disability pension new rules 2023

New Disability Pension Entitlement Rules-2023 for Defence Personnel

FNo  16(3)/2023/D(Pen/Pol)Nol-ll 
        Government of India
Min stry of Defense Department of Ex-Servicemen Welfare
D(Pension/Policy)
                                                                                           New Delhi, dated 21.09.2023

To
The Chief of the Defence Staff
The Chief of the Army Staff

The Chief of the Naval  Staff 
The Chief of the Air Staff

Subject :Entitlement Rules for Casualty Pensionary Awards to the Armed Forces Personnel- 2023 and Guide to Medical Officers-2023 – reg. –

Sir,
I am directed to say that the President is pleased to decide that with effect from 21st September, 2023 and in supersession of any previous orders/rules on the subject, the Entitlement Rules-2023 and Guide to Medical Officers-2023 set out in Appendix-I and Appendix-II respectively to this letter shall apply in cases of disablement or death of service personnel.

2       This Issues with the concurrence of Ministry of Defence (Finance) vide their I.D Note No. 10(03)12023/Fin/Pen dated  20.09 2023.

                                                                        yours faithfully
                                                                                      (BL Meena)
                                             Under Secretary to the Govt.: of India

Copy to:-
1 The Secretary (Def/Fin)
2. The CGDA
3. DGAFMS
4. The PCDA(P), Prayagraj
5. The PCDA (N), Mumbai
6. The Jt.CDA (AF), Subroto Park,New Delhi
7 The Director of Audit
8 AGPS/AHQ
9. DPP&R, Air HQ/DPA/Air Hqrs
10.       DPA, Naval Hqrs.

                                                          Appendix-I (Refer to Ministry of Defence letter No
16(3)12023/D(Pen/PoNol-ll dated 21.09.2023

ENTITLEMENT RULES FOR CASUALTY  PENSION AND DISABILITY COMPENSATION AWARDS TO ARMED FORCES PERSONNEL. 2023

  1. Title :   These Rules shall be called the Entitlement Rules for Casualty Pension and Disability Compensation Awards to Armed Forces Personnel. 2023 and supersedes the Entitlement Rules for Casualty Pensionary Awards to Armed Force Personnel.2008.

2. (i) These Rules shall be read in conjunction with the following documents as amended from time to time: –

SPARSH Smart Card will be issued to all Defence Pensioners

(a) Pension Regulations for the Army  2008.
(b) Navy (Penst0n) Regulations  1964
(c) Pension Regulations for the Air Force  1961
(d) Guide to Medical Officers (Military Pension). 2023 and subsequent amendments,if any.
(e) Government of India, Ministry of Defence policy letters on the subject issued from time to time.

(ii) Superseding Clause. These Rules shall supersede au previous Entitlement Rules for Casualty Pensionary Awards to Armed Forces Personnel. Where any provision in these rules is found contrary to the provisions of any previously existing rules. regulations or policies,on the subject of Casualty PensionaryAwards. the provisions given in these rules shall take precedence

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रक्षा कर्मियों के लिए नई डिसएबिलिटी पेंशन एलिजिबिलिटी नियम-2023

3. Extent of Application.

(a) These Rules shall apply to all Officers, JCOs,WOs. OR and equivalent ranks in other services including officers. JCOs WOs and OR of the Temtonal Army, when embodied,called out or attached as the case may be

(b) These Rules do not apply incases where disablement or death on which the claim to casualty pensionary awards is based, took place.

(i) During the period 3ns September  1939 to 3ist March. 1948. which will be dealt with in accordance with the entitlement criteria laid down In AnnexureI;and

(ii) During the period of emergency post-1948 which will be dealt with in accordance with Annexure IJ to these Rules.

(c) Cases of death/ disablement of Cadets (Direct). due to causes attributable to or aggravated by military training sha.11 be governed under the provisions contained in the Ministry of Defence Letter No 1(5)/ 931 D (Pen – C) dated 16″April, 1996,amended from time to time in so far as entitlement of ex-graba Is concerned. However, the claims for ex­ gratia award shall be governed in accordance with these Rules.  A copy of the letter dated 16th  April 1996 is appended as Annexure Ill to these Rules.

4 Definitions.   Unless the context otherwise dictates the following terms shall mean as under :-

(a) Categories of Disabilities. For the purpose of determining the casualty pension and disability compensation for death or disability which is attributable to or aggravated by military service, the circumstances shan be broadly classified from Category A – E as specified in Paragraph 4.1of Government of India, Ministry of Defence Letter No 1 (2)/ 97/ D (Pen – C) dated 31 Jan 2001

(b) Disability. ‘Disability’ means a condition of a person resulting In long term physical, mental, intellectual or sensory impairment which in interaction with barriers, hinders full and effective participation 10 society. equally with others. In respect of Armed Forces personnel,a ‘Disability’ also means a functional impairment that inhibits an individual from effectively discharging duties of a military nature or to be provided an alternative employment within the service, even though the individual may otherwise be fit to participate normally in Civil society. Two such Illustrations (though not an exhaustive list of the same) could be as given below:-

(i) Amputation of the index finger of the dominant arm. thereby precluding operation of the trigger of a personal weapon.

(I) Personnel affected with seizure.who cannot be issued weapons or detailed on sentry duties.

(c) Entitlement.   Entitlement is the determination by the Competent/ Appellate Authority,after considering both medical and non-medical evidence,as to whether or not a wound. Injury or any bodily disability has been influenced 10 iis onset or course by conditions of military service or is a War lnjury  Disabilities that fall under Categories ‘C’, ‘D’ or ‘E’ are caused “Accepted Disabilities•and those that fall under Category ‘A’ are Rejected Disabilities’.

