SFA Template 4B

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TEMPLATE 4B

v20220802p

SFA Determination - under the "present value method" for MPRA plans
File name: Template 4B Plan Name, where "Plan Name" is an abbreviated version of the plan name.
If submitting additional information due to a merger under § 4262.4(f)(1)(ii): Template 4B Plan Name Merged, where "Plan Name Merged" is an abbreviated version
of the plan name for the separate plan involved in the merger.
If submitting additional information due to certain events with limitations under § 4262.4(f)(1)(i): Template 4B Plan Name Add, where "Plan Name" is an abbreviated
version of the plan name.
If submitting a supplemented application under § 4262.4(g)(6): Template 4B Supp Plan Name, where "Plan Name" is an abbreviated version of the plan name.
Instructions for Addendum D of the Instructions for Filing Requirements for Multiemployer Plans Applying for Special Financial Assistance:
IFR filers submitting a supplemented application should see Addendum C for more information.
MPRA plans using the "increasing assets method" should see Addendum D for more information.
For MPRA plans, provide information used to determine the amount of SFA under the "present value method" described in § 4262.4(a)(2)(ii), if that amount is the
greatest amount calculated under § 4262.4(a)(2).
The information to be provided is:
NOTE: All items below are provided on Sheet '4B-2 SFA Details .4(a)(2)(ii)' unless otherwise indicated.
a. The amount of SFA calculated using the "present value method", determined as a lump sum as of the SFA measurement date.
b. For each plan year in the period beginning on the SFA measurement date and ending on the last day of the last plan year ending in 2051 (the "SFA
coverage period"):
i. Identify the benefit payments described in § 4262.4(b)(1) (including any benefits that were restored under 26 CFR 1.432(e)(9)-(1)(e)(3) and
excluding the payments in b.ii. below), separately for current retirees and beneficiaries, current terminated vested participants not yet in pay
status, current active participants, and new entrants; and total benefit payments paid or expected to be paid. For each participant group except
new entrants: benefit payments after reinstatement (excluding the payments in b.ii. below), the reduced benefit payments under the approved
benefit suspension, and the difference due to the reinstatement of benefits.
[Sheet: 4B-1 SFA Ben Pmts]
Total difference in benefit payments due to reinstatement.

ii. Separately identify the make-up payments described in § 4262.4(b)(1) attributable to the reinstatement of benefits under § 4262.15 that were
previously suspended through the SFA measurement date.
[Also see applicable examples in Section C, Item (4)e.iii. of the SFA instructions.]
c. The present value as of the SFA measurement date using the SFA interest rate required under § 4262.4(e)(2), of the total difference in benefit payments
due to reinstatement provided in b.i. and the make-up payments provided in b.ii. above.
Additional instructions for each individual worksheet:
Sheet
4B-1

SFA Determination - Benefit Payments for the "present value method" for MPRA plans

On this sheet, you will provide:
--Basic plan information (plan name, EIN/PN, SFA measurement date), and
--Year-by-year deterministic projection of benefit payments.
For each plan year in the period beginning on the SFA measurement date and ending on the last day of the last plan year ending in 2051 (the "SFA coverage period"),
identify benefit payments described in § 4262.4(b)(1) for current retirees and beneficiaries, current terminated vested participants not yet in pay status, currently
active participants, and new entrants. On this Sheet 4B-1, show all benefit payments as positive amounts.
The benefit payments in Columns (1), (4), (7), (10), and (13) of this Sheet 4B-1 should match the benefit payments in Sheet 4A-2 of Template 4A used to determine
the SFA amount under the "basic method".
The benefit payments in Columns (1), (4), (7), and (13) of this Sheet 4B-1 projection should reflect prospective reinstatement of benefits assuming such
reinstatements commence as of the SFA measurement date. If the plan restored or partially restored benefits under 26 CFR 1.432(e)(9)-1(e)(3) before the SFA
measurement date, the benefit payments in this Sheet 4B-1 should reflect fully restored prospective benefits.
The benefit payments in Columns (2), (5), (8), and (14) of this Sheet 4B-1 projection should reflect the reduced benefit payments under the approved benefit
suspension, before any reinstatement.
The amounts in Columns (3), (6), (9), and (15) should reflect the difference in projected benefit payments due to the reinstatement.
Make-up payments to be paid to restore previously suspended benefits should not be included in this Sheet 4B-1, and are separately shown in Sheet 4B-2.
Except for the first row in the projection exhibit, each row must include the full plan year of the indicated information up to the plan year ending in 2051. The first
row in the projection period is for the period beginning on the SFA measurement date and ending on the last day of the plan year containing the SFA measurement
date, so the first row may contain less than a full plan year of information. For all other periods, provide the full plan year of information up to the plan year ending in
2051.

