DEPARTMENT OF TRANSPORTATION
BOARD FOR CORRECTION OF MILITARY RECORDS
Application for the Correction of
the Coast Guard Record of:
BCMR Docket No. 1998-070
APPLICANT’S ALLEGATIONS
In his original application and in a later submission to the Board on
December 7, 1998, the applicant alleged that during a physical examination on
June 20, 199x, prior to his retirement, the examining physician, Dr. X, concluded
that he was not physically qualified for retirement and that his carpal tunnel
syndrome, tinnitus, and hearing loss should be further evaluated. However, on
July 7, 199x, before his conditions were properly evaluated, a non-medical chief
petty officer certified him as meeting the physical standards for retirement. The
FINAL DECISION
ANDREWS, Attorney-Advisor:
This proceeding was conducted according to the provisions of section
1552 of title 10 and section 425 of title 14 of the United States Code. It was dock-
eted on March 31, 1998, upon the BCMR’s receipt of the applicant’s request.
appointed members who were designated to serve as the Board in this case.
This final decision, dated November 4, 1999, is signed by the three duly
REQUEST FOR RELIEF
The applicant, a xxxxxxxxx who was retired from the Coast Guard on
October 1, 199x, asked the Board either (a) to recall him to active duty so that his
medical conditions may be evaluated and treated or (b) to correct his record to
show that he was retired by reason of physical disability with a 40 percent
disability rating on October 1, 199x. If he is recalled to active duty, the applicant
asked to receive back pay and allowances, including retirement credit, for the
intervening time.
applicant alleged that the chief petty officer did not have authority to do this and
that only the Maintenance and Logistics Command (MLC) can override an
examining physician’s determination of unfitness. Furthermore, the applicant
alleged, the chief petty officer did not forward the report of his physical exam
(form SF-88), as required, to MLC, which makes the final determination regard-
ing whether members are physically qualified for retirement. In addition, the
applicant alleged, he was not but should have been informed at this time that he
had a right to request processing for a physical disability retirement under Arti-
cle 12.C.3.b.(2) of the Personnel Manual. He alleged that he did not hear of this
right until September 16, 199x, a few days before his retirement.
The applicant alleged that on July 28, 199x, an orthopedic surgeon, Dr. XX,
examined him and advised him that he should not receive another steroid injec-
tion for his carpal tunnel syndrome. Instead, Dr. XX ordered further tests to
determine if surgery should be performed. Because the tests could not be com-
pleted before September 1, 199x, the date the applicant was originally scheduled
to be retired, his command asked PPC Topeka to continue his pay past his retire-
ment date. However, his command forgot to inform the Coast Guard Personnel
Command (CGPC) of his situation. The applicant alleged that he continued on
active duty in September and received his pay, but then CGPC learned he had
not been retired and approved his command’s request to continue him on active
duty only until October 1, 199x. Furthermore, the applicant alleged, CGPC
caused his further medical appointments to be cancelled.
Prior to the applicant’s retirement on October 1st, however, another senior
medical officer, Dr. Y, reviewed his record and concluded that further evalua-
tions of the applicant’s carpal tunnel syndrome, tinnitus, and hearing loss were
needed and that the applicant should be evaluated by an initial medical board
(IMB). On September 30, 199x, Dr. Y requested that the applicant’s retirement be
delayed until December 1, 199x, but a lieutenant at CGPC disapproved the
request the same day. The applicant alleged that the lieutenant’s decision was
improper because the lieutenant is not a medical officer and did not have
authority to override Dr. Y’s decision. The applicant alleged that only MLC had
authority to override Dr. Y’s decision, but MLC was never involved.
The applicant further alleged that because of the confusion concerning his
status and the chief petty officer’s failure to forward his SF-88 to MLC, CGPC
promoted another member to the rank of xxxx on September 1, 199x, to replace
him and thereby exceeded the authorized number of xxxxs in the Coast Guard.
He alleged that this mistake created pressure to retire him without waiting for
his medical conditions to be evaluated and reviewed by an IMB. He alleged that
when he called the lieutenant who refused to delay his retirement, he was told
that CGPC “had already promoted another xxxx and there was nothing he could
do about it.” The lieutenant also told the applicant that reviewing the report of
his physical examination was not his job because he did not work for MLC.
The applicant alleged that after Dr. Y’s request was improperly denied, he
exercised his rights under Article 12.C.3.B.(2) of the Personnel Manual, by
requesting in writing that his medical problems be corrected or that he be proc-
essed for a physical disability retirement. However, the request was not proc-
essed prior to his retirement on October 1st.
The applicant alleged that racism may have caused him to be retired pre-
maturely. He stated that he knows of a white xxxx who was properly processed
by a medical board and awarded a 20 percent disability rating, whereas another
Hispanic xxxx’s request for a medical board was denied. He stated that that
Hispanic xxxx was later awarded a 20 percent disability rating by the Depart-
ment of Veterans Affairs (DVA).
The applicant also stated that the DVA has assigned him a 40 percent dis-
ability rating. He alleged that, had he been properly evaluated before his retire-
ment, he would have received this same rating from the Coast Guard.
