As with other enrollees, unless there is State buy-in coverage, the premiums of R-SMI
enrollees who receive monthly benefits are deducted from their checks. Nonbeneficiaries
are billed and must pay by direct remittance. If the R-SMI enrollee is a minor or
an incompetent adult not entitled to monthly benefits, the premium notices may be
sent to a premium payer (see HI 01001.225). The grace period for premium payments and the applicability of a premium increase
for late enrollment are the same as for other enrollees.