Target cannot be made until five
additional years have passed.
5 Election — Check the box to indicate that the plan is making this election first effective for the
current Premium Payment Year.

Part III – Premium Information
6 Flat-rate Premium
a Report the Participant Count Date. See “How to Count Participants” section for special rules
relating to New Plans, Newly-covered Plans, Mergers and Spinoffs.
b Flat-rate Premium calculation
(1) Applicable rate — Enter the per-participant flat premium rate. For 2008, the rate is $33 for
Single-employer Plans and $8 for Multiemployer Plans.
(2) Participant count — Report the total number of participants covered by the plan on the
Participant Count Date. See “How to Count Participants” section.
(3) Flat-rate Premium — Report the product of the Participant Count and the applicable
premium rate. If the plan year is a short plan year, the required Flat-rate Premium may be a
prorated portion of this amount; however, the amount reported in this item must reflect a
full year’s premium.
Note that the Flat-rate Premium may be $0, but you must make a premium filing even if the Flatrate Premium is $0. This may happen, for example, if your plan is a New Plan that grants no past
service credits, so that there are no Benefit Liabilities on the Participant Count Date. A plan with
no Benefit Liabilities has no participants for premium purposes.
7 Variable-rate Premium
This item relates to Variable-rate Premium information and applies only to Single-employer Plans.
In general, the Variable-rate Premium is $9 per $1,000, or fraction thereof, of unfunded vested
benefits as of the UVB Valuation Date. For certain plans of small employers, this amount is
capped at a specified amount (see item 7b).
Some Single-employer Plans are exempt from the Variable-rate Premium; others may have a
Variable-rate Premium of $0. In either case, this section must be completed in accordance with the
following instructions.
a Exemptions — A Single-employer Plan may claim an exemption from the Variable-rate
Premium only if it meets the requirements for one of the exemptions described below:

Plans with no vested participants — Your plan qualifies for this exemption if the plan has
no participants with vested benefits as of the UVB Valuation Date.

December 3, 2007

Page 28

Description of Data Elements

Section 412(e)(3) plans (formerly called 412(i) plans) — Your plan qualifies for this
exemption if the plan is described in section 412(e)(3) of the Code and regulations
thereunder on the UVB Valuation Date.

Plans terminating in standard terminations — Your plan qualifies for this exemption if
notices of intent to terminate in a standard termination were issued in accordance with
ERISA section 4041(a)(2), setting forth a proposed termination date (i.e., the 60- to 90-day
prospective date) that is on or before the UVB Valuation Date. However, this exemption is
conditional on the plan’s ultimately making a final distribution of assets in full satisfaction
of its obligations under the standard termination. If such a distribution is not made, this
exemption does not apply and the premium(s) that would otherwise have been required
will be due retroactive to the applicable due date(s).

If an exemption applies, check the applicable box to indicate which exemption applies and skip
to item 8.
b Variable-rate Premium cap qualification — If the plan qualifies as a small-employer plan, the
Variable-rate Premium is capped at a specified amount (based on the number of plan
participants).
Determining whether plan qualifies for the cap — For this purpose:

a plan is a small-employer plan if the aggregate number of employees of all contributing
sponsors of the plan and all members of the contributing sponsors’ controlled groups, as of
the first day of the Premium Payment Year, is 25 or fewer,

the aggregate number of employees is determined in the same manner as under section
410(b)(1) of the Code, taking into account the provisions of section 414(m) and (n) of the
Code, but without regard to section 410(b)(3), (4), and (5) of the Code, and

employees are counted as of the first day of the Premium Payment Year, not as of the
Participant Count Date or the UVB Valuation Date.

Note that a plan with 25 or fewer participants does not necessarily qualify for the cap because
the eligibility criterion is based on employees, not the Participant Count. For example, if a
plan has 15 participants, but there are more than 25 employees (taking into account all
employees of all contributing sponsors of the plan and all members of their controlled groups),
the plan does not qualify for the cap.
Also note that a plan with more than 25 participants might qualify for the cap. For example,
consider a contributing sponsor with 20 employees, all of whom are participants in a plan. If
the plan also covers 15 former employees who are either terminated vested or retired, there are
35 participants in total. This plan would qualify for the cap (assuming there are no other
contributing sponsors and no controlled group members).
Reporting requirements — If your plan qualifies for this cap, check the box to report that fact.
If your plan qualifies for this cap, instead of reporting both the uncapped Variable-rate
Premium ($9 per $1,000 of unfunded vested benefits) and the maximum Variable-rate
Premium and then paying the lesser of the two amounts, you may report and pay the maximum
Variable-rate Premium. If you choose not to report the uncapped Variable-rate Premium, omit
items 7c through 7g(1) and go directly to item 7g(2). Note that if you choose to pay the
maximum Variable-rate Premium without determining whether it is less than the uncapped
Variable-rate Premium, you may pay a larger Variable-rate Premium than required.
c UVB Valuation Date — Report the UVB Valuation Date for the Premium Payment Year.
d Premium Funding Target information

December 3, 2007

Page 29

Description of Data Elements
The Premium Funding Target is the liability measure used to determine the Variable-rate
Premium. It is similar to the funding target that is used to determine the minimum funding
requirement for the Premium Payment Year, except that only vested benefits are taken into
account. The assumptions used to determine this amount differ depending on which
calculation method is used:

With the standard method, the Premium Funding Target is calculated using the same
assumptions used to determine the minimum required contribution for the Premium
Payment Year with one exception. In lieu of the discount rates used for funding purposes,
the discount rates are the segment rates for the month preceding the month in which the
Premium Payment Year begins that are determined in accordance with ERISA section
4006(a)(3)(E)(iv).

With the alternative method, the Premium Funding Target is calculated using exactly the
same assumptions used to determine the minimum required contribution for the Premium
Payment Year.

See “How to Determine Unfunded Vested Benefits” section for more information, including
information on when certain types of benefits are considered vested.
Note for Mid-size and Large Plans— If the Premium Funding Target (and thus, the Variablerate Premium) being reported in this filing is an estimate, check the box to report that fact.
Note that if you file on an estimated basis, you must ultimately make a reconciliation filing
using the actual Premium Funding Target (by amending this filing). In the reconciliation
filing, in addition to reporting the actual Premium Funding Target data, be sure to indicate that
the reported amount is no longer an estimate by making sure the “estimate” box is no longer
checked. See “Correcting Filings and Reconciling Estimates” section.
Note also that to qualify for the automatic penalty relief, the estimated Premium Funding
Target must be certified by an enrolled actuary to be a reasonable estimate that:

takes into account the most recent data available to the enrolled actuary, and

has been determined in accordance with generally accepted actuarial principles.

In addition, note that the election to use the Alternative Premium Funding Target for the first
time must be made by the Variable-rate Premium due date and reported on the original
comprehensive filing, even if the Premium Funding Target being reported is an estimate. The
election is reported in the comprehensive filing.
See “Late Payment Charges” section for more information on the penalty relief available to
Large and Mid-size Plans paying estimated Variable-rate Premiums on the due date.
(1) Premium Funding Target method — If you are using the Standard Premium Funding
Target to determine unfunded vested benefits, check the “Standard” box. If you are using
the Alternative Premium Funding Target to determine unfunded vested benefits, check the
“Alternative” box.
Note that the standard method must be used unless an election to use the alternative
method is in effect (see instructions for Part II). Also, note that if an election to use the
alternative method is in effect, you must use the alternative method.
(2) Report the discount rate(s) used to determine the Premium Funding Target. If you are
using the:

Standard Premium Funding Target, these rates must be the segment rates for the
month preceding the month in which the Premium Payment Year begins that are
determined in accordance with ERISA section 4006(a)(3)(E)(iv) (i.e., the rates that
would be determined under ERISA section 303(h)(2)(C) if ERISA section

December 3, 2007

Page 30

Description of Data Elements
303(h)(2)(D) were applied by using the monthly yields for the month preceding the
month in which the Premium Payment Year begins on investment grade corporate
bonds with varying maturities, and in the top 3 quality levels, rather than the average
of such yields for a 24-month period). These rates are available at www.pbgc.gov.

Alternative Premium Funding Target, these rates must be identical to the rates that
are used to determine the minimum required contribution for the Premium Payment
Year as reported in item 21a of the 2008 Schedule SB, Form 5500. This includes
any elections with respect to the optional phase-in from the prior current liability
discount rate, the applicable month, and the option to use the full yield curve in lieu
of segment rates. If the full yield curve is used for this purpose, rather than reporting
the full yield curve, check the box to report that fact.

(3) Report the Premium Funding Target (dollars only). Note that if you are using the
Alternative Premium Funding Target, the amount reported is generally equal to the total
funding target reported in the 2008 Schedule SB (item 3d) reduced by the non-vested
portion of the total funding target (item 3c(1)) reported in that same Schedule.
e Market value of assets — Report the fair market value of plan assets (dollars only) as of the
UVB Valuation Date for the Premium Payment Year adjusted to reflect contribution receipts as
follows:
Adjustments for prior year contributions
If contributions for the prior plan year were made after the UVB Valuation Date and before the
date the premium filing is made, increase the market value to include such contributions. For
Premium Payment Years beginning in 2008, such prior year contributions are included without
any discounting. For Premium Payment Years beginning after 2008, prior year contributions
are discounted to the UVB Valuation Date, using the effective interest rate for the plan year for
which the contributions were made.
Adjustments for current year contributions
If contributions for the current plan year were made before the UVB Valuation Date, decrease
the market value by the adjusted value of these current year contributions. (Note – this can
happen only if the UVB Valuation Date is after the beginning of the plan year). For this
adjustment, such contributions are increased to the UVB Valuation Date using the ERISA
section 303(h)(2)(A) effective interest rate for the current plan year.
Interest adjustments
For both interest adjustments noted above, use the effective interest rate determined under
ERISA section 303(h)(2)(A) and reported in item 5 of Schedule SB for the plan year for which
the contributions were made.
Comparison to asset value reported on Schedule SB
In general, the asset value reported here must be the same as the market value of assets
reported in the 2008 Schedule SB (item 2a). The amounts would differ only if a premium
filing is made before the premium filing due date and prior year contributions are made after
the premium filing is made (and thus not included in assets).
f Unfunded vested benefits — Report the excess (rounded up to the next $1,000), if any, of the
Premium Funding Target over the fair market value of assets.
g Variable-rate Premium calculation (If the plan does not qualify for the Variable-rate-Premium
cap, skip to item 7g(3).)

December 3, 2007

Page 31

Description of Data Elements
(1) Variable-rate Premium before reflecting the cap — Report the product of 0.009 and the
amount of unfunded vested benefits. If the plan does not qualify for the Variable-ratePremium cap, this item must be left blank.
(2) Maximum Variable-rate Premium — The maximum Variable-rate Premium is $5 times the
square of the plan’s Participant Count. Report the product of the Participant Count
multiplied by the Participant Count multiplied by $5. If the plan does not qualify for the
Variable-rate-Premium cap, this item must be left blank.
(3) Variable-rate Premium

If the plan does not qualify for the Variable-rate Premium cap, report the product of
0.009 and the amount of unfunded vested benefits.

If the plan qualifies for the Variable-rate Premium cap, report the lesser of the
Variable-rate Premium before reflecting the cap and the maximum Variable-rate
Premium, or, if you choose not to calculate/report the Variable-rate Premium before
reflecting the cap, report the maximum Variable-rate Premium.