(d) Assessment The term “assessment” defines the process of evaluating the functional impairment suffered by an individual following a disability or disabilities in terms of percentage,for the purpose of calculating disability compensation Assessment shall be determined by the competent medical authority on the basis of a physical examination of the  individual.

(e) Disability Pension. A Disability Pension is  a  monthly  composite  pension comprising of a Service Element and Disability Element each calculated separately,as a defined percentage of the last reckonable emoluments.There shall be no condition of minimum qualifying service for earning Service Element.

(f} Liberalized Disability Pension. Liberalized Disability  Pension is a monthly composite pension comprising a Service Element and a Disability Element. each calculated separately, as a defined percentage of the fast reckonable emoluments,where the aggregate of Service Element and Disability Element shan m no case be less than 80 per cent of the last reckonable emoluments

(g) War Injury Pension.   A War Injury Pension is a composite monthly pension consisting of a Service Element and a War Injury Element. each calculated separately , as a defined percentage of the last reckonable emoluments

(h) Invalid  Pension.   Invalid Pension is a monthly pension equal to the Retiring Pension as on the date of invaliding out of service.

(i) Impairment Relief. impairment Relief is a monthly disability compensation, calculated as a defined percentage of the last reckonable emoluments,awarded to Armed Forces personnel who are retired or discharged from service voluntarily or otherwise with a disability sustained under circumstances accepted as Category ‘B Or ‘C’ and assessed not less than 20 per cenL ‘Impairment Relief shall hereinafter replace the term ‘Disability Element in as far as disability compensation to Armed Forces personnel who are retired or discharged from service. This is not a pension and shall cease upon the demise of the recipient. 

j)  Liberalized  Impairment  Relief.  Liberalized  Impairment  Relief  is  a  monthly disability compensation, calculated as a defined percentage of the last reckonable emoluments. awarded to Armed Forces personnel who are retired or discharged from service voluntarily or otherwise with a disability sustained under circumstances accepted as Category ‘D’ and assessed not less than 20 per cent. ‘Liberalized Impairment Relief shall hereinafter replace the term ‘Liberalized Disability Element’ in as far as disability compensation to Armed Forces personnel who are retired or discharged from service.This is not a pension and shall cease upon the demise of the recipient.

(k) War injury Reli ef. War Injury Relief is a monthly disability compensation, calculated as a defined percentage of the last reckonable emoluments.awarded to Armed Forces personnel who are retired or discharged from service voluntarily or otherwise with a disability sustained under circumstances accepted as Category ‘E’ and assessed not less than 20 per cent War Injury Relief shall hereinafter replace the term ‘War Injury Element in as far as disability compensation to Armed Forces personnel who are retired or discharged from service.This is not a pension and shall cease upon the demise of the recipient.

(I) Constant Attendance Allowance. A Constant Attendance Allowance is a monthly allowance (revised from time to time). paid in addition to Disability Pension/ Liberalized Disability Pension/ War injury Pension or Impairment Relief/ Liberalized Impairment Relef/ War injury Relief.only to Armed Forces personnel whose degree of impairment has been assessed at 100 per cent. Th s is not a pens on and shall cease upon the demise of the recipient.

(m) Capitalized Impairment Relief/ Ube{aUzed Impairment Relief/ War Injury Relief. A Capitalized Impairment Relief/ liberalized Impairment Relief/ War Injury Relief (to be hereinafter referred in short as ‘Capitalized Impairment Relief in these rules) is the commuted present value of the future payout of an accepted impairment Relief/ Liberalized Impairment Relief/ Warinjury Relief calculated by adopting the current commutation tables. The provision of Broad Banding shall not apply for calculating the percentage of impairment for the award of   CapitalizedImpairment Relief. The terms Capitalized Impairment Relief/ Liberalized Impairment Rerieff War Injury Relief shaO replace the terms Lump-Sum Compensation in Lieu of Disability Element Liberalized Disability Element / War injury Element.

(n) Special Family Pension. SpecialFamily Pension is a monthly pension,calculated as a defined percentage of the last reckonable emoluments,awarded to the Next-of-Kin of an Armed Forces personnel whose death occursIn circumstances accepted as Category ‘B’ or ‘C’.

(o) Liberalized family Pension. Liberalized Family Pension is a monthly pension, calculated as a defined percentage of the last reckonable emoluments. awarded to the Next-of-Kin of an Armed Forces personnel whose death occurs  in circumstances accepted as Category ‘D’ or ‘E’.

(p) Ex-Gratia Lump Sum Compensation i n Cases of   Invalidment  A one-time Ex• Gratia Lump-Sum Compensation is paid to Armed Forces personnel who are invaded from service on account of a disability held attributable to or aggravated by military service or war injury, at a fixed rate (that is revised from time to time) for 100 percent impairment,  to be proportionally reduced for lesser degree of impairment up to a minimum of 20 per cent. The provision of Broad Banding shaU not apply for calculating the percentage of impairment for the award of Ex-Gratia Lump Sum Compensation.

(q)      Ex-Gratia   Lump-Sum  Compensation  to   Next of Kin  jn   of   Deceased   Armed Forces Personnel. An Ex-Gratia Lump-Sum Compensation paid to the Next-of-Kin of Armed Forces personnel who die under circumstances clearly specified in the relevant policy letter on this subject (duly amended from time to time), at rates specified against each circumstance (duly amended from time to time). However, the  aggregate of all Government relief provided for the same circumstance of death of  the Armed Forces personnel, shall not exceed a the specified maximum amount of Ex-Gratia Lump-Sum Compensation payable (duly amended from time to time)

(r) Monthly Ex-Gratia. Monthly Ex-Gratia is paid to Cadets who are invalided from military training at a monthly rate that is revised from time to time. This Is not a pension and shall cease upon the demise of the recipient.