4B-2

SFA Determination - Details for the "present value method" under § 4262.4(a)(2)(ii) for MPRA plans

On this sheet, you will provide:
--Basic plan information (plan name, EIN/PN, SFA measurement date, SFA interest rate),
--MPRA plan information,
--Year-by-year deterministic projection,
--Present values as of the SFA measurement date, using the SFA interest rate, and
--SFA Amount as of the SFA measurement date calculated under the "present value method".
For each plan year in the period beginning on the SFA measurement date and ending on the last day of the last plan year ending in 2051 (the "SFA coverage period"),
provide each of the items requested in Columns (1) and (2). On this Sheet 4B-2, show all benefit payments as positive amounts.
Column (2) should show the make-up payments to be paid to restore the previously suspended benefits and should match the make-up payments in Column (5) of
Sheet 4A-4 of Template 4A used to determine the SFA amount under the "basic method". These amounts should be determined as if such make-up payments are paid
beginning as of the SFA measurement date. If the plan sponsor elects to pay these amounts as a lump sum, then the lump sum amount is assumed paid as of the SFA
measurement date. If the plan sponsor elects to pay equal installments over 60 months, the first monthly payment is assumed paid on the first regular payment date on
or after the SFA measurement date. See the examples in the SFA Instructions. If the make-up payments are paid over 60 months, each row in the projection should
reflect the monthly payments for that period.
Provide the present values as of the SFA measurement date of each of the projections in Columns (1) and (2), using the SFA interest rate from Sheet 4A-1 of
Template 4A. On this Sheet 4B-2, show the present values as positive amounts.
Except for the first row in the projection exhibit, each row must include the full plan year of the indicated information up to the plan year ending in 2051. The first
row in the projection period is for the period beginning on the SFA measurement date and ending on the last day of the plan year containing the SFA measurement
date, so the first row may contain less than a full plan year of information. For all other periods, provide the full plan year of information up to the plan year ending in
2051.

4B-3

SFA Exhaustion Year - Projected based on cash flows and formulas from Template 4A Sheet 4A-4, but with the SFA amount determined under
the "present value method" described in § 4262.4(a)(2)(ii)

This sheet should use the cash flows and formulas in Sheet 4A-4 of Template 4A, and the SFA amount calculated under the "present value method" in Sheet 4B-2, to
determine the projected SFA exhaustion year.

Version Updates (newest version at top)
Version

Date updated

v20220802p

8/2/2022

v20220701p

7/1/2022

Cosmetic changes to increase the size of some rows

TEMPLATE 4B - Sheet 4B-1

v20220802p

SFA Determination - Benefit Payments for the "present value method" for MPRA plans
See Template 4B Instructions for Additional Instructions for Sheet 4B-1.
PLAN INFORMATION
Abbreviated
Plan Name:
EIN:
PN:
SFA Measurement Date:
On this Sheet, show all benefit payment amounts as positive amounts.
PROJECTED BENEFIT PAYMENTS for:
Current Retirees and Beneficiaries in Pay Status

SFA Measurement
Date / Plan Year Start
Date

Plan Year End Date

Current Terminated Vested Participants

(1)

(2)

(3)

Benefit Payments after
Reinstatement

Reduced Benefit
Payments under the
Approved Suspension

Difference in Benefit
Payments due to
Reinstatement
(1) - (2)

Current Active Participants

(4)

(5)

(6)

Benefit Payments after
Reinstatement

Reduced Benefit
Payments under the
Approved Suspension

Difference in Benefit
Payments due to
Reinstatement
(4) - (5)

New Entrants

(7)

(8)

(9)

Benefit Payments after
Reinstatement

Reduced Benefit
Payments under the
Approved Suspension

Difference in Benefit
Payments due to
Reinstatement
(7) - (8)

Total

(10)

(13)

(14)

(15)

Projected Benefit
Payments

Benefit Payments after
Reinstatement
(1) + (4) + (7) + (10)

Reduced Benefit
Payments under the
Approved Suspension
(2) + (5) + (8) + (10)

Difference in Benefit
Payments due to
Reinstatement
(13) - (14)

TEMPLATE 4B - Sheet 4B-2

v20220802p

SFA Determination - Details for the "present value method" under § 4262.4(a)(2)(ii) for MPRA plans
See Template 4B Instructions for Additional Instructions for Sheet 4B-2.
PLAN INFORMATION
Abbreviated
Plan Name:
EIN:
PN:
MPRA Plan?

