RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-03940
COUNSEL: NO
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
His official records be corrected to show that:
1. He was found unfit for duty by the Informal Physical
Evaluation Board (IPEB) on 20 Oct 09.
2. His military disability rating be changed to 80 percent to
match his Department of Veteran Affairs (DVA) Compensable
Disability Rating in order to qualify him for medical
retirement.
________________________________________________________________
APPLICANT CONTENDS THAT:
The IPEB determined he was fit for duty utilizing the
presumption of fitness rule incorrectly (AFI 36-3212,
paragraph 3.17). However, he was not fit for duty; he was not
performing his duty satisfactorily during the 12 months prior to
his separation. Had he remained on active duty, he would not
have been able to continue to perform the duties of his flying
position. His commander had him performing administrative
duties until the completion of this Disability Evaluation System
(DES) process.
The Department of Veteran Affairs (DVA) awarded him a
compensatory disability rating of 80 percent. This should be
enough to overcome the IPEBs presumption of the fit for duty
determination.
In support of his appeal, the applicant provides an expanded
statement and copies of documents from his Medical Evaluation
Board (MEB), his medical records, his DVA Disability Rating
Decision, multiple orders, and his DD Forms 214, Certificate of
Release or Discharge from Active Duty.
The applicants complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
The applicant served as a command pilot with the Florida Air
National Guard.
On 19 Apr 09, he reported to the medical clinic with symptoms of
a sleep disorder, and a sleep study was recommended.
On 24 Apr 09, in response to his previous request for a length
of service retirement, he was provided retirement orders
reassigning him to the retired reserve, effective 31 Oct 09.
On 11 May 09, his sleep study was completed, confirming that he
had Obstructive Sleep Apnea (OSA) and use of a Continuous
Positive Airway Pressure (CPAP) was recommended.
On 17 Jun 09, he was placed in Duty Not to Include Flying (DNIF)
status.
On 7 Jul 09, he was evaluated by the Physical Exams section of
the Medical Clinic because of his planned retirement. The
evaluation determined he was physically qualified to retire, and
stated which means that no medical condition has been noted
that disqualifies you from the performance of your duties or
warrants disability evaluation system processing.
On 10 Jul 09, an Informal Line of Duty (LOD) determination was
initiated to evaluate the applicants OSA for service connection
and his OSA was ultimately determined to be in the LOD.
On 26 Aug 09, his Group Commander submitted a Memorandum for
Medical Evaluation Board (MEB), in which he wrote, His medical
condition was brought to my attention after he told the unit
that he was planning to retire and after he had submitted his
application for retirement.
On 18 Sep 09, the MEB referred his case to the IPEB with a
recommendation that the applicant be returned to duty.
On 9 Oct 09, the IPEB determined the applicants medical
condition did not prevent him from reasonably performing the
duties of his office, grade, rank, or rating. The IPEB summary
noted he was within one year of his approved retirement date and
indicated his medical condition did not overcome the presumption
of fitness, and recommended he be returned to duty. On
26 Oct 09, the applicant acknowledged that he agreed with the
IPEB findings by signing the Form 1180, Action of Informal
Physical Evaluation Board Findings and Recommended Disposition,
on 29 Oct 09.
On 20 Oct 09, the applicants original retirement orders were
revoked, pending the completion of his medical evaluation.
On 10 Nov 09, a new retirement order was issued directing the
applicants transfer to the retired reserve, effective
30 Apr 10.
The remaining relevant facts pertaining to this application are
described in the letters prepared by the Air Force offices of
primary responsibility, which are included at Exhibits C and D.
________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPPD recommends denial, indicating there is no evidence of
an error or injustice. The applicant requests the IPEBs
recommended finding that his OSA was not unfitting and the
recommendation that he be returned to duty be changed so he can
qualify for medical retirement. His commander noted in this
letter: His medical condition was brought to my attention
after he told the unit that he was planning to retire and after
he had submitted his application for retirement. The IPEB
noted: Your medical condition does not prevent you from
reasonably performing the duties of your office, grade, rank, or
rating. Your sleep apnea is controlled on CPAP with resolution
of oxygen desaturation. Your commander states you are
accomplishing administrative duties due to your being DNIF and
have not missed any work due to your condition. The Board notes
you are within one year of your approved retirement date of
30 Oct 09. In accordance with AFI 36-3212, Physical Evaluation
for Retention, Retirement, and Separation, paragraph 3.17, the
Board applied the Presumption of Fitness, and has determined
your medical condition does not overcome the presumption, and
recommends you be returned to duty. On 26 Oct 09, the
applicant signed that he concurred with these findings.
The Department of Defense (DoD) and DVA Disability Evaluation
Systems operate under separate laws. Under Title 10 USC,
Physical Evaluation Boards must determine if a members
condition renders them unfit for continued military service
relating to their office, grade, rank or rating. The fact that
a person may have a medical condition does not mean that the
condition is unfitting for continued military service. To be
unfitting, the condition must be such that it alone precludes
the member from fulfilling their military duties. Disability
boards must rate disabilities based on the members condition at
the time of evaluation. In contrast, the DVA may rate any
service-connected condition based upon further employability or
reevaluate based on changes in the severity of a condition.
This often results in different rating by the two agencies.
A complete copy of the AFPC/DPPD evaluation is at Exhibit C.