The applicant stated that his wrongful retirement has created a financial
hardship. He alleged that he could not find private employment and that the
Dual Compensation Act would require him to give up more than $10,000 of his
retirement pay were he to take a job with the federal government. He alleged
that, without the tax benefits of receiving disability retirement, he cannot take a
federal job lower than GS-10 on the pay scale.
SUMMARY OF THE RECORD
The applicant submitted the following medical records in support of his
application:
2/13/9x The applicant sought treatment for numbness in the fingers of his
right hand. His physician diagnosed carpal tunnel syndrome, gave
him a steroid shot and a splint, and prescribed no typing for three
weeks.
6/20/9x The report of the applicant’s physical examination prior to his retire-
ment (SF-88) indicates that Dr. XX found that the applicant had high
frequency hearing loss and referred him for an audiogram. Dr. XX
also found that the applicant had numbness and tingling in the third,
fourth, and fifth digits of his right hand. The doctor marked him as
“not qualified” for retirement in block 77, but left blocks 74, 75, and 78
on the report blank, where the summary of diagnoses and defects,
recommendations for further treatment and evaluations, and num-
bered list of disqualifying defects are supposed to appear.
7/7/9x A health services technician in the administrative office at the appli-
cant’s command reviewed the SF-88 and marked on it that the appli-
cant did “meet the physical standards for retirement as prescribed in
COMDTINST M6000.1” (the Medical Manual) and had no disquali-
fying defects. The report of the examination was not forwarded to
MLC. Nor was the report completed at that time by having the appli-
cant sign a form CG-4057, which informs a member of his right to
request an IMB.
7/28/9x An orthopedic surgeon, examined the applicant and found that he
had chronic carpal tunnel syndrome in his right hand. The applicant
reported that he had numbness and tingling in his right hand and
experienced mild relief when using a splint. His symptoms had also
been relieved for two months after a steroid injection in February
199x. The doctor ordered further testing.
9/17/9x The applicant’s command (xxxxxxx) wrote a letter to the lieutenant at
CGPC detailing the administrative mistakes that had been made with
regard to the applicant’s retirement and medical processing. He
indicated that he did not receive confirmation of the applicant’s
failure to meet the physical standards for retirement until September
2, 199x, and that no IMB had been convened for the applicant, as
required by Article 12.C.3. of the Personnel Manual.
9/17/9x The applicant signed a form CG-4057, indicating that he agreed “with
the findings of the examining physician" on his SF-88. He attached to
the form a statement indicating that he was an accountant and had
worked with typewriters and computers for 26 years. He stated that
he had suffered from numbness, tingling, and pain in his right hand
and forearm since before 197x, when he first sought treatment and
was diagnosed with carpal tunnel syndrome. The applicant also indi-
cated that he had suffered hearing loss as “a direct result of repeated
exposure to loud noises, high frequency turbine noises” when he
served on a cutter as a “check sight observer” stationed at the front of
a gun mount. He stated that the noise was so loud during rapid firing
of the 5 inch gun that even double hearing protection provided very
little relief. He stated that as a result of this hearing loss, sound
entering his left ear sounds like breaking glass. Therefore, he cannot
use his left ear for telephone conversations, which makes office work
difficult because he is right handed. In addition, tinnitus in his left ear
causes a constant high-pitched squeal, which makes it very difficult to
sleep. The applicant asked that his retirement be delayed until after
his medical appointments on September 27, 199x, and October 7, 199x,
or that he be processed for a physical disability retirement.
9/30/9x The applicant’s command asked CGPC to delay the applicant’s retire-
ment date until December 1, 199x, because Dr. Y had decided to initi-
ate an IMB for the applicant because his fitness for retirement could
not be determined without further consultations and evaluations.
On the same day, a lieutenant at CGPC informed the applicant’s
command that the request was disapproved because his “condition
does not meet the criteria set forth” in Article 2.C.2.b. of COMDTINST
M1850.2C, the Physical Disability Evaluation System (PDES) Manual.
The applicant’s discharge form (DD 214) indicates that he was hon-
orably retired on September 30, 199x, after serving more than 26 years
on active duty, pursuant to Article 12.C.6. of the Personnel Manual.
His separation code is RBD, which means “voluntary retirement
authorized but not required by law when a member has attained suf-
ficient service to retire.”
10/17/9x The applicant’s command sent his medical records, separation papers,
and DD 214 to CGPC.
6/4/9x
The DVA awarded the applicant a combined disability rating of 40
percent, based on a 10 percent disability for each of the following four
conditions: carpal tunnel syndrome in right arm; carpal tunnel syn-
drome in left arm; high blood pressure and controlled hypertension;
and tinnitus. The DVA did not find the applicant’s hearing loss to be
disabling.
9/12/9x The applicant wrote a letter to an admiral in the Coast Guard stating
that a xxxx serving as a supply officer for a unit near the applicant’s
home was planning to leave the Coast Guard in the summer of 199x.
