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Dd 137-5 mar 2023 Form: What You Should Know
OMB approval expires. July 30, 2024. DD FORM 137-3, DEC 2012. DEPENDENCY STATEMENT — PARENT. PREVIOUS Edition is obsolete. DD FORM 137-3, DEC 2012. DEPENDENCY STATEMENT — PARTNER. PREVIOUS Edition is obsolete. OMB ID. OMB approval expires. July 30, 2024. The public reporting burden for this Directorate of Defense Health Programs Dec 3, 2023 — Forms: DD FORM 137-5. A medical sufficiency letter signed by a Uniformed Services medical provider or civilian physician is also required. Army: Help with secondary dependency claims DEC 3, 2023 — The following forms are also considered as a dependency statement for non-military dependent children who have a physical disability and have not been discharged or released from the military. If you have any questions or concerns concerning either of these forms, please contact the Defense Health Program Ombudsman's Office or the National Personnel Records Center (). Private health insurance requirements Dec 3, 2023 — Health Insurance Marketplace enrollment forms in the following categories: Individual Market : Coverage includes non-military dependent adults (aged 16 or older). Coverage is for family members under age 26. This will be the final enrollment period for Marketplace enrolled. Please contact the Health Insurance Marketplace to enroll yourself or arrange enrollments through Family Choice (for more information about Family Choice enrollment opportunities, please visit). This is the final enrollment period for Medicaid (through the Health Insurance Marketplace or Medicaid) enrolled. Please contact the Health Insurance Marketplace to enroll yourself or arrange enrollments through Medicaid (more information about Medicaid enrollment opportunities). State and Federal Marketplace enrollment forms in the following categories: State Marketplace : Coverage includes military dependent adults (aged 16 or older). Coverage is for family members under age 26 with no dependents. This will be the final enrollment period for Marketplace enrolled. Visit and click 'Next Step- Select a State' to see if your state participates. Federal Marketplace : Coverage includes military dependent adults (aged 16 or older). Coverage is for family members with dependent children, spouses and/or parents to purchase their own policies.
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