If this is a short plan year of coverage, the required Variable-rate Premium may be a
prorated portion of this amount; however, the full year’s premium amount must be reported
in this item.
8 Premium proration (If the plan does not qualify for premium proration, skip to item 9.)
a Number of months in the short plan year — Report the number of months (complete and
partial) in the short plan year. For this purpose, each plan month (i.e., each month in the plan
year) generally begins on the same day of each successive calendar month. For example, if
the plan year begins on July 1, the first day of each successive calendar month is the beginning
of a new month; similarly, if the plan year begins on January 15, the second plan month
begins on February 15, the third plan month on March 15, etc. Thus, if a short final year
begins on January 1 and ends on June 1, there would be six (full or partial) months in the short
year. (The last (partial) month, beginning (and ending) on June 1, would count as a full month
for purposes of prorating the premium.) Similarly, if a short first year begins on July 31 and
ends on December 31, there also would be six (full or partial) months in the short year.
There are two special rules when a plan year begins at or near the end of a calendar month:

If the plan year begins on the last day of a calendar month, successive plan months begin
on the last day of successive calendar months. For example, if the plan year begins on
November 30, successive plan months begin on December 31, January 31, the last day of
February (the 28th or 29th), March 31, etc.

If the plan year begins on the 29th or 30th of a calendar month other than February, the plan
month beginning in February begins on the last day of February. For example, if the plan
year begins on November 29, successive plan months begin on December 29, January 29,
the last day of February (the 28th or 29th), March 29, etc. If the plan year begins on
December 30, successive plan months begin on January 30, the last day of February (the
28th or 29th), March 30, April 30, etc.

Counting months for New and Newly-covered Plans — The short first year of a New Plan is
treated as beginning on the Participant Count Date (i.e., the plan effective date). The short first
year of a Newly-covered Plan is treated as beginning on the date when the plan becomes
covered under ERISA section 4021.

December 3, 2007

Page 32

Description of Data Elements
Counting months for terminating plans — The (short) plan year of a terminating plan’s final
year is treated as ending on:

for a Multiemployer Plan that distributed all its assets pursuant to ERISA section 4041A,
the date the distribution is completed; or

for a Single-employer Plan, the earlier of:
-

the date on which the distribution of the plan’s assets in satisfaction of all Benefit
Liabilities was completed; or

the date that a trustee for the terminating plan was appointed under ERISA section
4042.

b Total premium before proration — Report the sum of the Flat-rate Premium and, if applicable,
the Variable-rate Premium.
9 Total premium —The total premium is determined as follows:

If the plan does not qualify for premium proration, report the sum of the Flat-rate Premium
and, if applicable, the Variable-rate Premium.

If the plan qualifies for premium proration, multiply the total premium before reflecting
proration by the number of months (complete and partial) in the short plan year and then
divide by 12. Round to two decimal places after completing the calculation.

If this amount includes cents, report the exact amount (dollars and cents), not a rounded amount.

10 Premium credit
Report the total amount of premium credits available to offset the premium due. Premium
credits include:

Any overpayment of the 2007 premium filing for which a refund was not requested,

Estimated 2008 Flat-rate Premium paid earlier in the year (Large Plans only), and

Any other payments made for 2008 (including an estimated Variable-rate Premium for a
Large or Mid-size Plan when amending the filing to reconcile the estimate. See “Correcting
Filings and Reconciling Estimates” section).

If this amount includes cents, report the exact amount (dollars and cents), not a rounded
amount.
11 Amount due — If the total premium due equals or exceeds the total premium credit, subtract
the total credit from the total premium and report the result as the amount due. This is the
amount you owe PBGC. See Appendix 3 for information on payment options.
If you received an exemption from e-filing, check the box to report whether payment will be
made by check or by electronic funds transfer (EFT).
If this amount includes cents, report the exact amount (dollars and cents), not a rounded
amount.

12 Treatment of Overpayment

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Description of Data Elements
a If the total premium is less than the total premium credit, subtract the total premium from the
total credit and report the result as an overpayment.
b If you have an overpayment, you must choose whether to have the overpayment refunded (by
check or electronic funds transfer) or credited towards the next year’s premium for the plan.
Report your choice by checking the appropriate box.
If you request to use the overpayment as a credit towards next year’s premium for the plan, you
should claim the overpayment amount as a credit on the next year’s premium filing for the
plan.
If you prefer a refund to a credit, the quickest way to receive your refund is to select the
electronic funds transfer option. We strongly recommend this option. To facilitate an
electronic funds transfer, indicate whether the account is a checking account or savings
account, and provide the bank routing number and account number to which the refund is to be
credited. If you want the refund credited to a sub-account within the main account, also
provide the sub-account number.
If this amount includes cents, report the exact amount (dollars and cents), not a rounded
amount.
Instructions for Part IV – Miscellaneous Information
13 Final premium filing
If this is the last premium filing for this plan, indicate the reason: (1) that the plan merged or
consolidated with another plan, (2) that the plan was trusteed under ERISA section 4042, (3)
that the plan completed a distribution pursuant to termination, or (4) that the plan ceased to be a
covered plan.
Report the date of the event that led to the cessation of the requirement to file. If the reason
this is the last premium filing is because:

the plan merged or consolidated into another plan, report the effective date of the Merger
or Consolidation;

the plan terminated in an involuntary or distress termination, report the effective date of the
trusteeship;

there was a distribution of assets pursuant to a termination:

for a Single-employer Plan that completed a standard termination, report the date on
which the distribution of the plan’s assets in satisfaction of all Benefit Liabilities was
completed, or

for a Multiemployer Plan that distributed all its assets pursuant to ERISA section
4041A, report the date the distribution is completed;

the plan ceased to be covered by Title IV of ERISA, report the date coverage ceased.

14 New or Newly-covered plans
If this plan is a New Plan or a Newly-covered Plan, report the plan effective date, the Plan
Adoption Date, and the plan coverage date. The plan coverage date is the date the plan first
became covered under Title IV. If another plan transferred assets or liabilities to this New or
Newly-covered Plan, be sure to complete the “Transfers from other plans” item (see item 15).
15 Transfers from other plans

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Description of Data Elements
Pre-existing plans — If another plan transferred assets or liabilities to this plan since the date
of the most recent comprehensive premium filing (or, if this is a filing for a Premium Payment
Year beginning in 2008, since the date of the 2007 “final filing”), report the EIN and PN of the
plan from which the assets were transferred (i.e., the “transferor plan”).
New Plans — If this plan is a New Plan and another plan transferred assets or liabilities to this
plan in conjunction with the creation of this plan, report the EIN and PN of the plan from
which the assets were transferred.
Newly-covered Plans — If this plan is a Newly-covered Plan and another plan transferred
assets or liabilities to this plan on or after the date the plan became covered and before the date
the premium filing is made, report the EIN and PN of the plan from which the assets were
transferred.
In all cases, report the date of the transfer and check the box that best describes the type of
transfer (see definitions of Merger, Spinoff, and Consolidation). For this purpose, the date of
transfer is the date the transfer went into effect.
Example — A Merger agreement between two calendar-year plans (Plans A and B) provides
that participants of Plan A will cease accruing benefits under Plan A and begin coverage and
benefit accruals under Plan B as of January 1, 2008, and that the obligation to pay benefits to
Plan A participants will pass from Plan A to Plan B as of that date. The agreement also
provides that Plan A’s assets will be transferred to Plan B’s account as soon as practicable.
The transfer does not actually occur until February 17, 2008. If you are preparing a
comprehensive premium filing for Plan B for Plan B’s 2008 Premium Payment Year, report
“01/01/2008” as the date of transfer.
Note that the date of a transfer is determined based on the facts and circumstances of the
particular situation. (For transfers subject to section 414(l) of the Code, report the date
determined under 26 CFR 1.414(l)-1(b)(11).)
If the transfer is the result of something other than a Merger, Spinoff, or Consolidation, for
example, a reciprocity arrangement where assets and liabilities are transferred between two
plans when an employee changes locations or changes status (e.g., from Salaried to Hourly and
as a result becomes covered by another plan), check the “Other” box. Also check the “Other”
box if you have no way of determining whether the transferor plan ceased to exist in
connection with a Merger or Consolidation into your plan.
If more than one transferor plan is involved, provide the above information with respect to each
transferor plan.
If, at the time you submit your filing, you are not aware that a transfer had occurred and you
subsequently discover that a reportable transfer had occurred, you must amend the original
filing to report the corrected information.

16 Transfers to other plans
Pre-existing plans — If this plan transferred assets or liabilities to another plan since the date
of the most recent comprehensive premium filing (or, if this is a filing for a Premium Payment
Year beginning in 2008, since the date of the 2007 “final filing”), report the EIN and PN of the
plan to which the assets were transferred (i.e., the “transferee plan”). In addition, report the
date of transfer and check the box that best describes the type of transfer.
New Plans — If this plan is a New Plan and this plan transferred assets or liabilities to another
plan on or after the earlier of the Plan Adoption Date and the effective date, and before the date
the premium filing is made, report the EIN and PN of the plan to which the assets were
transferred and the type of transfer.

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Description of Data Elements
Newly-covered Plans — If this plan is a Newly-covered Plan and this plan transferred assets or
liabilities to another plan on or after the date the plan became covered and before the date the
premium filing is made, report the EIN and PN of the plan to which the assets were transferred
and the type of transfer.
In all cases, if more than one transferee plan is involved, provide the above information with
respect to each transferor plan. See instructions to item 15 for more information on what is to
be reported for “date of transfer.”
If, at the time a filing is made, you are not aware that a transfer had occurred and you
subsequently discover that a reportable transfer had occurred, you must amend the original
filing to report the corrected information.
Example — Until November 1, 2007, Plan E covered employees at Division 1. As a result of
the sale of Division 1 to another sponsor (Employer X), assets and liabilities are spun off from
Plan E to Plan F (a plan sponsored by the new owner) effective November 1, 2007. If you are
preparing a 2008 comprehensive premium filing for Plan E, report Employer X’s EIN and the
PN of Plan F. In addition, check the “Spinoff” box to report that the transfer occurred as the
result of a Spinoff and report “11/01/2007” as the date of transfer.
17 Participation freeze
If, as of the beginning of the Premium Payment Year, the plan provides that participation is
limited to participants who were covered by the plan as of a specified date (i.e., the plan is
closed to new entrants), enter the date the plan became closed to new entrants.
18 Benefit accrual freeze
If, as of the beginning of the Premium Payment Year, the plan is partially or totally frozen for
benefit accrual purposes, enter the date the freeze became effective and indicate the nature of
the freeze by reporting whether (1) both pay and service are frozen for all participants, (2) both
pay and service are frozen for some participants, (3) for all participants, service is frozen, but
pay is not, (4) for some participants, service is frozen, but pay is not, or (5) some other type of
accrual freeze is in effect (in which case you must provide a description of the freeze).
If more than one description applies (for example, if pay and service are frozen for employees
at location X and only service is frozen for employees at location Y), select “Other” and
provide a description.
If more than one freeze has occurred, report the date and nature of the most recent freeze.
19 Amended filings — Complete this item only if this is an amended filing.
a If either first day or the last day of the premium payment year reported in this amended filing
(item 3b(1)) differs from what was reported in the filing that is being amended, provide the
dates that were reported in the original filing.
b If the EIN and PN reported in this amended filing (item 3c(1)) are not both the same as what
was reported in the filing that is being amended, report the EIN and PN from the original
filing.
c. If this is an amended filing for a reason other than reconciling an estimated Variable-rate
Premium and the amended filing shows a lower premium than the amount that was
originally reported, provide an explanation of the specific circumstances or events that
caused the reduction.

