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«U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Program Support Center Human Resources Service Division of Commissioned Personnel 5600 Fishers Lane, ...»

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Medical officers who have served 27 or more years of active duty, and who would otherwise lose special pay benefits unless a multiyear special pay contract is executed, will be permitted to sign a 4-year contract which will end beyond their 30-year retirement date. These medical officers may be retained on active duty for an additional period, not to exceed a total of 38 years of active service. If no loss of pay is involved, medical officers will be restricted to a maximum of 36 years of active service.

For O-7 and O-8 officers, this review takes place after 33 years and 36 years of active duty respectively, and extensions are granted if requested by the OPDIV.

E. INVOLUNTARY RETIREMENT

After completing 20 years of active service, an officer may be considered for involuntary retirement if performance is below the level expected for the officer's grade and professional discipline, or if there is no suitable assignment.

F. DISABILITY RETIREMENT AND/OR SEPARATION

An officer may be separated or retired from active duty if the officer is found unfit to perform the duties of his/her grade, category, or office because of one or more physical or mental conditions. The mere existence of a medical condition which could be disabling does not make the individual unfit for duty. There must be a cause and effect relationship between the medical condition and the officer's performance. However, a Medical Review Board may find an officer unfit for duty if he/she has a condition not presently affecting performance of duty but which is likely in the near future to require extensive use of sick leave or medical services and for which there is significant probability that the officer will be unable to return to duty for a protracted period of time.

For an officer to qualify for any PHS benefits, the officer's disability must be incurred in the line of duty or be Service aggravated. For most purposes, these two terms mean that the medical condition must have been incurred or aggravated while the officer was on active duty, and must not be the result of the officer's willful neglect or misconduct. Natural progression of pre-existing disease or impairments is not considered service aggravation.

When adequate evidence is presented by the officer, his/her program, or the Medical Affairs Branch that the officer may have become unfit for duty, the Director, DCP, may require the officer to undergo fitness for duty determination. Often this requires further medical evaluation. The Medical Review Board examines the medical and performance evidence and makes a recommendation regarding the case. The recommendation is then forwarded to the Surgeon General/Director, Human Resources Service, Program Support Center, for final decision. (However, drug and alcohol abuse or addiction are never grounds for disability retirement since they are amenable to treatment. Nevertheless, these conditions may be grounds for involuntary separation if treatment fails and the officer is found unsuitable for duty due to substance abuse.

The finding of the Board review will be one of the following:

–  –  –

3.. Unsuitable - If the officer has a non-compensable impairment which renders him/her unsuitable for the Service (e.g., character and/or behavior disorders, or alcohol or drug abuse), the case is referred to the Director, DCP, for administrative action.

If a fitness-for-duty evaluation results in a finding that the officer is fit for duty, but the officer in question continues to be a marginal or substandard performer, the actions described under the involuntary separation section of this section may be initiated.

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G. RETIREMENT AGE

When an officer reaches age 64, he/she may retire at any time (with Board approval), regardless of the number of years of active service.

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H. DIVESTMENT OF TRAVEL ENTITLEMENTS AND UNUSED LEAVE

Upon separation an officer is entitled to travel entitlements and payments for, transfer of, or use of, unused annual leave. In some circumstances an officer may be deprived of these entitlements. An

officer will be divested of:

–  –  –

2. Payment for, transfer of, and denied use of, unused annual leave if the officer voluntarily separates from active duty before completion of 12 months of active duty;

3. All travel entitlements for himself/herself and for dependents, and of payment for shipment of household goods if the officer separates from active duty before completion of 24 months of active duty; and

4. Payment for, transfer of, and denied use of, his/her annual leave and will be divested of all travel entitlements for the officer and his/her dependents, and of payment for shipment of

household goods if the officer:

–  –  –

If an officer is divested of unused annual leave, he/she may not take or be granted terminal leave. If the leave granting authority approves terminal leave without knowing that the officer is to be divested, and the officer has departed his/her last duty station on terminal leave, the officer will be ordered back to duty for the balance of the officer's time. If the officer fails to report back to duty, he/she will be placed in Absent Without Leave (AWOL) status. While in AWOL status all pay and allowances are forfeited, medical care and disability benefits are not allowed, and costs for travel and shipping will not be reimbursed. In addition, the time in AWOL does not count toward completion of an active duty obligation.

It is the officer's responsibility to know the reasons for which he/she may be divested of entitlements.

–  –  –

Chief Professional Officer (CPO) 34 Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) 48 Coast Guard 27 Conduct, standards of 49, 50, 54, 55, 57, 98 Commissioned Corps Liaisons 1, 2, 88 Commissioned Corps Personnel Manual (CCPM) 2 Commissioned Officers’Effectiveness Report 72, 73, 74, 75, 77, 78, 83, 88 Commissioned Officers Student Training and Extern Program (COSTEP) 3, 37, 38, 43, 47 health care 47 military benefits 37 Conflict of interest 54 Continuing education 62-64, 83, 84 Correction of records 49, 59, 60 Curriculum vitae (CV) 77, 85

–  –  –

E Electronic Bulletin Board (EBB) 85, 87, 88 Emergency care 44-47 Environmental Protection Agency (EPA) 27 Equal Employment Opportunity (EEO) 49, 59

–  –  –

S Separation 3, 34, 35, 41, 47, 49, 53, 55-58, 63, 72, 98-100, 110-114 involuntary separation 49, 55, 57, 58, 63, 72, 112, 113 Servicemembers’Group Life Insurance (SGLI) 41 Sexual harassment 49, 55 Short-term training 64, 90, 117 Soldiers' and Sailors' Civil Relief Act (SSCR) 41 Space-Available (Space-A) 38, 92 Space-Required (Space-R) 90, 92 Staffing officer 86 Standards of conduct 49, 50, 54, 55, 57, 98 Statement of earnings 101, 108, 118 Substance Abuse and Mental Health Services Administration (SAMHSA) 23 Surgeon General’ Policy Advisory Council Representatives 1, 2, 77 s Survivor Assistance Officer (SAO) 40 Suspension from duty 57

–  –  –

V Vacancy Announcement and Tracking System (VAATS) 85, 87 Variable Special Pay (VSP) 101 Veterans Educational Assistance Program (VEAP) 40, 106

–  –  –

- 125 -



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