[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: 42CFR408.8]



[Page 275]

 

                         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. 408.8  Grace period and termination date.



    (a) Grace period. (1) For all initial premium payments (monthly or 

quarterly), and subsequent monthly or quarterly payments, the grace 

period ends with the last day of the third month after the billing 

month.

    (2) For payments required because the monthly benefit is less than 

the monthly premium, the grace period ends on April 30 of the year 

following the calendar year which the premiums are due.

    (b) Extension of grace period: Last day is nonwork day. If the last 

day of the grace period is a Saturday, Sunday, legal holiday, or a day 

that, by statute or executive order, is a nonwork day for Federal 

employees, the grace period is extended to the next succeeding work day.

    (c) Termination date. The end of the grace period is the termination 

date for SMI coverage if overdue premiums have not been paid by that 

date in accordance with Sec. 408.68.

    (d) Extension of grace period for good cause. (1) CMS may reinstate 

entitlement, without interruption of coverage, if the individual shows 

good cause for failure to pay within the initial grace period, and pays 

all overdue premiums within three calendar months after the termination 

date.

    (2) Good cause will be found if the individual establishes, by a 

credible statement, that failure to pay premiums within the initial 

grace period was due to conditions over which he or she had no control, 

or which he or she could not reasonably have been expected to foresee.



[52 FR 48115, Dec. 18, 1987, as amended at 56 FR 48112, Sept. 24, 1991]