LIMITED DUTY AND DISABILITY PROCESSING
Date Signed: 10/26/2009 | MARADMINS Number: 0636/09
Cancelled
MARADMINS : 0636/09
R 260929Z OCT 09
UNCLASSIFIED//
MARADMIN 0636/09
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC MRA MM//
SUBJ/LIMITED DUTY AND DISABILITY PROCESSING//
REF/A/MSGID:DOC/CONGRESS/YMD:20001231//
REF/B/MSGID:DOC/SECNAV/YMD:20020430//
REF/C/MSGID:DOC/MANMED/YMD:20050110//
REF/D/MSGID:DOC/CMC/YMD:20070610//
REF/E/MSGID:DOC/CMC/-//
NARR/REF A IS TITLE 10 U.S. CODE CHAP 61, LAWS REGARDING SEPARATION AND RETIREMENT FOR PHYSICAL DISABILITY.  REF B IS SECNAVINST 1850.4E, DON DISABILITY EVALUATION MANUAL.  REF C IS NAVMED P-117, NAVY MANUAL OF THE MEDICAL DEPT, CHAPTER 18 - MEDICAL EVALUATION BOARDS.  REF D IS MCO P1900.16F W/CH 2, MARCORSEPMAN.  REF E IS THE MCTFSCODESMAN ON-LINE MANPOWER CODES LOOKUP GUIDE LOCATED ON THE MISSA/MISSO PORTAL, (WWW.HTTPS:MISSA.MANPOWER.USMC.MIL.).//
GENTEXT/REMARKS/1.  SCOPE.  PER REFS A THROUGH D, THIS MARADMIN APPLIES TO ALL MARINES, OFFICER AND ENLISTED, SERVING IN THE REGULAR MARINE CORPS, AND TO MEMBERS OF THE MARINE CORPS RESERVE SERVING ON ACTIVE DUTY FOR MORE THAN 30 DAYS.  REFER TO THE CURRENT EDITION OF MCO 1770.2A, LINE OF DUTY AND MARADMIN 472/09, FOR THOSE RESERVISTS REQUIRING MEDICAL TREATMENT AS A RESULT OF INACTIVE DUTY TRAINING OR PERIODS OF ACTIVE DUTY TRAINING FOR 30 DAYS OR LESS.  PREGNANCY IS NOT NORMALLY A PRECURSOR TO MEDICAL BOARD PROCESSING. REFER TO MCO 5000.12E W/CH 1-2 ON THE POLICY AND PROCEDURES FOR PREGNANT MARINES AND SPECIFIC INSTRUCTIONS ABOUT THOSE DUTY LIMITATIONS.
2.  PURPOSE.  RECENT REVIEW OF IG INSPECTIONS AND LIMITED DUTY REPORTING REVEALED THE EQUIVALENT OF TWO REGIMENTS ON LIMITED DUTY AND SEVERAL BATTALIONS WORTH OF MARINES IMPROPERLY REPORTED AND/OR WITH EXPIRED DOCUMENTATION.  THIS MARADMIN IS PUBLISHED TO MAXIMIZE READINESS BY BETTER EDUCATING AND INTEGRATING COMMANDERS AND LIMITED DUTY COORDINATORS TO ENSURE A WORLDWIDE ASSIGNABLE, PHYSICALLY FIT AND COMBAT READY EXPEDITIONARY FORCE BY RETURNING MARINES WHO HAVE A LIMITING PHYSICAL IMPAIRMENT TO FULL DUTY AS QUICKLY AS POSSIBLE, OR TO REFER THEM TO A MEDICAL EVALUATION BOARD FOR LIMITED DUTY OR FOR DISPOSITION VIA THE PHYSICAL EVALUATION BOARD (PEB).  THIS MARADMIN EMPHASIZES LIMITED DUTY ACCOUNTABLITY AND CORRECT UNIT REPORTING.  REFERENCE (D), PARAGRAPH 8506, REQUIRES COMMANDERS TO APPOINT, IN WRITING, A LIMITED DUTY COORDINATOR (SNCO OR ABOVE) TO SERVE AS THE COMMAND POINT OF CONTACT FOR COORDINATING MEDICAL TREATMENT FACILITY (MTF) ACTION, TRACKING ALL LIGHT DUTY, LIMITED DUTY, AND DISABILITY EVALUATION APPOINTMENTS AND ENSURE PROPER MEDICAL AND MCTFS REPORTING.  TO ASSIST IN THIS EFFORT AND FURTHER FULFILL THE WOUNDED WARRIOR REGIMENT'S (WWR) CHARTER TO SERVE AS AN ADVOCATE FOR ALL WOUNDED, ILL AND INJURED MARINES, HQMC HAS ASSIGNED EIGHT SNCOS TO THE WWR TO SERVE AS REGIONAL LIMITED DUTY COORDINATORS AT WOUNDED WARRIOR BATTALIONS EAST AND WEST AND FOUR SNCOS AS PHYSICAL EVALUATION BOARD LIAISON OFFICERS (PEBLO) ASSIGNED TO VARIOUS NAVAL HOSPITALS.  FURTHER EVALUATION OF THIS EFFORT MAY RESULT IN ADDITIONAL ASSIGNMENTS TO OTHER COMMANDS IN THE FUTURE.
