RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2013-04620
COUNSEL:
HEARING DESIRED: YES
________________________________________________________________
APPLICANT REQUESTS THAT:
She receives an additional payment of $150,000 for Service
Members Group Life Insurance (SGLI) or the decedents retirement
date be changed to 1 Sep 05.
________________________________________________________________
APPLICANT CONTENDS THAT:
On 20 Jul 05, the decedent was medically retired with a
100 percent disability rating. On 25 Jul 06, he passed away.
Per 38 U.S.C. § 1968(a)(1)(A) a two year extension of SGLI
coverage after the date of separation or release from active
duty for medical retirement with a 100 percent disability rating
was provided.
She received an SGLI payment of $250,000, however, the Fiscal
Year (FY) 2006 National Defense Authorization Act (NDAA)
implemented Public Law 109-163 increasing SGLI coverage to
$400,000 effective 1 Sep 05. However, at the time of his
medical retirement, they were not advised about the pending SGLI
coverage.
Despite the decedents incompetence to make informed decisions
regarding his involuntary retirement no guardian or legal
representative was appointed. Even if it is concluded the SGLI
coverage is limited to the amount that was in effect on the date
of his death, there is substantial evidence of an error or
injustice as there was no counseling on SGLI by the Physical
Evaluation Board Liaison Officer (PEBLO) during the pre-
separation counseling process.
In a letter dated 15 Jun 11, the Office of Service Members Group
Life Insurance (OSGLI) advised the applicant that the coverage
was based on the amount in effect at the time the decedent was
retired and denied her request for the additional payment.
She was pre-occupied with the loss of her husband and raising
two children and did not know how to file an application to the
Board until recently.
Her counsel references two cases involving retroactive increase
of SGLI coverage. Although in the case of AR20080005338 the
Board determined the applicant failed to submit evidence there
was an error or injustice and denied the request, it was decided
in the case of AR20060009083 that in keeping with the original
intent of maximizing the applicants benefits, the service
members records were corrected to show that he was on active
duty at the time of his death and not on the Temporary
Disability Retirement List (TDRL). If a service members status
can be changed based on equitable considerations and in keeping
with the original intent of maximizing benefits, then surely the
decedents retirement date can be adjusted considering the lack
of counseling on the SGLI coverage. The decedent was entitled
to the increase in the SGLI coverage since his two year extended
SGLI eligibility was based on 100 percent disability and the
failure to pay the full amount of the SGLI coverage constitutes
an error or injustice.
In support of her requests, the applicant provides a letter from
counsel, marriage certificate, Medical Evaluation Board (MEB)
and Physical Evaluation Board (PEB) reports, medical
documentation, SGLI payment notification, letter from OSGLI and
other various documents associated with her request.
The applicants complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
Per 38 U.S.C. § 1968 SGLI coverage is provided for members who
are 100 percent disabled at the time of separation for up to two
years.
According to AF Form 618, Medical Board Report, dated 25 May 05,
the decedent was evaluated by an MEB and referred to the
Informal Physical Evaluation Board (IPEB).
According to AF Form 356, Findings and Recommended Disposition
of USAF Physical Evaluation Board, dated 1 Jun 05, the IPEB
found him unfit for duty and recommended permanent retirement
with a disability rating of 100 percent for a diagnosis of
frontotemporal dementia associated with cognitive disorder,
secondary to primary neurodegeneration, bipolar disorder, social
and industrial adaptability impairment and found him incompetent
for pay and records.
Per Special Order Number ACD-00775 dated 9 Jun 05, he was
medically retired effective 20 Jul 05 with a compensable
percentage for physical disability of 100 percent.
He served 21 years, 1 month and 20 days on active duty.
Effective 1 Sep 05, Public Law 109-13 increased SGLI coverage
from $250,000 to $400,000 for all service members who died while
on active duty retroactive to 1 Oct 01.
On 25 Jul 06, the decedent died. OSGLI payment notification
dated 18 Aug 06 shows the decedents spouse, received
$250,608.17 for death benefits and settlement interest.
________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPFD recommends denial of his request to change his
retirement date to 1 Sep 05. The preponderance of evidence
reflects that no error or injustice occurred during the
disability process or at time of separation. On 1 Jun 05, the
IPEB found him unfit for duty and recommended permanent
retirement with a disability rating of 100 percent. On 5 Jun
05, the applicant on behalf of the decedent concurred with the
findings and he was retired effective 20 Jul 05.
The complete DPFD evaluation is at Exhibit B.
AFPC/DPFC recommends denial of the applicants request for an
additional $150,000 SGLI payment. Based on the denial
recommendation of DPFD to change the decedents retirement date
beyond the implementation of Public Law 109-13 effective 1 Sep
05, DPFC recommends the Board disapprove the applicants
request. This recommendation is based on his ineligibility for
the increase of death benefit under statute since his retirement
was effective 20 Jul 05.
