DEPARTMENT OF TRANSPORTATION
BOARD FOR CORRECTION OF MILITARY RECORDS
Application for Correction of
the Coast Guard Record of:
BCMR Docket No. 2001-114
XXXXXXXXX, XXXXXX X.
XXX XX XXXX, XXX
FINAL DECISION
GARMON, Attorney-Advisor:
This is a proceeding under the provisions of section 1552 of title 10 and section
425 of title 14 of the United States Code. It was docketed on July 25, 2001, upon the
BCMR’s receipt of the applicant’s request for correction.
members who were designated to serve as the Board in this case.
This final decision, dated June 20, 2002, is signed by the three duly appointed
APPLICANT’S REQUEST
The applicant asked the Board to correct her record by changing the character of
the discharge she received on May 15, 20xx from “honorable discharge by reason of
misconduct due to fraudulent enlistment” to “honorable discharge by reason of
physical disability.” She stated that such a change would result in her continued receipt
of the drug xxxxxx, which provides her temporary and partial relief from painful
muscle spasms.
APPLICANT’S ALLEGATIONS
The applicant stated that in September 19xx, she completed recruit processing at
a Military Entrance Processing Station (MEPS). The applicant alleged that while
undergoing her initial physical examination during MEPS, she disclosed all medical
ailments “honestly and to the best of her knowledge,” including seasonal allergies and
skin rashes. Based on her MEPS evaluation, the applicant asserted, military doctors
found her to be in good health “prior to the first time she saw an acupuncturist.”
The applicant alleged that in March of 19xx, she experienced mild neck
discomfort and sought the assistance of an acupuncturist. The applicant stated that as a
result of performing neck stretching and strengthening exercises suggested by the
examining acupuncturist, she gained relief from her neck discomfort.
The applicant alleged that in September 19xx, she again sought the assistance of
an acupuncturist while she was stationed on a cutter. However, on this occasion, the
applicant stated, she sought an acupuncturist through Coast Guard TriCare, but later
discovered that TriCare benefits did not include acupuncture services. The applicant
stated that she independently obtained the services of an acupuncturist but gained no
relief from the assistance.
The applicant alleged that approximately one year after she enlisted, she noticed
that she was “having trouble controlling the movement of her head and neck.” The
applicant stated that she was evaluated in January 20xx, by Dr. R of the U.S. Public
Health Service, who determined that she had torticollis1 and recommended that she
follow a stretching regimen. She stated that at the time she was seen by Dr. R, her
condition did not interfere with her duties.
The applicant alleged that after she transferred to another cutter, she experienced
pain that hindered her from completing assigned duties, which in turn resulted in her
being “xxxx xxxxxx xxxxxxxx.” The applicant stated that she was again evaluated by
Dr. R, and thereafter referred to a neurologist, Dr. S, because xxxxxx xxxxxx xxxxxx xxx.
Dr. S evaluated the applicant on January 11, 20xx, and determined that she suffered
from cervical dystonia2 and recommended that she receive xxxxxx injections.
The applicant averred that she developed cervical dystonia while serving on
active duty in the Coast Guard, and that as a result of the disorder, she was forced to
seek separation from the Coast Guard. The applicant asserted that the disorder causes
the muscles in her neck to contract involuntarily, “prevent[ing] her from holding her
head upright or turning [her head] to the left or right.” The applicant contended that
with xxxxxx injections, she obtains temporary and partial relief from “the painful
muscle contractions and involuntary movements” of her condition.
The applicant alleged that in preparation for an initial medical board (IMB), the
Coast Guard completed a follow-up evaluation of the applicant on February 1, 20xx.
1 Torticollis is a “contracted state of the cervical muscles, producing twisting of the neck and an unnatural
position of the head.” Dorland’s Illustrated Medical Dictionary 1853 (29th ed. 2000).
2 Cervical dystonia is distortion or impairment of voluntary movement pertaining to the neck, due to
disordered tension of muscle. Id. at 329, 554, 559 and 1849.
