A person who resides outside the U.S. is eligible to enroll in SMI only if he /she
is eligible for HI. This is because a foreign resident cannot meet the U.S. residence
requirement in HI 00805.005
A.2., even if he/she is a citizen of the United States.
The SMI IEP for foreign residents who are eligible for HI is determined based on the month in which they could have become entitled to HI if they had filed an application for HI entitlement.
EXAMPLE: William McGee resides in France. He was fully insured when he attained age 65 in 7/89.
His IEP, therefore, was 4/89 through 10/89. Because he was working full time, he did
not enroll for social security at that time. When he retired in 1/91, he requested
cash benefits, HI and SMI, as he was returning to the U.S. shortly.
He was awarded monthly benefits and HI as of 7/90, with SMI effective 7/91 based on
the GEP enrollment (see HI 00805.025). The SMI premium rate was increased 10 percent because 17 months elapsed after the
end of his IEP (based on eligibility for HI) through the end of the 1991 GEP (no employer
group health plan coverage involved).