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<h2 class="fw4 ma0">Determining Social Security and Medicare Coverage of State and Local Government Employees
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<p>The following information is also available in a <a href="documents/slch900.pdf" onMouseOver="a('Determining Social Security and Medicare Coverage of State and Local Government Employees chart');return true" onMouseOut="b()">chart</a><img src="images/blank.gif" height="1" width="5" border="0" alt="blank space">(80.5 KB, pdf).</p>
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<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">Is the position or service covered for Social Security and Medicare under a Section 218 Agreement?</a><section class="js-toggle-content">
<p>If the answer is &#8220;No,&#8221; then go to the next question.</p>
<p>If the answer is &#8220;Yes,&#8221; then withhold Social Security and
Medicare, unless Section 218 Mandatory and Optional Exclusions apply (see <a href="https://secure.ssa.gov/apps10/poms.nsf/lnx/1930001356!opendocument" onMouseOver="a('State and Local Coverage Handbook - Mandatory Exclusions');return true" onMouseOut="b()">SL&nbsp;30001.356</a> and <a href="https://secure.ssa.gov/apps10/poms.nsf/lnx/1930001357!opendocument" onMouseOver="a('State and Local Coverage Handbook - Optional Exclusions');return true" onMouseOut="b()">SL&nbsp;30001.357</a>).
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<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">Is the employee a qualified member of a public retirement system?</a><section class="js-toggle-content">
<p>If the answer is &#8220;No,&#8221; then withhold mandatory Social Security and Medicare, unless an exclusion from mandatory Social Security and Medicare applies (see <a href="https://secure.ssa.gov/apps10/poms.nsf/lnx/1950001560!opendocument" onMouseOver="a('State and Local Coverage Handbook - Services Not Subject to Mandatory Social Security and Medicare Coverage');return true" onMouseOut="b()">SL&nbsp;50001.560</a>).</p>
<p>If the answer is &#8220;Yes,&#8221; then go to the next question.</p>
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<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">Is employee covered by a Section 218 Agreement that provides Medicare-only coverage for employees hired prior to April 1, 1986?</a><section class="js-toggle-content">
<p>If the answer is &#8220;Yes,&#8221; then withhold Medicare for that employee, unless Section 218 Mandatory and Optional Exclusions apply (see <a href="https://secure.ssa.gov/apps10/poms.nsf/lnx/1930001356!opendocument" onMouseOver="a('State and Local Coverage Handbook - Mandatory Exclusions');return true" onMouseOut="b()">SL&nbsp;30001.356</a> and <a href="https://secure.ssa.gov/apps10/poms.nsf/lnx/1930001357!opendocument" onMouseOver="a('State and Local Coverage Handbook - Optional Exclusions');return true" onMouseOut="b()">SL&nbsp;30001.357</a>).</p>
<p>If the answer is &#8220;No,&#8221; then go to the next question.</p>
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<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">Does the Medicare Continuing Employment Exception apply?</a><section class="js-toggle-content">
<p>If the answer is &#8220;Yes,&#8221; then do not withhold Social Security or Medicare (see <a href="https://secure.ssa.gov/apps10/poms.nsf/lnx/1950001520!opendocument" onMouseOver="a('State and Local Coverage Handbook - Continuing Employment Exception');return true" onMouseOut="b()">SL&nbsp;50001.520</a>).</p>
<p>If the answer is &#8220;No,&#8221; then withhold Medicare only, unless there is an exclusion from mandatory Medicare (see <a href="https://secure.ssa.gov/apps10/poms.nsf/lnx/1950001530!opendocument" onMouseOver="a('State and Local Coverage Handbook - Services Not Subject to Mandatory Medicare Coverage');return true" onMouseOut="b()">SL&nbsp;50001.530</a>).</p>
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<h4>CAUTION</h4>
<p>This information is meant as a guide only and is not a substitute for discussing difficult Section 218 coverage situations with your State Social Security Administrator or FICA taxation issues with your IRS FSLG Specialist. The above references can be found in the <A onMouseOver="a('State and Local Coverage Handbook');return true" onMouseOut="b()" href="https://secure.ssa.gov/apps10/poms.nsf/chapterlist!openview&restricttocategory=19">State and Local Coverage Handbook</A>.</p>
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