Street address
City
State
Zip code
Country
Address for a foreign entity
Street name and number for a foreign address
Suite number for a foreign address
City for a foreign address
Province or state for a foreign address. If a file is imported for editing into
PAA, this value will be lost.
Country for a foreign address. Although the schema allows for 30 characters, this
value should be the 2 letter country code from among those defined on PBGC's website. Filings
imported into PAA for editing without the correct country code will be defaulted back to United
States
Postal code for a foreign address
Address for a United States entity
Street number and name for a US address
2nd address line for a US Address
City for a US address
State for a US address
Zip code for a US address
Information on an individual referenced in the submission
Name of individual referenced in the submission
Address in the US referenced in the submission
Address not in the US referenced in the submission
Telephone number referenced in the submission
Telephone number extension referenced in the submission
E-mail address referenced in the submission. Beginning in 2008, e-mail address is
requested for the plan contact, plan administrator signing the filing, and actuary signing the
filing
Name of firm by an actuary is employed. This element was added with 2008 changes
and is relevant only for the Actuary.
Alternate Telephone number referenced in the submission
Alternate Telephone number extension referenced in the submission
This node provides the flat rate premium due and the Total Premium Due (before credits are
taken and for 2008 and later, after proration)
This should equal the particpant count multiplied by the current flat rate as
defined by PBGC.
Sum of the flat rate premium (SingleEmployerPremiumType.FlatRate Premium) and the
variable rate premium.
(FilingData.FinalFilingData.FilingPlanType.SingleEmployer.VariableRatePremiumData.NonExempt.VariableRatePremiumPortion).
For 2008 if Premium Proration is applicable, use the Proration element in the PremiumData
section to capture the proration months and Total Premium Before Proration. TotalPremium then
equals ((the sum of Flat and VRP as described above) *PremiumProrationMonths)/12 .
Indicates the type of transfer that occurred. business rules: 2005 - 2007, choices are
Merger, Spinoff or Consolidation. For 2008, Other may also be chosen.
Transactions in which the transferor plan transfers only part of its assets and/or
liabilities to the transferee plan.
Transaction in which one or more transferor plans transfer all of their assets and
liabilities to a transferee plan and disappear into the transferee plan.
Provides the information needed for an Electronic Funds Transfer
Typ of account to be used for the payment.
Checking Account
Savings Account
Routing number or ABA number for the bank of the account holder.
Account number for the account of the account holder.
Sub-account number for the account of the account holder.
Specifies the information for an overpayment
Amount of overpayment due to the plan.
Indicates that the plan would like the overpayment to be credited to the next
year's premium filing.
Indicates that the plan would like the overpayment to be refunded to them.
Indicates the plan would like the refund to be paid to them via a
mailed check.
Indicates the plan would like the refund paid to them via
electronic funds transfer.
Provide Exlanation when Overpayment is greater than $500
Amount of vested benefits due to retirees/benefieiciaries receiving payments
For ACM or Modified ACM filers only: this is the present value of vested benefits
for retirees and beneficiaries receiving payments. General Rule filers should leave this blank.
The plan interest rate used to determine the present value of vested benefits.
General Rule Filers: value of the plan's vested benefits for
retirees/benefieiciaries receiving payments; ACM or Modified ACM filers: this is the value of
present benefits for retirees/benefieiciaries receiving payments adjusted using the Required
Interest Rate
Amount of vested benefits due to participants not receiving payments
For ACM or Modified ACM filers only: this is the present value of vested benefits
for participants not receiving payments. General Rule filers should leave this blank.
The plan interest rate used to determine the present value of vested benefits.
General Rule Filers: value of the plan's vested benefits for participants not
receiving payments; ACM or Modified ACM filers: this is the value of present benefits for
participants not receiving payments adjusted using the Required Interest Rate
Gives the information on the value of the Plan Assets
General Rule = premium snapshot date. ACM and Modified ACM filers = first day of
the prior plan year. Should be the same as PlanValueDeterminationDate
Total value of plan assets - before adjustments are made.
The sum of employer and employee contribution receivables included in
ValueofPlanAssets.
Amount of paid contributions to be added to the value of plan assets.
Value of plan assets minus contribution receivables, plus discounted paid
contributions = Adjusted Value of Plan Assets.
Indicates which Significant Events occurred
An increase in the plan's actuarial costs attributable to a plan amendment,
unless the cost increase attributable to the amendment is less than 5% of the actuarial
costs determined without regard to the amendment.
The extenstion of coverage under the plan to a new group of emloyees resulting
in an increase of 5% or more in the plan's liability for accrued benefits.
A plan merger, consolidation, or spinoff that is not de minimis pursuant to
the regulations under section 414(l) o the Code
The shutdown of any facility, plant, store, etc., that creates immediate
eligibility for benefits that would not otherwise be immediately payable for participants
separating from service.
The offer by the plan for a temporary period to permit participants to retire
at benefit levels greater than that to which they would otherwise be entitled.
A cost-of-living increase for retirees resulting in an increase of 5% or mor
in the plan's liability for accrued benefits.
Any other event or trend that results in a material increase in the value of
unfunded vested benefits.
The amount included in adjuted unfunded vested benefits due to significant
events.
No significant events have occurred during the current plan year for the plan.
This is used to identify if a checkbox has been selected.
Type for an Employer Identification Number
Type for a Plan Number
This is the type for the actual filing data
PBGC.gov's web page as it addresses 2004 and 2005 filings
This is the type for the 2014+ participant Count fields data
2014+: Total number of active participants to whom the plan has benefit
liabilities. Required for all 2014+.
2014+: Total number of terminated vested participants to whom the plan has benefit
liabilities. Required for all years 2014+.
2014+: Total number of retirees and beneficiary participants to whom the plan has
benefit liabilities. Required for all years 2014+.
Enrollment Number Type
Added Sep-2018 Information below as it relates to the person affected by the disaster
Name of individual referenced in the disaster relief
Role of individual referenced in the disaster relief
Address in the US referenced in the submission