Form 2947-2026

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4.8 out of 5

120 votes

The document is the TRICARE Young Adult Application, which allows eligible young adults to enroll in a premium-based health care plan extending coverage until age 26. It outlines the application process, eligibility requirements, privacy information, and payment options for coverage. The document also includes instructions for submitting the application and provides contact information for assistance.

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Click ‘Get Form’ to open the TRICARE Young Adult Application (Form 2947) in the editor.
Begin by filling out Section I, which requires the Sponsor's information. Enter the Sponsor's name, Social Security Number (SSN) or DOD Benefits Number (DBN), and contact details.
In Section II, provide details for the enrolling family member. Include their name, date of birth, and select the requested action such as enrollment or PCM change.
Proceed to Section III to disclose any other health insurance coverage. Fill in relevant details about medical, dental, vision, and prescription insurance if applicable.
Complete Section IV by signing and dating the application. Ensure you check all mandatory statements regarding eligibility and understanding of terms.
Finally, review all entered information for accuracy before submitting your completed form through our platform or mailing it to the designated contractor.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (120 Votes)
2016	4.2 Satisfied (56 Votes)
2012	4.3 Satisfied (116 Votes)
2011	4 Satisfied (30 Votes)

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Form 2947-2026

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