Internal Revenue Bulletin 2004-2 (PDF rendition): IRS Revenue Procedures

Preserve advance releases and the authoritative Internal Revenue Bulletin rendition; directory timestamps are file-publication metadata, not legal effective dates. HTML bulletins begin June 2003; earlier available issues require full PDF parsing. Whole bulletin rendition: numbered items are identified below; other legal material and publisher context remain included. This is not a new standalone advance release.

Bulletin No. 200
4-2
January 12, 2004
HIGHLIGHTS
OF THIS ISSUE
These synopses are int
endedonlyasaidstothereaderin
identifying the subject matter covered. They may not be
relied upon as authoritative interpretations.
INCOME TAX
Rev. Rul. 2004–2, page 265.
Federal rates; adjusted federal rates; adjusted federal
long-termrateandthelong-termexemptrate.For pur-
poses of sections 382, 642, 1274, 1288, and other sections
of the Code, tables set forth the rates for January 2004.
T.D. 9099,
page 255.
Final regu
lations under section 417(a)(3) of the Code consol-
idate the c
ontent requirements applicable to explanations of
qualified
joint and survivor annuities and qualified preretirement
survivor
annuities payable under certain retirement plans, and
specify r
equirements for disclosing the relative value of optional
forms of b
enefit that are payable from certain retirement plans
in lieu of
a qualified joint and survivor annuity.
Notice 2004–2, page 269.
This notice provides basic information, in question and answer
format, on Health Savings Accounts (HSAs).
EMPLOYM
ENT TAX
Notice 2
004–4, page 273.
This not
ice provides tables that show the amount of an individ-
ual’s in
come that is exempt from a notice of levy used to collect
delinqu
ent tax in 2004.
ADMINISTRATIVE
Notice 2004–1, page 268.
This notice clarifies that the new application process for an IRS
Individual Taxpayer Identification Number (ITIN), which gener-
ally requires that the application be accompanied by the appli-
cant’s completed tax return, constitutes compliance with regu-
lations section 301.6109–1(d)(3)(ii). This notice also requests
taxpayers to submit comments on the revised ITIN application
process.
Rev. Proc
. 2004–9, page 275.
Insuranc
e companies; loss reserves; discounting unpaid
losses.T
he loss payment patterns and discount factors are
set forth
for the 2003 accident year. These factors will be used
to comput
e discounted unpaid losses under section 846 of the
Code.
Rev. Proc. 2004–10, page 288.
Insurance companies; discounting estimated salvage re-
coverable.The salvage discount factors are set forth for the
2003 accident year. These factors will be used to compute
discounted estimated salvagerecoverable under section 832
of the Code.
Announcement 2004–3, page 294.
This document details changes made by Chief Counsel which
impact distribution codes for Form 1099–R. These changes
could impact the filing of 1099–R and Form 5498 for tax year
2003.
Finding Lists begin on page ii.

The IRS Mission
Provide America’s taxpayers top quality service by helping
them understand and meet their tax responsibilities and by
applying the tax law with integrity and fairness to all.
Introduction
The Internal Revenue Bulletin is the authoritative instrument of
the Commissioner of Internal Revenue for announcing official
rulings and procedures of the Internal Revenue Service and for
publishing Treasury Decisions, Executive Orders, Tax Conven-
tions, legislation, court decisions, and other items of general
interest. It is published weekly and may be obtained from the
Superintendent of Documents on a subscription basis. Bul-
letin contents are consolidated semiannually into Cumulative
Bulletins, which are sold on a single-copy basis.
It is the pol
icy of the Service to publish in the Bulletin all sub-
stantive ru
lings necessary to promote a uniform application of
the tax law
s, including all rulings that supersede, revoke, mod-
ify, or ame
nd any of those previously published in the Bulletin.
All publis
hed rulings apply retroactively unless otherwise indi-
cated. Pro
ceduresrelatingsolelytomattersofinternalman-
agement ar
e not published; however, statements of internal
practice
s and procedures that affect the rights and duties of
taxpayer
s are published.
Revenue rulings represent the conclusions of the Service on the
application of the law to the pivotal facts stated in the revenue
ruling. In those based on positions taken in rulings to taxpayers
or technical advice to Service field offices, identifying details
and information of a confidential nature are deleted to prevent
unwarranted invasions of privacy and to comply with statutory
requirements.
Rulings and procedures reported in the Bulletin do not have the
force and effect of Treasury Department Regulations, but they
may be used as precedents. Unpublished rulings will not be
relied on, used, or cited as precedents by Service personnel in
the disposition of other cases. In applying published rulings and
procedures, the effect of subsequent legislation, regulations,
court decisions, rulings, and procedures must be considered,
and Service personnel and others concerned are cautioned
against reaching the same conclusions in other cases unless
the facts and circumstances are substantially the same.
The Bulletin is divided into four parts as follows:
Part I.—1986 Code.
This part includes rulings and decisions based on provisions of
the Internal Revenue Code of 1986.
Part II.—Treaties and Tax Legislation.
This part is divided into two subparts as follows: Subpart A,
Tax Conventions and Other Related Items, and Subpart B, Leg-
islation and Related Committee Reports.
Part III.—Administrative, Procedural, and Miscella-
neous.
To the extent practicable, pertinent cross references to these
subjects are contained in the other Parts and Subparts. Also
included in this part are Bank Secrecy Act Administrative Rul-
ings. Bank Secrecy Act Administrative Rulings are issued by
the Department of the Treasury’s Office of the Assistant Sec-
retary (Enforcement).
Part IV.—Items of General Interest.
This part includes notices of proposed rulemakings, disbar-
ment and suspension lists, and announcements.
The last Bulletin for each month includes a cumulative index
for the matters published during the preceding months. These
monthly indexes are cumulated on a semiannual basis, and are
published in the last Bulletin of each semiannual period.*
The cont
ents of this publication are not copyrighted and may be reprinted freely. A citation of the Internal Revenue Bulletin as the source would be appropriate.
For sale by the Superintendent of Documents, U.S.Government Printing Office, Washington, DC 20402.
* Beginning with Internal Revenue Bulletin 2003–43, we are publishing the index at the end of the month, rather than at the beginning.
January 12, 20042004-2 I.R.B.

Part I. Rulings and Decisions Under the Internal Revenue Code
of 1986
Section 42.—Low-Income
Housing Credit
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 280G.—Golden
Parachute Payments
Federal short-term, mid-term, and long-term rates
are set forth for the month of January 2004. See Rev.
Rul. 2004-2, page 265.
Section 382.—Limitation
on Net Operating Loss
Carryforwards and Certain
Built-In Losses Following
Ownership Change
The adjusted applicable federal long-term rate is
set forth for the month of January 2004. See Rev.
Rul. 2004-2, page 265.
Section 412.—Minimum
Funding Standards
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 4
17.—Definition
and Speci
al Rules for
Purposes of Minimum
Survivor Annuity
Requirements
26 CFR 1.417(a)(3)–1: Required explanation of
qualified joint and survivor annuity and qualified
preretirement survivor annuity.
T.D. 9099
DEPARTMENT OF
THE TREASURY
Internal Revenue Service
26 CFR Part 1
Disclosure of Relative Values
of Optional Forms of Benefit
AGENCY: Internal Revenue Service
(IRS), Treasury.
ACTION: Final regulations.
SUMMARY: This document contains fi-
nal regulations that consolidate the content
requirements applicable to explanations of
qualified joint and survivor annuities and
qualified preretirement survivor annuities
payable under certain retirement plans, and
specify requirements for disclosing the rel-
ative value of optional forms of benefit that
are payable from certain retirement plans
in lieu of a qualified joint and survivor an-
nuity. These regulations affect plan spon-
sors and administrators, and participants
in and beneficiaries of, certain retirement
plans.
DATES:Effective Date:These final reg-
ulations are effective on December 17,
2003.
Applicability Date:These final regula-
tions are applicableto QJSA explanations
with respect to distributions with annuity
starting dates on or after October 1, 2004,
and to QPSA explanations provided on or
after July 1, 2004.
FOR FURTHER INFORMATION
CONTACT: John T. Ricotta at (202)
622–6060 (not a toll-free number).
SUPPLEMENTARY INFORMATION:
Paperwork Reduction Act
The collection of information (require-
ment to disclose information) contained in
these final regulations has been reviewed
and approved by the Office of Manage-
ment and Budget in accordance with the
Paperwork Reduction Act of 1995 (44
U.S.C. 3507(d)) under control number
1545–0928. Responses to this collection
of information are mandatory.
An agency may not conduct or sponsor,
and a person is not required to respond to, a
collection of information unless it displays
a valid control number assigned by the Of-
fice of Management and Budget.
The estimated annual burden per re-
spondent varies from .01 to .99 hours, de-
pending on individual circumstances, with
an estimated average of .5 hours.
Comments concerning the accuracy
of this burden estimate and sugges-
tions for reducing this burden should
be sent to theInternal Revenue Service,
Attn: IRS Reports Clearance Officer,
SE:W:CAR:MP:T:SP, Washington, DC
20224, and to theOffice of Manage-
ment and Budget, Attn: Desk Officer for
the Department of the Treasury, Office
of Information and Regulatory Affairs,
Washington, DC 20503.
Books or records relating to a collection
of information must be retained as long
as their contents might become material in
the administration of any internal revenue
law. Generally, tax returns and tax return
information are confidential, as required
by 26 U.S.C. 6103.
Background
This document contains amendments to
26 CFR part 1 under section 417(a)(3) of
the Internal Revenue Code of 1986 (Code).
A qualified retirement plan to which
section 401(a)(11) applies must pay a
vested participant's retirement benefit
under the plan in the form of a quali-
fied joint and survivor annuity (QJSA),
except as provided in section 417. Sec-
tion 401(a)(11) applies to defined benefit
plans, money purchase pension plans, and
certain other defined contribution plans.
A QJSA is defined in section 417(b) as an
annuity for the life of the participant with
a survivor annuity for the life of the spouse
(if the participant is married) that is not
less than 50 percent of (and is not greater
than 100 percent of) the amount of the an-
nuity that is payable during the joint lives
of the participant and the spouse. Under
section 417(b)(2), a QJSA for a married
participant generally must be the actuarial
equivalent of the single life annuity ben-
efit payable for the life of the participant.
However, a plan is permitted to subsidize
the QJSA for a married participant. If
the plan fully subsidizes the QJSA for a
married participant so that failure to waive
the QJSA would not result in reduced
payments over the life of the participant
compared to the single life annuity benefit,
then the plan need not provide an election
to waive the QJSA. See section 417(a)(5).
For a married participant, the QJSA
must be at least as valuable as any other
optional form of benefit payable under the
plan at the same time. See §1.401(a)–20,
2004-2 I.R.B.255January 12, 2004

Q&A–16. Further, the anti-forfeiture rules
of section 411(a) prohibit a participant's
benefit under a defined benefit plan from
being satisfied through payment of a form
of benefit that is actuarially less valuable
than the value of the participant's accrued
benefit expressed in the form of an an-
nual benefit commencing at normal retire-
ment age. These determinations must be
made using reasonable actuarial assump-
tions. However, see §1.417(e)–1(d) for ac-
tuarial assumptions required for use in cer-
tain present value calculations.
If a plan provides a subsidy for one op-
tional form of benefit (i.e.,the payments
under an optional form of benefit have an
actuarial present value that is greater than
the actuarial present value of the accrued
benefit), there is no requirement to extend
a similar subsidy (or any subsidy) to ev-
ery other optional form of benefit. Thus,
for example, a participant might be entitled
to receive a single-sum distribution upon
early retirement that does not reflect any
early retirement subsidy in lieu of a QJSA
that reflects a substantial early retirement
subsidy. As a further example, a partic-
ipant might be entitled to receive a sin-
gle-sum distribution at normal retirement
age in lieu of a QJSA that is subsidized as
describedinsection417(a)(5).
Section 417(a) provides rules under
which a participant (with spousal consent)
may waive payment of the participant's
benefit in the form of a QJSA. Section
417(a)(3) provides that a plan must pro-
vide to each participant, within a reason-
able period before the annuity starting date
(and consistent with such regulations as
the Secretary may prescribe), a written
explanation of the terms and conditions of
the QJSA, the participant's right to make,
and the effect of, an election to waive
the QJSA form of benefit, the rights of
the participant's spouse, and the right to
revoke (and the effect of the revocation
of)anelectiontowaivetheQJSAformof
benefit.
Section 205 of the Employee Re-
tirement Income Security Act of 1974
(ERISA), Public Law 93–406 (88 Stat.
829) as subsequently amended, provides
rules that are parallel to the rules of sec-
tions 401(a)(11) and 417 of the Internal
Revenue Code. In particular, section
205(c)(3) of ERISA provides a rule paral-
lel to the rule of section 417(a)(3) of the
Code.
Under section 101 of Reorganization
Plan No. 4 of 1978 (43 FR 47713), the
Secretary of the Treasury has interpreta-
tive jurisdiction over the ERISA provisions
that are parallel to the Code provisions ad-
dressed in these regulations. Therefore,
these regulations apply for purposes of sec-
tion 205(c)(3) of ERISA, as well as for sec-
tion 417(a)(3) of the Code.
Regulations governing the require-
ments for waiver of a QJSA were pub-
lished in theFederal Registeron August
19, 1988 (T.D. 8219, 1988–2 CB. 48
[53 FR 31837]). Section 1.401(a)–20,
Q&A–36, provides rules for the explana-
tion that must be provided under section
417(a)(3) as a prerequisite to waiver of a
QJSA. Section 1.401(a)–20, Q&A–36, re-
quires that such a written explanation con-
tain a general description of the eligibility
conditions and other material features of
the optional forms of benefit and sufficient
additional information to explain the rela-
tive values of the optional forms of benefit
available under the plan (e.g.,the extent
to which optional forms are subsidized
relative to the normal form of benefit or
the interest rates used to calculate the op-
tional forms). In addition, §1.401(a)–20,
Q&A–36, provides that the written expla-
nation must comply with the requirements
set forth in §1.401(a)–11(c)(3). Section
1.401(a)–11(c)(3) was issued prior to the
enactment of section 417, and provides
rules relating to written explanations that
were required prior to a participant's elec-
tion of a preretirement survivor annuity
or election to waive a joint and survivor
annuity. Section 1.401(a)–11(c)(3)(i)(C)
provides that such a written explanation
must contain a general explanation of the
relative financial effect of these elections
on a participant's annuity.
In addition, under section 411 and
§1.411(a)–11(c), so long as a benefit
is immediately distributable (within the
meaning of §1.411(a)–11(c)(4)), a partici-
pant must be informed of his or her right to
defer that distribution. This requirement
is independent of the section 417 require-
ments addressed in these regulations.
Concerns have been expressed that, in
certain cases, the information provided
to participants under section 417(a)(3)
regarding the available distribution forms
does not adequately enable them to com-
pare those distribution forms without
professional advice. In particular, partici-
pants who are eligible for both subsidized
annuity distributions and unsubsidized
single-sum distributions may be receiving
notices that do not adequately explain the
value of the subsidy that is foregone if the
single-sum distribution is elected. In such
a case, merely disclosing the amount of the
single-sum distribution and the amount of
annuity payments, or merely stating that
the single sum distribution does not in-
clude the subsidy that is included in the
annuity payments, may not adequately
enable those participants to make an in-
formed comparison of the relative values
of those distribution forms, even if the
interest rate used to derive the single sum
is disclosed. Furthermore, questions have
been raised as to how the relative values
of optional forms of benefit are required
to be expressed under current regulations.
Accordingly, proposed regulations
(REG–124667–02, 2002–2 C.B. 791 [67
FR 62417]) were published in theFederal
Registeron October 7, 2002, that would
consolidate the content requirements ap-
plicable to explanations of qualified joint
and survivor annuities and qualified prere-
tirement survivor annuities payable under
certain retirement plans, and provide dis-
closure requirements that would enable
participants to compare the relative values
of the available distribution forms using
more readily understandable information.
After consideration of the comments
received concerning the proposed regula-
tions, these final regulations adopt provi-
sions of the proposed regulations with cer-
tain modifications, the most significant of
which are highlighted below.
Explanation of Provisions
These regulations provide guidance re-
garding the required description of the rel-
ative values of optional forms of benefit
compared to the value of the QJSA and
the content of the required disclosure of
relative values. Commentators generally
approved of the increased disclosure that
would result from the approach in the pro-
posed regulations, and these final regula-
tions are substantially similar to the pro-
posed regulations.
As under the proposed regulations,
the description of the relative value of an
optional form of benefit compared to the
value of the QJSA must be expressed in a
manner that provides a meaningful com-
January 12, 20042562004-2 I.R.B.

