06/25/2026
π’ IMPORTANT NOTICE TO TRIBAL MEMBERS π’
Beginning **July 1, 2026**, Tribal Member Health Insurance Reimbursement Assistance will require the use of a **NEW application form**. π
β
All reimbursement requests submitted on or after **July 1, 2026** must be completed using the new application.
π **Click the link below to download and print the new application:**
π https://img1.wsimg.com/blobby/go/836d679d-fb2d-4a5e-8588-509c54419d3b/downloads/39ee5c24-e06b-43e2-b9f3-773afa8498f2/Revised%20Tribal%20Health%20Insurance%20Reimbursement%20.pdf?ver=1782315349222F
β οΈ Previous versions of the application will no longer be accepted.
If you have any questions or need assistance, please contact our office. π
Thank you for your cooperation and for helping us make this transition as smooth as possible!