IN THE CASE OF: . BOARD DATE: 21 September 2020 DOCKET NUMBER: AR20200000286 APPLICANT REQUESTS: Retirement due to physical disability instead of discharge with severance pay. APPLICANT'S SUPPORTING DOCUMENTS CONSIDERED BY THE BOARD: * DD Form 149 (Application for Correction of Military Record) FACTS: 1. The applicant did not file within the three-year time frame provided in Title 10, U.S. Code, section 1552(b); however, the Army Board for Correction of Military Records (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: * he went through the Medical Evaluation Board (MEB) process and was medically discharged * his disabilities put him over 30 percent disability rating, therefore he should be considered retired * he is supposed to be receiving Combat Related Special Compensation (CRSC) but due to his incorrect status, he was denied CRSC * he was told that because he went through the MEB process, he qualifies for it 3. The applicant enlisted in the Regular Army on 3 May 2010. 4. On 15 January 2015, a Physical Evaluation Board (PEB) found the applicant unfit for further military service due to a diagnosis of lumbar mild intervertebral disc disease. The PEB recommended a 10 percent disability rating and the applicant's separation with severance pay. 5. The PEB found the applicant fit for the following medical conditions because the MEB indicated these conditions met retention standards, did not indicate that any of these conditions caused profile limitations functional activities, and did not indicate that performance issues, if any, were due to these conditions: * laceration scar to left eyelid * acute gastroenteritis * allergic rhinitis * eczema right and left legs * eczema right arm * left lower extremity radiculopathy * right lower extremity radiculopathy * right ear normal hearing * left ear sensorineural hearing loss * subjective tinnitus 6. The applicant's DA Form 199 (Informal PEB Proceedings) contains the following statements in section VII (Instructions and Advisory Statements): a. This case was adjudicated as part of the Integrated Disability Evaluation System (IDES). b. As documented in the Department of Veterans Affairs (VA) memorandum dated 15 December 2014, the VA determined the specific VA Schedule for Rating Disabilities (VASRD) code(s) to describe the Soldier’s condition(s). The PEB determined the disposition recommendation based on the proposed VA disability rating(s) and in accord with applicable statutes and regulations. 7. On 26 January 2015, the applicant indicated he concurred with the PEB's findings and recommendations and did not request reconsideration of his VA ratings. 8. The applicant's DD Form 214 (Certificate of Release or Discharge from Active Duty) confirms he was discharged on 15 March 2015 under the provisions of Army Regulation 635-40 (Disability Evaluation for Retention, Retirement, or Separation), chapter 4, by reason of disability, severance pay, combat zone (enhanced). 9. Based on the applicant's contention the Army Review Board Agency medical staff provided a medical review for the Board members. See "MEDICAL REVIEW" section. MEDICAL REVIEW: 1. The Army Review Boards Agency (ARBA) Medical Advisor was asked to review this case. Documentation reviewed included the applicant’s ABCMR application and accompanying documentation, the military electronic medical record (AHLTA), the VA electronic medical record (JLV), the electronic Physical Evaluation Board (ePEB), the Medical Electronic Data Care History and Readiness Tracking (MEDCHART) application, and the Interactive Personnel Electronic Records Management System (iPERMS). The ARBA Medical Advisor made the following findings and recommendations: 2. The applicant was referred to the DES for “Lumbar Herniated Intervertebral Disc,” and the medical evaluation board (MEB) determined he failed the medical retention standards of AR 40-501, Standards of Medical Fitness, for this one condition. After being counseled on the MEB’s findings by his physical evaluation board liaison officer (PEBLO), the applicant agreed “with the board’s findings and recommendation” on 14 October 2014 and was referred to a physical evaluation board (PEB). 3. His informal PEB convened on 15 January 2015, at which time they found him unfit for “Lumbar mild intervertebral disc disease.” They found his other claimed conditions to not be unfitting. They applied the Veterans Benefits Administration’s (VBA) 10% rating for this disability and recommended the applicant be separated with disability severance pay. After being counseled on the PEB’s findings by his PEBLO, he declined an opportunity to have the VBA reconsider his ratings and concurred with their findings on 26 January 2015. 