Retired Association for the Uniformed Service


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The RAUS CHAMPVA Supplement Plan

GUARANTEED ACCEPTANCE - Satisfaction Guaranteed

It's easy to enroll in the CHAMPVA Supplement Plan. Just complete the RAUS Membership Application form. We will enroll you as a RAUS member and send you the complete package of information and Supplement Insurance Enrollment Form.

You cannot be turned down for coverage, although a pre-existing condition may initially limit the extent of your coverage. To download/view Pre-Existing Condition Plan Enhancements (Effective October 1, 2004) in  the Adobe Acrobat PDF format, click here.

After your completed Enrollment Form and first premium payment have been processed, you'll receive a certificate of insurance which you can examine for 30 days risk free. Return it for a full refund if you are not completely satisfied.

Step 1 - Download and print the following individual forms:

Step 2 - Determine your premium based on your selected plan and your present age.  Don't forget to include coverage for a child.

Step 4 - Complete and mail all forms along with your check payable to Selman Co for the first premium payment and your initial RAUS membership dues check payable to RAUS to:

Mail To:

PO Box 2534
Brentwood, TN  37024-2534

Click below to download and print the RAUS Membership Application and insurance enrollment forms including rates.

RAUS CHAMPVA Supplement Plan Enrollment Form - For residents of CO and SD only.

Mail membership application and enrollment forms with your payment for dues and premium to:

504 Autumn Springs Court, Suite 8
Franklin, TN  37067-8278

If you do not have the current Acrobat Reader software, obtain it FREE from Adobe's web site. Click here.

View RAUS CHAMPVA Plan Profile
View RAUS CHAMPVA Supplement Plan Brochure
View CHAMPVA Supplement Sample Certificate
View CHAMPVA Supplement Sample Certificate (NY Residents)

For more about CHAMPVA Supplement Plan, select:


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This plan is sponsored by:

Retired Association for the Uniformed Services
504 Autumn Springs Court, Suite 8
Franklin, TN 37067-8278

Administered by:

Selman & Company
One Integrity Parkway
Cleveland, OH 44143-1500
Phone: 800.735.6262
Fax: 440.646.9339

Underwritten by:

Transamerica Financial Life Insurance Company, Harrison, NY (NY residents only)
AEGON companies

(# 19837953)

Copyright (c) 1997-2021 Retired Association for the Uniformed Services, Inc.
Revised: July 26, 2021