That evaluation, contended the applicant, was identical to her MEPS physical
examination in 19xx but yielded, in part, a diagnosis of cervical dystonia. The applicant
stated that the evaluating physicians indicated “processing by reason of physical
disability” in their report, and also completed a narrative summary for the IMB. The
applicant stated further that on March 2, 20xx, she received the convening order evaluee
copy of her medical board report, and shortly thereafter, she submitted a statement in
response.
The applicant alleged that the foregoing collection of documents, which were
awaiting review by the Central Physical Evaluation Board (CPEB), were instead
forwarded to the Commander of Enlisted Personnel Management (EPM) for purposes
of considering a discharge due to fraudulent enlistment. The applicant asserted that
because the CPEB never convened to hear her case, she was denied the opportunity to
be considered for separation by reason of physical disability.
The applicant alleged that the character of her discharge without sufficient proof
or the benefit of a medical board is unjust for numerous reasons. First, alleged the
applicant, the Coast Guard’s claim that her enlistment was fraudulent due to failure to
disclose an acupuncture visit during the interim period between her MEPS examination
and her entry on active duty is unsubstantiated. Second, the applicant alleged that she
possessed no knowledge of her condition prior to enlistment. Third, she alleged that
she experienced no symptoms of her condition until she was serving aboard her first
cutter on active duty. Fourth, she alleged, the medical examination board (MEB)
summary, written by Dr. S on January 11, 20xx, was not taken into consideration by the
Coast Guard in reaching its decision that she fraudulently enlisted.
The applicant argued that Dr. S’s letter dated June 6, 20xx, which states that the
applicant’s condition “began after she entered the Coast Guard,” further contradicts the
Coast Guard’s pronouncement of a fraudulent enlistment. She asserted that the Coast
Guard has failed to demonstrate an intent to deceive on the applicant’s part, as required
by the Chief Counsel of the Coast Guard to establish a fraudulent enlistment. Such
being the case, the applicant asserted, the Board should find that she is entitled to have
the character of her discharge changed to honorable discharge by reason of physical
disability.
SUMMARY OF THE APPLICANT’S RECORD
On December 14, 19xx, the applicant enlisted in the regular component of the
Coast Guard under the Delayed Entry/Enlistment Program (DEP) for not less than four
years. Prior to enrolling in DEP, during recruit processing at MEPS, the applicant
indicated no problems with her neck or neck muscles on pre-enlistment physical
examination reports.
experienced in her neck.
On April 5, 19xx, the applicant was honorably discharged from DEP and enlisted
in the regular component of the Coast Guard on active duty. Two days later, she
executed forms SF-600, stating that she had no change in her health since MEPS in
September 19xx, and SF-93, denying that she had “consulted or been treated by clinics,
physicians, healers or other practitioners within the past 5 years for other than minor
illnesses.”
On May 29, 19xx, the applicant successfully completed eight weeks of Coast
Guard boot camp training, and thereafter attended “A” school to become a petty officer.
She was transferred to her first cutter in September 19xx.
In March 19xx, the applicant visited an acupuncturist for discomfort she
On June 15, 20xx, Dr. R evaluated the applicant, who complained of muscle
tension in her neck and being unable to keep her neck in one position. According to the
applicant’s June 15th health record entry, she reported that she was experiencing no
neck pain. Dr. R requested a radiological consult for cervical and neck x-rays for the
applicant’s “neck pain and difficulty in moving her neck to the [left and right].”
On June 22, 20xx, Dr. R met with the applicant regarding her lab results, assessed
her with “suspected torticollis” and referred her to physical therapy for a plan of
treatment. Over the course of the next two weeks, the applicant continued physical
therapy treatment.
On June 29, 20xx, the applicant was again evaluated by Dr. R, who
recommended an “ortho consult.” According to the June 29th health record entry, the
applicant reported that her condition was “very slightly better.” Her cutter was
deployed on July 5, 20xx, and she was advised to continue physical therapy at the end
of her deployment.
