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Figure 8-6.-Copy of Uniformed Services Active Duty Dependents' Dental Plan (DDP) Enrollment Election, DD Form 2494
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Figure 8-7.—Copy of Supplemental Uniformed Services Active Duty Dependents’ Dental Plan (DDP) Enrollment Election, DD Form 2494-1
In  the  case  of  voluntary  termination,  DDP deductions and coverage end the month the form is completed  and  signed  by  the  member.  Voluntary termination  of  coverage  can  only  be  authorized  when the sponsor has been enrolled in the program for over 24  months;  the  sponsor  and  dependents  are  transferred (PCS)  outside  the  CONUS  (OUTCONUS)  to  areas where DDP is not available; the sponsor and dependents are transferred (PCS) and move to an area where a military   treatment   facility   has   readily   available space-available  dental care; or the dependents lose their . DEERS  eligibility. Sponsors cannot disenroll from DDP for the sole reason that their dependents become eligible for an employer-sponsored  dental  health  insurance  plan. T h e y    c a n    u s e D D P    t o    a u g m e n t    t h e ir employer-sponsored  insurance;  however,  they  must  still meet  the  valid  disenrollment  criteria  outlined  in OPNAVINST  1751.1. There are only five valid end coverage reasons. These reasons are listed on the back of DD Form 2494. Refer to figure 8-6. For voluntary termination after 24 months use codes  A through  E. For  PCS  transfers OUTCONUS to an area where DDP is not available use code  F.  For   PCS   transfer   to   a   location   where space-available dental care is available in a military treatment  facility  use  code  G, which must be written in the blank box in section 7b on the back of DD Form 2494. If the member no longer has DEERS eligible dependents  use  code  J. When a member wants to voluntarily y disenroll for the  reason  of  PCS  transfer  to  a  location  where space-available dental care is readily available (code  G), losing  personnel  activities  should  counsel  the  member not to take any action until arrival at the new duty station. Upon arrival at the new duty station, gaining personnel activities should counsel, in conjunction with local  dental  treatment  activities,  on  the  availability  of access to space-available dental care. SUPPLEMENTAL  ENROLLMENT ELECTION Supplemental  Uniformed  Services  Active  Duty Dependents’  Dental  Plan  (DDP)  Enrollment  Election, DD   Form   2494-1,   in   figure   8-7,   should   only   be completed when dependents are residing in two or more separate locations, and only the dependents in one location  are  to  be  enrolled.  The  sponsor  must  identify in item 5 those dependents who are to be enrolled. A copy  of  the  completed  form  must  be  mailed  to  the 8-15 DEERS  Support  Office,  Attn:  DN99,  2511  Garden Road,  Monterey,  California. The following are examples of appropriate use of the DD Form 2494-1: A  sponsor  may  elect  to  enroll  one  or  more dependents  attending  school  or  college  away from home, living with an ex-spouse, living with relatives, or living in a foster home. A sponsor who has more than one dependent under  the  age  four  may  elect  to  enroll  one dependent  under  the  age  of  4. A sponsor may elect to enroll one dependent age 4  or  older  but  may  have  any  number  of dependents under age 4 who are not elected to be covered. OPERATIONAL INTERFACES The  OffIce  of  the  Civilian  Health  and  Medical Program  of  the  Uniformed  Services  (OCHAMPUS) administers the DDP contract for the DOD. DEERS  and  the  Defense  Manpower  Data  Center (DMDC) maintain the master DDP eligibility file, notify DFAS-CL  of  changes  in  a  dependent’s  status,  and provide  the  error  resolution  coordinator  with  a  monthly report of discrepancies between DFAS-CL and DDP master  eligibility  file. The DDP contractor verifies eligibility and pays claims based on information from DEERS and DMDC, provides a list of eligible providers, distributes  Evidence of Coverage information booklets, provides points of contact regarding denied claims, makes annual site visits to major installations, and markets the program. DFAS  -  Cleveland  Center  receives  enrollment information via a Military Pay Order, NAVCOMPT 3060, or appropriate SDS event initiated by member’s PSD  or  personnel  office. The Bureau of Medicine and Surgery (BUMED) provides the Navy DDP project officer who advises OCHAMPUS on matters of enrollment, eligibility, and premium payroll deductions. BUPERS provides DDP eligibility and an error resolution  coordinator  who  is  the  Navy’s  point  of contact   for   problems   with   enrollment,   eligibility verification, payroll deduction, or denied claims. PERSUPPDETS   and/or   personnel   offices,   are responsible  for  enrolling  and  disenrolling  individuals and providing documentation to DFAS.

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