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DISTRESS TERMINATION 

FILING INSTRUCTIONS 
                                                                         This package contains: 
                                                                         Instructions 
                                                                         PBGC Form 600 
                                                                         Schedule P 
                                                                         Schedule F 
                                                                         PBGC Form 601 
                                                                         Schedule EA-D 
                                                                         PBGC Form 602 
                           Paperwork Reduction Act Notice 

PBGC needs this information to ensure that a distress termination under section 4041(c) of ERISA 
is completed in accordance with statutory and regulatory requirements and to facilitate the payment 
of benefits to participants.  Participants need the information so that they will be informed about 
the status of the proposed termination of their plan and about their benefits upon termination.  You 
are required to provide this information pursuant to section 4041(c) of ERISA and 29 CFR Part 
4041, Subparts A and C.  The information provided to PBGC may be subject to disclosure under 
the Freedom of Information Act or protected from disclosure by the Privacy Act, as applicable. 

This collection of information has been approved by the Office of Management and Budget (OMB) 
under control number 1212-0036. Under the Paperwork Reduction Act, 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.  

PBGC estimates that the average time and cost for each distress filing to comply with these
requirements is as follows: 80 hours and $15,720.  These are estimates and the actual time will 
vary depending on the circumstances of a given plan. 

If you have comments concerning the accuracy of this time estimate or suggestions for making 
the forms  simpler,  please  send  your  comments  to  the  Pension  Benefit  Guaranty  Corporation, 
Office of General Counsel, 445 12th Street SW, Washington, DC 20024-2101 

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               ...........................................................................................................................................Table of Contents 3 
I.    OVERVIEW
II.   DISTRESS TERMINATION PROCESS ............................................................................................... 5 
   A.    Computation of Time; Filing and Issuance Rules.................................................................... 6 
      1. Filing with PBGC ......................................................................................................................... 7 
      2. Issuance to Affected Parties Other than PBGC (29 CFR § 4041.3 and 29 CFR Part 4000) .. 8
   B.    Administration of Plan During Termination Process (see 29 CFR § 4041.42) .................... 11 
   C.    Notice of Intent to Terminate (NOIT) (see 29 CFR § 4041.43) ............................................... 11 
   D.    PBGC Review of Form 600 (see 29 CFR § 4041.44) ............................................................... 13 
   E.    Distress Termination Notice (Form 601) (see 29 CFR § 4041.45) ......................................... 15 
   F.    PBGC Determination of Distress (see 29 CFR § 4041.46) ..................................................... 15 
   G.    PBGC Determination of Plan Sufficiency/Insufficiency (see 29 CFR § 4041.47) ................ 16 
   H.    Requests for Deadline Extensions (see 29 CFR § 4041.30) .................................................. 17 
   I.    Forms and Instructions; Contacting Us ................................................................................. 17 
III.  GENERAL INSTRUCTIONS FOR DISTRESS TERMINATION FORMS....................................... 18 
IV.   SPECIFIC INSTRUCTIONS FOR DISTRESS TERMINATION FORMS........................................ 19 
   A.    Instructions for Form 600 ......................................................................................................... 19 
   B.    Instructions for Schedule P ..................................................................................................... 21 
   C.    Instructions for Schedule F ...................................................................................................... 22 
   D.    Instructions for Form 601 ......................................................................................................... 26 
   E.    Instructions for Schedule EA-D ............................................................................................... 32 
   F.    Instructions for Form 602 ......................................................................................................... 33 
APPENDIX A: GLOSSARY OF TERMS .................................................................................................... 36 
APPENDIX B:  MODEL NOTICE OF INTENT TO TERMINATE (NOIT) ................................................... 41 
APPENDIX C: RULES FOR SUFFICIENT DISTRESS TERMINATIONS ................................................. 43 
APPENDIX D:  MODEL NOTICE OF STATE GUARANTY ASSOCATION COVERAGE OF ANNUITIES
 .................................................................................................................................................................... 48 

NOTE: If you have questions about any of the information in these instructions, please call 
PBGC’s Corporate Finance and Restructuring Department at (202 32)  6-4070 or send an email 
to distress@pbgc.gov. 

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I. OVERVIEW

A plan administrator of a single-employer plan covered by PBGC’s termination insurance program that
does not have sufficient assets to provide for all benefit liabilities may voluntarily terminate the plan
only if each contributing sponsor and each member of a contributing sponsor’s controlled group satisfy
one of four statutory distress criteria. Briefly, the four-statutory distress criterion are —

1. Liquidation in bankruptcy or insolvency proceedings;
2. Reorganization in bankruptcy or insolvency proceedings with court approval of the termination;
3. Inability to pay debts when due and to continue in business unless a distress termination occurs;
and
4. Unreasonably burdensome pension costs due solely to declining covered employment in all single-
employer plans for which the person seeking the distress termination is a contributing sponsor.

In addition, the plan administrator must follow specific steps and meet specific deadlines for each plan that
it seeks to terminate. These steps and deadlines are briefly summarized below and explained in more detail
in sections II through IV of this package. Step 1 is highly recommended but not required.

Step 1: Schedule a pre-filing consultation call with PBGC’s Corporate Finance and Restructuring
Department to discuss the filing process and ensure the filing of a distress termination
is appropriate given the sponsor’s specific circumstances. This consultation may identify
potential issues preventing a distress termination of a particular plan, determine if the
commencement of an agency-initiated termination of the pension plan is warranted, and assist
PBGC in determining whether a waiver of one or more filing obligations is appropriate,.
Contact PBGC by sending an email to distress@pbgc.gov or calling (202) 326-4070.

Step 2: Select a proposed termination date.

Step 3: Identify which of the four distress criteria can be satisfied by each contributing sponsor and
controlled group member. Note: Each entity can satisfy a different criterion, but all must satisfy
at least one criterion.

Step 4: Issue a Notice of Intent to Terminate (NOIT) to affected parties at least 60 days and, except with
PBGC’s approval, not more than 90 days before the proposed termination date. Affected parties
(see Glossary, Appendix A) include participants, beneficiaries of deceased participants, alternate
payees under qualified domestic relations orders, employee organizations representing
participants and PBGC.

NOTE: The NOIT filed with PBGC must use PBGC Form 600, Schedule P, and Schedule F.
(See section II.C.)

Step 5: Beginning on the proposed termination date, reduce the benefits of participants in pay status to
the estimated benefit amounts payable upon termination under ERISA in accordance with 29
CFR Part 4022, Subpart D. (See section II.B). See PBGC’s website, www.pbgc.gov, for these
regulations (at “Employers & Practitioners” page select “Law & Regulations”). For PPA 2006
bankruptcy terminations (see Note at Step 6) benefits are to be reduced as of the proposed
termination date, based on the estimated benefit amounts payable as of the bankruptcy filing date.

Step 6: File a Distress Termination Notice (PBGC Form 601, including the Schedule EA-D) with PBGC
on or before the 120th day after the proposed termination date. (See section II.E.)

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Step 7:   If a plan meets the criteria for a distress termination under ERISA section 4041 and PBGC 
          determines that the plan has insufficient assets to pay benefits guaranteed by PBGC, PBGC will 
          take over the plan and, as statutory trustee, pay benefits in accordance with Title IV of ERISA.  
          PBGC personnel will contact the plan administrator to collect information needed to complete 
          trusteeship of  the plan.     

          NOTE: If the plan has sufficient assets to provide at least all guaranteed benefits, see Appendix      C 
          for the requirements for notifying participants, distributing benefits (including benefits of missing 
          participants), and filing a Post-Distribution Certification (PBGC Form 602)     with PBGC. (For 
          PPA 2006 bankruptcy terminations, the bankruptcy filing date is treated as the plan termination 
          date for purposes of guaranteed benefits and priority category 3 benefits.) 

        NOTE: Whenever a plan terminates in a distress termination without sufficient assets to pay 
        all benefit liabilities, the contributing sponsor(s) and each controlled group member are jointly 
        and severally liable to PBGC under ERISA section 4062 for the total amount of unfunded 
        benefit liabilities under the plan.  In addition, these parties are liable for termination premiums 
        under ERISA section 4006 for distressed terminations under criteria 2, 3, and 4. 

When a distress termination should not be filed:  A terminating plan that has sufficient assets to satisfy 
all benefit liabilities normally should be terminated in a standard termination, not a distress termination, 
even if the contributing sponsor(s) and controlled group members can meet the requirements for a distress 
termination (the standard termination process is faster and less costly for the plan). See PBGC’s website for 
information on the standard termination process. At www.pbgc.gov, go to the “Employers & Practitioners” 
page and  select  “Plan Terminations.”  If, after beginning the distress termination process, the plan 
administrator determines that the plan is sufficient for all benefit liabilities, see Appendix C.  

This package contains (1) a glossary of terms used in the distress termination process (see Appendix A); 
(2) a model NOIT that the plan administrator may use or adapt (see Appendix B); (3) a separate section
describing rules for distress terminations of plans with sufficient assets to provide at least all guaranteed
benefits (see Appendix C); and (4) the following PBGC forms: Form 600 (the NOIT to be filed with PBGC),
which includes the Schedules P and F; Form 601 (the Distress Termination Notice), which includes the
Schedule EA-D (the required enrolled actuary certification); and Form 602 (the  post-distribution
certification for plans that have sufficient assets to provide at least guaranteed benefits), along with detailed
instructions for  completing the  forms (see  section IV)  .The  Missing Participant program forms and
instructions are in a separate PBGC Schedule MP Package if the date of plan termination is before January
1, 2018, and Form MP-100 if the date of plan termination is on or after January 1, 2018.

The specific rules for terminating a single-employer plan in a distress termination are set forth in section 
4041(a) and (c) of the Employee Retirement Income Security Act (ERISA) and in PBGC’s regulations on 
Termination of Single-Employer Plans, 29 CFR Part 4041, Subparts A and C, and Missing Participants, 29 
CFR Part 4050. 

See PBGC’s website, www.pbgc.gov, for these regulations (at “Employers & Practitioners” page select 
“Laws & Regulations”), along with FAQs about terminations and termination forms and instructions for 
downloading (at “Employers & Practitioners” page select “Plan Terminations”). 

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II. DISTRESS TERMINATION PROCESS

To terminate in a distress termination, the plan administrator, within specified timeframes, must 
notify affected parties (see Glossary, Appendix A) of the proposed termination and file certain 
information with PBGC. Information to be filed with PBGC includes information demonstrating 
that each contributing sponsor and each controlled group member satisfies a distress criterion; 
actuarial information; and detailed information about participants’ benefits. 

    NOTE:  Section 404 of the Pension Protection Act of 2006 (“PPA 2006”) added sections 
    4022(g) and 4044(e) of ERISA. These sections provide that when an underfunded pension 
    plan terminates while a contributing sponsor is in bankruptcy (or a similar proceeding 
    under Federal, State, or local law), the date that the sponsor's bankruptcy petition was 
    filed is treated as the plan's termination date for purposes of determining the amount of 
    benefits guaranteed by PBGC.  In addition, the amount of benefits in priority category 3 in 
    the section 4044 asset allocation is limited to those benefits that were (or could have been) 
    in pay status three years before the bankruptcy filing date (based generally on the plan 
    provisions as of five years before the bankruptcy filing date). These sections apply only if 
    the bankruptcy filing date is on or after September 16, 2006.  Such terminations are 
    referred to as “PPA 2006 bankruptcy terminations.” 

    These distress termination instructions generally refer to a plan’s termination date or 
    proposed termination date.  However, for PPA 2006 bankruptcy terminations, the 
    bankruptcy filing date should instead be used for the purposes described above (but not 
    for all purposes).  For a detailed description of how a plan sponsor’s bankruptcy can affect 
    participants, click  How  The Bankruptcy Date Rule Can Affect  Your Benefits or go to 
    PBGC’s website at www.pbgc.gov and enter “bankruptcy date” in the search window. 

NOTE: Section 506 of PPA 2006 added section 4041(c)(2)(D) to ERISA.  This provision requires 
the plan administrator in the case of a distress termination to provide an affected party, upon 
request, with certain information provided to PBGC in connection with the proposed termination. 
(A similar disclosure provision was also added for PBGC-initiated terminations under section 
4042 of ERISA.) This provision is applicable to any distress termination for which the notice of 
intent to terminate is issued after August 17, 2006.  See  PBGC rule, 29 CFR § 4041.51, and 
guidance on PBGC’s website,  www.pbgc.gov, for a detailed description of these disclosure 
obligations (go to the “Employers & Practitioners” page, select “Plan Terminations,” click on 
“Distress Terminations,” and then select “Disclosure of Distress Termination Information” at the 
bottom of the page). 