The applicant suggested that he could serve in that billet for three
years while being medically evaluated. The applicant stated that he
had served in the unit before and was very familiar with the job and
that it would save the Coast Guard the cost of moving another xxxx to
the unit. Because the admiral had retired, the applicant’s letter was
forwarded to the BCMR.
VIEWS OF THE COAST GUARD
Advisory Opinion of the Chief Counsel
On June 18, 1999, the Chief Counsel of the Coast Guard recommended
that the Board deny the applicant the requested relief.
The Chief Counsel stated that his advisory opinion is based on the medi-
cal records provided by the applicant because the applicant’s medical records
have not been found.
Citing Article 1.A. of the PDES Manual, the Chief Counsel stated that
“[t]he law that provides for physical disability retirement or separation and asso-
ciated benefits (Chapter 61, Title 10, United States Code) is designed to compen-
sate members whose military service is terminated due to a service connected
disability, and to prevent the arbitrary separation of individuals who incur dis-
abling injuries.” Furthermore, he argued, under 10 U.S.C. § 1201 and Article
2.C.2.a. of the PDES Manual, “[t]he sole basis for a physical disability determina-
tion in the Coast Guard is unfitness to perform duty.” Article 2.C.2.b. of the
PDES Manual, he stated, expressly “prohibit[s] use of this authority to bestow
compensation benefits on those who are retiring or separating and have contin-
ued on unlimited active duty while tolerating impairments that have not actually
precluded Coast Guard service.”
Under Article 2.C.2.b.1., the Chief Counsel argued, “[c]ontinued perform-
ance of duty until a service member is scheduled for separation or retirement for
reasons other than physical disability creates a presumption of fitness for duty.
… If the evidence establishes that service members adequately performed the
duties of their office, grade, rate or rating until the time they were referred for
physical evaluation, they might be considered fit for duty even though medical
evidence indicates they have impairments.”
The Chief Counsel stated that the applicant “has not presented any evi-
dence that he was unable to fulfill his duties while on active duty prior to and
coincident with his voluntary retirement.” The applicant’s records indicate he
performed his duties “at a highly satisfactory level” until his retirement. The
Chief Counsel alleged that “there is not a single instance of a documented sick
leave or hospitalization day in Applicant’s OER file.” Therefore, he argued, the
applicant has failed to prove he was physically unable to perform adequately his
assigned duties.
The Chief Counsel alleged that “[t]he fact that the physician conducting
his retirement physical identified the potential presence of one or more physical
defects is immaterial to Applicant’s request for relief. The record shows that the
Applicant performed his duties in a highly satisfactory manner during his career
up to and including the time of his retirement from the service. … Therefore,
there was no basis to evaluate him under PDES for a physical disability retire-
ment, nor was there any legal basis to medically retire the Applicant.”
Regarding the applicant’s allegations that non-medical personnel improp-
erly made the determination that he was fit for retirement, the Chief Counsel
stated that, contrary to the applicant’s statement, the final determination of fit-
ness rests with CGPC, not with the examining physician or MLC. The Chief
Counsel stated that CGPC has many qualified medical personnel on staff and
that “in the instant case, the decision made by CGPC was not a decision requir-
ing specific medical expertise. Under the provisions of the PDES Manual, CGPC
need only determine if the Applicant had adequately performed the duties of his
office until such time when he was referred for physical evaluation.”
Regarding the applicant’s allegation that he should have appeared before
an IMB and been processed for a physical disability retirement, the Chief Coun-
sel stated that the Coast Guard had no duty to do so under Article 12.C.3.b.1. of
the Personnel Manual because “the Applicant’s physical condition did not render
him unfit for continued service.” The Chief Counsel argued that the applicant’s
carpal tunnel syndrome, tinnitus, and hearing loss are “chronic medical condi-
tions, which did not prevent the Applicant from adequately fulfilling his duties
in his assigned rank or position. Therefore, the Applicant’s physical condition
did not require the convening of an [IMB].”
The Chief Counsel stated that, under Lord v. United States, 2 Ct. Cl. 749, 754
(1983), disability ratings awarded by the DVA “are not determinative of the
issues involved in military disability retirement cases. … The DVA determines
to what extent a veteran’s earning capacity has been reduced as a result of spe-
cific injuries or combinations of injuries. The Armed Forces, on the other hand,
determine to what extent a member has been rendered unfit to perform the
duties of his rate and specialty … because of a physical disability.” Furthermore,
the Chief Counsel argued, the DVA’s determination in June 199x that the appli-
cant was 40 percent disabled does not prove he was 40 percent disabled on the
date of his retirement, October 1, 199x. The Chief Counsel also alleged that the
applicant did not prove that his conditions were service connected.
The Chief Counsel concluded that the applicant has failed to prove that
his retirement was in error or unjust or that he was eligible for a medical retire-
ment under Chapter 61 of Title 10 U.S.C. He further stated that this case
“involves a significant issue of Coast Guard policy. Action by the Board other
than denial and the waiver of the ten-month rule would therefore be subject to
final action by the Secretary pursuant to 33 C.F.R. § 52.64(b).”
Memorandum of the Commander of the Coast Guard Personnel Command
The Chief Counsel attached to his advisory opinion a copy of a memoran-
dum on the case from CGPC dated May 25, 1999.
