DD Form 2569, Third Party Collection Program/Medical Services Account/Other Health Insurance is a form used by Department of Defense (DoD) beneficiaries for providing information about health insurances other than TRICARE, Medicare or Medicaid. The TPCP - or the Third Party Collection Program - is an Army program that was introduced in order to facilitate that process.
An up-to-date DD Form 2569 fillable version is available for digital filing and download down below.
DoD beneficiaries include all retirees, family members of retirees and family members of active duty personnel. The DD Form 2569 should be updated annually or after any changes to the beneficiaries personal information or insurance coverage and must be kept in
The newest version of the form - sometimes confused with the DA Form 2569-R, Attorney of Record Designation (Civilian and Individual Military Counsel) - was released by the DoD in September 2016.