IN THE CASE OF: BOARD DATE: 7 June 2023 DOCKET NUMBER: AR20220011033 APPLICANT REQUESTS: increase of his physical disability retirement rating. APPLICANT'S SUPPORTING DOCUMENT(S) CONSIDERED BY THE BOARD: * DD Form 149 (Application for Correction of Military Record) * DD Form 214 (Certificate of Release or Discharge from Active Duty) FACTS: 1. The applicant did not file within the 3-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 his disability rating should be updated and increased. His anxiety and depressive disorder, memory loss, chronic sleep disorder, and difficulty adapting to stressful circumstance, have contributed to him forgetting directions, names, dates, and he has an inability to establish and maintain effective relationships. 3. On 16 August 1979, the applicant reenlisted in the Regular Army (RA) for a period of 6 years in pay grade E-5. He held military occupational specialty (MOS) 19D (Cavalry Scout). On 21 June 1984, he extended his 6-year enlistment in the RA to a period of 8 years and 6 months to complete an overseas tour in Hawaii. The period of extension was 30 months. 4. A DA Form 3349 (Physical Profile Board Proceedings) confirms on 18 July 1983, the applicant was issued a permanent physical profile of 113111. His physical defects are listed as status post diskectomy and foraminotomy May 1983 with residual leg pain. His assignment limitations were: * running, not to exceed ½ mile, at own pace * lifting, not to exceed 50 pounds * sit-ups, not to exceed 5 at a time * reevaluate in 1 year A physical profile, as reflected on a DA Form 3349 (Physical Profile) or DD Form 2808, is 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 meaning a high level of fitness; 2 indicates some activity limitations are warranted, 3 reflects significant limitations, and 4 reflects one or more medical conditions of such a severity that performance of military duties must be drastically limited. Physical profile ratings can be either permanent or temporary. 5. A Summary of MOS/Medical Retention Board (MMRB) Proceedings confirms on 14 November 1984, an MMRB determined the applicant’s permanent medical condition prevented him from performing the full range of physical tasks required of his primary MOS and recommended reclassification into MOS 73C (Finance Specialist), 71M (Chapel Activities Specialist), or 76X (Subsistence Supply Specialist). On 10 December 1984, the recommendation was approved and forwarded to Headquarters Department of the Army for final reclassification action. 6. The applicant’s DA Form 3947 (Medical Evaluation Board (MEB) Proceedings) confirms the board convened on 11 July 1985. a. The MEB found after consideration of clinical records, laboratory findings, and physical examination, the applicant had the following medical conditions/defects that failed medical retention standards: * status post L-5 S-1 herniated nucleus pulposus * status post L-5 S-1 diskectomy with foraminotomy of the S-1 nerve root 27 May 1983 * chronic left leg pain, severe secondary to diagnosis * pseudomeningocele at level of L-5 S-1 secondary to lumbar surgery, unfit under the provisions (UP) of Army Regulation (AR) 635-40, paragraph 3-34c b. The following conditions were found to meet retention standards: * chronic sinusitis * external hemorrhoids c. The findings and recommendation of the board were approved on 11 July 1985, and the applicant agreed with the board's findings and recommendations on 15 July 1985. Accordingly, his case was forwarded to a Physical Evaluation Board (PEB). 7. A DA Form 199 (PEB Proceedings) shows the PEB convened on 22 July 1985 and found the applicant unfit with a recommended combined disability rating of 40% and that his disposition be permanent disability retirement. a. The applicant’s unfitting condition was neuritis, sciatic nerve; status post herniated nucleus pulposus, L5 S1; status post diskectomy of S1 nerve root; with chronic left leg pain and pseudomeningocele; rated severe. b. The PEB noted, “Member is unfit for continued service because of chronic left leg and back pain post-surgical procedures with recurrence of symptoms. Member requires a back brace for support. Condition has existed over two years; therefore, permanent disposition is recommended.” 8. On 23 July 1985, the applicant did not concur with the PEB findings and recommendation and demanded a formal hearing. 9. PEB Proceedings show the PEB reconsidered the applicant’s conditions on 25 September 1985 and found him unfit with a recommended combined disability rating of 50% and that his disposition be permanent disability retirement for the following conditions: a. The applicant’s unfitting conditions were: * neuritis, sciatic nerve; status post herniated nucleus pulposus, L5 51; status post diskectomy of 51 nerve root; with chronic left leg pain and pseudomeningocele; rated at 40%. * sinusitis, maxillary, chronic, moderate; rated at 10% b. The PEB stated, Reconsidered UP AR 635-40. Soldier is unfit for continued service because of chronic left leg and back pain post-surgical procedures with recurrence of symptoms. Soldier requires a back brace for support. This condition has existed over 2 years. At the request of counsel, the case is reconsidered, and the PEB now finds that a rating for the sinus condition is warranted. Permanent disposition is recommended. 10. On 27 September 1985, the applicant concurred with the 25 September 1985 reconsidered PEB and withdrew his request for a formal PEB hearing. On 9 October 1985, the PEB was approved for the Secretary of the Army. 11. Orders D204-1, from the U.S. Army Military Personnel Center, Alexandria, VA, confirms the applicant was retired on 27 November 1985 and was placed on the retired list on 28 November 1985 with a 50 % disability rating, in the rank/grade of staff sergeant/E-6. 