In order
to purchase TYA coverage, young adult dependents who meet the qualifications
listed in
paragraph 3.1 and must be listed in the Defense
Enrollment Eligibility Reporting System (DEERS) database. The Defense
Manpower Data Center (DMDC) will ensure that dependents meeting
the qualifications will be reflected as eligible to purchase or
continue TYA coverage if the uniformed service sponsor is eligible
for health care under Chapter 55, 10 USC or Chapter 58, 10 USC Section
1145(a), Transitional Assistance Management Program (TAMP). The
contractor shall rely solely upon DEERS to identify young adult
dependents qualified to purchase TYA coverage. The contractor shall
refer young adult dependents and uniformed service sponsors to a
Real-Time Automated Personnel Identification System (RAPIDS) site
if the dependent is not found in DEERS.
3.2 Eligibility
Of Uniformed Service Sponsor
3.2.1 Eligibility
for TYA is only determined by a proper eligibility response in DEERS.
Based on the status of the uniformed service sponsor, the ability
to purchase may be limited or not allowed based on the uniformed
service sponsor’s status and eligibility for medical care under
Chapter 55, 10 USC or Chapter 58, 10 USC Section 1145(a). In addition,
young adult dependents must meet all other qualifications shown
in
paragraph 3.1.
3.2.2 Young adult dependents of active
duty members (including those called to active duty for more than
30 days) may qualify to purchase TYA coverage until the active duty
sponsor’s date of separation or until the young adult dependent
reaches the age of 26, whichever comes first. Upon the death of
an active duty sponsor, former young adult dependents already aged
out of TRICARE are classified as Survivors and may qualify to purchase
TYA coverage up to the age of 26 but with Survivor (retiree) cost-shares.
3.2.3 Young adult dependents of retired
uniformed service sponsors may qualify to purchase TYA coverage
until they reach the age of 26.
3.2.4 Young
adult dependents of uniformed service sponsors eligible to purchase
TRS or TRICARE Retired Reserve (TRR) may qualify to purchase TYA
coverage only if the sponsor is enrolled in TRS or TRR and until
the young adult dependent reaches age 26. Failure of the uniformed
service sponsor to enroll in and maintain enrollment in TRS or TRR
or failure to pay TRS or TRR premiums will result in the young adult
dependent not being eligible to purchase TYA coverage as of the
date of the sponsor’s loss of enrollment in TRS or TRR.
3.2.5 If the Selected Reserve sponsor
dies while enrolled in TRS, the young adult dependent may qualify
to purchase TYA coverage for up to six months after the date of
death of the Selected Reserve sponsor, or until the young adult
dependent reaches the age of 26, whichever comes first, but with Survivor
(retiree) cost-shares.
3.2.6 Young
adult dependents of a member of the Retired Reserve, who dies while
in a period of TRR coverage, may qualify to purchase new or continue
existing TYA coverage until the young adult dependent reaches the
age of 26. If a member of the Retired Reserve is not covered by
TRR on the date of his or her death, his or her surviving dependents
do not qualify for TYA coverage until the date on which the deceased
member of the Retired Reserve would have attained age 60, at which
time they may qualify to purchase TYA coverage until reaching the
age of 26.
3.2.7 Young
adult dependents of a member eligible for TAMP coverage may qualify
to purchase TYA coverage until the TAMP coverage ends or the young
adult dependent reaches age 26, whichever comes first. If the member
dies while covered under TAMP, the young adult dependent may qualify
to purchase TYA coverage to the end of the TAMP coverage period
or until the young adult dependent reaches age 26, whichever comes
first, with Active Duty Family Member (ADFM) cost-shares.