Meets the definition of a MPRA plan described in § 4262.4(a)(3)?

If a MPRA Plan, which
method yields the
greatest amount of SFA?

MPRA increasing assets method described in § 4262.4(a)(2)(i).
MPRA present value method described in § 4262.4(a)(2)(ii).

SFA Measurement Date:
SFA Amount as of the
SFA Measurement Date
under the method
calculated in this Sheet:

Per § 4262.4(a)(2)(ii), the present value of benefits paid and expected to be paid by the plan during the SFA coverage period
attributable to the reinstatement of benefits and makeup payments under § 4262.15(a)(1) and (2), and any restoration of benefits
under 26 CFR 1.432(e)(9)-1(e)(3), calculated using the SFA interest rate.
[Sum of PV of (1) + PV of (2) below]

SFA Interest Rate:
PRESENT VALUE as of the SFA Measurement
Date of Projected Amounts for:
PV of (1)

PV of (2)

Difference in Benefit
Payments due to
Reinstatement

Make-up Payments
Attributable to
Reinstatement of
Benefits Suspended
through the SFA
Measurement Date

On this Sheet, show all benefit payment amounts
as positive amounts.

SFA Measurement
Date / Plan Year Start
Date

Plan Year End Date

(1)

(2)

Difference in Benefit
Payments due to
Reinstatement (should
match total from Sheet
4B-1)

Make-up Payments
Attributable to
Reinstatement of
Benefits Suspended
through the SFA
Measurement Date

TEMPLATE 4B - Sheet 4B-3

v20220802p

SFA Exhaustion Year - Projected based on cash flows and formulas from Template 4A Sheet 4A-4, but with the SFA amount calculated under the "present value method" described in § 4262.4(a)(2)(ii)
See Template 4B Instructions for Additional Instructions for Sheet 4B-3.
PLAN INFORMATION
Abbreviated
Plan Name:
EIN:
PN:
MPRA Plan?

Meets the definition of a MPRA plan described in § 4262.4(a)(3)?

If a MPRA Plan, which
method yields the
greatest amount of SFA?

MPRA increasing assets method described in § 4262.4(a)(2)(i).
MPRA present value method described in § 4262.4(a)(2)(ii).

SFA Measurement Date:
Fair Market Value of
Assets as of the SFA
Measurement Date:
SFA Amount as of the
SFA Measurement Date
under the method
calculated in Sheet 4B-2:
Only required on this sheet if the requested amount of SFA is based on the "present value method".
Plan Year Start Date of the plan year in which the sum of annual projected benefit payments and administrative expenses for the
year exceeds the beginning-of-year projected SFA assets.

Projected SFA
exhaustion year:
Non-SFA Interest Rate:
SFA Interest Rate:

On this Sheet, show payments INTO the plan as positive amounts, and payments OUT of the plan as negative amounts.
(1)

SFA Measurement
Date / Plan Year Start
Date

Plan Year End Date

Contributions

(2)

Withdrawal Liability
Payments

(3)

(4)

Other Payments to Plan
Benefit Payments
(excluding financial (should match total from
assistance and SFA)
Sheet 4A-2)

(5)
Make-up Payments
Attributable to
Reinstatement of
Benefits Suspended
through the SFA
Measurement Date

(6)

(7)

(8)

(9)

(10)

(11)

Administrative Expenses Benefit Payments (from
Benefit Payments (from
(excluding amount owed
(4) and (5)) and
Projected SFA Assets at
(4) and (5)) and
PBGC under 4261 of Administrative Expenses SFA Investment Income
End of Plan Year
Administrative Expenses Non-SFA Investment
ERISA; should match
(from (6)) Paid from
Based on SFA Interest
(prior year assets +
(from (6)) Paid from
Income Based on Nontotal from Sheet 4A-3)
SFA Assets
Rate
(7) + (8))
Non-SFA Assets
SFA Interest Rate

(12)
Projected Non-SFA
Assets at End of Plan
Year
(prior year assets +
(1) + (2) + (3) +
(10) + (11))