RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2005-01267
INDEX CODE: 128.10
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
The indebtedness of $1570.00 for dental treatment he received at
government expense on 14 and 21 August 1996, 9 October 1996, and 9
December 1996 be either waived or remitted.
_________________________________________________________________
APPLICANT CONTENDS THAT:
While serving as a military technician with the Illinois Air National
Guard (ILANG) he was ordered to on-station active duty for the period
4 April 1996 through 19 August 1996. He received an active duty
dental examination where it was discovered he was not worldwide
qualified for duty due to extensive dental problems. The dentist
performing the examination recommended he begin treatment immediately.
He contends as there was no military treatment facility with which to
receive dental care in the local area, he was referred to a civilian
dental provider. In June 1996, he requested pre-approval from the
approving authority (HQ 375th Medical Group, Scott AFB, IL), due to
the exorbitant cost of his treatment. He received two pre-approvals
for specific dental treatment from the approval authority.
His active duty orders were amended on 2 August 1996 shortening his
original tour from 19 August 1996 to 31 July 1996 whereupon he
returned to his military technician status. He contends he asked the
NCOIC of the unit clinic (SG) about his impending dental treatment
since his change in status and was told since his treatment had been
pre-approved he should keep his appointments and submit the bills to
the Air Force for payment. He contends the clinic NCOIC told him
should the Air Force not pay the bills for whatever reason that the
applicant would be responsible for paying them out of his own pocket.
He began the dental treatment on 14 August 1996 under the assumption
that Air Force medical policy was to finish any treatment started. He
submitted the bill for the first appointment to the approving
authority for payment and it was paid. He attended several other
appointments and submitted another pre-approval request on 9 October
1996 that the approving authority approved. He continued treatment
and after all repairs had been completed he submitted the final bills
to the approval authority and they were paid. He continued his career
and eventually retired from the ILANG in January 2001. He contends he
received a letter from the ILANG Staff Judge Advocate (SJA) in July
2001 informing him he received the dental treatment while not in an
active status and was therefore responsible for reimbursing the Air
Force for the treatment costs. He was billed for $1,570.00. He wrote
to the unit JAG, the commander of the 375th Medical Group (approval
authority), the HQ Air National Guard Air Surgeon (ANG/SG), and to his
Congressman. However he received a letter from his unit JAG dated
2 March 2002 wherein he was told he was responsible for the debt as
the dental care was accomplished while he was in a non-active duty
status. On 23 May 2003, his unit sent him a Notification of
Indebtedness Against his Pay Account letter. The letter included five
options for him to consider, otherwise he was expected to remit a lump
sum payment of $1,570 no later than 23 June 2003. He responded by
selecting options B and C wherein he would appeal the validity of the
debt and request remission or waiver of erroneous payment. On 23 June
2003, he submitted a DD Form 2789, Waiver/Remission of Indebtedness
Application, to the Defense Finance Accounting Service (DFAS) that was
denied.
In support of his appeal, the applicant has provided a personal
statement and copies of his active duty orders with the amendment, his
military dental exam, pre-authorization letters, dental bills, several
pertinent letters and his waiver request.
Applicant’s complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant, a retired member of the ILANG was employed by the ILANG
medical clinic as a temporary federal technician on 25 October 1995.
He voluntarily accepted a temporary active duty tour with the clinic,
which he requested curtailment of when he accepted employment with the
clinic as a full time military technician until 11 January 2001 at
which time he resigned his position with the unit and retired from the
ILANG.
During his period of active duty, from 4 April 1996 through 19 August
1996 he served as a medical services specialist in the unit’s clinic.
He was examined on 21 May 1996 whereupon he was approved for extensive
dental care to be provided by a local dentist. He received approval
for local dental care on 21 June 1996 totaling $700 and on 9 October
1996 totaling $910. However, his active duty tour was curtailed and
expired on 31 July 1996. He began his series of extensive dental care
in August 1996, after his orders had expired, and continued to receive
dental care until care was completed in December 1996. He retired in
2001 and was notified by the ILANG SJA by letter on 8 July 2001 of the
results of an audit that found he owed $1,570 for dental treatment he
received that he was not entitled to. The audit revealed he received
the treatment while not in an active duty status. Applicant responded
to the letter on 26 November 2001. On 2 March 2002, the SJA wrote the
applicant and noted the appropriate officials had reviewed his
November 2001 response to the SJA and that the government’s position
had not changed. He was notified that he needed to make arrangements
to repay the $1,570 or the debt would be turned over to other
government agencies that could result in adverse action being taken
against him. On 8 January 2002, the Wing Commander ordered the IG to
investigate the circumstances surrounding charges to the Air Force for
dental services provided to the applicant. The IG found the 21 June
1996 approval for dental services for $700 was authorized but the 9
October 1996 authorization took place after his active duty tour had
expired and was considered invalid by regulation. However, the IG
found that since his treatment began after his orders had expired,
regulations prohibited his receiving the treatment. The Wing
Commander asked the IG whether or not the applicant had committed
fraud against the Air Force. The IG noted each instance of dental
care occurred after his orders had expired and noted the elements of
fraud as contained in the Uniform Code of Military Justice (UCMJ),
Article 132b as being the applicant must make a certain claim, that
the claim has to be false or fraudulent in certain particulars, and
the applicant knew the claim was false or fraudulent. The IG noted
his position as the medical liaison to Scott AFB and his
responsibility to administer the program for active duty Reservists to
receive civilian medical and dental care and found that the actions
taken by the applicant appeared to fall within the elements of fraud
as described. The IG noted that the NCOIC of the clinic was
questioned and was found to be under the impression that because the
care had been pre-existing that the care was appropriate. The NCOIC
stated he would never have signed the request for care unless he
believed it appropriate to do so. The IG summarized the applicant
applied for and received civilian dental care to which he was not
entitled totaling $1,570. The IG recommended using collection
practices such as wage garnishment or tax refund garnishment to
collect the outstanding debt. On 23 May 2003, he received a
Notification of Indebtedness from the unit comptroller wherein he was
asked to pay a lump sum payment of $1,570.00 by 23 June 2003 or appeal
the validity of the debt, request remission or cancellation of the
debt, request a waiver of the debt, apply to the AFBCMR for relief, or
propose a different payment schedule with which to repay the debt.
