If an RR annuitant inquires about SMI enrollment in an FO, tell him/her that the enrollment
will be handled by RRB. If the individual states that he/she has not enrolled with
RRB, take an election on Form CMS-4040 and forward it to:
Railroad Retirement Board
Health Insurance Operations
844 Rush St., Chicago, IL 60611
If an RSI applicant is a QRRB who has not enrolled with the RRB, have him / her complete
Form CMS-4040 and forward it to RRB.