TRICARE/CHAMPUS Supplement Insurance Plan

• Affordable Group Rates
• Guaranteed Acceptance (Subject to Pre-existing Condition Limitations)
• 100% of Covered Excess Charges Paid
• Valuable Survivors’ Benefit - Waiver of Dependent Premium
• 30-Day Satisfaction Guarantee
• Underwritten by Hartford Life and Accident Insurance Company, Simsbury, CT 06089

  Plus - Non-insurance Benefits

• Dental, Vision, and Hearing Care Discount Benefits*
• Member Assistance Program—Counseling, Education and Referral Services*
• Legal and Financial Consultation*

*Non-insurance benefits are not arranged for, provided or underwritten by The Hartford.

Please select your state of residency:

Select ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DIST OF COLOMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VERMONT WASHINGTON WEST VIRGINIA WISCONSIN WYOMING  

Claim Form

Please click here to get the Claim Form.

These documents are in portable document format (PDF) and will require your PC to have Adobe Acrobat Reader. Please use this link to install and download it for free.

 

Policy Form No. SRP-1269 TR (5530-5531-5603-5604)
The Hartford¹ Legal Notice and Privacy Statements

¹The Hartford® is The Hartford Financial Services Group, Inc., and its subsidiaries, including issuing company Hartford Life and Accident Insurance Company.