THIRD ADDENDUM
RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2007-03725
COUNSEL: XXXXXXXX
XXXXXXX HEARING DESIRED: YES
________________________________________________________________
APPLICANT REQUESTS THAT:
1. He be reimbursed for his first move after his retirement
date.
2. His medical and dental expenses, including health insurance
premiums, be reimbursed.
________________________________________________________________
STATEMENT OF FACTS:
The applicant submitted a similar request dated 9 Nov 07. On
15 Apr 10, the Board recommended that his records be corrected
to show that:
a. On 30 Jun 06, he was found unfit to perform the duties
of his office, rank, grade, or rating by reason of physical
disability, incurred while he was entitled to receive basic pay;
that the diagnoses in his case were Cervical Spine Pain, VASRD
Code 5242, rated at 10 percent; Lumbar Spine Pain, VASRD Code
5243, rated at 10 percent; and Ischial Bursitis, VASRD Code
5019, rated at 10 percent; that the total combined
comprehensible percentage was 30 percent; that the degree of
impairment was permanent; that the disability was not due to
intentional misconduct or willful neglect; that the disability
was not incurred during a period of unauthorized absence; and
that the disability was not received in the line of duty as a
direct result of armed conflict or caused by an instrumentality
of war.
b. On 1 Jul 06, he declined Survivor Benefit Plan (SBP)
coverage.
c. He was released from active duty on 1 Jul 06 and was
permanently retired by reason of physical disability, with a
30 percent compensable disability rating, effective 2 Jul 06.
The Director, Air Force Review Boards Agency, agreed with the
recommendation of the Board majority; however, he directed the
applicant be granted a 60 percent compensable disability rating,
rather than 30 percent, effective 2 Jul 06.
The applicant also requested reimbursement of medical expenses;
however, this request was denied because the AFBCMR was
empowered only to correct military records. Determining the
benefits and entitlements that are a consequence of such
corrections is the responsibility of the offices of primary
responsibility (in this case, TRICARE and the Defense Finance
and Accounting Service (DFAS)) (Exhibit Z).
On 25 Feb 11, the applicant requested the Board reconsider its
denial of his request for reimbursement of his medical/dental
bills and health insurance premiums. In addition, he requested:
1) He be enrolled in TRICARE coverage effective 2 Jul 06.
2) His medical retirement pay be tax exempt based on his
combat-related injuries.
3) He be reimbursed for his first move after his
retirement date .
On 5 Mar 12, the BCMR Medical Advisor recommended denial of the
applicants request to designate his medical conditions as
combat-related and/or caused by an instrumentality of war.
In a 13-page response, dated 2 Apr 12, the applicant disagreed
with the BCMR Medical Advisors findings and states his record
amply supports his disability as combat-related.
On 30 Apr 12, the Board reconsidered and denied the applicants
request. The Addendum to the ROP with the Boards full
rationale for its decision is at Exhibit AA.
On 21 Jun 12, the applicant again applied to the Board for
reconsideration. In this application he alleged that his 2 Apr
12 letter with attachments was not listed among the evidence the
Board considered on 30 Apr 12. On 3 Dec 12, the Board
reconsidered the applicants request and noted that while the
documents were considered by the previous panel, they were
inadvertently omitted from the list of Exhibits on the Addendum
to the ROP dated 30 Apr 12. Additionally, the Board denied his
request that his injuries be determined to be combat-related and
his request for reimbursement of his medical and dental
expenses. The Board did not find the applicants evidence and
argument persuasive on the point of establishing his disability
as combat-related. On his request for reimbursement of his
medical expenses, the Board again noted for the applicant that
the Boards previous grant making him a disability retiree did
qualify him for medical benefits, but he would have to take
steps of his own to collect on his entitlement. (See Second
Addendum at Exhibit BB, with attachments).
By letter, dated 23 Jan 13, the applicant again requested
reconsideration, contending this time that while the Board had
directed that he be reimbursed for his first move, he had not
been paid. With respect to reimbursement of his medical and
dental bills, and health insurance premiums, he states that the
Boards first addendum to the Record of Proceedings contends
that he failed to exhaust some remedy in connection with this
portion of his application. However, the second addendum to the
Record of Proceedings made no mention of any failure to exhaust
any remedy and he is unsure of why the Board abandoned that
portion of its earlier rationale. Further, he notes that the
second addendum seems to suggest that relief was denied because
he declined Medicare Part B coverage on 10 Dec 10 and 1 Jun 12,
and that Part B enrollment is required to be eligible for
Medicare disability benefits and feels that neither is a basis
to deny relief (Exhibit CC).
On 25 Mar 13, the AFBCMR staff examined his request and
determined that it did not meet the criteria for reconsideration
by the Board (Exhibit DD, with attachments).
On 7 May 13, the United States Court of Federal Claims (CoFC)
remanded the case to the Board and directed the Board address
all of the issues raised in plaintiffs request for
reconsideration of the AFBCMR's Second Addendum to its Record of
Proceedings (Exhibit EE).
