An individual may not enroll in Premium-HI without an existing or simultaneous enrollment
in SMI. Further, the termination of an individual's SMI coverage requires a simultaneous
termination of Premium-HI coverage.
A person enrolled for SMI under a State buy-in agreement, has the right to enroll
for Premium-HI during buy-coverage or during periods of individual SMI coverage after
buy-in coverage ends. (see HI 00815.021) Such enrollment must, of course, occur during a prescribed premium-HI enrollment