On August 7, 20xx, the applicant was again evaluated for problems associated
with her neck. Specifically, she complained that “her neck had a tendency to turn to the
left.” She was assessed with chronic torticollis and referred to a civilian facility to have
an “ortho/spine consult.” That consult was performed by Dr. Z on August 28, 20xx,
and produced a diagnosis of “chronic torticollis on the right.” Dr. Z ordered the
applicant to begin a stretching program and noted his intent to consult with a different
physician about “xxxx xxxx” for the treatment of “the sternocleidomastoid on the
[applicant’s] right.”
In October 20xx, the applicant was transferred to another cutter. On December
12, 20xx, Dr. R again followed up with the applicant, who complained of “tight
soreness” and not being able to “function” or “relax” due to her condition. She
reported that her neck problems had worsened during the ten days prior to the instant
visit. The applicant continued to be diagnosed with chronic torticollis and was advised
to continue physical therapy and follow-up visits. She continued to follow the plan of
treatment.
The applicant’s cutter was scheduled to depart overseas on January 13, 20xx. On
January 8, 20xx, she was examined for “persistent neck pain, tension and discomfort” at
a chiropractor clinic. During this evaluation, Dr. C concluded, in part, that the
applicant was “not fit to go away…[and] need[ed an] MRI neuro[logy] consult.” On
January 9, 20xx, Dr. R followed up with the applicant on her chiropractic visit and
found that “at present [it] may not [be] possible to go underway.” He recommended a
neurology consult and told her to return in one to two weeks.
On January 11, 20xx, the applicant was evaluated by a neurologist, Dr. S, who
reported that she had a prior injury of whiplash and diagnosed her with cervical
dystonia. Dr. S concluded that the applicant was not fit for deployment to sea and
proscribed the lifting of heavy objects. The applicant’s condition was further noted to
require MEB or PEB processing. Dr. S documented her findings in an MEB summary,
listing an impression of cervical dystonia. Dr. S recommended, in part, that the
applicant be referred to a medical board and that she receive xxxxxx injections every
three months.
On January 19, 20xx, the applicant followed up with Dr. S for a xxxxxx injection.
The applicant’s records indicate that Dr. S recommended that she return in three
months, or two weeks, if needed. Approximately three weeks later, the applicant was
again assessed by Dr. S, who administered a one-time booster injection of xxxxxx.
On February 1, 20xx, the applicant was evaluated for the purpose of an Initial
Medical Board (IMB). The IMB found that the primary diagnosis of “cervical dystonia
(torticollis)…[is] correct and that the [applicant] is not fit for duty.” The board further
stated that the applicant had no other neck injuries except whiplash and concluded that
“[g]iven the chronic nature of her pain and concurrent diagnosis[,] the prognosis for
[the applicant] is reserved. Additional treatment recommendations include periodic
follow-up with a Neurologist (xxxxxx Injection), Physical Therapy and Chiropractor.”
The applicant continued her recommended plan of treatment with physical
therapy from February 12, 20xx to May 30, 20xx, but showed no significant changes in
her condition. Also during this period, she received her third injection of xxxxxx and
was advised by Dr. S to return in three months.
On March 7, 20xx, the applicant timely acknowledged that she intended to
submit a rebuttal to the findings and recommendations of the IMB. In rebuttal, the
applicant stated that she was never medically diagnosed with whiplash, but her mother
once said that she might have whiplash after she was “rear-ended … on a bumper-car
ride.” The applicant conveyed that she experienced no pain or discomfort as a result of
the amusement park event. The applicant further expressed that she accepted her
medical condition, was pleased with her current level of treatment, and hoped to be
medically retired.
By memorandum dated April 13, 20xx, the Commander of the Coast Guard
Personnel Command (CGPC) notified the Commanding Officer (CO) of the Integrated
Support Command (ISC) of CGPC’s receipt of the applicant’s IMB, wherein the
applicant was reported to have known that she suffered from “limited range of motion
[in] her neck since December 19xx….” CGPC further indicated that a discharge due to
fraudulent enlistment was in contemplation and that ISC should offer the applicant an
opportunity to make a statement.
