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Tricare Supplement
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TRICARE Supplement Plan for Active Employees

- Non-Medicare eligible retiree group members, please click here -

The TRICARE Supplement Plan is administered by ASI and underwritten by Monumental Life Insurance Company and Transamerica Financial Life Insurance Company (NY residents only).

TRICARE-eligible employees who are also eligible for the State Health Benefits Program and are in one of the following categories may voluntarily enroll in the supplement plan:

Advantages of the TRICARE Supplement Plan:

The TRICARE Supplement Plan works with all three TRICARE options (Standard, Extra and Prime) to pay the following benefits.

Under the TRICARE Standard/Extra option, the supplement plan pays:

Under the TRICARE Prime or Point of Service (POS) option, the supplement plan pays:

MONTHLY PREMIUM SCHEDULE

Employee Only $61
Employee plus One $120
Employee plus Two/More $161

The TRICARE Supplement Plan communication links provide more detailed information on the coverage and benefits provided.

MAKING PREMIUM PAYMENTS: Monthly premiums will be payroll deducted on a pre-tax basis.

MORE INFORMATION: Call ASI’s toll-free number at 1-866-637-9911 for questions about Open Enrollment or other questions about the TRICARE supplement.