(a)
(b)
(c)
(d)
(i) Members of Uniformed Services, who:
(A) Are discharged or released from active duty (or full time National Guard duty), whether voluntarily or involuntarily, under other than adverse conditions;
(B) Immediately preceding that discharge or release, were entitled to medical and dental care under 10 U.S.C. 1074(a) (except in the case of a member discharged or released from full-time National Guard duty); and,
(C) After that discharge or release and any period of transitional health care provided under 10 U.S.C. 1145(a) would not otherwise be eligible for any benefit under 10 U.S.C. chapter 55.
(ii) A person who:
(A) Ceases to meet requirements for being considered an unmarried dependent child of a member or former member of the armed forces under 10 U.S.C. 1072(2)(D);
(B) On the day before ceasing to meet those requirements, was covered under a health benefits plan under 10 U.S.C. chapter 55, or transitional health care under 10 U.S.C. 1145(a) as a dependent of the member or former member; and,
(C) Would not otherwise be eligible for any benefits under 10 U.S.C. chapter 55.
(iii) A person who:
(A) Is an unremarried former spouse of a member or former member of the armed forces;
(B) On the day before the date of the final decree of divorce, dissolution, or annulment was covered under a health
(C) Is not a dependent of the member or former member under 10 U.S.C. 1072(2)(F) or (G) or ends a one-year period of dependency under 10 U.S.C. 1072(2)(H).
(iv) An unmarried person who:
(A) Is placed in the legal custody of a member or former member by a court or who is placed in the home of a member or former member by a recognized placement agency in anticipation of the legal adoption of the child; and
(B) Either:
(
(
(C) Is dependent on the member or former member for over one-half of the person's support; and
(D) Resides with the member or former member unless separated by the necessity of military service or to receive institutional care as a result of disability or incapacitation; and
(E) Is not a dependent of a member or former member as described in § 199.3(b)(2).
(2)
(3)
(ii) In the case of a member who becomes (or will become) eligible for continued coverage, the Department of Defense shall notify the member of their rights for coverage as part of pre-separation counseling conducted under 10 U.S.C. 1142.
(iii) In the case of a child of a member or former member who becomes eligible for continued coverage:
(A) The member or former member may submit to the Third Party Administrator a notice of the child's change in status (including the child's name, address, and such other information needed); and
(B) The Third Party Administrator, within 14 days after receiving such information, will inform the child of the child's rights under 10 U.S.C. 1142.
(iv) In the case of a former spouse of a member or former member who becomes eligible for continued coverage, the Third Party Administrator will notify the individual of eligibility for CHCBP when he or she declares the change in marital status to a military personnel office.
(4)
(A) The date of the discharge or release of the member from active duty or full-time National Guard duty;
(B) The date on which the period of transitional health care applicable to the member under 10 U.S.C. 1145(a) ends;
(C) In the case of an unremarried former spouse of a member or former member, the date the one-year extension of dependency under 10 U.S.C. 1072(2)(H) expires; or
(D) The date the member receives the notification of eligibility.
(ii) A member of the armed forces who is eligible for enrollment under paragraph (d)(1)(i) of this section may elect self-only or family coverage. Family members who may be included in such family coverage are the spouse and children of the member.
(5)
(i) A Defense Enrollment Eligibility Reporting System (DEERS) printout which indicates the appropriate sponsor status and the sponsor's and dependent's eligibility dates;
(ii) A copy of a verified and approved DD Form 1172, “Application for Uniformed Services Identification and Privilege Card”;
(iii) A front and back copy of a DD Form 1173, “Uniformed Services Identification and Privilege Card” overstamped “TA” for Transition Assistance Management Program; or
(iv) A copy of a DD Form 214—“Certificate of Release or Discharge from Active Duty”.
(6)
(i) For a member discharged or released from active duty (or full time National Guard duty), whether voluntarily or involuntarily, the date which is 18 months after the date the member ceases to be entitled to care under 10 U.S.C. 1074(a) and any transitional care under 10 U.S.C. 1145.
(ii) In the case of an unmarried dependent child of a member or former member, the date which is 36 months after the date on which the person first ceases to meet the requirements for being considered an unmarried dependent child under 10 U.S.C. 1072(2)(D).
(iii) In the case of an unremarried former spouse of a member or former member, the date which is 36 months after the later of:
(A) The date on which the final decree of divorce, dissolution, or annulment occurs; or
(B) If applicable, the date the one-year extension of dependency under 10 U.S.C. 1072(2)(H) expires.
(iv) In the case of an unremarried former spouse of a member or former member, whose divorce occurred prior to the end of transitional coverage, the period of coverage under the CHCBP is unlimited, if:
(A) Has not remarried before the age of 55; and
(B) Was enrolled in the CHCBP as the dependent of an involuntarily separated member during the 18-month period before the date of the divorce, dissolution, or annulment; and
(C) Is receiving a portion of the retired or retainer pay of a member or former member or an annuity based on the retainer pay of the member; or
(D) Has a court order for payment of any portion of the retired or retainer pay; or
(E) Has a written agreement (whether voluntary or pursuant to a court order) which provides for an election by the member or former member to provide an annuity to the former spouse.
(v) For the beneficiary who becomes eligible for the Continued Health Care Benefit Program by ceasing to meet the requirements for being considered an unmarried dependent child of a member or former member, health care coverage may not extend beyond the date which is 36 months after the date the member becomes ineligible for medical and dental care under 10 U.S.C. 1074(a) and any transitional health care under 10 U.S.C. 1145(a).
(vi) Though beneficiaries have sixty-days (60) to elect coverage under the CHCBP, upon enrolling, the period of coverage must begin the day after entitlement to a military health care plan (including transitional health care under 10 U.S.C. 1145(a)) ends.
(e)
(2)
(i) Paragraph (a)(2) of this section concerning eligibility:
(ii) All provisions regarding nonavailability statements or requirements to use facilities of the Uniformed Services.
(3)
(f)
(g)
(h)
(i)
(j)
(k)
(l)
(m)
(n)
(o)
(p)
(2)
(i) The Extended Care Health Option (ECHO) under § 199.5.
(ii) The Active Duty Dependents Dental Plan under § 199.13;
(iii) The Supplemental Health Care Program under § 199.16; and
(iv) The TRICARE Enrollment Program under § 199.17, except for TRICARE Extra program under that section.
(3)
(i) Home Health Care Demonstration; and
(ii) Home Health Care-Case Management Demonstration.
(q)
(2) Effects of failure to make premium payments. Failure by enrollees to submit timely and proper premium payments will result in denial of continued enrollment and denial of payment of medical claims. Premium payments which are late 30 days or more past the start of the quarter for which payment is due will result in the ending of beneficiary enrollment. Beneficiaries denied continued enrollment due to lack of premium payments will not be allowed to reenroll. In such a case, benefit coverage will cease at the end of the ninety day (90) period for which a premium payment was received. Enrollees will be held liable for
(r)
(2) Enrollment in the U.S. VIP program may continue up to October 1, 1994. Policies written prior to October 1, 1994, will remain in effect until the end of the policy life.
(3) On or after the October 1, 1994, implementation of the Continued Health Care Benefit Program, beneficiaries who enrolled in the U.S. VIP program prior to October 1, 1994, may elect to cancel their U.S. VIP policy and enroll in the CHCBP.
(4) With the exception of persons enrolled in the U.S. VIP program who may convert to the CHCBP, individuals who lost their entitlement to regular military health services system coverage prior to August 2, 1994, are not eligible for the CHCBP.
(s)