Failure to Comply. Failure to comply with the distress termination requirements or failure to meet 
the deadlines may cause the proposed termination to be nullified. To avoid inadvertently missing 
deadlines, the plan administrator should, at the start of the termination process, (1) review the rules 
for computing due dates (see section II.A); (2) review  all forms and instructions to identify all 
information that must be provided at each deadline; and (3) begin collecting the information 
identified in (2) to complete the distress termination. 

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Consequence of Nullification. If PBGC determines that the plan does not satisfy the distress
criteria or otherwise nullifies the termination, the plan is an ongoing plan for all purposes. Any
benefit cutbacks made on account of the termination (see section II.B) must be restored with
interest. If the plan administrator still intends to terminate the plan, he or she will have to start the
process again, beginning with issuance of a new NOIT establishing a new proposed termination
date for the plan.

Post-Termination Amendments. The plan administrator may take into account a plan
amendment that is adopted after a plan’s termination date if certain conditions are met (see 29 CFR
§ 4041.8).

Cessation of Accruals. For plans with 100 or more participants, ERISA section 204(h) and Treas.
Reg. § 54.4980F-1 generally provide that a plan may not be amended to provide for a
significant reduction in the rate of future benefit accrual unless, at least 45 days before the
effective date of the plan amendment, the plan administrator provides a written notice setting
forth the plan amendment and its effective date to participants, alternate payees, and employee
organizations representing participants. For plans with fewer than 100 participants, substitute “15
days” for “45 days.” If the plan terminates in accordance with Title IV of ERISA, section 204(h)
is deemed to be satisfied as of the termination date. (See Treas. Reg. § 54.4980F-1, Q&A-17(b).)

NOTE: A NOIT must include a statement concerning the cessation of accruals under the plan (see
29 CFR § 4041.23(b)(4) and section II.C of these instructions). If the termination is not
successfully completed, a NOIT does not serve as an ERISA section 204(h) notice unless the NOIT
meets all section 204(h) requirements.

Formal Challenge to the Termination. Initiation of a formal challenge to the termination under
ERISA section 4041(a)(3) (see 29 CFR § 4041.7 and the specific instructions to Form 601, item
8) does not relieve the plan administrator of the obligation to timely file Form 600 (including
Schedule P and Schedule F) and Form 601 (including Schedule EA-D).

A. Computation of Time; Filing and Issuance Rules (see 29 CFR § 4041.3 and 29 CFR
Part 4000, Subpart D)

In computing any period of time, if you are counting forwards, begin counting on the day after the
event occurs and count the last day of the period. If you are counting backwards, begin counting
on the day before the event occurs and count the last day of the period. If you counted forwards
and if the last day is a weekend of Federal holiday, then the period runs until the next regular
business day after the last day of the period. If an event cannot be more than a certain number of
days before a certain date and the last day of the period is a weekend or Federal holiday, then the
period runs until the next regular business day before the last day of the period.

NOTE: A proposed termination date may be any day, including a Saturday, Sunday or Federal
holiday.

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Example: Suppose you are issuing a notice of intent to terminate. The notice must be issued at
least 60 days and (except with PBGC approval) no more than 90 days before the proposed
termination date. Suppose the 60th day before the proposed termination date is a Saturday. Your
notice is timely if you issue it on the following Monday even though that is only 58 days before the
proposed termination date. Similarly, if the 90th day before the proposed termination date is
Monday, September 2, 2013 (a Federal holiday), your notice is timely if you issue it on Friday,
August 30, even though that is 93 days before the proposed termination date.

1. Filing with PBGC

Filing Methods. You may file PBGC Form 600 (including Schedule P and Schedule F), Form 601
(including Schedule EA-D), and Form 602 (if required) by hand, mail, email, or commercial
delivery service.

Filing Date. Your filing date will be the date you send your filing (the “send date”), provided you
meet certain requirements that are summarized below. If you do not meet these requirements, your
filing date is the date PBGC receives your submission. (If you file your submission by hand, your
filing date is the date of receipt of your hand-delivered submission at the proper address.)

If PBGC receives your submission after 5:00 p.m. (Washington, D.C. time) on a business day, or
anytime on a weekend or Federal holiday, PBGC treats it as received on the next business day.

Filings by Mail. If you file your submission using the U.S. Postal Service, your filing date is the
date you mail your submission by the last collection of the day, provided that the submission: (1)
meets the applicable postal requirements; (2) is properly addressed; and (3) is sent by First-Class
Mail (or another class that is at least equivalent). If you mail the submission after the last collection
of the day, or if there is no scheduled collection that day, your filing date is the date of the next
scheduled collection. If you meet these requirements, PBGC makes the following presumptions:

Legible postmark date. If your submission has a legible U.S. Postal Service postmark, PBGC
presumes that the postmark date is the filing date.

Legible private meter date. If your submission has a legible postmark made by a private postage
meter (but no legible U.S. Postal Service postmark) and arrives at the proper address by the time
reasonably expected, PBGC presumes that the metered postmark date is your filing date.

You may prove an earlier send date.

Filings by email. If you file your submission by email, your filing date is the date you send your
email. Filings by email should include scanned copies of documents with original signatures and
should be emailed to distress@pbgc.gov. If you are filing materials electronically that are larger
than 10 megabytes, please use LeapFILE. Enter “pbgc.leapfile.com” in your Internet browser,
click on “secure upload,” enter distress@pbgc.gov in the “Recipient Email” field, and attach the
files.

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Filings using a commercial delivery service. If you file your submission using a commercial
delivery service, your filing date is the date you deposit your submission by the last scheduled
collection of the day for the type of delivery you use (such as two-day delivery or overnight
delivery) with the commercial delivery service, provided that the submission meets the applicable 
requirements of the commercial delivery service and is properly addressed, and the delivery
service meets one of the requirements listed below.  If you deposit it later than that last scheduled 
collection of the day, or if there is no scheduled collection that day, your filing date is the date of 
the next scheduled collection.  The delivery service must meet one of the following requirements: 

Delivery within two days. It must be reasonable to expect your submission will arrive at the proper 
address by 5:00 p.m. on the second business day after the next scheduled collection; or 

Designated private delivery service. You must use a “designated private delivery service” within 
the meaning of § 7502(f) of the Code. PBGC’s website,     www.pbgc.gov, lists those designated
private delivery services. You should make sure that both the provider and the particular type of 
delivery (such as two-day delivery) are designated. 

Where to file.PBGC Forms 600, 601, and 602 (and schedules of each) may be filed by mail ,
email, commercial delivery service or hand delivery to: 

Pension Benefit Guaranty Corporation 
CFRD - Distress Terminations 
1200 K Street, NW, Suite 270 
Washington, DC 20005-4026 

By email: distress@pbgc.gov 

2. Issuance to Affected Parties Other than PBGC (29 CFR § 4041.3 and 29 CFR Part
4000) 

All notices must be readable and written in a manner calculated to be understood by the average 
plan participant. The plan administrator may provide additional information with a notice only if 
the information is not misleading. 

Issuance Methods. Notices may be issued by any method that is reasonably calculated to ensure 
actual receipt of the material by the intended recipient. Permissible methods of issuance include 
hand delivery, first class mail, electronic delivery by electronic media, and commercial delivery 
service to the affected party’s last known address. Note: Posting is not a permissible method. 

PBGC’s issuance rules describe in detail a safe harbor method (for delivery by electronic media) 
that meets the requirement of being reasonably calculated to ensure actual receipt (see 29 CFR § 
4000.14(b)). You may view these rules (and the rules on how PBGC determines your issuance
date) on PBGC’s website, www.pbgc.gov (at the “Employers & Practitioners” page, select “Laws 
& Regulations”). 

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For an email issuance with an attachment, you must include, in the body of your email, the name 
and telephone number of the person to contact if the intended recipient needs you to resubmit your 
filing or issuance. 

Issuance Date. Generally, your issuance date is the date on which you send the notice if you meet 
the “send date” requirements in PBGC’s rules at Part 4000, summarized below. If you do not meet 
these requirements, the issuance date is the date the intended recipient receives your notice. (If you 
issue your notice by hand, your issuance date is the date of receipt of your hand-delivered notice 
at the proper address.) 

Issuances by mail.  If you issue your notice using the U.S. Postal Service, your issuance date is 
the date you mail your notice by the last collection of the day, provided that the notice: (1) meets 
the applicable postal requirements; (2) is properly addressed; and (3) is sent by First-Class Mail 
(or another class that is at least equivalent). If you mail the notice after the last collection of the 
day, or if there is no scheduled collection that day,  your issuance date is the date of the next 
scheduled collection. If you meet these requirements, PBGC makes the following presumptions: 

Legible postmark date. If your notice has a legible U.S. Postal Service postmark, PBGC presumes 
that the postmark date is the issuance date. 

Legible private meter date. If your notice has a legible postmark made by a private postage meter 
(but no legible U.S. Postal Service postmark) and arrives at the proper address by the time 
reasonably expected, PBGC presumes that the metered postmark date is your issuance date. 

You may prove an earlier send date. 

Issuances using a commercial delivery service. If you issue your notice using a commercial 
delivery service,  your issuance date is the date you deposit  your notice by the last scheduled 
collection of the day  for the type of delivery  you use (such as two-day  delivery or overnight 
delivery) with the  commercial delivery service, provided that the notice meets the  applicable 
requirements of the  commercial delivery service and is properly  addressed, and the delivery 
service meets one of the requirements listed below. If you deposit it later than that last scheduled 
collection of the day, or if there is no scheduled collection that day, your issuance date is the date 
of the next scheduled collection.  The delivery service must meet  one of the following 
requirements: 

Delivery within two days. It must be reasonable to expect your notice will arrive at the proper 
address by 5:00 p.m. on the second business day after the next scheduled collection; or 

Designated private delivery service. You must use a “designated private delivery service” within 
the meaning of § 7502(f) of the Code. PBGC’s website, www.pbgc.gov, lists those designated 
private delivery services. You should make sure that both the provider and the particular type of 
delivery (such as two-day delivery) are designated. 

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Issuances using electronic delivery. Your issuance date is the date you send your notice if you 
comply with the electronic safe harbor method. If you do not comply with the safe harbor method, 
but you use measures reasonably calculated to ensure actual receipt of the material by the intended 
recipient, then your issuance date is the date of receipt at the proper address. 

Failure to meet address requirement. If you send your electronic issuance to the wrong address 
(but you meet the other applicable requirements), your filing or issuance date is the date of receipt 
at the proper address. 

Reason to believe issuance not received or defective. If you have reason to believe that the 
intended recipient has not received your issuance (or has received it in a form that is not useable), 
you must promptly resend it to get your original issuance date. 

Request to resend issuance for technical reasons. The intended recipient may, for good reason 
(of a technical nature), ask you to resend all or a portion of your issuance (for example, because of 
a technical problem in opening an attachment to your email).  If you comply with the request or 
otherwise resolve the problem (e.g., by providing advice that the recipient uses to open the 
attachment to your email), within a reasonable time, your issuance date for the issuance (or portion) 
that the intended recipient asked you to resend is the date you provided your original issuance.  

Special Rule for Foreign Languages. This rule applies to (1) a plan that covers fewer than 100 
participants at the beginning of a plan year, in which 25% or more of all plan participants are 
literate only in the same non-English language or (2) a plan that covers 100 or more participants, 
in which 500 or more participants or 10% or more of all plan participants, whichever is less, are 
literate only in the same non-English language. The plan administrator of such a plan must, for 
any notice to affected parties, include a prominent legend in that common non-English language 
advising them how to obtain assistance in understanding the notice, or provide the notice in that 
common non-English language to those affected parties who are literate only in that language. 

Example: The plan administrator of a terminating plan in which 30% of the participants are 
literate only in Spanish must either (1) include on each notice a statement with the name, 
address and telephone number of an individual fluent in Spanish who may be contacted for 
assistance with questions concerning the notice, or (2) provide a copy of the notice in Spanish 
to those persons literate only in Spanish.  

Omission of Affected Parties. If the plan administrator discovers additional affected parties after 
expiration of the deadline for issuance of any notice, the notice will be considered timely if (1) the 
plan administrator could not reasonably have been expected to know of the additional affected 
parties or the failure to notify was due to administrative error involving only a de minimis percent 
of affected parties, and the plan administrator promptly issues the notice to each additional affected 
party, or (2) the plan administrator could not locate the affected party after making reasonable 
efforts, and issues the notice promptly when the affected party is located. 

