Primary Insured Change Vs. Primary Insured Staying the Same

If the primary insured TRICARE/CHAMPVA member information is changing. You must request all supporting documentation. Please place all documentation in Imagenow.

When the primary insured person name is changing. It must be a termination and re-key. Please follow the term and re-key process.

Terminations & Re-Keys: This is required when there is a change to the primary insured name.

Other Examples: Wrong Association need to switch, Continuation of coverage for spouse after sponsor ages out/death (primary insured name is changing), Wrong plan (TC vs. CHAMPVA) need to switch, or the only person left to be covered on the policy is someone other than the current primary insured.

Another Example: If the parents are coming off of the policy and the only person left to be covered will be the dependent(s).

Please send an email to Billing:

BILLINGWORKFLOW & TRICARE ENROLLMENT and cc Jutta Hiley (brief explanation to term, RE-Key & why). 

This is a 5 day turn around process (per department). 

We must set clear expectations with the customer this process will take 14 business days (give the caller the date to expect the process to be completed).

Please be mindful the premium due date may come during this process. Please discuss this with the insured.

Also, discuss with the insured the new premium rate. Use your HelpJuice to determine what the rate will be. 

To locate the rate search "Rates" in HelpJuice. 

**There are times when the primary insured name will not change but the Sponsor name will change on the policy. That will require a Term and Re-Key too. 

                From time to time we will encounter a situation where one or both of the parents will be on their own separate policy. Factors that can contribute to this is divorce, separation, child placement with another family member, all while living in different regions of the country.

 

Based on the information supplied by Marti, Tony will be changing his primary coverage from Prime to Select. That mean he must have a matching SelmanCo supplement, Select.

 

The spouse and children will remain covered by TRICARE, on Prime. They must have a matching supplement plan.

 

Tony will not be covered on the plan with the spouse and children only list on the employee tab.

 

POLICY: P000940318

PRIMARY INSURED: Tony Levinson

TRICARE PLAN TYPE: 3

COVERAGE: FAMILY EMPLOYEEE, SPOUSE, DEPENDENT




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