---
kind: "section"
citation: "42 C.F.R. § 408.71"
title: "42"
number: "408.71"
heading: "Change from deduction or State payment to direct remittance."
url: "https://uscodex.org/cfr/42/408.71"
---

# §408.71. Change from deduction or State payment to direct remittance.

- (a) **Basis for change.** An SMI enrollee is required to pay by direct remittance in any of the following circumstances:
  - (1) The enrollee's entitlement to social security or railroad retirement benefits ends for any reason other than death.
  - (2) The premiums can no longer be deducted from the civil service annuity of the enrollee or the enrollee's spouse.
  - (3) The enrollee no longer qualifies for coverage under a State buy-in agreement, and is not entitled to social security or railroad retirement monthly benefits.
- (b) **Billing.** When any of the events specified in [paragraph (a)](#a) of this section occurs (or as soon thereafter as possible), CMS or its agents bill the enrollee for direct remittance, in accordance with this subpart.

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 52 FR 48115, Dec. 18, 1987, unless otherwise noted.