Termination of coverage

Official source

(a)Other coverage. An individual who enrolls in other…#

in view

Whole section

▸citations (11)

References

This rule cites 11 other rules.

42 CFR § 407.55 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (55)(b)
42 CFR § 407.59 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (59)(b)
42 CFR § 407.55 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (55)(b)
42 CFR § 407.59 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (59)(b)
42 CFR § 407.55 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (55)(b)
42 CFR § 407.50 (b)(2)(i)inferredUS Federal › Regulations › Title 42 › § 407 › (50)(b)(2)(i)
42 CFR § 406.5inferredUS Federal › Regulations › Title 42 › § 406 › (5)
42 CFR § 406.12inferredUS Federal › Regulations › Title 42 › § 406 › (12)
42 CFR § 406.13inferredUS Federal › Regulations › Title 42 › § 406 › (13)
42 CFR § 407.62 (a)(2)inferredUS Federal › Regulations › Title 42 › § 407 › (62)(a)(2)
42 CFR § 405.904 (a)(1)inferredUS Federal › Regulations › Title 42 › § 405 › (904)(a)(1)

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Termination of coverage

Official source

(a)Other coverage. An individual who enrolls in other…#

in view

Whole section

▸citations (11)

References

This rule cites 11 other rules.

42 CFR § 407.55 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (55)(b)
42 CFR § 407.59 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (59)(b)
42 CFR § 407.55 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (55)(b)
42 CFR § 407.59 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (59)(b)
42 CFR § 407.55 (b)inferredUS Federal › Regulations › Title 42 › § 407 › (55)(b)
42 CFR § 407.50 (b)(2)(i)inferredUS Federal › Regulations › Title 42 › § 407 › (50)(b)(2)(i)
42 CFR § 406.5inferredUS Federal › Regulations › Title 42 › § 406 › (5)
42 CFR § 406.12inferredUS Federal › Regulations › Title 42 › § 406 › (12)
42 CFR § 406.13inferredUS Federal › Regulations › Title 42 › § 406 › (13)
42 CFR § 407.62 (a)(2)inferredUS Federal › Regulations › Title 42 › § 407 › (62)(a)(2)
42 CFR § 405.904 (a)(1)inferredUS Federal › Regulations › Title 42 › § 405 › (904)(a)(1)

(a) Other coverage. An individual who enrolls in other coverage as described in § 407.55(b) will have his or her enrollment in the Part B-ID benefit terminated on either of the following bases:

(1) If the individual notifies SSA of such coverage consistent with § 407.59(b), their enrollment in the Part B-ID benefit will be terminated effective the first day of the month after the month of notification unless the individual requests a different, prospective termination date that is not after the effective date of enrollment in other health insurance coverage, as described in § 407.55(b).

(2) If the individual does not notify SSA of this coverage consistent with § 407.59(b), their enrollment in the Part B-ID benefit will be terminated effective the first day of the month after the month in which there is a determination of the individual's enrollment in coverage described in § 407.55(b).

(b)Death. Enrollment in the Part B-ID benefit ends on the…#

(b) Death. Enrollment in the Part B-ID benefit ends on the last day of the month in which the individual dies.

(c)Nonpayment of premiums. If an individual fails to pay…#

(c) Nonpayment of premiums. If an individual fails to pay the premiums, the Part B-ID benefit enrollment will end as provided in the rules for Part B premiums set forth in part 408 of this chapter.

(d)Request by individual. An individual may request…#

(d) Request by individual. An individual may request disenrollment at any time by notifying SSA that he or she no longer wants to be enrolled in the Part B-ID benefit. Such individual's enrollment in the Part B-ID benefit ends with the last day of the month in which the individual provides the disenrollment request, except for an individual who loses coverage under a State buy-in agreement, as described in § 407.50(b)(2)(i).

(e)Entitlement to Hospital Insurance benefits. Enrollment…#

(e) Entitlement to Hospital Insurance benefits. Enrollment in the Part B-ID benefit ends effective the last day of the month prior to the month that the individual becomes entitled to benefits under § 406.5, § 406.12, or § 406.13 of this subchapter.

(f)Appeals. An involuntary termination of the Part B-ID…#

(f) Appeals. An involuntary termination of the Part B-ID benefit for reasons described at § 407.62(a)(2), (b), or (c) of this subsection, will be considered an initial determination that is appealable under § 405.904(a)(1) of this subchapter. An individual can request to continue receiving Part B-ID benefits while waiting for an appeals decision.