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Description of Data Elements

20 Attachments (paper filers only)
If any additional information is included as an attachment to this filing, check the box to report
that fact. Examples of required attachments include: explanation of why you are submitting a
paper filing if you have not received an e-filing exemption; explanation of lower premium
amount if filing is an amendment to a prior filing; transfer information if more than two plans
are involved; explanation if EIN or PN differs from most recent 5500 filing; etc.
Be sure to show the EIN/PN for this filing and the date the Premium Payment Year
commenced (identified as “PYC”) at the top of each attachment.
Instructions for Part V – Certifications
21 Plan Administrator Certification
All of the information reported in this filing must be certified by the Plan Administrator.
Follow the certification instructions for the electronic filing method that is used to make the
filing. Be sure to provide the Plan Administrator’s name and the telephone number. If the
Plan Administrator has an e-mail address, that address must also be reported.
22 Enrolled Actuary Certification
An enrolled actuary must certify the Variable-rate Premium calculation unless:

The plan is a Multiemployer plan (and thus, there is no Variable-rate Premium).

The plan is a Single-employer Plan and is either:
-

exempt from the Variable-rate Premium, or

eligible for and paying the maximum Variable-rate Premium (and not reporting the
regular Variable-rate Premium).

Be sure to provide the enrolled actuary’s name, firm and telephone number. If the enrolled
actuary has an e-mail address, that address must also be reported.
The actuary must follow the certification instructions for the electronic filing method that is
used to make the filing.

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Late Payment Charges
General
If you file a premium payment after the due date, we will bill the plan for late charges. The late charges
include both interest and penalty charges. The charges are based on the outstanding premium amount due
on the due date. If your due date is extended because it falls on a weekend or federal holiday, and your
premium payment is filed after the extended due date, interest and penalty will be computed from the
actual (unextended) due date. PBGC also may assess penalties under ERISA section 4071 for failure to
timely provide premium-related information.

Late Payment Interest Charges
The late payment interest charge is set by ERISA, and we cannot waive it. Interest accrues at the rate
imposed under section 6601(a) of the Code (the rate for late payment of taxes) and is compounded daily.
The rate is established periodically (currently on a quarterly basis), and PBGC publishes the interest rates
on or about the 15th of January, April, July, and October in the Federal Register. The rates are also
posted on PBGC’s Web site (www.pbgc.gov).
Late Payment Penalty Charges
The late payment penalty charge is established by us, subject to ERISA’s restriction that the penalty not
exceed 100 percent of the unpaid premium amount. Subject to this cap, the penalty is a percentage of the
unpaid amount for each month (or portion of a month) it remains unpaid with a minimum penalty of $25.
The monthly rate is higher or lower depending on whether the premium underpayment is “self-corrected.”
The penalty rate is 1 percent of the late premium payment per month if the late payment is made on or
before the date when PBGC issues a written notification indicating that there is or may be a premium
delinquency (for example, a statement of account (premium invoice), a past-due-filing notice, or a letter
initiating an audit). A penalty rate of 5 percent per month applies to payments made after the PBGC
notification date.
Minimizing Late Payment Charges
If you cannot make a comprehensive filing by the due date because you are having difficulty determining
some of the required information, you can minimize late payment charges by submitting payment (the
amount due or an estimate) without submitting the certified comprehensive filing. If you choose to do
this, you must pay by check or wire transfer outside of My PAA (see Appendix 3). The payment should
be clearly identified with the Employer Identification Number (EIN), Plan Number (PN) and the plan year
commencement date (PYC) for the plan. You should then submit your certified filing as soon as possible.
PBGC does not recommend this procedure. We may assess a penalty under ERISA section 4071 for
failure to furnish premium-related information by the required due date, and making a premium payment
without an accompanying premium information filing may cause significant delay in providing a
statement of account for the plan. However, when the information filing is ultimately made, the payment
will be credited as of the date it was filed and thus stop the accrual of late payment charges on the amount
paid.
Saturday, Sunday, and Federal Holidays
As explained in the “When to File” section, if your premium filing due date falls on a Saturday, Sunday
or Federal Holiday, it is extended automatically to the next business day. However, if your premium

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Late Payment Charges
payment is filed after the extended due date, interest and penalties will be computed from the actual
(unextended) due date.
Example — The Flat-rate and Variable-rate Premium for a Small Plan with a plan year beginning on July
1, 2008, normally would be due on October 31, 2009. Because that day is a Saturday, the due date is
Monday, November 2, 2009. If your filing is made on Wednesday, November 4, 2009, any applicable
late payment charges will be computed from Saturday, October 31, 2009, not November 2, 2009.

Penalty Waivers
Statutory Waivers
Before the filing due date, if you can show substantial hardship and that you will be able to pay the
premium within 60 days after the filing due date, you may request that we waive the late payment penalty
charge. If we grant your request, we will waive the late payment penalty charge for up to 60 days. To
request a waiver, write to the address provided in Appendix 2.
Reasonable Cause Waivers
Waivers of the late payment penalty charge may also be granted based on a demonstration of reasonable
cause. If you wish to request such a waiver, contact PBGC after you receive a statement of account
(premium invoice) assessing penalties. If a waiver is denied or granted to a lesser extent than requested,
you may submit a request for reconsideration. See Appendix 2 for information on where to send a request
for a penalty waiver or reconsideration.
Failure to obtain premium instructions from PBGC is not reasonable cause for a waiver.

Automatic Penalty Waiver for Late Flat-rate Premiums – Large Plans
The Flat-rate Premium owed for a plan year is based on the number of plan participants as of the
Participant Count Date. However, a Large Plan may not have an accurate Participant Count by its Flatrate Premium due date, which falls early in the year (generally the end of February in the Premium
Payment Year for calendar-year plans). For this reason, PBGC permits Large Plans to compute the
amount owed on the basis of an estimated Participant Count. However, a Large Plan’s full Flat-rate
Premium (not merely an estimate) is due by the plan’s Flat-rate Premium due date. If the full amount due
is not paid by that date, the plan will be subject to late payment interest charges and may also be subject
to late payment penalty charges.
If you make an estimated Flat-rate Premium filing (based on an estimate of the plan’s Participant Count),
you must reconcile that filing by the 15th day of the tenth full calendar month following the end of the
plan year preceding the Premium Payment Year (October 15th of the Premium Payment Year for
calendar-year plans).
No penalty will be charged (although interest will be charged) until the date the flat-rate reconciliation
filing is due if the premium (based on an estimated Participant Count) that you pay by the Flat-rate
Premium due date equals at least the lesser of:

90 percent of the full Flat-rate Premium, or

an amount equal to the Participant Count for the year before the Premium Payment Year multiplied
by the applicable flat premium rate for the Premium Payment Year. This test will be met if the
amount paid is sufficient using either the actual Participant Count for the plan year preceding the
Premium Payment Year or a smaller count that was erroneously reported.

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Late Payment Charges
In addition, no penalty will be charged (although interest will be charged) until the date the reconciliation
is due if you did not make a Flat-rate Premium payment by the Large Plan Flat-rate Premium due date
because either:

you erroneously reported fewer than 500 participants for the plan year preceding the Premium
Payment Year, or

the due date for paying the Flat-rate Premium for the plan year preceding the Premium Payment Year
is later than the due date for paying the Flat-rate Premium for the Premium Payment Year. This could
happen, for example, if a calendar-year plan were new for Year 1 (and thus had a Year 1 due date of
April 30 of Year 2) and had 550 participants for Year 1, making it a Large Plan for Year 2 (with a
Year 2 Flat-rate Premium due date of February 28 of Year 2). This could happen for 2008 only if a
plan had two years beginning in 2008 (one of which would be a short year).

For purposes of determining whether a penalty is due, the Participant Count “erroneously reported” for
the plan year preceding the Premium Payment Year refers to the premium filing (or last amended filing)
for the plan year preceding the Premium Payment Year made to PBGC by the Flat-rate Premium due date
for the Premium Payment Year. See the separate instructions for Estimated Flat-rate Premiums for Large
Plans for more details.
If you have an accurate Participant Count for a Large Plan by the time the Flat-rate Premium is due, you
should pay the amount owed by that date. If you do so, you will avoid the interest charge and any penalty
charge.
If you have all the information needed to make a comprehensive filing by the date the Flat-rate Premium
is due, you may make a comprehensive filing at that time. 7 If you make an estimated filing, you will still
be required to make a comprehensive filing by the date the Flat-rate Premium reconciliation filing is due.

Automatic Penalty Waiver for Late Variable-Rate Premiums – Large and Mid-size Plans
The Variable-Rate Premium owed for a plan year is based on the Premium Funding Target as of the UVB
Valuation Date. However, a Large or Mid-size Plan may not be able to calculate an accurate Premium
Funding Target by its Variable-rate Premium due date (generally October 15th of the Premium Payment
Year for calendar-year plans). For this reason, PBGC permits Large and Mid-size Plans to compute the
Variable-Rate Premium owed on the basis of an estimated Premium Funding Target. However, a Large
or Mid-size Plan’s full Variable-rate Premium (not merely an estimate) is due by the plan’s Variable-rate
Premium due date. If the full amount due is not paid by that date, the plan will be subject to late payment
interest charges and may also be subject to late payment penalty charges.
If you make an estimated Variable-rate Premium filing, you must reconcile that filing by the last day of
the 16th full calendar month following the end of the plan year preceding the Premium Payment Year
(April 30th following the Premium Payment Year for calendar-year plans).
No penalty will be charged (although interest will be charged) until the date the reconciliation is due or (if
earlier) the date the reconciliation filing is made if, by the plan’s Variable-rate Premium due date:

You report:
-

The fair market value of the plan’s assets for the Premium Payment Year, and

Note — For Large plans with Flat-rate Premium due dates early in the year (for example, a calendar-year Large
Plan), My PAA might not be updated to accept comprehensive filings by the time the Flat-rate Premium is due.
This will likely be the case for 2008. In such cases, it will be necessary to submit an estimated Flat-rate Premium
filing and then reconcile that filing later in the year (when the comprehensive filing is made).

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Late Payment Charges
-

An estimate of the Premium Funding Target that is certified by an enrolled actuary to be a
reasonable estimate that:
o

takes into account the most current data available to the enrolled actuary;

has been determined in accordance with generally accepted actuarial principles and
practices; and

uses the calculation methodology (alternative or standard) in effect for the plan year; and

You pay at least the amount of Variable-rate Premium determined from the value of assets and
estimated Premium Funding Target so reported.

Note that the fair market value of the plan’s assets that you report must be final, not an estimate. If you
subsequently make an amended filing reflecting a different value of assets, this penalty relief will be lost.
However, PBGC will consider a request for an appropriate penalty waiver in such a situation and in acting
on the request will consider such facts and circumstances as the reason for the mistake, whether assets
were over- or understated, and, if assets were overstated, the extent of the overstatement.
In addition, note that the election to use the Alternative Premium Funding Target must be made by the
Variable-rate Premium due date even if the Premium Funding Target being reported is an estimate. The
election is reported on the original comprehensive filing. The reconciliation filing serves to finalize a
previously estimated Premium Funding Target; it does not afford an opportunity to elect the alternative
method after the due date for such election (or to revoke a prior election after the due date for such
revocation).
If you know the final Premium Funding Target for a Mid-size or Large Plan by the time the Variable-rate
Premium is due, you should pay the amount owed by that date. If you do so, you will avoid the interest
charge and any penalty charge. If you report that you are making a filing based on an estimated Premium
Funding Target, you will be required to make an amended filing reflecting the actual Premium Funding
Target by the date the variable-rate reconciliation filing is due.

