[Code of Federal Regulations]
[Title 20, Volume 2]
[Revised as of April 1, 2006]
From the U.S. Government Printing Office via GPO Access
[CITE: 20CFR418]

[Page 1182-1183]
 
                      TITLE 20--EMPLOYEES' BENEFITS
 
               CHAPTER III--SOCIAL SECURITY ADMINISTRATION
 
PART 418_MEDICARE SUBSIDIES--Table of Contents
 
                   Subpart D_Medicare Part D Subsidies
 
Sec.  418.3120  What happens if your circumstances change after we 
determine you are eligible for a subsidy?

    (a) After we determine that you are eligible for a subsidy, your 
subsidy eligibility could change if:
    (1) You marry.

[[Page 1183]]

    (2) You and your spouse, who lives with you, divorce.
    (3) Your spouse, who lives with you, dies.
    (4) You and your spouse separate (i.e., you or your spouse move out 
of the household and you are no longer living with your spouse) unless 
the separation is a temporary absence as described in Sec.  404.347 of 
this chapter.
    (5) You and your spouse resume living together after having been 
separated.
    (6) You and your spouse, who lives with you, have your marriage 
annulled.
    (7) You (or your spouse, who lives with you, if applicable) expect 
your estimated annual income to increase or decrease in the next 
calendar year.
    (8) You (or your spouse, who lives with you, if applicable) expect 
your resources to increase or decrease in the next calendar year.
    (9) Your family size as defined in 42 CFR 423.772 has changed or 
will change (other than a change resulting from one of the events in 
paragraphs (a)(1) through (6) of this section).
    (10) You become eligible for one of the programs listed in 42 CFR 
423.773(c).
    (b)(1) When you report one of the events listed in paragraphs (a)(1) 
through (a)(6) of this section, or we receive such a report from another 
source (e.g., a data exchange of reports of death), we will send you a 
redetermination form upon receipt of the report. You must return the 
completed form within 90 days of the date of the form.
    (2) When you report one of the events listed in paragraphs (a)(7) 
through (a)(9) of this section or we receive such a report from another 
source (e.g., a data exchange involving income records), we will send 
you a redetermination form between August and December to evaluate the 
change. You must return the completed form to us within 30 days of the 
date of the form.
    (3) If we increase, decrease, or terminate your subsidy as a result 
of the redetermination, we will send you a notice telling you:
    (i) Whether you can receive a full or partial subsidy as described 
in 42 CFR 423.780 and 423.782.
    (ii) How we calculated your income and resources;
    (iii) When the change in your subsidy is effective;
    (iv) Your appeal rights;
    (v) What to do if your situation changes.
    (c) If you become eligible for one of the programs listed in 42 CFR 
423.773(c), CMS will notify you of any change in your subsidy.