Title 42

PART 408

Part 408 - Premiums For Supplementary Medical Insurance

PART 408 - PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE 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.

• 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.

42:2.0.1.2.9.1	SUBPART A	Subpart A - General Provisions
42:2.0.1.2.9.1.35.1	SECTION 408.1	408.1 Statutory basis.
42:2.0.1.2.9.1.35.2	SECTION 408.2	408.2 Scope and purpose.
42:2.0.1.2.9.1.35.3	SECTION 408.3	408.3 Definitions.
42:2.0.1.2.9.1.35.4	SECTION 408.4	408.4 Payment obligations.
42:2.0.1.2.9.1.35.5	SECTION 408.6	408.6 Methods and priorities for payment.
42:2.0.1.2.9.1.35.6	SECTION 408.8	408.8 Grace period and termination date.
42:2.0.1.2.9.1.35.7	SECTION 408.10	408.10 Claim for monthly benefits pending concurrently with request for SMI enrollment.
42:2.0.1.2.9.2	SUBPART B	Subpart B - Amount of Monthly Premiums
42:2.0.1.2.9.2.35.1	SECTION 408.20	408.20 Monthly premiums.
42:2.0.1.2.9.2.35.2	SECTION 408.21	408.21 Reduction in Medicare Part B premium as an additional benefit under Medicare + Choice plans.
42:2.0.1.2.9.2.35.3	SECTION 408.22	408.22 Increased premiums for late enrollment and for reenrollment.
42:2.0.1.2.9.2.35.4	SECTION 408.24	408.24 Individuals who enrolled or reenrolled before April 1, 1981 or after September 30, 1981.
42:2.0.1.2.9.2.35.5	SECTION 408.25	408.25 Individuals who enrolled or reenrolled between April 1 and September 30, 1981.
42:2.0.1.2.9.2.35.6	SECTION 408.26	408.26 Examples.
42:2.0.1.2.9.2.35.7	SECTION 408.27	408.27 Rounding the monthly premium.
42:2.0.1.2.9.2.35.8	SECTION 408.28	408.28 Increased premiums due to the income-related monthly adjustment amount (IRMAA).
42:2.0.1.2.9.3	SUBPART C	Subpart C - Deduction From Monthly Benefits
42:2.0.1.2.9.3.35.1	SECTION 408.40	408.40 Deduction from monthly benefits: Basic rules.
42:2.0.1.2.9.3.35.2	SECTION 408.42	408.42 Deduction from railroad retirement benefits.
42:2.0.1.2.9.3.35.3	SECTION 408.43	408.43 Deduction from social security benefits.
42:2.0.1.2.9.3.35.4	SECTION 408.44	408.44 Deduction from civil service annuities.
42:2.0.1.2.9.3.35.5	SECTION 408.45	408.45 Deduction from age 72 special payments.
42:2.0.1.2.9.3.35.6	SECTION 408.46	408.46 Effect of suspension of social security benefits.
42:2.0.1.2.9.3.35.7	SECTION 408.47	408.47 [Reserved]
42:2.0.1.2.9.3.35.8	SECTION 408.50	408.50 When premiums are considered paid.
42:2.0.1.2.9.3.35.9	SECTION 408.52	408.52 Change from direct remittance to deduction.
42:2.0.1.2.9.3.35.10	SECTION 408.53	408.53 Change from partial direct remittance to full deduction.
42:2.0.1.2.9.4	SUBPART D	Subpart D - Direct Remittance: Individual Payment
42:2.0.1.2.9.4.35.1	SECTION 408.60	408.60 Direct remittance: Basic rules.
42:2.0.1.2.9.4.35.2	SECTION 408.62	408.62 Initial and subsequent billings.
42:2.0.1.2.9.4.35.3	SECTION 408.63	408.63 Billing procedures when monthly benefits are less than monthly premiums.
42:2.0.1.2.9.4.35.4	SECTION 408.65	408.65 Payment options.
42:2.0.1.2.9.4.35.5	SECTION 408.68	408.68 When premiums are considered paid.
42:2.0.1.2.9.4.35.6	SECTION 408.70	408.70 Change from quarterly to monthly payments.
42:2.0.1.2.9.4.35.7	SECTION 408.71	408.71 Change from deduction or State payment to direct remittance.
42:2.0.1.2.9.5	SUBPART E	Subpart E - Direct Remittance: Group Payment
42:2.0.1.2.9.5.35.1	SECTION 408.80	408.80 Basic rules.
42:2.0.1.2.9.5.35.2	SECTION 408.82	408.82 Conditions for group billing.
42:2.0.1.2.9.5.35.3	SECTION 408.84	408.84 Billing and payment procedures.
42:2.0.1.2.9.5.35.4	SECTION 408.86	408.86 Responsibilities under group billing arrangement.
42:2.0.1.2.9.5.35.5	SECTION 408.88	408.88 Refund of group payments.
42:2.0.1.2.9.5.35.6	SECTION 408.90	408.90 Termination of group billing arrangement.
42:2.0.1.2.9.5.35.7	SECTION 408.92	408.92 Change from group payment to deduction or individual payment.
42:2.0.1.2.9.6	SUBPART F	Subpart F - Termination and Reinstatement of Coverage
42:2.0.1.2.9.6.35.1	SECTION 408.100	408.100 Termination of coverage for nonpayment of premiums.
42:2.0.1.2.9.6.35.2	SECTION 408.102	408.102 Reconsideration of termination.
42:2.0.1.2.9.6.35.3	SECTION 408.104	408.104 Reinstatement procedures.
42:2.0.1.2.9.7	SUBPART G	Subpart G - Collection of Unpaid Premiums; Refund of Excess Premiums After the Death of the Enrollee
42:2.0.1.2.9.7.35.1	SECTION 408.110	408.110 Collection of unpaid premiums.
42:2.0.1.2.9.7.35.2	SECTION 408.112	408.112 Refund of excess premiums after the enrollee dies.
42:2.0.1.2.9.8	SUBPART H	Subpart H - Supplementary Medical Insurance Premium Surcharge Agreements
42:2.0.1.2.9.8.35.1	SECTION 408.200	408.200 Statutory basis.
42:2.0.1.2.9.8.35.2	SECTION 408.201	408.201 Definitions.
42:2.0.1.2.9.8.35.3	SECTION 408.202	408.202 Conditions for participation.
42:2.0.1.2.9.8.35.4	SECTION 408.205	408.205 Application procedures.
42:2.0.1.2.9.8.35.5	SECTION 408.207	408.207 Billing and payment procedures.
42:2.0.1.2.9.8.35.6	SECTION 408.210	408.210 Termination of SMI premium surcharge agreement.

---