NOTE: The plan administrator need not issue a notice to the estate of a deceased participant if 
the estate is not entitled to a distribution. 

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B. Administration of Plan During Termination Process (see 29 CFR § 4041.42)

The plan administrator must carry out the normal operations of the plan during the termination 
process. These operations include, e.g., putting participants into pay status, collecting contributions 
due the plan, and investing plan assets. However, during the period beginning on the first day a 
notice of intent to terminate is issued, the plan administrator shall not: 

1. Purchase irrevocable commitments to provide any plan benefits; or
2. Pay any plan benefits attributable to employer contributions (other than death benefits) in any
   form other than as an annuity (i.e., no lump sum payments).

Beginning on the proposed termination date, ERISA section 4041(c)(3)(D)(ii)(IV) and 29 CFR 
§ 4041.42 require that the plan administrator reduce the benefits paid to a plan’s participants and
beneficiaries in pay status to the estimated benefit amounts determined in accordance with 29 CFR
Part 4022, Subpart D.

NOTE:  If you need assistance, you may call PBGC’s Customer Service Center for Plan 
Administrators and Pension Professionals at (800) 736-2444 and ask to be transferred to PBGC’s 
Actuarial Services Division. 

If, after beginning the distress termination process, PBGC determines that the plan is sufficient for 
guaranteed benefits or benefit liabilities, PBGC will advise the plan administrator to take actions 
required under 29 CFR §4041.47(c). 

Failure to Qualify for Distress Termination. If PBGC issues a determination that the plan does 
not qualify for  a distress termination, the prohibitions on paying lump sums and purchasing 
irrevocable commitments cease to apply (1) upon expiration of the period during which the plan 
administrator can request reconsideration of PBGC’s determination (or, if earlier, at the time the 
plan administrator decides not to request reconsideration); or (2) if the plan administrator requests 
reconsideration, at the time PBGC issues its decision upon reconsideration that the plan does not 
qualify for a distress termination.  

Also, any benefits that were not paid because of the requirement to reduce benefits to estimated 
benefits shall be due and payable  as of the  effective date of PBGC’s determination. Unpaid 
amounts must be paid together with interest from the date or dates on which the amounts were 
originally due until the date on which they are paid in full at the rate or rates prescribed under 29 
CFR § 4022.81(c). 

C.  Notice of Intent to Terminate (NOIT) (see 29 CFR § 4041.43)

At least 60 days and, except with PBGC approval, not more than 90 days before the proposed 
termination date (see section II.A for rules on computation of time), the plan administrator must 
issue a written NOIT to each person who is an affected party as of the proposed termination date. 
Affected parties include (1) participants, (2) beneficiaries of deceased participants, (3) alternate 
payees under applicable qualified domestic relations orders, (4) employee organizations currently 

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representing participants, (5) for any group of participants not currently represented by an
employee organization, the employee organization, if any, that last represented the group within
the 5-year period preceding issuance of the NOIT, and (6) PBGC.

NOTE: A NOIT must also be issued to a person who becomes a beneficiary of a deceased
participant or an alternate payee after the proposed termination date and on or before the date a
trustee is appointed for the plan (or, in the case of a plan that will distribute assets pursuant to 29
CFR § 4041.50, the distribution date). That NOIT will not be untimely, provided the “after-
discovered affected parties” requirements described in section II.A.2, “Omission of Affected
Parties,” are satisfied.

The NOIT to affected parties other than PBGC must be issued at or before the time a NOIT is filed
with PBGC.

Proposed Termination Date. The proposed termination date may be any day, including a
Saturday, Sunday, or Federal holiday.

Contents of NOIT to PBGC. NOIT submissions to PBGC must use PBGC Form 600 (including
Schedule P and Schedule F), and provide all information and documents requested by the
instructions for the form and schedules (see the instructions in section IV.A-C for a detailed
description of what is required to be filed with PBGC).

Contents of NOIT to Affected Parties Other than PBGC. There is no prescribed form for the
NOIT to affected parties other than PBGC. (See Appendix B for a model NOIT, which may be
used or adapted by the plan administrator.) The NOIT must contain the information below:

 Each contributing sponsor’s name and employer identification number (EIN).

 Plan name and plan number.

 Name, address and telephone number of a contact person.

 Statement that the plan administrator intends to terminate the plan in a distress termination.

 Proposed termination date.

 One of the following statements concerning the cessation of accruals under the plan,
whichever applies:

• Benefit accruals will cease as of the termination date, but will continue if the plan
does not terminate;

• A plan amendment has been adopted under which benefit accruals will cease, in
accordance with ERISA section 204(h), as of [insert either the proposed termination
date or a specified date before the proposed termination date, whichever applies],
whether or not the plan is terminated; or

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• Benefit accruals ceased, in accordance with ERISA § 204(h), as of [insert specified
date before the NOIT was issued].

 Statement explaining how an affected party entitled to receive the latest updated summary
plan description (SPD) under ERISA § 104(b) can obtain it.

NOTE: The plan administrator may impose a reasonable charge to cover the cost of
furnishing the SPD to the extent allowed under regulations issued by the Department of
Labor (see 29 CFR § 2520.104b-30). The plan administrator may simply provide a copy
of the SPD with the NOIT rather than including this statement in the NOIT. Some affected
parties (e.g., a union) are not entitled to receive a copy of the SPD under ERISA section
104. The plan administrator may, but need not, include this statement in the NOIT issued
to any such affected parties.

 Statement indicating whether plan assets are sufficient to pay all guaranteed benefits or all
benefit liabilities as of the termination date (for PPA 2006 bankruptcy terminations, the
bankruptcy filing date is treated as the plan termination date for purposes of guaranteed
benefits and priority category 3 benefits).

 Brief description of what benefits are guaranteed by PBGC (e.g., if only a portion of the
benefits are guaranteed because of the phase-in rule, this should be explained).

 Statement that participants and beneficiaries also may receive a portion of the benefits to
which each is entitled under the terms of the plan in excess of guaranteed benefits.

 Statement, if applicable, that benefits may be subject to reduction because of the limitations
on the amounts guaranteed by PBGC or because plan assets are insufficient to pay for full
benefits (pursuant to 29 CFR Part 4022, Subparts B and D), and that payments in excess
of the amount guaranteed by PBGC may be recouped (pursuant to 29 CFR Part 4022,
Subpart E).

D. PBGC Review of Form 600 (see 29 CFR § 4041.44)

PBGC will review the Form 600 and make a tentative determination whether the NOIT complies
with the law and regulations. PBGC will notify the filer in writing of its finding no later than the
proposed termination date. After reviewing the Form 601, PBGC will make final, or reverse, this
tentative determination.

NOTE: PBGC may decide, on its own, to waive any requirement for the NOIT that must be filed
with PBGC (but not for the NOIT that must be issued to other affected parties) if PBGC believes
it will be less costly or administratively burdensome to do so.

- 14 -

If PBGC makes a tentative determination that the Form 600 is in compliance, the distress
termination proceeding may continue. If PBGC makes a tentative determination that the Form 600
is not in compliance, the distress termination is null and void and the plan is an ongoing plan for
all purposes unless the tentative determination is revoked by PBGC in a decision upon
reconsideration.

Request for Reconsideration. A plan administrator may request reconsideration of PBGC’s
tentative determination of noncompliance. Any request for reconsideration, if submitted timely
and in accordance with the rules prescribed in PBGC’s regulation on Administrative Review (29
CFR Part 4003), automatically stays the effectiveness of the determination until PBGC issues its
decision on reconsideration. Note also that, once PBGC issues a determination of noncompliance,
the plan administrator can take no further action to terminate the plan (except by initiation of a
new termination) unless and until PBGC revokes the determination pursuant to a decision upon
reconsideration.

NOTE: During the period that the request for reconsideration is pending, the plan administrator
must continue to administer the plan subject to the requirements of 29 CFR § 4041.42. See section
II.B.

Notice to Affected Parties. If a determination of noncompliance becomes effective because either
the plan administrator does not request reconsideration or PBGC issues a decision upon
reconsideration affirming its determination of noncompliance, the plan administrator must notify
affected parties (including persons who received notice because the proposed termination is part
of a spin-off/termination transaction) in writing that the plan is not going to terminate or, if
applicable, that the termination is invalid and that a new NOIT is being or will be issued.

Information on Need for PBGC-Initiated Termination. PBGC may require the plan
administrator to submit any information that PBGC determines it needs in order to decide whether
to institute termination or trusteeship proceedings pursuant to ERISA section 4042 whenever —

1. Benefits currently in pay status (or that should be in pay status) are not being paid or that
this is likely to occur within the 180-day period following the issuance of the NOIT;

2. PBGC issues a determination that the Form 600 is not in compliance with the law and
regulations; or

3. PBGC has any reason to believe it may be necessary or appropriate to institute proceedings
under ERISA section 4042.

This information must be submitted within 20 days after the date of a written request by PBGC,
or within a different time period specified by PBGC in its request for information.

- 15 -

E. Distress Termination Notice (Form 601) (see 29 CFR § 4041.45)

The plan administrator must file with PBGC a Form 601, Distress Termination Notice, with
Schedule EA-D (Distress Termination Enrolled Actuary Certification), completed in accordance
with the instructions to the form (see sections III and IV). Form 601 and the attachment must be
filed with PBGC on or before the 120th day after the proposed termination date.

NOTE: To the extent information or documents required to be provided as part of Form 601 were
filed with Form 600, such information and documents need not be re-submitted with the Form 601.

Proposed Termination Date. The plan administrator may on Form 601 select a proposed
termination date that is later than the date specified in the NOIT. The new termination date cannot
be more than 90 days after the earliest date on which the plan administrator issued a NOIT to any
affected party.

NOTE: Where there is a change in the proposed termination date, the plan may become subject
to benefits restrictions under § 436 of the Code because of a change in its adjusted funding target
attainment percentage between the earlier proposed DOPT and the later proposed DOPT or by
application of the presumption rules under § 436(h) between those dates. See Treas. Reg § 1.436-
1(a)(3)(ii)(A.

Contents of Distress Termination Notice. See the specific instructions to Form 601 (section
IV.D) and the Schedule EA-D (section IV.E).

Additional Information. PBGC may, in any case, require the submission of any additional
information it needs in order to make any determination relating to the proposed distress
termination or to pay benefits pursuant to ERISA section 4061 or 4022(c). The plan administrator
shall submit any information within 30 days after receiving PBGC’s written request, or within a
different time period specified by PBGC in its request for information.

F. PBGC Determination of Distress (see 29 CFR § 4041.46)

Based on information submitted with the Form 600 and Form 601, and any information submitted
by an affected party or otherwise obtained by PBGC, PBGC will determine whether the
requirements for a distress termination have been met. PBGC will notify the filer in writing of its
determination.

NOTE: PBGC may decide, on its own, to waive any requirement for the Form 601 that must be
filed with PBGC if PBGC believes it will be less costly or administratively burdensome to do so.

If PBGC determines that the plan qualifies for a distress termination, the termination proceeding
may continue. If PBGC makes a determination that the plan does not qualify for a distress
termination, the termination is null and void and the plan is an ongoing plan for all purposes unless
the determination is revoked by PBGC in a decision upon reconsideration.

- 16 -

NOTE: If the only reason for PBGC’s determining that the plan does not qualify for a distress 
termination is that the Form 601 is incomplete, PBGC shall advise the plan administrator of the 
missing item(s) of information. PBGC will consider the original filing complete if the information 
is filed with PBGC no later than the 120th day after the proposed termination date or the 30th day 
after the date of PBGC’s written notice, whichever is later. 

Request for Reconsideration.  A plan administrator may  request reconsideration of PBGC’s 
determination that the  plan does not qualify  for a distress termination. Any  request for 
consideration, if submitted timely and in accordance with the rules prescribed in PBGC’s 
regulation on Administrative Review (29 CFR Part 4003), automatically stays the effectiveness of 
the determination until PBGC issues its decision on reconsideration. 

Notice to  Affected Parties.  If  a determination  that the plan does not  qualify  for  a distress 
termination becomes final because (1) the plan administrator does not request reconsideration or 
(2) PBGC issues a decision on  reconsideration affirming its determination, the plan administrator
must notify affected parties (and persons who received notice because the proposed termination is
part of a spin-off/termination transaction) in writing that the plan is not going to terminate or, if
applicable, that the termination is invalid and that a new NOIT is being or will be issued.

