BASIC (12-03)

SL 30001.303 Basic Section 218 Concepts

 

  • Coverage under a Section 218 Agreement is voluntary. The initiative for securing coverage under Section 218 is with the State.

  • Coverage is obtained through a formal written agreement between the State and SSA.

  • There must be authority under Federal and State law (State’s enabling legislation) to enter into a Section 218 Agreement and to extent coverage under an agreement. Types and extent of coverage provided under an agreement must be consistent with Federal and State laws.

  • Each State's original agreement incorporates the basic provisions, definitions and conditions for coverage under the agreement.

  • Additional coverage is provided by modifications to the original agreement extended by the State and SSA. Each modification, like the original agreement, is a legal document.

  • There must be authority under Federal and State laws (State enabling legislation) to enter into an agreement and to extend coverage under an agreement.

  • Coverage is extended to groups of employees known as “coverage groups" – not on an individual basis.

  • Generally, an agreement may be modified to increase the extent of coverage but not to reduce the amount of coverage.

  • With certain exceptions, once coverage is provided, it continues and cannot be terminated.

  • Employees covered under a Section 218 Agreement have the same coverage and benefit rights as employees mandatorily covered for Social Security and Medicare.

  • Each State is required to designate an official(s) to act on the State’s behalf in administering the State’s Section 218 Agreement.

  • SSA administers the Social Security and Medicare coverage provisions under Sections 218 and 210 of the Act.

 


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/1930001303
SL 30001.303 - Basic Section 218 Concepts - 12/18/2003
Batch run: 01/27/2009
Rev:12/18/2003