(s) Ex-Gratia Disability. Ex-Gratia Disability Award is paid to Cadets who are invalided from military training with a disability held attributable to or aggravated by military training,in addition to Monthly Ex-Gratia. at a monthly rate (that is revised from time to     time) for 100 per cent impairment to be proportionally reduced for lesser degree of impairment up to a minimum of 20 percent.This is not a pens on and shall cease upon the demise of the recipient The provision of Broad Banding shall not apply for calculating the percentage of impairment for the award of Ex-Gratia Disability Award.

5. lnvalidlng from Service.

(a) Invaliding out of service is a condition precedent to considering individual’s case for the award of Disability Pension, subject to such disability being sustained under circumstances that is accepted by the Compe enV Appellate Authority as Category ‘B’ or ‘C’.

(b) Liberalized Disability Pension or War Injury Pension may be awarded if the impairment has been sustained under the circumstances that is accepted by the Competent/ Appellate Authority,as Category ‘D’or ‘E’ respectively.

(c) Armed Forces personnel who are invalided out of service with a disability sustained under circumstances that is accepted by the Competent/ Appellate Authority as Category ‘A’ are eligible for the award of Invalid Pension, subject to their completing 10 years reckonable service or being declared medically unfit for service both in the military as well as civil.

(d) Only those Armed Forces personnel who are placed in medical classification SHAPE – 5 and boarded oul of service by a Competent Appellate Authority on the recommendations of an Invaliding Medical Board before completing their terms of engagement. shall be treated as invalided out of service.

(e) JCOsl WOs/ OR and equivalent rankin other services who are placed permanently  in a medical category other than SHAPE- 1 or equivalent and are discharged because (i) no alternative employment suitable to their low medical category can be provided,or, (ii) they having been retained in alternative employment,are discharged before the completion   of their engagement, shall be deemed to have been invalided out of service.

(f)  Retired officers who are not granted re-employment or JCOsl WOsl OR who are not granted extension of service, beyond their prescribed term of engagement, for not meeting the laid down medical standards,shall not be deemed to have been invalidated from service.

(g) Cadets whose training is terminated and who are boarded out on the orders of the Competent Authority,so ely on account of a wound,injury or any medical condition shall  also be deemed to have been invalidated from military training.

6. Retention in Service Despite Disability.

(a) Armed Forces personnel who are not invalided out but retained in service despite  a Disability or a War injury,shall be eligible to be considered by the Competent Appellate Authority for the award of a ‘Capitalized Impairment Relief on the basis of a Retention cum Impairment Assessment Board,to be held immediately after the decision to retain the individual in service is taken,subject to the disability or war injury being assessed at 20 per cent or more ‘For Life’.

(b) The percentage of impairment for the purpose of calculating the ‘Capitalized Impairment Relief,shall be the actual percentage of impairment assessed by the Retention cum impairment Assessment Board and the provision or Broad Banding of assessment shall not apply to such cases.

Illustration: The amount of •capitalizedImpairment Relief where an Armed Forces personnel whois retained in service despite the ‘Accepted Disability’ which is assessed at 40 per cent in Category B, and whois aged 40 years and was drawing a Basic Pay of 41,100 (Rs 35,900 + MSP Rs 5200) per month on the date of sustaining the disability (injury/

disease), shall be as under.: 

Capitalized  Impairment  Rel ef, once paid  shall be treated as full and  final settlement of all service liabilities with respect to that disability or war injury and the individuals have no further claim for any disability compensation for the same disability or war injury or an option to return the lump-sum so paid to hm/ her.Such disability or war injury shall also not qualify for the award of any pensionary benefit or relief subsequently. 

(d) The medical classification awarded by a Retention cum Impairment Assessment Board shall also be ‘For Life’ and cannot be reviewed.

(e) Armed Forces personnel who forgo the ‘Capitalized Impairment Relief offered to them, at the time of their retention in service despite a disability, shall be eligible to be considered by the Competent! Appellate Authority for the award of Impairment Relief/ Liberalized Impairment Relief/ War Injury Relief for that disability or war injury in respect  of which the ‘Capitalized Impairment Relief was originally offered. Retention in service order will be a mandatory document either to admit Capitalized Impairment Relief at the time of retention in service or Impairment Relief. Liberalised Impairment Relief /WarInjury Relief in lieu of that at the time of discharge/retirement on completion of terms of engagement.

(f)    Such Impairment Relief/ Liberalized Impairment Relief / War injury Relief shall be paid in addition to their Retiring Pension/ Retiring Gratuity or Service Pension/ Service Gratuity , at the time of their retirement. release or discharge on fulfilling their terms of engagement, completion of tenure,attaining the age for retirement!discharge or on taking Premature Retirement or discharge on own request.

(g) The entitlement and assessment having already been settled by the Competent! Appellate Authority based on the Retention cum Impairment Assessment Board. Impairment Relief/ Liberalized Impairment Relief/ War injury Relief shall be paid on the basis of the same.

7. Medical Tests at Entry.

(a) The main purpose of medical tests at entry stage is to assess the fitness of the candidate for enrolment m service as per the standards laid down and revised from time to time,by the Army, Navy and Air Force,based on their requirements. Despite significant advancement in medical technology,it is not feasible at the stage of entry into service,to detect all diseases present in an individual ike:-

(i) Hidden,latent or clinical conditions.

