Example 1: Medical Improvement
A determination is made that the disability insurance benefit (DIB) entitlement of
Mr. Kant, a D-HI beneficiary, must be terminated effective 4/30/00 because his impairment
is no longer disabling. If notice of termination is sent in 2/00 or 3/00, D-HI terminates
at the same time as his DIB. If notice of DIB termination is first sent in 11/00,
Mr. Kant's D-HI ends 12/31/00.
Example 2: Revised Onset Date
Mr. Johnson was awarded DIB beginning 6/97 based on a disability onset date of 12/12/96.
He was awarded D-HI effective 6/99, his 25th month of DIB entitlement. In 12/99, however, he is notified that his disability onset
date has been revised to 12/9/98. Mr. Johnson's D-HI ends 1/31/00, the end of the
month following the month he was notified of the correct onset date. He will be re-entitled
to D- HI effective 6/01, his 25th month of DIB entitlement based on the 12/98 onset date.
Example 3: SGA Termination After TWP
Mr. Smith has been entitled to D-HI since 5/97. Although he continues to be severely
impaired, he completed a TWP in a sheltered workshop on 9/30/98. If he continues working
at SGA levels, his DIB entitlement will end on 10/1/01. His D-HI entitlement, however,
will continue through 6/30/06. He will then be eligible to enroll in Premium-HI for
the Working Disabled. On the other hand, if his impairment ends prior to 10/1/01,
D-HI ends with the end of the month following the month the DIB termination notice
is mailed to him and he will not be eligible to enroll in Premium-HI for the Working
Example 4: D-HI Reinstated During Appeal
Mr. Klein met the 24-month D-HI qualifying period requirement in 9/90. In
5/99, it is determined that he is no longer disabled and he is notified that he is
no longer entitled to DIB or Medicare. The D-HI termination is effective 6/30/99,
the end of the month following the month the title II benefit termination notice is
mailed to him. Within 10 days of receiving the notice, Mr. Klein files an appeal and
requests reinstatement of his benefits. His DIB and Medicare continue pending resolution
of the appeal. In 12/99, Mr. Klein is informed that the initial cessation was proper.
Although DIB is terminated retroactively, Medicare continues through 1/31/00, the
end of the month following the month the hearing notice was mailed to him.