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					              ARMY RESERVE MEDICAL COMMAND




                  MOS/Medical Retention Board
                             And the
               Physical Disability Evaluation System


                     SFC Patrick J Campbell
                        AR-MEDCOM, G1
                       Soldier Support Branch



                                                       MANAGING THE STRENGTH OF THE ARMY

10 May 2011              SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           1
              ARMY RESERVE MEDICAL COMMAND

                           ACRONYMS
               LOD        = Line of Duty
               MEB        = Medical Evaluation Board
               PEB        = Physical Evaluation Board
               NDRPEB     = Non Duty Related PEB
               PEBLO      = PEB Liaison Officer
               PDA        = Physical Disability Agency
               NARSUM     = Narrative Summary
               MEBC       = Med Eval Board Clerk
               MEBT       = Med Eval Brd Technician
               DCCS       = Dep Cdr Clinical Services
                                                      MANAGING THE STRENGTH OF THE ARMY

10 May 2011             SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           2
              ARMY RESERVE MEDICAL COMMAND
                             MOS/Medical Retention Board
                                    (MMRB)

      The MMRB is an administrative screening board conducted under the
      provisions of AR 600-60 at the RRC level, that determines whether Soldiers
      who meet medical retention standards but have permanent 3 or 4 physical
      profiles who can physically perform their primary military occupational
      specialty (branch/specialty code for officers) in a worldwide, field
      environment. Referral to a MEB/PEB[1] is one of four actions the MMRB
      Convening Authority (MMRBCA) may direct. When the MMRBCA directs
      referral to a MEB/PEB/NDRPEB, conduct of the board is mandatory.


      [1] See AR 600-60, para 4-20b, for specific finding applicable to Reserve
      Component soldiers not on active duty of more than 30 days.



                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           3
                          ARMY RESERVE MEDICAL COMMAND
                                                                           Med Bde’s Scrub for P3 and P4 Profiles
                                                                          Notifies AR-MEDCOMs Surgeon’s Office




                                                                         AR-MEDCOM Surgeon’s office prepares
                                                                         and sends Notification of Disqualification
                                                                               and Election of Options Letter



                                                                               Solder responds back to
                                                                             ARMEDCOM with option letter


                        RRC Conducts MMRB sends results                                        MEB/                                     Med Bde sends option letter to
                     to AR-MEDCOM G-1or Surgeons Office                                        NDR-PEB                                      AR-MEDCOM G-1



Found FFD, soldier        Found FFD but must    Probation for 3 months              Found Med Disqualified,
 remains in MOS               RECLASS             Return to MMRB                                                                       Request will be forwarded to G-1
                                                                                  will be sent option letter from                      IRD who will cut discharge order
                                                                                         Surgeon’s office                             Officer discharges will be forwarded
                                                                                                                                         to USARC for final approval.
                        Findings sent to AR-MEDCOM
                          G-1 RECLASS order cut by
                                   IRD, G-1
                                                                                                           Request Discharge
                                                              Request MEB/NDR-PEB                         Letter and Supporting
                                                           Bde and soldier prepare Packet             Docs sent to AR-MEDCOM
                                                           and send to AR-MEDCOM G-1                 G-1, TTHS cuts discharge order




                                                          ARMEDCOM G-1 sends packet to
                                                           appropriate site; Await results




                                                                                                                    MANAGING THE STRENGTH OF THE ARMY

10 May 2011                                                     SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736                                                      4
                 ARMY RESERVE MEDICAL COMMAND
                              MMRB Membership With Vote
               President: Will be COL, may be a LTC frocked to COL
               Medical Officer: Field grade Med Corps Off in Ready, Stand-by
               Reserve or in Active Status

                                         Additional Members

              Commissioned Off: members will be Field Grade

              Warrant Off: at least 1 member will be a CW3-CW5 and senior to
              WO being boarded. Remaining 2 will either be WO or FGO

              Enl/NCO: 1 member will be a SGM (preferably a CSM if available),
              remaining 2 members must be in rank of MSG-SGM
NOTE: If a female or minority soldier is boarded, a female or minority board member will be appointed
upon written request
                                                                    MANAGING THE STRENGTH OF THE ARMY