( Q Certain hereditary or congenital disorders.

(iii) Diseases related to age that manifest later in life.

(v) Certain constitutional and other congenital diseases which manifest later in  life irrespective of service conditions.

(b) The mere fact that a disease has manifested during military service does not per se establish attributability to or aggravation by military service.

8. Causal Connection.

(a) Establishment by the Competent! Appellate Authority, of a causal connection between the disability/ impairment or death of an Armed Forces personnel and military service is an essential prerequisite for the award of Disability Pension,Impairment Relief, Capitalized Impairment Relief or Special Family Pension.Consequently,these awards are subject to adjudication of claims and are also eligible for two appeals against rejection. These casualties would ordinarily fall under Category ‘B’ or ‘C’

(b) Casualties that are accepted and confirmed by the Competent Authority as having been sustained under circumstances specified in Categories ‘D’ or ‘E’ are not subject to adjudication/ appeals. Liberalized Disability Pension, Liberalized Impairment Relief, War Injury Pension,War injury Relief,or the appropriate ‘Capitalized Impairment Relief’ shall be paid directly by the Pension Sanctioning Authority . based on the casualty report and the percentage of assessment In case of death of the Armed Forces personnel under Category ‘D’ or ‘E’, Liberalized Family Pension shall be paid to the Next-of-kin.

9. Post Discharge Claims.

(a) Cases in which a disease did not actually lead to the Armed Forces personnel’s discharge from service but arose within seven years thereafter, may be recognized as attributable to service,if it can be established by the Competent Medical Authority that the impairment caused by the disease is a delayed manifestation of a pathological process set in motion by service conditions obtaining prior to discharge and that if the impairment  had manifested during service,the individual would have been invaded out of service on this account. Such cases shall be eligible to be considered for the award of Impairment Relief/ LiberalzedImpairment Relief/ War Injury Relief.

(b) Determination of entitlement and assessment of impairment in respect of Post Discharge Claims shall be on the basis of a Post Discharge Medical Board, to be sanctioned by the office of Directorate General of Armed Forces Medical Services.

(c) Where an invalided Armed Forces personnel in receipt of a Disability Pension, Liberalised Disability Pension or War Injury Pension dies subsequently, andit cannot, from        a strictly medical point of view.be definitely established that the death was solely due to the disability in respect of which such pension was awarded:-

(i) The benefit of doubt in determining attributability for the award of Special Family Pension or Liberalised Family Pension, should go to the family of the deceased,if death occurs with n seven yeaIS from the date of his/ her invaliding from service.unless there are other factors adversely affecting the claim;and

(i) If death takes place more than seven years after the date of theindividual’s invalidment from service,the benefit of doubt shall go to the State.

(iii) In cases where anindividualoutfives a normal span of life, i.e.,where death takes place at the age of 60 or above,the death should be held to be due to normal causes and not due to military service.

Notes:

(1) Death of an Armed Forces personnel receiving Disability/ Liberalized Disability/ War Injury Pension,whose disability has been accepted on the basis of aggravation, may also be accepted as due to military service under Rule 9 (c) above,if the last assessment of impairment was 50 per cent or above. of the last accepted assessment of impairment was less than 50 per cent .death should not be regarded as due to military service.

(2) For this purpose. the assessment of impairment shall be the actual assessment made by the medical board and no Broad Banding shall be applied.

(3) The above procedure wilt apply when death is clearly established as due to the disability in respect of which Disability Pension, Liberalised Disability Pension or War Injury Pension was awarded.If this is not the case.the identification of the cause of death with the disability will first be determined in accordance with the provisions of the Guide to Medical Officers If the identity can be conceded thereunder. the procedure in the preceding sub-paragraph wiU be followed for determining the further point whether entitlement to Special Family Pension or Liberalised Family Pension can be conceded in a case where an impairment was aggravated by service.

(4) Impairment or Death occasioned by an injury Post retirement/ discharge shall not be eligible to be considered for any casualty pensionary award,as service factors are not responsible for the same.

10. Duties.  For the purposes of these Rules,a person subject to the disciplinary code of the Armed Forces shall be treated on ‘duty’:-

(a) When performing an official task or a task the failure to perform which would constitute an offence triable under the disciplinary code applicable to him/ her.

(b) When moving from one place of duty to another place of duty. irrespective of the mode of transportation.

(c) During the period of participation in recreation and other unit/ sports activities organized or approved by service authorities and during the period of traveling in relation thereto.

Notes:

(1) Personnel Of the Armed Forces participating in local/ national/ international sports tournaments as members of service teams or mountaineering expeditions or other adventure activities organized by service authorities , with the approval orb Service HQs,shall be deemed to be ‘on duty’ for the purpose of these Rules.

(2) Personnel Of Armed Forces participating in sports tournaments or in privately organ zed mountaineering expeditions indulging in other adventure activities as  a hobby or interest, in their individual capacity, shall not be considered to be ‘on duty’ for the purposes of these Rules,even though prior permission of the competent service authorities may have been obtained by them.

(3) Injuries sustained by personnel of the Armed Forces in impromptu games and sports which are organized by or with the approval of thelocal service authority and death or disability arising from such injuries wm be regarded as having occurred ‘on duty’ for the purpose of these Rules.

(4) The Personnel of the Armed Forces deputed for training at courses conducted by the Himalayan Mountaineering Institute, Darjeeling and other similar institutes shall be treated at par with personnel attend ng other authorized professional courses or exercise for the Defence Services for the purpose of grant of disability compensation/ family pension on account of disability/ death sustained during the courses.