3.  BACKGROUND.  THE DEPUTY COMMANDANT MRA (WWR AND MMSR-4) ACTS ON BEHALF OF CMC FOR MARINES PROCESSING THROUGH THE MEDICAL AND DISABILITY EVALUATION SYSTEM.
    A.  DEFINITIONS
        (1) DEPARTMENTAL REVIEW.  MEDICAL EVALUATION BOARD REVIEW BY THE SERVICE HEADQUARTERS, CMC (MMSR-4).  UPON REVIEW, CMC MAY APPROVE A PERIOD OF TEMPORARY LIMITED DUTY (TLD) OR DIRECT THE RESULTS OF A MEDICAL EVALUATION BOARD (MEB) BE FORWARDED TO THE PEB FOR DETERMINATION OF FITNESS TO CONTINUE NAVAL SERVICE.
        (2) DUTY LIMITATION CODES.  DEFINED IN REF E (MCTFSCODESMAN) TO IDENTIFY RESTRICTIONS TO COMBAT OR OTHER TYPES OF DUTY.  DISPLAYED IN MCTFS RT01 AND TOUR SCREENS.  THIS DEFINITION, AS IT PERTAINS TO THIS MARADMIN, SIGNIFIES RESTRICTIONS BASED ON MEDICAL FITNESS FOR DUTY.
            (A) DUTY LIMITATION CODE "D" (MED NON DEP, TTC 157 014).  JUDGED MEDICALLY NONDEPLOYABLE BY COMPETENT AUTHORITY.  IMPLIES THE MARINE WILL ENTER THE MEDICAL TREATMENT AND REPORTING SYSTEM.
            (B) DUTY LIMITATION CODE "Q" (NOT PHYS QUAL, TTC 157 006).  A MARINE ASSIGNED TO TLD BY AN APPROVED MEB.  THIS CODE IS ENTERED IN MCTFS BY THE MARINE'S COMMAND WHEN A MARINE IS PLACED ON TLD AS THE RESULT OF A MEB BY COMPETENT MEDICAL AUTHORITY OR IS UNDERGOING DISABILITY EVALUATION.  THE CODE IS REMOVED FROM MCTFS BY THE MARINE'S COMMAND WHEN THE MARINE HAS BEEN RETURNED TO FULL DUTY BY A COMPETENT MEDICAL AUTHORITY OR FOUND FIT BY THE PEB.  THE DUTY LIMITATION "Q" CODE IS NOT TO BE CONFUSED WITH THE DUTY LIMITATION "D" CODE OR THE DUTY STATUS "Q" CODE.
            (C) DUTY LIMITATION CODE "S" (RETN LD STAT, TTC 157 008).  MARINES RETAINED IN A PERMANENT LIMITED DUTY (PLD) STATUS AS A RESULT OF SECNAV ACTION.  THIS CODE IS ONLY AUTHORIZED, ENTERED AND REMOVED FROM MCTFS BY CMC (MMSR-4).