10 May 2011                           SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           5
                ARMY RESERVE MEDICAL COMMAND
                           MMRB Membership With Out Vote

   Personnel Advisor: will be a commissioned officer, warrant off, senior personnel
   sergeant or DA civilian (GS-7 or above); will advise MMRB concerning policy and
   procedures, the soldiers PMOS duties and common tasks related to the performance
   of the soldiers PMOS duties in the a field environment (DA Pam 611-21)

   Board Recorder: will be an enlisted soldier or DA civilian; They will coordinate
   with the units and MSC/DRU/DRC G-1s to obtain the MMRB packets and medical
   records and then provide them to the medical officer for review and analysis
   (at least 14 days prior to the board). Recorders will prepare the boardroom and
   MMRB worksheet for each board member and schedule the order of Soldiers’
   appearances before the board.

    NOTE: Exception to Policy to AR 600-60, dtd 8 Aug 2005
    Army Reserve Soldiers have the right to waive their right to appear before the MMRB. Applies
    To TPU, IMA, IRR and AGR soldiers. Must be submitted in writing
                                                                     MANAGING THE STRENGTH OF THE ARMY

10 May 2011                            SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           6
              ARMY RESERVE MEDICAL COMMAND

                What the Soldier Can and Cannot Do
                While Pending Medical Board Action

                              Can:
      1. Attend Annual Training at Commander’s Discretion
   2. CONTINUE TO ATTEND BATTLE ASSSEMBLIES!!!


                              Can Not:
                1. Attend Service Schools or reenlist
                   2. Cannot Deploy or PCS/Retire

                                                       MANAGING THE STRENGTH OF THE ARMY

10 May 2011              SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           7
              ARMY RESERVE MEDICAL COMMAND

                         MOS/Medical Retention Board
                                 MMRB
                                DA Form 3349 w/ Cdrs Approval
                                    of Physical Limitations


                                    Meets Retention Standards


                                            MMRB




     RETAIN in MOS/AOC     RECLASSIFY in another       PROBATION (3 mo)           Found Medically Unfit
        Return to Duty         MOS/AOC                 Must return to MMRB           for Retention;
                                                                                     Refer to PDES




                                                                MANAGING THE STRENGTH OF THE ARMY

10 May 2011                     SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736                   8
              ARMY RESERVE MEDICAL COMMAND
                          RC Non-Duty Related PEB
DoD Directive 1332.18, as implemented by DoD Instruction 1332.38, affords RC
members pending separation for medical disqualification (separation for failure to meet
medical retention standards IAW AR 40-501) the right to be referred to a PEB for solely
a fitness determination. Referral is not mandatory but upon the request of the Soldier.
These are cases of RC Active Status Soldiers not on extended active duty whose
disqualifying medical impairments were incurred outside of military service and
involve no issue of aggravation while in a duty status. (Thus, there is no statutory
entitlement to PDES evaluation.) Heretofore, these soldiers were separated based
solely on not meeting medical retention standards. Referral to the PEB allows these
Soldiers to have fitness determined under the standards applied to Active Army Soldiers
and RC Soldiers with service-incurred conditions. The USAR Regional Readiness
Command or the ARNG State Headquarters refers the case to the PEB—not the MTF.
(The RC soldier may be referred to the MTF for conduct of a physical, but the MTF
does not conduct a NDR-PEB.)

                                                             MANAGING THE STRENGTH OF THE ARMY

10 May 2011                    SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           9
                 ARMY RESERVE MEDICAL COMMAND


      Line of Duty/AGR                                                                    USAR
                                  Does Not Meet Retention Standards



              LOD/AGR                                                     Non-Duty Related PEB


                MEB

                                                               Retirement           PEB        DISCHARGE
FFD                     PEB
                                                                         FFD                   Not FFD

                  FFD         DISCHARGE
                                                                            SM Appeal            Discharge/
                              Severance Pay
                                                                                                   Retire
                                    Or
                              % of Disability
                                                                       Formal FFD Board
                                                                       (SM Own Expense)

