42 CFR § 408.71 - Change from deduction or State payment to direct remittance.

---
identifier: "/us/cfr/t42/s408.71"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 408.71 - Change from deduction or State payment to direct remittance."
title_number: 42
title_name: "Public Health"
section_number: "408.71"
section_name: "Change from deduction or State payment to direct remittance."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "408"
part_name: "PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
regulatory_source: "52 FR 48115, Dec. 18, 1987, unless otherwise noted."
cfr_part: "408"
---


# 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) 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.