COMDTINST 12800.1
reimbursement will be forwarded to the Commanding Officer, U.S. Coast Guard Finance
Center (FINCEN), 1430A Kristina Way, Chesapeake, VA 23326-1000.
13. INSURANCE POLICY CANCELLATION AND REFUNDS. When either the policyholder
or the insurance carrier cancels a liability insurance policy and an employee receives a refund
of all or any part of the annual premium, he or she must notify the cognizant CRC for guidance
within 30 days of receipt of the refund. The employee must also provide all information
requested by the CRC, or other designated officer, to assist in determining the amount of the
refund representing the prorated reimbursement of the premium the employee received from
the Coast Guard. The employee is obligated to repay the Coast Guard this prorated amount.
14. ADDITIONAL INFORMATION. The PLIR reimbursement requirement is complex, and the
decision to buy it is a personal one. Civilian employees who qualify for this insurance
protection by meeting the eligibility requirements in Paragraph 4 of this Instruction and decide
to purchase it, should contact their Command Staff Advisor (CSA) for further information and
assistance.
15. FORMS AVAILABILITY. The Claim for Reimbursement for Expenditures on Official
Business, Standard Form 1164 (SF- 1164), available in Jetform Filler, must be used when
filing professional liability insurance reimbursement claims.
Thomas F. Fisher
Acting Director of
Personnel Management
Encl: (1) Standard Form 1164 (SF-1164 (Rev. 11-77))
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