________________________________________________________________
THE BOARD CONCLUDES THAT:
Based on our earlier decision and the remand from the CoFC,
after again reconsidering the applicant's appeal, it remains our
opinion that no further correction to the record is warranted.
Regarding his 23 Jan 13 letter, the applicant and counsel noted
some confusion as to whether the Board, based on the Second
Addendum to the Record of Proceedings, was abandoning its
earlier determination that the applicant had not exhausted his
administrative remedies. In the aforementioned addendum as in
this proceeding, the Board has simply tried to provide further
explanation as to why the applicant was only granted partial
relief. As noted in the letter from the Executive Director, the
applicant was successful in having his record partially
corrected, and while it is apparent that he is still seeking
monetary reimbursement for his expenses, there is no further
action for the Board. The applicants military record has been
corrected, and if he seeks payment for this correction, he has
been advised to seek assistance from the Defense Finance and
Accounting Service (DFAS), which has authority to issue funds as
a result of the Boards corrective action. Further, we submit
the following to clarify the Boards decision and explain the
nature of the Boards authority:
1. In an earlier finding, the Board determined there was
insufficient evidence to warrant corrective action in regard to
the applicants request that his injuries be rated as combat-
related. However, the applicant has not provided any additional
information to our satisfaction to specifically substantiate his
entitlement to the requested relief or to overturn our earlier
decision. In view of the above, we find no basis upon which to
recommend favorable consideration of this portion of the
application.
2. Concerning the applicants request for reimbursement of
expenses he incurred during his first move, as noted in the
earlier addendums, and according to a 30 Jan 12 letter from the
Retirements Programs and Policy Section, Directorate of
Personnel Services, Air Force Personnel Center (AFPC/DPSOR),
that office administratively corrected his record to reflect
that he was authorized a Home of Selection move on his amended
retirement orders. Since there is no other correction to the
record required, we advise the applicant to contact the Air
Force office of primary responsibility (the Air Force District
of Washington Joint Personal Property Agency) in regards to
household goods shipment or DFAS for reimbursement of travel
expenses. They should be able to assist the applicant with
further resolution of this portion of his application.
3. Regarding the applicants request for reimbursement of
his medical and dental expenses, based on the evidence of record
and that provided through counsel, in Jun 10, the applicants
record was corrected to reflect that he was disability retired,
effective 2 Jul 06, with a disability rating of 60 percent. The
applicant now requests that he be reimbursed for his medical
claims. In an earlier rationale, the Board explained for the
applicant the process of filing his claims through TRICARE; this
explanation was not a basis for denial of his request, but
rather an attempt to assist the applicant understand his next
steps in obtaining the relief the Board had already granted him.
TRICARE is the Department of Defense (DoD) contractor
established to provide medical coverage for all retired military
members. The applicant should continue working with TRICARE to
seek reimbursement of his medical expenses. Further, the Board
cannot enter an order to direct TRICARE (or DFAS for that
matter) to pay the applicant a specific amount. The Board is a
creature of statute. Under Title 10, Section 1552, the Board is
empowered only to correct military records for the removal of
error or injustice. The Board has no authority to issue orders
to enforce its own corrections. On the other hand, Section
1552(a)(4) of Title 10 states, [e]xcept when procured by fraud,
a correction under this section is final and conclusive on all
officers of the United States. So, to the extent the Board has
already granted relief to the applicant, other federal agencies
have a duty to provide that relief. While counsel notes his
belief as to what determines full and fitting relief or
thorough and fitting relief, based on his submission, TRICARE
and DFAS are the only agencies that can properly calculate and
execute any amounts that may be owed pursuant to the Boards
directive. Regarding the applicants comments about being
treated differently from others in a similar situation, the
Board notes that all applicants receive relief from the Board in
the form of a correction to their military records. In view of
the above, we find no basis upon which to take further action in
the applicants case.
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 issue(s)
involved. Therefore, the request for a hearing is not favorably
considered.
________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of material error or injustice for
which the Board is able to grant relief beyond that already
given; that the application was denied without a personal
appearance; and that the application will only be reconsidered
upon the submission of newly discovered relevant evidence not
considered with this application.
________________________________________________________________
The following members of the Board considered AFBCMR Docket
Number BC-2007-03725in Executive Session on 2 Jul 13, under the
provisions of AFI 36-2603:
The following documentary evidence was considered:
Exhibit Z. Record of Proceedings, dated 10 Jun 10, w/atchs.
Exhibit AA. Addendum to Record of Proceedings, dated 21 May 12.
Exhibit BB. Second Addendum to Record of Proceedings,
dated 28 Dec 12, w/atchs.
Exhibit CC. Letter, Applicant, dated 23 Jan 13, w/atchs.
Exhibit DD. Letter, AFBCMR, dated 25 Mar 13, w/atch.
Exhibit EE. Remand from United States Court of Federal Claims,
dated 7 May 13, w/atch.
Panel Chair
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