CGPC stated that on June 20, 199x, the physician conducting the appli-
cant’s physical examination prior to retirement marked him as not qualified for
retirement. On September 30, 199x, the applicant’s command asked CGPC to
extend his retirement date due to “consultations and evaluations needed to be
completed for the purpose of an Initial Medical Board (IMB). These evaluations
included looking at his carpal tunnel syndrome, hearing loss and tinnitus.”
CGPC stated that it denied this request because “the applicant’s condition
did not meet the criteria set forth by COMDTINST M1850.2C, ART 2.C.2.B.”
CGPC stated that the applicant was not referred for disability evaluation because
he was ably performing his duty at the time and that members who serve “unen-
cumbered until retirement, but with pain such as that experienced by [the appli-
cant], [are] normally referred to the Department of Veterans Affairs (DVA) sub-
sequent to retirement, to address the member’s employability.”
CGPC further stated that “[a]lthough the physician who conducted the
retirement physical indicated that the member was not physically qualified for
retirement, the final decision for such matters rests with the [CGPC], not the
physician. … Failure to complete consultations and examinations set up prior to
the member’s separation from service do[es] not support a delay in retirement.
The DVA was established to handle cases such as this.”
APPLICANT’S RESPONSE TO THE COAST GUARD’S VIEWS
On June 9, 1999, the Chairman sent copies of the Chief Counsel’s advisory
opinion and CGPC’s memorandum to the applicant and invited him to respond
within 15 days. The applicant requested an extension and responded on August
4, 1999.
The applicant argued that he fully qualified for a disability retirement
under 10 U.S.C. § 1201 because (a) his disability is “based upon accepted medical
principles and is of permanent nature and stable; (b) his disability is not the
result of misconduct; and (c) he has served more than 20 years on active duty
and his disability rating is more than 30 percent according to the schedule used
by the DVA.1 He stated that the Chief Counsel’s claim that the DVA rating is
irrelevant is wrong because 10 U.S.C. § 1201 mandates use of the DVA rating
schedule.
The applicant also argued that it was wrong for the Coast Guard to retire
him without reviewing his medical records. He alleged that he offered to fax or
mail his records to the Coast Guard overnight in September 199x, two weeks
before he was retired, but was told the decision had already been made. He
alleged that CGPC’s action was analogous to a judge deciding a case without
ever looking at the evidence.
The applicant alleged that the non-medical member who overrode his
doctor’s determination that he was unfit for retirement and who marked on his
SF-88 that he met the physical standards for retirement was not authorized to do
so according to the Medical Manual. He stated that the non-medical member
was supposed to forward the SF-88 to MLC for evaluation, which would then
have recommended disposition of his case to CGPC. He alleged that if his
records had been properly forwarded to MLC and CGPC, the determination by
two Coast Guard doctors that he was unfit for retirement would not have been
overruled.
The applicant said that, when he signed form CG-4057, he was agreeing
with his physician’s finding that he was not physically qualified for retirement;
he was not agreeing with the non-medical member’s erroneous mark. Because of
the non-medical member’s mark, the applicant attached a signed statement to the
form, detailing his medical conditions and asking to be extended so that his con-
ditions could be properly evaluated.
The applicant said that the lack of sick leave papers in his record does not
prove that he was fit for duty because “the Coast Guard is very poor in issuing
sick leave papers.” For instance, he alleged, when he was injected with steroids
for his carpal tunnel syndrome, he went on sick leave for three weeks upon his
doctor’s recommendation, but this absence was not documented in his personnel
record even though it appears in his medical record. Furthermore, the applicant
named three other members who worked in office jobs despite their disabilities
and were later processed for medical retirements. One, he stated, the chief of a
dining facility, was found unfit for duty by the physician conducting his exami-
nation for retirement due to a foot problem. That member was given a medical
board and 20 percent disability rating even though he continued to perform his
1 The applicant also indicated that the 40 percent disability rating he received from the DVA does
not include a rating for his knee injury because, although he injured his knee while on active
duty, he treated it himself with analgesics and never reported it to Coast Guard medical staff.
duty as chief of the dining facility until his retirement.2 He stated that the other
two named members were similarly assigned disability ratings despite working
up to the day they retired. He alleged that the only reason he was not similarly
processed and assigned a disability rating was because his SF-88 was not prop-
erly forwarded to MLC for review.
The applicant further stated that he did not fail to provide his medical
records to the Coast Guard. He stated that, in fact, his medical records were
mailed to CGPC on October 17, 199x. He explained that the medical records he
provided with his application to the BCMR are true copies that were made for
him by the medical staff after he retired.
The applicant included with his response an affidavit signed by a Coast
Guard colleague, who stated that the applicant had performed his duty superbly
and rarely complained despite “constant pain in his hand.” The affiant stated
that about 90 percent of the applicant’s work was on the computer and that
“[t]he price he paid was wearing a brace thru pain the entire time.”
