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HI 00801: Hospital Insurance Entitlement

Effective Dates: 11/19/2001 - Present

See HI 00801.901 for an exhibit of this form. It is a leads form used by RRB to notify CMS and the Social Security Administration that an RR claimant is not eligible for HI-SMI coverage under the RRB but may be eligible for coverage with SSA.

Act, as Amended in 1972—Sec. 1818

1972 Amendments—Sec. 202

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