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Correcting Filings and Reconciling Estimates
Correcting Errors
Making Payment Without Filing Information
If you make a premium payment without filing the related premium information, file the
information as soon as possible to get proper credit for your payment and minimize any late filing
penalty. Follow the instructions in this document or in My PAA for identifying your payment so
that we can associate it with your information filing.

Filing Information Without Making Required Payment
If you make a filing of premium information without making a required payment, send the payment
as soon as possible to minimize late payment charges. Follow the instructions in this document or
in My PAA for identifying your payment so that we can associate it with your information filing.

Amended Filings
If, after submitting a filing, you discover an error has been made (e.g., originally reported
information is incorrect), you must amend the filing to report the correct information even if the
correction has no impact on the premium amount. A filing can be amended by resubmitting the
filing with the corrected information. Be sure to indicate that the filing is an amendment to a
previously submitted filing (see “Description of Data Elements” section).
In the amended filing, report all of the required information, including information that was correct
in the original filing. Include as credits all the credits you previously claimed plus the amount you
paid with your original filing. If the originally reported premium:

was too low, the additional premium due will equal the excess of the revised total premium
amount over the revised total credit. Pay the additional premium due when you submit your
amended filing. In this case, late payment interest charges will apply and late payment penalty
charges may apply. You will receive an invoice for these charges after your amended filing is
received. You may include payment of anticipated late payment charges when you pay the
additional premium, but the amount reported on the amended filing should reflect only the
additional premium due.

was too high, the overpayment will equal the excess of the revised total credit over the revised
total premium. Indicate whether you want the overpayment refunded or applied to the next
year’s premium for the plan.
If you request that an overpayment be applied to the next year’s premium, you should claim the
amount of the overpayment as a credit on the next year’s premium filing for the plan. If you
want a refund by electronic funds transfer, provide the necessary information; we will make the
transfer through the automated clearing house (ACH) system. A request for a refund must be
made within the period specified in the applicable statute of limitations (generally six years
after the overpayment was made).
If there are unpaid premiums, interest, or penalties for your plan for prior years, you may
request PBGC to apply all or part of an overpayment toward payment of those unpaid prior
year amounts. Such a request should be made in writing (e-mail, letter or fax — see
Appendix 2). Note that an overpayment for one plan cannot be applied to offset an
underpayment on another plan.

Required explanation if premium amount decreases: If you amend a comprehensive filing for a
reason other than reconciling an estimated Variable-rate Premium and the amended filing shows a
lower premium than the amount that was originally reported, you must provide an explanation of

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Correcting Filings and Reconciling Estimates
the specific circumstances or events that caused the reduction. (For example, if your original final
filing’s Participant Count included employees at a division that is not covered by the plan, you
would explain why the employees were erroneously counted as participants and how the error was
discovered.)
Note that if you are amending a filing for an earlier year, you must follow the instructions for that
year except that current mailing and Electronic Funds Transfer addresses should be used instead of
the addresses that were included in the instructions for the original filing. Prior year instructions are
available at www.pbgc.gov.

Reconciling Estimates
For Large and Mid-size Plans that filed an estimated Variable-rate Premium, the reconciliation is
made by amending the filing that included the Variable-rate Premium estimate.
See “Description of Data Elements” section for additional information on how to reconcile an
estimated Variable-rate Premium.
For Large Plans, the Flat-rate Premium reconciliation filing is due on the same date the
comprehensive premium filing is due. The comprehensive premium filing is designed to enable
you to reconcile an estimate Flat-rate Premium and report the other premium information
(Variable-rate Premium data, miscellaneous data, etc.) as part of the same filing.
Failure to reconcile these estimates in a timely manner will result in late payment charges if the
estimate to be reconciled was too low. PBGC may also assess penalties under ERISA section 4071
for failure to reconcile estimated premium filings by the reconciliation due date.

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Recordkeeping Requirements; PBGC Audits
Recordkeeping Requirements
Plan Administrators are required to retain all plan records that are necessary to establish, support
and validate the amount of any PBGC premium required to be paid and any information required to
be reported. The records must include calculations and other data prepared by an enrolled actuary,
the Plan Sponsor, and an employer required to contribute to the plan with respect to its employees;
or for a plan described in section 412(e)(3) of the Code, by the insurer from which the insurance
contracts are purchased. The records must be kept for six years after the premium due date.
Records that must be retained include, but are not limited to, records that establish the number of
plan participants and the amount of unfunded vested benefits on which the Variable-rate Premium
is based. Records retained pursuant to this paragraph must be made available or submitted to
PBGC promptly upon request. If a record to be produced for PBGC inspection and copying exists
in more than one format, it must be produced in the format that PBGC specifies.
Records also include, but are not limited to, plan documents; participant data records; personnel
and payroll records; actuarial tables, worksheets, and reports; records of computations, projections,
and estimates; benefit statements, disclosures, and applications; financial and tax records; insurance
contracts; records of plan procedures and practices; and any other records, whether in written,
electronic, or other format, that are relevant to the determination of the amount of any premium
required to be paid or any premium-related information required to be reported.

PBGC Audits
We may audit any premium filing; inspect and copy any records that are relevant to the
determination of the amount of any premium required to be paid and any premium-related
information required to be reported; and require disclosure and demonstration of any system used
to determine any premium required to be paid or premium-related information required to be
reported, so that PBGC can assess the system’s effectiveness and reliability.
If we determine upon audit that the full amount of the premium due was not paid, late payment
interest charges under §4007.7 of the Premium Regulations and late payment penalty charges under
§4007.8 of the Premium Regulations will apply to the unpaid balance from the premium due date
to the date of payment (see “Late Payment Charges” section for more information on penalties and
interest for late payment of premiums).
If, in our judgment, the plan’s records fail to establish the number of participants with respect to
whom premiums were required, we may rely on data we obtain from other sources (including the
Internal Revenue Service and the Department of Labor) for presumptively establishing the number
of plan participants for premium computation purposes. Similarly, if, in our judgment, the plan’s
records fail to establish the unfunded vested benefits amount reported in the premium filing, we
may rely on data we obtain from other sources for estimating the unfunded vested benefits for
premium computation purposes.
In addition to penalties for late payment of premiums, we may assess a penalty under ERISA
section 4071 for failure to furnish premium-related information by required due dates.

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Appendix 1 — Definitions
The following terms are used throughout the instructions.
“Alternative Premium Funding Target” – see “Premium Funding Target”
“Benefit Liabilities” means all liabilities with respect to employees and their beneficiaries under
the plan (within the meaning of Code section 401(a)(2)). Thus, Benefit Liabilities include
liabilities for all accrued benefits, whether or not vested. In addition, a plan’s Benefit Liabilities
include liabilities for ancillary benefits not directly related to retirement benefits, such as
disability benefits not in excess of the qualified disability benefit, life insurance benefits payable
as a lump sum, incidental death benefits, or current life insurance protection (see Treasury
Regulation § 1.411(a)-7(a)(1)).
“Consolidation” means a transaction in which two or more plans transfer all of their assets and
liabilities to a New Plan and, as a result, cease to exist (because the transferor plans become part
of the new transferee plan). It differs from a Merger because in a Merger, the transferee plan
existed before the transaction. In a Consolidation, the transferee plan is a New Plan that is
created in the Consolidation. Thus, the plan that exists after a Consolidation follows the premium
filing rules for New Plans.
“Code” means the Internal Revenue Code of 1986, as amended.
“EIN” means Employer Identification Number. It is always a 9-digit number assigned by the
Internal Revenue Service for tax purposes.
“ERISA” means the Employee Retirement Income Security Act of 1974, as amended (29 U.S.C.
1001 et seq.).
“Flat-rate Premium” means the portion of the premium determined by multiplying the flat
premium rate by the number of participants in the plan on the Participant Count Date. The perparticipant flat premium rate for plan years beginning in 2008 is $33 for Single-employer Plans
and $9 for Multiemployer Plans.
“Form 5500 Series” means Form 5500, Annual Return/Report of Employee Benefit Plan, jointly
developed by the Internal Revenue Service, the Department of Labor, and PBGC.
“Large Plan” – See “Plan Size”
“Merger” means a transaction in which one or more plans transfer all of their assets and
liabilities to an existing plan and, as a result, cease to exist (because the transferor plan(s) become
part of the transferee plan). It differs from a Consolidation because in a Consolidation, the
transferee plan did not exist before the transaction. In a Merger, the transferee plan is an existing
plan and follows the rules for preexisting, ongoing plans.
“Mid-size Plan” – See “Plan Size”
“Multiemployer Plan” (subject to the provisions of ERISA sections 3(37)(E) and (G) and 4303,
dealing with elections to be treated or not to be treated as a Multiemployer Plan) means a plan:

to which more than one employer is required to contribute,

which is maintained pursuant to one or more collective bargaining agreements between one
or more employee organizations and more than one employer, and

which satisfies such other requirements as the Secretary of Labor may prescribe by
regulation.

For purposes of determining whether a plan is a Multiemployer Plan or a Single-employer Plan,
all trades or businesses (whether or not incorporated) that are under common control are
considered to be one employer.

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Appendix 1 — Definitions
“Multiple-employer plan” means a plan to which more than one employer contributes that is not
a Multiemployer Plan.
“My PAA” means “My Plan Administration Account,” PBGC’s electronic premium filing
application, available through PBGC’s Web site (www.pbgc.gov).
“New Plan” means a plan that did not exist before the Premium Payment Year. This includes a
plan resulting from a Consolidation or Spinoff. A plan that meets this definition is considered to
be a New Plan even if the plan constitutes a successor plan within the meaning of ERISA section
4021(a).
“Newly-covered Plan” means a plan that is not a New Plan and that was not covered by title IV
of ERISA immediately before the Premium Payment Year.
“Participant” of a plan means an individual (whether active, inactive, retired, or deceased) with
respect to whom the plan has Benefit Liabilities. See “How to Count Participants” section for
more information.
“Participant Count” means the number of participants on the Participant Count Date. See
“How to Count Participants” section for more information.
“Participant Count Date” means the date on which participants are counted for purposes of
determining the Flat-rate Premium and, if applicable, the cap on the Variable-rate Premium. In
general, it is the last day of the plan year preceding the Premium Payment Year, but there are
some exceptions. See “How to Count Participants” section for more information.
“Plan Administrator” means:

the person specifically so designated by the terms of the instrument under which the plan is
operated; or

if an administrator is not so designated, the Plan Sponsor.

“Plan Adoption Date” means the date on which a plan was formally adopted.
“Plan Size” refers to the category to which a plan, other than a New or Newly-covered Plan, is
assigned. Plans are divided into three categories based on the number of participants for whom
premiums were payable for the plan year preceding the Premium Payment Year:

“Small Plan” means a plan that had fewer than 100 such participants.

“Mid-size Plan” means a plan that had 100 or more but fewer than 500 such participants.

“Large Plan” means a plan that had 500 or more such participants.

