[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR406.34]



[Page 261]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 406_HOSPITAL INSURANCE ELIGIBILITY AND ENTITLEMENT--Table of Contents

 

                  Subpart C_Premium Hospital Insurance

 

Sec. 406.34  Determination of months to be counted for premium increase: 

Reenrollment.



    (a) First reenrollment before April 1, 1981 or after September 30, 

1981. The months to be counted for premium increase are:

    (1) The months specified in Sec. 406.33(a) or (b); plus

    (2) The months from the end of the first period of entitlement 

through the end of the general enrollment period in which the individual 

reenrolled.

    (b) First reenrollment during the period April 1, 1981 through 

September 30, 1981. The months to be counted for premium increase are--

    (1) The months specified in Sec. 406.33(a); plus

    (2) The months from the end of the first period of entitlement 

through the month in which the individual reenrolled.

    (c) Subsequent reenrollment during the period April 1, 1981 through 

September 30, 1981. The months to be counted for premium increase are--

    (1) The months specified in paragraph (a) of this section; plus

    (2) The months from April 1981 through the month in which the 

individual reenrolled for the second time. (Since only one reenrollment 

was permitted before April 1981, any months from the end of the 

individual's first enrollment period of entitlement through March 1981 

are not counted.)

    (d) Subsequent reenrollment after September 30, 1981. The months to 

be counted for premium increase are--

    (1) The months specified in paragraph (a) or (b) of this section, 

for the first and second periods of coverage; plus

    (2) The months from the end of each subsequent period of entitlement 

through the end of the general enrollment period in which the individual 

reenrolled, excluding any months before April 1981.

    (e) Example. Peter M enrolled during his initial enrollment period, 

terminated his first coverage period in August 1979 and reenrolled for 

the first time in January 1980. The 7 months to be counted (September 

1979 through March, 1980) were not enough to require any increase in the 

premium. Peter terminated his second period of coverage in February 1981 

and reenrolled for the second time in July 1981. Since the 4 months 

(April through July 1981), when added to the previous 7 months, bring 

the total to only 11 months, no premium increase is required.



[48 FR 12536, Mar. 25, 1983. Redesignated at 51 FR 41338, Nov. 14, 1986. 

Further redesignated and amended at 57 FR 58717, Dec. 11, 1992]