RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2013-01017
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
Her former spouses records be changed to reflect their marriage
date as 31 May 73, rather than 29 Sep 73, so that she would be
eligible for TRICARE benefits under the 20/20/20 marriage rule.
________________________________________________________________
APPLICANT CONTENDS THAT:
She was erroneously updated in the Defense Enrollment
Eligibility Reporting System (DEERS) as an eligible former
spouse under the 20/20/20 marriage rule (renewable continued
benefits) when she should have been a 20/20/15 (one year of
medical only).
She discovered this error when she reported her remarriage in
Jan 13. Had she been properly informed of this error, she would
have purchased medical insurance long ago.
She received medical benefits for eight years beyond the one-
year she was actually eligible for.
Based on this error, she is required to reimburse TRICARE for
medical costs.
In support of her request, the applicant provides a personal
statement, copies of her marriage certificate, divorce decree
and military dependent identification and privilege card.
The applicant's complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
On 4 May 73, the former member enlisted in the Regular Air
Force, and served continuously until 31 May 93, when he was
released from active duty after serving 20 years and 27 days.
DEERS records reflect the applicant and her former spouse were
married on 29 Sep 73, and divorced on 23 Jun 03.
The applicant was eligible for former spouse medical benefits
for one-year from the date of her divorce, ending on 23 Jun 04.
On 28 Jan 13, the applicant remarried.
The qualifying criteria for continued benefits as a
20/20/20 former spouse are: 1) 20 years of marriage, 2) 20 years
of creditable service for retirement for the sponsor, 3) 20
years overlap of marriage and active service. Overlap of
between 15 and 20 years qualifies a former spouse as a 20/20/15
and one year of medical from the date of the divorce.
________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPSIZ recommends approval. DPSIZ states that TRICARE does
not have a remission of indebtedness process to consider errors
made in eligibility calculations or updates when it occurs
through no fault of the beneficiary. Changing the marriage date
would validate eligibility for TRICARE medical coverage under
the Uniformed Services Former Spouses Protection Act (USFSPA)
and negate any debt that would be established for medical claims
made during the period of non-eligibility. The applicant
remarried and is not seeking continuation of medical coverage
from her date of marriage on 28 Jan 13. She properly reported
her remarriage in Jan 13, which prompted the relook at the
eligibility data and discovery of the error.
DPSIZ states that when qualifying, former spouses receive a
beneficiary ID & Privilege Card conveying various benefits
including TRICARE medical. Based on the established DEERS
record, the applicant was issued ID cards in four-year
increments reflecting the medical benefit as opposed to the one-
year in which she actually qualified.
The applicant received benefits based on an error in determining
her eligibility made by a personnel representative nine years
ago. This error has caused an injustice to the applicant.
Adjusting the marriage date in the DEERS record would validate
TRICARE claims processed and preclude a debt that would be
established for the medical claims paid between 24 Jun 03 and
her remarriage date of 28 Jan 13.
The complete DPSIZ evaluation is at Exhibit B.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
On 6 Apr 13, a copy of the Air Force evaluation was forwarded to
the applicant and former member for review and comment within
30 days (Exhibit C & D). As of this date, this office has
received no response.
________________________________________________________________
ADDITIONAL AIR FORCE EVALUATION:
The SAF/MRB Legal Advisor reviewed this application and states,
in part, that the Board has the authority to correct the
marriage date for the limited purpose of relieving the applicant
of medical debts incurred because of her use of TRICARE benefits
erroneously provided by the Air Force. However, the Board
should adopt the limiting language recommended in the SAF/GCM
opinion.
The applicants true marriage date of 29 Sep 73, leaves her four
months shy of qualifying for the medical benefits enjoyed by so-
called 20/20/20 former spouses. Because the Air Force
erroneously coded her for receipt of such benefits and did not
catch the error for nine years, the applicant incurred over
$100,000 in medical expenses. As the applicant puts it, [h]ad
I been properly informed of this grave error, I would have
purchased medical insurance long ago. Because this debt arose
from an admitted error of the Air Force in wrongly coding the
applicant for 20/20/20 benefits, the Board could clearly find
that the record contains an injustice that must be removed.
