[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: 42CFR408.4]



[Page 274]

 

                         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. 408.4  Payment obligations.



    (a) Month for which payment is due. (1) A payment is due for each 

month, beginning with the first month of SMI coverage and continuing 

through the month of death or, if earlier, the month in which coverage 

terminates.

    (2) A premium is due for the month of death, if SMI coverage is 

still in effect, even though the individual dies on the first day of the 

month.

    (b) Overdue premiums. (1) Overdue premiums constitute an obligation 

enforceable against the enrollee or the enrollee's estate.

    (2) Overdue premiums are collected--

    (i) By deduction from social security or railroad retirement 

benefits or Federal civil service annuities;

    (ii) Directly from the enrollee or the enrollee's estate; or

    (iii) By offset against any SMI payments payable to the enrollee or 

the enrollee's estate.

    (3) Interest is not charged on overdue premiums, except under a 

State buy-in agreement, as provided in Sec. 408.6(c)(4).

    (c) Premiums not required for certain kidney donors. (1) No premiums 

are required for SMI benefits related to the donation of a kidney if the 

donor is not an enrollee.

    (2) A kidney donor who is an enrollee is not relieved of the 

obligation for premiums.



[52 FR 48115, Dec. 18, 1987; 53 FR 4159, Feb. 12, 1988]