Get Tricare Retired Reserve - Health Net Federal Services - Hnfs

Navigating the Tricare Retired Reserve - Health Net Federal Services - Hnfs form is essential for managing your automated payment preferences. This guide will provide clear instructions on completing the form accurately to ensure a smooth experience.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the form in your preferred editing tool.
2. Begin by filling in your personal information in the Sponsor Information section. Provide your full name and Social Security Number (SSN) as prompted.
3. Select the action you wish to perform by checking one of the options provided: Start a monthly payment option, Change your existing authorization, or Stop your existing authorization.
4. In the Electronic Funds Transfer (EFT) section, indicate your preference for payment type. You will need to enter the Account Holder’s Name, Financial Institution Name, Nine-Digit Bank or ABA Routing Number, and Account Number.
5. If you are selecting the VISA/MasterCard Recurring Credit Card Payment (RCC) option, fill in the Cardholder Name, Card Number, and Expiration Date.
6. Provide your signature at the designated area to authorize Health Net to commence with the chosen monthly automated payment option.
7. Carefully review all the entered information for accuracy and completeness before submission.
8. Once confirmed, complete the process by mailing the form and any required payment to the address provided: Health Net Federal Services, LLC, PO Box 8490, Virginia Beach, VA 23450-8490 or via fax at 1-888-745-1550.

Ensure you follow these steps to complete your documentation online efficiently.