RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2003-00508
INDEX CODE: 128.05
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
He be reimbursed for the cost of his dependents dental care in the
amount of $1,656.00.
_________________________________________________________________
APPLICANT CONTENDS THAT:
He paid insurance premiums to the Tricare Dental Program (TDP), but
reimbursement for care costs were refused after it was realized that
he was retired.
In support of his request, applicant provided a personal statement, a
letter from United Concordia Companies Inc TDP, a copy of a series of
emails, a copy of Patient Transaction Letters, and a letter from
United Concordia for Refund for Payment Errors. Applicant’s complete
submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant retired from the Regular Air Force on 1 March 2001, in
the grade of master sergeant. He continued to pay dental premiums
through the direct payment method until April 2002. His family
members went to the dentist several times and UCCI paid a total of
$1,656.00 in bills. The Defense On-Line Enrollment System (DOES) was
not updated by the Defense Manpower Data Center and the applicant was
carried as eligible. Once their records were updated to reflect his
retired status, the applicant was notified of the error, refunded
$288.84, which was the total monthly premium payment he paid and
billed him for the dental claims that were incurred. The date cannot
be verified as to when his records flipped from active duty to
retired.
________________________________________________________________
AIR FORCE EVALUATION:
DPSFCR recommends the applicant’s request be denied. Since there was
no systemic flow error committed by the Air Force regarding his
service record, and the member was reimbursed for his premiums of
$288.84, reimbursement for the remainder of his claim should be
denied. The Board could provide a partial grant by compensating the
member for the amount of the dental claim minus the premium
reimbursement he already received. The DPSFCR evaluation is at
Exhibit B.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copy of the Air Force evaluation was forwarded to the applicant on
27 Feb 04, for review and comment within 30 days. As of this date, no
response has been received by this office.
_________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing law
or regulations.
2. The application was timely filed.
3. Sufficient relevant evidence has been presented to demonstrate the
existence of an error or injustice. After carefully reviewing the
evidence of record, the Board is of the opinion the applicant is
entitled to reimbursement for the cost of his dependent's dental care
as requested. The applicant continued to pay the premiums for dental
coverage in good faith until the Defense Manpower Data Center updated
his retirement status in the Defense On-Line Enrollment System,
notified him of the error and refunded his paid premiums of $288.84.
In view of the above and in order to resolve any injustice to the
applicant, we recommend that his records be corrected to the extent
indicated below.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The pertinent military records of the Department of the Air
Force relating to APPLICANT, be corrected to show that he was in
temporary duty status for a sufficient number of days beginning
2 October 2000, to accumulate an entitlement of $1,367.16.
_________________________________________________________________
The following members of the Board considered Docket Number BC-2003-
00508 in Executive Session on 30 March 2004, under the provisions of
AFI 36-2603:
Mr. Frederick R. Beaman III, Panel Chair
Mr. Michael J. Maglio Member
Ms. Martha J. Evans, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 6 Feb 04.
Exhibit B. Letter, AFPC/DPSFCR, dated 26 Feb 04.
Exhibit C. Letter, SAF/MRBR, dated 27 Feb 04.
FREDERICK R. BEAMAN III
Panel Chair
AFBCMR BC-2003-00508
MEMORANDUM FOR THE CHIEF OF STAFF
Having received and considered the recommendation of the Air Force
Board for Correction of Military Records and under the authority of Section
1552, Title 10, United States Code (70A Stat 116), it is directed that:
The pertinent military records of the Department of the Air
Force relating to APPLICANT, be corrected to show that he was in
temporary duty status for a sufficient number of days beginning
2 October 2000, to accumulate an entitlement of $1,367.16.
JOE G. LINEBERGER
Director
Air Force Review Boards Agency
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