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
Audience
State Social Security Administrators
Regional
Offices -- RSI Team Leaders
Parallel Social
Security Field Offices -- District Managers
Regional
General Counsel Staff
Originating Component
OISP
Effective Date
Upon Receipt
Background
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.