If an RR annuitant inquires about SMI enrollment in an FO, tell them that the enrollment
will be handled by RRB. If the individual states that they have not enrolled with
RRB, take an election on Form CMS-4040 and forward it to:
Railroad Retirement Board
Health Insurance Operations
844 Rush St., Chicago, IL 60611
If an RSI applicant is a QRRB who has not enrolled with the RRB, have them complete
Form CMS-4040 and forward it to RRB.