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For corporate supplemental plan members, if you were previously enrolled in an employer group health insurance plan and are terminating that plan to use TRICARE as your primary insurer, you will need to update your information with TRICARE. To do so, complete the TRICARE OHI form and submit to TRICARE at the address on the form.
OHI form for employees residing in the TRICARE North Region: Connecticut, Delaware, the District of Columbia, Illinois, Kentucky, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia and Wisconsin (and some zip code areas in Iowa, Missouri, and Tennessee).
OHI form for employees residing in the TRICARE South Region: Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina and Tennessee (excluding some zip code areas in Fort Campbell, KY area) and Texas (excluding the extreme southwestern El Paso area).
OHI form for employees residing in the TRICARE West Region: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa, Kansas, Minnesota, Missouri (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (El Paso area only), Utah, Washington, Wyoming, (Certain zip codes in the St. Louis, MO., area and the Rock Island Arsenal area in Iowa are in TRICARE North).
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