Effective December 1, 2009, new enrollment in CoverKids is suspended until further notice. Current members will remain enrolled in the program and will not be affected by the change, providing they continue to meet eligibility requirements.

English Application

•	Standard CoverKids English Application
•	CoverKids English Supplemental Page
•	CoverKids English Provider's Statement
•	CoverKids English Checklist

Aplicacion en espanol

•	Aplicationes normas en espanol para CoverKids
•	Pagina adicional en espanol para CoverKids
•	Declaracion del proveedor en espanol de CoverKids
•	Lista de verificacion en espanol de CoverKids

All applicants for CoverKids will automatically be screened for TennCare eligibility or eligibility for other state-sponsored insurance.