parison of the relative economic values
of the two forms of benefit without the
participant having to make calculations
using interest or mortality assumptions.
In order to provide this comparison, the
benefit under one or both optional forms
of benefit must be converted, taking into
account the time value of money and life
expectancies, so that both are expressed in
thesameform. Whileonecommentator
requested that the regulations only permit
comparisons to be made on the basis of
present value, the regulations do not take
this approach. Instead, the final regula-
tions retain the examples of techniques
that may be used for this comparison that
were included in the proposed regulation:
expressing the actuarial present value of
the optional form of benefit as a percent-
age or factor of the actuarial present value
of the QJSA; stating the amount of an an-
nuity payable at the same time and under
the same conditions as the QJSA that is the
actuarial equivalent of the optional form
of benefit; or stating the actuarial present
value of both the QJSA and the optional
form of benefit. However, a specific ex-
ample has been added illustrating the use
of the actuarial present value to express
relative value.
The comparisons required under the
proposed regulations depended on which
form of benefit constitutes the QJSA for
the participant. One commentator noted
that this would result in a different com-
parison for married and unmarried par-
ticipants, creating an unnecessary burden
for plan sponsors in situations where the
benefit options are identical for married
and unmarried participants. Furthermore,
if the plan sponsor did not know whether a
participant is married, the plan would need
to provide comparisons that covered both
possibilities. In response to the comment,
the final regulations permit a plan to use
a uniform basis of comparison of relative
value (i.e.,either the QJSA for married
participants or the QJSA for unmarried
participants) for both married and unmar-
ried participants, if the benefit options
are the same for married and unmarried
participants. Thus, in a plan in which
the applicable QJSA form for unmarried
participants is a straight life annuity and
the applicable QJSAform for married
participants is a 50% joint and contingent
annuity (and each of these forms of dis-
tribution are available to all participants
on the same terms), the plan may choose
to compare the relative value of the plan's
optional forms of benefit to the value of
the straight life annuity with respect to
the required disclosure for all participants
or the plan may choose to compare the
relative value of the plan's optional forms
of benefit to the value of the 50% joint
and contingent annuity with respect to the
required disclosure for all participants.
Since disclosing the relative value of
every optional form of benefit regardless of
the degree of subsidy may be too burden-
some, and may provide participants with
information that appears more precise than
is warranted based on the inexact nature
of the actuarial assumptions used, the final
regulations follow the proposed regulation
in providing for certain simplifications in
the disclosure. Under one simplification,
two or more optional forms of benefit that
have approximately the same value could
be grouped for purposes of disclosing rel-
ative value. Under the proposed regula-
tions, two or more optional forms of ben-
efit were treated as having approximately
the same value if those optional forms of
benefit varied in relative value in compari-
son to the value of the QJSA by 5 percent-
age points or less when the relative value
comparison is made by expressing the ac-
tuarial present value of each of those op-
tional forms of benefit as a percentage of
the actuarial present value of the QJSA.
Several commentators recommended
changes in this 5 percentage point band.
One commentator suggested that a band of
7.5 percentage points be used to simplify
compliance and ease the administrative
burden to plans. The commentator said
that a band of 7.5 percentage points would
allow a plan to treat unsubsidized op-
tional forms of benefit for virtually all
retiring participants as having approxi-
mately equal value. By contrast, another
commentator favored a maximum band of
3 percentage points in order for partici-
pants to receive adequate disclosure about
significant differences in value. The com-
mentator said that a 5 percentage point
difference in value wassignificant enough
to be brought to the participant's attention.
These final regulations generally retain
the 5 percentage point banding rule of the
proposed regulations. This rule aims to
minimize the compliance burdens for plans
to the extent consistent with providing par-
ticipants with information on differences
in value that are material in light of the in-
exact nature of the actuarial assumptions
used.
The proposed regulations also would
have allowed a plan to treat all of its forms
of benefit as approximately equal in value
if the actuarial present value of all of those
forms is not less than 95% of the actuarial
present value of the QJSA. The final regu-
lations permit a planthat is comparing the
relative value of each optional form to the
valueoftheQJSAforamarriedpartici-
pant to treat each presently available op-
tional form of benefit that has an actuar-
ialpresentvalueofatleast95%oftheac-
tuarial present value of the QJSA as hav-
ing approximately the same value as the
QJSA. In addition, in the case of a plan
that is comparing the relative value of each
optional form to the value of the single
life annuity, if all of the optional forms
of benefit presently available have actu-
arial present values that are at least 95%,
but not greater than 102.5%, of the actu-
arial present value of the presently avail-
able single life annuity, the plan is permit-
ted to treat all the presently available forms
of distribution as approximately equal in
value.
Some commentators recommended
that participants have the right to know
what actuarial assumptions were used in
the plan's estimates of relative value. The
final regulations require that this informa-
tion be made available upon request if it is
not provided in the notice.
Several commentators raised questions
concerning whether the methods used
in disclosing relative value of a plan's
optional forms of benefit in accordance
with these regulations affect the applica-
tion of the requirement at §1.401(a)–20,
Q&A–16, that the QJSA for married par-
ticipants be at least as valuable as any
other optional form of benefit under the
plan. While this issue is not addressed
in these final regulations, there is no re-
quirement, or implication, that the same
actuarial assumptions used by a plan for
purposes of disclosing relative value in
accordance with these regulations must be
applied for purposes of the requirement in
§1.401(a)–20, Q&A–16, that the QJSA for
married participants be at least as valuable
as any other optional form of benefit under
the plan.
One commentator requested that these
regulations address the use of electronic
2004-2 I.R.B.257January 12, 2004

media to deliver the QJSA explanation or
the QPSA explanation. The IRS and the
Treasury Department are considering the
extent to which the QJSA explanation and
the QPSA explanation, as well as other no-
tices under the various Internal Revenue
Code requirements relating to qualified re-
tirement plans, can be provided electron-
ically, taking into account the effect of
the Electronic Signatures in Global and
National Commerce Act (ESIGN), Public
Law 106–229, 114 Stat. 464 (2000). The
IRS and the Treasury Department have in-
vited comments on these issues, and an-
ticipate issuing further guidance regarding
electronic notices.
Commentators raised a number of other
issues, including issues that relate to ba-
sic QJSA rules that are not addressed in
these regulations and a request for the final
regulations to include model language that
can be included in a QJSA notice. These
regulations do not include model language
for several reasons, including the wide va-
riety of distribution alternatives found in
plans (including the variety of actuarial as-
sumptions used to calculate optional forms
of benefit), the variations in the average
participant in the plan for purposes of un-
derstandability, as well as inclusion in the
regulations of several detailed examples
showing how the information can be pro-
vided in order to disclose relative value.
Effective Date
These final regulations are applicable to
QJSA explanations with respect to distri-
butions with to annuity starting dates on
or after October 1, 2004, and to QPSA
explanations provided on or after July 1,
2004. In the case of a retroactive annuity
starting date under section 417(a)(7), when
required under §1.417(e)–1(b)(3)(vi), the
date of commencement of payments based
on the retroactive annuity starting date is
substituted for the annuity starting date for
purposes of this effective date.
Special Analysis
It has been determined that this Trea-
sury decision is not a significant regula-
tory action as defined in Executive Order
12866. Therefore, a regulatory assessment
is not required. It has also been determined
that section 553(b) of the Administrative
Procedure Act (5 U.S.C. chapter 5) does
not apply to these regulations. It is hereby
certified that the collection of information
in these regulations will not have a sig-
nificant economic impact on a substantial
number of small entities. This certification
is based upon the fact that qualified retire-
ment plans of small businesses typically
commence distribution of benefits to few,
if any, plan participants in any given year
and, similarly, only offer elections to waive
a QPSA to few, if any, participants in any
given year. Thus, the collection of infor-
mation in these regulations will only have
a minimal economic impact on most small
entities. Therefore, an analysis under the
Regulatory Flexibility Act (5 U.S.C. chap-
ter 6) is not required. Pursuant to section
7805(f) of the Code, the proposed regula-
tions preceding these regulations were sub-
mitted to the Chief Counsel for Advocacy
of the Small Business Administration for
comment on its impact on small business.
Drafting Information
The principal authors of these regula-
tions are Linda S. F. Marshall and John T.
Ricotta of the Office of the Division Coun-
sel/Associate Chief Counsel (Tax Exempt
and Government Entities). However, other
personnel from the IRS and Treasury par-
ticipated in their development.
*****
Adoption of Amendments to the
Regulations
Accordingly, 26 CFR part 1 is amended
as follows:
PART 1 — INCOME TAX; TAXABLE
YEARS BEGINNING AFTER
DECEMBER 31, 1986
Paragraph 1. The authority citation for
part 1 continues to read in part as follows:
Authority: 26 U.S.C. 7805 * * *
Par.2.Paragraph (c)(3) of
§1.401(a)–11 is revised to read as fol-
lows:
§1.401(a)–11 Qualified joint and survivor
annuities.
*****
(c) * * *
(3)Information to be provided by plan.
For rules regarding the information re-
quired to be provided with respect to the
election to waive a QJSA or a QPSA, see
§1.417(a)(3)–1.
*****
Par. 3. A–36 of §1.401(a)–20 is revised
to read as follows:
§1.401(a)–20 Requirements of qualified
joint and survivor annuity and qualified
preretirement survivor annuity.
*****
A–36. For rules regarding the explana-
tion of QPSAs and QJSAs required under
section 417(a)(3), see §1.417(a)(3)–1.
*****
Par. 4. Section 1.417(a)(3)–1 is added
to read as follows:
§1.417(a)(3)–1 Required explanation of
qualified joint and survivor annuity and
qualified preretirement survivor annuity.
(a)Written explanation require-
ment—(1)General rule.A plan meets
the survivor annuity requirements of sec-
tion 401(a)(11) only if the plan meets the
requirements of section 417(a)(3) and this
section regarding the written explanation
required to be provided a participant with
respect to a QJSA or a QPSA. A written
explanationrequiredtobeprovidedtoa
participant with respect to either a QJSA
or a QPSA under section 417(a)(3) and
this section is referred to in this section
as a section 417(a)(3) explanation. See
§1.401(a)–20, Q&A–37, for exceptions
to the written explanation requirement in
the case of a fully subsidized QPSA or
QJSA, and §1.401(a)–20, Q&A–38, for
the definition of a fully subsidized QPSA
or QJSA.
(2)Time for providing section 417(a)(3)
explanation—(i)QJSA explanation.See
§1.417(e)–1(b)(3)(ii) for rules governing
the timing of the QJSA explanation.
(ii)QPSA explanation.See
§1.401(a)–20, Q&A–35, for rules govern-
ing the timing of the QPSA explanation.
(3)Required method for providing sec-
tion 417(a)(3) explanation.A section
417(a)(3) explanation must be a written
explanation. First class mail to the last
known address of the participant is an
acceptable delivery method for a section
417(a)(3) explanation. Likewise, hand de-
livery is acceptable. However, the posting
of the explanation is not considered provi-
sion of the section 417(a)(3) explanation.
January 12, 20042582004-2 I.R.B.

(4)Understandability.A section
417(a)(3) explanation must be written
in a manner calculated to be understood
by the average participant.
(b)Required content of section
417(a)(3) explanation—(1)Content of
QPSA explanation.The QPSA explana-
tion must contain a general description of
the QPSA, the circumstances under which
it will be paid if elected, the availability
of the election of the QPSA, and, except
as provided in paragraph (d)(3) of this
section, a description of the financial ef-
fect of the election of the QPSA on the
participant's benefits (i.e.,an estimate of
the reduction to the participant's estimated
normal retirement benefit that would result
from an election of the QPSA).
(2)Content of QJSA explanation.The
QJSA explanation must satisfy either
paragraph (c) or paragraph (d) of this sec-
tion. Under paragraph (c) of this section,
the QJSA explanation must contain cer-
tain specific information relating to the
benefits available under the plan to the
particular participant. Alternatively, under
paragraph (d) of this section, the QJSA ex-
planation can contain generally applicable
information in lieu of specific participant
information, providedthat the participant
has the right to request additional infor-
mation regarding the participant's benefits
under the plan.
(c)Participant-specific information re-
quired to be provided—(1)In general.A
QJSA explanation satisfies this paragraph
(c) if it provides the following information
with respect to each of the optional forms
of benefit presently available to the partici-
pant (i.e., optional forms of benefit with an
annuity starting date for which the QJSA
explanation applies)—
(i) A description of the optional form of
benefit;
(ii) A description of the eligibility con-
ditions for the optional form of benefit;
(iii) A description of the financial ef-
fect of electing the optional form of bene-
fit (i.e., the amount payable under the form
of benefit to the participant during the par-
ticipant's lifetime and the amount payable
after the death of the participant);
(iv) In the case of a defined benefit plan,
a description of the relative value of the
optional form of benefit compared to the
value of the QJSA, in the manner described
in paragraph (c)(2) of this section; and
(v)Adescriptionofanyothermaterial
features of the optional form of benefit.
(2)Requirement for numerical com-
parison of relative values—(i)In general.
The description of the relative value of
an optional form of benefit compared to
the value of the QJSA under paragraph
(c)(1)(iv) of this section must be expressed
to the participant in a manner that pro-
vides a meaningful comparison of the
relative economic values of the two forms
of benefit without the participant having
to make calculations using interest or mor-
tality assumptions. Thus, in performing
the calculations necessary to make this
comparison, the benefits under one or
both optional forms of benefit must be
converted, taking into account the time
value of money and life expectancies, so
that the values of both optional forms of
benefit are expressed in the same form.
For example, such a comparison may be
expressedtotheparticipantusinganyof
the following techniques—
(A) Expressing the actuarial present
value of the optional form of benefit as
a percentage or factor of the actuarial
present value of the QJSA;
(B) Stating the amount of the annuity
that is the actuarial equivalent of the op-
tional form of benefit and that is payable
at the same time and under the same con-
ditions as the QJSA; or
(C) Stating the actuarial present value
of both the optional form of benefit and the
QJSA.
(ii)Use of one form for both married
and unmarried individuals—(A)In gen-
eral.Under the rules of this paragraph
(c)(2)(ii), in lieu of providing different
QJSA explanations for married and un-
married individuals, the plan may provide
a QJSA explanation to an individual that
does not vary based on the participant's
marital status. Except as specifically
provided in paragraph (c)(3)(iii) of this
section, any reference in this section to
comparing the relative value of an optional
form of benefit to the value of the QJSA
may be satisfied using the substitution
permitted under paragraph (c)(2)(ii)(B) or
(C)ofthissection.
(B)Substitution of single life annuity
for married individual.For a married par-
ticipant, in lieu of comparing the value
of each optional form of benefit presently
available to the participant to the value of
the QJSA, the plan can compare the value
of each optional form of benefit (includ-
ingtheQJSA)tothevalueofaQJSAfor
an unmarried participant (i.e.,a single life
annuity), but only if that same single life
annuity is available to that married partic-
ipant.
(C)Substitution of joint and survivor
annuity for unmarried individual.For an
unmarried participant, in lieu of compar-
ing the value of each optional form of ben-
efit presently available to the participant to
the value of the QJSA for that individual
(which is a single life annuity), the plan can
compare the value of each optional form
of benefit (including the single life annu-
ity) to the value of the joint and survivor
annuity that is the QJSA for a married par-
ticipant, but only if that same joint and sur-
vivor annuity is available to that unmarried
participant.
(iii)Simplified presentations permit-
ted—(A)Grouping of certain optional
forms.Two or more optional forms of
benefit that have approximately the same
value may be grouped for purposes of a
required numerical comparison described
in this paragraph (c)(2). For this purpose,
two or more optional forms of benefit have
approximately the same value if none of
those optional forms of benefit vary in
relative value in comparison to the value
of the QJSA by more than 5 percentage
points when the relative value comparison
is made by expressing the actuarial present
value of each of those optional forms of
benefit as a percentage of the actuarial
present value of the QJSA. For such a
group of optional forms of benefit, the
requirement relating to disclosing the rela-
tive value of each optional form of benefit
compared to the value of the QJSA can be
satisfied by disclosing the relative value of
any one of the optional forms in the group
compared to the value of the QJSA, and
disclosing that the other optional forms of
benefit in the group are of approximately
the same value. If a single-sum distribu-
tion is included in such a group of optional
forms of benefit, the single-sum distribu-
tion must be the distribution form that is
used for purposes of this comparison.
(B)Representative relative value for
grouped optional forms.If, in accor-
dance with paragraph (c)(2)(iii)(A) of this
section, two or more optional forms of
benefits are grouped, the relative values
for all of the optional forms of benefit in
the group can be stated using a represen-
2004-2 I.R.B.259January 12, 2004