G.  PBGC Determination of Plan Sufficiency/Insufficiency (see 29 CFR § 4041.47)

If PBGC determines that the plan’s assets are sufficient to provide at least guaranteed benefits, 
PBGC may issue a distribution notice advising the plan administrator (1) to issue notices of benefit 
distribution in accordance with 29 CFR § 4041.48; (2) to close out the plan in accordance with 29 
CFR § 4041.50; (3) file a timely  Form 602; and (4) that either the plan administrator or the 
contributing sponsor must preserve and maintain plan records. (See Appendix C for a description 
of these requirements for sufficient distress terminations.)  If PBGC determines that the plan’s 
assets are not sufficient to provide at least guaranteed benefits, PBGC, in accordance with ERISA 
section 4042(b), will proceed to become trustee of the plan. 

Special Rule  for Majority Owners  (see  Appendix A, Glossary of Terms, for definition). A 
majority owner  of the plan sponsor may elect to forgo receipt of all or part of his or her benefit in 
connection with a distress termination if (1) the majority owner’s election is in writing; (2) in any 
case in which the plan would require the spouse of the majority owner to consent to distribution 
of the owner’s benefit in a form other than a qualified joint and survivor annuity, the spouse 
consents in writing to the election; (3) the election and the consent occur during the time period 
beginning with the date of issuance of the first NOIT and ending with the date of the last 
distribution; (4) neither the majority owner’s election nor the spouse’s consent is inconsistent with 
a qualified domestic relations order (as defined in ERISA section 206(d)(3));  and (5) PBGC 
approves the election if (a) the election is made after the termination date and (b) the election 
would result in PBGC’s determining that the plan is sufficient for guaranteed benefits. In the case 
of a plan that is or will be trusteed by PBGC, the majority owner may make the election and the 
spouse may consent at any time on or after the date of issuance of the first NOIT. 

NOTE: Majority owner status is determined at the time of the election. 

                                       16

- 17 -

H. Requests for Deadline Extensions (see 29 CFR § 4041.30)

PBGC may in its discretion extend a deadline for taking a required action to a later date. PBGC
will grant such an extension where it finds compelling reasons why it is not administratively
feasible for the plan administrator (or other persons acting on behalf of the plan administrator) to
take the action until the later date and the delay is brief. PBGC will consider (1) the length of the
delay and (2) whether ordinary business care and prudence in attempting to meet the deadline is
exercised.

Note: PBGC will not extend the following statutory deadlines: (1) that the NOIT be issued not less
than 60 days before the proposed termination date and (2) in the case of a plan that is sufficient
for at least guaranteed benefits, that the Form 602 be filed with PBGC within 30 days after the
last distribution date. (Although PBGC may assess a penalty for late filing of a Form 602, it will
do so only to the extent the Form 602 is filed more than 90 days after the distribution deadline
(including extensions) described in Appendix C.)

If the plan administrator files a request for an extension with PBGC later than the 15th day before
the applicable deadline, the plan administrator must include a justification for not filing the request
earlier.

Requests for extensions must be in writing and addressed to:
Pension Benefit Guaranty Corporation
CFRD - Distress Terminations
1200 K Street, NW, Suite 270
Washington, D.C. 20005-4026

Alternatively, requests may be emailed to: distress@pbgc.gov

I. Forms and Instructions; Contacting Us

You may obtain forms and instructions from PBGC’s website at www.pbgc.gov.

If you have any questions, call (202) 326-4070. (TTY/ASCII users may call the Federal relay
service toll-free at (800) 877-8339 and ask to be connected to (800) 736-2444.)

Email address: distress@pbgc.gov.

- 18 -

III. GENERAL INSTRUCTIONS FOR DISTRESS TERMINATION FORMS

This part contains the instructions for the following PBGC termination forms:

Form 600 is the Notice of Intent to Terminate that the plan administrator must file with PBGC
pursuant to ERISA section 4041(a)(2) and 29 CFR § 4041.43 in order to advise PBGC of a
proposed distress termination and to provide various plan and sponsor data. Form 600 includes
Schedule P and Schedule F.

Schedule P provides basic plan information and lists the additional plan information that must be
attached to the schedule.

Schedule F is filed for each contributing sponsor and controlled group member. It provides
information about the entity including which distress criterion it satisfies and lists additional
information

Form 601 is the Distress Termination Notice that the plan administrator must file with PBGC
pursuant to ERISA section 4041(c)(2)(A) and 29 CFR § 4041.45 to provide certain plan and plan
sponsor information. Form 601 includes Schedule EA-D.

Schedule EA-D is the Distress Termination Enrolled Actuary Certification that an enrolled actuary
must complete to certify to the level of plan benefits that can be provided by plan assets.

Form 602 is the Post-Distribution Certification that the plan administrator must file with PBGC
pursuant to 29 CFR § 4041.50(b), if the plan is sufficient for at least guaranteed benefits (and thus
will close out in the private sector), to certify that the distribution of plan assets pursuant to the
distress termination was completed in accordance with ERISA section 4041(c) and 29 CFR §
4041.50. See instructions in section IV.F for a detailed description of what documents are required
to be attached to the Form 602.

How to Complete the Forms. The filer should ensure that an appropriate response is provided for
each item, as follows:

1. If an item requests a numeric response, a number must be entered.

2. If an item requires a box or boxes to be checked, a check mark must be entered (written
responses are not acceptable).

3. No additions or deletions may be made to the certifications required to be signed by the
plan administrator or enrolled actuary.

PBGC will accept the original pre-printed forms, photocopies of the forms, or downloaded forms.
However, all forms must have original signatures.

- 19 -

Who Must File. The plan administrator or the plan administrator’s authorized representative must
submit all filings required to be made to PBGC.

NOTE: While an authorized representative may submit the filing and sign any cover letter, the
plan administrator must sign the Form 600, Form 601, and Form 602.

If the designated plan administrator is a board (or similar group) composed of employer and
employee representatives, then at least one employer representative and one employee
representative must sign the forms. If the plan does not designate a plan administrator or it des-
ignates the plan sponsor or contributing sponsor as the plan administrator, the forms must be
signed by an officer of the plan sponsor or contributing sponsor who has the authority to sign on
behalf of that entity.

Schedule EA-D must always be signed by the enrolled actuary.

IV. SPECIFIC INSTRUCTIONS FOR DISTRESS TERMINATION FORMS

A. Instructions for Form 600

Form 600 must be filed with PBGC at least 60 days and not more than 90 days before the proposed termination date,
and it may not be filed before the NOIT is issued to all other affected parties (see section II.A for filing and issuance
rules).

Section A. Plan Information

1. Plan Name. Report the full name of the plan as shown in the plan document.

2. Contributing Sponsor’s Name. See Appendix A: Glossary of Terms.

3. EIN/PN. Report the 9-digit employer identification number (EIN) assigned to the
contributing sponsor by the Internal Revenue Service for income tax purposes and the 3-
digit plan number (PN) assigned to the plan by the plan sponsor.

4. Proposed Termination Date. The date on which the plan administrator proposes to
terminate the plan. This date must be at least 60 days and (except with PBGC approval) no
more than 90 days after the plan administrator issues a notice of intent to terminate to each
affected party.

5. Filing Date of this Notice. Generally, the filing date is the date on which you send the
notice if you meet the requirements in PBGC’s rules (see 29 CFR § 4000). You may
view these rules (and the rules on how PBGC determines your issuance date) on PBGC’s
website, www.pbgc.gov (at the “Employers & Practitioners” page select “Laws &
Regulations”).

- 20 -

Section B. Plan Administrator Information

1. Name of Plan Administrator. Enter the full name of the plan administrator as specified in
the plan document. If not specified in the plan document, ERISA provides that the plan
administrator is the plan sponsor.

2-5. Enter the name and title, mailing address, phone number, and email address of the person
whom PBGC should contact for information regarding the PBGC Form 600 if different
from the plan administrator.

Section C. Plan Administration during Termination Process (see 29 CFR § 4041.42)

The plan administrator must carry out the normal operations of the plan during the termination
process. These operations include, e.g., putting participants into pay status, collecting
contributions due the plan, and investing plan assets. However, during the period beginning on
the first day a notice of intent to terminate is issued, the plan administrator shall not:

1. Purchase irrevocable commitments to provide any plan benefits; or
2. Pay any plan benefits attributable to employer contributions (other than death benefits) in
any form other than as an annuity (i.e., no lump sum payments).

Beginning on the proposed termination date, ERISA section 4041(c)(3)(D)(ii)(IV) and 29 CFR §
4041.42 require that the plan administrator reduce the benefits paid to a plan’s participants and
beneficiaries in pay status to the estimated benefit amounts determined in accordance with 29
CFR Part 4022, Subpart D.

NOTE: If you need assistance, you may call PBGC’s Corporate Finance and Restructuring
Department at (202) 326-4070 and ask for help with a distress termination filing.

If PBGC determines that the plan is sufficient for guaranteed benefits or benefit liabilities, PBGC
may advise the plan administrator to take actions required under 29 CFR §4041.47(c).

Section D. Plan Administrator’s Representative (if different from plan administrator)

If the plan administrator chooses to designate a representative or representatives to act on his or
her behalf before PBGC on some or all matters relating to the termination of a specified pension
plan, provide the contact information for the designated representative(s) in Section D. Notify
PBGC in writing to revoke a prior designation.

Section E. Contributing Sponsor and Controlled Group Information

A controlled group generally consists of all trades or businesses under common control
(generally 80 percent or greater common ownership; see 29 CFR §4001.3). Any reference to a
plan’s controlled group means all contributing sponsors of the plan and all members of each
contributing sponsor’s controlled group.

- 21 -

Section F.  Plan Administrator Certification 

This section should be completed and signed by the plan’s administrator. 

NOTE: Schedule P and Schedule F must be filed with this notice.  See Instructions for Schedule 
P and Schedule F below. 

B.    Instructions for Schedule P

Section A.  Basic Plan Information 

1.    Plan Name.  Report the full name of the plan as shown in the plan document.

2.    EIN/PN.  Report  the 9-digit employer identification number (EIN) assigned to the
      contributing sponsor by the Internal Revenue Service for income tax purposes and the 3-
      digit plan number (PN) assigned to the plan by the plan sponsor.

3.    Effective Date of Plan.

4.    Last Day of Plan Year.

5.    Date Frozen, if applicable.

Section B.  Additional Plan Information and Documents 

All information and documents listed in Section B of Schedule P, if applicable, must be attached 
to Schedule P. Check the box on the form to indicate if the item is attached.   

NOTE: If you have questions about any of the information and documents listed in Section B of 
Schedule P, please call PBGC’s Corporate Finance and Restructuring Department at 
(202) 326-4070 or send an email to distress@pbgc.gov.

                                             21

- 22 -

C. Instructions for Schedule F

Submit a separate Schedule F for each contributing sponsor and each controlled group member
identified in Section E of Form 600.

What to report

Section A. Identity of Contributing Sponsor or Controlled Group Member

1. Name of Entity. Report name of the entity, either the contributing sponsor or controlled
group member, for whom the information on this schedule applies to.

2. Contact Person and Title. Provide the name and title of the person to whom questions
regarding information submitted on this schedule should be directed to.

3. Address. Provide the address of the contact person listed on this schedule.

4. Phone. Provide the phone number of the contact person listed on this schedule.

5. Email. Provide the email address of the contact person listed on this schedule.

Section B. Distress criteria satisfied by entity. Check the appropriate box indicating which
distress criteria the entity will satisfy. Also indicate if the entity is a de minimis entity without
significant operations, assets, or employees.

1. Distress Criterion 1: Liquidating in a federal or state proceeding. The entity listed on the
schedule has filed, or had filed against it, as of the proposed termination date, a petition
seeking liquidation in a case under Title 11, United States Code, or under any similar
federal law or law of a State or political subdivision of a State, or a reorganization case
(described below) has converted to a liquidation case, and such case has not, as of the
proposed termination date, been dismissed.

ERISA section 4041(c)(2)(B)(i) and 29 CFR § 4041.41(c)(1) refer explicitly only to
liquidation under federal bankruptcy or similar federal law or to liquidation under state
insolvency law, and require that the liquidation case, as of the proposed termination date,
not be dismissed. In determining whether a person meets the liquidation criterion, the
PBGC will consider (1) a case in which liquidation was completed under Chapter 7
(Liquidation) or Chapter 11 (Reorganization) prior to the proposed termination date, or was
achieved through (a) a foreclosure by secured creditors (as a result of which the person
ceased operations and had all of its assets seized by such secured creditors) or (b) an
assignment of all of the person’s assets for the benefit of creditors, and (2) a case in which

- 23 -

the debtor is unambiguously liquidating (under Chapter 7 or Chapter 11) as of the proposed
termination date. (In any such case, however, the PBGC will find the liquidation criterion is
met only if it concludes that there is no indication that a principal purpose of the liquidation
is to evade liability with respect to the plan or the PBGC or otherwise to abuse the
termination insurance program.)

