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All rights reserved.

 

TRICARE/CHAMPUS Supplement Insurance Plan

  • Affordable Group Rates
  • Guaranteed Acceptance (Subject to Pre-existing Condition Limitations)
  • 100% of Covered Excess Charges Paid
  • 30-Day Satisfaction Guarantee
  • Valuable Survivors’ Benefit - Waiver of Dependent Premium
  • Underwritten by Hartford Life and Accident Insurance Company, Simsbury, CT 06089

    Plus Non-insurance Benefits

  • Dental, Vision, and Hearing Care Discount Benefits*
  • Member Assistance Program—Counseling, Education and Referral Services*
  • Legal and Financial Consultation*

*Non-insurance benefits are not arranged for, provided or underwritten by The Hartford.

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Claim Form

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This document is in Adobe® Reader® format (.pdf) and will require Adobe Acrobat Reader.

 

   
Policy Form No. SRP-1269 TR (5518-5521)
The Hartford1 Legal Notice and Privacy Statements


1 The Hartford® is The Hartford Financial Services Group, Inc., and its subsidiaries, including issuing company Hartford Life and Accident Insurance Company.