Where appropriate, equitable relief as described in HI 00805.170 - HI 00805.230 is also provided in situations involving Premium-HI.
Because the HI premiums are so much greater than SMI premiums, equitable relief for
Premium-HI is available when Government error results in premium liability for at
least 2 months of retroactive coverage.
Thus, relief under HI 00805.195 is given if the individual's HI entitlement is not processed until 2 or more months
after coverage and premium billing would have begun if the enrollment request had
been processed promptly. Coverage is awarded with the month in which the first premium
billing is sent, with a notice of the individual's right to an earlier starting date
if the claimant wishes to pay the premiums.
Similarly, the notice specified in HI 00805.220 C. (with appropriate changes) is issued whenever, because of interruption of premium
billing, the enrollee owes premiums for 2 or more months of past HI coverage.