EXAMPLE: In 2/10/2023, Tim Brown files for reduced RIB, with an alleged date of birth of 2/04/1960; however, the Numident record shows a date of birth of 2/4/1956. Since there is a discrepancy between Tim's claim allegation and the Numident, we request evidence to correct the date of birth on the Numident record (GN 00203.030). Tim Brown provides the required evidence which confirms the Numident DOB of 2/4/1956 is correct. An unreduced RIB is awarded 8/2022, and HI is awarded effective 8/2022.

Since Tim Brown filed an application establishing HI entitlement during a GEP and while eligible to enroll (being age 65 and entitled to HI), Tim is deemed to have requested SMI enrollment. Unless Tim refuses such deemed enrollment timely, Tim has coverage beginning February 2023, as Tim is deemed to have filed the first day of the then current GEP. If Tim Brown had filed an application in 7/23 (i.e., not during a GEP), Tim would be deemed enrolled during the 2024 GEP, because this would permit coverage to begin earlier than enrollment in Tim's deemed IEP (11/24-5/25).

EXAMPLE: Sandy Adams files a SMI enrollment request on 2/15/92. Sandy submits an original birth certificate showing that Sandy was born 6/24/25. Sandy explains that Sandy did not enroll for SMI when first eligible because Sandy only recently discovered the birth certificate. Sandy previously believed Sandy was born on 6/24/27 in reliance upon an insurance policy issued in 1945 showing the 6/24/27 DB.

Because Sandy Adams relied on documentary evidence showing Sandy was younger than Sandy's true age, a deemed IEP of 3/92-9/92 is established for Sandy. This deemed IEP begins after Sandy's filing date, but during a GEP. Sandy is effectively enrolled during Sandy's deemed IEP and is awarded coverage beginning 6/92.