R-SMI entitlement (whether it was previously in effect or if this is the initial filing
for R-SMI) based on a refiled application for R-HI may be elected as of the month
of R-HI entitlement. The individual has a new IEP for SMI based on the month of R-HI
If there is a premium arrearage of 6 months or more, R-SMI may be elected as of the
month of filing, or the month of processing, as explained in HI 00801.251. There is no premium surcharge for late enrollment if R-SMI is elected in this new
IEP. If a premium surcharge had been payable during the past enrollment that was terminated,
it does not carry over to this new period of R-SMI.
If a withdrawal of R-HI and a refiling for R-HI occur at the same time, R-SMI is not
terminated, unless specifically requested. If a specific request is made, document
the file to show that the adverse effect of terminating R-SMI has been explained.
The effective date of R-SMI termination is the end of the month after the month termination