SMI coverage, unlike monthly benefit entitlement, continues into the month of death, up to and including the date of death. This permits payment for covered medical expenses incurred during the last illness.

For all HI enrollees under age 65, SMI ends when HI entitlement ends.

EXCEPTION: In cases where the R-HI termination is untimely, R-SMI ends the month after the month the R-HI termination action is taken. Process in accordance with SM 00850.610C.2.

The effective date of termination for nonpayment of premiums is the last day of the grace period for payment of overdue premiums, as explained in HI 01001.095, and HI 01001.290.

EXCEPTION: If a disability beneficiary's SMI coverage is terminated for nonpayment of premiums while a CDI is pending, but DI benefits are later resumed, the SMI termination is reversed. All overdue premiums are deducted from the first monthly benefit check.

Termination requests filed on or after 7/1/87, will terminate SMI with the end of the calendar month following the calendar month in which the termination request is filed.

A person on State buy-in cannot terminate SMI until after buy-in ends. (When State buy-in ends, the individual is deemed to have enrolled in SMI during the initial enrollment period (IEP) for SMI.)

Effective 4/1/81, any individual who files a request for SMI termination during the last month of buy-in coverage or during the 6 succeeding months, has SMI terminated at the end of the month in which the request is filed. A termination request filed after this period is handled under 4. above.