[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: 42CFR408.63]



[Page 282]

 

                         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 D_Direct Remittance: Individual Payment

 

Sec. 408.63  Billing procedures when monthly benefits are less than 

monthly premiums.



    If monthly benefits are less than monthly premiums, the following 

procedures apply:

    (a) Notice of amount due. At the beginning of SMI entitlement, and 

at the beginning of each succeeding calendar year, SSA--

    (1) Notifies the enrollee of the amount of benefits payable for the 

rest of the year and the total premiums due for those same months; and

    (2) Bills the enrollee for the difference.

    (b) Notice of amount overdue. At the beginning of each succeeding 

calendar year, SSA--

    (1) Notifies the enrollee of any amounts overdue for premiums for 

the preceding calendar year; and

    (2) Indicates that if the amount still overdue on April 30 is equal 

to or greater than the premium for 3 months, SMI coverage will terminate 

on that date.