In response to CGPC’s April 13, 20xx memorandum, the applicant submitted a
statement on May 11, 20xx, stating that she “did see a chiropractor and an acupuncturist
in early 19xx for [her] neck” but attributed the problem to “a pulled or unusually tense
muscle…simply due to stress from joining the Coast Guard.” The applicant went on to
state that, after she was twice seen by an acupuncturist but experienced no relief, she
began to associate her neck pain with problems greater than stress. The applicant
expressed disappointment that she was being considered for a discharge due to a
fraudulent enlistment and concluded that “[t]he occasional neck pain that [she]
experienced prior to [her] enlistment was not chronic nor did it affect [her] daily life in
any way.”
On May 15, 20xx, the applicant received a message from CGPC, via the ISC,
ordering her honorable discharge by reason of misconduct due to fraudulent
enlistment. The discharge orders were effective not later than June 13, 20xx. On June
29, 20xx, the applicant was honorably discharged from the Coast Guard for “fraudulent
entry into military service” with an RE-4 reenlist code (not eligible) and a JDA
separation code, which denotes an “involuntary discharge … when a member procured
a fraudulent enlistment, induction, or period of military service through deliberate
material misrepresentation, omission or concealment.”
VIEWS OF THE COAST GUARD
On February 6, 2002, the Chief Counsel provided the Coast Guard’s comments to
the Board. He attached to his advisory opinion a memorandum on the case prepared
by CGPC. In concurring with CGPC’s analysis, the Chief Counsel recommended that
the Board grant the applicant partial relief by ordering the Coast Guard to review the
applicant’s medical condition under the Physical Disability Evaluation System (PDES)
to determine the extent of disability and the nature of discharge.
The Chief Counsel argued that the applicant had a duty to disclose treatment
that she sought for health problems associated with her neck during the four-month
interim period between her enlistment in DEP and her commencement of active duty.
He asserted that she was fully counseled on this obligation and further contended that
the record wholly supports the applicant’s appreciation of the requirement to disclose
such information. The Chief Counsel stated that in spite of the multiple opportunities
to comply with the requirements for disclosing her medical information, the applicant
failed to so do.
The Chief Counsel stated that as a result of the applicant’s failure to disclose
health problems existing prior to her enlistment, the Coast Guard was denied the
opportunity to fully evaluate her eligibility for enlistment. He argued that according to
the applicant’s record, the Coast Guard reasonably found that the applicant intended to
conceal her history of health problems and thereby was justified in subsequent steps
taken to implement her discharge.
The Chief Counsel contended, however, that “[t]here is insufficient evidence in
the record to support CGPC’s determination that Applicant fraudulently enlisted.” He
stated that the plain language of the SF-93 (Report of Medical History) medical
questionnaire may have led the applicant to consider her neck problems to be of a non-
serious nature.3 In light of the applicant’s entire record, asserted the Chief Counsel, it is
difficult to establish that the applicant was aware of the severity of her condition. Such
being the case, he stated, it is appropriate to withdraw the fraudulent enlistment
separation.
APPLICANT’S RESPONSE TO THE VIEWS OF THE COAST GUARD
On March 18, 2002, the Chairman sent a copy of the views of the Coast Guard to
the applicant and invited her to respond within 15 days. The applicant was granted a
30-day extension and responded on April 26, 2002.
The applicant stated that she agreed with the recommendation of “the Board to
grant relief by ordering the Coast Guard to review [her] condition under the Physical
Disability Evaluation System….”4 Notwithstanding agreeing with the recommended
3 Specifically, the applicant answered “no” to the question “[h]ave you ever been a patient in any type of
hospital or consulted or been treated by clinics, physicians, healers or other practitioners within the past
5 years for other than minor illnesses?”
4 The Board interprets this to mean that she agrees with the Coast Guard’s advisory opinion to the extent
indicated.
APPLICABLE LAW
Provisions of the Medical Manual (COMDTINST M6000.1B)
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 their 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.
relief, the applicant alleged that the Coast Guard’s advisory opinion warranted a
number of clarifications or corrections in order to portray her record accurately. She
pointed out that specific sections in her medical record show conflicting assessments of
either the nature and/or duration of her neck problems. The applicant also submitted
letters written on her behalf by acquaintances, who indicated that they knew her well
and were unaware of any health problem prior her entry on active duty.