tative relative value as the approximate
relative value for the entire group. For this
purpose, a representative relative value
is any relative value that is not less than
the relative value of the member of the
group of optional forms of benefit with
the lowest relative value and is not greater
than the relative value of the member of
that group with the highest relative value
when measured on a consistent basis. For
example, if three grouped optional forms
have relative values of 87.5%, 89%, and
91% of the value of the QJSA, all three
optional forms can be treated as having
a relative value of approximately 90% of
the value of the QJSA. As required under
paragraph (c)(2)(iii)(A) of this section, if
a single-sum distribution is included in
the group of optional forms of benefit,
the 90% relative factor of the value of the
QJSA must be disclosed as the approxi-
mate relative value of the single sum, and
the other forms can be described as having
the same approximate value as the single
sum.
(C)Special rules.If the plan is com-
paring the value of each optional form to
the value of the QJSA for a married partici-
pant, this paragraph (c)(2)(iii)(C) provides
a grouping rule that is in addition to the
grouping rules of paragraph (c)(2)(iii)(A)
of this section. Under this special rule,
the relative value of all optional forms of
benefit that have an actuarial present value
that is at least 95% of the actuarial present
value of the QJSA for a married partici-
pant is permitted to be described by stat-
ing that those optional forms of benefit are
approximately equal in value to the QJSA,
or that all of those forms of benefit and the
QJSA are approximately equal in value. In
addition, if a plan is comparing the value
of optional forms of benefit to the value
of the single life annuity and all optional
forms of benefit have actuarial present val-
ues that are at least 95%, but not greater
than 102.5%, of the actuarial present value
of the single life annuity, the plan is per-
mitted to describe the relative value of all
optional forms of benefit by stating that all
the optional forms of benefit are approxi-
mately equal in value, or that all of those
forms of benefit and the single life annuity
are approximately equal in value.
(iv)Actuarial assumptions used to de-
termine relative values.For the purpose
of providing a numerical comparison of
the value of an optional form of benefit to
the value of the immediately commencing
QJSA under this paragraph (c)(2), the fol-
lowing rules apply—
(A)Ifanoptionalformofbenefitis
subject to the requirements of section
417(e)(3) and §1.417(e)–1(d), any com-
parison of the value of the optional form
of benefit to the value of the QJSA must
be made using the applicable mortality
table and the applicable interest rate as
defined in §1.417(e)–1(d)(2) and (3) (or,
at the option of the plan, another reason-
able interest rate and reasonable mortality
table used under the plan to calculate the
amount payable under the optional form
of benefit); and
(B) All other optional forms of bene-
fit payable to the participant must be com-
pared with the QJSA using a single set
of interest and mortality assumptions that
are reasonable and that are applied uni-
formly with respect to all such optional
forms payable to the participant (regard-
less of whether those assumptions are ac-
tually used under the plan for purposes of
determining benefit payments).
(v)Required disclosure of assump-
tions—(A)Explanation of concept of
relative value.The notice must provide
an explanation of the concept of relative
value, communicating that the relative
value comparison is intended to allow the
participant to compare the total value of
distributions paid in different forms, that
the relative value comparison is made by
converting the value of the optional forms
of benefit presently available to a common
form (such as the QJSA or a single-sum
distribution), and that this conversion uses
interest and life expectancy assumptions.
The explanation of relative value must
include a general statement that all com-
parisons provided are based on average
life expectancies, and that the relative
value of payments ultimately made under
an annuity optional form of benefit will
depend on actual longevity.
(B)Disclosure of assumptions.Are-
quired numerical comparison of the value
of the optional form of benefit to the value
of the QJSA under this paragraph (c)(2) is
required to include a disclosure of the in-
terest rate that is used to develop the com-
parison. If all optional forms of benefit
are permitted to be grouped under para-
graph (c)(2)(iii)(A) of this section, then the
requirement of this paragraph (c)(2)(v)(B)
does not apply for any optional form of
benefit not subject to the requirements of
section 417(e)(3) and §1.417(e)–1(d)(3).
(C)Offer to provide actuarial assump-
tions.If the plan does not disclose the actu-
arial assumptions used to calculate the nu-
merical comparison required under para-
graph (c)(2) of this section, then, the no-
tice must be accompanied by a statement
that includes an offer to provide, upon the
participant's request, the actuarial assump-
tions used to calculate the relative value of
optional forms of benefit under the plan.
(3)Permitted estimates of financial ef-
fect and relative value—(i)General rule.
For purposes of providing a description
of the financial effect of the distribution
forms available to a participant as required
under paragraph (c)(1)(iii) of this section,
and for purposes of providing a description
of the relative value of an optional form of
benefit compared to the value of the QJSA
for a participant as required under para-
graph (c)(1)(iv) of this section, the plan is
permitted to provide reasonable estimates
(e.g., estimates based on data as of an ear-
lier date than the annuity starting date, a
reasonable assumption for the age of the
participant's spouse, or, in the case of a
defined contribution plan, reasonable esti-
mates of amounts that would be payable
under a purchased annuity contract), in-
cluding reasonable estimates of the appli-
cable interest rate under section 417(e)(3).
(ii)Right to more precise calculation.If
a QJSA notice uses a reasonable estimate
under paragraph (c)(3)(i) of this section,
the QJSA explanation must identify the es-
timate and explain that the plan will, upon
the request of the participant, provide a
more precise calculation and the plan must
provide the participant with a more precise
calculation if so requested. Thus, for ex-
ample, if a plan provides an estimate of
the amount of the QJSA that is based on a
reasonable assumption concerning the age
of the participant's spouse, the participant
can request a calculation that takes into ac-
count the actual age of the spouse, as pro-
vided by the participant.
(iii)Revision of prior information.If
a more precise calculation described in
paragraph (c)(3)(ii) of this section materi-
ally changes the relative value of an op-
tional form compared to the value of the
QJSA, the revised relative value of that op-
tional form must be disclosed, regardless
of whether the financial effect of selecting
the optional form is affected by the more
January 12, 20042602004-2 I.R.B.

precise calculation. For example, if a par-
ticipant provides a plan with the age of
the participant's spouse and that informa-
tion materially changes the relative value
of an optional form of benefit (such as a
single sum) compared to the value of the
QJSA, then the revised relative value of the
optional form of benefit and the value of
the QJSA must be disclosed, regardless of
whether the amount of the payment under
that optional form of benefit is affected by
the more precise calculation.
(4)Special rules for disclosure of finan-
cial effect for defined contribution plans.
For a written explanation provided by a
defined contribution plan, a description
of financial effect required by paragraph
(c)(1)(iii) of this section with respect to
an annuity form of benefit must include a
statement that the annuity will be provided
by purchasing an annuity contract from an
insurance company with the participant's
account balance under the plan. If the
description of the financial effect of the
optional form of benefit is provided us-
ing estimates rather than by assuring that
an insurer is able to provide the amount
disclosed to the participant, the written
explanation must also disclose this fact.
(d)Substitution of generally applicable
information for participant information
in the section 417(a)(3) explanation—(1)
Forms of benefit available.In lieu of
providing the information required under
paragraphs (c)(1)(i) through (v) of this
section for each optional form of benefit
presently available to the participant as
described in paragraph (c) of this section,
the QJSA explanation may contain the
information required under paragraphs
(c)(1)(i) through (v) of this section for
the QJSA and each other optional form
of benefit generally available under the
plan, along with a reference to where a
participant may readily obtain the infor-
mation required under paragraphs (c)(1)(i)
through (v) of this section for any other
optional forms of benefit that are presently
available to the participant.
(2)Financial effect and comparison of
relative values—(i)General rule.In lieu
of providing a statement of the financial ef-
fect of electing an optional form of bene-
fit as required under paragraph (c)(1)(iii)
of this section, or a comparison of rel-
ative values as required under paragraph
(c)(1)(iv) of this section, based on the ac-
tual age and benefit of the participant, the
QJSA explanation is permitted to include a
chart (or other comparable device) show-
ing the financial effect and relative value
of optional forms of benefit in a series
of examples specifying the amount of the
optional form of benefit payable to a hy-
pothetical participant at a representative
range of ages and the comparison of rel-
ative values at those same representative
ages. Each example in this chart must
show the financial effect of electing the op-
tional form of benefit pursuant to the rules
of paragraph (c)(1)(iii) of this section, and
a comparison of the relative value of the
optional form of benefit to the value of
the QJSA pursuant to the rules of para-
graph (c)(2) of this section, using reason-
able assumptions for the age of the hypo-
thetical participant's spouse and any other
variables that affect the financial effect, or
relative value, of the optional form of ben-
efit. The requirement to show the finan-
cial effect of electinganoptionalformcan
be satisfied through the use of other meth-
ods (e.g.,expressing the amount of the op-
tional form as a percentage or a factor of
the amount payable under the normal form
of benefit), provided that the method pro-
vides sufficient information so that a par-
ticipant can determine the amount of bene-
fits payable in the optional form. The chart
(or other comparable device) must be ac-
companied by the disclosures described in
paragraph (c)(2)(v) of this section explain-
ing the concept of relative value and dis-
closing certain interest assumptions. In ad-
dition, the chart (or other comparable de-
vice) must be accompanied by a general
statement describing the effect of signifi-
cant variations between the assumed ages
or other variables on the financial effect of
electing the optional form of benefit and
the comparison of the relative value of the
optional form of benefit to the value of the
QJSA.
(ii)Actual benefit must be disclosed.
The generalized notice described in this
paragraph (d)(2) will satisfy the require-
ments of paragraph (b)(2) of this sec-
tion only if the notice includes either the
amount payable to the participant under
the normal form of benefit or the amount
payable to the participant under the nor-
mal form of benefit adjusted for imme-
diate commencement. For this purpose,
the normal form of benefit is the form
under which payments due to the partic-
ipant under the plan are expressed under
the plan, prior to adjustments for form
of benefit. For example, assuming that a
plan's benefit accrual formula is expressed
as a straight life annuity, the generalized
notice must provide the amount of either
the straight life annuity commencing at
normal retirement age or the straight life
annuity commencing immediately.
(iii)Ability to request additional infor-
mation.The generalized notice described
in this paragraph (d)(2) must be accompa-
nied by a statement that includes an offer
to provide, upon the participant's request,
a statement of financial effect and a com-
parison of relative values that is specific to
the participant for any presently available
optional form of benefit, and a description
of how a participant may obtain this addi-
tional information.
(3)Financial effect of QPSA election.
In lieu of providing a specific description
of the financial effect of the QPSA elec-
tion, the QPSA explanation may provide
a general description of the financial ef-
fect of the election. Thus, for example,
the description can be in the form of a
chart showing the reduction to a hypothet-
ical participant's normal retirement bene-
fit at a representative range of participant
ages as a result of the QPSA election (us-
ing a reasonable assumption for the age of
the hypothetical participant's spouse rela-
tive to the age of the hypothetical partici-
pant). In addition, this chart must be ac-
companied by a statement that includes an
offer to provide, upon the participant's re-
quest, an estimate of the reduction to the
participant's estimated normal retirement
benefit, and a description of how a partic-
ipant may obtain this additional informa-
tion.
(4)Additional information required to
be furnished at the participant's request—
The generalized notice described in para-
graph (d)(2) of this section must be accom-
panied by a statement that includes an of-
fer to provide, upon the participant's re-
quest, information described in this para-
graph (d)(4)(i) and (ii), and a description
of how a participant may obtain this addi-
tional information.
(i)Explanation of QJSA.If, as permit-
ted under paragraphs (d)(1) and (2) of this
section, the content of a QJSA explanation
does not include all the items described in
paragraph (c) of this section, then, upon a
participant's request for any of the infor-
mation required under paragraphs (c)(1)(i)
2004-2 I.R.B.261January 12, 2004

through (v) of this section for one or more
presently available optional forms (in-
cluding a request for all optional forms
presently available to the participant), the
plan must furnish the information required
under paragraphs (c)(1)(i) through (v) of
this section with respect to those optional
forms. Thus, with respect to those op-
tional forms of benefit, the participant
must receive a QJSA explanation spe-
cific to the participant that is based on the
participant's actual age and benefit. In
addition, the plan must comply with para-
graph (c)(3)(iii) of this section. Further, if
as permitted under paragraph (c)(2)(v)(B)
of this section, the plan does not disclose
the actuarial assumptions used to calculate
the numerical comparison required under
paragraph (c)(2) of this section, then, upon
request, the plan must provide the actuarial
assumptions used to calculate the relative
value of optional forms of benefit under
the plan.
(ii)Explanation of QPSA.If, as permit-
ted under paragraph (d)(3) of this section,
the content of a QPSA explanation does
not include all the items described in para-
graph (b)(1) of this section, then, upon a
participant's request, the plan must furnish
an estimate of the reduction to the partici-
pant's estimated normal retirement benefit
that would result from a QPSA election.
(e)Examples.The following examples
illustrate the application of this section.
Solely for purposes of these examples, the
applicable interest rate that applies to any
distribution that is subject to the rules of
section417(e)(3)isassumedtobe5
1
/2%,
and the applicable mortality table under
section 417(e)(3) and §1.417(e)–1(d)(2) is
assumed to be the table that applies as of
January 1, 2003. In addition, solely for
purposes of these examples, assume that
a plan which determines actuarial equiva-
lence using 6% interest and the applicable
mortality table under section 417(e)(3) and
§1.417(e)–1(d)(2) that applies as of Jan-
uary 1, 1995, is using reasonable actuarial
assumptions. The examples are as follows:
Example 1.(i) Participant M participates in Plan
A, a qualified defined benefit plan. Under Plan A, the
QJSA is a joint and 100% survivor annuity, which is
actuarially equivalent to the single life annuity deter-
mined using 6% interest and the section 417(e)(3) ap-
plicable mortality table that applies as of January 1,
1995. On October 1, 2004, M will terminate employ-
ment at age 55. When M terminates employment, M
will be eligible to elect an unreduced early retirement
benefit, payable as either a single life annuity or the
QJSA. M will also be eligible to elect a single-sum
distribution equal to the actuarial present value of the
single life annuity payable at normal retirement age
(age 65), determined using the applicable mortality
table and the applicable interest rate under section
417(e)(3).
(ii) Consistent with paragraph (c) of this section,
Participant M is provided with a QJSA explanation
that describes the single life annuity, the QJSA, and
single-sum distribution options under the plan, and
any eligibility conditions associated with these op-
tions. Participant M is married when the explana-
tion is provided. The explanation indicates that, if
Participant M commenced benefits at age 55 and had
a spouse age 55, the monthly benefit under an im-
mediately commencing single life annuity is $3,000,
the monthly benefit under the QJSA is estimated to
be 89.96% of the monthly benefit under the immedi-
ately commencing single life annuity or $2,699, and
the single sum is estimated to be 74.7645 times the
monthly benefit under the immediately commencing
single life annuity or $224,293.
(iii) The QJSA explanation indicates that the sin-
gle life annuity and the QJSA are of approximately
the same value, but that the single-sum option is
equivalent in value to a monthly benefit under the
QJSA of $1,215. (This amount is 45% of the value
of the QJSA at age 55 ($1,215 divided by 89.96%
of $3,000 equals 45%).) The explanation states that
the relative value comparison converts the value of
the single life annuity and the single-sum options to
the value of each if paid in the form of the QJSA and
that this conversion uses interest and life expectancy
assumptions. The explanation specifies that the
calculations relating to the single-sum distribution
were prepared using 5.5% interest and average life
expectancy, that the other calculations were prepared
using a 6% interest rate and that the relative value of
actual annuity payments for an individual can vary
depending on how long the individual and spouse
live. The explanation notes that the calculation of the
QJSA assumed that the spouse was age 55, that the
amount of the QJSA will depend on the actual age
of the spouse (for example, annuity payments will
be significantly lower if the spouse is significantly
younger than the participant), and that the amount of
the single-sum payment will depend on the interest
rates that apply when the participant actually takes a
distribution. The explanation also includes an offer to
provide a more precise calculation to the participant
taking into account the spouse's actual age.
(iv) In accordance with paragraph (c)(3)(ii) of this
section, Participant M requests a more precise cal-
culation of the financial effect of choosing a QJSA
taking into account that Participant M's spouse is 50
years of age. Using the actual age of Participant M's
spouse, Plan A determines that the monthly payments
under the QJSA are 87.62% of the monthly payments
under the single life annuity, or $2,628.60 per month,
and provides this information to M. Plan A is not re-
quired to provide an updated calculation of the rela-
tive value of the single sum because the value of sin-
gle sum continues to be 45% of the value of the QJSA.
Example 2.(i) The facts are the same as inEx-
ample 1, except that the comparison of the relative
values of optional forms of benefit to the value of the
QJSA is not expressed as a percentage of the actuarial
present value of the QJSA, but instead is expressed by
disclosing the actuarial present values of the optional
forms and the QJSA. In addition, the Plan uses the
applicable interest rate and the applicable mortality
table under section 417(e)(3) for all comparison pur-
poses.
(ii) Accordingly, the QJSA explanation indi-
cates that the QJSA has an actuarial present value
of $498,089, while the single-sum payment has an
actuarial present value of $224,293 (i.e., the amount
of the single sum is $224,293) and that the single
life annuity is approximately equal in value to the
QJSA. The explanation states that the relative value
comparison converts the value of single life annuity
and the QJSA into an amount payable in the form
of the single-sum option (even though a single-sum
distribution in that amount is not available under the
plan) and that this conversion uses interest and life
expectancy assumptions. The explanation specifies
that the calculations were prepared using 5.5% inter-
est and average life expectancy, and that the relative
value of actual annuity payments for an individual
can vary depending on how long the individual and
spouse live. The explanation notes that the calcula-
tion of the QJSA assumed that the spouse was age
55, that the amount of the QJSA will depend on
the actual age of the spouse (for example, annuity
payments will be significantly lower if the spouse is
significantly younger than the participant), and that
the amount of the single-sum payment will depend
on the interest rates that apply when the participant
actually takes a distribution. The explanation also in-
cludes an offer to provide a more precise calculation
to the participant taking into account the spouse's
actual age.
Example 3.(i) The facts are the same as inEx-
ample 1, except that, in lieu of providing information
specific to Participant M in the QJSA notice as set
forth in paragraph (c) of this section, Plan A satis-
fies the QJSA explanation requirement in accordance
with paragraph (d)(2) of this section by providing M
with a statement that M's monthly benefit under an
immediately commencing single life annuity (which
is the normal form of benefit under Plan A, adjusted
for immediate commencement) is $3,000, along with
the following chart. The chart shows the financial ef-
fect of electing each optional form of benefit for a
hypothetical participant with a $1,000 benefit and a
spouse who is the same age as the participant. In-
stead of showing the relative value of these optional
forms of benefit compared to the value of the QJSA,
the chart shows the relative value of these optional
forms of benefit compared to the value of the single
life annuity. Separate charts are provided for ages 55,
60, and 65 as follows:
January 12, 20042622004-2 I.R.B.

