Form Premium Filing Premium Filing Premium Filing Screen Shots

Payment of Premiums (29 CFR part 4007)

My PAA Front End Screens_2024 Version with Non Filing Page Wireframes_110123

Payment of Premiums (29 CFR part 4007)

OMB: 1212-0009

Document [pdf]
Download: pdf | pdf
My PAA Home Page as of 1/7/24:

Plan List:

Plan Details page:

Filing Details page:

In-Process Filings page:

Single-employer Plan
2021 Plan Year

My PAA Data Entry Screens - remain unchanged since 2021

CSEC Plan
2021 Plan Year

Multiemployer Plan
2021 Plan Year


File Typeapplication/pdf
AuthorPorter Brad
File Modified2023-11-06
File Created2020-12-14

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