If the Board does find injustice in this case, then the simplest
way of relieving the debt would be to adjust the marriage date
in the military record for the limited purpose of establishing a
TRICARE entitlement. This is the remedy sought by the applicant
and recommended by AFPC/DPSIZ. Because the applicant has
remarried, the entitlement would terminate as of 28 Jan 13, the
date of her remarriage.
The Board has adjusted marriage dates before. In 2004, SAF/GCM
opined that the Board may correct the marriage date in the
military record, provided it clearly sets forth the limited
scope of the record correction. The opinion cited the
following language as important in fashioning a limited remedy:
[this correction will] only affect the applicants Air Force
records for the sole purpose of affording the relief to rectify
the injustice in this case and that this correction will have no
impact on the applicants civil records. This language,
recommended by SAF/GCM, has been validated by the Defense Office
of Hearings and Appeals (DOHA), which determined that records
corrections by the Secretary, acting through the Board under
10 United States Code § 1552, are final and conclusive.
Moreover, such a correction does not infringe on any states
rights because the effects are deliberately limited in scope:
As long as the AFBCMR does not ask the state to correct the
date of the claimants marriage in the states records, there is
no state policy or interest in jeopardy.
The complete SAF/MRB Legal opinion is at Exhibit E.
________________________________________________________________
APPLICANT'S REVIEW OF THE ADDITIONAL AIR FORCE EVALUATION:
On 3 Dec 12, via electronic mail, the applicant responded and
reiterated that she was honest, sincere and forthright in her
understanding that she was qualified for the 20/20/20 benefits.
In fact, she was totally shocked when the Air Force notified her
of their subsequently admitted error. She was not responsible
for the error. This would not have happened if she had been
informed of her status. She should not be penalized
retroactively for this unfortunate error.
The applicants complete response is at Exhibit H.
________________________________________________________________
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 error or injustice. After
thoroughly reviewing the evidence of record and considering the
comments of AFPC/DPSIZ and the SAF/MRB Legal Advisor, we believe
that relief is warranted. In this respect, we note that the Air
Force erroneously coded the applicant for receipt of the
20/20/20 entitlement, which caused her to incur a debt of over
$100,000. In arriving at our decision, we are keenly aware that
courts have held that correction boards have an abiding moral
sanction to determine, insofar as possible, the true nature of
an alleged injustice and take steps to grant thorough and
fitting relief. Therefore, to rectify the injustice in this
case, we recommend that the applicants records be corrected as
indicated below.
________________________________________________________________
THE BOARD RECOMMENDS THAT:
The pertinent military records of the Department of the Air
Force relating to FORMER MEMBER, be corrected (as an exception
to policy) to show that he and former spouse were married on
31 May 73 rather than 29 Sep 73, that this correction is of
limited scope so as only to affect his military records for the
sole purpose of affording the relief to rectify the injustice in
this case; and that this correction will have no impact on his
civil records.
________________________________________________________________
The following members of the Board considered AFBCMR Docket
Number BC-2013-01017 in Executive Session on 17 Dec 13, under
the provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
All members voted to correct the records, as recommended. The
following documentary evidence was considered:
Exhibit A. DD Form 149, dated 4 Mar 13, w/atchs.
Exhibit B. Letter, AFPC/DPSIZ, dated 2 Apr 13.
Exhibit C. Letter, SAF/MRBR, dated 6 Apr 13.
Exhibit D. Letter, SAF/MRBR, dated 6 Apr 13.
Exhibit E. Letter, SAF/MRB Legal Advisor, dated 7 Nov 13,
w/atchs.
Exhibit F. Letter, SAF/MRBC, dated 7 Nov 13, w/atchs.
Exhibit G. Letter, SAF/MRBC, dated 7 Nov 13, w/atchs.
Exhibit H. Email, Applicant, dated 3 Dec 13.
Panel Chair
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