For beneficiaries subject to income-related monthly adjustment amounts (IRMAA), where
there is a retroactive change in the amount of the IRMAA, equitable relief is based
on the amount of retroactive premiums due, not the number of months for which a premium
is due. Equitable relief will automatically be extended if the retroactive IRMAA exceeds
the limits in HI 01101.033B.
All notices of IRMAA arrearages exceeding these amounts must include equitable relief
Beneficiaries who owe these amounts and who would have difficulty paying the premiums
in a lump sum may request refund arrangements, e.g., installment payments. Beneficiaries
also have the right to request waiver (extreme financial hardship). Current instructions
concerning waiver of premiums will apply; see HI 00805.180 and HI 00805.220H and HI 00805.220I.