A two-part Form CMS-L326 (CMS-L326A) (Notice of Termination of Medical Insurance Benefits)
will be generated for insured beneficiaries in suspense status or for uninsured beneficiaries
who have requested termination of medical insurance coverage. The Form CMS-L326 will
be sent to the beneficiary and Form CMS-L326A (not shown) will be filed on the left
side of the folder for documentation. The form is printed and released from the program
service centers.
NOTE: INTPSC see Form
CMS-L328 (CMS-L328A).