To start, you need to:

1. CLICK HERE for your online enrollment form.
   Enrollment form is in PDF format. If you don't have Adobe Acrobat Reader, click on this link.
   
   
2. Next, print out and complete the enrollment form.
   
   
3. IF you plan to pay your premiums monthly, you will need to print the Checkomatic Payment Plan form.
   CLICK HERE for your Checkomatic form.
   
   
4. Then, print out and complete the Checkomatic form.
   
   
5. IF you are paying monthly, also include a voided check from the account you are having your premiums drafted from.
   
   
6. Now, CLICK HERE for your AMRA membership form.
   
   
7. And, print the AMRA membership form and complete it.
   
   
8. Write a check for your initial premium, payable to:
   AMRA Group Health Program
   
   
   CLICK HERE to review the rate schedule.

So, you should now have:

1. A completed enrollment form
   
   
2. A check for your initial premium, payable to AMRA Group Health Program
   
   
3. A completed AMRA membership form
   
   
4. A check for your AMRA membership, payable to AMRA
   
   
5. A completed Checkomatic form, IF you are paying monthly
   
   
6. A voided check, IF you are paying monthly
   
   
7. Additional documentation, IF you are applying for a waiver of the Pre-existing Condition Limitation Clause

Finally, all you need to do is:

1. Place all of the above in an envelope
   
   
2. And, mail it to:

   Tricare Supplement Plan
   P.O. Box 3246
   Pensacola, FL 32516

We appreciate you choosing our AMRA TRICARE Supplement.
We look forward to helping you with your TRICARE supplemental coverage.

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