2. Distress Criterion 2: Reorganizing in a federal or state proceeding. The entity listed on
the schedule satisfies this criterion if it
a. has filed, or had filed against it, as of the proposed termination date, a petition seeking
reorganization in a case under Title 11, United States Code, or under any similar law of
a State or political subdivision of a State;
b. such case has not, as of the proposed termination date, been dismissed;
c. such person submits a copy of any motion for the approval of the plan termination to
PBGC at the same time the motion is filed with the bankruptcy court (or other
appropriate court in a case under such similar law of a State or political subdivision)
including any documents filed in support of the motion; and
d. the bankruptcy court (or other appropriate court) determines that, unless the plan is
terminated, such person will be unable to pay all of its debts pursuant to a plan of
reorganization and will be unable to continue in business outside the Chapter 11
reorganization process and approves the termination.

If a reorganization proceeding becomes a liquidation proceeding, such as after Court
approval of sale of all assets, and there is no intention for the person to reorganize and
continue in business, this reorganization criterion cannot be met. However, the liquidation
criterion may be met (see above).

3. Distress Criterion 3: Unable to (1) pay debts when due and (2) continue in business. The
entity listed on the schedule satisfies this criterion if it demonstrates to the satisfaction of
PBGC that, unless a distress termination occurs, such person will be unable to pay its debts
when due and will be unable to continue in business.

4. Distress Criterion 4: Unreasonably burdensome pension costs solely due to decline in
covered employment. The entity listed on the schedule satisfies this criterion if it
demonstrates to the satisfaction of PBGC that the costs of providing pension coverage have
become unreasonably burdensome to such person, solely as a result of a decline in its
workforce covered as participants under all single-employer pension plans for which the
person is a contributing sponsor.

5. De Minimis Entity. If a controlled group member has no operations, employees, or
significant assets, PBGC may disregard it in its evaluation of whether each contributing

- 24 -

sponsor, and all members of each contributing sponsor’s controlled group, satisfy one of
the four statutory distress criteria.

Section C. Additional Information

Provide copies of documents listed in Section C based on the distress criterion marked in Section
B of the Schedule F or if De Minimis Entity box was marked. Provide a brief explanatory note if
the item is not available. Indicate if any of the information was provided with another Schedule
F. It is not necessary to duplicate information.

For Distress Criterion 1, a copy of the petition for liquidation filed with the court.

For Distress Criterion 2, a copy of the motion requesting court approval of the termination, if
already filed with the court.

For Distress Criteria 2, 3, and 4, attach the following:

1. Tax returns, with all schedules and attachments, for the most recent four years available;

2. Audited financial statements (income statement, balance sheet, cash flow statement, and
notes) for the most recent four years. If audited financial statements were not prepared,
then provide unaudited financial statements and a statement explaining why audited
statements are not available;

The financial statements must be augmented as follows:

(a) Identify the cash contributions to the pension plan in each year and the pension expense
recorded in each year for the pension plan that is the subject of this application.

(b) Identify all outstanding indebtedness, including the name of the lender, the amount of
the outstanding loan, scheduled repayments, interest rate, collateral, significant covenants,
and whether the loan is in default.

(d) If the entity has undergone or is in the process of undergoing a partial liquidation,
estimate the sales, gross profit, and operating profit that would have been reported for each
of the three years covered by the financial statement for only that portion of the business
that is currently expected to continue. State the significant assumptions made about the
allocation of joint costs.

(e) State the estimated liquidation values for any assets related to discontinued operations
or operations that are not expected to continue, along with the sources for the estimates.

- 25 -

3. Projected financial statements (income statement, balance sheet, cash flow statement) for
the current year and the four following years as well as the key assumptions underlying
those projections and a justification for the reasonableness for each of those key
assumptions;

Explain the reasons for any material changes from historical to projected results. If the
company has or intends to obtain a line of credit with borrowing availability based on the
amount of eligible collateral, include in the projections of cash flow a projection of the
amount available under the line of credit and the amount of borrowing against that
availability. The projections must include, or be augmented by, the projected cost of
meeting minimum funding standards and, alternatively, the cost of plan termination based
on payment of projected plan termination liabilities. The business plans and projections
must be further augmented by documents or information as follows:

(a) All business or operating plans prepared by or for management, including all
explanatory text and schedules.

(b) All financial submissions, if any, made within the prior three years to a financial
institution, government agency, or investment banker in support of possible outside
financing or sale of the business.

(c) All recent financial analyses done by an outside party with a certification by the
company’s chief executive officer that the information on which each analysis is based is
accurate and complete.

(d) Any other relevant information.

4. Description of events leading to the current financial distress;

5. Description of financial and operational restructuring actions taken to address financial
distress, including cost cutting measures, employee count or compensation reductions,
creditor concessions obtained, and any other restructuring efforts undertaken. Also,
indicate whether any new profit-sharing or other retirement plan has been or will be
established or if benefits under such existing plan will be increased.

For Distress Criterion 4, also include an explanation of why the costs of providing pension
coverage have become unreasonably burdensome solely as a result of a decline in the workforce,
along with supporting documents.

For De Minimis Entities, provide the same information requested for Distress 2, 3, and 4 cases, if
available. In addition, attach a statement explaining why the entity is de minimis.

PBGC may request information, in addition to that specified above, as needed for our review.

- 26 -

D. Certification of chief executive officer (or other authorized officer) to the accuracy
of financial information submitted

This section should be completed and signed by the entity’s chief executive officer or equivalent
officer.

D. Instructions for Form 601

Section A. Plan Information

1. Plan Name. Enter the full name of the plan as shown in the plan document.

2. EIN/PN. Enter the 9-digit employer identification number (EIN) assigned to the
contributing sponsor by the Internal Revenue Service for income tax purposes and the 3-
digit plan number (PN) assigned to the plan by the plan sponsor.

3. Proposed Termination Date. The date on which the plan administrator proposes to
terminate the plan. This date must be at least 60 days and (except with PBGC approval)
no more than 90 days after the plan administrator issues a notice of intent to terminate to
each affected party.

4. Filing Date of this Notice. Generally, the filing date is the date on which you send the
notice if you meet the requirements in PBGC’s rules (see 29 CFR § 4000). You may
view these rules (and the rules on how PBGC determines your issuance date) on PBGC’s
website, www.pbgc.gov (at the “Employers & Practitioners” page select “Laws &
Regulations”).

Section B. Additional Information

1. Indicate by checking the appropriate box whether a formal challenge to the termination
has been initiated under an existing collective bargaining agreement.

2. Indicate by checking the appropriate box whether benefits of participants and
beneficiaries in pay status have been reduced to the estimated Title IV benefits pursuant
to 29 CFR § 4022, Subpart D.

3. Indicate by checking the appropriate box whether you filed, or will file, with the Internal
Revenue Service an application for a determination letter on the termination of the Plan.

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NOTE: The plan administrator of a plan that is terminating as a distress termination must
determine such benefits in accordance with all applicable requirements under the Code and
ERISA, including:

• Statutory hybrid plans. The Pension Protection Act of 2006 (PPA 2006) added §§
411(a)(13) and 411(b)(5) to the Code, and sections 204(b)(5) and 204(f)(1) to ERISA,
for statutory hybrid plans, such as cash balance plans. See IRS final regulations and
IRS Notice 2007-6 (transitional guidance).

• USERRA. Plan administrators must comply with the requirements of the Uniformed
Services Employment and Reemployment Rights Act of 1994 (USERRA). See 20 CFR
Part 1002.

• Benefit restrictions. For plan years beginning in 2008, plan administrators must
comply with the requirements of Code § 436, which places restrictions on certain
benefit accruals, plan amendments and payments based on the plan’s adjusted funding
target attainment percentage. See Treas. Reg. § 1.436-1.

Section C. Plan Administrator Certification

This section should be completed and signed by the plan administrator.

NOTE: Trusteeship Information - If PBGC determines that the requirements for a distress
termination have been satisfied and notifies the plan sponsor of the determination, PBGC
personnel will contact the plan sponsor to collect information needed to complete trusteeship of
the plan. Following is a list of information the plan sponsor should be prepared to provide
PBGC within 30 days of receiving notice from PBGC that the requirements for a distress
termination have been satisfied. If the enrolled actuary has certified on Form 601 - Schedule
EA-D that the plan is sufficient for guaranteed benefits or benefit liabilities the following
information may not be required by PBGC. However, in that case, Form 602 Post-Distribution
Certification for Distress Termination must be filed and PBGC may request other information.

Plan Information

1. All past and present executed plan documents and amendments.
2. Documents that identify current or former plan administrator(s), plan fiduciary(ies), plan
trustee(s), and member(s) of the board of directors if applicable, including:
• A list of names and addresses of those individuals
• Resolutions of appointment or removal
• Letters of appointment or resignation
• All related documents for the last three years, including relevant records and
minutes
3. All executed trust agreements, amendments to the trust agreements, and all related
documents.

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4. Documents indicating the name and address of the person who is custodian of plan
records and documents.
5. Documents indicating the address where plan records and documents are located.
6. Documents indicating the name and address of all accountants or actuaries who have
performed services for the plan for the last three years.
7. All Actuarial Valuation Reports for the plan for the past three plan years, including
copies of all communications to and from the plan actuaries regarding the plan.
8. Documents relating to the plan, including but not limited to, all letters or correspondence
to or from:
• Plan
• Plan participants
• PBGC
• Internal Revenue Service
• Department of Labor
• Company
• Company’s Board of Directors
• Bank
• Sponsors

Participant Information

9. Check registers from the month prior to the date of plan termination (DOPT) or Benefit
Petition Date (BPD) through the date of the interim paying agent's last payment.
10. Documents reflecting whether any plan participants have received lump sum distributions
for all or part of their benefits for the last three years and the amount of any such
distributions.
11. Documents reflecting whether there are any plan participants currently eligible for early
or normal retirements who are not receiving benefits from the plan, and the amount of
any such entitlements.
12. Listing of participant benefits (annuities) that were purchased in the past.
13. Documents related to participant benefits under the plan for the past three years.
14. Documents related to applications for benefits under the plan, and waivers of joint and
survivor benefits under the plan.
15. Copies of personnel and pension records for all plan participants, reflecting name,
address, telephone number, age, marital status, date of birth, date of hire, employment
termination date (if any), breaks in service (if any), retirement date, and all other
information relating to the calculation of benefits under the plan.
16. A sample file for an individual from each of the standard participant categories (as
applicable under the plan):
• Retirees
• Active participants (both vested and non-vested)

- 29 -

• Terminated participants (both vested and non-vested)
17. The application for benefits under the plan for the owners and all related documents,
including documents reflecting whether any of the former or current directors and/or
officers are, or were, vested plan participants
18. Documents related to payment of benefits under the plan.

Asset Information

19. Documents relating to the trust funds and plan assets, including, but not limited to, the
name and address of all persons that held or had custody of trust funds, all persons
currently holding or having custody of trust funds, and the account numbers for any
current trust fund accounts for the last three years.
20. Documents reflecting whether trust funds have been loaned or distributed to any person
or participant for the last three years. If so, copies of:
• Loan agreements
• Repayment schedules
• 1099’s
• Documents relating to receipts and disbursements from the plan, including the
amount of the receipt or disbursement, the date received or made, the identity of
the payor and/or payee, and the reason for the receipt or disbursement for the last
three years.
21. Documents relating to the "funding policy and method" for the plan as described in the
plan.
22. All annual reports of the trustee of the plan for the last three years.
23. All fidelity bonds and fiduciary liability insurance policies for the plans in effect at any
time during the last three years.

Other Documents

24. Documents relating to any request for a minimum funding waiver from the Internal
Revenue Service for the last three years and, if granted, copies of documents reflecting
the terms of the waiver(s).
25. Documents relating to contributions to the plan for the last three years.

Corporate Information

26. Documents, including corporate stock record books, indicating the name(s) and
address(es) of all former and current members of sponsor's "controlled group," as that
term is currently defined by section 4001(a)(14) of ERISA, 29 U.S.C. §1301(a)(14) for
the last three years.
27. Financial records of the owner(s)/sponsor(s), including audited and unaudited financial
statements and personal tax returns for the last three fiscal years.

