TN 30 (03-96)

NL 00703.605 SMI Denial — Not in General Enrollment Period (GEP) or Special Enrollment Period (SEP)

Document Identifier for Word Processor: E3605

A. Exhibit letter

We are writing about your application for Medicare medical insurance. You cannot sign up for medical insurance at this time.

 

When you can sign up

You can sign up for medical insurance during January through March each year.

You may also have an 8-month special enrollment period if you are insured by a group health plan and;

  • your group health plan is through your current work or your spouse's current work, or

  • your plan is a large group health plan and you meet other rules.

For most people, the special enrollment period starts when the work ends or your coverage under the plan ends. It may also start if the type of plan you have changes.

If you need more information or help deciding what to do, please let us know. The employer who covers you under the group plan may also be able to help.

 

If you disagree with the decision

ALS020

 

If you have any questions

CTDO

3901D - Foreign

B. Requesting instructions

Use this notice when a disability beneficiary tries to enroll outside a GEP or SEP and he/she had SMI but it was terminated or has never been enrolled in SMI.

C. Typing instructions

Information for this letter will be shown on Form SSA-573. The name and address, if not given, can be taken from the latest Form SSA-3926-EP in file.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703605
NL 00703.605 - SMI Denial -- Not in General Enrollment Period (GEP) or Special Enrollment Period (SEP) - 03/11/2015
Batch run: 03/11/2015
Rev:03/11/2015