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Enroll/Disenroll Online

** Notice of Temporary Outage **

As part of our continuing commitment to our customers, the TDP Online Enrollment application will be unavailable on riday, November 6th, 2009 from 8:00 P.M. ET until 9:00 A.M. ET, Saturday morning November 7th, 2009, so improvements can be completed.

Enrollment form options (New Enrollment/Re-Enrollment, Add Family Member, Cancel Enrollment, Change Address/Telephone No.) will not be available for processing and attempting to submit an enrollment during this time may produce inconsistent results.

We apologize for any inconvenience and look forward to serving you.

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 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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