Cook v. United States

123 Fed. Cl. 277, 2015 U.S. Claims LEXIS 1385, 2015 WL 6163263
United States Court of Federal Claims·Decided October 21, 2015·No. 13-523C·Published·Cited by 7 cases

Opinion

Motion to Dismiss; Mootness; Failure to State a Claim; Motion for Judgment on the Administrative Record; Waiver; Application of Sections 4.129 and 4.130 of the Veterans Affairs Schedule for Rating Disabilities to Soldiers Discharged With PTSD Prior to the Enactment of the Wounded Warrior Act in 2008; 10 U.S.C. Chapter 61; Authority of the Physical Disability Board of Review Under 10 U.S.C. § 1554a; Army Acted Contrary to Law

OPINION AND ORDER

SWEENEY, Judge

Plaintiff Ronald C. Cook was medically separated from the United States Army (“Army”) for posttraumatic stress disorder (“PTSD”) resulting from his service in Iraq during Operation Iraqi Freedom. Because the Army determined that plaintiff suffered from mild PTSD, it assigned him a 10% disability rating, which is below the threshold-to qualify for disability retirement. Plaintiff now seeks the correction of his military records to reflect a higher disability rating and entitlement to disability retirement. Defendant moves to dismiss one of plaintiffs claims, and the parties cross-move for judgment on the administrative record on both of plaintiffs claims. Defendant further moves to strike a document attached to one of plaintiffs briefs. For the reasons set. forth below, the court denies defendant’s motion to dismiss, grants in part and denies in part defendant’s motion for judgment on the administrative record, grants in part and denies in part plaintiffs cross-motion for judgment on the administrative record, and denies defendant’s motion to strike as moot. This case is remanded to the Army for the correction of plaintiffs military records.

I. BACKGROUND

A. The Army’s Disability Evaluation System

When a physical disability renders a member of the military unfit to perform his or her duties, the member may be separated or retired from service. 10 U.S.C. ch. 61 (2006). A member’s fitness for duty and eligibility for separation or retirement is governed by regulations promulgated by the Secretary of the military department to which the member belongs. 1 Id. § 1216. Relevant here is Army Regulation 635-40, “Physical Evaluation for Retention, Retirement, or Separation” (Feb. 8, 2006) (“Army Regulation 635-40”).

The Army’s disability evaluation process begins with a soldier’s referral to a medical treatment facility for evaluation. Army Regulation 635-40, ¶¶ 4-6 to 4-8. If the commander of the medical treatment facility determines that the soldier may not be “medically qualified to perform duty,” the commander will refer the soldier to a Medical Evaluation Board (“MEB”).' Id. ¶4-9. The MEB documents the soldier’s medical condition and duty limitations, and then evaluates the soldier’s medical condition against specified retention criteria. Id. ¶ 4-10. If it determines that the soldier does not meet the retention standards, the MEB refers the soldier to a Physical Evaluation Board (“PEB”). Id. ¶¶ 4-10, 4-13(a).

PEBs are fact-finding boards charged with “[ijnvestigating the nature, cause, degree of severity, and probable permanency” of a soldier’s disability; “[evaluating the physical condition of the Soldier against the physical requirements of the Soldier’s particular office, grade, rank, or rating”; “[providing a full and fair hearing for the Soldier as required by” 10 U.S.C. .§ 1214; and “[mjaking findings and recommendations required by law to establish the eligibility of a Soldier to be separated or retired because of physical *281 disability.” Id. 14-17(a). In making the required findings and recommendations, the PEB must first determine whether the soldier is “physically fit or unfit to perform” his or her duties. Id. ¶ 4-19(a)(l), (d)(1). If the PEB determines that the soldier is unfit for duty, it must also determine, among other things, “[wjhether the disability is of a permanent nature,” id. ¶ 4-19(a)(2), (h), and “the rating for each compensable disability,” id. 114 — 19(f)(5), (i); accord id. ¶6-3^). The PEB assigns disability ratings, which reflect the severity of the disabilities, using 'the United States Department of Veterans Affairs Schedule for Rating Disabilities (“VASRD”). Id. ¶¶ 4 — 19(f)(5), (i), B-3(a).

A case referred by an MEB is considered first by an informal PEB. Id. ¶ 4-20(a). Informal PEBs record their findings and recommendations on a DA Form 199, “Physical Evaluation Board (PEB) Proceedings,” which is then forwarded to, among others, the soldier and the soldier’s PEB liaison officer. Id. ¶ 4-20(b). Upon receipt of the DA Form 199, the soldier may elect to (1) concur with the findings and recommendations and waive a formal healing; (2) disagree with the findings and recommendations, submit a rebuttal statement, and waive a formal hearing; (3) demand a formal hearing; and/or (4) have representation by counsel if a hearing is demanded. Id. ¶ 4-20(c)(l). The soldier’s PEB liaison officer must counsel the soldier regarding his or her options, the processing procedures, and the benefits that would flow from the informal PEB’s findings and recommendations. Id. ¶ 4-20(d)(l). After the soldier makes an election on the DA Form 199, the PEB liaison officer must sign the form and then forward it to the PEB. Id. ¶ 4-20(d)(2). If, as happened in this case, the soldier concurs with the informal PEB’s findings and recommendations and waives a formal healing, “the proceedings will be approved for the [Secretary of the Army] and forwarded to [the Army’s Human Resources Command] for final disposition.” Id. ¶4-20(e)(1). Final dispositions include permanent retirement, placement on the temporary disability retirement list (“TDRL”), and separation. Id. ¶ 4-24(b) (citing 10 U.S.C. §§ 1201-1206). Of particular relevance in this case, a soldier with a permanent and stable disability and at least a 30% disability rating may be retired with retired pay, 10 U.S.C. § 1201, a soldier who has been assigned at least a 30% disability rating but whose disability is not permanent and stable may be placed on the TDRL with retired pay, id. § 1202, and a soldier with a permanent and stable disability and a disability rating of less than 30% may be separated from service with severance pay, id. § 1203.

B. Plaintiffs Military Service

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