4. The applicant concurred with the findings of both his MEB and PEB. Review of the case in ePEB identified no irregularities. The applicant is not eligible for CRSC as the first criterion is that the Veteran is receiving military retirement pay. Given the current documentation, it is the opinion of the Agency Medical Advisor that referral of his case to the DES is not warranted. BOARD DISCUSSION: 1. After review of the application and all evidence, including the ARBA Medical Review, the Board found insufficient evidence to grant relief. The Board agreed that the applicant was medically evaluated during his period of service and that at the time of discharge his medical conditions were properly evaluated. The Board agreed that the applicant’s disability discharge at 10% was proper and fitting and there is insufficient evidence in the applicant’s medical and service records of a medical disability or condition that would support referral back to the DES for consideration for military medical retirement. The Army has neither the role nor the authority to compensate for progression or complications of service-connected conditions after separation; that role and authority lies with the Department of Veterans Affairs, which operates under a different set of laws. 2. The Board agreed with the Medical Review that the applicant is not eligible for CRSC as he was not medically retired. 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, U.S. Code, section 1552(b), provides that applications for correction of military records must be filed within three-years after discovery of the alleged error or injustice. This provision of law also allows the ABCMR to excuse an applicant's failure to timely file within the three-year statute of limitations if the ABCMR determines it would be in the interest of justice to do so. 2. Title 10, U.S. Code, chapter 61, provides the Secretaries of the Military Departments with authority to retire or discharge a member if they find the member unfit to perform military duties because of physical disability. The U.S. Army Physical Disability Agency is responsible for administering the Army physical disability evaluation system and executes Secretary of the Army decision-making authority as directed by Congress in chapter 61 and in accordance with Department of Defense Directive 1332.18 and Army Regulation 635-40. 3. Army Regulation 635-40 establishes the Army Disability Evaluation System and sets forth policies, responsibilities, and procedures that apply in determining whether a Soldier is unfit because of physical disability to reasonably perform the duties of his office, grade, rank, or rating. a. Soldiers are referred to the disability system when they no longer meet medical retention standards in accordance with Army Regulation 40-501 Standards of Medical Fitness), chapter 3, as evidenced in an MEB; when they receive a permanent physical profile rating of "3" or "4" in any functional capacity factor and are referred by a Military Occupational Specialty Medical Retention Board; and/or they are command-referred for a fitness-for-duty medical examination or directed by medical providers. b. The disability evaluation assessment process involves two distinct stages: the MEB and PEB. The purpose of the MEB is to determine whether the service member's injury or illness is severe enough to compromise his or her ability to return to full duty based on the job specialty designation of the branch of service. A PEB is an administrative body possessing the authority to determine whether a service member is fit for duty. A designation of "unfit for duty" is required before an individual can be separated from the military because of an injury or medical condition. Service members whose medical condition did not exist prior to service who are determined to be unfit for duty due to disability are either separated from the military or are permanently retired, depending on the severity of the disability. Individuals who are "separated" receive a one-time severance payment, while veterans who retire based upon disability receive monthly military retired pay and have access to all other benefits afforded to military retirees. c. The mere presence of medical impairment does not in and of itself justify a finding of unfitness. In each case, it is necessary to compare the nature and degree of physical disability present with the requirements of the duties the Soldier may reasonably be expected to perform because of his or her office, grade, rank, or rating. Reasonable performance of the preponderance of duties will invariably result in a finding of fitness for continued duty. A Soldier is physically unfit when medical impairment prevents reasonable performance of the duties required of the Soldier's office, grade, rank, or rating. d. The percentage assigned to a medical defect or condition is the disability rating. A rating is not assigned until the PEB determines the Soldier is physically unfit for duty. Ratings are assigned from the VASRD. The fact that a Soldier has a condition listed in the VASRD does not equate to a finding of physical unfitness. An unfitting or ratable condition is one which renders the Soldier unable to perform the duties of his or her office, grade, rank, or rating in such a way as to reasonably fulfill the purpose of his or her employment on active duty. There is no legal requirement in arriving at the rated degree of incapacity to rate a physical condition which is not in itself considered disqualifying for military service when a Soldier is found unfit because of another condition that is disqualifying. Only the unfitting conditions or defects and those which contribute to unfitness will be considered in arriving at the rated degree of incapacity warranting retirement or separation for disability. 