12. Accordingly, on 27 November 1985, the applicant was retired under provisions of AR 635-40, paragraph 4-24e(1), physical disability, permanent, in pay grade E-6. His DD Form 214 shows he completed 6 years, 3 months, and 12 days of net active service during this period and 3 years, 10 months, and 28 days of total prior active service. His DD Form 214 also shows 3 years of foreign service [Hawaii]. He was awarded the Army Commendation Medal, Good Conduct Medal (3rd Award), Driver Mechanic Badge, Army Service Ribbon, Overseas Service Ribbon, Noncommissioned Office Professional Development Ribbon (2nd Award), Marksman Marksmanship Qualification Badge Rifle (M-16), and Sharpshooter Marksmanship Qualification Badge Machinegun (M-60). 13. AR 635-40, states 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. 14. 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 Department of Veterans Affairs (VA) does not have authority or responsibility for determining physical fitness for military service. The VA may compensate the individual for loss of civilian employability. 15. Title 38, USC, sections 1110 and 1131, permit the VA to award compensation for disabilities which were incurred in or aggravated by active military service. An award of a VA rating does not establish an error or injustice on the part of the Army. 16. Title 38, Code of Federal Regulations, Part IV is the VA’s schedule for rating disabilities. The VA awards disability ratings to veterans for service-connected conditions, including those conditions detected after discharge. As a result, the VA, operating under different policies, may award a disability rating where the Army did not find the member to be unfit to perform their duties. 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. 17. MEDICAL REVIEW: a. The applicant is applying to the ABCMR requesting an increase of his physical disability retirement rating due to mental health conditions. b. The specific facts and circumstances of the case can be found in the ABCMR Record of Proceedings (ROP). Pertinent to this advisory are the following: 1) The applicant enlisted in the Regular Army on 16 August 1979; 2) On 27 November 1985, the applicant was medically retired under provisions of AR 635-40, paragraph 4-24e(1), physical disability, permanent, in pay grade E-6. He was found to be 50% disabled for the unfitting conditions of: A) neuritis, sciatic nerve; status post herniated nucleus pulposus, L5 51; status post diskectomy of 51 nerve root; with chronic left leg pain and pseudomeningocele; rated at 40%; B) sinusitis, maxillary, chronic, moderate; rated at 10%. c. The Army Review Board Agency (ARBA) Medical Advisor reviewed the supporting documents and the applicant’s military service and medical records. The VA’s Joint Legacy Viewer (JLV) was also examined. No additional medical documentation was provided d. The applicant states he incurred a psychiatric disability in addition to his physical disability, while he was on active service. Specifically, the applicant reported experiencing an “anxiety and depressive disorder, memory loss, chronic sleep disorder, and difficulty adapting to stressful circumstance which have contributed to him forgetting directions, names, dates, and he has an inability to establish and maintain effective relationships.” There was no available evidence the applicant reported any mental health symptoms while on active service. e. A review of JLV provided evidence the applicant was found to be 50-percent service connected for depression since 2018. The applicant did report attending a few sessions while on active service due to stress related to his wife’s pregnancy, but there is no record of these encounters. He also reported increased depression in 2018 related to his son’s suicide and his recent diagnosis of prostate cancer. f. Based on the available information, it is the opinion of the Agency BH Advisor that there is insufficient evidence the applicant had a qualifying mental health condition or any duty incurred medical condition which would have failed the medical retention standards of chapter 3 of AR 40-501, Standards of Medical Fitness, prior to his discharge. Thus, there was no cause for referral to the Disability Evaluation System. g. It is the opinion of the Agency Medical Advisor that a referral of his case to the Disability Evaluation System is unwarranted. Kurta Questions: A. Did the applicant have a condition or experience that may excuse or mitigate the discharge? Yes, the applicant contends he warrants an increase in his disability rating because he incurred a psychiatric disability. B. Did the condition exist or experience occur during military service? Yes, the applicant reports experiencing this psychiatric disability while on active service. C. Does the condition experience actually excuse or mitigate the discharge? No, there is insufficient evidence the applicant had a qualifying mental health condition or any duty incurred medical condition which would have failed the medical retention standards of chapter 3 of AR 40-501, Standards of Medical Fitness, prior to his discharge. Thus, there was no cause for referral to the Disability Evaluation System. It is the opinion of the Agency Medical Advisor that a referral of his case to the Disability Evaluation System is unwarranted. BOARD DISCUSSION: 1. After reviewing the application, all supporting documents, and the evidence found within the military record, the Board found that relief was not warranted. The Board carefully considered the applicant's record of service, documents submitted in support of the petition and executed a comprehensive and standard review based on law, policy and regulation. The Board also considered the findings of the PEB. Upon review of the applicant’s petition, available military records and the medical review, the Board concurred with the advisory official finding a referral of his case to the Disability Evaluation System is unwarranted. Based on the advisory opine the Board determined there is insufficient evidence the applicant had a qualifying mental health condition, or any duty incurred medical condition which would have failed the medical retention standards of chapter 3 of AR 40-501, Standards of Medical Fitness, prior to his discharge. Based upon a preponderance of the evidence, the Board determined the final decision made by the PEB was not in error or unjust. Therefore, the Board denied relief. 