Age 55 Commencement
Optional Form
Amount of distribution per $1,000 of immediate
single life annuity
Relative Value
Life Annuity
$1,000 per month
n/a
QJSA (Joint and 100% survivor annuity)
$900 per month ($900 per month for survivor
annuity)
approximately the same value as the Life Annuity
Lump sum
$ 74,764
approximately 45% of the value of the Life Annuity
Age 60 Commencement
Optional Form
Amount of distribution per $1,000 of immediate
single life annuity
Relative Value
Life Annuity
$1,000 per month
n/a
QJSA (Joint and 100% survivor annuity)
$878 per month ($878 per month for survivor
annuity)
approximately the same value as the Life Annuity
Lump sum
$99,792
approximately 66% of the value of the Life Annuity
Age 65 Commencement
Optional Form
Amount of distribution per $1,000 of immediate
single life annuity
Relative Value
Life Annuity
$1,000 per month
n/a
QJSA (Joint and 100% survivor annuity)
$852 per month ($852 per month for survivor
annuity)
approximately the same value as the Life Annuity
Lump sum
$135,759
approximately the same value as the Life Annuity
(ii) In accordance with paragraph (d)(4)(i) of
this section, when Participant M requests specific
information regarding the amounts payable under
the QJSA, the joint and 100% survivor annuity, and
the single-sum distribution and provides the age of
M's spouse, Plan A determines that M's QJSA is
$2,628.60 per month and the single-sum distribution
is $224,293. The actuarial present value of the QJSA
(determined using the 5.5% interest and the section
417(e)(3) applicable mortality table) is $498,896 and
the actuarial present value of the single life annuity
is $497,876. Accordingly, the specific information
discloses that the single-sum distribution has a value
that is 45% of the value of the single life annuity
available to M on October 1, 2004. In accordance
with paragraph (c)(2)(iii)(C) of this section, the
QJSA notice provides that the QJSA is of approxi-
mately the same value as the single life annuity.
Example 4.(i)ThefactsarethesameasinExam-
ple 1, except that under Plan A, the single-sum dis-
tribution is determined as the actuarial present value
of the immediately commencing single life annuity.
In addition, Plan A provides a joint and 75% survivor
annuity that is reduced from the single life annuity
and that is the QJSA under Plan A. For purposes of
determining the amount of the QJSA, if the partici-
pant is married the reduction is only half of the re-
duction that would normally apply under the actuar-
ial assumptions specified in Plan A for determining
actuarial equivalence of optional forms.
(ii) In lieu of providing information specific to
Participant M in the QJSA notice as set forth in para-
graph (c) of this section, Plan A satisfies the QJSA ex-
planation requirement inaccordance with paragraph
(d)(2) of this section by providing M with a statement
that M's monthly benefit under an immediately com-
mencing single life annuity (which is the normal form
of benefit under Plan A, adjusted for immediate com-
mencement) is $3,000, along with the following chart
showing the financial effect and the relative value of
the optional forms of benefit compared to the QJSA
for a hypothetical participant with a $1,000 benefit
and a spouse who is three years younger than the par-
ticipant. For each optional form generally available
under the plan, the chart shows the financial effect and
the relative value, using the grouping rules of para-
graph (c)(2)(ii) of this section. Separate charts are
provided for ages 55, 60, and 65, as follows:
2004-2 I.R.B.263January 12, 2004

Age 55 Commencement
Optional Form
Amount of distribution per $1,000 of immediate
single life annuity
Relative Value
Life Annuity
$1,000 per month
approximately the same value as the QJSA
QJSA (joint and 75% survivor annuity for a
participant who is married)
$956 per month ($717 per month for survivor
annuity)
n/a
Joint and 100% survivor annuity
$886 per month ($886 per month for survivor
annuity)
approximately the same value as the QJSA
Lump sum
$165,959
approximately the same value as the QJSA
Age 60 Comm
encement
Optional Form
Amount of distribution per $1,000 of immediate
single life annuity
Relative Value
Life Annuity
$1,000 per month
approximately 94% of the value of the QJSA
QJSA (joint and 75% survivor annuity for a
participant who is married)
$945 per month ($709 per month for survivor
annuity)
n/a
Joint and 100% survivor annuity
$859 per month ($859 per month for survivor
annuity)
approximately 94% of the value of the QJSA
Lump sum
$151,691
approximately the same value as the QJSA
Age 65 Commencement
Optional Form
Amount of distribution per $1,000 of immediate
single life annuity
Relative Value
Life Annuity
$1,000 per month
approximately 93% of the value of the QJSA
QJSA (joint and 75% survivor annuity for a
participant who is married)
$932 per month ($699 per month for survivor
annuity)
n/a
Joint and 100% survivor annuity
$828 per month ($828 per month for survivor
annuity)
approximately 93% of the value of the QJSA
Lump sum
$135,759
approximately 93% of the value of the QJSA
(iii) The chart disclosing the financial effect and
re
lative value of the optional forms specifies that the
calculations were prepared assuming that the spouse
is three years younger than the participant, that the
c
alculations relating to the single-sum distribution
were prepared using 5.5% interest and average life
expectancy, that the other calculations were prepared
u
sing a 6% interest rate, and that the relative value of
actual payments for an individual can vary depend-
ing on how long the individual and spouse live. The
e
xplanation states that the relative value comparison
converts the single life annuity, the joint and 100%
survivor annuity, and the single-sum options to value
of each if paid in the form of the QJSA and that this
conversion uses interest and life expectancy assump-
tions. The explanation notes that the calculation of
the QJSA depends on the actual age of the spouse
(for example, annuity payments will be significantly
lower if the spouse is significantly younger than the
participant), and that the amount of the single-sum
payment will depend on the interest rates that apply
when the participant actually takes a distribution.
The explanation also includes an offer to provide a
calculation specific to the participant upon request,
and an offer to provide mortality tables used in
pr
eparing calculations upon request.
(iv) In accordance with paragraph (d)(4)(i) of this
section, Participant M requests specific information
re
garding the amounts payable under the QJSA, the
joint and 100% survivor annuity, and the single sum.
(v) Based on the information about the age of
Pa
rticipant M’s spouse, Plan A determines that M’s
QJSA is $2,856.30 per month, the joint and 100%
survivor annuity is $2,628.60 per month, and the sin-
g
le sum is $497,876. The actuarial present value of
the QJSA (determined using the 5.5% interest and
the section 417(e)(3) applicable mortality table, the
a
ctuarial assumptions required under section 417) is
$525,091. Accordingly, the value of the single-sum
distribution available to M on October 1, 2004, is
94.8% of the actuarial present value of the QJSA. In
addition, the actuarial present value of the life annuity
and the 100% joint and survivor annuity are 95.0% of
the actuarial present value of the QJSA.
(vi) Plan A provides M with a QJSA explanation
that incorporates these more precise calculations of
the financial effect and relative value of the optional
forms for which M requested information.
(f)Effective date.This section applies
to QJSA explanations with respect to dis-
tributions with annuity starting dates on or
after October 1, 2004, and to QPSA expla-
nations provided on or after July 1, 2004.
In the case of a retroactive annuity start-
ing date under section 417(a)(7), when
required under §1.417(e)–1(b)(3)(vi), the
date of commencement of the actual pay-
ments based on the retroactive annuity
starting date is substituted for the annuity
starting date for this purpose.
§1.417(e)–1 [Amended]
Par. 5. In §1.417(e)–1, paragraph (b)(2)
is amended by removing the language
“§1.401(a)–20 Q&A–36” and adding
“§1.417(a)(3)–1” in its place.
January 12, 20042642004-2 I.R.B.

PART 602—OMB CONTROL
NUMBERS UNDER THE PAPERWORK
REDUCTION ACT
Par. 6. The authority citation for part
602 continues to read as follows:
Authority: 26 U.S.C. 7808.
Par. 7. In §602.101, paragraph
(b) is amended by adding an entry for
“1.417(a)(3)–1” in numerical order to the
table to read in part as follows:
§602.101 OMB Control numbers.
*****
(b) * * *
CFR part or section where
identified and described
Current OMB
control No.
*****
1.417(a)(3)–1............................................................................... 1545–0928
*****
Mark E. Matthews,
Deputy Commissioner for Services
and Enforcement.
Approved December 3, 2003.
Gregory Jenner,
Deputy Assistant Secretary (Tax Policy).
(Filed by the Office of the Federal Register on December 16,
2003, 8:45 a.m., and published in the issue of the Federal
Register for December 17, 2003, 68 F.R. 70141)
Section 467.—Certain
Payments for the Use of
Property or Services
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 468.—Special
Rules for Mining and Solid
Waste Reclamation and
Closing Costs
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 482.—Allocation
of Income and Deductions
Among Taxpayers
Federal short-term, mid-term, and long-term rates
are set forth for the month of January 2004. See Rev.
Rul. 2004-2, page 265.
Section 483.—Interest on
Certain Deferred Payments
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 642.—Special
Rules for Credits and
Deductions
Federal short-term, mid-term, and long-term rates
are set forth for the month of January 2004. See Rev.
Rul. 2004-2, page 265.
Section 807.—Rules for
Certain Reserves
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 832.—Insurance
Company Taxable Income
26 CFR 1.832-4: Gross income.
The salvage discount factors are set forth for 2003.
These factors must be used to compute discounted
estimated salvage recoverable for purposes of section
832 of the Code. See Rev. Proc. 2004-10, page 288.
Section 846.—Discounted
Unpaid Losses Defined
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
26 CFR 1.846-1: Application of discount factors.
The loss payment patterns and discount factors are
set forth for the 2003 accident year. These factors will
be used for computing discounted unpaid losses un-
der section 846 of the Code. See Rev. Proc. 2004-9,
page 275.
26 CFR 1.846-1: Application of discount factors.
The salvage discount factors are set forth for 2003.
These factors must be used to compute discounted
estimated salvage recoverable for purposes of section
832 of the Code. See Rev. Proc. 2004-10, page 288.
Section 1274.—Determi-
nation of Issue Price in the
Case of Certain Debt Instru-
ments Issued for Property
(Also sections 42, 280G, 382, 412, 467, 468, 482,
483, 642, 807, 846, 1288, 7520, 7872.)
Federal rates; adjusted federal rates;
adjusted federal long-term rate and the
long-term exempt rate.For purposes of
sections 382, 642, 1274, 1288, and other
sections of the Code, tables set forth the
rates for January 2004.
Rev. Rul. 2004–2
This revenue ruling provides various
prescribed rates for federal income tax
purposes for January 2004 (the current
month). Table 1 contains the short-term,
mid-term, and long-term applicable fed-
eral rates (AFR) for the current month
for purposes of section 1274(d) of the
Internal Revenue Code. Table 2 contains
the short-term, mid-term, and long-term
adjusted applicable federal rates (adjusted
AFR) for the current month for purposes
of section 1288(b). Table 3 sets forth the
adjusted federal long-term rate and the
long-term tax-exempt rate described in
2004-2 I.R.B.265January 12, 2004

section 382(f). Table 4 contains the ap-
propriate percentages for determining the
low-income housing credit described in
section 42(b)(2) for buildings placed in
service during the current month. Table 5
contains the federal rate for determining
the present value of annuity, an interest for
life or for a term of years, or a remainder
or a reversionary interest for purposes of
section 7520. Finally, Table 6 contains
the deemed rate of return for transfers
made during calendar year 2004 to pooled
income funds described in § 642(c)(5)
that have been in existence for less than
3 taxable years immediately preceding
the taxable year in which the transfer was
made.
REV. RUL. 2004–2 TABLE 1
Applicable Federal Rates (AFR) for January 2004
Period for Compounding
AnnualSemiannualQuarterlyMonthly
Short-Term
AFR1.71%1.70%1.70%1.69%
110% AFR1.88%1.87%1.87%1.86%
120% AFR2.05%2.04%2.03%2.03%
130% AFR2.22%2.21%2.20%2.20%
Mid-Term
AFR3.52%3.49%3.47%3.46%
110% AFR3.88%3.84%3.82%3.81%
120% AFR4.23%4.19%4.17%4.15%
130% AFR4.59%4.54%4.51%4.50%
150% AFR5.31%5.24%5.21%5.18%
175% AF
R
6.20%6.11%6.06%6.03%
Long-Term
AFR5.01%4.95%4.92%4.90%
110% AFR5.52%5.45%5.41%5.39%
120% AFR6.03%5.94%5.90%5.87%
130% AFR6.54%6.44%6.39%6.36%
REV. RUL. 2004–2 TABLE 2
Adjusted AFR for January 2004
Per
iod for Compounding
AnnualSemiannualQuarterlyMonthly
Short-term adjusted
AFR
1.44%1.43%1.43%1.43%
Mi
d-term adjusted AFR
2.
67%
2.
65%
2.
64%
2.
64%
Long-term adjusted
AFR
4.40%4.35%4.33%4.31%
REV. RUL. 2004–2 TABLE 3
R
ates Under Section 382 for January 2004
Adjusted federal long-term rate for the current month4.40%
Long-term tax-exempt rate for ownership changes during the current month (the highest of the adjusted
federal long-term rates for the current month and the prior two months.)4.58%
January 12, 20042662004-2 I.R.B.

REV. RUL. 2004–2 TABLE 4
Appropriate Percentages Under Section 42(b)(2) for January 2004
Appropriate percentage for the 70% present value low-income housing credit7.99%
Appropriate percentage for the 30% present value low-income housing credit3.42%
REV. RUL. 2004–2 TABLE 5
Rate Under Section 7520 for January 2004
Applicable federal rate for determining the present value of an annuity, an interest for life or a term of years,
or a remainder or reversionary interest4.2%
REV. RUL. 2004–2 TABLE 6
Deemed Rate for Transfers to New Pooled Income Funds During 2004
Deemed rate of return for transfers during 2004 to pooled income funds that have been in existence for
less than 3 taxable years4.8%
Section 1288.—Treatment
of Original Issue Discounts
on Tax-Exempt Obligations
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 7520.—Valuation
Tables
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
Section 7872.—Treatment
ofLoansWithBelow-Market
Interest Rates
The adjusted applicable federal short-term, mid-
term, and long-term rates are set forth for the month
of January 2004. See Rev. Rul. 2004-2, page 265.
2004-2 I.R.B.267January 12, 2004

Part III. Administrative, Procedural, and Miscellaneous
Interpretation of Section
301.6109–1(d)(3)(ii) of the
Procedure and Administration
Regulations
Notice 2004–1
SECTION 1. PURPOSE
This notice addresses the requirements
of section 301.6109–1(d)(3)(ii) of the
regulations on Procedure and Administra-
tion, relating to applications for Individual
Taxpayer Identification Numbers (ITINs).
The Service has changed its ITIN appli-
cation process. This notice confirms that
taxpayers who comply with the new ITIN
application process will be deemed to
have satisfied the requirements in section
301.6109–1(d)(3)(ii) relating to the time
for applying for an ITIN. This notice also
solicits public comments regarding the
changes to the ITIN application process.
SECTION 2. BACKGROUND
Section 6109(a)(1) generally provides
that a person must furnish a taxpayer iden-
tifying number (TIN) on any return, state-
ment, or other document required to be
made under the Internal Revenue Code
(Code). For taxpayers eligible to obtain
a social security number (SSN), the SSN
is the taxpayer's TIN.Seesection 6109(d);
section 301.6109–1(d)(4). Taxpayers who
are required under the Code to furnish a
TIN, but who are not eligible for a SSN,
must obtain an ITIN from the Service.See
Section 301.6109–1(d)(3)(ii). A taxpayer
must apply for an ITIN on Form W–7,Ap-
plication for the IRS Individual Taxpayer
Identification Number.
ITINs were not intended to be used as
proof of identity for nontax purposes (e.g.,
to obtain a driver's license, to claim le-
gal residency, to seek employment in the
United States, or to apply for welfare and
health benefits) and may not be reliable
proof of an individual's identity for those
purposes. To help eliminate the nontax use
of ITINs, the Service now is requiring tax-
payers to attach the original, completed tax
return for which the ITIN is needed, such
as a Form 1040, to the Form W–7.
SECTION 3. FORM W–7 AND
ACCOMPANYING INSTRUCTIONS
The Service has revised Form W–7 and
the accompanying instructions. In gen-
eral, a taxpayer who must obtain an ITIN
from the Service is required to attach the
taxpayer's original, completed tax return
for which the ITIN is needed, such as a
Form 1040, to the Form W–7. There are,
however, certain exceptions to the require-
ment that a completed return be filed with
the Form W–7. These exceptions are de-
scribed in detail in the instructions to the
revised Form W–7. One of the excep-
tions applies to holders of financial ac-
counts generating income subject to infor-
mation reporting or withholding require-
ments. In these cases, an applicant for an
ITIN must provide the IRS with evidence
that the applicant had opened the account
with the financial institution and that the
applicant had an ownership interest in the
account. The Treasury Department and the
IRS will consider changes to the require-
ments of this exception if necessary to en-
sure the timely issuance of ITINs to hold-
ers of these types of financial accounts. In
addition, financial institutions may partici-
pate in the IRS' acceptance agent program.
SECTION 4. CLARIFICATION OF
REGULATORY REQUIREMENTS
Section 301.6109–1(d)(3)(ii) provides
that any taxpayer who is required to furnish
an ITIN must apply for an ITIN on Form
W–7. The regulation further states that the
application must be made far enough in ad-
vance of the taxpayer's first required use
of the ITIN to permit the issuance of the
ITIN in time for the taxpayer to comply
with the required use (e.g.,thetimelyfil-
ing of a tax return). This requirement was
intended to prevent delays related to Code
filing requirements.
Under the Service's new ITIN appli-
cation process, applicants, in general,
are required to submit the Form W–7
with (and not in advance of) the origi-
nal, completed tax return for which the
ITIN is needed. Accordingly, taxpayers
who comply with the Service's new ITIN
application process will be deemed to
have satisfied the requirements of section
301.6109–1(d)(3)(ii) with respect to the
time for applying for an ITIN.
The original, completed tax return and
the Form W–7 must be filed with the IRS
office specified in the instructions to the
Form W–7 regardless of where the tax-
payer might otherwise be required to file
the tax return. The tax return will be pro-
cessed in the same manner as if it were
filed at the address specified in the tax re-
turn instructions. No separate filing of the
tax return (e.g., a copy) with any other IRS
office is requested or required. Taxpayers
are responsible for filing the original, com-
pleted tax return, with the Form W–7, by
the due date applicable to the tax return for
which the ITIN is needed (generally, April
15 of the year following the calendar year
coveredbythetaxreturn).
If a taxpayer requires an ITIN for an
amended or delinquent return, then the
Form W–7 must be submitted together
with the return to the IRS office specified
in the instructions accompanying the Form
W–7.
SECTION 5. EFFECTIVE DATE
This notice is effective December 17,
2003.
SECTION 6. COMMENTS
The Service is committed to maintain-
ing a dialogue with stakeholders on the
ITIN application process, including Form
W–7. Comments in response to this notice
will be considered carefully by the Service
in future revisions to the ITIN application
process and Form W–7.
The Service welcomes all comments
and suggestions and is particularly inter-
estedincommentsonthefollowingmat-
ters:
1. How can Form W–7 and the instruc-
tions be simplified or clarified?
2. The instructions to Form W–7 pro-
vide four exceptions to the requirement
that a completed tax return be attached
to Form W–7. Should these exceptions
be modified? Are additional exceptions
needed?
3. ITIN applicants may submit a Form
W–7 to an acceptance agent. The accep-
tance agent reviews the applicant's doc-
umentation and forwards the completed
January 12, 20042682004-2 I.R.B.