(d) When proceeding on leave/ valid out pass from h s duty station to his leave station or returning to duty from his leave station on leave/ valid out pass.

Notes:

(1) An Armed Forces personnel while traveling between his place of duty to leave station and vice-versa is to be treated on duty irrespective of whether he has availed railway warrant/ concession vouchers/ cash TA etc_,or not for the journey. This would also include journeys performed from leave station to duty station in case the individual returns early.

(2) The occurrence of in1ury should have taken place in reaching the leave station from duty station or vice-versa using the conveyance only available/ adopted route and mode of transport

(e) When traveling by a reasonable mode from one’s official residence to and back from the appointed place of duty, irrespective of the mode of conveyance (whether private or provided by the Government).

(f)   Death or injury which occurs when an  individual isn’t strictly ‘on duty’ e.g.on leave, including cases of death/ disability as a result of attack by or action against extremists or anti-social elements may also be considered attributable to service provided that it involved risk,which was due to is belonging to the Armed Forces and that the same was not a risk faced by a civilian.Death and disability due to personal enmity is not attributable

Mmtt: For the purpose of these Rules. leave shall include casual leave/ Study leave. Leave shaU not be treated as ‘duty’ except in situations mentioned above

11. Attributability.

(a) Injuries. In respect of accidents or injuries. the following rules shall be observed:

(i)      Injuries sustained when the individual is ‘on duty’. as defined, shall be treated as attributable to military service, provided a causal connection between the injury and military service is established

(ii) In cases of self-inflicted injuries while ‘on-duty’. Attributability shall not be conceded unless it is established that service factors were responsible for such action

Note : Cases of suicide shall not be eligible to be considered for the award of any casualty pensionary award.

(b) Diseases: For acceptance of a disease as attributable to military service, the following two conditions must be satisfied simultaneously: –

(I)      that the disease has arisen during the period of military service, and,

(ii) that the disease has been caused by the conditions of employment in military service like active operations, high altitude, extreme cold/ hot climate. extreme physical exertion and other specified exposures for e.g to infections. chemicals and ionizing radiation.

(c) Diseases arising due to infection contracted in service and fulfilling above mentioned criteria, other than that transmitted through sexual contact, shall merit an entitlement of attributability. Where the disease may have been contracted prior to enrollment or during leave. the incubation period of the disease will be taken into consideration on the basis of its clinical course as determined by the Competent Medical Authority.

(d) If nothing at all is known about the cause of the disease and the presumption of the entitlement is not rebutted, attributability should be conceded on the basis of the clinical picture and current scientific medical application based upon standard text books prescribed by the Government Medical Colleges affiliated to lMA/ MCA and not merely on research articles.

(e) When the diagnosis and/ or treatment of a disease was faulty, unsatisfactory or delayed due to exigencies of service disability caused due to any adverse effects arising as a complication therein shall be conceded as attributable to military service. This however, does not apply for known adverse effects of treatment drugs which are the standard of care and the individual has been made aware of the risk to benefit aspect of the treatment being offered

12. Aggravation.

(a) An impairment shall be conceded as aggravated by military service if its onset is hastened or its subsequent course is worsened by specific conditions of military service. such as being posted in places of extreme climatic conditions or being exposed to environmental factors that adversely affect any pre-existing medical condition e.g.Fields, Operations,High Altitudes etc.

(b) Extreme exertion caused by various military activity impact of exceptional stress or strain of military service and conditions that inhibit an individual from following through on medical advice such as dietary restrictions are some conditions that merit a consideration of entitlement on the basis of aggravation of a pre-extSting medical condition.

(c) The curative outcomes achieved through medical treatment in service hospitals and the sheltered appointments provided to the individual to prevent worsening of a med cal condition shall also be taken into account while contemplating award of entitlement on the basis of aggravation. Where a pre-existing medical condition has shown improvement with treatment aggravation shall not be conceded.

13. Competent Authorities.

(a) Attributability/ Aggravation.

(i) Injury  Cases. The decision regarding whether an impairment caused by an injury is to be held attributable to military service. Both in cases of invalidment or retirement/ discharge shall be taken by the Service HO in respect of officers and cadets and by the Officer in Charge Records in case of JCOs/ WO/ OR based on an assessment of the circumstances leading to the in1ury and the rules. regulations and policies on the subject that are currently in force

(ii) Disease Cases. The decision regarding whether an impairment caused by a disease is to be held attributable to or aggravated by military service, both cases of invalidment or relirement discharge shall be taken by the Service HQ in respect of officers and cadets and the Officer in Charge Records in case of JCOs/ WO/ OR. The decision shall be taken on the basis of the findings of an Invaliding Medical Board, Retention cum Impairment Assessment Board or Release Medical Board, read in conjunction with the Guide to Medical Officers and duly accepted by the Competent Appellate Authority as the case may be. based on rules. regulations and policies on the subject that are currently in force

(b) Assessment

(i) The assessment with regard to percentage of impairment m both injury and disease cases as recommended by the Invalid ng Medical Board. Retention cum lmpa1nnent Assessment Board or Release MedicalBoard.read in conjunction with the Guide to Medical Officers and duly accepted by the Competent  Appellate Authority, as the case may be, shall be treated as final and ‘For Life’. except in the cases of impairments that are not of a permanent nature, unless the individual himself requests for a one time review

(ii) Where the impairment is due to more than one medical condition, a composite assessment of the degree of impairment shall be made by reference to the combined effect of all medical conditions in addition to separate assessment for each medical condition. In case of overlapping medical conditions.the composite assessment of impairment will not be the same of in<flVidual medical conditions. After accounting for the percentage of the first medical condition. the percentage of every subsequent medical cond1tJOn shall be calculated against the total after discounting its assessment from 100 per cent. or the remainder thereof The composite assessment of impairment shaD be the sum of the percentages of individual accepted medical conditions calculated in this discounted manner Thisis based on the principle that no person can be more than 100 percent disabled. 

