COMDTINST 6010.16A
4 DEC 1991
7.
RESPONSIBILITIES. Commanders of maintenance and logistics commands, district
commanders, unit commanding officers, and all health services and safety personnel shall
ensure that all incidents involving potential third party liability they are cognizant of are
reported.
a. Commanders of Maintenance and Logistics Commands (k) shall review all
nonfederal health care bills and Nonfederal Health Care Certification Forms (CG-
5534) for incidents of potential third party liability. Forward applicable copies of
nonfederal medical bills to Commandant (G-KRM-1).
b. Unit commanding officers shall ensure that beneficiaries at their units submit an
original Report of Potential Third Party Liability, CG-4899 (10-91), directly to
Commandant (G-KRM-1) on all incidents of potential third party liability. A copy
of the CG-4899 (10-91) shall also be forwarded to the appropriate MLC (k) with all
nonfederal medical bills for care associated with an accident or injury. Failure to
submit this report may result in nonpayment of any health care bills associated with
an incident involving potential third party liability.
c. Health Services personnel at Coast Guard treatment facilities shall identify third
party liability incidents through the Clinic Automated Management System
(CLAMS). Check the appropriate Third Party box on the Status-Profile, CG-5460A,
or Visit Profile, CG-5460B, forms at the time of treatment, and ensure that data base
entries are completed.
8.
ACTION. Area and district commanders, commanders of maintenance and logistics
commands, unit commanding officers and Commander, CG Activities Europe shall ensure
compliance with this instruction.
9.
FORMS AVAILABILITY. The Report of Potential Third Party Liability, CG-4899 (10-91),
RCN 6000-2, is attached as enclosure (1) and may be locally reproduced.
MICHAEL HUDGINS
Chief, Office of Health and Safety
Encl: (1) Form CG-4899 (10-91), Report of Potential Third Party Liability
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