[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: 42CFR408.1] [Page 272-273] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 408_PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE--Table of Contents Subpart A_General Provisions Sec. 408.1 Statutory basis. Subpart A_General Provisions Sec. 408.1 Statutory basis. 408.2 Scope and purpose. 408.3 Definitions. 408.4 Payment obligations. 408.6 Methods and priorities for payment. 408.8 Grace period and termination date. 408.10 Claim for monthly benefits pending concurrently with request for SMI enrollment. Subpart B_Amount of Monthly Premium 408.20 Monthly premiums. 408.21 Reduction in Medicare Part B premium as an additional benefit under Medicare+Choice plans. 408.22 Increased premiums for late enrollment and for reenrollment. 408.24 Individuals who enrolled or reenrolled before April 1, 1981 or after September 30, 1981. 408.25 Individuals who enrolled or reenrolled between April 1 and September 30, 1981. 408.26 Examples. 408.27 Rounding the monthly premium. Subpart C_Deduction From Monthly Benefits 408.40 Deduction from monthly benefits: Basic rules. 408.42 Deduction from railroad retirement benefits. 408.43 Deduction from social security benefits. 408.44 Deduction from civil service annuities. 408.45 Deduction from age 72 special payments. 408.46 Effect of suspension of social security benefits. 408.47 [Reserved] 408.50 When premiums are considered paid. 408.52 Change from direct remittance to deduction. 408.53 Change from partial direct remittance to full deduction. Subpart D_Direct Remittance: Individual Payment 408.60 Direct remittance: Basic rules. 408.62 Initial and subsequent billings. 408.63 Billing procedures when monthly benefits are less than monthly premiums. 408.65 Payment options. 408.68 When premiums are considered paid. 408.70 Change from quarterly to monthly payments. 408.71 Change from deduction or State payment to direct remittance. [[Page 273]] Subpart E_Direct Remittance: Group Payment 408.80 Basic rules. 408.82 Conditions for group billing. 408.84 Billing and payment procedures. 408.86 Responsibilities under group billing arrangement. 408.88 Refund of group payments. 408.90 Termination of group billing arrangement. 408.92 Change from group payment to deduction or individual payment. Subpart F_Termination and Reinstatement of Coverage 408.100 Termination of coverage for nonpayment of premiums. 408.102 Reconsideration of termination. 408.104 Reinstatement procedures. Subpart G_Collection of Unpaid Premiums; Refund of Excess Premiums After the Death of the Enrollee 408.110 Collection of unpaid premiums. 408.112 Refund of excess premiums after the enrollee dies. Subpart H_Supplementary Medical Insurance Premium Surcharge Agreements 408.200 Statutory basis. 408.201 Definitions. 408.202 Conditions for participation. 408.205 Application procedures. 408.207 Billing and payment procedures. 408.210 Termination of SMI premium surcharge agreement. Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh). Source: 52 FR 48115, Dec. 18, 1987, unless otherwise noted. (a) This part implements certain provisions of sections 1837 through 1840 and 1881(d) of the Social Security Act (the Act) and conforms to other regulations that implement section 1843 of the Act. Section 1838(b) requires regulations to establish when an individual's coverage ends because of nonpayment of premiums. It also specifies that those regulations may provide a grace period for payment of overdue premiums without loss of coverage. Section 1839 sets forth the specific procedures for determining the amount of the monthly premium and section 1840 establishes the rules for payment of premiums. Section 1843 provides that a State may enter into a buy-in agreement to secure SMI coverage for certain individuals by enrolling them in the SMI program and paying the premiums on their behalf. Section 1881(d) provides that Medicare payment, for the reasonable charges incurred in connection with a kidney donation, shall be made (without regard to deductible, premium, or coinsurance provisions of title XVIII) as prescribed in regulations. (b) The Federal Claims Collection Act (31 U.S.C. 3711), as implemented by 4 CFR parts 101-105, provides the basic authority for recovery of debts owed the United States government and specifies the conditions for the suspension or termination of collection action. Departmental regulations at 45 CFR part 30, updated by a final rule published on January 5, 1987 (52 FR 260) set forth procedures for the exercise of the Department's authority to collect and dispose of debts and were intended to complement rules applicable to particular programs. CMS rules are set forth at 42 CFR part 401, subpart F. [52 FR 48115, Dec. 18, 1987; 53 FR 4158, Feb. 12, 1988, as amended at 56 FR 48112, Sept. 24, 1991]