APPLICABLE STATUTES AND REGULATIONS
Disability Retirement Statute
Under 10 U.S.C. § 1201(a), “[u]pon a determination by the Secretary con-
cerned that a member [entitled to basic pay] is unfit to perform the duties of the
member’s office, grade, rank, or rating because of physical disability incurred
while entitled to basic pay … the Secretary may retire the member, with retired
pay computed under section 1401 of this title, if the Secretary also makes the
determinations with respect to the member and that disability specified in sub-
section (b).” [Emphasis added.]
as follows:
Under 10 U.S.C. § 1201(b), the “Required Determinations of Disability” are
based upon accepted medical principles, the disability is of a per-
(1)
manent nature and stable;
2 The applicant submitted copies of this member’s medical records. The records indicate that the
member was examined and given an IMB after his physician found that he was not fit for duty
due to plantar fasciitis and limited him to duty not requiring a significant amount of standing,
walking, or running. The physician wrote on the SF-88 that the member was referred for a
medical board. The IMB found the member not fit for duty and referred him to a Central
Physical Evaluation Board (CPEB), which similarly limited his activity and set his disability
rating at 20 percent. As a result the member received permanent physical disability retirement
orders.
the member has at least 20 years of service computed
the disability is not the result of the member’s intentional miscon-
(2)
duct …; and
either
(3)
(A)
under section 1208 of this title; or
the disability is at least 30 percent under the standard
schedule of rating disabilities in use by the Department of Veterans
Affairs at the time of the determination; and either
service …;
active duty;
time of war or national emergency; or
(iv)
September 14, 1978.
the member has at least eight years of [active duty]
the disability was incurred in the line of duty after
the disability is the proximate result of performing
(iii)
the disability was incurred in the line of duty in
(i)
(ii)
(B)
Provisions of the Personnel Manual (COMDTINST M1000.6A)
Article 12.A.10. requires officers to undergo a physical examination prior
to retirement. Article 12.A.10.e. of the Personnel Manual provides the following:
(1)
If an officer is found qualified for separation/release and agrees
with the finding, the officer shall be processed for separation/release as
scheduled.
(2)
If an officer is found qualified for separation/release and dis-
agrees with the finding, . . . [t]he officer shall then be processed in accor-
dance with Chapter 3 of the Medical Manual . . . .
(3)
If there is a question about the unfitness of an officer to perform
duties and the officer agrees with the condition, . . . [t]he officer shall then
be processed in accordance with Chapter 3 of the Physical Disability
Evaluation System Manual. . . .
Provisions of the Medical Manual (COMDTINST M6000.1B)
The Medical Manual governs the disposition of members with physical
disabilities. According to Article 3.B.3.a.(1), during the medical examination a
member must undergo prior to separation, “the examiner shall consult the
appropriate standards of this chapter to determine if any of the defects noted are
disqualifying for the purpose of the physical examination.” Article 3.F. lists
medical conditions that “are normally disqualifying” for administrative retire-
ment from the Service. Persons with “listed conditions or defects (and any other
not listed) considered disqualifying shall be referred to an Initial Medical Board
… .” Among those conditions listed in Article 3.F. are malfunction of the acous-
tic nerve, which requires further evaluation, and severe pain or a limited range of
motion in the wrist.
According to Article 3.B.3.a.(2), “[w]hen the physical examination of active
duty personnel indicates defects which are remediable or which may become
potentially disabling unless a specific medical program is followed, the examiner
shall clearly state any recommendations … [and] tentative arrangements for care
shall be scheduled, subject to the approval of the examinee’s command.”
According to Article 3.B.3.a.(3), after the physical examination, “the
examinee shall be informed that the examiner is not an approving authority for
the purpose of the examination and that the findings must be approved by
proper authorities.”
According to Article 3.B.3.b.(1)(a), the member’s “command has a major
responsibility in ensuring … that physical examinations are scheduled suffi-
ciently far in advance to permit the review of the findings and correction of
medical defects prior to the effective date of the action for which the examination
is required.”
According to Article 3.B.3.b.(1)(c), “[w]hen the medical examiner recom-
mends further tests or evaluation, … the command will ensure that these tests or
examinations are completed … . When a necessary test, evaluation, or program
can be completed within a 60 day period, the unit may hold the SF-88 to permit
the forwarding of results. In all cases the command shall endorse the SF-88 to
indicate what action has been taken and forward the report to the reviewing
authority if the 60 day period cannot be met or has elapsed.”
According to Article 3.B.3.c., MLC “acts as the reviewing authority for
physical examinations performed on personnel assigned to their areas.” MLC
must review each SF-88 carefully “to determine whether the findings reported
indicate the examinee does or does not meet the appropriate physical standards.
If further medical evaluation is required to determine that the examinee does
meet the standards, or to resolve doubtful findings, the reviewing authority shall
direct the commanding officer … to obtain the evaluation and shall provide such
assistance as may be required.”
According to Article 3.B.3.d., when a member meets the appropriate
physical standards, MLC is supposed to forward the physical examination back
to the member’s command for inclusion in his medical records. However, when
a member “is not physically qualified for the purpose of the examination, … the
reviewing authority will arrange for the examinee to be evaluated by a medical
board … .”
