Enrollment

You will be notified by the uniformed services or the Defense Manpower Data Center (DMDC) when you are eligible.

To enroll in CHCBP, submit the following:

  • A completed CHCBP enrollment application (DD Form 2837)
  • Payment in full for the first 90 days of coverage (CHCBP must be purchased within 60 days of qualifying for coverage)
  • Certificate of Release or Discharge from Active Duty (DD Form 214) (if applicable)

You must mail the required items to:

Humana Military
Attn: CHCBP
PO Box 740072
Louisville, KY 40201-7472
Fax: (502) 322-8108

Please note:

  • Once purchased, coverage will be backdated to the first day of the eligibility period (i.e. If TRICARE eligibility ends 6/17 CHCBP coverage would start 6/18)
  • You will receive a CHCBP enrollment card by mail once Humana Military has verified your eligibility
  • Former spouses who have not remarried must also submit a copy of the final divorce decree, dissolution or annulment
  • If your CHCBP coverage is terminated because you regain TRICARE entitlement or eligibility, you will be able to purchase CHCBP coverage again once that TRICARE eligibility coverage ends
  • For children aging out of TYA coverage, they must include a copy of their military ID card; if the child is losing TRICARE coverage due to marriage, please include a copy of the marriage license with the application (DEERS will also need to be notified of the marriage)