The complete DPFC evaluation is at Exhibit C.
AFPC/JA recommends denial. The applicant has failed to
establish any error or injustice in this case. The applicant
contends an injustice because after the IPEB found the decedent
unfit and recommended permanent retirement with a disability
rating of 100 percent the PEBLO did not counsel them that the
SGLI policy limit would be raised to $400,000 on 1 Sep 05; and
had they known it was going to be increased they would have
delayed his retirement to qualify for the increase. Instead he
retired on 20 Jul 05.
The applicant assumes the decedent would have had the ability to
delay his disability separation had he known the SGLI law was
being amended on 1 Sep 05. AFI 36-3212, Physical Evaluation for
Retention, Retirement, and Separation, states AFPC/DPFD sets the
scheduled retirement or discharge date.
The applicant states she discovered she would not receive the
maximum coverage of the SGLI benefits shortly after his death on
25 Jul 06. Any alleged wrongful acts of the PEBLO would have
occurred prior to his death. The application alleging a
wrongful act in 2005 and discovery of a wrongful act in 2006 is
not timely filed in 2013. By law and regulation, AFI 36-2603,
Air Force Board for Correction of Military Records, paragraph
3.5, an application must be filed within three years after an
error or injustice is discovered, or with due diligence, should
have been discovered. An application filed later is untimely
and may be denied by the Board on that basis unless it should be
excused in the interest of justice.
Federal courts have consistently defined injustice within the
meaning of 10 U.S.C. § 1552 as that behavior or action that
rises to the level that shocks the sense of justice. We have
noted previously to this Board, this is a high standard which
requires more than merely deciding that an action taken might be
viewed as unfair or which has had arguably adverse consequences.
It may be viewed as unfair that the applicant received the
amount of $250,000 instead of $400,000 in SGLI benefits because
the law changed after he retired; however, the applicants blame
is misplaced to think it is the PEBLOs responsibility to tell
her to manipulate the system by purposely delaying the date of
separation solely for monetary purposes.
The complete JA evaluation is at Exhibit D.
_____________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Counsel states that 38 U.S.C. § 1968(a)(1)(A), qualified the
decedent for extended SGLI coverage because he was 100 percent
disabled. In relevant part, this section provides that for
members such as the decedent, SGLI coverage shall continue in
effect and such insurance shall cease as follows two years after
the date of separation or release from such active duty. In the
case of service members who are entitled to extended coverage,
the statute does not create different classes of coverage
depending on the date of the service members retirement. The
statute does not state coverage is limited to the amount that
was in effect on the date of the members retirement. Had
Congress intended to create different classes of coverage
depending on the retirement date, it would have said so.
The JA simply states the applicant has been unsuccessful in her
attempt to persuade OSGLI that she is entitled to the statutory
increases but does not provide any legal authority to support
OSGLI contention that the amount of SGLI coverage is fixed as of
the date of the service members disability retirement.
Instead, because 100 percent disabled retirees are entitled to
extended coverage, they also are entitled to any increases in
such coverage existing as of the date of their death or
expiration of coverage whichever first occurs.
In regards to the untimely file, it was not until the spring of
2011 that she asked the casualty survivors benefits office at
Joint Base Langley-Eustis, VA to request a review of her prior
claim. It was not until 2012, that she discovered OSGLIs
interpretation was erroneous and inconsistent with the
controlling federal statutes. The major error that was
committed in this case was the misinterpretation of federal law
by OSGLI. This case and the issue of when an applicant can be
considered to have discovered an error or injustice can be
distinguished from the facts at issue in McFarlane v. Secretary
of the Air Force, 867 F. Supp. 405 91994. In that case, a
surviving military spouse did not file her application with the
Board to correct the amount of her survivor benefits annuity
until seven years after her husband had died. Even if the
application is untimely, the untimeliness should be excused in
the interest of justice.
Congress passed legislation on 11 May 05 which increased the
amount of SGLI coverage effective 1 Sep 05. The memorandum by
the JA argues that because DTM-11-015 does not include SGLI
benefits as one of the topics with which a PEBLO must provide
counseling there is no evidence of a breach of any duty
regarding the adequacy of the disability retirement counseling
provided to the decedent. DODI 1332.18, Separation or Retirement
for Physical Disability, identifies counseling as one of the
four components to the military disability retirement system.