According to Article 3.B.5., which is entitled “Objection to Assumption of
Fitness for Duty at Separation,”
[a]ny member undergoing separation from the service who disagrees
with the assumption of fitness for duty and claims to have a physical dis-
ability as defined in section 2-A-38 of COMDTINST M1850.2 (series),
Physical Disability Evaluation System, shall submit written objections,
within 10 days of signing the Chronological Record of Service (CG-4057),
to Commander [Military Personnel Command]. . . .
. . . Commander [Military Personnel Command] will evaluate each case
and, based upon information submitted, take one of the following
actions:
(1) find separation appropriate, in which case the individual will be so
notified and the normal separation process completed;
(2) find separation inappropriate, in which case the entire record will be
returned and appropriate action recommended; or
(3) request additional documentation before making a determination.
According to Article 3.B.6., which is entitled “Separation Not Appropriate
by Reason of Physical Disability,”
[w]hen a member has an impairment (in accordance with section 3-F of
this manual) an Initial Medical Board shall be convened only if the condi-
tions listed in paragraph 2-C-2.(b) [of the PDES Manual] are also met.
Otherwise the member is suitable for separation.
Article 3.F.1.c. of the Medical Manual states the following:
Fitness for Duty. Members are ordinarily considered fit for duty unless
they have a physical impairment (or impairments) which interferes with
the performance of the duties of their grade or rating. A determination of
fitness or unfitness depends upon the individual’s ability to reasonably
perform those duties. Members considered temporarily or permanently
unfit for duty shall be referred to an Initial Medical Board for appropriate
disposition.
Article 4.B.6.c. provides instructions for completing the SF-88 Report of
Medical Examination. Article 4.B.6.c.(44) instructs the examining physician in
block 74 of the SF-88 to “[l]ist ALL defects in order to protect the Government in
the event of future disability compensation claims. All defects listed which are
not considered disqualifying shall be so indicated by the abbreviation NCD (Not
Considered Disqualifying). When as individual has a disease or other physical
condition that, although not disqualifying, requires medical or dental treatment
clearly state the nature of the condition and the need for treatment.” In block 75,
the physician is supposed to indicate any recommendations and “[s]pecify the
particular type of further medical or dental specialist examination indicated.” If
the member is not fit for the purpose of the examination, the physician is sup-
posed to list the disqualifying defects by number in block 78.
Article 4.B.27.c. provides that “[m]embers not already in the physical dis-
ability evaluation system, who disagree with the assumption of fitness for duty
at separation shall indicate on the reverse of form CG-4057. They shall then pro-
ceed as indicated in paragraph 3-B-5. of this manual.”
Provisions of the PDES Manual (COMDTINST M1850.2B)
disability. Article 2.C.2. of the PDES Manual states the following:
The PDES Manual governs the separation of members due to physical
b.
The law that provides for disability retirement or separation
(Chapter 61, Title 10, U.S. Code) is designed to compensate members
whose military service is terminated due to a physical disability that has
rendered the member unfit for continued duty. That law and this dis-
ability evaluation system are not to be misused to bestow compensation
benefits on those who are voluntarily or mandatorily retiring or separat-
ing and have theretofore drawn pay and allowances, received promo-
tions, and continued on unlimited active duty status while tolerating
physical impairments that have not actually precluded Coast Guard
service. The following policies apply.
(1) Continued performance of duty until a service member is sched-
uled for separation or retirement for reasons other than physical disabil-
ity creates a presumption of fitness for duty. This presumption may be
overcome if it is established by a preponderance of the evidence that:
the service member, because of disability, was physically
unable to perform adequately the duties of office, grade, rank or rating; or
acute, grave illness or injury, or other deterioration of the
member’s physical condition occurred immediately prior to or coincident
with processing for separation or retirement for reasons other than physi-
cal disability which rendered the service member unfit for further duty.
(2) Service members who are being processed for separation or
retirement for reasons other than physical disability shall not be referred
(b)
(a)
for disability evaluation unless their physical condition reasonably
prompts doubt that they are fit to continue to perform the duties of their
office, grade, rank or rating.
c.
If the evidence establishes that service members adequately per-
formed the duties of their office, grade, rank or rating until the time they
were referred for physical evaluation, they might be considered fit for
duty even though medical evidence indicates they have impairments.
• • •
i.
The existence of a physical defect or condition that is ratable
under the standard schedule of rating disabilities in use by the [Depart-
ment of Veterans Affairs] does not of itself provide justification for, or
entitlement to, separation or retirement from military service because of
physical disability. Although a member may have physical impairments
ratable in accordance with the VASRD, such impairments do not neces-
sarily render the member unfit for military duty. . . .
FINDINGS AND CONCLUSIONS
The Board makes the following findings and conclusions on the basis of
the applicant's military record and submissions, the Coast Guard's submissions,
and applicable law:
1.
The Board has jurisdiction concerning this matter pursuant to sec-
tion 1552 of title 10 of the United States Code. The application was timely.
2.
