R 151546Z MAR 12

SUBJ: ALCGRSV 015/12 - UPDATED GUIDANCE FOR PROCESSING RESERVE MEMBER
CLAIMS FOR INCAPACITATION PAY
A. COMDT COGARD WASHINGTON DC R 271706Z DEC 10 - ALCOAST 609/10
B. RESERVE POLICY MANUAL, COMDTINST M1001.28 (SERIES)
C. COMCOGARD PSC ARLINGTON VA 192001Z OCT 10 - ALCGRSV 058/10
D. COMCOGARD PSC ARLINGTON VA 261139Z OCT 10 - ALCGRSV 061/10
E. COMCOGARD PSC ARLINGTON VA 121613Z OCT 11 - ALCGRSV 054/11
F. 37 USC 204
G. COAST GUARD PAY MANUAL, COMDTINST M7220.29 (SERIES)
1. BACKGROUND. REF A ANNOUNCED CG PSC-RPM AS THE BENEFITS ISSUING
AUTHORITY (BIA) FOR RESERVE INCAPACITATION BENEFITS OUTLINED IN CHAP
6 OF REF B.  AS THE BIA, CG PSC-RPM RELEASED PROCESS GUIDANCE FOR
MEDICAL HOLD (MED HOLD) ORDERS, ACTIVE DUTY FOR HEALTH CARE (ADHC)
ORDERS, AND NOTICES OF ELIGIBILITY (NOE) VIA REFS C THRU E,
RESPECTIVELY. THIS MESSAGE PROVIDES UPDATED GUIDANCE FOR PROCESSING
RESERVE INCAPACITATION PAY CLAIMS.
2. INCAPACITATION PAY. A RESERVIST WHO IS PHYSICALLY DISABLED AS A
RESULT OF A LINE OF DUTY INJURY, ILLNESS, OR DISEASE IS ENTITLED TO
PAY AND ALLOWANCES IAW REF F. THE AMOUNT OF PAY AND ALLOWANCES
AUTHORIZED IS DETERMINED IAW REF G AND IS DEPENDENT UPON THE MEMBERS
MILITARY DUTY STATUS OF NOT FIT FOR DUTY (NFFD) OR AVAILABLE FOR
LIMITED DUTY (AFLD), AND THE DOCUMENTED AMOUNT OF LOST CIVILIAN
EARNED INCOME FOR THE INCAPACITATION PAY CLAIM PERIOD. IAW REFS B, F
AND G, INCAPACITATION PAY CANNOT EXCEED THE AMOUNT OF THE MEMBERS
FULL MILITARY PAY AND ALLOWANCES.
3. ELIGIBILITY FOR INCAPACITATION PAY. A RESERVE MEMBER WITH AN
APPROVED NOTICE OF ELIGIBILITY (NOE) FOR AUTHORIZED MEDICAL CARE MAY
FILE FOR INCAPACITATION PAY IAW REF B AND THE PROCESS OUTLINED IN
PARA 4 BELOW. MEMBERS WHO ARE UNEMPLOYED AT THE TIME THEY INCUR OR
AGGRAVATE A LINE OF DUTY INJURY, ILLNESS, OR DISEASE ARE NOT ELIGIBLE
FOR INCAPACITATION PAY BECAUSE THEY WOULD NOT HAVE A DOCUMENTED LOSS
OF CIVILIAN EARNED INCOME.
4. PROCESS FOR REQUESTING INCAPACITATION PAY.
A. CLAIMS FOR INCAPACITATION PAY SHALL BE SUBMITTED USING STANDARD CG
MEMO FORMAT TO PSC-RPM VIA THE MEMBERS CHAIN OF COMMAND AND SERVICING
DISTRICT (DXR)/DG-13 STAFF (OR EQUIVALENT). A MEMO TEMPLATE FOR
REQUESTING INCAPACITATION PAY IS AVAILABLE FOR DOWNLOAD FROM THE
PSC-RPM-3 WEBPAGE AT: WWW.USCG.MIL/RPM/RPM3/MEDICAL/INCAP.ASP AND THE
RPM CG PORTAL SITE AT:
HTTPS://COLLAB.USCG.MIL/LOTUS/MYQUICKR/PSC-RPM/RPM-3 (MUST USE LOWER
CASE TO ACCESS CG PORTAL SITE).