4. Title 10, U.S. Code, section 1201, provides for the physical disability retirement of a member who has at least 20 years of service or a disability rating of at least 30 percent. Title 10, U.S. Code, section 1203, provides for the physical disability separation of a member who has less than 20 years of service and a disability rating of less than 30 percent. 5. Directive-type Memorandum (DTM) 11-015, dated 19 December 2011, explains the IDES. It states: a. The IDES is the joint Department of Defense (DOD)-VA process by which DOD determines whether wounded, ill, or injured service members are fit for continued military service and by which DOD and VA determine appropriate benefits for service members who are separated or retired for a service-connected disability. The IDES features a single set of disability medical examinations appropriate for fitness determination by the Military Departments and a single set of disability ratings provided by VA for appropriate use by both departments. Although the IDES includes medical examinations, IDES processes are administrative in nature and are independent of clinical care and treatment. b. Unless otherwise stated in this DTM, DOD will follow the existing policies and procedures requirements promulgated in DODI 1332.18 and the Under Secretary of Defense for Personnel and Readiness memoranda. All newly initiated, duty-related physical disability cases from the Departments of the Army, Air Force, and Navy at operating IDES sites will be processed in accordance with this DTM and follow the process described in this DTM unless the Military Department concerned approves the exclusion of the service member due to special circumstances. Service members whose cases were initiated under the legacy DES process will not enter the IDES. c. IDES medical examinations will include a general medical examination and any other applicable medical examinations performed to VA Compensation and Pension standards. Collectively, the examinations will be sufficient to assess the member’s referred and claimed condition(s) and assist VA in ratings determinations and assist military departments with unfit determinations. d. Upon separation from military service for medical disability and consistent with BCMR procedures of the Military Department concerned, the former service member may request correction of his or her military records through his or her respective Military Department BCMR if new information regarding his or her service or condition during service is made available that may result in a different disposition. For example, a veteran appeals VA’s disability rating of an unfitting condition based on a portion of his or her service treatment record that was missing during the IDES process. If the VA changes the disability rating for the unfitting condition based on a portion of his or her service treatment record that was missing during the IDES process and the change to the disability rating may result in a different disposition, the service member may request correction of his or her military records through his or her respective Military Department BCMR. e. If, after separation from service and attaining veteran status, the former service member desires to appeal a determination from the rating decision, the veteran has 1 year from the date of mailing of notice of the VA decision to submit a written notice of disagreement with the decision to the VA regional office of jurisdiction. 6. Title 38 U.S. Code, section 1110 (General - Basic Entitlement) states that for disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service, during a period of war, the United States will pay to any veteran thus disabled and who was discharged or released under conditions other than dishonorable from the period of service in which said injury or disease was incurred, or preexisting injury or disease was aggravated, compensation as provided in this subchapter, but no compensation shall be paid if the disability is a result of the veteran's own willful misconduct or abuse of alcohol or drugs. 7. Title 38, U.S. Code, section 1131 (Peacetime Disability Compensation - Basic Entitlement) states that for disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service, during other than a period of war, the United States will pay to any veteran thus disabled and who was discharged or released under conditions other than dishonorable from the period of service in which said injury or disease was incurred, or preexisting injury or disease was aggravated, compensation as provided in this subchapter, but no compensation shall be paid if the disability is a result of the veteran's own willful misconduct or abuse of alcohol or drugs. 8. CRSC is a program that was created for disability and non-disability military retirees with combat-related disabilities. It is a tax-free entitlement that will be paid each month along with any retired pay the individual may already be receiving. In order to qualify for CRSC, the individual must be entitled to and/or receiving military retired pay. //NOTHING FOLLOWS// ABCMR Record of Proceedings (cont) AR20200000286 8 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1