Exceptional Family Member (EFM) Program

    As members of the Armed Forces, we took an oath to support and defend the constitution of the United States. By virtue of the nature of our occupation, all Sailors understand that they must be world-wide deployable while maintaining unit, personal, and family readiness. When a family member is diagnosed with a chronic medical, special education, or mental health condition, the service member must enroll the dependent family member in the Exceptional Family Member (EFM) Program. For EFM purposes, chronic conditions are expected to last six months or more and program enrollment is mandatory. Enrollment helps ensure availability of required educational and medical services at future assignment locations; however, quality of those services cannot be validated.

EFM Program Objectives:

• Confirms the availability of medical, early intervention, or special education services at overseas locations;

• Ensures availability of medical services at isolated continental United States (CONUS) locations;

• Identifies members requiring assignment to CONUS facilities adjacent to major medical facilities; and

• Identifies members eligible for homesteading.

Enrollment Procedures. Members shall enroll eligible family members using:

• DD 2792 (http://www.dtic.mil/whs/directives/infomgt/forms/eforms/dd2792.pdf), Exceptional Family Member Medical Summary and appropriate addenda; and

• DD 2792-1 (http://www.dtic.mil/whs/directives/infomgt/forms/eforms/dd2792-1.pdf), Exceptional Family Member Special Education/Early Intervention Summary.


• Category 1 (enrollment for monitoring purposes): The EFM needs are not severe, but warrant enrollment in the event of an acute exacerbation.

• Category 2 (limited overseas/remote CONUS assignments): Care is usually available at most locations, except for some isolated CONUS/overseas areas.

• Category 3 (no overseas assignments): The EFM’s medical or educational needs preclude assignment to overseas locations.

• Category 4 (major medical areas within CONUS only): The EFM’s medical condition requires assignment to billets near major medical facilities.

o Groton, Connecticut; Bethesda, Maryland; Great Lakes, Illinois; Norfolk, Virginia; Charleston, South Carolina; Jacksonville, Florida; Pensacola, Florida; Gulfport, Mississippi; Pearl Harbor, Hawaii; San Diego, California; and Bremerton, Washington

• Category 5 (homestead program): The family member’s needs are complex, and permanent change of station (PCS) moves that disrupt continuity of care could jeopardize the EFM’s health.

o Norfolk, Virginia; Jacksonville, Florida; San Diego, California; Bremerton, Washington; and Washington, D.C.

• Category 6 (temporary category): The EFM’s condition requires a stable environment for 6-12 months due to treatment or ongoing diagnostic testing.

Updating Enrollments. Enrollment updates are due every three years from the date the enrollment application is approved by NAVPERSCOM. Exceptions are as follows:

• Category 6 (temporary category) must be updated within one year of enrollment.

• There is a change in medical diagnosis or new diagnosis.

• There is a change in early intervention or special education needs.

• If an update is due at the time of a projected rotation date (PRD),

initiate the update at least nine months prior to PRD.

For further guidance, please direct questions to Navy Personnel Command (NPC) Customer Service Center, at 1-866-U-ASK-NPC (1-866-827-5672) or 901-874-2435. Questions regarding assignments and orders must be addressed to the service member’s detailer.

By Lt. Cmdr. Jay Ramsey, SC, USN; Lieutenant Operational and Postgraduate School Detailer