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Get Humana Military TRS Reconsideration Request Form

involuntary disenrollment, late initial enrollment, or late change to coverage due to qualifying life event (QLE), please complete the request below and mail or fax to: Humana Military Healthcare Services (HMHS) ATTN: PNC Bank P.O. Box 105389 Atlanta, GA 30348-5389 Fax: 1-866-836-9535 Please Note: Payment of all applicable premiums is required from the first day of TRS eligibility to current paid through date. Members not listed in DEERS as eligible for TRS cannot be enrolled. Members requestin.

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