                                                                   MANAGING THE STRENGTH OF THE ARMY

10 May 2011                          SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736                  10
              ARMY RESERVE MEDICAL COMMAND




                                                    MANAGING THE STRENGTH OF THE ARMY

10 May 2011           SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           11
              ARMY RESERVE MEDICAL COMMAND




                                                    MANAGING THE STRENGTH OF THE ARMY

10 May 2011           SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           12
                ARMY RESERVE MEDICAL COMMAND
              Name:                                                          , SSN:
              13. ELECTION OF SOLDIER

              TO: President, Physical Evaluation Board
              I HAVE BEEN ADVISED OF THE FINDINGS AND RECOMMENDATIONS OF THE PHYSICAL EVALUATION BOARD, AND HAVE RECEIVED A FULL
              EXPLANATION OF THE RESULTS OF THE FINDINGS AND RECOMMENDATIONS AND LEGAL RIGHTS PERTAINING THERETO AND
              FOR INFORMAL PROCEEDINGS ON SOLDIERS DETERMINED FIT (EXCEPT MEMBERS ON THE TDRL)
              ______ I CONCUR.
              ______ I DO NOT CONCUR. MY WRITTEN APPEAL _____ IS ATTACHED _____ IS NOT ATTACHED. I UNDERTAND THAT FAILURE TO SUBMIT
              A WRITTEN APPEAL MAY RESULT IN FINAL PROCESSING OF MY CASE WITHOUT REVIEW BY HQ, USAPDA.
              FOR ALL OTHER INFORMAL PROCEEDINGS
              ______ I CONCUR AND WAIVE A FORMAL HEARING OF MY CASE.
              ______ I DO NOT CONCUR BUT WAIVE A FORMAL HEARING. MY WRITTEN APPEAL _____ IS ATTACHED _____ IS NOT ATTACHED.
              I UNDERSTAND THAT FAILURE TO SUBMIT A WRITTEN APPEAL MAY RESULT IN FINAL PROCESSING OF MY CASE WITHOUT REVIEW BY HQ,
              USAPDA.
              ______ I DO NOT CONCUR AND DEMAND A FORMAL HEARING _____ WITH PERSONAL APPEARANCE _____ WITHOUT PERSONAL APPEARANCE.
               MY STATEMENT IDENTIFYING MY ISSUES OF DISAGREEMENT WITH THE INFORMAL PEB _____ IS ATTACHED _____ IS NOT ATTACHED.
              ______ I REQUEST A REGULARLY APPOINTED COUNSEL TO REPRESENT ME.
              ______ I WILL HAVE COUNSEL OF MY CHOICE AT NO EXPENSE TO THE GOVERNMENT. I UNDERSTAND THAT I MUST NOTIFY MY COUNSEL
              AT THIS TIME OF THE PENDING HEARING. I FURTHER UNDERSTAND THAT A DELAY WILL NOT BE GRANTED MERELY BECAUSE I DID
              NOT CONTACT MY COUNSEL IN SUFFICIENT TIME FOR HIM OR HER TO PROPERLY PREPARE. I WILL INFORM MY COUNSEL THAT HE
              OR SHE SHOULD IMMEDIATELY CONTACT THE PEB TO COORDINATE FURTHER ACTIONS IN MY CASE.




              TYPED NAME & GRADE OF SOLDIER                             SIGNATURE                                      DATE

              14. COUNSELR’S STATEMENT

              I have informed the soldier of the findings and recommendations of the Physical Evaluation Board
              and explained to him/her the result of the findings and recommendations and his/her legal rights
              pertaining thereto. The soldier has made the election(s) shown above.
              TYPE NAME AND GRADE OF COUNSELOR                          SIGNATURE                                      DATE




                                                                                                            MANAGING THE STRENGTH OF THE ARMY

10 May 2011                                               SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736                               13
               ARMY RESERVE MEDICAL COMMAND

                       Fitness for Duty Medical Examination

              Commanders may refer Soldiers to the MTF for a medical
              examination under the provisions of AR 600-20, para 5-4, when
              they believe the Soldier is unable to perform MOS or specialty
              code duties due to a medical condition. This examination may
              cause conduct of a MEB, which will be forwarded to the PEB when
              it finds that the Soldier’s medical condition falls below medical
              retention standards