The applicant further alleged that she candidly answered the Coast Guard’s
medical questionnaires. She contended that had she answered affirmatively that she
had “been treated by clinics, physicians, healers or other practitioners…for other than
minor illnesses,” her answer would imply treatment for a major illness. The applicant
declared that such a claim would have been untrue.
Provisions of the PDES Manual (COMDTINST M1850.2B)
The PDES Manual governs the separation of members due to a physical
disability. Article 2.A.23. defines “incurrence of disability” as the moment “when the
disease or injury is contracted or suffered as distinguished from a later date when the
member’s physical impairment is diagnosed or the physical defect renders the member
unfit for continued duty. … A physical disability that is due to the natural progress of
disease or injury is incurred when the disease or injury causing the disability is
contracted.”
According to Article 3.D.8., entitled “Requirement for Initial Medical Board
(IMB), “[e]xistence of one or more of the following situations requires convening an
IMB: … In any situation where fitness for continuation of active duty is in question.”
Article 3.F.1 provides that “[a] medical board considers and reports upon any
evaluee whose case has been referred for consideration. It conducts a thorough
physical examination to evaluate the member’s general health. … It shall obtain and
examine available records to formulate a conclusion regarding the member’s present
state of health and the recommendations required.”
Article 3.F.2. provides that “[a] medical board is not a forum for conducting a
formal hearing, taking other than medical evidence, or making determinations required
of physical evaluation boards by chapters 4, 5, 6, and 7 of [the PDES]. It presents a clear
medical picture of the case in question[,] making all pertinent diagnoses/prognoses and
giving a medical opinion as to the evaluee’s fitness for duty and recommendation for
future action. … “
According to Article 4.A.1.a., “[t]he CPEB is a permanently established
administrative body convened to evaluate the following on the basis of records only:
the fitness for duty of active duty and reserve members; …” Furthermore, Article 4.A.3.
provides that “[t]he CPEB evaluates the fitness for duty of all evaluees whose cases are
referred to it for consideration by Commander (CGPC–adm), Coast Guard Personnel
Command.”
Personnel Manual (COMDTINST M1000.6A)
Disability Evaluation and Disciplinary Action,” provides the following:
Article 12.B.1.e. of the Personnel Manual, entitled “Cases Involving Concurrent
Disability statutes do not preclude disciplinary separation. The separations
described here supersede disability separation or retirement. If Commander,
(CGPC-amd) is processing a member for disability while simultaneously
Commander (CGPC-emp-1) is evaluating him or her for an involuntary
administrative separation for misconduct or disciplinary proceedings which
could result in a punitive discharge or an unsuspended punitive discharge is
pending, Commander, (CGPC-adm) suspends the disability evaluation and
Commander (CGPC-epm-1) considers the disciplinary action. If the action taken
does not
include punitive or administrative discharge for misconduct,
Commander, (CGPC-adm) sends or returns the case to Commander, (CGPC-
adm) for processing. If the action includes either a punitive or administrative
discharge for misconduct, the medical board report shall be filed in the
terminated member’s medical personnel data record (MED PDR). ….”
Article 12.B.18.b.2., entitled “Reasons to Discharge for Misconduct,” provides
that “Commander, (CGPC) may direct discharging a member for misconduct…” for
“procuring a fraudulent enlistment, induction, or period of active service through any
deliberate material misrepresentation, omission, or concealment which, if known at the
time, might have resulted in rejection. …”
FINDINGS AND CONCLUSIONS
1.
2.
3.
The Board has jurisdiction concerning this matter pursuant to 10 U.S.C.
The Board makes the following findings and conclusions on the basis of the
applicant's military record and submissions, the Coast Guard's submission, and appli-
cable law:
§ 1552. The application was timely.
