COMDTINST 6010.16A
4 DEC 1991
b. A retired member working at a construction site contracts a work-related disease on
the job and is treated at a military health care facility. The disease is covered by the
company's workers' compensation insurance. The Federal government should assert
a third party liability claim for the health care rendered.
6.
GUIDELINES. Under the FMCRA, the Coast Guard should collect the cost of health care
provided to any eligible beneficiary from the appropriate insurance carrier or negligent third
party. Eligible beneficiaries will not be required to pay the Government for the cost of health
care from Coast Guard facilities unless the beneficiary is reimbursed by the insurance carrier
for the cost of such care. The Report of Potential Third Party Liability, CG-4899 (10-91) has
been modified to help gather the information necessary to process potential third party liability
claims. Form CG-4899 (4-90) is superseded and shall not be used. Methods for identifying
third party liability claims include, but are not limited to, review of the following
records/reports:
a. clinical record entries, such as sick-call, dental, pharmacy and physical therapy
visits;
b. patient records upon return from Uniformed Services Military Treatment Facilities,
Uniformed Services Treatment Facilities, and civilian health care facilities or
providers;
c. binnacle lists;
d. casualty reports;
e. mishap reports;
f. Coast Guard Injury Reports, (form CG-3822);
g. unit logs;
h. health benefits advisor contacts;
i. administrative messages;
j. medical bills presented for payment;
k. telephone contacts;
l. duty status chits; or
m. notification by member or next of kin.
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