Form W–7 to the Service. What steps,
if any, should the Service consider to im-
prove the acceptance agent program?
Comments must be submitted
by June 15, 2004.Comments
may be submitted electronically
tonotice.comments@irscounsel.treas.gov.
Alternatively, comments may be sent
to CC:PA:LPD:PR (Notice 2004–1),
Room 5203, Internal Revenue Service,
P.O. Box 7604, Ben Franklin Station,
Washington, DC 20044. Submissions
may be hand delivered Monday through
Friday between the hours of 8 a.m. and
4 p.m. to: CC:PA:LPD:PR (Notice
2004–1), Courier's Desk, Internal
Revenue Service, 1111 Constitution
Avenue, N.W., Washington, DC 20224.
SECTION 7. CONTACT
INFORMATION
The principal author of this notice is
Michael A. Skeen of the Office of Asso-
ciate Chief Counsel (Procedure and Ad-
ministration), Administrative Provisions
and Judicial Practice Division. For further
information regarding this notice, contact
Michael A. Skeen at (202) 622–4910 (not
a toll-free call).
Health Savings Accounts
(HSAs)
Notice 2004–2
PURPOSE
This notice provides guidance on
Health Savings Accounts.
BACKGROUND
Section 1201 of the Medicare Prescrip-
tion Drug, Improvement, and Moderniza-
tion Act of 2003, Pub. L. No. 108–173,
added section 223 to the Internal Revenue
Code to permit eligible individuals to es-
tablish Health Savings Accounts (HSAs)
for taxable years beginning after Decem-
ber 31, 2003. HSAs are established to
receive tax-favored contributions by or on
behalf of eligible individuals and amounts
in an HSA may be accumulated over the
years or distributed on a tax-free basis to
pay or reimburse qualified medical ex-
penses.
A number of the rules that apply to
HSAs are similar to rules that apply to In-
dividual Retirement Accounts (IRAs) un-
der sections 219, 408 and 408A, and to
Archer Medical Savings Accounts (Archer
MSAs) under section 220. For example,
like an Archer MSA, an HSA is estab-
lished for the benefit of an individual, is
owned by that individual, and is portable.
Thus, if the individual is an employee who
later changes employers or leaves the work
force, the HSA does not stay behind with
the former employer, but stays with the in-
dividual.
This notice provides certain basic infor-
mation about HSAs in question and answer
format, without attempting to enumerate
all of the specific rules that apply under
section 223.
The notice is divided into five parts.
Part I of the notice explains what HSAs are
and who can have them. Part II describes
how HSAs can be established. Parts III and
IV cover contributions to HSAs and distri-
butions from HSAs. Part V discusses other
matters relating to HSAs.
QUESTIONS AND ANSWERS
Set forth below are questions and an-
swers concerning HSAs.
I. What Are HSAs and Who Can Have
Them?
Q–1. What is an HSA?
A–1. An HSA is a tax-exempt trust or
custodial account established exclusively
for the purpose of paying qualified medical
expenses of the account beneficiary who,
for the months for which contributions are
made to an HSA, is covered under a high-
deductible health plan.
Q–2. Who is eligible to establish an
HSA?
A–2. An “eligible individual” can es-
tablish an HSA. An “eligible individual”
means, with respect to any month, any in-
dividual who: (1) is covered under a high-
deductible health plan (HDHP) on the first
day of such month; (2) is not also cov-
ered by any other health plan that is not an
HDHP (with certain exceptions for plans
providing certain limited types of cover-
age); (3) is not entitled to benefits under
Medicare (generally, has not yet reached
age 65); and (4) may not be claimed as a
dependent on another person's tax return.
Q–3. What is a “high-deductible health
plan” (HDHP)?
A–3. Generally, an HDHP is a
health plan that satisfies certain require-
ments with respect to deductibles and
out-of-pocket expenses. Specifically, for
self-only coverage, an HDHP has an an-
nual deductible of at least $1,000 and
annual out-of-pocket expenses required
to be paid (deductibles, co-payments and
other amounts, but not premiums) not ex-
ceeding $5,000. For family coverage, an
HDHP has an annual deductible of at least
$2,000 and annual out-of-pocket expenses
required to be paid not exceeding $10,000.
In the case of family coverage, a plan is
an HDHP only if, under the terms of the
plan and without regard to which family
member or members incur expenses, no
amounts are payable from the HDHP until
the family has incurred annual covered
medical expenses in excess of the min-
imum annual deductible. Amounts are
indexed for inflation. A plan does not fail
to qualify as an HDHP merely because
it does not have a deductible (or has a
small deductible) for preventive care (e.g.,
first dollar coverage for preventive care).
However, except for preventive care, a
plan may not provide benefits for any year
until the deductible for that year is met.
SeeA–4 and A–6 for special rules regard-
ing network plans and plans providing
certain types of coverage.
Example (1):A Plan provides coverage for A and
his family. The Plan provides for the payment of cov-
ered medical expenses of any member of A's family
if the member has incurred covered medical expenses
during the year in excess of $1,000 even if the family
has not incurred covered medical expenses in excess
of $2,000. If A incurred covered medical expenses
of $1,500 in a year, the Plan would pay $500. Thus,
benefits are potentially available under the Plan even
if the family's covered medical expenses do not ex-
ceed $2,000. Because the Plan provides family cov-
erage with an annual deductible of less than $2,000,
the Plan is not an HDHP.
Example (2):Same facts as in example (1), except
that the Plan has a $5,000 family deductible and pro-
vides payment for covered medical expenses if any
member of A's family has incurred covered medical
expenses during the year in excess of $2,000. The
Plan satisfies the requirements for an HDHP with re-
spect to the deductibles.SeeA–12 for HSA contribu-
tion limits.
Q–4. What are the special rules for
determining whether a health plan that is
a network plan meets the requirements of
an HDHP?
2004-2 I.R.B.269January 12, 2004

A–4. A network plan is a plan that
generally provides more favorable bene-
fits for services provided by its network of
providers than for services provided out-
side of the network. In the case of a plan
using a network of providers, the plan does
not fail to be an HDHP (if it would other-
wise meet the requirements of an HDHP)
solely because the out-of-pocket expense
limits for services provided outside of the
network exceeds the maximum annual out-
of-pocket expense limits allowed for an
HDHP. In addition, the plan's annual de-
ductible for out-of-network services is not
taken into account in determining the an-
nual contribution limit. Rather, the annual
contribution limit is determined by refer-
ence to the deductible for services within
the network.
Q–5. What kind of other health cover-
age makes an individual ineligible for an
HSA?
A–5. Generally, an individual is ineli-
gible for an HSA if the individual, while
covered under an HDHP, is also covered
under a health plan (whether as an individ-
ual, spouse, or dependent) that is not an
HDHP.See alsoA–6.
Q–6. What other kinds of health cov-
erage may an individual maintain without
losing eligibility for an HSA?
A–6. An individual does not fail to be
eligible for an HSA merely because, in ad-
dition to an HDHP, the individual has cov-
erage for any benefit provided by “permit-
ted insurance.” Permitted insurance is in-
surance under which substantially all of
the coverage provided relates to liabili-
ties incurred under workers' compensation
laws, tort liabilities, liabilities relating to
ownership or use of property (e.g.,auto-
mobile insurance), insurance for a speci-
fied disease or illness, and insurance that
pays a fixed amount per day (or other pe-
riod) of hospitalization.
In addition to permitted insurance, an
individual does not fail to be eligible for
an HSA merely because, in addition to
an HDHP, the individual has coverage
(whether provided through insurance or
otherwise) for accidents, disability, dental
care, vision care, or long-term care. If a
plan that is intended to be an HDHP is one
in which substantially all of the coverage
of the plan is through permitted insurance
or other coverage as described in this an-
swer, it is not an HDHP.
Q–7. Can a self-insured medical reim-
bursement plan sponsored by an employer
be an HDHP?
A–7. Yes.
II. How Can An HSA Be Established?
Q–8. How does an eligible individual
establish an HSA?
A–8. Beginning January 1, 2004, any
eligible individual (as described in A–2)
can establish an HSA with a qualified HSA
trustee or custodian, in much the same way
that individuals establish IRAs or Archer
MSAs with qualified IRA or Archer MSA
trustees or custodians. No permission or
authorization from the Internal Revenue
Service (IRS) is necessary to establish an
HSA. An eligible individual who is an em-
ployee may establish an HSA with or with-
out involvement of the employer.
Q–9. Who is a qualified HSA trustee or
custodian?
A–9. Any insurance company or any
bank (including a similar financial insti-
tution as defined in section 408(n)) can
be an HSA trustee orcustodian. In ad-
dition, any other person already approved
by the IRS to be a trustee or custodian
of IRAs or Archer MSAs is automatically
approvedtobeanHSAtrusteeorcus-
todian. Other persons may request ap-
proval to be a trustee or custodian in ac-
cordance with the procedures set forth in
Treas. Reg. § 1.408–2(e) (relating to IRA
nonbank trustees). For additional infor-
mation concerning nonbank trustees and
custodians,seeAnnouncement 2003–54,
2003–40 I.R.B. 761.
Q–10. Does the HSA have to be opened
at the same institution that provides the
HDHP?
A–10. No. The HSA can be estab-
lished through a qualified trustee or cus-
todian who is different from the HDHP
provider. Where a trustee or custodian
does not sponsor the HDHP, the trustee or
custodian may require proof or certifica-
tion that the account beneficiary is an eli-
gible individual, including that the individ-
ual is covered by a health plan that meets
all of the requirements of an HDHP.
III. Contributions to HSAs.
Q–11. Who may contribute to an HSA?
A–11. Any eligible individual may
contribute to an HSA. For an HSA estab-
lished by an employee, the employee, the
employee's employer or both may con-
tribute to the HSA of the employee in a
given year. For an HSA established by a
self-employed (or unemployed) individ-
ual, the individual may contribute to the
HSA. Family members may also make
contributions to an HSA on behalf of an-
other family member as long as that other
family member is an eligible individual.
Q–12. How much may be contributed
to an HSA in calendar year 2004?
A–12. The maximum annual contribu-
tion to an HSA is the sum of the limits de-
termined separately for each month, based
on status, eligibility and health plan cov-
erage as of the first day of the month. For
calendar year 2004, the maximum monthly
contribution for eligible individuals with
self-only coverage under an HDHP is 1/12
of the lesser of 100% of the annual de-
ductible under the HDHP (minimum of
$1,000) but not more than $2,600. For
eligible individuals with family coverage
under an HDHP, the maximum monthly
contribution is 1/12 of the lesser of 100%
of the annual deductible under the HDHP
(minimum of $2,000) but not more than
$5,150. In addition to the maximum con-
tribution amount, catch-up contributions,
as described in A–14, may be made by or
on behalf of individuals age 55 or older and
younger than 65.
All HSA contributions made by or on
behalf of an eligible individual to an HSA
are aggregated for purposes of applying the
limit. The annual limit is decreased by
the aggregate contributions to an Archer
MSA. The same annual contribution limit
applies whether the contributions are made
by an employee, an employer, a self-em-
ployed person, or a family member. Un-
like Archer MSAs, contributions may be
made by or on behalf of eligible individu-
als even if the individuals have no compen-
sation or if the contributions exceed their
compensation. If an individual has more
than one HSA, the aggregate annual con-
tributions to all the HSAs are subject to the
limit.
Q–13. How is the contribution limit
computed for an individual who begins
self-only coverage under an HDHP on
June 1, 2004 and continues to be covered
under the HDHP for the rest of the year?
A–13. The contribution limit is com-
puted each month. If the annual deductible
is $5,000 for the HDHP, then the lesser
of the annual deductible and $2,600 is
January 12, 20042702004-2 I.R.B.

$2,600. The monthly contribution limit is
$216.67 ($2,600 /12). The annual contri-
bution limit is $1,516.69 (7 x $216.67).
Q–14. What are the “catch-up contribu-
tions” for individuals age 55 or older?
A–14. For individuals (and their
spouses covered under the HDHP) be-
tween ages 55 and 65, the HSA contribu-
tion limit is increased by $500 in calendar
year 2004. This catch-up amount will in-
crease in $100 increments annually, until
it reaches $1,000 in calendar year 2009.
As with the annual contribution limit, the
catch-up contribution is also computed on
a monthly basis. After an individual has
attained age 65 (the Medicare eligibility
age), contributions, including catch-up
contributions, cannot be made to an indi-
vidual's HSA.
Example:An individual attains age 65 and be-
comes eligible for Medicare benefits in July, 2004 and
had been participating in self-only coverage under an
HDHP with an annual deductible of $1,000. The in-
dividual is no longer eligible to make HSA contri-
butions (including catch-up contributions) after June,
2004. The monthly contribution limit is $125 ($1,000
/12+ $500/12 for the catch-up contribution). The in-
dividual may make contributions for January through
June totaling $750 (6 x $125), but may not make any
contributions for July through December, 2004.
Q–15. If one or both spouses have fam-
ily coverage, how is the contribution limit
computed?
A–15. In the case of individuals who
are married to each other, if either spouse
has family coverage, both are treated as
having family coverage. If each spouse has
family coverage under a separate health
plan, both spouses are treated as covered
under the plan with the lowest deductible.
The contribution limit for the spouses is the
lowest deductible amount, divided equally
between the spouses unless they agree on
a different division. The family coverage
limit is reduced further by any contribution
to an Archer MSA. However, both spouses
may make the catch-up contributions for
individuals age 55 or over without exceed-
ing the family coverage limit.
Example (1):H and W are married. H is 58 and
W is 53. H and W both have family coverage under
separate HDHPs. H has a $3,000 deductible under
his HDHP and W has a $2,000 deductible under her
HDHP. H and W are treated as covered under the plan
with the $2,000 deductible. H can contribute $1,500
to an HSA (1/2 the deductible of $2,000 + $500 catch
up contribution) and W can contribute $1,000 to an
HSA (unless they agree to a different division).
Example (2):H and W are married. H is 35 and
W is 33. H and W each have a self-only HDHP. H
has a $1,000 deductible under his HDHP and W has a
$1,500 deductible under her HDHP. H can contribute
$1,000 to an HSA and W can contribute $1,500 to an
HSA.
Q–16. In what form must contributions
be made to an HSA?
A–16. Contributions to an HSA must
be made in cash. For example, contribu-
tions may not be made in the form of stock
or other property. Payments for the HDHP
and contributions to the HSA can be made
through a cafeteria plan.SeeA–33.
Q–17. What is the tax treatment of an
eligible individual's HSA contributions?
A–17. Contributions made by an el-
igible individual to an HSA (which are
subject to the limits described in A–12)
are deductible by the eligible individual
in determining adjusted gross income (i.e.,
“above-the-line”). The contributions are
deductible whether or not the eligible indi-
vidual itemizes deductions. However, the
individual cannot also deduct the contribu-
tions as medical expense deductions under
section 213.
Q–18. What is the tax treatment of con-
tributions made by a family member on be-
half of an eligible individual?
A–18. Contributions made by a family
member on behalf of an eligible individ-
ual to an HSA (which are subject to the
limits described in A–12) are deductible
by the eligible individual in computing ad-
justed gross income. The contributions are
deductible whether or not the eligible in-
dividual itemizes deductions. An individ-
ual who may be claimed as a dependent on
another person's tax return is not an eligi-
ble individual and may not deduct contri-
butions to an HSA.
Q–19. What is the tax treatment of
employer contributions to an employee's
HSA?
A–19. In the case of an employee who
is an eligible individual, employer contri-
butions (provided they are within the limits
described in A–12) to the employee's HSA
are treated as employer-provided coverage
for medical expenses under an accident or
health plan and are excludable from the
employee's gross income. The employer
contributions are not subject to withhold-
ing from wages for income tax or subject
to the Federal Insurance Contributions Act
(FICA), the Federal Unemployment Tax
Act (FUTA), or the Railroad Retirement
Tax Act. Contributions to an employee's
HSA through a cafeteria plan are treated
as employer contributions. The employee
cannot deduct employer contributions on
his or her federal income tax return as HSA
contributions or as medical expense deduc-
tions under section 213.
Q–20. What is the tax treatment of an
HSA?
A–20. An HSA is generally exempt
from tax (like an IRA or Archer MSA),
unless it has ceased to be an HSA. Earn-
ings on amounts in an HSA are not in-
cludable in gross income while held in the
HSA (i.e.,inside buildup is not taxable).
SeeA–25 regarding the taxation of distri-
butions to the account beneficiary.
Q–21. When may HSA contributions
be made? Is there a deadline for contribu-
tions to an HSA for a taxable year?
A–21. Contributions for the taxable
year can be made in one or more payments,
at the convenience of the individual or the
employer, at any time prior to the time pre-
scribed by law (without extensions) for fil-
ing the eligible individual's federal income
tax return for that year, but not before the
beginning of that year. For calendar year
taxpayers, the deadline for contributions to
an HSA is generally April 15 following the
year for which the contributions are made.
Although the annual contribution is deter-
mined monthly, the maximum contribution
may be made on the first day of the year.
SeeA–22 regarding correcting excess con-
tributions.
Example:B has self-only coverage under an
HDHP with a deductible of $1,500 and also has an
HSA. B's employer contributes $200 to B's HSA at
the end of every quarter in 2004 and at the end of
the first quarter in 2005 (March 31, 2005). B can
exclude from income in 2004 all of the employer
contributions (i.e.,$1,000) because B's exclusion
for all contributions does not exceed the maximum
annual HSA contributions.SeeA–12.
Q–22. What happens when HSA con-
tributions exceed the maximum amount
that may be deducted or excluded from
gross income in a taxable year?
A–22. Contributions by individuals to
an HSA, or if made on behalf of an indi-
vidual to an HSA, are not deductible to the
extent they exceed the limits described in
A–12. Contributions by an employer to an
HSA for an employee are included in the
gross income of the employee to the ex-
tent that they exceed the limits described
in A–12 or if they are made on behalf of
an employee who is not an eligible indi-
vidual. In addition, an excise tax of 6%
for each taxable year is imposed on the ac-
count beneficiary for excess individual and
employer contributions.
2004-2 I.R.B.271January 12, 2004

