Corporate Office Address:
Association & Society
Insurance Corporation
2301 Research Boulevard
Suite 300
Rockville, MD 20850
Toll-Free: 800-638-2610
Phone: 301-816-0045

For Members:
For questions concerning
claims, enrollments, etc.,
please contact our Customer Service Call Center by
Phone: 1-800-638-2610 ext. 255
or E-mail: custsvc@asicorporation.com
 

Filing a Claim:

If you have satisfied your pre-existing period Download your Claim Form Here

For insureds still within the pre-existing period Click here to download the ASI claim form .

Remember in addition to filing your claim, a copy of the Tricare EOB is necessary to pay your claim, so please write your certificate # on the EOB and mail it to
Association & Society
Insurance Corporation
P.O. Box. 2510
Rockville, MD 20847-2510.

For HR Representative and Benefit Specialist of Existing Clients:

Association & Society Insurance Corporation
Client Services Department
P.O. Box 2168
Rockville, MD 20847
E-mail: asi.research@
asicorporation.com
Phone: 800-638-2610 ext. 256
 

Fields with an asterisk ( * ) are required
*
Name:
*
Email:
*
Member ID Number
 
Phone:
   
 
 
Request for information on individual plan
 
Request for information on group plan
   
 
 
Change of profile:
*All change of address requests should be done in writing accompanied with the policyholder's signature.
   
 
 
Comments:
 
   
 
 
 
Underwritten by Hartford Life and Accident Insurance Company, Simsbury, CT06089.

Note: These entities are not affiliated with the TRICARE Supplement in any way. 


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