---
kind: "section"
citation: "42 C.F.R. § 407.62"
title: "42"
number: "407.62"
heading: "Termination of coverage."
url: "https://uscodex.org/cfr/42/407.62"
---

# §407.62. Termination of coverage.

- (a) **Other coverage.** An individual who enrolls in other coverage as described in [§ 407.55(b)](/cfr/42/407.55.md?p=b) will have his or her enrollment in the Part B-ID benefit terminated on either of the following bases:
  - (1) If the individual notifies SSA of such coverage consistent with [§ 407.59(b)](/cfr/42/407.59.md?p=b), their enrollment in the Part B-ID benefit will be terminated effective the first day of the month after the month of notification unless the individual requests a different, prospective termination date that is not after the effective date of enrollment in other health insurance coverage, as described in [§ 407.55(b)](/cfr/42/407.55.md?p=b).
  - (2) If the individual does not notify SSA of this coverage consistent with [§ 407.59(b)](/cfr/42/407.59.md?p=b), their enrollment in the Part B-ID benefit will be terminated effective the first day of the month after the month in which there is a determination of the individual's enrollment in coverage described in [§ 407.55(b)](/cfr/42/407.55.md?p=b).
- (b) **Death.** Enrollment in the Part B-ID benefit ends on the last day of the month in which the individual dies.
- (c) **Nonpayment of premiums.** If an individual fails to pay the premiums, the Part B-ID benefit enrollment will end as provided in the rules for Part B premiums set forth in [part 408](/cfr/42/part408.md) of this chapter.
- (d) **Request by individual.** An individual may request disenrollment at any time by notifying SSA that he or she no longer wants to be enrolled in the Part B-ID benefit. Such individual's enrollment in the Part B-ID benefit ends with the last day of the month in which the individual provides the disenrollment request, except for an individual who loses coverage under a State buy-in agreement, as described in [§ 407.50(b)(2)(i)](/cfr/42/407.50.md?p=b-2-i).
- (e) **Entitlement to Hospital Insurance benefits.** Enrollment in the Part B-ID benefit ends effective the last day of the month prior to the month that the individual becomes entitled to benefits under [§ 406.5](/cfr/42/406.5.md), [§ 406.12](/cfr/42/406.12.md), or [§ 406.13](/cfr/42/406.13.md) of this subchapter.
- (f) **Appeals.** An involuntary termination of the Part B-ID benefit for reasons described at § [407.62(a)(2)](#a-2), [(b)](#a-b), or [(c)](#a-c) of this subsection, will be considered an initial determination that is appealable under [§ 405.904(a)(1)](/cfr/42/405.904.md?p=a-1) of this subchapter. An individual can request to continue receiving Part B-ID benefits while waiting for an appeals decision.

## Notes

### Source

Source: 87 FR 66508, Nov. 3, 2022 unless otherwise noted.

### Authority

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

### Source

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