TN 77 (03-23)

HI 00805.276 SMI Effective Date for SEP Enrollments - Group Health Plans

Policy

If an individual enrolls in SMI or Premium-HI while still enrolled in a GHP/LGHP or during the first full month when not enrolled in a GHP/LGHP based on current employment status, coverage begins with either:

  • the first day of the month of SMI or Premium-HI enrollment, or

  • at the individual's option, with the first day of any of the following three months.

If the individual enrolls in SMI or Premium-HI during any of the remaining 7 months of the special enrollment period, coverage begins with the first day of the month after the month of enrollment.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600805276
HI 00805.276 - SMI Effective Date for SEP Enrollments - Group Health Plans - 03/07/2023
Batch run: 03/07/2023
Rev:03/07/2023