2. The Board agreed that the VA provides post-service support and benefits for service connected medical conditions. The VA operates under different laws and regulations than the Department of Defense (DOD). In essence, the VA will compensate for all service connected disabilities. Variance in ratings does not indicate an error on the part of either entity. ? 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 3 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 3-year statute of limitations if the ABCMR determines it would be in the interest of justice to do so. 2. AR 635-40 (Physical Evaluation for Retention, Retirement, or Separation), in effect at the time, established the Army Physical Disability Evaluation System and set 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. 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. a. Paragraph 3-2 states disability compensation is not an entitlement acquired by reason of service-incurred illness or injury; rather, it is provided to Soldiers whose service is interrupted and who can no longer continue to reasonably perform because of a physical disability incurred or aggravated in military service. b. Paragraph 3-4 states Soldiers who sustain or aggravate physically-unfitting disabilities must meet the following line-of-duty criteria to be eligible to receive retirement and severance pay benefits: (1) The disability must have been incurred or aggravated while the Soldier was entitled to basic pay or as the proximate cause of performing active duty or inactive duty training. (2) The disability must not have resulted from the Soldier's intentional misconduct or willful neglect and must not have been incurred during a period of unauthorized absence. c. 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 Department of Veterans Affairs (VA) Schedule for Rating Disabilities (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 their office, grade, rank, or rating in such a way as to reasonably fulfill the purpose of their 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. 3. 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 IAW DOD Directive 1332.18 and AR 635-40. a. Soldiers are referred to the disability system when they no longer meet medical retention standards IAW AR 40-501 (Standards of Medical Fitness), chapter 3, as evidenced in an MEB; when they receive a permanent medical profile rating of 3 or 4 in any factor and are referred by an military occupational specialty medical retention board; and/or they are command-referred for a fitness-for-duty medical examination. 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/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 or not 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 who are determined to be unfit for duty due to disability either are separated from the military or are permanently retired, depending on the severity of the disability and length of military service. 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 a 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 a medical impairment prevents reasonable performance of the duties required of the Soldier's office, grade, rank, or rating. 4. Title 38, U.S. Code, Section 1110 (General – Basic Entitlement) states 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. 5. Title 38, U.S. Code, Section 1131 (Peacetime Disability Compensation – Basic Entitlement) states 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. 6. On 25 August 2017, the Office of the Undersecretary of Defense for Personnel and Readiness issued clarifying guidance for the Secretary of Defense Directive to DRBs and BCM/NRs when considering requests by veterans for modification of their discharges due in whole or in part to: mental health conditions, including PTSD, traumatic brain injury, sexual assault, or sexual harassment. Boards are to give liberal consideration to veterans petitioning for discharge relief when the application for relief is based, in whole or in part, on those conditions or experiences. 7. On 25 July 2018, the Under Secretary of Defense for Personnel and Readiness issued guidance to Military Discharge Review Boards and Boards for Correction of Military/Naval Records (BCM/NRs) regarding equity, injustice, or clemency determinations. Clemency generally refers to relief specifically granted from a criminal sentence. BCM/NRs may grant clemency regardless of the court-martial forum. However, the guidance applies to more than clemency from a sentencing in a court- martial; it also applies to any other corrections, including changes in a discharge, which may be warranted on equity or relief from injustice grounds. This guidance does not mandate relief, but rather provides standards and principles to guide BCM/NRs in application of their equitable relief authority. In determining whether to grant relief on the basis of equity, injustice, or clemency grounds, BCM/NRs shall consider the prospect for rehabilitation, external evidence, sworn testimony, policy changes, relative severity of misconduct, mental and behavioral health conditions, official governmental acknowledgement that a relevant error or injustice was committed, and uniformity of punishment. 8. Title 10, U.S. Code, section 1556 requires the Secretary of the Army to ensure that an applicant seeking corrective action by the Army Review Boards Agency (ARBA) be provided with a copy of any correspondence and communications (including summaries of verbal communications) to or from the Agency with anyone outside the Agency that directly pertains to or has material effect on the applicant's case, except as authorized by statute. ARBA medical advisory opinions and reviews are authored by ARBA civilian and military medical and behavioral health professionals and are therefore internal agency work product. Accordingly, ARBA does not routinely provide copies of ARBA Medical Office recommendations, opinions (including advisory opinions), and reviews to Army Board for Correction of Military Records applicants (and/or their counsel) prior to adjudication. //NOTHING FOLLOWS// ABCMR Record of Proceedings (cont) AR20220011033 1 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1