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Enroll/Disenroll Online

With United Concordia's convenient online enrollment services, a sponsor can submit a TDP enrollment application, make changes to coverage or disenroll from the TDP.

TDP Online Enrollment
To complete your TDP enrollment online, access the TDP Online Enrollment/Change Form.

Please note: Your initial payment must be made online through a deduction from your checking account or by credit card (VISA® or MasterCard® only). Upon completion of the online enrollment process, a transaction number is provided. Please retain this transaction number for future reference.

TDP Online Disenrollment
You must remain enrolled in the TDP for a minimum of 12 months. You may choose to disenroll from the TDP once you meet your 12-month initial enrollment period or if you have a valid reason to disenroll. To see a list of valid reasons for early disenrollment, go to the disenrolling section for Active Duty Family Members or for National Guard/Reserve Service Members and Their Families.

To disenroll online, use the TDP Online Enrollment/Change Form.

Making Changes to Your Coverage
In addition to enrolling and disenrolling, sponsors can also make changes to coverage (e.g., add or delete a family member or update mailing address) online. Use the TDP Online Enrollment/Change Form to make coverage changes online.


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