TN 45 (11-11)
In MCS claims, answer the Medicare question on the ADDB screen if the claimant is
64 years and 9 months old. This information will propagate to the HIHI screen.
Use the following chart to decide if a claimant within three months of age 65 or older
should complete the SMI enrollment block.
If the claimant...
he or she should...
is subject to automatic enrollment and wants SMI,
not complete the question.
is subject to automatic enrollment but does not want to be automatically enrolled,
answer the enrollment question “no.”
resides in Puerto Rico or outside the U.S. and is filing in a prescribed enrollment period,
answer the enrollment question “yes” if he or she requests enrollment.
HI 00805.040 Automatic (Deemed) Enrollment - Aged and Disabled Individuals
HI 00805.085 Effect of Reentitlement to HI After Termination