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           14
              ARMY RESERVE MEDICAL COMMAND
                             Medical Evaluation Board
                                      (MEB)

      The Medical Treatment Facility (MTF) initiates a MEB under the provisions
      of AR 40-400, Chap 7, when a Soldier has received maximum benefit of
      medical care for a condition which may render the Soldier unfit for further
      military service. The MEB documents the Soldiers medical retention
      standards IAW MAR 40-501, Chap 3. If the Soldier does not meet medical
      standards, the MTF refers the case to the applicable PEB for a determination of
      fitness under the policies and procedures of DoDI 1332.38 and AR 635-40




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           15
               ARMY RESERVE MEDICAL COMMAND

        Line of Duty/AGR                                                          USAR
                          Does Not Meet Retention Standards



                LOD/AGR                                           Non-Duty Related PEB


                  MEB

                                                         Retirement         PEB        DISCHARGE
         FFD              PEB
                                                                 FFD                   Not FFD

                    FFD         DISCHARGE                                                Discharge/
                                Severance Pay                      SM Appeal
                                                                                           Retire
                                      Or
                                % of Disability
                                                               Formal FFD Board
                                                               (SM Own Expense)

                                                           MANAGING THE STRENGTH OF THE ARMY

10 May 2011                  SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736                  16
               ARMY RESERVE MEDICAL COMMAND
                         Requirements to go before a MEB

                     1. APPROVED Line of Duty (AC/AGR/USAR)


    NOTE: Many AC soldier do not have APPROVED LODs in their medical
    records. It is felt that since they have appropriate documents to show injuries (ie
    DD214 and medical documents) then a DA Form 2173 is not needed. This is not
    true. If you know of a soldier that has been injured and who DOES NOT have an
    approve LOD, the following documents will help substantiate their claim:

              1. Deployment Orders
              2. DD 214
              3. Medical Documents from initial treatment



                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           17
                  ARMY RESERVE MEDICAL COMMAND
                       Example of an Approved LOD Memorandum

              MEMORANDUM FOR Commander, 143rd Transportation Command, 2800 Dowden Road,
                Orlando, FL 32827

              SUBJECT: Line of Duty Injury: SPC Campbell, Patrick J., 123-45-6789

              1. While performing the 2-mile event on the semi-annual APFT, SPC Campbell fell on the
                 tarmac and injured his knees. He was taken immediately to Orlando Naval Training
                 Center for evaluation and released.

              2. Reviewed for Completeness: IN THE LINE OF DUTY

              3. POC is SFC Patrick J Campbell, 727-563-3736

              BY AUTHORITY OF THE SECRETARY OF THE ARMY

                                                         SIGNATURE BLOCK



                                                                       MANAGING THE STRENGTH OF THE ARMY

10 May 2011                              SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           18
     ARMY RESERVE MEDICAL COMMAND

                          MEB Initiation


Medical Board Section receives notification Soldier will be a board by:

                         1. Fit for Duty Request
                                 2. MMRB
                         3. Doctor Notification




                                                      MANAGING THE STRENGTH OF THE ARMY
                        SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736
                    ARMY RESERVE MEDICAL COMMAND
                       Basic Steps to the MEB Process
              1.    MEB Initiation
              2.    Soldier Briefing & Unit Notification
              3.    Physical Exam
              4.    Consults / Appointments
              5.    NARSUM Appt
              6.    Final Signatures on MEB
              7.    PEBLO Counseling to Soldier
              8.    MEB to the PEB
              9.    PEB Results
              10.   To the PDA


                                                Potential Appeal

                                                                   MANAGING THE STRENGTH OF THE ARMY

10 May 2011                          SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           20
              ARMY RESERVE MEDICAL COMMAND

                          Board process (continued)

      • Soldier is telephonically contacted by the Medical Clerk to come the MTF
        to start his/her board.

      • Soldier completes paperwork (2807 & 2808) and Information worksheet.