The applicant alleged that he was not fit for duty at the time of his
retirement and that he was wrongly denied proper medical examinations and
evaluation by a medical board because of administrative error. He further
alleged that the Coast Guard unjustly ordered his retirement without permitting
further medical evaluation because it had mistakenly promoted a member to the
rank of xxxx to fill his place. He alleged that the Coast Guard may have acted
out of racial prejudice because he is Hispanic. The applicant asked that he be
returned to active duty so that his medical conditions can be evaluated and
treated or that his record be corrected to show that he was retired due to a
medical disability.
3.
The Coast Guard made several administrative errors in processing
the applicant for retirement. The examining physician failed to complete
important blocks on the applicant’s SF-88. The applicant’s command failed to
ensure that his conditions were further evaluated at the recommendation of the
examining physician, as required by Article 3.B.3.b.(1)(c) of the Medical Manual.
His SF-88 was not forwarded to MLC for review, as required by Article 3.B.3.c.
When his command realized that his conditions could not be further evaluated
prior to his scheduled date of retirement, September 1, 199x, his pay was contin-
ued, but his command failed to notify CGPC and thereby caused another mem-
ber to be promoted to xxxx before the applicant was retired.
In light of these errors, the Board must determine whether the out-
come—non-medical retirement—might have been different had any of the errors
not been made.
4.
5.
According to Article 3.F. of the Medical Manual, if a member is
found to have a “disqualifying” physical impairment during a medical examina-
tion, a medical board “shall” be held to determine the member’s disposition.
However, Article 3.B.6. states that the Coast Guard shall convene an IMB for
members with disqualifying impairments who are being separated for reasons
other than a disability only if the requirements of Article 2.C.2.b. of the PDES
Manual are met. That article requires members to prove by a preponderance of
the evidence that they are not fit for duty because of a disability. It also states
that members such as the applicant, who are being processed for separation for
reasons other than physical disability, shall not be referred to a medical board
“unless their physical condition reasonably prompts doubt that they are fit to
continue to perform the duties of their office, grade, rank or rating.” Therefore,
the Board finds that, to prove that the Coast Guard erred by not convening a
medical board to evaluate him for disability discharge, the applicant must prove
that, at the time of his release from active duty, he had a disqualifying physical
impairment which rendered him unfit for duty or his physical condition reason-
ably prompted doubt as to his fitness for duty.
6.
The applicant’s record indicates that he volunteered for retirement
and that his separation was not initiated due to a physical disability. Although
his examining physician indicated he was not fit for retirement and ordered fur-
ther evaluations, the applicant satisfactorily performed active duty service until
the day of his retirement, which creates a presumption of fitness for duty under
Article 2.C.2.b.(1) of the PDES Manual. Evidence that the applicant may have
taken sick leave due to his conditions in the past does not prove that he could not
perform the duties of his rank and office at the time of his retirement. Further-
more, the Board notes that after his retirement, the applicant requested that he be
reenlisted to serve a three-year term as the supply officer at a nearby unit. In
light of these facts, the Board is convinced that even if no administrative errors
had been made in processing the applicant for retirement, he would not have
been awarded a physical disability retirement, under Articles 3.B.6. and 3.F.1.c.
of the Medical Manual and Article 2.C.2.b. of the PDES Manual. The applicant
has not proved by a preponderance of the evidence that he was unfit for duty at
the time of his retirement or that his condition “reasonably prompted doubt as to
his fitness for duty.”
Having a ratable disability under the DVA system does not entitle
a member of the Coast Guard to a physical disability retirement or to a medical
board. Title 10. U.S.C. § 1201(a) provides the minimum statutory requirements a
member of the Coast Guard must meet before the Secretary may award him or
her a physical disability retirement. The Coast Guard’s regulations create addi-
tional requirements that must be met before members are entitled to a physical
disability retirement. Pursuant to Article 2.C.2.i. of the PDES Manual, the fact
that the applicant’s conditions are ratable disabilities under the DVA rating sys-
tems does not prove that he would have been found unfit for duty by a medical
board. As the Chief Counsel pointed out, the Court of Federal Claims has held
that “[d]isability ratings by the Veterans Administration [now the Department of
Veterans Affairs] and by the Armed Forces are made for different purposes. The
[DVA] determines to what extent a veteran’s earning capacity has been reduced
as a result of specific injuries or combination of injuries. . . . The Armed Forces,
on the other hand, determine to what extent a member has been rendered unfit
to perform the duties of his office, grade, rank, or rating because of a physical
disability. . . . Accordingly, [DVA] ratings are not determinative of issues
involved in military disability retirement cases.” Lord v. United States, 2 Cl. Ct.
749, 754 (1983).
7.
8.
9.
The applicant alleged that he was denied a medical board and
physical disability retirement because he is Hispanic. Apart from his own alle-
gations and anecdotes, the applicant presented no evidence of such racial preju-
dice.
Therefore, the Board finds that the applicant has not proved by a
preponderance of the evidence that the Coast Guard erred or committed injustice
by not convening a medical board to evaluate his conditions or by not awarding
him a physical disability discharge.
