To start, you need to:

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

So, you should now have:

1. A completed enrollment form
2. A completed Checkomatic form, IF you are paying monthly
3. A completed AMRA membership form
4. A check for your initial premium
5. A voided check, IF you are paying monthly

Finally, all you need to do is:

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

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

3. Send us an e-mail at enroll@tricaresupplement.com to let us know you have mailed your forms. We will send you a reply, confirming receipt of your forms.

If you have any difficulties with the online enrollment,
call us at 850-529-1026 or email us at enroll@tricaresupplement.com.
We will either mail or fax the enrollment forms to you.
OR
If you have any questions about our plans,
email us at questions@tricaresupplement.com.

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

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