The applicant alleged that she was wrongly denied the opportunity to
have “her case heard by competent Board members” of a CPEB in order to consider her
for separation by reason of physical disability. Pursuant to 3.F.1.c. of the Medical
Manual, the Coast Guard was required to determine the applicant’s fitness for duty
when the applicant’s health problems associated with her neck interfered with her
duties aboard her second cutter. In assessing her continued fitness for active duty, an
IMB was convened and the applicant’s general health was evaluated during a
comprehensive physical examination. PDES Manual, Articles 3.D.8., 3.F.1. and 3.F.2. A
CPEB, however, was not required to evaluate the applicant’s fitness for duty unless her
case was referred to the CPEB by the Commander (CGPC-adm), Coast Guard Personnel
Command. PDES Manual, Article 4.A.3.
The applicant alleged that the Coast Guard erred in forwarding her case to
the Commander of EPM for administrative discharge, while her case was awaiting
CPEB review. It is an established rule that the administrative discharge of an enlisted
person before the expiration of their enlistment term is void if it “exceeds applicable
statutory authority, or ignores pertinent procedural regulations, or violates minimum
concepts of basic fairness.” Waller v. United States, 198 Ct. Cl. 908, 913, 461 F.2d 1273,
1276 (1973); Giglio v. United States, 17 Cl. Ct. 160, 166 (1989). However, under Article
12.B.1.e. of the Personnel Manual,
involuntary administrative separations for
misconduct or disciplinary proceedings, which may result in punitive discharge,
supersede separations by reason of disability. Therefore, the Board cannot find that the
Coast Guard erred when it suspended the applicant’s disability evaluation, subsequent
to her IMB evaluation, in order to consider administratively separating her for
fraudulent enlistment.
The applicant asserted that her discharge for misconduct due to
fraudulent enlistment is legally and factually insufficient because the evidence fails to
establish that she knowingly misrepresented the serious nature of her health problems.
The record shows that, prior to her entry on active duty, she experienced one neck ache
that was resolved through stretching exercises. The Chief Counsel admitted that under
the circumstances presented, it is difficult to ascertain and establish whether or not the
applicant knew and
the severity of her condition.
Consequently, he agreed that the character of the applicant’s discharge should be
intentionally concealed
4.
corrected by removing the fraudulent enlistment separation. Moreover, the Coast
Guard has recommended that the Board grant partial relief by ordering the Coast
Guard to review the applicant’s medical condition under the Physical Disability
Evaluation System in order to determine the extent of her disability and the nature of
the applicant’s discharge.
The PDES Manual governs the determination of when a service member
incurs a disability. PDES Manual, Article 2.A.23. The Board is persuaded that the Coast
Guard denied the applicant a CPEB and discharged her for misconduct without
sufficient evidence that she knowingly provided false information about the nature of
her health problems. The preponderance of the evidence in the record indicates that
neither the applicant nor her doctors had any idea of the serious nature of her illness
until she had served on active duty for almost two years. Therefore, the applicant has
proved by a preponderance of the evidence that the Coast Guard erred in discharging
her for fraudulent enlistment with a JDA separation code and RE-4 reenlistment code.
She has also proven that she was denied due process, in that she should have been
discharged under the PDES.
Accordingly, the applicant should be granted the relief of having the
Coast Guard convene a CPEB to determine the extent of the applicant’s disability and
the nature of the applicant’s discharge. In addition, her DD 214 should be corrected to
reflect a reason for discharge that is consistent with the final determination of the PDES.
[ORDER AND SIGNATURES APPEAR ON NEXT PAGE]
5.
6.
The application of XXX XXXX XXXXX, XXXXXXXXX, USCG, is granted as
ORDER
Within four months of the date of this decision, the Coast Guard shall convene a
CPEB to evaluate her case. Thereafter, the Coast Guard shall process her case in
accordance with the PDES Manual and applicable regulation.
After such PDES processing is complete, the Coast Guard shall correct her DD
214 to show a narrative reason for separation, separation authority, separation code,
and reenlistment code that reflect the results of her PDES processing and that conform
to the provisions of the Separation Program Designation Handbook.
The Coast Guard shall pay the applicant any sum she may be due as a result of
follows:
this correction.
James K. Augustine
Murray A. Bloom
Betsy L. Wolf
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