However, if the excess contributions for
a taxable year and the net income attribut-
able to such excess contributions are paid
to the account beneficiary before the last
day prescribed by law (including exten-
sions) for filing the account beneficiary's
federal income tax return for the taxable
year, then the net income attributable to
the excess contributions is included in the
account beneficiary's gross income for the
taxable year in which the distribution is re-
ceived but the excise tax is not imposed on
the excess contribution and the distribution
of the excess contributions is not taxed.
Q–23. Are rollover contributions to
HSAs permitted?
A–23. Rollover contributions from
Archer MSAs and other HSAs into an
HSA are permitted. Rollover contribu-
tions need not be in cash. Rollovers are
not subject to the annual contribution lim-
its. Rollovers from an IRA, from a health
reimbursement arrangement (HRA), or
from a health flexible spending arrange-
ment (FSA) to an HSA are not permitted.
IV. Distributions from HSAs.
Q–24. When is an individual permitted
to receive distributions from an HSA?
A–24. An individual is permitted to
receive distributions from an HSA at any
time.
Q–25. How are distributions from an
HSA taxed?
A–25. Distributions from an HSA used
exclusively to pay for qualified medical ex-
penses of the account beneficiary, his or
her spouse, or dependents are excludable
from gross income. In general, amounts
in an HSA can be used for qualified med-
ical expenses and will be excludable from
gross income even if the individual is not
currently eligible for contributions to the
HSA.
However, any amount of the distribu-
tion not used exclusively to pay for qual-
ified medical expenses of the account ben-
eficiary, spouse or dependents is includ-
able in gross income of the account bene-
ficiary and is subject to an additional 10%
tax on the amount includable, except in the
case of distributions made after the account
beneficiary's death, disability, or attaining
age 65.
Q–26. What are the “qualified medical
expenses” that are eligible for tax-free dis-
tributions?
A–26. The term “qualified medical
expenses” are expenses paid by the ac-
count beneficiary, his or her spouse or
dependents for medical care as defined in
section 213(d) (including nonprescription
drugs as described in Rev. Rul. 2003–102,
2003–38 I.R.B. 559), but only to the extent
the expenses are not covered by insurance
or otherwise. The qualified medical ex-
penses must be incurred only after the
HSA has been established. For purposes
of determining the itemized deduction for
medical expenses, medical expenses paid
or reimbursed by distributions from an
HSA are not treated as expenses paid for
medical care under section 213.
Q–27. Are health insurance premiums
qualified medical expenses?
A–27. Generally, health insurance
premiums are not qualified medical ex-
penses except for the following: qualified
long-term care insurance, COBRA health
care continuation coverage, and health
care coverage while an individual is re-
ceiving unemployment compensation. In
addition, for individuals over age 65, pre-
miums for Medicare Part A or B, Medi-
careHMO,andtheemployeeshareof
premiums for employer-sponsored health
insurance, including premiums for em-
ployer-sponsored retiree health insurance
can be paid from an HSA. Premiums for
Medigap policies are not qualified medical
expenses.
Q–28. How are distributions from an
HSA taxed after the account beneficiary is
no longer an eligible individual?
A–28. If the account beneficiary is no
longer an eligible individual (e.g.,the indi-
vidual is over age 65 and entitled to Medi-
care benefits, or no longer has an HDHP),
distributions used exclusively to pay for
qualified medical expenses continue to be
excludable from the account beneficiary's
gross income.
Q–29. Must HSA trustees or custodi-
ans determine whether HSA distributions
are used exclusively for qualified medical
expenses?
A–29. No. HSA trustees or custodians
are not required to determine whether HSA
distributions are used for qualified medical
expenses. Individuals who establish HSAs
make that determination and should main-
tain records of their medical expenses suf-
ficient to show that the distributions have
been made exclusively for qualified medi-
cal expenses and are therefore excludable
from gross income.
Q.–30. Must employers who make con-
tributions to an employee's HSA determine
whether HSA distributions are used exclu-
sively for qualified medical expenses?
A–30. No. The same rule that applies
to trustees or custodians applies to employ-
ers.SeeA–29.
Q–31. What are the income tax con-
sequences after the HSA account benefi-
ciary's death?
A–31. Upon death, any balance re-
maining in the account beneficiary's HSA
becomes the property of the individual
named in the HSA instrument as the bene-
ficiary of the account. If the account ben-
eficiary's surviving spouse is the named
beneficiary of the HSA, the HSA becomes
the HSA of the surviving spouse. The
surviving spouse is subject to income tax
only to the extent distributions from the
HSA are not used for qualified medical
expenses.
If, by reason of the death of the account
beneficiary, the HSA passes to a person
other than the account beneficiary's surviv-
ing spouse, the HSA ceases to be an HSA
as of the date of the account beneficiary's
death, and the person is required to include
in gross income the fair market value of the
HSA assets as of the date of death. For
such a person (except the decedent's es-
tate), the includable amount is reduced by
any payments from the HSA made for the
decedent's qualified medical expenses, if
paid within one year after death.
V. Other Matters.
Q–32. What discrimination rules apply
to HSAs?
A–32. If an employer makes HSA con-
tributions, the employer must make avail-
able comparable contributions on behalf of
all “comparable participating employees”
(i.e.,eligible employees with comparable
coverage) during the same period. Contri-
butions are considered comparable if they
are either the same amount or same per-
centage of the deductible under the HDHP.
The comparability rule is applied sep-
arately to part-time employees (i.e.,em-
ployees who are customarily employed for
fewer than 30 hours per week). The com-
parability rule does not apply to amounts
rolled over from an employee's HSA or
Archer MSA, or to contributions made
January 12, 20042722004-2 I.R.B.

through a cafeteria plan. If employer con-
tributions do not satisfy the comparability
rule during a period, the employer is sub-
ject to an excise tax equal to 35% of the
aggregate amount contributed by the em-
ployer to HSAs for that period.
Example:Employer X offers its collectively
bargained employees three health plans, including
an HDHP with self-only coverage and a $2,000
deductible. For each employee electing the HDHP
self-only coverage, X contributes $1,000 per year
on behalf of the employee to an HSA. X makes no
HSA contributions for employees who do not elect
the HDHP. X's plans and HSA contributions satisfy
the comparability rule.
Q–33. Can an HSA be offered under a
cafeteria plan?
A–33. Yes. Both an HSA and an HDHP
may be offered as options under a cafe-
teria plan. Thus, an employee may elect
to have amounts contributed as employer
contributions to an HSA and an HDHP on
a salary-reduction basis.
Q–34. What reporting is required for an
HSA?
A–34. Employer contributions to an
HSA must be reported on the employee's
Form W–2. In addition, information re-
porting for HSAs will be similar to infor-
mation reporting for Archer MSAs. The
IRS will release forms and instructions,
similar to those required for Archer MSAs,
on how to report HSA contributions, de-
ductions, and distributions.
Q–35. Are HSAs subject to COBRA
continuation coverage under section
4980B?
A–35. No. Like Archer MSAs, HSAs
are not subject to COBRA continuation
coverage.
Q–36. How do the rules under section
419 affect contributions by an employer to
an HSA?
A–36. Contributions by an employer
to an HSA are not subject to the rules
under section 419. An HSA is a trust
that is exempt from tax under section 223.
Thus, an HSA is not a “fund” under section
419(e)(3) and, therefore, is not a “welfare
benefit fund” under section 419(e)(1).
Q–37. May eligible individuals use
debit, credit or stored-value cards to re-
ceive distributions from an HSA for quali-
fied medical expenses?
A–37. Yes.
Q–38. Are HSAs subject to other statu-
tory rules and provisions?
A–38. Yes. HSAs are subject to other
statutory rules and provisions not ad-
dressed in this notice. No inference should
be drawn regarding issues not expressly
addressed in this notice that may be sug-
gested by a particular question or answer,
or by the inclusion or exclusion of certain
questions.
COMMENTS REQUESTED
Comments are requested on the ques-
tions and answers setforth in this notice.
In addition, comments are requested on
any other issue not addressed in this notice
but which should be addressed in future
IRS guidance. In particular, comments are
requested as to the following:
1. The appropriate standard for preven-
tive care in section 223(c)(2)(C).
2. The relationship between section 223
and the rules governing health FSAs
in cafeteria plans under section 125
and the proposed and final regulations
under section 125 (in particular, Prop.
Treas. Reg. § 1.125–2 Q&A 7).
3. Whether transition relief should be
provided in cases of inappropriate
coordination of an HDHP with other
coverage.
4. The relationship between HSAs and
health FSAs or HRAs.
5. The application of the nondiscrimina-
tion rules in section 125 to HSAs of-
fered under a cafeteria plan.
6. The corrective procedures in instances
where employer contributions exceed
the statutory contribution limits.
7. The relationship between limits on
out-of-pocket expenses in section
223(c)(2)(A) and reasonable lifetime
maximums on benefits in health in-
surance plans.
Send comments to: CC:DOM:CORP:R
(Notice 2004–2), Room 5226, Inter-
nal Revenue Service, POB 7604, Ben
Franklin Station, Washington, DC 20044.
Comments may be hand-delivered be-
tween the hours of 8 a.m. and 5 p.m.
to: CC:DOM:CORT:R (Notice 2004–2),
Courier's Desk, Internal Revenue Service,
1111 Constitution Avenue, NW, Wash-
ington, D.C. Alternatively, taxpayers may
submit comments electronically at:
Notice.2004.2.Comments@irscoun-
sel.treas.gov(a Service Comments e-mail
address).
DRAFTING INFORMATION
The principal authors of this notice are
Elizabeth Purcell and Shoshanna Tanner of
the Office of Division Counsel/Associate
Chief Counsel (Tax Exempt and Govern-
ment Entities). For further information re-
garding this notice, contact Ms. Purcell
or Ms. Tanner at (202) 622–6080 (not a
toll-free call).
Tables for Figuring Amount
Exempt From Levy on Wages,
Salary, and Other Income
Notice 2004–4
Publication 1494, shown below, pro-
vides tables that show the amount of an in-
dividual's income that is exempt from a no-
tice of levy used to collect delinquent tax
in 2004.
1. Table for Figuring Amount Ex-
empt from Levy on Wages, Salary,
and Other Income (Forms 668–W(c),
668–W(c)(DO) & 668–W(ICS)) 2004
(Amounts are for each pay period.)
2004-2 I.R.B.273January 12, 2004

Filing Status: Single
Number of Exemptions Claimed on Statement
Pay
Period
123456 MoreThan6
Daily30.5842.5054.4266.3578.2790.1918.65 plus 11.92 for
each exemption
Weekly152.88212.50272.12331.73391.35450.9693.27 plus 59.62 for
each exemption
Biweekly305.77425.00544.23663.46782.69901.92186.54 plus 119.23 for
each exemption
Semimonthly331.25460.42589.58718.75847.92977.08202.08 plus 129.17 for
each exemption
Monthly662.50920.831179.171437.501695.831954.17404.17 plus 258.33 for
each exemption
Filing Status: Unmarried Head of Household
Number of Exemptions Claimed on Statement
Pay
Period
123456 MoreThan6
Daily39.4251.3563.2775.1987.1299.0427.50 plus 11.92 for
each exemption
Weekly197.12256.73316.35375.96435.58495.19137.50 plus 59.62 for
each exemption
Biweekly394.23513.46632.69751.92871.15990.38275.00 plus 119.23 for
each exemption
Semimonthly427.08566.25685.42814.58943.751072.92297.92 plus 129.17 for
each exemption
Monthly854.171112.501370.831629.171887.502145.83595.83 plus 258.33 for
each exemption
Filing Status: Married Filing Joint Return (and Qualifying Widow(er)s)
Number of Exemptions Claimed on StatementPay
Period
123456 MoreThan6
Daily49.2361.1573.0885.0096.92108.8537.31 plus 11.92 for
each exemption
Weekly246.15305.77365.38425.00484.62544.23186.54 plus 59.62 for
each exemption
Biweekly492.31611.54730.77850.00969.231088.46373.08 plus 119.23 for
each exemption
Semimonthly533.33662.50791.67920.831050.001179.17404.17 plus 129.17 for
each exemption
Monthly1066.67 1325.001583.331841.672100.002358.33808.33 plus 258.33 for
each exemption
January 12, 20042742004-2 I.R.B.

Filing Status: Married Filing Separate Return
Number of Exemptions Claimed on StatementPay
Period
123456 MoreThan6
Daily30.5842.5054.4266.3578.2790.1918.65 plus 11.92 for
each exemption
Weekly152.88212.50272.12331.73391.35450.9693.27 plus 59.62 for
each exemption
Biweekly305.77425.00544.23663.46782.69901.92186.54 plus 119.23 for
each exemption
Semimonthly331.25460.42589.58718.75847.92977.08202.08 plus 129.17 for
each exemption
Monthly662.50920.831179.171437.501695.831954.17404.17 plus 258.33 for
each exemption
2. Table for Figuring Additional Exempt Amountfor Taxpayers at Least 65 Years Old and/or Blind
Additional Exempt Amount
Filing Status*DailyWeeklyBiweekly
Semi-
monthlyMonthly
Single or
Head of Household
1
2
4.62
9.23
23.08
46.15
46.15
92.31
50.00
100.00
100.00
200.00
Any Other Filing
Status
1
2
3
4
3.65
7.31
10.96
14.62
18.27
36.54
54.81
73.08
36.54
73.08
109.62
146.15
39.58
79.17
118.75
158.33
79.17
158.33
237.50
316.67
*ADDITIONAL STANDARD DEDUCTION claimed on Parts 3, 4, & 5 of levy.
Examples
T
hese tables show the amount exempt
from a levy on wages, salary, and other
income. For example:
1. A single taxpayer who is paid
weekly and claims three exemptions (in-
cluding one for the taxpayer) has $272.12
exempt from levy.
2. If the taxpayer in number 1 is over 65
and writes 1 in the ADDITIONAL STAN-
DARD DEDUCTION space on Parts 3, 4,
& 5 of the levy, $295.20 is exempt from
this levy ($272.12 plus $23.08).
3. A taxpayer who is married, files
jointly, is paid bi-weekly, and claims two
exemptions (including one for the tax-
payer) has $611.54 exempt from levy.
4. If the taxpayer in number 3 is over
65 and has a spouse who is blind, this
taxpayer should write 2 in the ADDI-
TIONAL STANDARD DEDUCTION
space on Parts 3, 4, & 5 of the levy. Then,
$684.62 is exempt from this levy ($611.54
plus $73.08).
26 CFR 601.201: Rulings and determination letters.
(Also Part I, Sections 846; 1.846–1.)
Rev. Proc. 2004–9
SECTION 1. PURPOSE
This revenue procedure prescribes the
loss payment patterns and discount factors
for the 2003 accident year. These factors
will be used for computing discounted un-
paid losses under § 846 of the Internal Rev-
enue Code.SeeRev. Proc. 2003–17,
2003–6 I.R.B. 427, for background con-
cerning the loss payment patterns and ap-
plication of the discount factors.
SECTION 2. SCOPE
This revenue procedure applies to any
taxpayer that is required to discount its un-
paid losses under § 846 for a line of busi-
ness using discount factors published by
the Secretary.
SECTION 3. TABLES OF DISCOUNT
FACTORS
.01Thefollowingtablespresentsepa-
rately for each line of business the discount
2004-2 I.R.B.275January 12, 2004

factors under § 846 for accident year 2003.
All the discount factors presented in this
section were determined using the appli-
cable interest rate under § 846(c) for 2003,
which is 5.27 percent, and by assuming all
loss payments occur in the middle of the
calendar year.
.02 If the groupings of individual
lines of business on the annual state-
ment change, taxpayers must discount the
unpaid losses on the affected lines of busi-
ness in accordance with the discounting
patterns that would have applied to those
unpaid losses based on their classifica-
tion on the 2000 annual statement.See
Rev. Proc. 2003–17, 2003–6 I.R.B. 427,
section 2, for additional background on
discounting under section 846 and the use
of the Secretary's tables.
.03 Section V of Notice 88–100,
1988–2 C.B. 439, sets forth a composite
method for computing discounted unpaid
losses for accident years that are not sep-
arately reported on the annual statement.
The tables separately provide discount
factors for taxpayers who elect to use the
composite method of section V of Notice
88–100.SeeRev. Proc. 2002–74, 2002–2
C.B. I.R.B. 980.
.04 Tables
Accident and Health
(Other Than Disability Income or Credit Disability Insurance)
Taxpayers that do not use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are
incurred in this line of business in the 2003 accident year and that are outstanding at the end of the 2003 and later taxable years.
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount all unpaid losses that are
incurred in this line of business and that are outstanding at the end of the 2003 tax year.
Auto Physical Damage
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200389.646889.646810.353210.068097.2455
200499.684510.03770.31550.299895.0251
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2005 and later years0.15780.15780.153897.4648
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2005 tax year.
January 12, 20042762004-2 I.R.B.

