DEPARTMENT OF THE NAVY 

BOARD FOR CORRECTION OF NAVAL RECORDS 
701 S. COURTHOUSE ROAD, SUITE 1001 
ARLINGTON, VA 22204-2490 

Docket No. 2290-16 
SEPT 2 2016 

From: Chairman, Board for Correction ofNaval Records 
To: Secretary of the Navy 

Subj: REVIEW OF NAVAL RECORD ICO 

Ref: (a) Title 10 U.S.C. 1552 

Encl: (1)DD Form 149 w/attachments 
(2) NPC Memo dtd 30 Jun 16 
(3) Subject's naval record 

1. Pursuant to the provisions ofreference (a) Subject's daughter, hereinafter referred to as 
Petitioner, filed enclosure (1) with this Board requesting, in effect, that the applicable naval 
record be corrected to show Survivor Benefit Plan (SBP) timely written request for conversion 
from Spouse to former spouse coverage under the SBP. 

2. The Board, consisting of , reviewed Petitioner's 
allegations of error and injustice on 25 July 2016 and, pursuant to its regulations, determined that 
the corrective action indicated below should be taken on the available evidence ofrecord. 
Documentary material considered by the Board consisted of the enclosures, naval records, and 
applicable statutes, regulations and policies. 

3. The Board, having reviewed all the facts of record pertaining to Petitioner's allegations of 
error and injustice, finds as follows: 

a. Before applying to this Board, Petitioner exhausted all administrative remedies available 
under existing law and regulations within the Department of the Navy. 

b. In correspondence attached as enclosure (2), the office having cognizance over the subject 
matter addressed in Petitioner's application has commented to the effect that the request has 
merit and warrants favorable action. 

CONCLUSION 

Upon review and consideration ofall the evidence ofrecord, and especially in light of the 
contents of enclosure (2), the Board finds the existence of an injustice warranting the following 
corrective action. 

RECOMMENDATION: 

That Subject's naval record be corrected, where appropriate, to show that: 

a. The Subject executed a written request for conversion from spouse to former spouse SBP 
coverage, at the same level ofcoverage as previously elected, naming as the 
beneficiary. The request was received by cognizant authority and became effective 
, the day following the date of divorce. 

b. The request was in compliance with a court order. 

c. Subject died on . 

d. Former Spouse is responsible for any unpaid SBP costs that would 
have been deducted ifhe had elected former spouse coverage. No waiver ofunpaid costs will be 
granted. 

e. A copy ofthis Report of Proceedings will be filed in Subject's naval record. 

4. It is certified that quorum was present at the Board's review and deliberations, and that the 
foregoing is a true and complete record ofthe Board's proceedings in the above entitled matter. 

5. Pursuant to the delegation of authority set out in Section 6( e) ofthe revised Procedures of the 
Board for Correction ofNaval Records (32 Code of Federal Regulations, Section 723.6(e)) and 
having assured compliance with its provisions, it is hereby announced that the foregoing 
corrective action, taken under the authority ofreference (a), has been approved by the Board on 
behalf ofthe Secretary of the Navy. 

Executive Director