TITLE 42 - PUBLIC HEALTH

CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER B - MEDICARE PROGRAM

PART 407 - SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT

subpart b - INDIVIDUAL ENROLLMENT AND ENTITLEMENT FOR SMI

407.22 - Request for individual enrollment.

  (a) A request for enrollment is required of an individual who meets the eligibility requirements of 407.10 and desires SMI, if the individual (1) Is not entitled to hospital insurance; (2) Has previously declined enrollment in SMI; (3) Has had a previous period of SMI entitlement which terminated; (4) Resides in Puerto Rico or outside the United States; or (5) Is enrolling or reenrolling during a special enrollment period under 407.20.

  (b) A request for enrollment under paragraph (a) of this section must: (1) Be signed by the individual or someone acting in his or her behalf; and (2) Be filed with SSA or CMS during the initial enrollment period, a general enrollment period, or a special enrollment period as provided in 407.20.