                                                              MANAGING THE STRENGTH OF THE ARMY

10 May 2011                     SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           21
              ARMY RESERVE MEDICAL COMMAND
                           Board process (continued)

         • Soldier is given schedule of appointments
                - Briefing (by PEBLO)
                - Physical Examination ****
                - Eye Examination
                - Hearing Test
                - Dental Appointment
                - Board Doctor Appointment (NARSUM)
         **** May generate consult(s) to another clinic




                                                              MANAGING THE STRENGTH OF THE ARMY

10 May 2011                     SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           22
               ARMY RESERVE MEDICAL COMMAND

                            Board process (continued)


          • Board Doctor receives all paperwork (to include any consults
            required).
          • Doctor dictates NARSUM
          • Transcription provides NARSUM draft to Medical Clerk
          • Medical Clerk reviews/corrects NARSUM draft, prepares MEB
            coversheet and Profile
          • Medical Clerk forwards final MEB to doctor for review and final
            signatures (2 are required)




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           23
                  ARMY RESERVE MEDICAL COMMAND

                               Board process (continued)
              Medical Clerk receives signed/completed board from the doctor and
              forwards to PEBLO.

              •PEBLO reviews board for administrative accuracy then forwards to
              DCCS (or designee).

              •DCCS reviews for medical accuracy, signs board and returns to
              PEBLO.




                                                                  MANAGING THE STRENGTH OF THE ARMY

10 May 2011                         SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           24
                ARMY RESERVE MEDICAL COMMAND
                              Board process (continued)

          •   PEBLO contacts soldier to review board.
          •   ** Soldier signs board.
          •   Board is forwarded to PEB for adjudication.
          •   PEB returns finding to PEBLO (via FAX)
          •   PEBLO contacts soldier to review findings
          •   **Soldier signs findings

          • ** Soldier is entitled to review time and appeal process.




                                                                MANAGING THE STRENGTH OF THE ARMY

10 May 2011                       SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           25
               ARMY RESERVE MEDICAL COMMAND

                              Board process (continued)

          • Signed findings are forward (via FAX) to PEB for further processing
            (to USAPDA)

          • If fit: DA Letter of Fitness is forwarded to MEB office.

          • If unfit: DA places soldier in TRANSPROC system for
            separation/retirement.

          • Unit Commander determines specific separation/retirement date                   (90
            day window)



                                                                MANAGING THE STRENGTH OF THE ARMY

10 May 2011                       SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           26
              ARMY RESERVE MEDICAL COMMAND

                              Physical Evaluation Board
                                        (PEB)

      The Physical Evaluation Board (PEB) makes a determination of physical
      unfitness and is required by law to rate the disability using the Department of
      Veterans Affairs Schedule for Rating Disabilities. DoD Instruction 1332.39
      and AR 635-40, Appendix B, modify those provisions of the rating schedule
      inapplicable to the military and clarify rating guidance for specific conditions.
      Ratings can range from 0 to 100 percent rising in increments of 10.




                                                                MANAGING THE STRENGTH OF THE ARMY

10 May 2011                       SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           27
              ARMY RESERVE MEDICAL COMMAND

                                PEB Liaison Officer

      The individual responsible for counseling Soldiers referred into the PDES with
      a MEB is the MTF Physical Evaluation Board Liaison Officer (PEBLO). The
      PEBLO counsels the Soldier on MEB/PEB findings and related rights and
      benefits. If the MTF determines that the Soldiers is not mentally competent,
      the PEBLO counsels the designated next of kin.




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           28
              ARMY RESERVE MEDICAL COMMAND

                    COMPLETED PEB PACKET

                      1.     MEB Packet
                      2.     Personnel Data
                      3.     Health Record




                                                    MANAGING THE STRENGTH OF THE ARMY

10 May 2011           SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           29
              ARMY RESERVE MEDICAL COMMAND
                                  PEB Composition

      PEBs normally consist of a three-member board composed of a mixture of
      military and civilian personnel. The President is normally a colonel, but may
      be a GS-13 Civilian Adjudication Officer. The Personnel Management Officer
      (PMO) may be a field grade officer or a GS-13 Civilian Adjudication Officer.
      The physician may be a civilian or military. PEB members will be
      experienced officers who are thoroughly familiar with board procedures.
      When an RC Soldier appears before the board, one member must be from the
      Reserve Components.




