DEPARTMENT OF HOMELAND SECURITY
BOARD FOR CORRECTION OF MILITARY RECORDS
Application for the Correction of
the Coast Guard Record of:
BCMR Docket No. 2003-090
Xxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxx
FINAL DECISION
ANDREWS, Deputy Chair:
This proceeding was conducted according to the provisions of section 1552 of
title 10 and section 425 of title 14 of the United States Code. The BCMR docketed the
applicant’s request for correction on June 9, 2003.
members who were designated to serve as the Board in this case.
This final decision, dated March 25, 2004, is signed by the three duly appointed
APPLICANT’S REQUEST AND ALLEGATIONS
The applicant asked the Board to correct the records of the Defense Manpower
Data Center (DMDC) Defense Enrollment Eligibility Reporting System (DEERS) to
show that he was a member of the selected reserve (SELRES) beginning on February 1,
2002, rather than a member of the Active Guard and Reserve (AGR). The applicant
stated that upon his release from a period of active duty on January 31, 2002, he
returned to the SELRES. However, in the DEERS, his status was erroneously entered as
being in the AGR. As a result, he was made ineligible for the Reserve TriCare Dental
Program from February 1 through June 30, 2002.
The applicant alleged that he learned of the situation in August 2002, when he
was notified by the TriCare Dental Program contractor, United Concordia, that his
claim had been denied. Thereafter, he contacted DEERS and was advised to apply to
the BCMR.
The applicant alleged that he contacted his last command, which advised him to
contact the Coast Guard’s Human Resources Service & Information Center (HRSIC).
HRSIC confirmed his status as a member of the SELRES during the period in question
and “made several unsuccessful attempts at getting the DEERS record corrected, both
with DMDC and the [United Concordia]. All efforts have failed. As of the date of this
request, the DEERS still reflects my status as AGR for the period … . This request
remains my only available course of action.”
In support of his allegations, the applicant submitted a copy of his discharge
form DD 214, which shows that on January 31, 2001, the applicant was released into the
SELRES upon completing a period of extended active duty.
VIEWS OF THE COAST GUARD
On October 22, 2003, the Judge Advocate General of the Coast Guard recom-
mended that the Board deny the applicant’s request for relief because, he stated, the
Coast Guard no longer has a DEERS record for the applicant that can be corrected.
The Judge Advocate General alleged that the applicant “seeks correction of a
‘record’ that no longer exists. The [DEERS] exists to verify eligibility for military health
care. Information from the Coast Guard’s computers is fed into this database on a
regular basis. Once the information is updated, previous status information is deleted.
Due to Applicant’s retirement on 01 July 2002, no entries currently exist in DEERS
regarding his status during the relevant time period; therefore, there is nothing for the
Coast Guard to correct.”
APPLICANT’S RESPONSE TO THE VIEWS OF THE COAST GUARD
The Judge Advocate General further stated that the “Coast Guard’s records
support Applicant’s assertions regarding his status as a member of the SELRES during
the period 01 February 02 to 30 June 2002. Applicant should be able to use his DD-214
and/or copies of his orders to prove his eligibility for benefits under the Reserve
TriCare Dental Program for the period in question.”
On October 27, 2003, the BCMR sent the applicant a copy of the views of the
Coast Guard and invited him to respond within 30 days. On November 17, 2003, the
applicant responded. He stated that the Coast Guard’s position leaves him in a “Catch-
22 situation” because the solution proposed by the Judge Advocate General “is not
possible.” The applicant alleged that he has provided a copy of his DD 214 to DEERS
and has had the Coast Guard Personnel Service Center work with DEERS “all to no
avail.” He alleged that he was repeatedly told that applying to the BCMR for a
correction of the record was the only solution.
The applicant alleged that, while the Coast Guard may no longer have the rele-
vant record, DEERS clearly has a record of what the Coast Guard erroneously reported
to DEERS at the time of his release into the SELRES.
