RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2011-02351 COUNSEL: HEARING DESIRED: YES ________________________________________________________________ APPLICANT REQUESTS THAT: His records be corrected to reflect that: 1. He served on active duty from 15 Sep 07 to 20 Jun 08, with entitlement to back pay and entitlements for this period. 2. He was medically retired and placed on the Permanent Disability Retirement List (PDRL) with a disability rating of 50 percent on 20 Jun 08, with entitlement to retroactive disability retired pay. ________________________________________________________________ APPLICANT CONTENDS THAT: He was diagnosed with service connected obstructive sleep apnea (OSA) and diabetes mellitus (DM) while serving a period of active duty for more than 30 days. He should have been retained on active duty until the Disability Evaluation System (DES) determined his fitness for duty, rather than separated and denied the right to return. He was inappropriately released from active duty during his Medical Evaluation Board (MEB)/Physical Evaluation Board (PEB) processing. Thus, he was unjustly denied pay and allowances between 15 Sep 07 and the date he should have been medically retired from active duty. At the time of his separation, he was not fit for duty, as evidenced by the Department of Veteran Affairs (DVA) rating of 50 percent disability for his OSA and 20 percent for his DM. If the Air Force had properly applied the governing regulations, he would have been found at least 50 percent disabled and placed on the temporary or permanent disability retired list. Thus, he has been unjustly denied medical retirement pay from the date he should have been medically retired. Additionally, he was denied his right to appeal the findings of the PEB. On 27 May 09, he disagreed with the determination of the Informal MEB that he was fit for duty, and requested a Formal Board. He was told he needed to submit a letter of justification; however, he was not given a suspense date for the submittal. On 6 Jun, he submitted his justification, only to find out that his Board had already made a determination on his case. In support of his request, the applicant provides an expanded statement, copies of his DD Form 214, Certificate of Release or Discharge from Active Duty, two AFRC IMTs 348, Informal Line of Duty (LOD) Determination, an AF Form 422, Physical Profile Serial Report, letters related to his Congressional and Inspector General inquiries, his Medical Evaluation Board (MEB) results and associated e-mails, and his Department of Veteran’s Affairs (DVA) decision on his claim for service connected compensation. The applicant’s complete submission, with attachments, is at Exhibit A. ________________________________________________________________ STATEMENT OF FACTS: According to the documentation submitted by the applicant, he was an Air Force Reservist serving on active duty from 31 Jan 07 to 15 Sep 07. On 4 May 07, he was initially treated for sleep related problems, and then on 22 May he was found to have Diabetes Mellitus. On 22 Jul 07, he underwent a sleep study which resulted in a diagnosis of obstructive sleep apnea (OSA), and on 29 Aug 07 he received a physical profile of 4T barring him from worldwide service, mobility status, or temporary duty (TDY). On 15 Sep 07, he was released from active duty. On 30 Jan 08, the LOD Approving Authority determined the applicant’s medical conditions were in the line of duty; on 20 Jun 08, the Formal Physical Evaluation Board (FPEB) determined the applicant was fit for continued military duty and he was placed on Assignment Limitation Code C-2. On 8 Jul 09, the DVA issued their decision on the applicant’s claim for service-connected compensation, granting him a 50 percent disability rating for OSA and a 20 percent disability rating for diabetes, both effective 20 Mar 09. AFI 36-3212, dated 2 Feb 06, Chapter 4, paragraph 4.4. Control of Member During PEB Processing states, “Once in disability channels, the following restrictions apply to ensure the member is available for necessary disability processing actions: 4.4.3. The MPF will not reassign the member, except for emergency reasons, until receiving notification of the final determination;” and, paragraph 4.5. Control of Member After PEB Action states, “The MPF will not retire, discharge, nor release a member from active duty before receiving the final decision in the form of retirement orders or instructions from HQ AFPC/DPPD directing disposition.” The remaining relevant facts pertaining to this application are contained in the letter prepared by the appropriate office of the Air Force, which is attached at Exhibit C. ________________________________________________________________ AIR FORCE EVALUATION: The AFBCMR Medical Consultant recommends denial of the applicant’s request for medical retirement indicating there is no evidence of error or injustice. The Military Disability Evaluation System (DES), can, by law, only offer compensation for and when a service-incurred illness, disease, or injury rendered a member unfit for continued service and was the cause for career termination; and then only for the degree of impairment present at the “snap shot” time of release from military service and not based on future changes or events. On the other hand, the DVA is authorized to offer compensation for any medical condition determined service-incurred or aggravated without regard to its impact upon a service member’s retainability, fitness to serve, or narrative reason for release from military service. This is the reason why an individual may be released from military service with certain medical conditions and sometime thereafter receive a compensation rating from the DVA for conditions that were not military unfitting at the time of release from military service. A medical condition that is considered disqualifying, or one which requires an MEB, does not automatically render a member unfit for further military service. Department of Defense (DoD) Instruction 1332.38 states: “If the evidence establishes that the Service member adequately performed his or her duties until the time the Service member was referred for physical evaluation, the member may be considered fit for duty even though medical evidence indicates questionable physical ability to continue to perform duty,” and “regardless of the presence of illness or injury, inadequate performance of duty, by itself, shall not be considered as evidence of unfitness due to physical disability unless it is established that there is a cause and effect relationship between the two factors.” In the case under review, the applicant’s OSA and DM, although both required MEBs, were not the cause of termination of his