RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-03835
COUNSEL: NONE
HEARING DESIRED: YES
________________________________________________________________
APPLICANT REQUESTS THAT:
His disability rating be increased from ten percent to
50 percent.
________________________________________________________________
APPLICANT CONTENDS THAT:
The Formal Physical Evaluation Board (FPEB) did not consider the
Department of Veterans Affairs (DVA) 50 percent rating decision
when rating his Post-Traumatic Stress Disorder (PTSD) at ten
percent. Based on the DVAs separate and concurrent review of
his disability nine days prior to the FPEBs decision, his PTSD
should have been rated at 50 percent by the Air Force.
In support of his request, the applicant provides a supporting
statement and copies of extracts of his military personnel
records related to the FPEB decision, his DVA rating decision,
separation orders, and excerpts from an accident report related
to his PTSD.
The applicants complete submission, with attachments, is at
Exhibit A.
_________________ ______________________________________________
STATEMENT OF FACTS:
The applicants military personnel records indicate he served as
a member of the Connecticut Air National Guard in the grade of
master sergeant (E-7) during the matter under review.
On 19 Jan 99, a medical evaluation board (MEB) was convened to
determine the applicants fitness for duty. After consideration
of clinical records, laboratory findings, and physical
examination, the MEB established that his PTSD and Major
Depressive Disorder served to possibly undermine his
qualifications for worldwide duty and referred the matter to the
Informal Physical Evaluation Board (IPEB).
On 8 Mar 99, the IPEB determined the applicants PTSD rendered
him unfit for military service and recommended he be temporarily
retired with a 30 percent combined compensable disability
rating.
On 9 Jun 99, the applicant was relieved from his assignment and
placed on the temporary disability retired list (TDRL),
effective 10 Jun 99.
In accordance with 10 USC 1210, a physical examination shall be
given at least once every 18 months to each member of the armed
forces whose name is on the TDRL to determine whether there has
been a change in the disability for which they were temporarily
retired. If it is determined the members physical disability
is of a permanent nature and stable and rated at least
30 percent under the VA Schedule for Rating Disabilities (VASRD)
at the time of the determination, their name shall be removed
from the TDRL and he/she shall be permanently retired. However,
if it is determined the members physical disability is less
than 30 percent disabling at the time of the determination, and
if the member has less than 20 years of service, his name shall
be removed from the TDRL and he may be separated.
On 22 Sep 00, the applicant was directed to undergo a periodic
physical evaluation on 6 Oct 00 in accordance with the
requirements of 10 USC 1210.
On 2 Nov 00, the IPEB determined the applicants PTSD had
improved somewhat since his last TDRL evaluation, but still
rendered him unfit to perform his military duties. Accordingly,
the IPEB recommended he be assigned a combined compensable
disability rating of ten percent and discharged with severance
pay.
On 26 Nov 00, the applicant acknowledged receipt of the action
and elected to appeal the finding to the Formal Physical
Evaluation Board (FPEB). On 11 Jan 01, the FPEB determined the
applicants PTSD was more appropriately rated at 30 percent and
recommended that his name be retained on the TDRL and the
applicant concurred with that finding.
On 18 Dec 01, the applicant was again directed to undergo a
periodic physical evaluation on 10 Jan 02 in accordance with the
requirements of 10 USC 1210.
On 12 Feb 02, the IPEB determined that while the applicants
PTSD continued to be unfitting, his condition had continued to
improve since being placed on the TDRL allowing him to further
stabilize his life. Accordingly, the IPEB recommended he be
assigned a combined compensable disability rating of ten percent
and discharged with severance pay.
On 2 Mar 02, the applicant acknowledged receipt of the action
and elected to appeal at a formal hearing, contending that his
PTSD had not improved, that he continued to struggle on a daily
basis.
On 18 Apr 12, the FPEB upheld the IPEB determination and
recommended the applicant be given a combined compensable
disability rating of ten percent and discharged with severance
pay due to physical disability. The applicant acknowledged
receipt of the action and elected to submit an appeal to the
Secretary of the Air Force Personnel Council (SAFPC).
On 3 Jun 02, SAFPC directed the applicant be removed from the
TDRL and discharged with severance pay with a disability rating
of ten percent. In arriving at its decision, SAFPC reviewed the
evidence and testimony presented and the remarks of both the
IPEB and FPEB, the TDRL evaluation, the applicants service
medical record, and the medical summary leading to the MEB.