Applicant applied to DFAS on 23 June 2003 via a DD Form 2789 that was
denied.
On 20 January 2001, he retired from the ILANG after 20 years, 5
months, and 14 days of satisfactory service. He was serving in the
grade of technical sergeant at the time of his retirement and is
currently awaiting Reserve Retired pay at age 60.
AIR FORCE EVALUATION:
ANG/DPFOC recommends denial. DPFOC contends the applicant, as a
member of a medical facility that processed active duty dental care
requests would have to have known that the Air Force only paid for
dental care for Reservists when on active duty. DPFOC notes his
active duty orders were for less than 6-month duration. DPFOC notes
he did not report to the Scott AFB dental clinic for his initial exam
until 21 May 1996 and, due to a busy schedule did not report for his
first oral exam with his dentist until 21 August 1996, well after his
active duty orders had expired. The general consensus of the ILANG
and the National Guard Bureau (NGB) is that the Scott AFB Dental
clinic was not aware the applicant’s active duty tour had been
curtailed and therefore continued to pay for treatment as if he were
still on active duty. DPFOC contends it was the applicant’s
responsibility to notify the Scott AFB clinic of his employment status
and that acceptance of medical treatment after he was removed from
active duty and while a full time military technician with the very
facility that monitored this program for the ILANG is questionable at
best.
DPFOC’s complete evaluation, with attachments, is at Exhibit C.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Applicant contends he had no knowledge of Air Force or ANG regulations
that prevented him from obtaining the dental care in question. He now
feels he relied to his detriment on information provided to him by the
Air Force and ANG medical system that was obviously incorrect. He
contends should he have to repay the money in question it would levy a
substantial financial hardship on his family.
He contends he deeply resents the implication asserted by both the IG
and the ANG that he was somehow perpetrating a fraudulent action
against the government by filing for payment for dental care. He
states he did receive the dental care in question but the care was
directly related to his eligibility for military deployment. He
contends he did not forge any documents or signatures nor did he
knowingly make any false statements in pursuit of his claim for
payment but also notes the care in question was authorized by the
agencies responsible for determining his eligibility to begin with.
He believes the IG’s report clearly demonstrates the assumption that,
because he was assigned to a medical squadron, he had to have known he
was not entitled to dental care. He notes the IG presents no evidence
to back up their claim and he contends he simply was not aware of his
non-entitlement at the time. He contends he had just begun employment
as a medical technician in the medical squadron and had no previous
medical training or experience nor had he attended any military
technical training schools. He contends he did not receive any on-the-
job training related to the eligibility of ANG members for
health/dental benefits and the implication he should have been held to
a higher standard than other ANG members because of an implied
knowledge of ANG health/dental-related benefits is without basis in
fact. He questions why he should be held to an unreasonable standard
when it is apparent the unit was negligent in its member training to
the point the unit’s senior medical technician thought he was entitled
to the dental care. Further, he contends a result of his situation
has been that the unit has belatedly appointed a more senior medical
technician to approve all requests for dental care in the future. He
respectfully requests he be relieved of the obligation to re-pay
$1,570.00 in dental benefits.
Applicant’s complete response, with attachments, is at Exhibit E.
_________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing law
or regulations.
2. The application was timely filed.
3. Insufficient relevant evidence has been presented to demonstrate
the existence of error or injustice. After a thorough review of the
evidence of record and applicant's submission, we are not persuaded
that his uncorroborated assertions of no knowledge of how the medical
system worked or his apparent ignorance regarding when he was eligible
for dental care and when he was not, in and by itself, sufficiently
persuasive to warrant the relief requested. Further, the applicant
admits to being advised by the ILANG Clinic NCOIC, should the Air
Force not pay his dental bills for whatever reason, he would be
responsible for paying the bills out of his own pocket. Therefore, we
agree with the opinion and recommendation of the Air National Guard
office of primary responsibility and adopt the rationale expressed as
the basis for our decision that the applicant has failed to sustain
his burden of having suffered either an error or injustice. The
bottom line is that he received remuneration for dental care he was
not entitled to. Therefore, in the absence of persuasive evidence to
the contrary, we find no compelling basis to recommend granting the
relief sought in this application.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of material error or injustice; that the
application was denied without a personal appearance; and that the
application will only be reconsidered upon the submission of newly
discovered relevant evidence not considered with this application.
_________________________________________________________________
The following members of the Board considered AFBCMR Docket Number BC-
2005-01267 in Executive Session on 18 January 2006, under the
provisions of AFI 36-2603:
Ms. Kathleen F. Graham, Panel Chair
Mr. Wallace F. Beard, Jr., Member
Ms. Josephine L. Davis, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 5 Apr 05, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, ANG/DPFOC, dated 15 Nov 05, w/atchs.
Exhibit D. Letter, SAF/MRBR, dated 18 Nov 05.
Exhibit E. Letter, Applicant, dated 7 Dec 05, w/atchs.
KATHLEEN F. GRAHAM
Panel Chair
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