If this is the first Premium Payment Year (i.e., if the plan is a New or Newly-covered Plan), the
plan is not classified as either a Small, Mid-size or Large Plan.
“Plan Sponsor” is determined as follows:

For a Single-employer Plan with:
-

one contributing sponsor, the Plan Sponsor is the contributing sponsor;

two or more contributing sponsors that are all in a single controlled group, the Plan
Sponsor is the parent of the controlled group or, if there is no parent, the largest member
of the controlled group (whether or not the parent or largest member is a contributing
sponsor);

two or more contributing sponsors that are not all in a single controlled group, the Plan
Sponsor is determined as follows: first identify the controlled group, or contributing

December 3, 2007

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Appendix 1 — Definitions
sponsor that is not in a controlled group, that has the most participants in the plan. If
you identify a contributing sponsor that is not in a controlled group, the Plan Sponsor is
that contributing sponsor. But if you identify a controlled group, then the Plan Sponsor
is the parent of that controlled group or, if there is no parent, the largest member of that
controlled group (whether or not the parent or largest member is a contributing sponsor).

For a Multiemployer Plan, the Plan Sponsor is the association, committee, joint board of
trustees, or other entity that establishes or maintains the plan.

“PN” means Plan Number. This is always a 3-digit number. The employer maintaining the plan
assigns this number to distinguish among employee benefit plans established or maintained by the
same employer. An employer usually starts numbering pension plans at “001” and uses
consecutive Plan Numbers for each additional plan. Once a PN is assigned, always use it to
identify the same plan. If a plan is terminated, retire the PN — do not use it for another plan.
“Premium Funding Target” is the liability measure used to determine the Variable-rate
Premium. This is similar to the funding target that is used to determine the minimum funding
requirement for the Premium Payment Year except that only vested benefits are taken into
account. The assumptions used to determine this amount vary depending on which calculation
method is used (standard or alternative):

“Standard Premium Funding Target” means a Premium Funding Target calculated using
the same assumptions used for funding purposes except instead of the discount rates used for
funding purposes, the discount rates are the segment rates for the month preceding the month
in which the Premium Payment Year begins that are determined in accordance with ERISA
section 4006(a)(3)(E)(iv).

“Alternative Premium Funding Target” means a Premium Funding Target calculated
using the same assumptions used for funding purposes. See “How to Determine Unfunded
Vested Benefits” section for additional information related to the election and use of the
Alternative Premium Funding Target.

See “How to Determine Unfunded Vested Benefits” section for additional information on how
the Premium Funding Target is determined.
“Premium Payment Year” means the plan year for which the premium is being paid.
“Premium Regulations” means PBGC’s regulations on Premium Rates and Payment of
Premiums (29 CFR Parts 4006 and 4007). The premium filing procedures (including the My
PAA electronic filing application, paper instructions, and forms) are prescribed under and
implement the Premium Regulations.
“Schedule SB” means Schedule SB to the Form 5500 Series.
“Single-employer Plan” means any plan that is not a Multiemployer Plan. A Single-employer
Plan includes a Multiple-employer Plan. For purposes of determining whether a plan is a
Multiemployer Plan or a Single-employer Plan, all trades or businesses (whether or not
incorporated) that are under common control are considered to be one employer.
“Small Plan” – See “Plan Size”
“Spinoff” means a transaction in which the transferor plan transfers only part of its assets and/or
liabilities to the transferee plan. The transferee plan may be a New Plan that is created in the
Spinoff, or it may be a preexisting plan that simply receives part of the assets and/or liabilities of
the transferor plan.
“Standard Premium Funding Target” – see “Premium Funding Target”

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Appendix 1 — Definitions
“UVB Valuation Date” means the plan’s funding valuation date for the Premium Payment Year
determined in accordance with ERISA section 303(g)(2).
“Variable-rate Premium” means the portion of the single-employer premium based on a plan’s
unfunded vested benefits. The Variable-rate Premium is $9 for every $1,000 (or fraction thereof)
of unfunded vested benefits, subject to a cap for certain plans of small employers.
“We” or “us” refers to the Pension Benefit Guaranty Corporation.
“You” or “your” refers to the Plan Administrator.

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Appendix 2 — Contact information
1.

PBGC’s Web site (www.pbgc.gov) contains pension plan information of interest to Plan
Administrators and practitioners, such as electronic premium filing, current and prior
premium filing booklets, frequently asked questions interest rates, regulations, etc. This
information can typically be accessed via the Practitioners Page. The “What’s New” section
of the Practitioners Page provides information on recent events (e.g., disaster relief, etc.)

Submit electronic premium filings (including electronic amended filings) through “My
Plan Administration Account” (“My PAA”) on PBGC’s Web site. Access My PAA
information via the Practitioners Page and follow instructions about how to use My PAA
for submitting premium payments.

For a paper premium filing (if exempt from mandatory e-filing), see Appendix 5 for
information on where to mail filings.

For all premium-related correspondence (other than submitting a paper filing),
including requests for exemption from the requirement to file electronically, premium
filing questions (for electronic or paper filings), requests for instructions, address changes,
requests for refunds (that are not submitted with premium filings), and requests for
reconsideration of premium penalty assessments:
a. If you send your correspondence via the U.S. Postal Service (regular or certified mail),
address it to:
Pension Benefit Guaranty Corporation
Dept. 77840
P.O. Box 77000
Detroit, MI 48277-0840
b. If you send your correspondence by delivery service that does not deliver to a P.O.
Box, address it to:
Pension Benefit Guaranty Corporation
JPMorgan Chase Bank, N.A.
9000 Haggerty Road
Dept. 77840
Mail Code MI1-8244
Belleville, MI 48111
c. Call: 1-800-736-2444 or 202-326-4242 (Note - requests for exemptions from e-filing
requirement cannot be made by phone)
d. Fax: 202-326-4250
e. E-mail: [email protected]

For current interest rate information:
a. Call: 202-326-4041
b. See: Interest Rate section in top left corner of the Practitioners Page of PBGC’s Web
site.

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Appendix 2 — Contact information
6.

For assistance on coverage determination or plan termination:
a. Call: 1-800-736-2444 or 202-326-4242
b. E-mail: [email protected]
c. Write to:
Pension Benefit Guaranty Corporation
Insurance Program Department
Technical Assistance Branch
1200 K Street, NW
Washington, DC 20005-4026

If you have a complaint about the service you have received or still need assistance after
calling our practitioner telephone numbers listed in item 4 (1-800-736-2444 or 202-3264242, please contact the Problem Resolution Officer (Practitioners):
a. Call: 1-800-736-2444, ext. 4136 or 202-326-4136
b. E-mail: [email protected]
c. Write to:
Pension Benefit Guaranty Corporation
Financial Operations Department
Problem Resolution Officer (Practitioners)
1200 K Street, NW
Washington, DC 20005-4026

For questions about our Premium Compliance Evaluation Program:
a. Call: 1-800-736-2444, ext. 6309 or 202-326-4161, ext. 6309
b. E-mail: [email protected]

For software developers requesting approval of XML files produced by private-sector
software for use in My PAA, follow submission instructions on PBGC’s Web site.

TTY/TDD users may call the Federal relay service toll-free at 1-800-877-8339 and ask to be
connected to any telephone number.
Note: We cannot accept collect calls.
Note: PBGC filing addresses may change from time to time. Use the most current addresses, even
for prior year filings (such as amended filings). The addresses on this page will be valid at least
through June 30, 2010.

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Appendix 3 — Online Premium Filing with My PAA
Introduction
My Plan Administration Account (My PAA) is a secure, Web-based application that enables you to
electronically submit premium filings and payments to PBGC. Although electronic filing of
premium information is mandatory, payments may be made either electronically or by paper check.
Information about how to use My PAA may be accessed through the Practitioners Page of PBGC’s
Web site (www.pbgc.gov) as well as within the My PAA application itself.
To use My PAA, you must set up a My PAA account which includes a user ID and password. Each
My PAA user needs only one account, which can include an unlimited number of plans.
My PAA offers three e-filing methods:

You can use My PAA’s data entry and editing screens to create a filing; route it to others for
review, editing, and electronic certification; and submit it electronically to PBGC. Each person
who participates in the electronic processing of the filing must have a My PAA account.

You can use private-sector software that is compatible with My PAA to create a filing, and
then import the filing data into My PAA’s data entry and editing screens for routing, review,
editing, electronic certification, and electronic submission to PBGC. Each person who
participates in the electronic processing of the filing must have a My PAA account.

You can use private-sector software that is compatible with My PAA to create a filing, and
then upload the filing to PBGC via the My PAA application. The filing cannot be routed,
reviewed, or edited in My PAA. In most cases, a paper copy or copies of the filing must be
certified outside of My PAA and retained in plan records. Only the person who uploads the
filing must have a My PAA account.

My PAA’s Data Entry and Editing Screens
Entering information
My PAA’s data entry and editing screens walk you through a step-by-step process to create a
premium filing. For example, in the first step you identify the type of filing to be submitted
(estimated Flat-rate Premium filing for Large Plans or comprehensive premium filing for all other
purposes), the type of plan (Single-employer or Multiemployer) for which the filing is being
submitted, and the plan year. Instructions are provided at each step.
The information entered in each step determines the content of the successive steps. For example,
if you indicate that you are preparing a comprehensive premium filing for a Single-employer Plan,
the later steps will request information needed to determine the amount of the Variable-rate
Premium (if applicable). However, if you indicate that you are preparing a comprehensive
premium filing for a Multiemployer Plan, the Variable-Rate Premium screens will be suppressed.
The required mathematical calculations are automated. For example, My PAA automatically
multiplies your Participant Count by the applicable flat premium rate to generate the Flat-rate
Premium.

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Appendix 3 — Online Premium Filing with My PAA
E-filing team
Multiple people can contribute to a plan’s filing in My PAA’s data entry and editing screens. For
example, some information might be entered by the Plan Administrator and other information by
an actuary. The people authorized to contribute to a plan’s premium filing in My PAA’s data entry
and editing screens are those who have the plan in their My PAA accounts, and are referred to as
the plan’s “e-filing team.”
Routing filings
Filings in progress can be routed among e-filing team members through My PAA for input, review,
editing, e-certification of information, authorization of payment, and submission to PBGC. The
person routing the filing to another member of the e-filing team can provide comments and
instructions for the person to whom the filing is being routed. My PAA sends that person an e-mail
notice (with the comments and instructions) stating that the filing has been routed for the
recipient’s action and that the recipient is now “holding” that filing. After all information has been
provided and certified, and payment (if any) has been authorized, the filing can be electronically
submitted to PBGC by the Plan Administrator or Filing Coordinator.
Using Private-Sector Software with My PAA
Compatibility with My PAA
You can use private-sector software to prepare a premium e-filing, but the software you use must
be compatible with My PAA. That means that the software must be able to place your filing in an
electronic file that is in “XML” format and meets PBGC specifications. The specifications are
posted on PBGC’s Web site. Private-sector software providers and developers submit to PBGC
sample filings in XML format for PBGC review and assignment of vendor numbers; you should
check with your software provider or developer to find out whether your software is capable of
creating an XML file in the proper format for use with My PAA. If your compatible private-sector
software permits, you can create batch files containing more than one premium filing for use with
My PAA.
Importing a filing
A premium filing that has been prepared with compatible private-sector software can be
“imported” into My PAA’s data entry and editing screens. That means that the information in the
filing is placed into the data entry and editing screens and can then be electronically routed,
reviewed, edited, certified, and submitted to PBGC as described above (see My PAA’s Data Entry
and Editing Screens). To import a filing for a plan, the plan must be in your My PAA account. My
PAA provides instructions for importing filings.
Uploading a filing
A premium filing that has been prepared with compatible private-sector software can also be
“uploaded” through My PAA. That means that the fully-completed filing is submitted directly to
PBGC and, therefore, cannot be reviewed or edited in My PAA before submission to PBGC. My
PAA’s upload feature also allows multiple filings to be uploaded at the same time (i.e., a batch
upload).
To upload a filing for a plan, the plan need not be in your My PAA account, but you must have a
My PAA account with at least one plan in it. You must electronically certify in My PAA that you
have authority to submit the filing for the plan, but in most cases the information in the filing must
be certified on paper outside My PAA, and the certified information must be retained in plan
records. (The Plan Administrator’s (or enrolled actuary’s) certification can be made on-line if it is

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Appendix 3 — Online Premium Filing with My PAA
the Plan Administrator (or enrolled actuary) who uploads the filing.) My PAA provides
instructions for uploading filings and for certifying the information in uploaded filings.
Filing Coordinator
A central role in the e-filing process is played by the “filing coordinator,” who is the person
designated by the plan or Plan Sponsor to be responsible for coordinating the plan’s on-line
premium filings. The filing coordinator for a plan is the one who adds that plan to the account of
each other person in the e-filing team and assigns each e-filing team member one or more filing
roles, such as the authority to certify a filing (e.g., as the Plan Administrator). My PAA provides
instructions for becoming a plan’s filing coordinator, adding plans, adding e-filing team members,
assigning roles, etc.