Regardless of the pain the applicant suffered while he served on
active duty, he has not established by the preponderance of the evidence that his
conditions at the time of his discharge rendered him unfit to perform his duty. A
veteran’s remedy for loss of income due to a service-connected condition that
becomes significantly disabling after his discharge lies with the DVA.
Therefore, the applicant’s request for correction should be denied.
10.
11.
[ORDER AND SIGNATURES APPEAR ON FOLLOWING PAGE]
The application for correction of the military record of retired XXXXX,
ORDER
USCG, is hereby denied.
Harold C. Davis, M.D.
John A. Kern
Betsy L. Wolf
CG | BCMR | Disability Cases | 1999-043
APPLICANT’S ALLEGATIONS The applicant alleged that at the time he retired, he suffered from pustular psoriasis on his feet and had recently undergone back surgery, a spinal fusion laminectomy of L4 and L5 with bone grafting, at xxxxxx. states that the Coast Guard shall convene a medical board for members with disqualifying impairments who are being separated for reasons other than a disability only if the requirements of Article 2.C.2.b. It also states that members who are being processed...
CG | BCMR | Disability Cases | 2005-024
Because DM requiring glucose-lowering medications as well as dietary control is a disqualifying condition for retention on active duty under Article 3.F.10.e. He noted that the PDES Manual requires the Coast Guard to use the DVA’s VASRD schedule when assigning disability ratings. The Board begins each case presuming that the applicant’s military records are correct and that Coast Guard officials, including his doctors and medical evaluation boards, have acted correctly and in good faith in...
CG | BCMR | Disability Cases | 2008-083
proper processing and performance of a physical examination and evaluations for a medical separation or retirement.” 1 The PRRB ordered the applicant’s record corrected to show that the period from October 1, 2003 through June 13, 2006 as active duty. CGPC noted that the physical examination determined that the applicant was fit for release from active duty. Physical Disability Evaluation System (PDES) Manual Article 2.A.15.
CG | BCMR | Disability Cases | 1997-092
However, Dr. x, Dr. x, and Dr. x, Coast Guard doctors who examined the applicant many times in 199x and 199x, diagnosed him as having both a personality disorder and a depressive mood disorder. Dr. x diagnosed him as having both dysthymia (a depressive mood disorder) and a personality disorder. Therefore, the Board finds that, at the time of his discharge, the applicant had recently been diagnosed by Coast Guard medical personnel with both (a) a depressive mood disorder (dysthymia), which...
CG | BCMR | Disability Cases | 2000-082
I never even met the medical officer in person, let alone received a "thorough physical examination" conducted by him as paragraph 3-F-1 [of the Physical Disability Evaluation Manual (PDES)] requires, and though signed by two medical officers, only one was involved in the actual process of producing the board. Proposed Changes to the Medical Manual Due to the efforts of the applicant, the Director of the office of Health and Safety has recommended that the Commandant include in the Medical...
CG | BCMR | Disability Cases | 2004-124
§ 1201 provides that a member who is found to be “unfit to per- form the duties of the member’s office, grade, rank, or rating because of physical dis- ability incurred while entitled to basic pay” may be retired if the disability is (1) perma- nent and stable, (2) not a result of misconduct, and (3) for members with less than 20 years of service, “at least 30 percent under the standard schedule of rating disabilities in use by the Department of Veterans Affairs at the time of the...
CG | BCMR | Disability Cases | 1997-163
In fact, the Applicant was medically qualified to re- enlist if she so chose.” In addition, the Chief Counsel stated that, because the physician who performed her RELAD physical did not question the applicant’s fitness for duty, she was not entitled to a medical board evaluation in accordance with the Physical Disability Evaluation System (PDES). According to Section 3-F-2 of the Medical Manual, if a member is found to have a “disqualifying” physical impairment during a medical...
CG | BCMR | Disability Cases | 1998-027
APPLICANT’S ALLEGATIONS The applicant alleged that in determining her disability rating, the PEB “did not take into consideration all [her] disabilities upon discharge, especially the neurocognitive dysfunction, which was not diagnosed in service due to an incomplete examination.” She alleged that she had an attention deficit disorder (ADD), which should have been diagnosed prior to her discharge. The PEB found the applicant unfit to perform the duties of her rating by reason of Dysthymic...
CG | BCMR | Disability Cases | 2001-091
The applicant stated that a Naval psychiatrist, who evaluated him in 199X at the request of the Coast Guard, supports his allegation that his Bipolar disease was incurred on and aggravated by his Coast Guard active duty service. He stated that the applicant needed to be "medically boarded from the Coast Guard" and recommended a medical board, which should have occurred while the applicant was on active duty. In recent statements on behalf of the applicant, CDR H (the flight surgeon), as...
CG | BCMR | Disability Cases | 2002-140
On October 28, 199x, the CPEB reviewed the applicant’s case and recommended that he receive a 20-percent disability rating for his chronic lower back pain, which it analogized to VASRD codes 5299 and 5293.3 The CPEB recommended that he be sepa- rated with severance pay.4 On November 12, 199x, the applicant was informed of the CPEB’s findings and recommendation. He also stated that at the time of the FPEB, only the applicant’s back condition made him unfit for duty and so only the back...