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           30
              ARMY RESERVE MEDICAL COMMAND

                            PEB Findings

                   • Fit
                   • Unfit
                      – Disability %
                      – With or Without Severance




                                                      MANAGING THE STRENGTH OF THE ARMY

10 May 2011             SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           31
              ARMY RESERVE MEDICAL COMMAND

                                  PEB Dispositions
                                   Fit For Duty

      The Soldier is judged to be fit when he can reasonably perform the duties of
      his/her grade and Military Occupational Specialty (or branch for officers)




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10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           32
              ARMY RESERVE MEDICAL COMMAND

                        Existed Prior to Service (EPTS)

     According to acceptable medical principles, certain abnormalities and residual
     conditions exist that, when discovered, lead to the conclusion that they must
     have existed or have started before the Soldier entered military service. This
     results in the Soldier being separated with out benefits.

     •Separation is given without Disability Benefits (monetary or medical)

     •―8 Year Rule‖ Exception

         ***LIMITED BENEFITS ARE GIVEN THROUGH INVOLUNTARY SEPARATION




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           33
              ARMY RESERVE MEDICAL COMMAND

                            Separation without benefits

        Separation without benefits occurs if the unfitting disability existed prior to
       service, was not permanently aggravated by military service and the member
       has less than 8 years of Active Duty (active duty days); or the disability was
       incurred while the Soldier was absent without leave or while engaging in an
                          act of misconduct or willful negligence.




                                                                MANAGING THE STRENGTH OF THE ARMY

10 May 2011                       SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           34
              ARMY RESERVE MEDICAL COMMAND
                          Separation with severance pay

      Separation with disability severance pay occurs if the Soldier is found unfit,
      has less than 20 years of service as computed under 10 USC 1208, and has a
      disability rating of less than 30%.

      •Severance Formula
          – Same for 0%-20%
          – 2 x #Yrs (up to 12) x Base Pay

           Example: 6 Years 10 Months Active Service Would Be
                            2 X 7 X Base Pay = $$$
      •Medical benefits for 6 Months

                                                                MANAGING THE STRENGTH OF THE ARMY

10 May 2011                       SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           35
              ARMY RESERVE MEDICAL COMMAND


      • When the PEB determines UNFIT for DUTY, they also determine the
        % of unfitness.

      ----%                 Existed Prior to Service (EPTS)
      0% - 20%              Severance Pay Calculation
      30% or ↑              Medical Retirement




                                                           MANAGING THE STRENGTH OF THE ARMY

10 May 2011                  SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           36
              ARMY RESERVE MEDICAL COMMAND
                              Temporary Retirement

          Temporary disability retirements occurs if the Soldier is found unfit and
         entitled to permanent disability retirement except that the disability is not
       stable for rating purposes. ―Stable for rating purposes‖ refers to whether the
        condition will change within the next five years so as to warrant a different
      disability rating. However, stability does not include latent impairment – what
                                might happen in the future.




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           37
              ARMY RESERVE MEDICAL COMMAND

                   Periodic Medical Re-Examination and Tenure


       When placed on the Temporary Disability Retirement List (TDRL), the law
       requires the member to undergo a periodic medical reexamination within 18
       months at a minimum followed by PEB evaluation. The Soldier may be
       retained on the TDRL or a final determination may be made. While the law
       provides for a maximum tenure of 5 years on the TDRL, there is no
       entitlement to be retained for the entire period.




                                                              MANAGING THE STRENGTH OF THE ARMY

10 May 2011                     SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           38
              ARMY RESERVE MEDICAL COMMAND

                              Permanent Retirement

      Permanent disability retirement occurs if the Soldier is found unfit, the
      disability is determined permanent and stable and rated at a minimum of 30%,
      or the Soldier has 20 years of service as computed under 10 USC 1208. (For
      Reserve Component Soldiers, this means at least 7200 points)




