HI 01001.150 Processing RRB Form RR-80
Forms RR-80 will be received from the Claims Authorizer concerning those beneficiaries
for whom RRB has relinquished HI/SMI jurisdiction. These beneficiaries are usually
females who have become either widowed or divorced from an RRB annuitant or widows
who have remarried. The required action will consist of either a change of data currently
present on the MBR or the processing of a new debit with the appropriate coding.
For those who are currently entitled as primary beneficiaries (BIC A) on SSA rolls,
the processing of the Form RR-80 will usually require only the transfer of HI/SMI
jurisdiction from RRB to SSA. These cases will be routed to the Health Insurance and
Inquiries Examiner for the preparation of a credit/ debit on which the proper HI/SMI
entitlement data will be coded (with particular regard to the use of health insurance
change (HIC) code of “F”). The applicable coding entries may be determined from the Form RR-80. Item 10 of
the form reflects the reason and date that RRB jurisdiction ended. Item 9 reflects
the date of entitlement to HI. Item 11 reflects the beneficiary's first date of entitlement
to SMI. Item 12 reflects the second period, if applicable. The premium rate is indicated
in item 13 and the month through which premiums were collected is shown in item 14.