Commercial Auto/Truck Liability/Medical
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200328.824428.824471.175664.435590.5304
200454.987126.162645.012940.988191.0586
200572.803917.816827.196124.868091.4393
200685.057212.253314.942813.606591.0568
200791.62766.57048.37247.582290.5618
200894.95143.32395.04864.571590.5501
200997.04532.09382.95472.664190.1639
201098.15741.11211.84261.663590.2768
201198.73700.57961.26301.156491.5620
201299.10700.37000.89300.837893.8128
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20130.37000.52300.502396.0372
2014 and later years0.37000.15300.149297.4648
Taxpayers that use the composite method of Notice 88–100 should use 96.3144 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Composite
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200340.998540.998559.001552.346388.7203
200465.843924.845434.156129.613386.6999
200577.502311.658322.497719.212385.3966
200684.62217.119815.377912.919884.0151
200790.24555.62349.75457.830980.2805
200892.27802.03257.72206.158379.7500
200994.39742.11955.60264.308376.8980
201095.25260.85524.74743.657977.0504
201196.27921.02663.72082.797375.1817
201296.43230.15313.56772.787778.1369
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20130.15313.41452.777481.3423
20140.15313.26142.766784.8321
20150.15313.10832.755488.6476
20160.15312.95512.743592.8384
2017 and later years0.15312.80202.731097.4648
2004-2 I.R.B.277January 12, 2004

Composite
Taxpayers that use the composite method of Notice 88–100 should use 87.9561 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Fidelity/Surety
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200338.332838.332861.667257.142292.6623
200458.848520.515641.151539.104395.0251
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2005 and later years20.575820.575820.054197.4648
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2005 tax year.
Financial Guaranty/Mortgage Guaranty
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
20034.07234.072395.927789.232793.0207
200440.763936.691659.236156.289295.0251
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2005 and later years29.618029.618028.867297.4648
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2005 tax year.
January 12, 20042782004-2 I.R.B.

International (Composite)
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200340.998540.998559.001552.346388.7203
200465.843924.845434.156129.613386.6999
200577.502311.658322.497719.212385.3966
200684.62217.119815.377912.919884.0151
200790.24555.62349.75457.830980.2805
200892.27802.03257.72206.158379.7500
200994.39742.11955.60264.308376.8980
201095.25260.85524.74743.657977.0504
201196.27921.02663.72082.797375.1817
201296.43230.15313.56772.787778.1369
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20130.15313.41452.777481.3423
20140.15313.26142.766784.8321
20150.15313.10832.755488.6476
20160.15312.95512.743592.8384
2017 and later0.15312.80202.731097.4648
Taxpayers that use the composite method of Notice 88–100 should use 87.9561 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Medical Malpractice —Claims-Made
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
20037.34477.344792.655380.892987.3052
200429.019121.674470.980962.917888.6404
200553.310824.291746.689241.310088.4786
200669.151715.840930.848327.234188.2838
200782.098112.946417.901915.386185.9469
200886.39954.301413.600511.783786.6415
200989.71113.311610.28899.006987.5404
201092.46882.75777.53126.652288.3283
201194.51632.04755.48374.902089.3920
201295.76351.24714.23653.880791.6012
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20131.24712.98942.805693.8535
20141.24711.74221.673996.0782
2015 and later years1.24710.49510.482597.4648
2004-2 I.R.B.279January 12, 2004

Medical Malpractice —Claims-Made
Taxpayers that use the composite method of Notice 88–100 should use 94.5587 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Medical Malpractice —Occurrence
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
20030.83160.831699.168480.588081.2638
20047.45736.625792.542778.036984.3253
200523.557516.100276.442565.630585.8560
200641.006217.448758.993851.186786.7661
200755.583214.577044.416838.928087.6425
200868.941313.358131.058727.274087.8142
200978.20959.268221.790519.202088.1210
201082.87274.663217.127315.429490.0869
201186.31783.445113.682212.707892.8788
201291.08344.76568.91668.488095.1933
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2013 and later years4.76564.15104.045797.4648
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Miscellaneous Casualty
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200379.779079.779020.221019.344395.6645
200494.941715.16275.05834.806795.0251
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2005 and later years2.52922.52922.465097.4648
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2005 tax year.
January 12, 20042802004-2 I.R.B.

Multiple Peril Lines
(Homeowners/Farmowners, Commercial Multiple Peril, and Special Liability
(Ocean Marine, Aircraft (All Perils), Boiler and Machinery))
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200359.744559.744540.255536.638591.0149
200481.034721.290218.965316.725388.1893
200587.33256.297812.667511.145187.9825
200691.06593.73348.93417.902088.4479
200795.17814.11224.82194.099385.0140
200895.76050.58244.23953.717787.6937
200997.05391.29332.94612.586787.7996
201097.64410.59032.35592.117489.8774
201198.70371.05961.29631.141888.0851
201298.6217-0.08211.37831.286293.3151
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20130.52260.85580.817895.5652
2014 and later years0.52260.33320.324797.4648
Taxpayers that use the composite method of Notice 88–100 should use 96.3076 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Other (Including Credit)
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200369.172969.172930.827129.413595.4143
200491.216822.04398.78328.346395.0251
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2005 and later years4.39164.39164.280397.4648
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2005 tax year.
2004-2 I.R.B.281January 12, 2004

Other Liability — Claims-Made
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200314.961814.961885.038272.683785.4719
200436.211321.249463.788754.712085.7706
200554.287618.076345.712439.048885.4227
200664.21639.928835.783730.919686.4071
200773.27329.056926.726823.256687.0162
200880.57487.301619.425216.990787.4675
200987.62007.045212.380010.657786.0880
201089.91552.295510.08458.864187.8987
201193.39463.47916.60545.761687.2268
201294.61701.22235.38304.811189.3763
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20131.22234.16073.810691.5850
20141.22232.93832.757293.8366
20151.22231.71601.648496.0612
2016 and later years1.22230.49360.481197.4648
Taxpayers that use the composite method of Notice 88–100 should use 92.3191 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Other Liability — Occurrence
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200319.113319.113380.886766.794782.5780
200436.443417.330163.556652.533982.6568
200552.164815.721547.835239.172081.8895
200663.238311.073436.761729.874981.2663
200772.07808.839727.922022.379780.1505
200875.90213.824124.097919.635581.4821
200982.93057.028417.069513.459078.8484
201085.14412.213614.855911.897280.0837
201189.30064.156510.69948.259577.1961
201289.98980.689210.01027.987779.7952
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
January 12, 20042822004-2 I.R.B.

Other Liability — Occurrence
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
20130.68929.32107.701582.6250
20140.68928.63187.400285.7320
20150.68927.94267.083089.1783
20160.68927.25336.749293.0492
2017 and later years0.68926.56416.397797.4648
Taxpayers that use the composite method of Notice 88–100 should use 87.9049 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Private Passenger Auto Liability/Medical
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200343.192643.192656.807452.566892.5350
200472.200829.008227.799225.574391.9963
200584.563212.362515.436814.238092.2343
200691.93167.36848.06847.428392.0667
200795.87293.94134.12713.776091.4919
200897.78041.90752.21962.017890.9099
200998.79571.01531.20431.082589.8838
201099.24910.45350.75090.674389.8010
201199.51950.27030.48050.432589.9950
201299.63530.11590.36470.336492.2395
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20130.11590.24880.235294.5391
20140.11590.13300.128796.8375
2015 and later years0.11590.01710.016797.4648
Taxpayers that use the composite method of Notice 88–100 should use 95.5509 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
2004-2 I.R.B.283January 12, 2004

Products Liability — Claims-Made
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
20036.58046.580493.419676.775982.1839
200426.718320.137973.281760.160382.0945
200543.183416.465256.816646.437381.7320
200643.92090.737556.079148.127985.8214
200754.380610.459745.619439.932487.5339
200878.363023.982421.637017.430780.5596
200982.86434.501317.135713.730980.1303
201068.2184-14.645931.781629.481492.7624
201179.158210.939920.841819.810795.0526
201289.696310.538110.303710.042497.4648
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2013 and later years97.4648
Taxpayers that use the composite method of Notice 88–100 should use 92.4655 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Products Liability — Occurrence
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
20039.41989.419890.580272.987780.5780
200420.584511.164779.415565.379182.3253
200536.780716.196263.219352.207182.5809
200655.597418.816744.402635.652280.2930
200766.623811.026333.376226.217978.5526
200877.263610.639922.736416.682973.3756
200979.18881.925120.811215.586974.8967
201083.68164.492816.318411.798772.3029
201185.55071.869114.449310.502772.6868
201285.72910.178414.270910.873276.1914
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20130.178414.092511.263279.9231
20140.178413.914111.673783.8983
20150.178413.735712.105988.1343
20160.178413.557312.560892.6497
2017 and later years0.178413.378913.039797.4648
January 12, 20042842004-2 I.R.B.

Products Liability — Occurrence
Taxpayers that use the composite method of Notice 88–100 should use 85.1270 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Reinsurance A (Nonproportional Assumed Property)
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200325.057125.057174.942967.999890.7355
200452.040226.983147.959843.898591.5317
200582.470930.430717.529114.989685.5127
200685.63873.167814.361312.529387.2439
200792.72287.08407.27725.921381.3678
200891.8604-0.86248.13967.118287.4513
200996.50164.64123.49842.731478.0753
201096.1872-0.31433.81283.197983.8727
201197.62061.43332.37941.895879.6738
201297.84190.22142.15811.768681.9516
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20130.22141.93671.634784.4040
20140.22141.71541.493787.0779
20150.22141.49401.345390.0469
20160.22141.27271.189193.4342
2017 and later years0.22141.05131.024797.4648
Taxpayers that use the composite method of Notice 88–100 should use 88.6413 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Reinsurance B (Nonproportional Assumed Liability)
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
20038.92238.922391.077772.694579.8159
200427.361818.439572.638257.606479.3058
200544.575817.214055.424242.980477.5481
200653.87819.302346.121935.701277.4062
200760.88967.011539.110430.388877.7000
200869.73278.843030.267322.917275.7159
200976.62926.896523.370817.049072.9500
201079.40302.773820.597015.101573.3191
201183.89364.490616.106411.289970.0961
201280.1707-3.722919.829315.704679.1993
2004-2 I.R.B.285January 12, 2004

Reinsurance B (Nonproportional Assumed Liability)
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20131.180518.648715.321082.1560
20141.180517.468214.917285.3965
20151.180516.287714.492188.9761
20161.180515.107214.044692.9668
2017 and later years1.180513.926613.573697.4648
Taxpayers that use the composite method of Notice 88–100 should use 88.0916 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
Reinsurance C (Nonproportional Assumed Financial Lines)
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200317.119517.119582.880572.353287.2983
200446.659029.539553.341045.858485.9721
200567.713521.054532.286526.673082.6134
200678.137910.424421.862117.383079.5123
200789.734611.596710.26546.400862.3531
200892.12682.39217.87324.283754.4090
200989.7323-2.394510.26776.966367.8462
201090.04600.31379.95407.011570.4390
201194.88674.84075.11332.414447.2179
201286.7041-8.182713.295910.937182.2591
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20131.427711.868310.048784.6686
20141.427710.44069.113487.2886
20151.42779.01298.128990.1918
20161.42777.58527.092493.5039
2017 and later years1.42776.15756.001497.4648
Taxpayers that use the composite method of Notice 88–100 should use 85.4523 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
January 12, 20042862004-2 I.R.B.

Special Property
(Fire, Allied Lines, Inland Marine, Earthquake, Glass, Burglary and Theft)
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200362.932062.932037.068035.300395.2311
200488.495025.563111.505010.932695.0251
Taxpayers that do not use the composite method of Notice 88–100 should use the following factor to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
2005 and later years5.75255.75255.606797.4648
Taxpayers that use the composite method of Notice 88–100 should use 97.4648 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2005 tax year.
Workers' Compensation
Tax Year
Estimated
Cumulative
Losses
Paid
(%)
Estimated
Losses Paid
Each Year
(%)
Unpaid
Losses at
Year End
(%)
Discounted
Unpaid
Losses at
Year End
(%)
Discount
Factors
(%)
200328.248928.248971.751162.236086.7389
200457.873929.624942.126135.120483.3695
200571.299913.426028.700123.195980.8218
200677.75846.458522.241617.791979.9937
200781.93014.171718.069914.449379.9633
200883.77391.843716.226113.319182.0839
200986.53502.761113.465011.188083.0895
201088.43671.901711.56339.826584.9796
201189.59261.155910.40749.158387.9982
201291.64412.05158.35597.536190.1891
Taxpayers that do not use the composite method of Notice 88–100 should use the following factors to discount unpaid losses that
are incurred in this line of business in the 2003 accident year and that are outstanding at the end of the tax year shown.
20132.05156.30455.828592.4498
20142.05154.25304.030894.7754
20152.05152.20162.138497.1321
2016 and later years2.05150.15010.146397.4648
Taxpayers that use the composite method of Notice 88–100 should use 92.1260 percent to discount unpaid losses that are incurred
in this line of business in 2003 and prior years and that are outstanding at the end of the 2013 tax year.
DRAFTING INFORMATION
The principal author of this revenue
procedure is Katherine A. Hossofsky of
theOfficeofAssociateChiefCounsel
(Financial Institutions & Products). For
further information regarding this revenue
procedure, contact Ms. Hossofsky at (202)
622–8435 (not a toll-free call).
2004-2 I.R.B.287January 12, 2004

26 CFR 601.201: Rulings and determination letters.
(Also Part I, Sections 832, 846; 1.832–4, 1.846–1.)
Rev. Proc. 2004–10
SECTION 1. PURPOSE
This revenue procedure prescribes the
salvage discount factors for the 2003 acci-
dent year. These factors must be used to
compute discounted estimated salvage re-
coverable under § 832 of the Internal Rev-
enue Code.
SECTION 2. BACKGROUND
Section 832(b)(5)(A) requires that all
estimated salvage recoverable (including
that which cannot be treated as an asset
for state accounting purposes) be taken
into account in computing the deduction
for losses incurred. Under § 832(b)(5)(A),
paid losses are to be reduced by salvage
and reinsurance recovered during the tax-
able year. This amount is adjusted to re-
flect changes in discounted unpaid losses
on nonlife insurance contracts and in un-
paid losses on life insurance contracts.
An adjustment is then made to reflect any
changes in discounted estimated salvage
recoverable and in reinsurance recover-
able.
Pursuant to § 832(b), the amount of es-
timated salvage is determined on a dis-
counted basis in accordance with proce-
dures established by the Secretary.
SECTION 3. SCOPE
This revenue procedure applies to any
taxpayer that is required to discount esti-
mated salvage recoverable under § 832.
SECTION 4. APPLICATION
.01 T
he following tables present sepa-
rat
ely for each line of business the discount
fac
tors under § 832 for the 2003 accident
yea
r. All the discount factors presented
in t
his section were determined using the
app
licable interest rate under § 846(c) for
200
3, which is 5.27 percent, and by as-
su
ming all estimated salvage is recovered
in
the middle of each calendar year.See
Re
v. Proc. 2003–18, 2003–6 I.R.B. 439,
fo
r background regarding the tables.
.02 These tables must be used by tax-
payers irrespective of whether they elected
to discount unpaid losses using their own
historical experience under § 846.
.03 Section V of Notice 88–100,
1988–2 C.B. 439, provides a composite
discount factor to be used in determining
the discounted unpaid losses for accident
years that are not separately reported on
the NAIC Annual Statement. The tables
separately provide discount factors for
taxpayers who elect to use the composite
method. Rev. Proc. 2002–74, 2002–2
C.B. 980, clarifies that for certain insur-
ance companies subject to tax under § 831
the composite method for discounting un-
paid losses set forth in Notice 88–100,
section V, 1988–2 C.B. 439, is permitted
but not required. This revenue procedure
further provides alternative methods for
computing discounted unpaid losses that
are permitted for insurance companies not
using the composite method, and sets forth
a procedure for insurance companies to
obtain automatic consent of the Commis-
sioner to change to one of the methods
described in Rev. Proc. 2002–74.
.04 Tables.
Accident and Health (Other Than
Disability Income or Credit Disability
Insurance)
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
97.4648 percent to discount salvage re-
coverable with respect to losses incurred
in this line of business in the 2003 acci-
dent year as of the end of the 2003 and
later taxable years.
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount all salvage
recoverable in this line of business as of
the end of the 2003 taxable year.
Auto Physical Damage
Tax Year
Discount
Factors
(%)
200396.2554
200495.0251
Auto Physical Damage
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2005 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2005
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Commercial Auto/Truck
Liability/Medical
Tax Year
Discount
Factors
(%)
200389.8985
200489.5760
200589.3200
200689.8660
200790.4447
200889.8117
200991.1941
201092.3941
201192.7106
201295.0592
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2013 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
January 12, 20042882004-2 I.R.B.

