---
kind: "section"
citation: "42 C.F.R. § 407.50"
title: "42"
number: "407.50"
heading: "Continuation of coverage: Individual enrollment following end of coverage under a State buy-in agreement."
url: "https://uscodex.org/cfr/42/407.50"
---

# §407.50. Continuation of coverage: Individual enrollment following end of coverage under a State buy-in agreement.

- (a) **Deemed enrollment.** When coverage under a buy-in agreement ends because the agreement terminates, or is modified to substitute a narrower buy-in group, or because the individual is no longer eligible for inclusion in the buy-in group, the individual—
  - (1) Is considered to have enrolled during his or her initial enrollment period; and
  - (2) Will be entitled to SMI on this basis and liable for SMI premiums beginning with the first month for which he or she is no longer covered under the buy-in agreement.
- (b) **Voluntary termination.**
  - (1) An individual may voluntarily terminate entitlement acquired under [paragraph (a)](#a) of this section by filing, with SSA or CMS, a request for disenrollment.
  - (2) **Voluntary disenrollment is effective as follows—**
    - (i) If the individual files a request within 30 days after the date of CMS's notice that buy-in coverage has ended, the individual's entitlement ends on the last day of the last month for which the State paid the premium.
    - (ii) If the individual files the request more than 30 days but not more than 6 months after buy-in coverage ends, entitlement ends on the last day of the month in which the request is filed.
    - (iii) If the individual files the request later than the 6th month after buy-in coverage ends, entitlement ends at the end of the month after the month in which request is filed. 1

## Notes

### Amendments

[53 FR 47204, Nov. 22, 1988, as amended at 56 FR 38082, Aug. 12, 1991]

### Authority

Authority: 42 U.S.C. 1302, 1395p, 1395q, and 1395hh.

### Source

Source: 53 FR 47204, Nov. 22, 1988, unless otherwise noted.

### Amendments

[53 FR 47204, Nov. 22, 1988, as amended at 56 FR 38082, Aug. 12, 1991]