Relief cannot be provided merely, because of “good cause” for failure to enroll or pay premiums timely nor because of a claim of hardship by
the claimant. There must be some erroneous action or inaction by the Government which
is prejudicial to the rights of the claimant.
Normally, a claimant's statement that his or her rights have been prejudiced cannot
by itself be the basis for granting relief. In most cases, relief should be granted
only where it is apparent from Government records, documentary evidence, or written
statements from Government agents or employees who have personal knowledgeof the facts,
that the claimant's rights have been prejudiced by administrative action or inaction.