Payment Options
Payment within My PAA
If you owe a premium, you can pay it using My PAA. My PAA offers three electronic payment
methods:

Automated Clearing House (ACH) — This payment method involves the electronic transfer of
funds from an account that you specify by entering your account number and bank routing
number.

Electronic check — This is the electronic equivalent to writing a paper check to PBGC. It
involves entering the check number of a (voided) paper check, your account number, and your
bank routing number.

Credit card — My PAA currently accepts Visa and MasterCard as payment options. A
convenience fee (which is passed on to the credit card processor) of approximately 3.09 percent
of the total premium amount is added to a premium payment made by credit card. The
maximum allowable credit card payment is $99,999.99 (including the convenience fee).

Payment outside My PAA
Payment outside My PAA is permitted for any filing and is required if multiple filings are uploaded
at the same time (i.e., a batch upload). The options are:

Electronic funds transfer (EFT) via Automated Clearing House (ACH) or Fedwire — You
arrange for payment to be electronically transferred by providing your bank with PBGC’s EFT
information as follows:
JPMorgan Chase Bank, N.A.
ABA: 071000013
Account: 656510666
Beneficiary: PBGC
Reference: “EIN/PN: XX-XXXXXXX/XXX
PYC: MM/DD/YY”
Report the Employer Identification Number and Plan Number (“EIN/PN”) and the date the
Premium Payment Year commenced (PYC) in the payment ID line of the electronic funds
transfer in the format “EIN/PN: XX-XXXXXXX/ XXX PYC: MM/DD/YY.” Since we
process these payments electronically, strict adherence to this format is required for accurate
and timely application of your payment. Any deviation from the prescribed format may result

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Appendix 3 — Online Premium Filing with My PAA
in our sending you a bill for premium, interest, and penalty if our automated system cannot
apply your payment.

Paper check — write the Employer Identification Number/Plan Number (EIN/PN) and the date
the Premium Payment Year commenced (PYC) on the check to help ensure the accurate and
timely application of your payment. In addition, My PAA provides you with a voucher 8 to
send in with your check to help PBGC automatically match your check with your filing. Send
the check (and voucher, if provided) to:
Pension Benefit Guaranty Corporation:
Dept. 77430
P.O. Box 77000
Detroit, MI 48277-0430
If you use a delivery service that does not deliver to a P.O. Box, your premium payment may
be hand-delivered to:
Pension Benefit Guaranty Corporation
JPMorgan Chase Bank, N.A.
9000 Haggerty Road
Dept. 77430
Mail Code MI1-8244
Belleville, MI 48111

Other Important My PAA Features
Filing receipts
My PAA gives you a filing receipt. For a filing submitted from My PAA’s data entry and editing
screens (including a filing imported into My PAA), the filing receipt shows the date and time of
submission to PBGC, a confirmation number, and all of the information submitted in the filing.
For an upload, the filing receipt shows the date and time of submission by PBGC, a confirmation
number, and the name of the uploaded XML file, but does not show any of the filing information in
the uploaded file.
Account history
A member of a plan’s e-filing team may, if authorized by the filing coordinator, view the plan’s
account history on-line through My PAA. The account history shows the results of PBGC’s
processing of your premium filings and payments for each plan year.
Instructions
My PAA provides full filing instructions and help screens. In addition, PBGC’s Web site provides
information and “demos” about how to get started and how to use My PAA. To access the My
PAA information, select the Practitioners Page, and then click on “Online Premium Filing (My
PAA).”

My PAA does not provide a voucher when filings for multiple plans are uploaded at the same time (i.e., a
batch upload).

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Appendix 3 — Online Premium Filing with My PAA
For More Information
If you have questions about e-filing with My PAA, please contact us at any of the phone numbers
or addresses in Appendix 2 (item 4).

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Appendix 4 — Business Codes
Agriculture, Forestry, Fishing & Hunting Utilities
Crop Production
111100
Oilseed & Grain Farming
111210
Vegetable & Melon Farming (including potatoes & yams)
111300
Fruit & Tree Nut Farming
111400
Greenhouse, Nursery, &Floriculture Production
111900
Other Crop Farming (including tobacco, cotton, sugarcane, hay, peanut, sugar beet and all other crop farming)
Animal Production
112111
Beef Cattle Ranching & Farming
112112
Cattle Feedlots
112120
Dairy Cattle & Milk Production
112210
Hog & Pig Farming
112300
Poultry & Egg Production
112400
Sheep & Goat Farming
112510
Aquaculture (including shellfish and finfish farms & hatcheries)
112900
Other Animal Production 235110
Forestry and Logging
113110
Timber Tract Operations
113210
Forest Nurseries & Gathering of Forest Products
113310
Logging
Fishing, Hunting and Trapping
114110
Fishing
114210
Hunting & Trapping
Sport Activities for Agriculture and Forestry
115110
Support Activities for Crop Production (including cotton ginning, soil preparation, & cultivating)
115210
Support Activities for Animal Production
115310
Support Activities for Forestry
Mining
211110
212110
212200
212310
212320
212390
213110

Oil & Gas Extraction
Coal Mining
Metal Ore Mining
Stone Mining & Quarrying
Sand, Gravel, Clay & Ceramic & Refractory Minerals Mining & Quarrying
Other Nonmetallic Mineral Mining & Quarrying
Support Activities for Mining

Utilities
221100
221210
221300
221500

Electric Power Generation, Transmission & Distribution
Natural Gas Distribution
Water, Sewage and Other Systems
Combination Gas and Electric

Construction
Construction of Buildings
236110
Residential Building Construction
236200
Nonresidential Building Construction

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Appendix 4 — Business Codes
Heavy and Civil Engineering Construction
237100
Utility System Construction
237210
Land Subdivision
237310
Highway, Street, & Bridge Construction
237990
Other Heavy & Civil Engineering Construction
Specialty Trade Contractors
238100
Foundation, Structure & Building Exterior Contractors (including framing carpentry, masonry, glass, roofing, & siding)
238210
Electrical Contractors
238220
Plumbing, Heating, & Air Conditioning Contractors
238290
Other Building Equipment Contractors
238300
Building Finishing Contractors (including drywall, insulation, painting, wall covering, flooring, tile, & finish carpentry)
238900
Other Specialty Trade Contractors (including site preparation)
Manufacturing
Food Manufacturing
311110
Animal Food Mfg.
311200
Grain & Oilseed Milling
311300
Sugar & Confectionery Product Mfg.
311400
Fruit & Vegetable Preserving & Specialty Food Mfg
311500
Dairy Product Mfg
311610
Animal Slaughtering and Processing
311710
Seafood Product Preparation & Packaging
311800
Bakeries & Tortilla Mfg.
311900
Other Food Mfg. (including coffee, tea, flavorings & seasonings)
Beverage and Tobacco Product Manufacturing
312110
Soft Drink & Ice Mfg.
312120
Breweries
312130
Wineries
312140
Distilleries
312200
Tobacco Manufacturing
Textile Mills and Textile Product Mills
313000
Textile Mills
314000
Textile Product Mills
Apparel Manufacturing
315100
Apparel Knitting Mills
315210
Cut & Sew Apparel Contractors
315220
Men's & Boys' Cut & Sew Apparel Mfg.
315230
Women's & Girls' Cut & Sew Apparel Mfg
315290
Other Cut & Sew Apparel Mfg.
315990
Apparel Accessories & Other Apparel Mfg.
Leather and Allied Product Manufacturing
316110
Leather & Hide Tanning & Finishing
316210
Footwear Mfg. (including rubber & plastics)
316990
Other Leather & Allied Product Mfg.
Wood Product Manufacturing
321110
Sawmills & Wood Preservation
321210
Veneer, Plywood & Engineered Wood Product Mfg.
321900
Other Wood Product Mfg.

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Appendix 4 — Business Codes
Paper Manufacturing
322100
Pulp, Paper, & Paperboard Mills
322200
Converted Paper Product Mfg
Printing and Related Support Activities
323100
Printing & Related Support Activities
Petroleum and Coal Products Manufacturing
324110
Petroleum Refineries (including integrated)
324120
Asphalt Paving, Roofing, & Saturated Materials Mfg.
324190
Other Petroleum & Coal Products Mfg.
Chemical Manufacturing
325100
Basic Chemical Mfg.
325200
Resin, Synthetic Rubber, & Artificial & Synthetic Fibers & Filaments Mfg.
325300
Pesticide, Fertilizer, & Other Agricultural Chemical Mfg.
325410
Pharmaceutical & Medicine Mfg.
325500
Paint, Coating, & Adhesive Mfg.
325600
Soap, Cleaning Compound, & Toilet Preparation Mfg.
325900
Other Chemical Product & Preparation Mfg.
Plastics & Rubber Products Manufacturing
326100
Plastics Product Mfg.
326200
Rubber Product Mfg.
Nonmetallic Mineral Product Manufacturing
327100
Clay Product & Refractory Mfg.
327210
Glass & Glass Product Mfg.
327300
Cement & Concrete Product Mfg.
327400
Lime & Gypsum Product Mfg.
327900
Other Nonmetallic Mineral Product Mfg.
Primary Metal Manufacturing
331110
Iron & Steel Mills & Ferroalloy Mfg.
331200
Steel Product Mfg. from Purchased Steel
331310
Alumina & Aluminum Production & Processing
331400
Nonferrous Metal (except Aluminum) Production & Processing
331500
Foundries
Fabricated Metal Product Manufacturing
332110
Forging & Stamping
332210
Cutlery & Handtool Mfg.
332300
Architectural & Structural Metals Mfg.
332400
Boiler, Tank & Shipping Container Mfg.
332510
Hardware Mfg.
332610
Spring & Wire Product Mfg.
332700
Machine Shops; Turned Product; & Screw, Nut & Bolt Mfg.
332810
Coating, Engraving, Heat Treating, & Allied Activities
332900
Other Fabricated Metal Product Mfg.
Machinery Manufacturing
333100
Agriculture, Construction, & Mining Machinery Mfg.
333200
Industrial Machinery Mfg.
333310
Commercial & Service Industry Machinery Mfg.

