42 CFR 408.63
§ 408.63 Billing procedures when monthly benefits are less than monthly premiums.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 408.63, § 408.63 Billing procedures when monthly benefits are less than monthly premiums, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/203194
- Permanent ID
ys:prov:203194@1- SHA-256
ed2942bdb84367e778a539bbe0f21cf7fa81a4d7590639cff82415eb9c3e11ae
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.