IN THE CASE OF: BOARD DATE: 8 May 2020 DOCKET NUMBER: AR20160018954 APPLICANT REQUESTS: change his discharge to an honorable medical discharge. APPLICANT'S SUPPORTING DOCUMENTS CONSIDERED BY THE BOARD: * DD Form 149 (Application for Correction of Military Record) * DD Form 293 (Application for the Review of Discharge from the Armed Forces of the United States * Veterans Administration Documentation FACTS: 1. The applicant did not file within the three year time frame provided in Title 10, United States Code, section 1552(b); however, the ABCMR conducted a substantive review of this case and determined it is in the interest of justice to excuse the applicant's failure to timely file. 2. The applicant states due to his service connected disabilities (from injuries sustained while on active duty) identified by the Department of Veteran Affairs have been deemed permanently and totally disabling. He believes that he should have been given a PEB (physical evaluation board) or MEB (medical evaluation board) before being discharged from the United States Army. He sustained all of service connected conditions while on active duty and they have progressed over the years and are permanent. He provides several VA related medical records, including rating decisions, progress notes, and other correspondence. 3. A review of the applicant’s service records shows: a. Having had prior enlisted service, he enlisted in the Regular Army on 29 October 1991. b. On 20 November 1997, he was honorably discharged from active duty in accordance with chapter 4 of Army Regulation (AR) 635-200 (Active Duty Enlisted Administrative Separations) by reason of completion of his required active service. His DD Form 214 shows: * he completed 6 years, and 22 days of active service * he was assigned Separation Program Designator (SPD) Code "KBK" * he was assigned Reentry (RE) Code "1" (fully eligible to reenlist) c. His record is void of a permanent profile or a diagnosis by a military treatment facility of a condition that failed retention standards and/or necessitated his entry into the disability evaluation system. 4. The Army Review Board Agency (ARBA) Medical Advisor reviewed the supporting documents and the applicant's records in iPERMS, the Armed Forces Health Longitudinal Technology Application (AHLTA), Health Artifacts Image Management Solutions (HAIMS) and the VA's Joint Legacy Viewer (JLV) and made the following findings and recommendations: There were no AHLTA or HAIMS records for review. There were no in-service treatment notes for any medical or behavioral health conditions for review. JLV search shows the only record within a decade of the applicant’s separation from the military is a 07 Feb 1996 normal chest x-ray. A discharge exam was not found. At this time, based on review of the available documentation, evidence is insufficient to support referral to the Army DES for consideration of medical disability. 5. By regulation (AR 635-40), paragraph 3-1 (Standards of Unfitness Because of Physical Disability) stated the mere presence of impairment did not alone justify a finding of unfitness because of physical disability. In each case, it was necessary to compare the nature and degree of the physical disability with the requirements of the Soldier's duties, as required by his or her office, rank, grade or rating. 6. By law (Title 38 USC, sections 1110 and 1131), the VA may award compensation for disabilities which were incurred in or aggravated by active military service. However, an award of a higher VA rating does not establish an error or injustice on the part of the Army. The Army rates only conditions determined to be physically unfitting at the time of discharge which disqualify the Soldier from further military service. The Army disability rating is to compensate the individual for the loss of a military career. The VA does not have authority or responsibility for determining physical fitness for military service. The VA awards disability ratings to veterans for service-connected conditions, including those conditions detected after discharge, to compensate the individual for loss of civilian employability. Unlike the Army, the VA can evaluate a veteran throughout his or her lifetime, adjusting the percentage of disability based upon that agency's examinations and findings. BOARD DISCUSSION: After reviewing the application, all supporting documents, and the evidence found within the military record, the Board found that relief was not warranted. The applicant’s contentions, the military record, and regulatory guidance were carefully considered. The Board also considered the review and findings of the medical advisor. Based upon a preponderance of the evidence, and the recommendation of the advisory official, the Board agreed there were no in-service treatment notes for any medical or behavioral health conditions for review. The Board concluded there was insufficient evidence of an error or injustice which would warrant a change in the applicant’s narrative reason for separation. BOARD VOTE: Mbr 1 Mbr 2 Mbr 3 : : : GRANT FULL RELIEF : : : GRANT PARTIAL RELIEF : : : GRANT FORMAL HEARING : X :X :X DENY APPLICATION BOARD DETERMINATION/RECOMMENDATION: The evidence presented does not demonstrate the existence of a probable error or injustice. Therefore, the Board determined the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned. I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case. REFERENCES: 1. Title 10, United States Code, section 1552(b), provides that applications for correction of military records must be filed within 3 years after discovery of the alleged or injustice. This provision of law also allows the ABCMR to excuse an applicant's failure to timely file within the 3 year statute of limitations if the Army Board for Correction of Military Records (ABCMR) determines it would be in the interest of justice to do so. 2. Army Regulation (AR) 635-200 (Personnel Separations – Enlisted Personnel), in effect at the time, set forth the basic authority for the separation of enlisted personnel. Paragraph 3-7a stated that an honorable discharge was separation with honor. Issuance of an honorable discharge certificate was appropriate when the quality of the Soldier's service generally met the standards of acceptable conduct and performance of duty, or was otherwise so meritorious that any other characterization would clearly be inappropriate. Where there had been infractions of discipline, the extent thereof was to be considered, as well as the seriousness of the offense. 3. AR 635-40 (Physical Evaluation for Retention, Retirement, or Separation), in effect at the time, established the Army Disability Evaluation System (DES), and implemented chapter 61 (Retirement or Separation for Physical Disability), Title 10, U.S. Code. It set forth policies, responsibilities, and procedures that governed the evaluation for physical fitness of Soldiers who may be unfit to perform their military duties because of physical disability. Paragraph 3-1 (Standards of Unfitness Because of Physical Disability) stated the mere presence of impairment did not alone justify a finding of unfitness because of physical disability. In each case, it was necessary to compare the nature and degree of the physical disability with the requirements of the Soldier's duties, as required by his or her office, rank, grade or rating. 4. AR 40-501 (Standards of Medical Fitness), in effect at the time, a. Chapter 3 (Medical Fitness Standards for Retention and Separation, including Retirement). Paragraph 3-3 (Policies) stated Soldiers with conditions listed in chapter 3 were to be referred for evaluation by a medical evaluation board (MEB) and subsequently referred to a physical evaluation board (PEB) if found to fail medical retention standards. b. Chapter 7 (Physical Profiling), prescribed the system of classifying Soldiers according to functional abilities. The physical profile system derived using six body systems: "P" = physical capacity or stamina; "U" = upper extremities; "L" = lower extremities; "H" = hearing; "E" = eyes; and "S" = psychiatric (abbreviated as PULHES). Each body system has a numerical designation: "1" means a high level of fitness, "2" equates to some limitations, and "3" reflects significant limitations. Physical profile ratings can be either permanent or temporary. 5. AR 40-3 (Medical, Dental, and Veterinary Care), in effect at the time, implemented DOD and statutory policies regarding medical care entitlements. a. Paragraph 2-5 (Sick Call) states Soldiers who, after examination, were determined to be medically unsuitable for duty were admitted to a medical treatment facility or confined to quarters. b. Chapter 7 (MEB), stated MEBs were convened to document a Soldier's medical status and duty limitations. Patients returned to duty without any permanent revision to their physical profile were not typically evaluated by an MEB. Members scheduled for separation under the provisions of AR 635-200 could be referred to an MEB when it appeared a mental illness, medical condition, or physical defect was the direct cause of their unfitness or unsuitability. 6. Title 38 (Veterans' Benefits), U.S. Code, sections 1110 (Wartime Disability Compensation – Basic Entitlement) and 1131 (Peacetime Disability Compensation – Basic Entitlement) permit the VA to award compensation for disabilities which were incurred in or aggravated by active military service; as noted above, the Army's disability system operates under Title 10, U.S. Code for its disability determinations. a. The Army rates only conditions determined to be physically unfitting and which disqualify the Soldier from further military service. The Army disability rating is intended to compensate the individual for the loss of a military career. b. The VA awards disability ratings to Veterans for service-connected conditions, including those conditions detected after discharge, to compensate the individual for loss of civilian employability. c. Unlike the Army, the VA can evaluate a veteran throughout his or her lifetime, adjusting the percentage of disability based upon that agency's examinations and findings. //NOTHING FOLLOWS// ABCMR Record of Proceedings (cont) AR20160018954 6 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1