B. EACH CLAIM MUST INCLUDE THE FOLLOWING DOCUMENTS: A COPY OF THE
MEMBERS NOE WITH SIGNED ENDORSEMENT, A CURRENT PHYSICIANS REPORT
FORM, AND A LETTER FROM THE MEMBERS CIVILIAN EMPLOYER (SEE PARA 5
BELOW).
C. PSC-RPM WILL VALIDATE THE CLAIM FOR INCAPACITATION PAY AND FORWARD
VALID CLAIMS TO CG PPC (SES) FOR PROCESSING.
D. PSC-RPM WILL REVIEW AND ENDORSE ANY REQUEST FOR INCAPACITATION PAY
GREATER THAN SIX MONTHS AND FORWARD IT TO CG-131 FOR APPROVAL.
5. LOST CIVILIAN INCOME. ALL REQUESTS FOR INCAPACITATION PAY MUST
INCLUDE A LETTER FROM THE MEMBERS CIVILIAN EMPLOYER THAT CONTAINS THE
FOLLOWING:
A. EMPLOYERS MAILING ADDRESS
B. SUPERVISORS NAME AND PHONE NUMBER
C. IF MEMBER IS NFFD STATUS:
(1) CERTIFICATION THAT MEMBER HAS NOT RETURNED TO WORK AND REASON FOR
MEMBERS ABSENCE.
(2) DOCUMENTATION OF NORMAL WAGES, SALARIES, PROFESSIONAL FEES, TIPS,
VACATION PAYS, SICK LEAVE, DISABILITY INSURANCE OR ANY OTHER
COMPENSATION THAT THE MEMBER RECEIVED DURING INCAPACITATION PAY CLAIM
PERIOD.
D. IF MEMBER IS AFLD STATUS:
(1) CERTIFICATION THAT MEMBER HAS RETURNED TO WORK AND REASON THAT
INCOME OR COMPENSATION HAS BEEN REDUCED DUE TO THE INJURY OR ILLNESS.
(2) DOCUMENTATION OF THE AMOUNT OF INCOME THAT HAS BEEN REDUCED DUE
TO THE INJURY OR ILLNESS DURING THE PERIOD OF THE INCAPACITATION PAY
CLAIM.
E. IN THE CASE OF A STUDENT IN RECEIPT OF FINANCIAL AID,
CERTIFICATION MUST INCLUDE DOCUMENTATION FROM THE EDUCATIONAL
INSTITUTION THAT THE MEMBER HAS NOT RETURNED TO SCHOOL ALONG WITH
DOCUMENTATION OF FINANCIAL AID RECEIVED.
6. AUTHORIZED PERIOD OF INCAPACITATION PAY.
A. INCAPACITATION PAY CERTIFICATIONS SHALL BE PROVIDED FOR PERIODS
NOT TO EXCEED ONE MONTH.
B. IAW REFS B, F AND G, INCAPACITATION PAY MAY NOT BE PROVIDED FOR A
PERIOD GREATER THAN SIX MONTHS UNLESS APPROVED BY CG-131.
7. THESE CHANGES WILL BE INCORPORATED INTO THE NEXT UPDATE OF REF B.
8. PSC-RPM-3 POCS:
A. LCDR CHRISTA O. HEFFELFINGER: (202)493-1761 OR
CHRISTA.OAKS.HEFFELFINGER(AT)USCG.MIL
B. HSC RANDI L. WARD: (202)493-1766 OR RANDI.L.WARD2(AT)USCG.MIL.
9. INTERNET RELEASE AUTHORIZED.