(c) Reassessment of disability. There shall be no periodical review of the assessment of impairment determined by an invalid Medical Board. Retenbon cum Impairment Assessment Board or Release Medical Board. except those impairments which are not of a permanent nature In such cases there shall be only one re-assessment of the percentage by a Re-Assessment Medical Board The percentage of disability assessed/ recommended by the Reassessment Medical Board shall be final and ‘For Life’ unless theindividualhimself asks for a one-time Review Med1calBoard

14. Death Cases.

(a) Due to Injury. Decision regarding whether a death due to injury is to be held attributable to military service shall be taken by the Service HQ in respect of officers or cadets and the Officer In Charge Records Ul respect of JCOs/ WOs/ OR. as the case may be,based on the circumstances leading to the death due to injury and the rules, regulations and policies on the subject that are currently in force.

(b) Deaths due to an injury sustained post retirement or discharge from military service shall not be eligible for raising a claim for casualty pensionary award.

(c}    Due to Disease.Decision regarding whether a death due to a disease is to be held attributable to or aggravated by military service shall be taken by the Service HQ in respect of officers or cadets and the Officer In Charge Records in respect of JCOs/ OR, as the case may be,based on the medical opinion rendered by the Director General Armed Forces Medical Services or such medical authorities prescribed by him/ her.

15. Exercise of Pileated Powers and Confianation.

(a) Powers of adjudication of claims for Casualty Pensionary Awards have been delegated to the respective Service HO vide Government of India, Ministry of Defence letter No 4684/ DIR (PEN)/ 2001 dated 14 Aug 2001.

(b) Where in doubt,the medical opinion of the Director General Armed Forces Medical Services or such medical authorities prescribed by him/ her may be obtained.In case of any variance. the decision of the Competent/ Appellate Authority shall be treated as final.

(c) Cases that are accepted for the award of casualty pensionary award shall be forwarded to the authority one level higher than the Competent Authority for scrutiny and confirmation.

16. Category ‘D’ and ‘ E’. Where death/ disability occurs under the circumstances that fall within Categories ‘D’ or ‘E’ the following procedure shall be followed:-

(a) The Service HQis the Competent Authority to accept casualty as having occurred under circumstances specified under Categories ‘D’ or ‘E’.

(b) in such cases the award of Liberalized Disability Pension, War Injury Pension, Liberalized Impairment Relef,War Injury Relief and Liberalized Family Pension shall be decided by the Pension Sanctioning Authority based on the casualty report published by the Competent Authority concerned.

17. Appeals.

(a} Fi rst Appeal. A person who is not satisfied with the decision of the Competent Authority In rejecting their InitialClaimfor Disability Pension,Capitalized Impairment Relief, Impairment Relief or Special Family Pension, may prefer a First Appeal through their respective record office, to the Chairman Appellate Committee for First Appeal, within six months from the date of issue of the Government Sanction  letter rejecting the initial claim, which would then be considered by.The decision of the Chairman Appellate Committee for First Appeal for upholding the First Appeal will be based on consensus amongst the members of the committee.

(b) Second Appeal . A person who is not satisfied with the decision of the Chairman Appellate Committee for First Appeal in rejecting their First Appeal for Disability Pension, Capitalized Impairment Relief,Impairment Relief or SpecialFamily Pension. may prefer a Second Appeal through their respective record office, Chainman Second Appellate Committee on Pension, within six months from the date of issue of the Government Sanction Letter rejecting their First Appeal.The decision of the Chairman SecondAppellate Committee on Pens on for both upholding or rejecting the Second Appeal wil! be based on consensus amongst the members of the committee. Cases where there is no consensus among the members of the Second Appellate Committee on Pension will be submitted by the Chairman of the committee to the Department of Ex-Servicemen Welfare, Ministry of Defence for examination and obtaining the final decision on the second appeal from the Hon’ble Raksha Rajya Mantri.

(c) No appeals are applicable in respect of casualty pension or disability awards related  to Category ‘D’ or ‘E’ cases.

18. Medical Boards  Related  to  Casualty  Pensionary  Awards.The following medical boards shall be held in respect of casualty pensionary awards to Armed Forces personnel:-

(a) Invaliding Medical Board. An Invaliding Medical Board shall be held in respect of Armed Forces personnel who are recommended by medical authority for invaliding out of service,solely on medical grounds.The following procedure shall be followed:-

{0     Invaliding MedicalBoard shall be held in the nearest Military Hospital where  a Senior Specialist of the department concerned with the medical condition of the personnel being invalided is available.

(i) The proceedings of an Invaliding Medical Board Is subject to confirmation by:-

(aa)  DGMS (Army/ Navy/ Air) in respect of officers.

(ab) Designated medical Staff officer at Area/ Sub Area Headquarters or equivalent appointment in the Navy and Air Force in respect of Personnel Below Officer Rank.

(iii) Competent Authority to approve invalidation out of service shall be as follows:-

(aa)      Officers and Cadets.  Adjutant Generalor equivalent appointment in Navy and Air Force In respect of officers (Non-appeal cases) and Raksha Rajya Mantri (Appeal Cases).

