Retired Association for the Uniformed Service

RAUS
RETIRED ASSOCIATION FOR THE UNIFORMED SERVICES, INC.

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Member Check Points & TRICARE Claim Forms

As a RAUS member, you need to be aware of the following points.

When providing information to your physician for filing claims, be sure that the physician or hospital makes a copy of all sides of your membership card.

Many times, the physician will make a copy of a member's card and only copy part of the information needed to file an insurance claim. Your membership card is designed to be folded to fit in your wallet. Be sure they copy all sides of the card for their records.  The Association office receives claim forms almost every day. This only delays the processing of your claim, since we have to forward it to Selman & Company.

All claims should be sent directly to Selman & Company for processing.

To download and print TRICARE Supplement Plan Claim Forms in Adobe Acrobat PDF format,
please select from the appropriate forms:


Transamerica Financial Life Insurance Company (TFLIC) short form – For NY State residents who are no longer in their pre-existing limitation period.
Transamerica Financial Life Insurance Company (TFLIC) long form – For NY State residents who are in their pre-existing period.
Monumental Life Insurance Company (MLIC) short form – residents of all other states who are no longer in their pre-existing limitation period.
Monumental Life Insurance Company (MLIC) long form – residents of all other states who are in their pre-existing period.

Get Adobe Acrobat

Once you receive the Explanation of Benefits (EOB) Statement from your health claim processor for your area, you are ready to prepare the Selman & Company claim form for the supplemental coverage under your RAUS policy. Claim forms are available from Selman & Company (formally ASI) by calling 1-800-638-2610, option 1. Complete the supplemental claim form furnished by Selman & Company, attach the form to the Explanation of Benefits (EOB) Statement, and mail both forms to Selman & Company for processing. The mailing address for submitting claim forms is:

Selman & Company
Claims Department
P.O. Box 2510
Rockville, MD 20847-2510

Verify the member data at the bottom of your dues invoice.

The Association maintains information on each member such as date of birth, social security number, branch of service, rank, etc. This information is kept confidential. When you receive your invoice for RAUS membership dues, the member data is printed at the bottom. Be sure to verify that all information is correct and notify the Association of any corrections or missing information.

 

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Copyright (c) 1997-2014 Retired Association for the Uniformed Services, Inc.
Revised: June 03, 2015