In such cases, the first premium deducted from SS benefits will generally be the premium for the month in which the first check is issued. Premiums will be deducted from railroad annuities beginning with the effective month of entitlement unless RRB is aware that CSC has deducted premiums. In the latter case, the first premium deduction by RRB will be for the month in which it issues the first check. CSC will, after notification by BSS, refund to the individual any premiums deducted from an annuity which duplicate premiums deducted from the SS or RR benefits. Under normal operating procedures, the refund is reflected in the second annuity check after receipt of the premium refund notice by CSC.

If an individual becomes covered under a State buy-in agreement, deduction of premiums from the individual's annuity is inappropriate beginning with the effective month of coverage under the agreement. Any excess premiums deducted from the annuity will be refunded by CSC upon notification by BSS.

Should an individual voluntarily terminate their SMI, deduction of premiums from the individual's annuity for months after the last month of coverage is inappropriate. Any premiums deducted for such months will be refunded by CSC upon notification of the termination action by BSS.

The annuitant who has consented to have their spouse's SMI premiums deducted from their annuity may withdraw their consent at any time by giving written notice of withdrawal. Such withdrawal will be effective with the third month after the month in which the notice is received. If the annuitant wishes to withdraw their consent, obtain a signed statement reflecting the intent to withdraw consent, and forward the statement to the PSC. The PSC will prepare proper input to the EDP system to initiate direct billing to the spouse and to process a deletion to CSC.

Where deductions have been made for two enrollees from an annuity and the annuitant dies, CSC will continue premium deductions under the survivor's new annuity number if a civil service survivor's annuity is to be awarded to the spouse. DO"s should be sure to use the survivor's number when corresponding with Central Office or the processing center. A survivor's number has the prefix CSF. If a survivor's annuity will not be awarded to the spouse, CSC will notify SSA and the SSA-EDP system will initiate premium billing.

CSC terminates deductions for a spouse's premium when advised by the annuitant or SSA of the spouse's death.