- 30 -

28. Corporate federal income tax returns of all controlled group members(s), including all
schedules, attachments, and amendments for the last three tax years.
29. A list of all shareholders and the number of voting and non-voting shares held by each at
any time during the last three years, including sponsor's stock transfer records and
sponsor's corporate minute books with all corporate resolutions for the last three years.
30. All shareholder agreements, agreements to buy, sell or transfer sponsor's stock, and all
documents related to any sponsor's shareholder agreements and/or buy, sell or transfer
agreements for sponsor's stock entered into, dated, or in effect at any time during the last
three years.
31. All asset sale or transfer agreements for assets, and all documents related thereto, for the
sale or transfer of assets entered into, dated or in effect at any time during the last three
years.
32. All documents relating to the cancellation, non-performance of, or closing on, any
agreements described in #30 and #31.
33. All insurance policies or contracts providing liability coverage for officers, directors,
agents and employees or sponsor in effect at any time during the last three years.

Adjusted Funding Target Attainment Percentage (AFTAP) Information

34. Copies of all AFTAP certifications and other AFTAP calculations (which may not
require certification) applicable for plan years beginning in 2008 through the year in
which the plan was trusteed. AFTAP certifications and calculations include:
• Certifications of the actual AFTAP for a plan year.
• Range certifications.
• Certified changes in a previous certified AFTAP.
• Updated AFTAPs, which may or may not require recertification.
• Optional recertifications of AFTAPs.
• Calculations of an inclusive presumed AFTAP.
• Calculations of a modified presumed AFTAP.
• A certified AFTAP must:
o Be a written statement that is clearly meant to be the certification of the
AFTAP.
o As of 10/15/2009, include the plan assets and liability information used in
determining the AFTAP.
o Be signed and dated with the month, day and year by an enrolled actuary
(EA). Note that the actual signature date may be material to the application of
the §436 limitations.
35. Copies of AVRs for each plan year beginning in 2008 through the year prior to
trusteeships that clearly include the AFTAP for the year. (An AVR may be acceptable in
place of an actual AFTAP certification if it was clearly meant to be an AFTAP

- 31 -

certification. As of 01/01/2010, an AVR can only be accepted as an AFTAP certification
if it meets all of the certification requirements.)
36. If the plan was maintained pursuant to one or more collective bargaining agreements
(CBA) ratified before 1/1/2008:
• A copy of the executed (signed and dated) CBA(s).
If a copy of the executed CBA(s) is not available:
• Written confirmation from the plan administrator, plan sponsor, or appropriate
bargaining unit official: (1) Of the ratification date and expiration date of the
CBA(s) without regard to any extension agreed upon after 08/17/2006. (2)
Whether the plan applied the CBA exception in 26 CFR §1.436-1(k)(2) that
deferred the effective date of IRC §1.436, and if so, to which benefits and when.
• Confirmation from the plan administrator, plan sponsor, or appropriate bargaining
unit official of the ratification date and expiration date of the CBA(s) (without
regard to any extension agreed upon after 08/17/2006).
• Confirmation whether plan applied CBA limits, to which benefits, and when.
• If the plan covered bargaining unit and non-bargaining unit employees,
confirmation that at least 25% of the covered employees or 50% of the
participants were members of the bargaining unit(s).
37. Plan amendments effective on or after the first day of plan year 2008 addressing
application of the §436 limitations.
38. Any other information documenting the plan’s application of §436, for example:
• Copies of correspondence sent to plan participants describing the impact of any
§436 limitation Plans generally must provide such notice within 30 days of the
effective date of the limitation.
• Written elections by the plan sponsor to reduce the prefunding balance or standard
carryover balance to avoid or terminate a §436 limitation.
• Specification of a contribution as a current year contribution to avoid or terminate
a §436 limitation.
• Written elections by the plan sponsor to defer applying MAP-21 interest rates
until 2013 for §436 while using MAP-21 rates for other purposes in 2012 or to
retroactively apply a 2012 AFTAP certification/recertification based on MAP-21
rates.

If you have any questions about the plan information listed above, call PBGC at (202) 326-4070.

- 32 -

E. Instructions for Schedule EA-D

Schedule EA-D to Form 601 must be completed to certify the funding level of a plan terminating
in a distress termination. An enrolled actuary must certify whether, as of the proposed
termination date, the value of plan assets is –

(A) insufficient to provide for all guaranteed benefits,
(B) sufficient to provide for all guaranteed benefits but not sufficient for all benefit
liabilities, or
(C) sufficient to provide for all benefit liabilities.

For the purpose of determining if a plan is sufficient for guaranteed benefits, you must include
any nonguaranteed benefits that a participant is entitled to receive because of the allocation of
assets priorities in ERISA section 4044 and 29 CFR Part 4044, Subpart A. This means that you
must include all nonguaranteed benefits to which assets are allocated. (To determine what
benefits are guaranteed benefits, see 29 CFR Part 4022, Subparts A and B.)

The estimated present value of all benefit liabilities as of the proposed termination date should be
calculated in accordance with 29 CFR Part 4044, Subpart B. With respect to a participant who,
as of the proposed termination date, is not receiving benefits and has not made a valid benefit
election, the value of the participant’s benefit must include the value of all optional forms of
benefits for which he or she is eligible under the terms of the plan.

The plan administrator must file the completed Schedule EA-D together with the Form 601. The
Schedule EA-D must be signed by an enrolled actuary. The following information must be
provided:
1. Plan Name. Report the full name of the plan as shown in the plan document.

2. Name of Actuarial Firm. Report the full name of the plan’s actuarial firm.

3-7. Name, enrollment number, address, phone number, and email of Enrolled Actuary whom
PBGC should contact regarding Schedule EA-D.

8. Sufficiency of plan. Check box that best describes sufficiency of plan (check only one
box).

PBGC may request information supporting the certification of the plan’s funding level. If you
have any questions on determining or valuing guaranteed benefits, or on determining the amount
of due and unpaid employer contributions, call PBGC’s Corporate Finance and Restructuring
Department (“CFRD”) at (202) 326-4070.

- 33 -

F. Instructions for Form 602

NOTE: Form 602 is required to be filed by the plan administrator only if the plan is sufficient
for guaranteed benefits or benefit liabilities and the plan administrator will distribute plan
assets.

If Box A on Schedule EA-D was checked, or PBGC determined that the plan was insufficient for
guaranteed benefits, or PBGC was unable to determine that the plan is sufficient for guaranteed
benefits, the plan administrator must not distribute plan assets.

If either Box B or Box C on Schedule EA-D was checked and PBGC has issued a notice to the
plan administrator that the plan is sufficient for guaranteed benefits or for benefit liabilities, the
distribution of plan assets must generally be completed by the later of (1) 180 days after the day
on which the plan administrator completes the issuance of the notices of benefit distribution, or
(2) 120 days after receipt of a favorable determination by IRS.

The plan administrator must file Form 602, the Post-Distribution Certification, along with any
required attachments (see item 9 below), with PBGC within 30 days after the last distribution
date for any affected party.

PBGC may assess a penalty for late filing of a Form 602. However, PBGC will do so only to the
extent the Form 602 is filed more than 90 days after the distribution deadline (including
extensions) described in Appendix C.

NOTE: The plan administrator of a plan with one or more missing participants must file with
the Form 602 the Schedule MP (including attachments) if the plan terminated before January 1,
2018, or the Form MP-100 (including applicable schedules) if the plan terminated on or after
January 1, 2018.

Section A. Plan Information

1. Plan Name. Enter the full name of the plan as shown in the plan document.

Section B. Distribution Information

1. Enter the last distribution date (see definition of “distribution date” in Appendix A)

2. If your distribution deadline is the IRS determination letter distribution deadline
described in Appendix C, enter the date of receipt of the IRS determination letter with
respect to the plan’s tax-qualification status upon termination.

3. Enter latest date that notices of benefit distribution were issued to participants or
beneficiaries.

- 34 -

4. Check “Yes” if you provided the name and address of the insurer(s) no later than 45 days
before the date of distribution to each individual other than: (1) an unlocated participant
or beneficiary, or (2) an individual whose benefit was distributed as a nonconsensual
lump sum.

5. If any participants or beneficiaries are missing, check “No” to item 5. Note that the
definition of “missing,” as well as the rules related to search requirements, differ
depending on when the plan terminates. If the date of plan termination is:

• Before January 1, 2018, see PBGC’s ERISA section 4050 regulations as in effect prior
to the 2018 amendments, or
• On or after January 1, 2018, see PBGC’s ERISA section 4050 regulations.

If any participants or beneficiaries are missing, you must submit a Missing Participants
Filing (i.e., Schedule MP for terminations before 2018 or Form MP-100 for terminations
after 2017).

6. If you checked “Yes,” enter latest date that annuity contracts, certificates, or written
notices were provided to each individual for whom an annuity was purchased.

If you checked “No” or “N/A” to item 6, attach a statement explaining why a copy of the
annuity contract, certificate, or written notice was not provided, your efforts to provide
copies, and when copies were expected to be provided to any individuals who had not
received them by the time you filed the Form 602.

7. Enter the name(s) and address(es) of the insurer(s), if any, which have made an
irrevocable commitment to provide benefits under the plan, along with the annuity
contract numbers. The name(s) must be the complete official name(s) of record for the
insurer(s).

8. Enter the name, address, and telephone number of the person to be contacted for access to
plan or employer records used to compute benefits. If such records are in the possession
of more than one person, attach a listing that provides this information for each person
who has possession of plan records. The contributing sponsor or plan administrator must
keep records supporting the calculation and valuation of benefits and assets for at least
six years after the date the Form 602 is filed with PBGC.

9. a In reporting the counts of participants or beneficiaries who received each form of
distribution (or received no distribution), 9a, the “Annuities” count, must include in the
count both non-missing and missing participants for whom annuities were purchased.

9. b Two counts should be entered in the Lump sums section: in line (1), the number of
participants and beneficiaries who received consensual lump sums, and in line (2),
number of participants and beneficiaries who received nonconsensual lump sums.

9. c Enter the number of participants or beneficiaries whose benefits were transferred to
PBGC under the Missing Participants Program.

- 35 -

9. a-c Values. In reporting the values for each form of distribution follow the same rules as for
the counts, e.g., the value of annuities purchased must include the value of annuities
purchased for Missing Participants. For values, use the actual cost to the plan of the
distribution (e.g., the amount of any lump sum distribution; the price paid for a
nonparticipating annuity contract).

The counts and values reported should include all distributions made after the plan’s termination
date that were made in the normal course of business (e.g., to individuals who retired or
terminated employment while you were administering the plan during the termination process),
as well as distributions made to close out the plan at termination.

The following documents must be attached to the Form 602:

• For each individual for whom an annuity was purchased (this includes non-missing and
missing participants), a copy of the annuity contract, certificate, and/or written notices to
the participant, identifying -
o contact information for the annuity provider
o group contract numbers for that annuity provider
o a list of participants entitled to annuities from that annuity provider

• For each individual who received a lump sum distribution, a copy of the cancelled check
or bank statement with the individual’s name and distribution amount.

Section C. Plan Administrator Certification

This section should be completed and signed by the plan’s administrator.

- 36 -

APPENDIX A: GLOSSARY OF TERMS 
 
Affected party means, with respect to a plan— 
 
(1)  Each participant in the plan; 
(2)  Each beneficiary of a deceased participant; 
(3)  Each alternate payee under an applicable qualified domestic relations order, as defined in 
   ERISA section 206(d)(3); 
(4)  Each employee organization that currently represents any group of participants; 
(5)  For any  group of participants not currently represented by an employee organization, the 
   employee organization, if any, that last represented such group of participants within the 
   5-year period preceding issuance of the notice of intent to terminate; and 
(6)  The PBGC. 
 
If an affected party has designated, in writing, a person to receive a notice on behalf of the affected 
party, any reference to the affected party (in connection with the notice) shall be construed to refer 
to such person. 
 
Bankruptcy Filing Date (or Bankruptcy Petition Date) means the date a bankruptcy case 
is begun by, or against, a plan sponsor.   For a detailed description of  how a plan sponsor’s 
bankruptcy can affect participants, click How The Bankruptcy Date Rule Can Affect Your Benefits 
or go to PBGC’s website and enter “bankruptcy date” in the search window. 
 
Benefit liabilities  means the benefits of participants and their beneficiaries under the plan 
(within the meaning of Code  
§ 401(a)(2)). 
 
