FPEB question

eawaggoner

Member
Registered Member
I just received the adjudication on my IPEB and was given a permanent retirement with a disability percentage of 40%. While this is not too bad, I think the rate could easily be moved to 50 or 60%.
My question is - If I refuse the informal board findings and go to the formal board is there any way the % could be reduced?? I can live with it being unchanged ultimately, but not reduced.
Anyone know??

Thanks
 
Thanks for the reference material. I know it is kind of a jackpot situation, but I wasn't sure if there was a "likely scenario". I was being evaluated for a frozen shoulder (10%), foot pain (3 govt foot surgeries -10%) and Parkinson's (20%). The PD % seems very low, but with 13 years of service I have to have a medical retirement for long-term.
Just trying to make an educated decision. Thanks.
 
Over at VBN this thread may help you.

The good thing about being PDRL, even at 40%, is that you now have military medical care for life. The retirement amount may suck at 40%, but have you gone through the VA yet to file claims for all your issues? I would imagine the VA would rate you higher, and what they give you is tax free.
 
eawagonner,

Welcome! As you know, there is a risk that they could reduce your percentage. The Formal Board is not bound by the Informal, so you do have risk.

My question is, what code did they rate you under? There is direction in Table of Analagous Codes to rate under Sydenham's Chorea (DC 8105), but the ratings are 10%, then 30%. The other one that is sometimes used for Parkinson's is Paralysis Agitans, under DC 8004. But that has a minimum rating of 30%. It seems like something is very wrong with your rating.

You may be able to benefit from the new law requiring Services to use VASRD as interpreted by Court of Appeals for Veterans Claims. There are a number of scenarios I could see where you might be able to use this to your advantage. Possibly, even if you accept the findings.
 
The codes I received were 8004-8512(20%) , 8004-5304 (10%) and 5282 (10%). I thought it seemed a bit low too, but don't have enough info to make an informed decision.
 
Even if they rated you at 50%, you probably will not get increased benefits. You may be inviting risk for no gain. How many years do you have in and what grade are you? This is important because under current laws, your VA comp will off-set your DoD disability retirement. If your VA comp is clearly over your DoD retirement (even at a 50% rating), then there is no gain getting the military to rate you at 50%. You will end up with the same amount of money and the same retirement benefits.

Also, there are various boards that can review and increase your rating after you get out. But unlike the formal board, these boards cannot reduce your rating or remove your retiremnt. All Services have Boards for the Correction of Military Records. The Army also has the Disability Ratings Review Board which is available to anyone who received a rating of 30% or more. There is also the option of federal courts to dispute the rating post retirement.

My advice would be to lock in your retirement by accepting the IPEB results and immediately file for VA compensation. Get smart on how the VA rates the condition the military found you unfit for and ensure the VA gives you the highest rating due by law. If the VA rating is 50% or more, I would then go to the Ratings Review Board (if Army), the BCMR or federal courts to argue your rating should have been higher given the VA rating.

Be aware that I expect that concurrent receipt will someday be expanded for chapter 61 retirees with less than 20 years. When this happens, you will get DoD disability retirement based on your rank and years of service. You will also get all of your VA disability compensation without off-set. At this point, the rating the military gave you will become moot as rank and years of service will be the only factors in your DoD disability retirement.

Mike
 
Okay, they are rating you by analogy to the loss of the peripheral nerve function. I think this is wrong and you should be rated under 8004. But, as far as the minimum rating of 30% under code 8004, what they did was to break out the hand/wrist and shoulder conditions separately. If you added (but not combined, there is a difference, in your case minor) the 20% and 10%, that would equal the minimum rating. So, as far as minimum rating argument, that may be a wash. However, that is completely different than if they appropriately rated the severity of your conditions in the first place.

Mike is right about the relative benefits of getting a higher rating. You are likely in about a good of a position as you will get (under current law, which may change). In order to know for sure, you have to make an informed guess about the likely rating from the VA, as well. You do want to get a rating from them as soon as possible.

I think you have to quantify the risk, though, to make an informed decision. Under 8512, the lowest rating listed is 20%. Under 5304, Here are the ratings criteria (higher rating for dominant hand):

Severe .................................................. .....30 ..............20
Moderately Severe ....................................20 ..............20
Moderate ..................................................10 ..............10
Slight .................................................. .......0 ................0

For Hammer toe (5282) here are the ratings:

5282 Hammer toe:

All toes, unilateral without claw foot..................................... ............ 10
Single toes.............................................. .......................................... 0


So, I would look these over and try to see if there is any basis for a lower finding on these other conditions.

All that being said, I would also still tend to agree with Mike that you may be able to challenge the rating later, after you have it locked in. There is a risk with accepting the findings that they will raise an argument that you have waived your rights to challenge by accepting the findings. The Services have not been ruthless about applying this argument but I could see that changing, too.

Another question I would have is why not TDRL? I am not advocating this (though you would get paid at 50% rate; there is a benefit in my mind to the permanency of PDRL, but depending on the prognosis, I think TDRL is not a bad disposition, weighing in extra pay above and beyond 30 or 40% rating in those cases ) but is your condition not progressive? Has it changed much in the past year (not that it matters per se, but to get an idea of its progression). What do your Doctors say about prognosis?

I hope I did not muddy the waters for you. Like I said, you may be at a point where you will not do better (or only slightly) with a higher rating at the VA, and you do have your medical benefits locked in under the current finding. However, I think there is a likelihood that you should have been rated higher. I don't know the other facts concerning the severity of your shoulder or foot conditions so it is hard to gauge if there is substantial risk in not accepting. But there is risk. So long as you are aware of the potential risks, that you may be able to appeal later (however with the possibility that your acceptance will act as a waiver), then I think you have a good understanding of the situation. I don't like to make recommendations about what to do because ultimately it is your own situation. But you have a good outcome now. Whether you should challenge, you need to decide.

Best of luck and I wish you the best in whatever comes after the military. I hope to see you here as a member in the future. Your input and experiences can help others.
 
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