RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-04977
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
Her records be corrected to reflect she was not released from
active duty on 2 Sep 11, but was instead retained on active duty
for medical continuation (MEDCON) until 16 Nov 11.
________________________________________________________________
APPLICANT CONTENDS THAT:
She was wrongfully released from active duty before the Medical
Evaluation Board (MEB) made its decision and determined final
disposition on her disability case.
In support of her request, the applicant provides copies of
extracts of her military personnel and service medical records,
which include her AF Form 348, Line of Duty Determination, AF
Form 469, Duty Limiting condition Report, statements of support
from her healthcare providers, and various email traffic related
to the matter under review.
The applicants complete submission, with attachments, is at
Exhibit A.
_________________ ______________________________________________
STATEMENT OF FACTS:
The applicants military personnel records indicate she served
as a member of the Air Force Reserve in the grade of master
sergeant (E-7) during the matter under review.
On 1 May 11, the applicant was ordered to active duty
(voluntary) under the provisions of 10 USC 12301(h) for the
purposes of medical continuation (MEDCON).
According to a medical narrative summary provided by the
applicant, she suffered from progressive right arm numbness
beginning in early 2010 diagnosed as cervical radiculopathy and
resulting in a cervical discectomy and fusion in May 2011;
chronic low back pain secondary to degenerative disk disease and
chronic left hip pain.
On 31 May 11, the applicant had neck surgery and was on
convalescent leave from the time of her surgery until 5 Sep 11.
On 2 Sep 11, the applicant was released from her MEDCON active
duty tour.
On 27 Oct 11, a Line of Duty (LOD) determination was initiated
to evaluate the applicants medical condition for service
connection. On 9 Dec 11, the appointing authority indicated a
finding of in the LOD.
On 17 Nov 11, the applicant was again ordered to active duty
(voluntary) in accordance with 10 USC 12301(h) (medical
continuation) and served until 18 Apr 12 when she was released
from active duty at the completion of her required active
service.
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:
NGB/A1S recommends approval of the applicants request and notes
that DoDI 1241.2, Reserve Components Incapacitation System
Management, indicates that 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 members consent, be
continued on active duty upon the expiration of a 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 determination. The applicant has provided
sufficient documentation to substantiate she should have been
retained on active duty during the requested period.
A complete copy of the NGB/A1S evaluation is at Exhibit C.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copy of the NGB/A1S evaluation was forwarded to applicant on
6 Mar 12 for review and comment within 30 days. As of this
date, no response has been received by this office (Exhibit D).
________________________________________________________________
ADDITIONAL AIR FORCE EVALUATION:
AFMOA/SGHI recommends denial, indicating the applicant and the
162nd Medical Group were allocated the appropriate timeframe to
provide supporting medical documentation, but failed to do so in
a timely manner. The applicant was on medical continuation
orders from 1 May 11 through2 Sep 11. It is standard protocol
that themember, their unit, or medical unitrequest an
extension to the MEDCON orders via a request to AFMOA-Medical
Continuation Division that contains medical treatment
documentation and a AF 469, at least five days prior to
expiration of the Command Man-day Accounting System (CMAS)
authorization. However, no such extension request was submittedby the applicants medical unit prior to 2Sep11in accordance
with the aforementioned procedure. The applicants request for
continuation was ultimately submitted on9 Sep 11, after the
expiration of her MEDCON orders on 5 Sep 11. Herrequest was
notdenied by AFMOA or anyone else as the request to stay on
MEDCON orders was not submitted in a timely manner and her casewas released in CMAS as failure to submit medical documentation.
Shewould not have been released if the requestfor an extensionhad been timely submitted by her or her unit prior to 2 Sep 11.
The applicant was not able to get her appointment on time andget copies of her paperwork to submit an extension until
9Sep11. Upon receipt of the medical documentation on
9Sep11, AFMOAinformed the 162ndMedical Group the case hadbeen released and they were going to have to resubmit a new CMAS
request along with completing all required AFMOA forms. The
162ndMedical Group staff made failed attempts to complete a new
CMAS request for the applicant that met AFMOA MEDCON guidelines.
On 17 Nov 11, the applicants CMAS request for MEDCON orders wasapproved.
Thecomplete copy of the AFMOA/SGHIevaluation is at Exhibit E.
APPLICANT'S REVIEW OF ADDITIONAL AIR FORCE EVALUATION:
The applicant indicatesthe staff from 162ndMedical GrouprequestedMEDCON orders with the proper documentation on 9Sep11 when the physicians notes were aXXXXXXXable. Severalattempts were made to secure MEDCON orders with no responses on
numerous occasions.Sufficient documentation was provided and
standard protocol was in place when an extension of her MEDCON
orders was requested prior to 2 Sep 11, which is when her MEDCON
orders expired.
DoDI 1241.2 paragraph 5.2.8.2 states The Secretary of theMilitary Departments shall establish procedures to ensure that
medicaltreatment for an injury, illness, or disease incurred oraggravated in the line of duty is not delayed because of
administrative requirements. Additionally DoDI 1241.2, also
indicates thata reserve component member on active duty under a
call or order to active duty specifically for a period of 31
days or more, who incurs or aggravates an injury, illness or
disease in the line of duty shall, with the members consent, becontinued on active duty upon the expiration of call or order toactive duty until the member is determined fit for duty or themember is separated or retired as a result of a Disability
Evaluation System determination.
The National Guard Bureau did not follow standard protocol in
requesting the extension five days prior to the expiration of
her orders. While she was unable to secure her next medical
appointment until 29 Aug 11, she made her unit aware of this
circumstance well prior to the 2 Sep 11 deadline; however, her
unit did not timely initiate her request.
The applicants complete response, with attachments, is at
Exhibit F.
________________________________________________________________
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. Sufficient relevant evidence has been presented to
demonstrate the existence of an error or injustice. The
applicant contends that she was wrongfully released from active
duty before the Medical Evaluation Board (MEB) made their
decision and final disposition on her disability case. After a
thorough review of the evidence of record, we believe that a
preponderance of the evidence indicates the applicant was the
victim of an injustice. While we note the comments of
AFMOA/SGHI indicating the applicants orders were not extended
due to the failure of her unit to timely submit the
documentation required to obtain the requested extension, we are
not convinced the predicament the applicant finds herself in was
totally within her control. In this respect, we note that due
to circumstances beyond her control, she was unable to make a
critical medical appointment until almost immediately prior to
the suspense for her unit to request her medical continuation
orders be extended. Because of the proximity of this
appointment to the deadline for submitting her request, the
medical notes from this appointment were not aXXXXXXXable until
after her orders expired. Therefore, in view of the above, we
believe the evidence is sufficient to find it in the interest of
justice to correct the applicants record as indicated below.
________________________________________________________________
THE BOARD RECOMMENDS THAT:
The pertinent military records of the Department of the Air
Force pertaining to the APPLICANT be corrected to show she was
not released from active duty on 2 September 2011, but on that
date, continued to serve on active duty for the purpose of
medical continuation until she was released from active duty on
18 April 2012.
________________________________________________________________
The following members of the Board considered AFBCMR Docket
Number BC-2011-04977 in Executive Session on 26 Jun 12, under
the provisions of AFI 36-2603:
The following documentary evidence was considered:
Exhibit A. DD Form 149, 2 Dec 11, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, NGB/A1PS, dated 5 Jan 12.
Exhibit D. Letter, SAF/MRBR, dated 6 Mar 12.
Exhibit E. Letter, AFMOA/SGHI, dated 16 May 12.
Exhibit F. Letter, Applicant, dated 3 Jun 12, w/atchs.
Panel Chair
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