Benefit Determination Date means, with respect to a plan that terminates on or after January 
1, 2018, the date as of which the amount to be transferred to PBGC under the Missing Participants 
Program is determined. This term has no meaning with respect to a plan that terminates before 
January 1, 2018. 
 
Cash Balance Plan means a defined benefit plan that defines a participant’s benefit in terms of 
a hypothetical account balance based generally on a formula using pay credits and interest credits, 
which may be converted to a benefit payable as an annuity. A cash balance plan is a type of 
statutory hybrid plan. 
 
Code means the Internal Revenue Code of 1986, as amended. 
 
Contributing sponsor means a person who is a contributing sponsor as defined in ERISA 
section 4001(a)(13). 
 
Controlled group means, in connection with any person, a group consisting of such person and 

                                               36

- 37 -

all other persons under common control with such person, determined under 29 CFR § 4001.3. 
Notwithstanding the preceding sentence, for purposes of determining the persons liable for 
contributions under Code § 412(b)(2) or ERISA section 302(b)(2), or for premiums under ERISA 
section 4007(e)(2), a controlled group also includes any group treated as a single employer under 
Code § 414(m) or (o). Any reference to the controlled group of a plan means all contributing 
sponsors of the plan and all members of each contributing sponsor’s controlled group.      

Deemed distribution date means, with respect to a plan that terminates before January 1, 2018, 
— (1) the last day of the period in which distribution may be made under 29 CFR Part 4041, or 
(2) an earlier date selected by the plan administrator of a terminating plan that is on or after the
date when all benefit distributions have been made under the plan except for distributions for
missing participants whose designated benefits are paid to PBGC.  This term has no meaning with
respect to a plan that terminates on or after January 1, 2018.

Distress termination notice means the notice filed with PBGC pursuant to 29 CFR § 4041.45. 

Distribution date means: 

• For benefits provided through the purchase of irrevocable commitments, the date on which the
  obligation to provide the benefits passes from the plan to the insurer; or

• For benefits transferred to PBGC’s Missing Participants Program:
  ─ The “deemed distribution date,” if the date of plan termination is before January 1, 2018,
    or 
  ─ The “benefit determination date,” if the date of plan termination is on or after January 1, 
    2018; or 

• For all other benefits, the date on which the benefits are delivered to  the participant or
  beneficiary (or to another plan or benefit arrangement or other recipient authorized by the
  participant or beneficiary in accordance with applicable law and regulations) personally or by
  deposit with a mail or courier service (as evidenced by a postmark or written receipt).

Distribution notice means the notice issued to the plan administrator by PBGC pursuant to 29 
CFR § 4041.47(a), upon PBGC’s determination that the plan has sufficient assets to pay at least 
guaranteed benefits. The notice instructs the plan administrator to distribute all plan assets in 
accordance with ERISA section 4044 and details the requirements for filing the post-distribution 
certification with PBGC. 

ERISA means the Employee Retirement Income Security Act of 1974, as amended. 

Guaranteed benefit means a benefit that is guaranteed by PBGC under ERISA section 4022(a) 
and (b) and 29 CFR § 4022, Subparts A and B. 

Guidelines means the Joint Implementation Guidelines issued by PBGC, the Department of the 
Treasury, and the Department of Labor on May 24, 1984, for processing defined benefit pension 
plan terminations involving asset reversions to the contributing sponsor. 

                                             37

- 38 -

Insurer means a company authorized to do business as an insurance carrier under the laws of a 
State as defined under section 3(10) of ERISA. 
 
Irrevocable commitment  means an obligation by an insurer to pay  benefits to a named 
participant or surviving beneficiary, if the obligation cannot be cancelled under the terms of the 
insurance contract (except for fraud or mistake) without the consent of the participant or 
beneficiary and is legally enforceable by the participant or beneficiary.  
 
IRS means the Internal Revenue Service. 
 
Majority owner means, with respect to a contributing sponsor of a single-employer plan, an 
individual who owns, directly or indirectly, 
  
(1)  the entire interest in an unincorporated trade or business, 
 
(2)  in the case of a partnership, 50 percent or more of either the capital interest or the profits 
     interest in such partnership, or 
 
(3)  in the case of a corporation, 50 percent or more in value of either the voting stock of that 
     corporation or all the stock of that corporation, taking into account the constructive ownership 
     rules of Code §§ 1563(e) (other than paragraph (3)(C)) and of 414(c).  
 
Mandatory employee contributions means amounts contributed to a plan by a participant 
which are required as a condition of employment, as a condition of participation in the plan, or as 
a condition of obtaining benefits under the plan attributable to employer contributions. 
 
Missing participant means a participant or beneficiary that, in the case of a plan that terminates: 
 
     •   Before January 1, 2018, meets the definition of missing provided in Section 4050.2 of 
         PBGC’s ERISA section 4050 regulations as in effect prior to the 2018 amendments; or 
 
     •   On or after January 1, 2018, meets the definition of missing provided in Section 102 of 
         PBGC’s ERISA section 4050 regulations  .  
 
Notice of benefit distribution means the notice to each participant and beneficiary, as required 
under 29 CFR § 4041.48, describing the benefit to be distributed to him or her. 
 
Notice of intent to terminate (NOIT) means the notice of a proposed termination of a single-
employer plan, as required by ERISA section 4041(a)(2) and 29 CFR § 4041.21 (in a standard 
termination) or § 4041.43 (in a distress termination). 
 
Participant means — 
 
 (1) Any individual who is currently in employment covered by the plan and who is earning or 
     retaining credited service under the plan, including any individual who is considered covered 

                                             38

- 39 -

under the plan for purposes of meeting the minimum participation requirements but who, 
because of offset or similar provisions, does not have any accrued benefits; 

(2) Any nonvested individual who is not currently in employment covered by the plan but who is
earning or retaining credited service under the plan; and

(3) Any individual who is retired or separated from employment covered by the plan and who is
receiving benefits under the plan or is entitled to begin receiving benefits under the plan in the
future, excluding  any such individual to whom an insurer has made  an  irrevocable com-
mitment to pay all the benefits to which the individual is entitled under the plan.

Person means an individual, partnership, joint venture, corporation, mutual company, joint-stock 
company, trust, estate, unincorporated organization, association, or employee organization. 

Plan benefits means benefit liabilities determined as of the termination date (taking into account 
the rules in 29 CFR § 4041.8(a)). 

PPA 2006 bankruptcy termination means a plan termination occurring during a bankruptcy 
proceeding, where the proceeding was initiated on or after September 16, 2006. 

Proposed distribution date means the date chosen by the plan administrator as the tentative 
date for the distribution of plan assets pursuant to a distribution notice from PBGC when plan 
assets are sufficient (as  of the proposed termination date) for  at least  guaranteed benefits. A 
proposed distribution date may not be earlier than the 61st day following the day on which the 
plan administrator files the Form 601 with PBGC.  

Proposed termination date means the date specified as such by the plan administrator in the 
notice of intent to terminate or, if later, in the distress termination notice.  

Residual assets means the plan assets remaining after all plan benefits and other liabilities (e.g., 
PBGC premiums) of the plan have been satisfied (taking into account the rules in 29 CFR § 
4041.8(b)). 

Single-employer plan means any defined benefit plan (as defined in ERISA section 3(35)) that 
is not a multiemployer plan (as defined in ERISA section 4001(a)(3)) and that is covered by Title 
IV of ERISA. 

Spin-off/termination transaction means a transaction in which a single defined benefit plan 
is split into two or more plans and there is a reversion of residual assets to an employer upon the 
termination of one or more but fewer than all of the resulting plans. 

State guaranty association means an association of insurers created by a State, the District of 
Columbia, or the Commonwealth of Puerto Rico to pay benefits and to continue coverage, within 
statutory limits, under life and health insurance policies and annuity contracts when an insurer 
fails. 

Statutory hybrid plan means, in general, a cash balance plan, a pension equity plan, or other 

                                  39

- 40 -

hybrid defined benefit  pension plan under the  terms of which the accumulated benefit of  a 
participant (or  any portion thereof) is expressed as the  balance of a  hypothetical account 
maintained for the participant or as the current value of an accumulated percentage of the 
participant’s final average compensation. 
 
Sufficient for benefit liabilities means that all benefit liabilities, as defined in ERISA section 
4001(a)(18), are funded. 
 
Sufficient for guaranteed benefits means that all guaranteed benefits, as defined in ERISA 
section 4001(a)(17), are funded. 
 
Termination date means the date established pursuant to ERISA section 4048(a). 
 
Title IV benefit means the guaranteed benefit plus any additional benefits to which plan assets 
are allocated pursuant to ERISA section 4044 and 29 CFR § 4044. (This does not include any 
benefit that may be payable pursuant to ERISA section 4022(c).) 

                                          40

- 41 -

APPENDIX B:  MODEL NOTICE OF INTENT TO TERMINATE (NOIT) 
                (See section II.C for the requirements for a NOIT.) 

                              Month/Day/Year 

                NOTICE OF INTENT TO TERMINATE [PLAN NAME] 

The [plan administrator] intends to terminate the [plan name] in a distress termination. The law 
requires that we provide you with written notice of the proposed termination. If the proposed 
termination does not occur, the [plan administrator] will notify you in writing. 

NAME AND EIN OF EACH CONTRIBUTING SPONSOR: [Name], EIN: [#########] 

PN: [###] 

PROPOSED TERMINATION DATE: [MM/DD/YY] 

• We will notify you if the proposed termination date is changed to a later date.

CONTACT PERSON: If you have any questions concerning the plan’s termination, contact: 

                           [Name, Address, Phone Number] 

CESSATION OF ACCRUALS: [Include one of the following statements, whichever applies.] 

• Benefit accruals will cease as of the termination date, but will continue if the plan does not
  terminate;
• A plan amendment has been adopted under which benefit accruals will cease, in accordance
  with ERISA section 204(h), as of [insert either the proposed termination date or a specified
  date before the proposed termination date, whichever  applies], whether  or not the plan is
  terminated; or
• Benefit accruals ceased, in accordance with ERISA section 204(h), as of [insert specified date
  before the NOIT was issued].

OBTAINING A SUMMARY PLAN DESCRIPTION: 

• If you wish to obtain a copy of the summary plan description (“SPD”) for your plan, you may
  [call or write . . . ]. [Include, if applicable: A reasonable fee to cover the cost of furnishing
  the SPD may be charged. Please inquire at the time of your request.]

PLAN FUNDING LEVEL 

• [Include one of the following statements, whichever applies.] The plan does not have

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sufficient funds to pay all promised benefits nor the benefits guaranteed by law. / The
plan has sufficient assets to pay at least all benefits guaranteed by law, but not all
promised benefits.

The Pension Benefit Guaranty Corporation (PBGC), a federal government agency,
will assure that you receive pension benefits that are guaranteed by law.

BENEFITS GUARANTEED BY PBGC: PBGC pays most people all of their accrued
pension benefits. Some people s’benefits are not guaranteed by law, for example because
their benefits exceed the maximum amount that PBGC can guarantee. If there are
insufficient plan assets or PBGC recoveries to fund the non-guaranteed benefits, PBGC
cannot pay them. You also may receive a portion of the benefits to which you are entitled
under the terms of the plan in excess of benefits guaranteed by law.

[Include all of the following that may apply to this plan’s benefits.]
• The maximum guaranteed benefit that PBGC can pay is set by law each year. For pension
plans ending in 2011, for example, the maximum guaranteed amount is $4,500 per month
($54,000 per year) for a worker who retires at age 65 with a straight life annuity.

— The maximum benefit will be reduced for an individual who begins receiving payments
before age 65.
— The maximum benefit also will be reduced if a pension includes benefits for a survivor or
other beneficiary.
• PBGC does not guarantee benefits that are not vested when the plan terminates, usually
because the individual has not worked enough years for the company.
• PBGC does not guarantee benefits for which an individual has not met all age, service, or other
requirements at the time the plan terminates [for PPA 2006 bankruptcy terminations, substitute
“as of [date], the bankruptcy filing date of the plan sponsor”].
• Benefit increases and new benefits that have been in place for less than a year are not
guaranteed. Those that have been in place for less than 5 years are only partly guaranteed.
• Early retirement payments that are greater than payments at normal retirement age may not be
guaranteed. For example, a supplemental benefit that stops when an individual becomes
eligible for Social Security may not be guaranteed.
• Benefits other than pension benefits, such as health insurance, life insurance, death benefits,
vacation pay, or severance pay are not guaranteed.
• PBGC generally does not pay lump sums exceeding $5,000.
• PBGC may recoup any pension payments that exceed PBGC’s guarantee.