December 3, 2007

Page 58

Appendix 4 — Business Codes
333410
333510
333610
333900

Ventilation, Heating, Air-Conditioning, & Commercial Refrigeration Equipment Mfg.
Metalworking Machinery Mfg
Engine, Turbine & Power Transmission Equipment Mfg.
Other General Purpose Machinery Mfg.

Computer and Electronic Product Manufacturing
334110
Computer & Peripheral Equipment Mfg.
334200
Communications Equipment Mfg.
334310
Audio & Video Equipment Mfg.
334410
Semiconductor & Other Electronic Component Mfg.
334500
Navigational, Measuring, Electrometrical, & Control Instruments Mfg.
334610
Manufacturing & Reproducing Magnetic & Optical Media
Electrical Equipment, Appliance, and Component Manufacturing
335100
Electric Lighting Equipment Mfg.
335200
Household Appliance Mfg.
335310
Electrical Equipment Mfg.
335900
Other Electrical Equipment & Component Mfg.
Transportation Equipment Manufacturing
336100
Motor Vehicle Mfg.
336210
Motor Vehicle Body & Trailer Mfg.
336300
Motor Vehicle Parts Mfg.
336410
Aerospace Product & Parts Mfg.
336510
Railroad Rolling Stock Mfg.
336610
Ship & Boat Building
336990
Other Transportation Equipment Mfg.
Furniture and Related Product Manufacturing
337000
Furniture & Related Product Manufacturing
Miscellaneous Manufacturing
339110
Medical Equipment & Supplies Mfg.
339900
Other Miscellaneous Manufacturing
Wholesale Trade
Merchant Wholesalers, Durable Goods
423100
Motor Vehicle & Motor Vehicle Parts & Supplies
423200
Furniture & Home Furnishings
423300
Lumber & Other Construction Materials
423400
Professional & Commercial Equipment & Supplies
423500
Metals & Minerals (except Petroleum)
423600
Electrical & Electronic Goods
423700
Hardware, Plumbing & Heating Equipment & Supplies
423800
Machinery, Equipment, & Supplies
423910
Sporting & Recreational Goods & Supplies
423920
Toy & Hobby Goods & Supplies
423930
Recyclable Materials
423940
Jewelry, Watches, Precious Stones, & Precious Metals
423990
Other Miscellaneous Durable Goods
Merchant Wholesalers, Nondurable Goods
424100
Paper & Paper Products
424210
Drugs & Druggists’ Sundries

December 3, 2007

Page 59

Appendix 4 — Business Codes
424300
424400
424500
424600
424700
424800
424910
424920
424930
424940
424950
424990

Apparel, Piece Goods, & Notions
Grocery & Related Products
Farm Product Raw Materials
Chemical & Allied Products
Petroleum & Petroleum Products
Beer, Wine, & Distilled Alcoholic Beverages
Farm Supplies
Books, Periodicals, & Newspapers
Flower, Nursery Stock, & Florists’ Supplies
Tobacco & Tobacco Products
Paint, Varnish, & Supplies
Other Miscellaneous Nondurable Goods

Wholesale Electronic Markets and Agents and Brokers
425110
Business to Business Electronic Markets
425120
Wholesale Trade Agents & Brokers
Retail Trade
Motor Vehicle and Parts Dealers
441110
New Car Dealers
441120
Used Car Dealers
441210
Recreational Vehicle Dealers
441221
Motorcycle Dealers
441222
Boat Dealers
441229
All Other Motor Vehicle Dealers
441300
Automotive Parts, Accessories, & Tire Stores
Furniture and Home Furnishings Stores
442110
Furniture Stores
442210
Floor Covering Stores
442291
Window Treatment Stores
442299
All Other Home Furnishings Stores
Electronics and Appliance Stores
443111
Household Appliance Stores
443112
Radio, Television, & Other Electronic Stores
443120
Computer & Software Stores
443130
Camera & Photographic Supplies Stores
Building Material and Garden Equipment and Supplies Dealers
444110
Home Centers
444120
Paint & Wallpaper Stores
444130
Hardware Stores
444190
Other Building Material Dealers
444200
Lawn & Garden Equipment & Supplies Stores
Food and Beverage Stores
445110
Supermarkets and Other Grocery (except Convenience) Stores
445120
Convenience Stores
445210
Meat Markets
445220
Fish & Seafood Markets
445230
Fruit & Vegetable Markets
445291
Baked Goods Stores
445292
Confectionary & Nut Stores

December 3, 2007

Page 60

Appendix 4 — Business Codes
445299
445310

All Other Specialty Food Stores
Beer, Wine, & Liquor Stores

Health and Personal Care Stores
446110
Pharmacies & Drug Stores
446120
Cosmetics, Beauty Supplies, & Perfume Stores
446130
Optical Goods Stores
446190
Other Health & Personal Care Stores
Gasoline Stations
447100
Gasoline Stations (including convenience stores with gas)
Clothing & Clothing Accessories Stores
448110
Men's Clothing Stores
448120
Women's Clothing Stores
448130
Children's & Infants' Clothing Stores
448140
Family Clothing Stores
448150
Clothing Accessories Stores
448190
Other Clothing Stores
448210
Shoe Stores
448310
Jewelry Stores
448320
Luggage & Leather Goods Stores
Sporting Goods, Hobby, Book, & Music Stores
451110
Sporting Goods Stores
451120
Hobby, Toy, & Game Stores
451130
Sewing, Needlework, & Piece Goods Stores
451140
Musical Instrument & Supplies Stores
451211
Book Stores
451212
News Dealers & Newsstands
451220
Prerecorded Tape, Compact Disc, & Record Stores
General Merchandise Stores
452110
Department Stores
452900
Other General Merchandise Stores
Miscellaneous Store Retailers
453110
Florists
453210
Office Supplies & Stationery Stores
453220
Gift, Novelty, & Souvenir Stores
453310
Used Merchandise Stores
453910
Pet & Pet Supplies Stores
453920
Art Dealers
453930
Manufactured (Mobile) Home Dealers
453990
All Other Miscellaneous Store Retailers (including tobacco, candle, & trophy shops)
Nonstore Retailers
454110
Electronic Shopping & Mail-Order Houses
454210
Vending Machine Operators
454311
Heating Oil Dealers
454312
Liquefied Petroleum Gas (bottled gas) Dealers
454319
Other Fuel Dealers
454390
Other Direct Selling Establishments (including door-to-door retailing, frozen food plan providers, party plan
merchandisers, & coffee-break service providers)

December 3, 2007

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Appendix 4 — Business Codes
Transportation and Warehousing
Air, Rail, and Water Transportation
481000
Air Transportation
482110
Rail Transportation
483000
Water Transportation
Truck Transportation
484110
General Freight Trucking, Local
484120
General Freight Trucking, Long distance
484200
Specialized Freight Trucking
Transit and Ground Passenger Transportation
485110
Urban Transit Systems
485210
Interurban & Rural Bus Transportation
485310
Taxi Service
485320
Limousine Service
485410
School & Employee Bus Transportation
485510
Charter Bus Industry
485990
Other Transit & Ground Passenger Transportation
Pipeline Transportation
486000
Pipeline Transportation
Scenic & Sightseeing Transportation
487000
Scenic & Sightseeing Transportation
Support Activities for Transportation
488100
Support Activities for Air Transportation
488210
Support Activities for Rail Transportation
488300
Support Activities for Water Transportation
488410
Motor Vehicle Towing
488490
Other Support Activities for Road Transportation
488510
Freight Transportation Arrangement
488990
Other Support Activities for Transportation
Couriers and Messengers
492110
Couriers
492210
Local Messengers & Local Delivery
Warehousing and Storage
493100
Warehousing & Storage (except lessors of mini warehouses & self storage units)
Information
Publishing Industries (except internet)
511110
Newspaper Publishers
511120
Periodical Publishers
511130
Book Publishers
511140
Directory & Mailing, Publishers
511190
Other Publishers
511210
Software Publishers
Motion Picture and Sound Recording Industries
512100
Motion Picture & Video Industries (except video rental)

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Appendix 4 — Business Codes
512200

Sound Recording Industries

Broadcasting (except internet)
515100
Radio & Television Broadcasting
515210
Cable & Other Subscription Programming

Telecommunications
517000
Telecommunications (including paging, cellular, satellite, cable & other program distribution, resellers, other
telecommunications, and internet service providers)
Data Processing Services
518210
Data Processing, Hosting, & Related Services
Other Information Services
519100
Other Information Services (including news syndicates, libraries, and internet publishing & broadcasting
Finance and Insurance
Depository Credit Intermediation
522110
Commercial Banking
522120
Savings Institutions
522130
Credit Unions
522190
Other Depository Credit Intermediation
Nondepository Credit Intermediation
522210
Credit Card Issuing
522220
Sales Financing
522291
Consumer Lending
522292
Real Estate Credit (including mortgage bankers & originators)
522293
International Trade Financing
522294
Secondary Market Financing
522298
All Other Nondepository Credit Intermediation
Activities Related to Credit Intermediation
522300
Activities Related to Credit Intermediation (including loan brokers, check clearing, & money transmitting)
Securities, Commodity Contracts, and Other Financial Investments and Related Activities
523110
Investment Banking & Securities Dealing
523120
Securities Brokerage
523130
Commodity Contracts Dealing
523140
Commodity Contracts Brokerage
523210
Securities & Commodity Exchanges
523900
Other Financial Investment Activities (including portfolio management & investment advice)
Insurance Carriers and Related Activities
524140
Direct Life, Health, & Medical Insurance & Reinsurance Carriers
524150
Direct Insurance & Reinsurance (except Life, Health & Medical) Carriers
524210
Insurance Agencies & Brokerages
524290
Other Insurance Related Activities (including third-party administration of insurance and pension funds)
Funds, Trusts, and Other Financial Vehicles
525100
Insurance & Employee Benefit Funds
525910
Open-End Investment Funds (form 1120-RIC)
525920
Trusts, Estates, & Agency Accounts

December 3, 2007

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Appendix 4 — Business Codes
525990

Other Financial Vehicles (including mortgage REITs and closed-end investment funds)

Note — “Offices of Bank Holding Companies” and “Offices of Other Holding Companies,” are located under Management of
Companies (Holding Companies)
Real Estate and Rental and Leasing
Real Estate
531110
531114
531120
531130
531190
531210
531310
531320
531390

Lessors of Residential Buildings & Dwellings (including equity REITs)
Cooperative Housing (including equity REITs)
Lessors of Nonresidential Buildings (except Mini warehouses) (including equity REITs)
Lessors of Mini warehouses & Self-Storage Units (including equity REITs)
Lessors of Other Real Estate Property (including equity REITs)
Offices of Real Estate Agents & Brokers
Real Estate Property Managers
Offices of Real Estate Appraisers
Other Activities Related to Real Estate

Rental and Leasing Services
532100
Automotive Equipment Rental & Leasing
532210
Consumer Electronics & Appliances Rental
532220
Formal Wear & Costume Rental
532230
Video Tape & Disc Rental
532290
Other Consumer Goods Rental
532310
General Rental Centers
532400
Commercial & Industrial Machinery & Equipment Rental & Leasing
Lessors of Nonfinancial Intangible Assets (except copyrighted works)
533110
Lessors of Nonfinancial Intangible Assets (except copyrighted works)
Professional, Scientific, & Technical Services
Legal Services
541110
Offices of Lawyers
541190
Other Legal Services
Accounting, Tax Preparation, Bookkeeping, and Payroll Services
541211
Offices of Certified Public Accountants
541213
Tax Preparation Services
541214
Payroll Services
541219
Other Accounting Services
Architectural, Engineering, & Related Services
541310
Architectural Services
541320
Landscape Architecture Services
541330
Engineering Services
541340
Drafting Services
541350
Building Inspection Services
541360
Geophysical Surveying & Mapping Services
541370
Surveying & Mapping (except Geophysical) Services
541380
Testing Laboratories
Specialized Design Services
541400
Specialized Design Services (including interior, industrial, graphic, & fashion design