What is not addressed by the SJAs memorandum is why eligibility
for extended SGLI coverage was not included as a mandatory topic
for counseling of 100 percent disabled service members. This
omission is surprising considering that in cases where
expeditious processing is requested, the Air Force casualty
assistance representative must provide counseling regarding the
Survivor Benefit Plan (SBP), Dependency and Indemnity
Compensation (DIC), SGLI, Veterans Group Life Insurance (VGLI),
National Service Life Insurance (NSLI) which is part of the
imminent death processing checklist included in the Air Force
Disability Counseling Guide for PEBLOs.
The applicant has since located a copy of DD Form 2648, Pre-
Separation Counseling Checklist, dated 28 Jun 05, which shows
the decedent signed the checklist even though he was no longer
competent. More importantly, the checklist makes no provision
for any counseling on SGLI coverage. The logical conclusion is
that neither the applicant nor the decedent was told about the
increase in SGLI coverage because the Air Force had not revised
the counseling procedures. Common sense suggests that counseling
on extended SGLI coverage should be required in all cases
involving 100 percent disabled service members who are eligible
for such extended, temporary coverage particularly in cases
involving progressive, terminal conditions. What makes this
case unique is that he was processed for medical retirement
after Congress passed legislation authorizing an increase in
SGLI coverage but was retired 43 days before the increase became
effective.
Had he been aware that the increased amount of coverage would
become effective on 1 Sep 05; a rational person would have
considered what options they might have to delay retirement.
The obvious procedure for the applicant would have been to
either request a formal PEB (which was a matter of right) or
take ordinary leave.
There is an issue as to whether the applicant had the authority
to sign a waiver on behalf of her husband. The form and the
guide for PEBLOs both assume that a spouse may make binding
decisions on behalf of their incompetent spouse but the
applicant had not been appointed either as guard or conservator
of his estate by any court. This issue is mentioned to point
out that the applicants decision to waive the formal PEB on
behalf of the decedent was made without the benefit of any legal
advice, without the legal authorization, without counseling by
anyone in the Air Force regarding the pending increase in SGLI
coverage, and without counseling as to whether his retirement
should be postponed until after 1 Sep 05.
The decedent should be considered eligible for the increased
SGLI that became effective on 1 Sep 05 while on extended SGLI
coverage or his retirement date should be amended to 1 Sep 05 to
correct the error or injustice regarding his retirement date
established without the benefit of informed consent.
In further support of her request, the applicant provides
counsels statement, copies of DD Form 2648 and AF Form 1180,
Action on Physical Evaluation Board Findings and Recommended
Disposition.
The complete submission, 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. Insufficient relevant evidence has been presented to
demonstrate the existence of error or injustice. We took notice
of the applicant's complete submission in judging the merits of
the case and do not find that it supports a determination that
the decedents records should be changed to reflect an
additional $150,000 SGLI payment or to change his retirement
date to 1 Sep 05. We note that 38 U.S.C. § 1968(a)(1)(A),
qualified the decedent for extended SGLI coverage because he was
100 percent disabled; however, as pointed out by DPFC, he is
ineligible for the increase of death benefit under the statute
since his retirement was effective 20 Jul 05 which is before
Public Law 109-13 was implemented on 1 Sep 05. While counsels
assertions of miscounseling are noted, he has not provided
substantial evidence which, in our opinion, successfully refutes
the assessment of this case by the Air Force Offices of Primary
Responsibility. Additionally, counsels also asserts, in
essence, that relief is warranted based on precedence and cites
two Army BCMR cases, AR20060009083 and AR200800538 that he
believes supports her requests. However, we disagree. Every
case before this Board is considered on its own merit since the
circumstances of each case are seldom identical. After a
careful review of the cases, we find AR20060009083 is not
comparable to the existing case. In AR20060009083, the
applicant was improperly counseled that her husband had to be
retired in order for her to receive both the SGLI and Survivor
Benefit Plan (SBP) annuity because he did not have 20 years of
service. However, Public Law 107-107 changed in 2001 and the
Army Board determined the increased SGLI coverage and SBP
benefits would have been awarded had he died on active duty and
granted the request. Although AR20080005338 is similar to the
request before us, it was actually denied, therefore, this
request adds no credence to the applicants request for an
additional SGLI payment or to change the decedents retirement
date to 1 Sep 05. In view of the foregoing and in the absence
of evidence that the applicant was treated differently than
others similarly situated, we find no equitable basis to grant
any of 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 issue 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; that
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 Docket Number BC-
2013-04620 in Executive Session on 8 Jul 14, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 16 Sep 13, w/atchs.
Exhibit B. Letter, AFPC/DPFD, dated 8 Nov 13.
Exhibit C. Letter, AFPC/DPFC, dated 16 Dec 13.
Exhibit D. Letter, AFPC/JA, dated 24 Dec 13.
Exhibit E. Letter, SAF/MRBR, dated 24 Jan 14.
Exhibit F. Letter, Applicants Counsel, dated 20 Feb 14, w/atchs.
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