Mr. Davis was previously entitled to DIB for the period 6/84-12/87 and was entitled
to D-HI and D-SMI on the basis of 24 months DIB entitlement. He files an SSA-16 on
4/12/91 alleging he became disabled on 11/15/90. When the claim is adjudicated in
8/91, Mr. Davis is found eligible for DIB and HI beginning 12/90.
Because more than 5 months' SMI premiums have accrued, he is awarded SMI effective
8/91. He is advised in the award notice he may have coverage beginning 12/90, provided
he notifies us in 30 days and authorizes deduction of all retroactive premiums.
If he decides instead to refuse enrollment, and does so by 10/31/91, he will be deemed
never to have enrolled. The SMI award of 8/91 will be deleted and any SMI premiums
that were withheld will be refunded to him.