RRB solicits and processes the SMI enrollments of all Qualified Railroad Retirement Beneficiaries (QRRB) (see HI 00801.011). RRB has devised enrollment procedures and forms similar to those used by SSA.

If an RSI beneficiary attaining age 64 years and 9 months is also an RRB annuitant, RRB initiates the SMI enrollment process.

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.

Definition of QRRB, HI 00801.011.