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B.  Notification of Eligibility
  1. The Department of Defense and the other uniformed services (e.g., National Oceanic and Atmospheric Administration (NOAA), Public Health Service (PHS), and the Coast Guard) will publish information regarding eligibility for health benefits under the CHCBP via brochures, newsletters, military-related publications, etc.
     
  2. In the case of a member who becomes (or will become) eligible for continued coverage, the Department of Defense and the other uniformed services shall notify the member of their rights for coverage as a part of pre-separation counseling.
3. In the case of a child of a member or former member who becomes eligible for continued coverage;
a. The member or former member should submit to Humana Military a notice of the child’s change in status (including the child’s name, address, and other such information needed);
and
b. Within 14 days after receiving such information, Humana Military will inform the child of the child’s right under CHCBP.
4. In the case of a former spouse of a member or former member who becomes eligible for continued coverage, Humana Military will notify the former spouse of eligibility for CHCBP when Humana Military is advised that the former spouse has declared the change in marital status to a military personnel office.
5. In the case of a dependent who is placed in the legal custody of a member or former member;
a. The member or former member may submit a notice of the dependent’s status (including the dependent’s name, address, date placed in legal custody, and such other information needed); to Humana Military; and
      b. Within 14 days after receiving such information, Humana Military will inform the member or former member of the dependent’s rights under the CHCBP.

C.
Election of Coverage
1. In order to obtain continued coverage, written election by an eligible beneficiary must be submitted to Humana Military before the end of the 60-day period beginning on the later of:
a. Date of discharge or release from active duty or full-time National Guard duty;
b. The date on which the period of transitional health care applicable to the member under TAMP ends;
c. The day after TRICARE coverage for former spouses ends;
d. The day after the date the beneficiary loses eligibility for care under the Military Health System;
e. The date the member receives the notification of eligibility. This date will correspond to the date of brochures, newsletters, etc., of which the beneficiaries are expected to be aware;
f. The date the dependent is placed in the legal custody of a member or former member.
2. A member of the uniformed services who is eligible for enrollment may elect self-only or family coverage. Family members who may be included in such family coverage are the spouse and children of the member.

D.
Enrollment
1. General. In order to enroll in the CHCBP, an eligible individual must submit an application to Humana Military. The address for Humana Military will be extensively publicized and is available through TRICARE Service Centers, DoD transition offices, medical military treatment facilities (MTFs), other DoD entities and Uniformed Services which provide information regarding TRICARE.
2. Application. Access a CHCBP enrollment application form (DD Form 2837) or call 1-800-444-5445. The applicant must submit the documentation requested on the enrollment form to verify the applicant’s eligibility for enrollment into CHCBP.
  a. The application must also include payment for the premium for the first quarter (three months) coverage under the CHCBP. Payment must be by check or money order made out to “The Treasury of the United States.” The exact amount of the premium will be available from Humana Military or wherever the applicant obtains information regarding the CHCBP and/or Humana Military. Image of military family
3. Enrollment Determinations.
  a. Verification of Enrollment. Once eligibility for the CHCBP has been verified by Humana Military, Humana Military will make the appropriate entries in DEERS and will notify the applicant of the enrollment denial or approval by providing each eligible enrollee with a CHCBP identification card.
  b. Disputes Regarding Enrollment. Determination of a person’s eligibility as a CHCBP beneficiary is the responsibility of Humana Military. Disputed questions of fact concerning a beneficiary’s eligibility will not be considered an appealable issue, but must be resolved with the appropriate uniformed service.
4. Disenrollment in Other Programs. In order to be eligible to enroll in the CHCBP, the beneficiary will be disenrolled from any other managed care programs established or operated under the auspices of the DoD. This will require no action on the beneficiary’s part. Once Humana Military has received an application to, and determines eligibility for, the CHCBP, it will notify the managed care program to disenroll the beneficiary.
 


Last Reviewed:  May 14, 2007