Important Documents: TRICARE/CHAMPVA Supplement Insurance Plans are subject to the terms and conditions of the policy. Policies are underwritten by Hartford Life and Accident Insurance Company detail exclusions, limitations, and terms under which the policies can be continued in force or discontinued.
The TRICARE/CHAMPVA Supplement Insurance Plans are administered by SelmanCo. Underwritten by: Hartford Life and Accident Insurance Company, One Hartford Plaza, Hartford, CT 06155. TRICARE Form Series includes GBD-3000 (2017), GBD-3100(2017), or state equivalent. Policy Numbers: AGP-5942. Not available in all states. Photo Credits: DoD. The appearance of U.S. Department of Defense (DoD) visual information does not imply or constitute DoD endorsement.
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