It is rare, but we occasionally have someone purchase coverage even though they are not eligible – they are not a military retiree covered under a TRICARE plan. It is more likely to happen when coverage is purchased through an employer’s corporate plan.
Here is what you should do if you get a call from an employee who thinks they purchased coverage but are not eligible for it:
- Send email to Twanna Tilghman & Yolonda Roulette (MIP Client Management) and copy Jutta Hiley noting the following:
- Primary Insured’s name
- Company/Client Name and Client Number
- The Inspro Policy Number (P00xxxxxxx)
i. If there is no record in Inspro, check ImageNow for application and effective date
- Their policy effective date
- Their policy paid to date
- Any specifics about why they are not eligible (ex: not a military retiree, not covered under a TRICARE plan)
- Let the caller know we will research their policy and advise if termination is possible and if so, what their termination date would be
- Please DO NOT promise or tell them that we will terminate their coverage based on this call
- Tell them we will get back to them as soon as possible
- Jutta Hiley, Twanna Tilighman and Yolonda will email you with a resolution or ask you to get additional information from the caller.