                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           39
                       ARMY RESERVE MEDICAL COMMAND
                                       U. Physical Disability System
                                    Total S. Army Medical Command
                                 (MMRB - MEB – Processing Timeline Goals
                                Physical EvaluationPEB – PDA – Orders)
                                                                                                            Color Key
                                                    Phases
                                            MEDCOM Processing Goals
                                                                                                              MEDCOM Actions
                                                                                                              PERSCOM Actions
                                                                                                             Installation Actions
   Rehabilitation          MEB
   Phase                   Physician Phase
   Temp Profile (NTE 1 yr) Perm Profile                           se                                                             ,
                                                               Pha                                                             OC rs
                                                                                                                            P R de
          Surgery, PT, trial
                                                            UM
                                  14 days
                                                                                                                         NS s or
            of duty, etc.                                                                               w
   R                            to complete                S                        se               ie                 A t
   T               Rehab           exams
                                                    N  AR                      P  ha             Rev                TR s, cu
                                                                                                                  ia e
                                                                           LO                 DA
                  Complete
   D
                                                                         B                   P                 e v ceiv
             or            M     Consults
                                                                                          B/                 ag e
                                               Physician/            PE                                   ess on r
  Physician issues          E                 Soldier Appt                             PE               m ti




                                                                                                                                    Final Out
                                                                                                   DB talla
  P3/ P4
                            B                    Review
    Meets medical retention      CCEP         clinical data   (Soldier has 72 hrs                 P s
          standards - No        Work-up                      to appeal to DCCS) (Formal/Informal    In
                                                Dictates
                                                                                    Appeal)                 Transition Out
    Meets medical retention                                                                        7 - 10
                                   Labs         Board         (DODI 1332.38      (DODI 1332.38              -Transitional leave
       standards - Yes
  M                                                            sets standard)     sets standard)   days
                                                                                                            - PTDY
  M      Re-class, 6 mos
                                                                                                            -Clearing time
  R     probation status,          45             15               30                 40
  B       Retain, MEB
                                                                                                             < or = 90 days
       60 days to conduct                     Dictation      PEBLO                Findings                   Unit & Transition Pt
            MMRB                                             assemble case,       Determined
                     Optimal Care Achieved
                                                                                                             coordinate separation
                                                             mail to PEB                                     date
                                                                                      MANAGING THE STRENGTH OF THE ARMY

10 May 2011                                         SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736                                     40
               ARMY RESERVE MEDICAL COMMAND

                               Differences Between
                                 PDES and DVA:
        While both the Army and the Department of Veterans Affairs (DVA) use the
        Department of Veterans Affairs Schedule for Rating Disabilities, not all the
        general policy provisions set forth in the Rating Schedule apply to the
        military. Consequently, disability ratings may vary between the two. The
        Army rates only conditions determined to be physically unfitting,
        compensating for loss of a military career. The DVA may rate any service-
        connected impairment, thus compensating for loss of civilian employability.
        Another difference is the term of the rating. The Army's ratings are
        permanent upon final disposition. DVA ratings may fluctuate with time,
        depending upon the progress of the condition. Further, the Army's disability
        compensation is affected by years of service and basic pay; while VA
        compensation is a flat amount based upon the percentage rating received.


                                                               MANAGING THE STRENGTH OF THE ARMY

10 May 2011                      SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           41
                ARMY RESERVE MEDICAL COMMAND


          AR 40-501: Standards of Medical Fitness

          AR 600-60: Physical Performance Evaluation System

          AR 635-40: Physical Evaluation for Retention, Retirement, or
          Separation

          http://louisvillelaw.com/federal/physical_disability_sep_1.htm

          http://www.louisvillelaw.com/federal/physical_disability_sep_2.htm

          http://www.louisvillelaw.com/federal/physical_disability_sep_3.htm

          https://www.hrc.army.mil/site/Active/TAGD/CMAOC/CACLOCATOR/CACLOCATORINDEX.htm



                                                                   MANAGING THE STRENGTH OF THE ARMY

10 May 2011                          SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           42
              ARMY RESERVE MEDICAL COMMAND




                       QUESTIONS?




                                                    MANAGING THE STRENGTH OF THE ARMY

10 May 2011           SFC Patrick J Campbell/patrick.j.campbell1/727-563-3736           43

				
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