December 3, 2007

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Appendix 4 — Business Codes
Computer Systems Design and Related Services
541511
Custom Computer Programming Services
541512
Computer Systems Design Services
541513
Computer Facilities Management Services
541519
Other Computer Related Services
Other Professional, Scientific, and Technical Services
541600
Management, Scientific, & Technical Consulting Services
541700
Scientific Research & Development Services
541800
Advertising & Related Services
541910
Marketing Research & Public Opinion Polling
541920
Photographic Services
541930
Translation & Interpretation Services
541940
Veterinary Services
541990
All Other Professional Scientific & Technical Services
Management of Companies (Holding Companies)
551111
551112

Offices of Bank Holding Companies
Offices of Other Holding Companies

Administrative and Support and Waste Management and Remediation Services
Administrative and Support Services
561110
Office Administrative Services
561210
Facilities Support Services
561300
Employment Services
561410
Document Preparation Services
561420
Telephone Call Centers
561430
Business Service Centers (including private mail centers & copy shops)
561440
Collection Agencies
561450
Credit Bureaus
561490
Other Business Support Services (including repossession services, court reporting, & stenotype services)
561500
Travel Arrangement & Reservation Services
561600
Investigation & Security Services
561710
Exterminating & Pest Control Services
561720
Janitorial Services
561730
Landscaping Services
561740
Carpet & Upholstery Cleaning Services
561790
Other Services to Buildings & Dwellings
561900
Other Support Services (including packaging & labeling services, & convention & trade show organizers)
Waste Management and Remediation Services
562000
Waste Management & Remediation Services
Educational Services
611000

Educational Services (including schools, colleges, & universities)

Health Care and Social Assistance
Offices of Physicians and Dentists
621111
Offices of Physicians (except mental health specialists)
621112
Offices of Physicians, Mental Health Specialists
621210
Offices of Dentists

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Appendix 4 — Business Codes
Offices of Other Health Practitioners
621310
Offices of Chiropractors
621320
Offices of Optometrists
621330
Offices of Mental Health Practitioners (except Physicians)
621340
Offices of Physical, Occupational & Speech Therapists, & Audiologists
621391
Offices of Podiatrists
621399
Offices of All Other Miscellaneous Practitioners
Outpatient Care Centers
621410
Family Planning Centers
621420
Outpatient Mental Health & Substance Abuse Centers
621491
HMO Medical Centers
621492
Kidney Dialysis Centers
621493
Freestanding Ambulatory Surgical & Emergency Centers
621498
All Other Outpatient Care Centers
Medical and Diagnostic Laboratories
621510
Medical & Diagnostic Laboratories
Home Health Care Services
621610
Home Health Care Services
Other Ambulatory Health Care Services
621900
Other Ambulatory Health Care Services (including ambulance services & blood & organ banks)
Hospitals
622000

Hospitals

Nursing and Residential Care Facilities
623000
Nursing & Residential Care Facilities
Social Assistance
624100
Individual & Family Services
624200
Community Food & Housing & Emergency & Other Relief Services
624310
Vocational Rehabilitation Services
624410
Child Day Care Services
Arts, Entertainment, and Recreation
Performing Arts, Spectator Sports, and Related Industries
711100
Performing Arts Companies
711210
Spectator Sports (including sports clubs & racetracks)
711300
Promoters of Performing Arts, Sports, & Similar Events
711410
Agents & Managers for Artists, Athletes, Entertainers, & Other Public Figures
711510
Independent Artists, Writers, & Performers
Museums, Historical Sites, and Similar Institutions
712100
Museums, Historical Sites, & Similar Institutions
Amusement, Gambling, and Recreation Industries
713100
Amusement Parks & Arcades
713200
Gambling Industries
713900
Other Amusement & Recreation Industries (including golf courses, skiing facilities, marinas, fitness centers, & bowling
centers)

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Appendix 4 — Business Codes
Accommodation and Food Services
Accommodation
721110
Hotels (except Casino Hotels) & Motels
721120
Casino Hotels
721191
Bed & Breakfast Inns
721199
All Other Traveler Accommodation
721210
RV (Recreational Vehicle) Parks & Recreational Camps
721310
Rooming & Boarding Houses
Food Services and Drinking Places
722110
Full-Service Restaurants
722210
Limited-Service Eating Places
722300
Special Food Services (including food service contractors & caterers)
722410
Drinking Places (Alcoholic Beverages)
Other Services
Repair and Maintenance
811110
Automotive Mechanical & Electrical Repair & Maintenance
811120
Automotive Body, Paint, Interior, & Glass Repair
811190
Other Automotive Repair & Maintenance (including oil change & lubrication shops & car washes)
811210
Electronic & Precision Equipment Repair & Maintenance
811310
Commercial & Industrial Machinery & Equipment (except Automotive & Electronic) Repair & Maintenance
811410
Home & Garden Equipment & Appliance Repair & Maintenance
811420
Reupholstery & Furniture Repair
811430
Footwear & Leather Goods Repair
811490
Other Personal & Household Goods Repair & Maintenance
Personal and Laundry Services
812111
Barber Shops
812112
Beauty Shops
812113
Nail Salons
812190
Other Personal Care Services (including diet & weight reducing centers)
812210
Funeral Homes & Funeral Services
812220
Cemeteries & Crematories
812310
Coin-Operated Laundries & Drycleaners
812320
Drycleaning & Laundry Services (except Coin-Operated)
812330
Linen & Uniform Supply
812910
Pet Care (except Veterinary) Services
812920
Photofinishing
812930
Parking Lots & Garages
812990
All Other Personal Services
Religious, Grantmaking, Civic, Professional, and Similar Organizations
813000
Religious, Grantmaking, Civic, Professional, & Similar Organizations (including condominium and homeowner
associations)
813930
Labor Unions and Similar Labor Organizations
921000
Governmental Instrumentality or Agency

December 3, 2007

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Appendix 5 — Additional information for paper filers
Requesting an exemption from e-filing
PBGC may grant an exemption from the electronic filing requirement for good cause in
appropriate circumstances. PBGC will weigh each request for exemption on the basis of the
particular facts and circumstances presented. To provide PBGC adequate time to review and
respond to an exemption request, the request should be submitted as early as possible, preferably
at least 60 days before the filing due date. If for some reason an exemption request is not
submitted before the filing due date and a paper filing is made, an exemption request should
accompany the paper filing.
Requests for an exemption from the electronic filing requirement must be made in writing
(e-mail, letter or fax). See Appendix 2 for information on where to send requests. Questions
regarding exemption requests may be made in writing or by phone.

What to file
If PBGC has granted you an exemption from electronic filing for 2008, you must file using
PBGC forms that can be downloaded from PBGC’s Web site. These forms also may be obtained
by contacting PBGC.
If you do not have an exemption, but you choose to make a paper filing in anticipation of an
exemption, you may make your filing on PBGC’s paper forms, but you must include an
attachment explaining that you do not have an exemption and providing an explanation of why
you are submitting a paper filing. If you submitted an exemption request to which PBGC has not
yet responded, report the date the request was submitted in the attachment. If you have not yet
submitted an exemption request, attach it to your filing.
Note that if you do not receive the anticipated exemption, your paper filing will not satisfy the
electronic filing requirement. Failure to comply with the electronic filing requirement without an
exemption is subject to penalty under ERISA section 4071.
Certifications
Be sure to complete the Plan Administrator certification on the form. Also, if you are filing for a
Single-employer Plan be sure to have the enrolled actuary complete the enrolled actuary
certification on the form unless such certification is not required (see “Description of Data
Elements” section).

Information About Attachments
Be sure to report that additional information is attached to the filing (see item 20 in the
“Description of Data Elements” section). Show the EIN/PN and the first day of the plan year
(identified as “PYC”) for this filing at the top of each attachment to your filing.

December 3, 2007

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Appendix 5 — Additional information for paper filers
Where to file
You may make a paper premium filing by hand, mail, or commercial delivery service, using
PBGC forms that you can download from PBGC’s Web site or obtain by contacting PBGC. Mail
your paper premium filing (and check, if payment is by check) to one of the following addresses:

If you send your filing via the U.S. Postal
Service (regular or certified mail)

If you use a delivery service that does not
deliver to a P.O. Box

Pension Benefit Guaranty Corporation

Dept. 77430

JPMorgan Chase Bank, N.A.

P.O. Box 77000

9000 Haggerty Road

Detroit, MI 48277-0430

Dept. 77430
Mail Code MI1-8244
Belleville, MI 48111

Paying your premium
If you are paying by check, write the EIN/PN and the date the Premium Payment Year
commenced (PYC) on the check and include your check with the paper filing.
If you are paying by electronic funds transfers (ACH or Fedwire) — make the transfer to:
JPMorgan Chase Bank, N.A.
ABA: 071000013
Account: 656510666
Beneficiary: PBGC
Reference: “EIN/PN: XX-XXXXXXX/XXX
PYC: MM/DD/YY”
Report the EIN/PN and the date the Premium Payment Year commenced (PYC) in the payment
ID line of the electronic funds transfer in the format “EIN/PN: XX-XXXXXXX/ XXX PYC:
MM/DD/YY.” Since we process these payments electronically, strict adherence to this format is
required for accurate and timely application of your payment. Any deviation from the prescribed
format may result in our sending you a bill for premium, interest, and penalty if our automated
system cannot apply your payment.

December 3, 2007

Page 69

Appendix 6 — Paperwork Reduction Act Notice
We need this information to determine the amount of premium due to PBGC under Title IV of
ERISA. You are required to give us this information. An agency may not conduct or sponsor, and
a person is not required to respond to, a collection of information unless it displays a currently
valid OMB control number. OMB has approved this collection of information under control
number 1212-0009.
Confidentiality is that provided by the Privacy Act and the Freedom of Information Act.
Shown below is the estimated burden associated with the preparation and submission of premium
filings (both estimated flat-rate filings for Large Plans and comprehensive filings for all plans).
The burden estimates are expressed in hours and are averages for the plans in each of the listed
categories. These times will vary depending on the circumstances of a given plan.

Plan Type

Average
Burden

Single-Employer Plans

Small Plans (prior year Participant Count - fewer than 100)................................................................

6.00 hours

Mid-size Plans (prior year Participant Count - 100 or more but fewer than 500)……………………

6.50 hours

Large Plans (prior year Participant Count - 500 or more)…………………….……………………...

8.25 hours

Multiemployer Plans………………………………………………………………………….

4.25 hours

If you have comments concerning the accuracy of these burden estimates or suggestions for
making the forms or the electronic filing process simpler, please send your comments to Pension
Benefit Guaranty Corporation, Legislative & Regulatory Department, 1200 K Street, NW,
Washington, DC 20005-4026.

I:\regulatory\RM\P P P\2008\2008 COMP instructions FINAL version_12.17.07_ to OMB.doc

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File Type	application/pdf
File Title	Contents
Author	CPXXA30
File Modified	2007-12-17
File Created	2007-12-17