(ab) JCOs/ WOs/ OR. Officer in Charge Records or equivalent appointments in the Navy and Air Force in respect of (Non-appeal cases) and Army Commander or equivalent appointment in Navy and Air Force (Appeal cases).

(b) Retention cumImpairment Assessment Board. A Retention cum Impairment Assessment Board shall be held in respect of Armed Force personnel who are placed in Low MedicalCategory ‘For Life’ to decide on their retention/ invaliding out of service and the award of disability compensation. The following procedure shall be followed:-

{i) Armed Forces Personnel whose medical condition is determined by a Reclassification Medical Board to have reached finality,or whose medical condition

is subject to progressive deterioration or who have remained in permanent Low Medical Category over two reclassification cycles or four years,whichever is earlier,shall be classified Low Medical Category (For Life).

(ii) Such personnel shall be considered either for invaliding or retention in service by a Retention cum Impairment Assessment Board.

(ii)  Personnelwho are recommended for invalid ng shall be placed in SHAPE – 5 and assessed by the Competent MedicalAuthorities.

(iv}    Once their invalidation out of service is approved by the Competent Authority, they shall be considered for the award of Disability Pension, Liberalized Disability Pension,War Injury Pension or Invalid Pension,depending upon the Category of disability.

(v} Personnelwho are recommended to be retained In Service despite a disability shall be considered by the Competent Authority for the same and if their retent on is approved shall be issued a Retention In Service Order.

(vi) On the authority of the Retention in Service Order the initial claim of such personnel shall be considered for the award of ‘Capitalized Impairment Relief, depending upon the Category of disability and subject to the degree of impairment being not less than 20 per cent and in case the same is forgone,Impairment Relief/liberalized Impairment Re ief/WarInjury Relief may be admitted at the time of discharge/retirement based on this Retention In Service Order.

(vii) Retention cum Impairment Assessment Board shall be held in any Service hospital commanded by a Brigadier or equivalent in other services.The Presiding Officer of the Board shall be the Commandant of the Service Hospital.

(vi ) The findings of a Retention cum Impairment Assessment Board shall be approved along the respective medical chain.However, it shall be confirmed only by the Major General (Medical) or equivalent in other services in the respective Command Headquarters. Retention cum Impairment Medical Board shall not be confirmed by the Areal Sub-Area Headquarters.

( x) Retention cum Impairment Assessment Board of officers of the rank of Colonel And above or equivalent other services will be held in a hospital outside their Area of Responsibility.

(x) Personnel whose claim is rejected on account of their impairment having been declared under Category ‘A’ (i.e he d neither attributable to nor aggravated by military service) or assessed less than 20 percent, may continue in service but shall not be eligible for any compensation for impairment

(x)  Personnel placed in Low MedicalCategory (For Life) shall not be medically upgraded. The individual shall undergo Annual Medical Examination or Periodic Med calBoard as applicable every year and shall be retained in the same medical classification, unless, based on specialist opinion a change in COPE (Army)/ SA (Navy)/ AG (Air Force) Code Is envisaged.

(xi ) Personnel whose Retention cum Impairment Assessment Board has been held shall render a certificate accepting that their medical classifications ‘For Life’ and no upgrading or change in assessment is applicable in respect  of that impairment and no aggravation in respect of the instant medical condition can be claimed on account of their being retained in service.

(xiii) Where the award of Capitalized Impairment/ Liberalized Impairment/ War Injury Relief has been rejected by the Competent/ Appellate Authority. an individual may prefer an appeal to the Chairman Appellate Committee for First Appeal or Chairman Second Appellate Committee for Pension,as the case may be.

(c) Release Medical Board. A Release MedicalBoard shall be held at the time of retirement, release or discharge of an Armed Forces personnel with a medical condition for which he/ she has been placed in a Low Medical Category (Temporarily/ Permanently/ For Life).Temporary and Permanent category under LMC will not be eligible for Impairment Relief/Liberalized Impairment Relief/War Injury Relief, however, LMC for life may be eligible for the same, subject to conduct of Impairment cum Assessment Medical Board in the past and issuance of Retention in Service Order and if the Armed Forces personnel has forgone Capitalized Impairment Relief. The Release Medical Board shall be held in a hospital outside their area of responsibility in respect of officers of the rank of Brigadier (equivalent in the Indian Navy and Air Force) and above and at the dependent Military Hospital in respect of other personnel.

(d) Post Discharge Medical Board.  A Post Discharge Medical Board is held where a Post Discharge Claim is allowed by the Director General of Armed Forces Medical Services.The following procedure is to be followed:-

(i) A Post Discharge Claim can only be preferred in respect of a disease that was not present at the time of an Armed Forces personnel’s retirement, release or discharge from service.

(ii) It can be preferred within seven years from the date of invaliding (in respect of death cases) and retirement,release or discharge (in respect of disability cases).

(iii) It can be preferred only in respect of a disease that can be held attributable to military service.

(iv) In respect of death cases.a Post discharge Claim for Special Family Pension or Liberalized Family Pension can only be processed in respect of an individual who was in already in receipt of Disability Pension.Liberalized Disability Pension or War

Injury Pension.

(v) A Post Discharge Claim shall be forwarded to the office of the Director General of Armed Forces Medical Services who shall scrutinize the case from the point of eligibility before sanctioning a Post Discharge Medical Board.

(vi) Post Discharge Medical Board shall be held at Base Hospital Delhi Cantonment and the proceedings shall be confirmed by the Director General Hospital Services or Senior Consultants (Medicine/ Surgery) in the office Directorate General of Armed Forces MedicalServices.

