TN 9 (06-92)

HI 00820.005 Regular Insured Termination

A. POLICY

Under the regular insured provision, HI ends with the latest of the:

  • last month of RSI benefit eligibility,

  • last month of eligibility as a qualified Railroad Retirement beneficiary (QRRB), or

  • month of death, provided RSI benefit entitlement or QRRB status would have existed had death occurred one month later.

B. PROCEDURE

If divorce or remarriage results in the loss of HI eligibility under the regular insured provision, determine whether the individual is eligible for HI under the deemed insured provision or, if in a prescribed enrollment period, wishes to enroll for Premium-HI.

1. Deemed Insured Eligibility

If the individual is eligible for HI under the deemed insured provision:

  • take an HCFA-18, and

  • forward with any necessary development to the appropriate PSC.

2. No Deemed Insured Eligibility

If the individual is not eligible for HI under the deemed insured provision, is enrolled for SMI, and has no SSN:

  • assign one so that SMI premium billing may be established under the person's own SSN, and

  • offer the opportunity to enroll in Premium-HI if in a prescribed enrollment period.

C. REFERENCE

Age 115 Termination, SM 03020.380


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600820005
HI 00820.005 - Regular Insured Termination - 10/08/2015
Batch run: 10/08/2015
Rev:10/08/2015