career, noting both were well controlled under treatment, and that neither was the cause of inadequate duty performance. In addition, both of the applicant’s medical conditions were identified while in active duty status, both were found in the line of duty, both occurred during a period of active service of 31 days or more, that he was assigned a “P4’ profile, he underwent an MEB, and his case was referred through the DES to determine whether he should be returned to duty or separated by a Physical Evaluation Board (PEB); whereupon it was indeed determined he was fit and was returned to duty. The Medical Consultant firmly believes that had the applicant appealed this finding to a Formal PEB, and subsequent review by the Secretary of the Air Force Personnel Council (SAFPC), the “fit” determination would, more likely than not, have been upheld. However, concerning the applicant’s claim that he should not have been released from active duty, the Medical Consultant does believe that consideration should be made for extending the applicant’s active duty orders, with applicable pay, from the date following their termination on 15 Sep 07 to his actual date of return to duty fit on 20 Jun 08. Department of Defense (DoD) Instruction 1241.2 reads: “A Reserve component member on active duty under a call or order to active duty specifying a period of 31 days or more, who incurs or aggravates an injury, illness, or disease in the line of duty shall, with the member’s consent, be continued on active duty upon the expiration of call or order to active duty until the member is determined fit for duty or the member is separated or retired as a result of a Disability Evaluation System (DES) determination.” The complete AFBCMR Medical Consultant evaluation is at Exhibit C. ________________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: Counsel respectfully disagrees with the Medical Consultant’s opinion as presented in his advisory, and restates the original argument. The applicant’s condition did impact his military duties. While the applicant’s commander did provide an opinion regarding the applicant’s abilities, it was based on speculation. The commander clearly states that others have to cover the applicant’s workload, but attributes this to the applicant’s stress not his medical condition. If the applicant had been allowed to appeal his case he would have been able to demonstrate that his medical condition not his “stress” impacted his ability to perform his duties (Exhibit E). ________________________________________________________________ THE BOARD CONCLUDES THAT: 1. The applicant has exhausted all remedies provided by existing law or regulations. 2. The application was not timely filed; however, it is in the interest of justice to excuse the failure to timely file. 3. Insufficient relevant evidence has been presented to demonstrate the existence of an error or injustice concerning the applicant’s request for retroactive medical retirement, with back pay. We took notice of the applicant’s complete submission, including his response to the AFBCMR Medical Consultant advisory opinion, in judging the merits of the case; however, we agree with the opinion and recommendation of the AFBCMR Medical Consultant and adopt his rationale as the basis for our conclusion the applicant has not been the victim of an error or injustice with respect to the outcome of his fitness determination. In particular, we note the physical evaluation board (PEB) determined he was fit and returned him to duty, and thus, his two evaluated medical conditions were not the cause of termination of his career. Therefore, in the absence of evidence to the contrary, we find no basis to recommend granting the applicant’s request for a medical retirement. Notwithstanding the above, sufficient relevant evidence has been presented to demonstrate the existence of an error or injustice concerning the applicant’s contention that he should have remained on active duty orders, with applicable pay and entitlements, pending a final determination through the Disability Evaluation System (DES) in compliance with the guidance set forth in Department of Defense Instruction (DODI) 1241.2. In this respect, we note the applicant was injured while on orders for 31 days or more and contrary to DoDI 1241.2, was erroneously released from active duty prior to being processed through the DES. We also note that if the applicant had remained on active duty while processing through the DES as required, he would have obtained 20 years of satisfactory service and thus qualified for transfer to the retired reserve and retirement pay at age 60. Therefore, we believe the applicant’s records should be corrected to the extent indicated below. 4. The applicant’s case is adequately documented and it has not been shown that a personal appearance with or without counsel will materially add to our understanding of the issues involved. Therefore, the request for a hearing is not favorably considered. ________________________________________________________________ THE BOARD RECOMMENDS THAT: The pertinent military records of the Department of the Air Force relating to the APPLICANT be corrected to show that: a. On 15 September 2007 he was not released from active duty, but on that date he was continued on active duty for the purpose of medical continuation until 20 June 2008. b. On 5 January 2009, he was not discharged from the Air Force Reserve, but continued to serve in an active status until 7 January 2009, at which point he submitted an application for transfer to the Retired Reserve, which was accepted by competent authority, and he was transferred to the Retired Reserve, effective 7 January 2009, with service characterized as “Honorable,” authority and reason for separation as “Retirement,” with the appropriate reenlistment eligibility and separation program designator (SPD) code. c. As regards to the election of Reserve Component Survivor Benefit Plan (RCSBP) options, the record will be corrected in accordance with his subsequently expressed preferences and/or as otherwise provided for by law or the Code of Federal Regulations. ________________________________________________________________ The following members of the Board considered AFBCMR Docket Number BC-2011-02351 in Executive Session on 24 Apr 12, under the provisions of AFI 36-2603: Panel Chair Member Member All members voted to correct the records as recommended. The following documentary evidence was considered: Exhibit A. DD Form 149, dated 14 Jul 11, w/atchs. Exhibit B. Applicant's Master Personnel Records. Exhibit C. Letter, AFBCMR Medical Consultant, dated 30 Jan 12. Exhibit D. Letter, SAF/MRB, dated 3 Feb 12 Exhibit E. Letter, Counsel, dated 4 Mar 12. Panel Chair