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APPENDIX C: RULES FOR SUFFICIENT DISTRESS TERMINATIONS 

This appendix applies to plans that are not trusteed. If PBGC determines that a plan is sufficient 
for at least all guaranteed benefits, PBGC will issue a distribution notice to the plan ad-
ministrator. (For PPA 2006 bankruptcy terminations, the bankruptcy filing date is treated as the 
plan termination date for purposes of determining guaranteed benefits and priority category 3 
benefits; however, the determination of sufficiency for both purposes is made as of the proposed 
termination date and proposed distribution date).  If so, the plan administrator must comply with 
the notice requirements described below and complete the distribution of plan assets by 
purchasing annuity contracts that are irrevocable commitments, or by otherwise providing all 
Title IV benefits under the terms of the plan (see section D of this Appendix for the rules 
governing distribution of benefit liabilities). 

NOTE: If, after beginning a distress termination proceeding, you determine that the plan is 
sufficient for all benefit liabilities, you must immediately notify PBGC.  PBGC will advise you 
what actions to take under 29 CFR §4041.47(c). 

A distribution of assets by the purchase of annuity contracts occurs when the obligation for 
providing the benefit liabilities passes irrevocably from the plan to the insurer.  

A distribution of assets in a manner other than by the purchase of an annuity contract occurs on 
the date on which the benefits are delivered to the participant or beneficiary (or to another plan 
or benefit arrangement or other recipient authorized by the participant or beneficiary in 
accordance with applicable law and regulations) personally or by deposit with a mail or courier 
service (as evidenced by a postmark or written receipt). 

A. Notices of Benefit Distribution (see 29 CFR § 4041.48(a) and (b))

No later than 60 days after receiving the distribution notice, the plan administrator must issue 
notices of benefit distribution to affected parties (other than an employee organization or PBGC). 
The notices of benefit distribution must contain the same information as that required for the 
notices of plan benefits in a standard termination (see 29 CFR § 4041.24 and section II.D of the 
standard termination package), substituting (1) the term “Title IV benefits” for the terms “plan 
benefits” and “pension benefits” and (2) “termination date” for “proposed termination date.” No 
later than 15 days after the plan administrator completes the issuance of the notices of benefit 
distribution, he or she must file with PBGC a certification that the notices were issued. 

B. Notice of Annuity Information (see 29 CFR § 4041.48(c))

The plan administrator must provide a notice with the following annuity information to: 

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1. Each affected party entitled to benefits, other than an affected party whose benefits will be
  distributed in the form of a nonconsensual lump sum, no later than 45 days before the affected
  party’s distribution date; and

2. Each employee organization representing participants no later than 45 days before the earliest
  distribution date for any affected party represented by the employee organization.

Annuity Information  

 Name and address of each insurer from whom (if known), or (if not) from among whom, the
  plan administrator intends to purchase annuity contracts.

 Statement that, if the plan administrator later decides to select a different insurer, the plan
  administrator will issue a written supplemental notice no later than 45 days before the
  distribution date. (The supplemental notice must contain the same information as this notice,
  unless the information was previously provided.)

 Statement that, after plan assets have been distributed to provide all benefits, either through
  the purchase of an annuity contract or in another form permitted by the plan, PBGC’s guarantee
  ends.

 Statement (concerning state guaranty association coverage of annuities) that:

  • Once the plan distributes a benefit in the form of an annuity purchased from an insurance
  company, the insurance company takes over the responsibility for paying that benefit;
  • All states, the District of Columbia and the Commonwealth of Puerto Rico have established
  “guaranty associations” to protect policyholders  in the event of an insurance company’s
  financial failure;
  • A guaranty association is responsible for all, part or none of the annuity if the insurance
  company cannot pay;
  • Each guaranty association has dollar limits on the extent of its guaranty coverage, along with
  a general description of applicable dollar coverage limits;
  • In most cases the policyholder is covered by the guaranty association for the state where he
  or she lives at the time the insurance company fails to pay; and
  • The individual may obtain the addresses and telephone numbers of  guaranty  association
  offices  from PBGC by  calling or writing PBGC’s Customer Contact  Center at  PO Box
  151750, Alexandria, VA 22315-1750 (telephone: 1-(800) 400-7242) or by visiting PBGC’s
  website at www.pbgc.gov (on the “Workers & Retirees” tab click on “Benefits” and select
  “State Life and Health Insurance Guaranty Association Offices” on the bottom of the page).

  See the last page of this Appendix C for a model notice providing this information, which may 
  be used or adapted by the plan administrator.  

C. Distribution Deadline (see 29 CFR § 4041.50)

The plan administrator must complete the distribution of plan assets by the later of (a) 180 days 

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after the plan administrator completes the issuance of the notices of benefit distribution or (b) 120
days after the plan’s receipt of a favorable IRS determination letter. The IRS determination letter
distribution deadline described in (b) above is available only if, by the time the plan administrator
completes the issuance of the notices of benefit distribution, the plan administrator submits to the
IRS a valid request for a determination letter with respect to the plan’s tax-qualification status
upon termination.

A plan administrator may request an extension of the time to file for an IRS determination letter
in order to qualify for the IRS determination letter distribution deadline in accordance with the
rules described in 29 CFR § 4041.30. Such a request will be deemed to be granted unless PBGC
notifies the plan administrator otherwise within 60 days after receipt of the request. PBGC will
notify the plan administrator in writing of the date it receives the request.

PBGC Discretion. PBGC may extend the distribution deadline to a later date in accordance with
29 CFR § 4041.30.

NOTE: If, late in the distribution process, the plan administrator (1) locates a participant or
beneficiary who was
thought to be missing or (2) learns that a participant or beneficiary whom the plan
administrator thought was located is, in fact, missing, the plan administrator should request a
discretionary extension of the distribution deadline.

D. Distributing Benefits

Benefits may be distributed in a form other than an annuity (e.g., an immediate lump sum or direct
transfer) only if the plan provides for such a distribution and (1) the participant elects the
alternative form in writing, with the written consent of his or her spouse, or (2) for participants not
already in pay status, the present value of the participant’s benefit (valued in accordance with the
rules described under “Valuation of Other Benefits” in the instructions to item 6 of Schedule EA-
D), including amounts previously distributed, is at or below the plan’s de minimis cash out limit,
which may not exceed the dollar limit under § 411(a)(11) of the Code (currently $5,000).
NOTE: For an election of a lump sum to be valid, the participant must have the opportunity
to commence an annuity immediately (see Treas. Reg. § 1.417 (e)-1(b)(1)).

If benefits are not payable in an optional form under the conditions described above, benefit
liabilities must be distributed by the purchase from an insurer of an annuity contract that is an
irrevocable commitment. The plan administrator must select the insurer in accordance with the
fiduciary standards of Title I of ERISA.

NOTE: Spousal consent is required for married participants for all options (other than a
qualified joint and survivor annuity) if the present value of the participant’s plan benefit is
more than the plan’s de minimis cash out limit.

Participating Annuities. A participating annuity contract may be purchased to provide the
benefits if all benefit liabilities will be guaranteed under the annuity contract as the unconditional,

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irrevocable, and noncancellable obligation of the insurer. For a plan in which any portion of
residual assets will be distributed to participants: (1) the additional premium for the participation
feature must not be paid from the residual assets allocable to participants and (2) the amount of
residual assets must be determined using the price of the annuities for all benefit liabilities without
the participation feature. If these requirements are not satisfied, a nonparticipating annuity contract
must be purchased to close out the plan.

E. Providing the Annuity Contract (see 29 CFR § 4041.28(d))

If the plan administrator distributed benefits to any participant or beneficiary (other than a missing
participant) through the purchase of annuity contracts, either the plan administrator or the insurer
must, within 30 days after it is available, provide each such participant and beneficiary with a copy
of the annuity contract or a certificate showing the insurer’s name and address and clearly stating
the insurer’s obligation to provide the participant’s or beneficiary’s benefit.

If such a contract or certificate is not provided to the participant or beneficiary by the date on which
the date the Form 602 is required to be filed to avoid the assessment of penalties (see section G of
this Appendix), the plan administrator must, no later than that date, provide each participant and
beneficiary with a written notice stating:

1. That the obligation for providing the benefit has transferred to the insurer;

2. The name and address of the insurer;

3. The name, address, and telephone number of the person designated by the insurer to answer
questions concerning the annuity; and

4. That the participant or beneficiary will receive from the plan administrator or the insurer a
copy of the annuity contract or a certificate showing the insurer’s name and address and clearly
stating the insurer’s obligation to provide the participant’s or beneficiary’s benefit.

F. Missing Participants (see 29 CFR Part 4050)

The plan administrator must distribute the plan benefits of Missing Participants either by
purchasing an irrevocable commitment from an insurer or by paying the value of the Missing
Participant’s benefit to PBGC. The rules related to Missing Participants differ depending on when
the plan terminates.

For pre-2018 terminations, the rules are described in detail in a separate package of instructions
and forms (Schedule MP Package). For post-2017 terminations, the rules are described in detail
in the instructions for Form MP-100. Both sets of instructions are available on PBGC’s Forms for
Practitioners webpage.

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G. Post-Distribution Certification (Form 602) (see 29 CFR § 4041.50(b))

The plan administrator must file a completed Form 602 with PBGC within 30 days after the last
distribution date for benefits for any affected party. PBGC may assess a penalty for late filing of a
Form 602. However, PBGC will do so only to the extent the Form 602 is filed more than 90 days
after the distribution deadline (including extensions) described in section C of this Appendix.

Exception: If a plan with missing participants terminates before January 1, 2018, the due date
for filing Form 602 is 30 days after the deemed distribution date rather than 30 days after the
last distribution date. (See Schedule MP Package for more information).

H. Plan Records (see 29 CFR § 4041.5)

Each contributing sponsor and the plan administrator of a terminated plan must maintain all
records necessary to demonstrate compliance with section 4041 of ERISA and 29 CFR Part 4041
for six years after the date the Form 602 is filed with PBGC. For rules on maintaining records
electronically, see 29 CFR Part 4000, Subpart E (also available on the PBGC’s website,
www.pbgc.gov: at “Employers & Practitioners” page select “Law & Regulations”).

Note: If a contributing sponsor or the plan administrator maintains information in
accordance with this requirement, the other(s) need not maintain that information.

These records include the plan documents and all underlying data, including worksheets prepared
by or at the direction of the enrolled actuary, used in determining the amount, form, and value of
the benefits of each individual.

Within 30 days after receipt of PBGC’s written request for records or by a later date specified in
the request, the contributing sponsor or plan administrator, as applicable, must make all such
records available to PBGC upon request for inspection and photocopying (or, for electronic
records, inspection, electronic copying, and printout) at the location where they are kept (or
another, mutually agreeable, location), or must submit the records to PBGC.

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APPENDIX D: MODEL NOTICE OF STATE GUARANTY ASSOCATION COVERAGE
OF ANNUITIES

Your pension plan may pay you your pension benefit in the form of an annuity purchased from a
licensed insurance company. Once the plan purchases an annuity for you, the insurance company
will be responsible for paying your benefit.

All states, Puerto Rico and the District of Columbia have “guaranty associations.” The purpose of
a guaranty association is to protect policyholders, up to specified limits, in the event the insurance
company is financially unable to meet its obligations.

If you receive your pension benefits in the form of an annuity and the insurance company becomes
unable to pay, a guaranty association may be responsible for all, part or none of your annuity.
Generally, where you live at the time the insurance company is unable to pay determines which
guaranty association is responsible. In certain circumstances, other factors, such as where the
insurance company is licensed to do business, determine which guaranty association may be
responsible.

Each guaranty association has dollar limits on the extent of its coverage. In most states, guaranty
association coverage limits are $100,000 for individual annuities with an overall benefit “cap” for
an individual life of $300,000, though some states have maximums that are higher. However, state
laws vary and can change over time, and different states may calculate the value of annuities
differently.

This notice is to help you understand the general nature of the guaranty association protection of
the annuity you may receive. It is only a summary. If you need information now or in the event
the insurance company fails, a list of the addresses and telephone numbers of guaranty association
offices is available by calling or writing the PBGC’s Customer Contact Center, P.O. Box 151750,
Alexandria, VA 22315-1750 (telephone: 1-(800) 400-7242) or by visiting PBGC’s website at
www.pbgc.gov (on the “Workers & Retirees” tab click on “Benefits” and select “State Life and
Health Insurance Guaranty Association Offices” at the bottom of the page).

PDF file checksum: 2974548538

(Plugin #1/9.12/13.0)