Composite
Tax Year
Discount
Factors
(%)
200389.8098
200488.3565
200587.7654
200687.0910
200785.7719
200885.8519
200985.5584
201085.4976
201185.6301
201287.7378
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
201389.9120
201492.1502
201594.4404
201696.7198
2017 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
91.2442 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Fidelity/Surety
Tax Year
Discount
Factors
(%)
200392.5838
200495.0251
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2005 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2005
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Financial Guaranty/Mortgage
Guaranty
Tax Year
Discount
Factors
(%)
200394.2115
200495.0251
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
Financial Guaranty/Mortgage
Guaranty
2005 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2005
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
International (Composite)
Tax Year
Discount
Factors
(%)
200389.8098
200488.3565
200587.7654
200687.0910
200785.7719
200885.8519
200985.5584
201085.4976
201185.6301
201287.7378
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2004-2 I.R.B.289January 12, 2004

International (Composite)
201389.9120
201492.1502
201594.4404
201696.7198
2017 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
91.2442 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Medical Malpractice —
Claims-Made
Tax Year
Discount
Factors
(%)
200384.3980
200478.8909
200584.4191
200681.6093
200782.7520
200876.1578
200987.8015
201091.2457
201195.3664
201297.4648
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2013 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Medical Malpractice — Occurrence
Tax Year
Discount
Factors
(%)
200379.6421
200480.9952
200585.2445
200687.0038
200772.1989
200883.9897
200990.0478
201093.6582
201195.7277
201297.4648
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2013 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Miscellaneous Casualty
Tax Year
Discount
Factors
(%)
200395.6896
200495.0251
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
Miscellaneous Casualty
2005 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2005
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Multiple Peril Lines (Homeown-
ers/Farmowners, Commercial
Multiple Peril, and Special Liability
(Ocean Marine, Aircraft (All Perils),
Boiler and Machinery))
Tax Year
Discount
Factors
(%)
200390.9145
200488.9102
200589.7851
200689.4452
200788.9585
200890.4184
200990.4744
201090.6908
201192.5143
201294.8490
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
201397.2277
2014 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.2293 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
January 12, 20042902004-2 I.R.B.

Other (Including Credit)
Tax Year
Discount
Factors
(%)
200395.9179
200495.0251
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2005 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2005
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Other Liability — Claims-Made
Tax Year
Discount
Factors
(%)
200389.2780
200478.5075
200562.4035
200686.1485
200781.9557
200881.0354
200988.2681
201092.3506
201188.6256
201290.8220
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
Other Liability — Claims-Made
201393.0754
201495.3564
2015 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
93.8216 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Other Liability — Occurrence
Tax Year
Discount
Factors
(%)
200383.2582
200484.8797
200586.1298
200682.2849
200786.2602
200889.0916
200989.5094
201091.8747
201193.3837
201295.6270
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2013 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Private Passenger Auto
Liability/Medical
Tax Year
Discount
Factors
(%)
200393.1921
200492.9705
200592.6585
200691.7286
200791.4818
200890.3084
200990.2405
201090.3023
201191.6647
201293.9196
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
201396.1460
2014 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
96.3834 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Products Liability — Claims-Made
Tax Year
Discount
Factors
(%)
200384.9166
200484.9800
200586.8647
20060.7583
200777.5029
200884.7211
200989.8996
201094.6740
201118.9104
201295.1273
2004-2 I.R.B.291January 12, 2004

Products Liability — Claims-Made
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2013 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Products Liability — Occurrence
Tax Year
Discount
Factors
(%)
200378.5645
200481.5171
200582.2229
200685.2182
200782.2629
200886.2042
200989.6780
201090.5149
201184.3756
201286.4415
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
201388.5733
201490.7701
201593.0258
201695.3146
2017 and later
years
97.4648
Products Liability — Occurrence
Taxpayers that use the composite
method of Notice 88–100 should use
91.4228 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Reinsurance A (Nonproportional
Assumed Property)
Tax Year
Discount
Factors
(%)
200384.1377
200480.8145
200585.4580
200689.6948
200790.4119
200892.3911
200994.4085
201095.8429
201196.5134
201297.4648
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2013 and later
years
97.4648
Taxpayers that use the composite method
of Notice 88–100 should use 97.4648 per-
cent to discount salvage recoverable as of
the end of the 2013 taxable year with re-
spect to losses incurred in this line of busi-
ness in 2003 and prior years.
Reinsurance B (Nonproportional
Assumed Liability)
Tax Year
Discount
Factors
(%)
200383.6204
200481.0240
200584.6899
200682.2606
200774.4127
200878.4098
200977.6451
201080.1689
201174.4036
201282.8920
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
201385.2223
201487.7390
201590.5105
201693.663
3
2017 and later
years
97.4648
Taxpa
yers that use the composite
metho
d of Notice 88–100 should use
88.33
51 percent to discount salvage
reco
verable as of the end of the 2013
taxa
ble year with respect to losses in-
curr
ed in this line of business in 2003
and p
rior years.
Reinsurance C (Nonproportional
Assumed Financial Lines)
Tax Year
Discount
Factors
(%)
200
3
83.
2609
200484.0880
200588.0193
20
06
85
.0937
200788.7104
200880.8979
2
009
8
4.4733
201092.2206
201193.7574
2
012
9
5.9818
January 12, 20042922004-2 I.R.B.

Reinsurance C (Nonproportional
Assumed Financial Lines)
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2013 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2013
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Special Property (Fire, Allied Lines,
Inland Marine, Earthquake, Glass,
Burglary and Theft)
Tax Year
Discount
Factors
(%)
200393.0692
200495.0251
Special Property (Fire, Allied Lines,
Inland Marine, Earthquake, Glass,
Burglary and Theft)
Taxpayers that do not use the compos-
ite method of Notice 88–100 should use
the following factor to discount salvage
recoverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
2005 and later
years
97.4648
Taxpayers that use the composite
method of Notice 88–100 should use
97.4648 percent to discount salvage
recoverable as of the end of the 2005
taxable year with respect to losses in-
curred in this line of business in 2003
and prior years.
Workers’ Compensation
Tax Year
Discount
Factors
(%)
200384.2536
200485.6999
200586.2016
200686.1127
200785.3503
200886.2797
200986.0424
201086.2260
Workers’ Compensation
201187.1469
201289.2936
Taxpayers that do not use the composite
method of Notice 88–100 should use the
following factors to discount salvage re-
coverable as of the end of the tax year
shown with respect to losses incurred in
this line of business in the 2003 accident
year.
201391.4992
201493.7481
201595.9726
2016 and later
years
97.4648
Taxpayer
s that use the composite
method of
Notice 88–100 should use
92.2314 p
ercent to discount salvage
recovera
ble as of the end of the 2013
taxable
year with respect to losses in-
curred i
n this line of business in 2003
and prio
r years.
DRAFTING INFORMATION
The principal author of this revenue
procedure is Katherine A. Hossofsky of
the Office of the Associate Chief Counsel
(Financial Institutions & Products). For
further information regarding this revenue
procedure, contact Ms. Hossofsky at (202)
622–8435 (not a toll-free call).
2004-2 I.R.B.293January 12, 2004

Part IV. Items of General Interest
Announcement 2004–3
Correction to Publication 1220,Specifi-
cations for Filing Forms 1098, 1099, 5498
and W–2G Electronically or Magnetically
Changes issued in December 2003 by
Chief Counsel will impact the filing of
Form 1099–R. These changes affect the
Payee “B” Record, Distribution Code, po-
sitions 545 — 546. The descriptions for
Code J, Q, and T, shown in the Publication
1220, have changed. If you have issued a
Form 1099–R or (applicable substitute) for
2003 for a Roth IRA distribution, you may
have to issue a corrected return based on
the changes in the chart below.
Distribution CodesExplanations*Used with code (if applicable)
J — Early distribution from a Roth
IRA.
Use Code J for a distribution from a Roth IRA
when Code Q and Code T do not apply.
5, 8, or P
Q — Qualified distribution from a
Roth IRA
Use Code Q for a distribution from a Roth IRA
ifyou knowthat the participant meets the 5-year
holding period and:
•The participant has reached age 59
1
/2,or
•The participant died, or
•The participant is disabled.
Note:If any other codes, such as 5, 8, or P apply,
use Code J.
None
T — Roth IRA distribution, exception
applies.
Use Code T for a distribution from a Roth IRA if
youdo not knowif the 5-year holding period has
been met but:
•The participant has reached age 59
1
/2,or
•The participant died, or
•The participant is disabled.
Note:If any other codes, such as 5, 8, or P apply,
use Code J.
None
Also, for Codes 5, 8, and P, delete any
reference to Codes T and/or Q shown in
the Form 1099–R Distribution Code Chart
2003.
The above changes will appear in the
2004 revision of Publication 1220.
January 12, 20042942004-2 I.R.B.

Definition of Terms
Revenue rulings and revenue procedures
(hereinafter referred to as “rulings”) that
have an effect on previous rulings use the
following defined terms to describe the ef-
fect:
Amplifieddescribes a situation where
no change is being made in a prior pub-
lished position, but the prior position is be-
ingextendedtoapplytoavariationofthe
fact situation set forth therein. Thus, if
an earlier ruling held that a principle ap-
plied to A, and the new ruling holds that the
same principle also applies to B, the earlier
ruling is amplified. (Compare withmodi-
fied,below).
Clarifiedis used in those instances
where the language in a prior ruling is be-
ing made clear because the language has
caused, or may cause, some confusion.
It is not used where a position in a prior
ruling is being changed.
Distinguisheddescribes a situation
where a ruling mentions a previously pub-
lished ruling and points out an essential
difference between them.
Modifiedis used where the substance
of a previously published position is being
changed. Thus, if a prior ruling held that a
principle applied to A but not to B, and the
new ruling holds that it applies to both A
and B, the prior ruling is modified because
it corrects a published position. (Compare
withamplifiedandclarified, above).
Obsoleteddescribes a previously pub-
lished ruling that is not considered deter-
minative with respect to future transac-
tions. This term is most commonly used in
a ruling that lists previously published rul-
ings that are obsoleted because of changes
in laws or regulations. A ruling may also
be obsoleted because the substance has
been included in regulations subsequently
adopted.
Revokeddescribes situations where the
position in the previously published ruling
is not correct and the correct position is
beingstatedinanewruling.
Supersededdescribes a situation where
the new ruling does nothing more than re-
state the substance and situation of a previ-
ously published ruling (or rulings). Thus,
the term is used to republish under the
1986 Code and regulations the same po-
sition published under the 1939 Code and
regulations. The term is also used when
it is desired to republish in a single rul-
ing a series of situations, names, etc., that
were previously published over a period of
time in separate rulings. If the new rul-
ing does more than restate the substance
of a prior ruling, a combination of terms
is used. For example,modifiedandsu-
persededdescribes a situation where the
substance of a previously published ruling
is being changed in part and is continued
without change in part and it is desired to
restate the valid portion of the previously
published ruling in a new ruling that is self
contained. In this case, the previously pub-
lished ruling is first modified and then, as
modified, is superseded.
Supplementedis used in situations in
which a list, such as a list of the names of
countries, is published in a ruling and that
list is expanded by adding further names in
subsequent rulings. After the original rul-
ing has been supplemented several times, a
new ruling may be published that includes
the list in the original ruling and the ad-
ditions, and supersedes all prior rulings in
the series.
Suspendedis used in rare situations
to show that the previous published rul-
ings will not be applied pending some
future action such as the issuance of new
or amended regulations, the outcome of
cases in litigation, or the outcome of a
Service study.
Abbreviations
The fol
lowing abbreviations in current use
and for
merly used will appear in material
publis
hedintheBulletin.
A—Individual.
Acq.—A
cquiescence.
B—Individual.
BE—Beneficiary.
BK—Bank
.
B.T.A.—Board of Tax Appeals.
C—Individual.
C.B.—Cu
mulative Bulletin.
CFR—Code of Federal Regulations.
CI—City.
COOP—Coo
perative.
Ct.D.—Court Decision.
CY—County.
D—Decede
nt.
DC—Dummy Corporation.
DE—Donee.
Del. Order
—Delegation Order.
DISC—Domestic International Sales Corporation.
DR—Donor.
E—Estate.
EE—Employee.
E.O.—Executive Order.
ER—Emp
loyer.
ERISA—Employee Retirement Income Security Act.
EX—Executor.
F—Fiduc
iary.
FC—Foreign Country.
FICA—Federal Insurance Contributions Act.
FISC—Fo
reign International Sales Company.
FPH—Foreign Personal Holding Company.
F.R.—Federal Register.
FUTA—Fed
eral Unemployment Tax Act.
FX—Foreign corporation.
G.C.M.—Chief Counsel’s Memorandum.
GE—Grante
e.
GP—General Partner.
GR—Grantor.
IC—Insura
nce Company.
I.R.B.—Internal Revenue Bulletin.
LE—Lessee.
LP—Limited
Partner.
LR—Lessor.
M—Minor.
Nonacq.—No
nacquiescence.
O—Organization.
P—Parent Corporation.
PHC—Persona
l Holding Company.
PO—Possession of the U.S.
PR—Partner.
PRS—Pa
rtnership.
PTE—Prohibited Transaction Exemption.
Pub. L.—Public Law.
REIT—Re
al Estate Investment Trust.
Rev. Proc.—Revenue Procedure.
Rev. Rul.—Revenue Ruling.
S—Subsi
diary.
S.P.R.—Statement of Procedural Rules.
Stat.—Statutes at Large.
T—Target
Corporation.
T.C.—Tax Court.
T.D.—Treasury Decision.
TFE—Trans
feree.
TFR—Transferor.
T.I.R.—Technical Information Release.
TP—Taxpay
er.
TR—Trust.
TT—Trustee.
U.S.C.—Uni
ted States Code.
X—Corporation.
Y—Corporation.
Z—Corporat
ion.
2004-2 I.R.B.iJanuary 12, 2004

Numerical Finding List
1
Bulletins 2004–1 through 2004–2
Announcements:
2004-1, 2004-1 I.R.B.254
2004-3, 2004-2 I.R.B.294
Notices:
2004-1, 2004-2 I.R.B.268
2004-2, 2004-2 I.R.B.269
2004-4, 2004-2 I.R.B.273
Revenue Procedures:
2004-1, 2004-1 I.R.B.1
2004-2, 2004-1 I.R.B.83
2004-3, 2004-1 I.R.B.114
2004-4, 2004-1 I.R.B.125
2004-5, 2004-1 I.R.B.167
2004-6, 2004-1 I.R.B.197
2004-7, 2004-1 I.R.B.237
2004-8, 2004-1 I.R.B.240
2004-9, 2004-2 I.R.B.275
2004-10, 2004-2 I.R.B.288
Revenue Rulings:
2004-2, 2004-2 I.R.B.265
Treasury Decisions:
9099, 2004-2 I.R.B.255
1
A cumulative list of all revenue rulings, revenue procedures, Treasury decisions, etc., published in Internal Revenue Bulletins 2003–27 through 2003–52 is in Internal Revenue Bulletin
2003–52, dated December 29, 2003.
January 12, 2004ii2004-2 I.R.B.

Findings List of Current Actions on
Previously Published Items
1
Bulletins 2004–1 through 2004–2
Revenue Procedures:
2003-1
Superseded by
Rev. Proc. 2004-1, 2004-1 I.R.B.1
2003-2
Superseded by
Rev. Proc. 2004-2, 2004-1 I.R.B.83
2003-3
As amplified by Rev. Proc. 2003-14, and as
modified by Rev. Proc. 2003-48 superseded by
Rev. Proc. 2004-3, 2004-1 I.R.B.114
2003-4
Superseded by
Rev. Proc. 2004-4, 2004-1 I.R.B.125
2003-5
Superseded by
Rev. Proc. 2004-5, 2004-1 I.R.B.167
2003-6
Superseded by
Rev. Proc. 2004-6, 2004-1 I.R.B.197
2003-7
Superseded by
Rev. Proc. 2004-7, 2004-1 I.R.B.237
2003-8
Superseded by
Rev. Proc. 2004-8, 2004-1 I.R.B.240
1
A cumulative list of current actions on previouslypublished items in Internal Revenue Bulletins 2003–27 through 2003–52 is in Internal Revenue Bulletin 2003–52, dated December 29,
2003.
2004-2 I.R.B.iiiJanuary 12, 2004
*U.S. G.P.O.: 2004—304–774/60117