The AFBCMR Medical Consultant recommends denial, indicating
there is no evidence of an error or injustice. The applicant
contends that the IPEB incorrectly determined that he was fit
for duty, Utilizing the presumption of fitness incorrectly,
and states that he was not performing duties befitting of his
experience in the office, grade, rank, or rating. On 7 Jul 09,
a memorandum from the Physical Exams Section of his Medical
Clinic states: You have been evaluated because of your planned
separation or retirement from active duty status. You have been
found physically qualified to separate or retire, which means
that no medical condition has been noted that disqualifies you
from the performance of your duties or warrants disability
evaluation systems processing. In a memo from the applicants
commander to the MEB, he wrote: Member was planning on retiring
and had submitted his retirement request prior to his diagnosis
being brought to our attention. The contemporary approach to
OSA has been to retain individuals whose OSA has been otherwise
brought under good control and does not preclude retention under
certain assignment restrictions or in the performance of
military duties. The Medical Consultant opines that the imposed
flying restrictions need not have been permanent and did not
automatically equate with an unfit finding and a medical
separation action. The applicant expressed his desired outcome
of an unfit finding and an implicit medical retirement with [at
least] a 30 percent rating well in advance of any fitness
determination by the Physical Evaluation Board.
The Medical Consultant agrees the presumption of fitness rule is
applied only to an individual with an approved retirement date,
who then undergoes an MEB within the 12 months of said date of
retirement, and is thus presumed fit. However, DoD Instruction
1332.38, Physical Disability Evaluation, paragraph E3.P3.5.1.,
states: Service members who are pending retirement at the time
they are referred for physical disability evaluation enter the
DES under a rebuttable presumption that they are physically fit.
The DES compensates disabilities when they cause or contribute
to career termination. Continued performance of duty until a
Service member is approved for length of service retirement
creates a rebuttable presumption that a Service members medical
conditions have not caused career termination.
Operating under a different set of laws than the DoD, the DVA is
authorized to offer compensation for any medical condition
determined service connected, independent of its proven or
demonstrated impact upon a service members retainability,
fitness to serve, or narrative reason for release from military
service. This is the reason why a member may be released from
service for one reason, but later receive a compensation rating
from the DVA for a condition that was not militarily unfitting
at the time of release from service. The Medical Consultant
opines the IPEB would still have likely found the applicant fit,
even if his case was processed under the Integrated Disability
Evaluation System (IDES), wherein the DVA Compensation & Pension
evaluation and recommendation rating are conducted early and the
results were available to the PEB prior to the termination of
the DES process. Finally, DoDI 1332.38, paragraph E3.P3.3.3.
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. The preponderance of the evidence in his case shows the
applicant was indeed able to perform his military duties until
he was diagnosed with OSA and referred to the DES, whereupon he
was found fit for continued military service.
A complete copy of the complete Medical Consultants evaluation
is at Exhibit D.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
In response to the AFPC/DPPD advisory, the applicant submits a
statement repeating the basic contention from this original
application. In addition, he adds that on Jun 09, based upon
his diagnosis of OSA, he was assigned administrative duties
normally assigned to a junior enlisted airman, not those of a
command pilot and instructor pilot on flying status. At no time
following the 10 Jul 09 completion of the LOD determination for
OSA was he examined by a military physician. The IPEB decided
that a presumption of fitness was to apply to his case and he
was to return to duty. Yet, he was not returned to the duties
of his office, grade, rank, or rating. At the time of his
separation from active duty, he was still Duty Not to Include
Flying (DNIF) and not worldwide deployable. When he signed the
IPEB findings, he had no knowledge and had received no briefings
on his future DVA disability rating to aide him in making an
informed decision. He received his VA disability rating of 80
percent on 30 Mar 10, while he was still an assigned member of
the ANG. The new Integrated Disability Evaluation System (IDES)
that was started as a pilot program before the time of his case
and grew into the IDES would have used his DVA medical
evaluation and rating of 80 percent disabled as a starting point
in determining his fitness for duty. He asks that this be
applied to his case.
________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by
existing law or regulations.
2. The application was timely filed.
3. Insufficient relevant evidence has been presented to
demonstrate the existence of an error or injustice. We took
notice of the applicants complete submission, including his
response to the Air Force advisory opinions, in judging the
merits of the case; however, we agree with the opinions and
recommendations of the Air Force office of primary
responsibility (OPR) and the AFBCMR Medical Consultant and adopt
their rationale as the basis for our conclusion the applicant
has not been the victim of an error of injustice. In
particular, we concur with the position of the AFBCMR Medical
Consultant that the imposed flying restrictions due to OSA need
not have been permanent and did not automatically equate with an
unfit finding and a medical separation, and that the IPEB would
still have likely found the applicant fit, even if his case was
processed under the Integrated Disability Evaluation System
(IDES). Therefore, in the absence of evidence to the contrary,
we find no basis to recommend granting the relief sought in this
application.
________________________________________________________________
THE BOARD DETERMINES 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-2011-03940 in Executive Session on 12 Jul 12, under
the provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 26 Sep 11, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFPC/DPPD, dated 18 Oct 11.
Exhibit D. Letter, SAF/MRBR, dated 28 Oct 11.
Exhibit E. Medical Consultant Memo, dated 4 Jun 12.
Exhibit F. Letter, SAF/MRBC, dated 4 Jun 12.
Exhibit G. Letter, Applicant, dated 30 Jun 12.
Exhibit H. Letter, Applicant, dated 21 Nov 11.
Panel Chair
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