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How to prepare DD Form 1056
About DD Form 1056
The page of the Form DD 1056 beginning with the heading “C” and ending with the heading “I” include the following instructions: “This form is being used for Reserve Component-requested requests for health services. DoD reserves the right to approve or disapprove requests from any civilian Component and reserve Component members are required to submit Form DD 1056 in response to requests from their Component on a Form 2836, Reservation-Request, Form 2866 or for other reasons. A request for health services may also be approved or disapproved on an “official notice” provided by DoD to the recipient requesting the services (See DD Form 1054A-12).” The Page of the Form DD 1056 beginning with “R” and ending with the heading “I” in the “I.F.” section include the following instructions: “To receive medical care from a Reserve Component health facility from which an immediate family member is entitled to receive such care and benefits, a member must request payment of the total expenses, including any amounts for medical expenses paid for by a non-DoD source, up to one-half (1/2) of the member's monthly basic pay, based on the total of health care services billed to the member by each non-DoD source for a period of 24 months.” The DD Form 1056 is not a record required by the Secretary of Defense under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for the purposes enumerated in § 1833(a)(1) and § 1834(c)(1)(A)(iii) and § 1834(a)(1)(C). When an Individual's Right to Enroll in a Medical Insurance Program Is Denied under the Military Lending Act Under the Uniformed Services Employment and Reemployment Rights Act (SERRA), a service member receiving a discharge or other unfavorable action may request reinstatement of his or her eligibility to use the Federal Employees Health Benefits System. A service member who is denied reinstatement must request reinstatement within a period of 180 days of the date of a favorable action and must send a supplemental request after the expiration of 180 days of the discharge or unfavorable action.
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