POMS Reference

SL: State and Local Coverage Handbook

BASIC (12-03)

Citations:

Social Security Act, Section 21820

CFR 404.1200

Most State and local government employees are covered for Social Security and Medicare through a Section 218 Agreement between the State and SSA. Under Section 218 of the Act, a State may ask the Commissioner of Social Security to enter into an agreement to extend Social Security and Medicare or Medicare only coverage to employees of the State and its political subdivisions.