SUPPLEMENTAL VIEWS OF THE COAST GUARD
On February 17, 2004, in response to an inquiry by the BCMR staff, the Judge
Advocate General stated that he certified that the applicant was a member of the
SELRES from February 1 to June 30, 2002. He stated that, “[a]lthough it is impossible
for the Coast Guard to go back and enter this information into DEERS retroactively, it is
undisputed that this is the information DEERS should have displayed during the
relevant time period.” Therefore, the Judge Advocate General asked that “the third
parties responsible for administering the Reserve TriCare Dental Program (TDP) allow
the retroactive creation/correction of any documents necessary to accurately reflect
Applicant’s true status and allow Applicant the use of those benefits to which he was
entitled.” He stated that he would not object if the Board granted such relief.
FURTHER SUBMISSIONS BY THE APPLICANT
On February 19, 2004, the applicant submitted copies of various documents
concerning the denial of his claim for dental work performed on June 24, 2002. These
include a copy of a letter dated August 8, 2003, which he received from United
Concordia after he had appealed the denial of his claim and submitted a copy of his DD
214 to show that he was a member of the SELRES. In the letter, United Concordia
stated the following:
United Concordia has reviewed your request to update the eligibility status on your
contract. Unfortunately, United Concordia does not have the ability to update eligibility
information and cannot initiate changes in the Defense Enrollment Eligibility Reporting
System (DEERS).
In order for United Concordia to update your contract, the eligibility must first be
corrected in the Defense Enrollment Eligibility Reporting System (DEERS), which may
require you to provide supporting documentation to the DEERS Support Office (DSO).
FINDINGS AND CONCLUSIONS
The Board makes the following findings and conclusions on the basis of the
applicant's military record and submissions, the Coast Guard's submissions, and appli-
cable law:
10 U.S.C. § 1552. The application was timely.
The Board has jurisdiction over this matter pursuant to the provisions of
1.
2.
3.
The Judge Advocate General of the Coast Guard has certified that the
applicant was a member of the Selected Reserve (SELRES) from February 1 through
June 30, 2002, and that the Coast Guard’s own records accurately reflect his status. The
applicant’s DD 214 also shows that he was released into the SELRES following his
separation from active duty on January 31, 2002. Therefore, the Board finds that the
applicant has proved that he was a member of the SELRES from February 1 through
June 30, 2002.
The record indicates that either the Coast Guard erred in incorrectly
reporting the applicant’s status to DEERS or DEERS erred in incorrectly recording the
applicant’s status as being in the AGR, instead of the SELRES. Because of this error, the
applicant has been denied coverage under the TriCare Dental Program for dental work
performed on June 24, 2002, by a private contractor, United Concordia. Although the
applicant submitted a copy of his DD 214 showing his SELRES status to United
Concordia, the contractor has been unwilling to grant coverage because of the
erroneous information in DEERS. Unfortunately, the Coast Guard apparently has no
way of correcting information in the DEERS system retroactively.
In BCMR Docket No. 2002-148, the applicant’s wife had not been enrolled
in the TriCare Dental Program because of an administrative error. That applicant was
also advised by United Concordia that his only recourse was to apply to and receive a
favorable decision from the BCMR. Although the Board’s jurisdiction under 10 U.S.C.
§ 1552 does not extend to the records of private companies such as United Concordia, it
is in the interest of justice for this Board to grant such relief as it can to assist veterans in
receiving their due benefits.
Accordingly, relief should be granted by having the Coast Guard Person-
nel Command ask DEERS and United Concordia to correct their records to show that
the applicant was a member of the SELRES from February 1 through June 30, 2002, and
to take such action with respect to his coverage under the TriCare Dental Program as
may be appropriate in light of the correction.
4.
5.
[ORDER AND SIGNATURES ON FOLLOWING PAGE]
ORDER
The application of xxxxxxxxxxxxxxxxxxxxx, USCGR, for correction of his military
record is granted as follows:
The Coast Guard Personnel Command shall certify to DEERS and the United
Concordia Dental Insurance Company in writing that the applicant was a member of
the SELRES from February 1 through June 30, 2002, and the Personnel Command shall
ask DEERS and United Concordia to correct their records to show that the applicant
was a member of the SELRES and take such action with respect to his to coverage under
the TriCare Dental Program during that period as may be appropriate in light of this
order.
Philip B. Busch
Marc J. Weinberger
George A. Weller
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