(e) Reassessment Medical Board. Reassessment Medical Board is applicable only in respect of individuals who have been awarded Disability Pension, Liberalized Disability  Pension,War Injury Pension, Impairment Relief or War Injury Relief in respect    of an impairment whose assessment is limited only to a specified period. The following procedure shall be followed:-

(i) An individual who has been awarded a disability compensation for specified period only, shall report to the nearest  Military Hospital for a Reassessment MedicalBoard before the expiry of the validity of the assessment.

(ii) Since service factors cease to have an effect on an individual post retirement  or discharge. any subsequent increase in percentage of assessment 1n respect of  a disability held aggravated by military service at the time of invaliding retirement or discharge cannot be linked to service conditions However. percentage of assessments attributable cases may be revised upward based on Reassessment Medical Board.

(iii) A disability claim that was untenable at the time of retirement discharge, on the grounds of being held Neither Attributable to nor Aggravated by military service or being assessed less than 20 per cent cannot be revived post retirement on the basis of a Re-Assessment Medical Board.

(iv) Re-Assessment Medical Board shall also not be applicable in respect of those personnel who have been paid Capitalized impairment  Liberalized impairment War injury Relief on the basis of a Retention cum impairment Assessment Board

(v) A Re-Assessment Medical Board  where due.shaO does not require a sanction.

(vi) However, Re-assessment Medical Board that is overdue shall only be allowed on the basis of a Time-Bar Sanction

(vi)    Where rate of disability compensation is required to be revised on the basis of a Re-Assessment Medical Board, the same shall be sanctioned only by the competent authority after due financial scrutiny.

(viii) Based on the sanction Pension Sanctioning Authority shall issue a Corrigendum Pension Payment Order duly reVising the disability compensation as per the new assessment.

(ix) Where a Re-AssessmentMedical Board has reduced the assessment of an impairment less than 20 per cent. the disability compensation shall cease to be paid However. Service Element or other pension that the individual may be eligible   to may continue to be paid

(I) One Time Rev ew Medical Board. A One Time Review Medical Board may be held on the request of an individual who is not satisfied with the assessment of the degree of his/ her impairment where the disability is held attributable to military service. The following procedure shaU be followed –

(i) An individual with a disability held attributable to military service,may seek a One Time Review Medical Board to reassess his/ her degree of impairment as determined by an Invaliding MedicalBoard Retention cum ImpairmentAssessment Board, Release MedicalBoard or a Post Discharge Medical Board

(i ) A One Time Review MedicalBoard shall be sanctioned by the office of the Director General Armed Forces Medical Services on the basis of an application made in this regard by the individual through his/ her record office.

(iii) An individual can exercise this option only once in his/ her lifetime.

(iv) A One Time Review Medical Board shall be held at Army hospital (Research and  Referral).

(v) Any revision of assessment of impairment by the One Time Review Medical Board, shall be approved by the Competent Authority after due financial scrutiny before forwarding the same to  the Pension Sanctioning Authority for issue a corrigendum Pension Payment Order

(g) AppealMedical Board. An Appeal Medical Board may be sanctioned by the office of the Director General of Armed Forces Medical Services while considering the First or Second Appeal of an individual,1f in their opinion,the Invaliding Medical Board.Retention cum impairment Assessment Board, Release Medical Board or a Post Discharge Medical Board has erred in Its findings.The following procedure is to be followed –

(i) During the consideration of an Appeal (First or Second)  if the medical member of the appellate committee from the office of the Director General of Armed Forces Medical Services feels that the findings of the Medical Board placed on record is not correct.he/ she may sanction a First or Second Appeal Medical Board to physically examine the individual

(ii) A First or Second Appeal Medical Board shall be held at Base Hospital Delhi Cantonment. The members of the AppealMedical Board shall be detailed from the office of the Brigadier Armed Forces MedicalServices (Pension)

(iii) The findings of the Appeal Medical Board shall be final and ‘For Life, unless the Individual exercises his/ her option for a One nme Review MedicalBoard,If not already e>Cercised.

(iv) The Appellate Committees are not bound to sanction an Appeal Medical Board unless they find an inconsistency vis-a-vis the Guide to Medical Officers.

19 Scope  of   Medical   Boards. All medical boards  related to casualty pensionary awards shaU limit their scope to the following –

(a) Thoroughly evaluating the medical cond1t10n of the individual

(b) Determining and specifying any disability

(c) Assessing the degree of impairment caused by the disability

(d) Noting detailed factors/ justification that support or refute any claim for entitlement of disability compensation.

20.  Medical boards shall not opine on the element of ‘entitlement’ which shall be left to be determined by the Competent Appellate Authority based on these rules read m conjunction with the Guide to Medical Officers.

21.  Time  Barred Cases. The following title barred cases may be considered on the basis of a Time Bar Sanction accorded by the Competent Authority who has been delegated the powers to accord the same: –

(a) Appeal s. Appeals that are submitted after more than six months, but less than five years,from the date of issue of the Government Sanction Letter rejecting an Initial Claim or a First Appeal. Award of casualty pensionary awards or disability compensationIn respect of Time Barred Appeals. If accepted shall be effective only from the date of the delayed appeal. Under No circumstances shall an appeal time barred beyond five years be considered by either Appellate Committees.

(b) Release Medi cal Boards.A delay of two years from the date of retirement, release or discharge.

(c) Reassessment Medical Board. A delay equal to the period of validity of original assessment or five years. whichever is earlier.

(d) Initial Claim for Award of all Forms of Casualty Pensionary  Awards. Claims delayed beyond five years.

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