TN 9 (12-05)
SL 90005.007 Transmittal 3 to SL 30001, December 2005
Part 19 - State and Local Coverage Handbook
Chapter 300 - Coverage Under Section 218 Agreements
Subchapter 01 - Coverage Under Section 218 Agreements
State Social Security Administrators
Regional Offices -- RSI Team Leaders
Parallel Social Security Field Offices -- District Managers
Regional General Counsel Staff
Questions have been raised about the proper application of the continuing employment exception and the continuation of coverage rules when dealing with the Medicare (HI-only) divided referendum vote of a State employee who transfers between agencies and entities within the State government system. There is a similar concern for the divided Medicare (HI-only) referendum vote of a political subdivision employee who transfers between agencies and entities of the same political subdivision.
SL 30001.380D. is being added to provide hypothetical situations (scenarios) which illustrate the process that should be used to properly determine how an employee's Medicare (HI-only) referendum vote will be treated when he/she transfers from one government entity to another within the same government system or between entities of two different government systems (e.g., State government <--> political subdivision, political subdivision A <--> political subdivision B).
Summary of Changes
SL 30001.380D. Applying the Continuing Employment Exception and Continuation Of Coverage Provisions-Medicare Only Divided Referendum Scenarios
This subsection provides six hypothetical scenarios involving State and local government employees who transfer positions between governmental entities within the same government system or who transfer positions between governmental entities of different government systems. Also presented are the four factors that must be considered when determining whether an employee's Medicare (HI-only) divided referendum vote carries over to the new position.