On 26 Jun 02, the applicants name was removed from the TDRL and
he was discharged by reason of physical disability with
entitlement to severance pay.
The remaining relevant facts pertaining to this application are
contained in the letter prepared by the AFBCMR Medical
Consultant, which is attached at Exhibit C.
________________________________________________________________
AIR FORCE EVALUATION:
The AFBCMR Medical Consultant recommends denial, indicating
there is no evidence of an error or injustice. The pivotal
issue for consideration is the rating disparity between the DoD
and DVA. In order to evaluate the applicant's petition for a
higher disability rating, the TDRL examination report dated
January 10, 2002 is essential to completing a proper assessment.
The psychiatrist notes summarize the applicant's PTSD symptoms
which include recurrent and intrusive thoughts, flashbacks,
nightmares, and other symptoms. The PTSD is further described
as chronic with marked impairment for further military duty and
definite impairment for civilian social and industrial
adaptability. Prognostic comments indicate the requirement for
lifetime therapy and medication to control symptoms. Also
stated, "The applicant remained competent for pay and records
purposes." In regards to social functioning, comments by the
psychiatrist indicate, "He continues to run a small business and
is financially stable. He currently owns a house and has a
roommate." Under Title 10, United States Code (USC) the
military departments can only offer compensation for and when an
illness or injury is the cause for termination of a service
member's career; and then only to the degree of impairment
present at the "snap shot" time of final military or TDRL
disposition. The DVA rating schedule designates a 50 percent
rating for the following, "Occupational and social impairment
with reduced reliability and productivity due to such symptoms
as: flattened affect, circumstantial, circumlocutory or
stereotyped speech; panic attacks more than once per week;
difficulty in understanding complex commands; impairment of
short- and long-term memory; impaired judgment; impaired
abstract thinking; disturbances of motivation and mood;
difficulty in establishing and maintaining effective work and
social relationship." However, the information contained in the
TDRL examination report fails to document a degree of functional
impairment consistent with these findings, and the documentation
presented by the applicant is not sufficient for a 50 percent
disability rating. Moreover, there is no documentation
describing the more salient features of a DVA 50 percent
disability rating such as panic attacks, memory loss or impaired
judgment/thinking. To the contrary, the applicant was noted to
run a small business, performed duties as an Emergency Medical
Technician, and owned and operated a home with a roommate.
These entries imply that a significantly higher level of
functioning was present at the time of TDRL separation compared
to those described in the DVA 50 percent rating description.
While there are Congressional concerns of disparities in rating
decisions between Military Departments and the DVA for the same
medical condition, resulting in legislation directing the use of
DVA or mutually agreed upon (DoD) policies when adjudicating
disability cases, this does not guarantee there will be no
variation in clinical assessments and opinions between or among
equally competent and credentialed medical authorities; whether
a DVA, civilian, or military provider. Finally, the applicant
should also be reminded that, unlike the Department of Defense,
operating under Title 10, United States Code, the DVA, operating
under a different set of laws (Title 38, USC), offers
compensation for any service incurred or aggravated medical
condition, without regard to its impact upon a service member's
retainability, fitness for duty, or reason for career
termination. Moreover, the DVA is authorized to conduct
periodic re-evaluations for the purpose of adjusting the
disability rating award (up or down) as the level of impairment
from a given medical condition may vary (improve or worsen) over
the lifetime of the veteran. Thus, the mere fact the applicant
has received a different (higher) disability rating and
compensation by the DVA does not constitute a justification for
a like action by the DoD. The applicant has not met the burden
of proof to justify the desired change of the record.
A complete copy of the AFBCMR Medical Consultant evaluation is
at Exhibit C.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copy of the AFBCMR Medical Consultant evaluation was forwarded
to the applicant on 26 Jun 12 for review and comment within
30 days. As of this date, no response has been received by this
office (Exhibit D).
________________________________________________________________
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. We took
notice of the applicant's complete submission 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. Therefore, in the
absence of evidence to the contrary, we find no basis to
recommend granting the relief sought in this application.
4. The applicants 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 applicant be notified the evidence presented did not
demonstrate the existence of material error or injustice; the
application was denied without a personal appearance; and 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-2011-03835 in Executive Session on 26 Jul 12, under
the provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence pertaining to AFBCMR Docket
Number BC-2011-03835 was considered:
Exhibit A. DD Form 149, dated 28 Sep 11, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFBCMR Medical Consultant,
dated 22 Jun 12.
Exhibit D. Letter, AFBCMR, dated 26 Jun 12.
Panel Chair
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