Retired Association for the Uniformed Service

RAUS
RETIRED ASSOCIATION FOR THE UNIFORMED SERVICES, INC.

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RAUS TRICARE Prime Supplement Plan
Enrollment

GUARANTEED ACCEPTANCE - Satisfaction Guaranteed

It's easy to enroll in the TRICARE Prime Supplement Plan. Just complete the RAUS Membership Application form. We will enroll you as a RAUS member and send you the complete package of information and Supplement Insurance Enrollment Form.

After your completed Enrollment Form and first premium payment have been processed, you'll receive a certificate of insurance which you can examine for 30 days risk free. Return it for a full refund if you are not completely satisfied.

Step 1 - Download and print the following individual forms:

Step 2 - Print your name and address clearly on the enrollment form.

Step 3 - Determine your premium based on your selected plan (Plan A or B).

Step 4 - Sign and date the Enrollment Form.

Step 5 - Calculate your quarterly premium from the rate schedule. Premiums shown are PER Person.

Step 6 - Make your premium check payable to "RAUS Group Health Program" and mail with your discounted initial RAUS membership dues payable to RAUS to:

Mail To:

RAUS
PO Box 2534
Brentwood, TN  37024-2534
615-794-4400
 

Click below to download and print the RAUS Membership Application and insurance enrollment forms including rates.

RAUS TRICARE Prime Supplement Plan Enrollment Form - For residents of all states except NY.
RAUS TRICARE Prime Supplement Plan Enrollment Form - For NY State residents

Mail membership application and enrollment forms with your payment for dues and premium to:

RAUS
504 Autumn Springs Court, Suite 8
Franklin, TN  37067-8278
615-794-4400
(This product is currently unavailable in ME, MT, NH, OR and WA)

If you do not have the current Acrobat Reader software, obtain it FREE from Adobe's web site. Click here.

View RAUS TRICARE Prime Supplement Plan Profile
View RAUS TRICARE Prime Supplement Plan Brochure

For more about TRICARE Prime Supplement Plan, select:

 

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This plan is sponsored by:

Retired Association for the Uniformed Services
504 Autumn Springs Court, Suite 8
Franklin, TN 37067-8278
615-794-4400

RAUS
Administered by:

Selman & Company
One Integrity Parkway
Cleveland, OH 44143-1500
Phone: 800.735.6262
Fax: 440.646.9339

Underwritten by:
 


Transamerica Financial Life Insurance Company, Harrison, NY (NY residents only)
AEGON companies

(# 19837953)

Copyright (c) 1997-2021 Retired Association for the Uniformed Services, Inc.
Revised: July 26, 2021