RAUS Group TRICARE Supplement Plan
Enrollment
GUARANTEED ACCEPTANCE -
Satisfaction Guaranteed
(This product is currently unavailable in ME,
MT, NH and VT)
It's easy to enroll in the TRICARE
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.
You cannot be turned down for coverage, although a
pre-existing condition may initially limit the extent of your coverage. To
download/view Pre-Existing Condition Plan Enhancements (Effective October
1, 2004) in the Adobe Acrobat PDF format,
click here.
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
RAUS Membership Application
to join RAUS (if you are not already a member).
Step 2 - Download and print one of the
enrollment forms:
Step 3 - Select one of the
following plans:
optional plans:
Step 4 - Determine your
quarterly premiums based on your selected plan and your present
age. Don't forget to include coverage for a spouse and/or children.
Step 5 -
Complete and mail all forms along with your check payable to Selman Co for the first premium payment and your initial RAUS membership
dues check payable to RAUS to:
Mail To: |
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RAUS
PO Box 2534
Brentwood, TN 37024-2534
615-794-4400
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