Get Tricare Retired Reserve Reconsideration Of Late Initial Enrollment And Late Changes To Coverage

Filling out the TRICARE Retired Reserve reconsideration of late initial enrollment and late changes to coverage form can be a straightforward process when followed correctly. This guide will provide you with step-by-step instructions to ensure that you complete the form accurately and effectively.

Follow the steps to complete your application efficiently.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. Fill in the sponsor's name in the designated section at the top of the form.
3. Enter the date of your request using the format MM/DD/YYYY.
4. Provide the sponsor's Social Security Number (SSN) in the specified field.
5. Input the sponsor's phone number in the designated area, ensuring you include the area code.
6. List the sponsor’s address completely, ensuring all necessary information is included.
7. Indicate whether you are requesting reconsideration for late initial enrollment or late change to coverage due to a qualifying life event.
8. Enter details about the sponsor's reserve unit, including the name and contact number.
9. Identify the administrative officer or contact for the reserve unit.
10. Explain the reasons for requesting reconsideration, detailing important dates and any unusual circumstances affecting the request.
11. If additional information is needed, attach extra pages as necessary.
12. Ensure the sponsor signs the form in the designated signature area.
13. Finally, review the completed form for accuracy, then save changes, download, print, or share the form as needed.

Complete the TRICARE Retired Reserve reconsideration form online to ensure your eligibility and benefits.