        (3) EXPANDED PERMANENT LIMITED DUTY (EPLD).  MARADMIN 228/06 PROVIDES GUIDANCE FOR MARINES WHO HAVE BEEN WOUNDED/INJURED IN COMBAT, FOUND UNFIT BY THE PEB AND DESIRE TO CONTINUE SERVING IN THE MARINE CORPS.  THE MARINE WILL BE ASSIGNED TO PERMANENT LIMITED DUTY (PLD) UNTIL ORIGINAL EAS BY MMSR-4.  WHEN ELIGIBLE FOR REENLISTMENT, MARINES WILL SUBMIT A REENLISTMENT, EXTENSION, LATERAL MOVE (RELM) REQUEST TO CMC MMEA-6/CAREER MANAGEMENT TEAM (CMT) VIA THE TOTAL FORCE RETENTION SYSTEM (TFRS)/AUTOMATED CAREER RETENTION SYSTEM (ACRS) AND ATTACH APPROPRIATE CHAIN-OF-COMMAND ENDORSEMENTS REQUESTING RETENTION IN AN EPLD STATUS.  OFFICERS SEND A SIMILAR PACKAGE TO MMOA-3.
        (4) FIT.  A FINDING BY THE PHYSICAL EVALUATION BOARD THAT A MARINE IS FIT TO CONTINUE NAVAL SERVICE BASED ON EVIDENCE THAT THE MARINE IS ABLE TO REASONABLY PERFORM THE DUTIES OF OFFICE, GRADE, RANK OR RATING, TO INCLUDE DUTIES DURING A REMAINING PERIOD OF RESERVE OBLIGATION.  A PEB FINDING OF FIT MAY NOT BE A FINDING OF FIT FOR FULL DUTY.  MARINES MAY BE CONSIDERED FOR ADMINISTRATIVE SEPARATION FOR A MEDICAL CONDITION NOT CONSTITUTING A DISABILITY PER REFERENCE D, PARAGRAPH 6203.2.
        (5) LIGHT DUTY STATUS.  A MARINE MAY BE PLACED IN LIGHT DUTY STATUS FOR A MAXIMUM OF 90 DAYS WHEN A COMPETENT MEDICAL AUTHORITY DETERMINES THAT A MEDICAL CONDITION EXISTS AND INTERFERES WITH THE PERFORMANCE OF DUTY; DOCUMENTED ON SF 600 IN HEALTH RECORD AND ON NAVMED 6310/1.  A PHYSICIAN MAY RECOMMEND UP TO 2 PERIODS OF 30 DAYS OF LIGHT DUTY WHEN THE MARINE IS EXPECTED TO BE RETURNED TO FULL DUTY WITHIN THOSE 60 DAYS.  A MARINE WHO IS NOT RETURNED TO FULL DUTY AFTER 60 DAYS MUST HAVE A MEDICAL EVALUATION BOARD AND REPORT COMPLETED WITHIN THE FOLLOWING 30 DAYS TO EVALUATE AND DOCUMENT THE CONDITION.  LIGHT DUTY IS NOT AUTHORIZED FOR RESERVISTS ON INACTIVE DUTY.
        (6) MEDICAL BOARD ONLINE TRISERVICE TRACKING SYSTEM (MEDBOLTT).  MEDBOLTT IS A WEB-BASED SYSTEM THAT CAPTURES AND SHARES DATA GLOBALLY, ALLOWING RESEARCH OF ANY PATIENT REFERRED TO A MEB FOR BOTH CURRENT BOARD ACTIVITY AND HISTORICAL REFERRALS TO ANY PREVIOUS MEB. THE SYSTEM ALLOWS TRACKING OF ALL BOARD ACTION FROM MTF TO THE PEB.  MOST BATTALION AID STATIONS HAVE ACCESS.  VIEW ACCESS CAN BE AUTHORIZED BY ANY MTF WITH MEDICAL EVALUATION BOARD CONVENING AUTHORITY.
        (7) MEDICAL EXTENSION - EXTENSION OF ACTIVE DUTY SERVICE FOR A MAXIMUM OF 60 DAYS TO EVALUATE AND DOCUMENT A MARINE'S CONDITION UPON THE COMPLETION OF ACTIVE SERVICE OR DETERMINE IF A MARINE SHOULD BE RETAINED ON LIMITED DUTY FOR POSSIBLE FUTURE PROCESSING THROUGH THE DISABILITY EVALUATION SYSTEM.  THIS PLACES A MARINE IN CONVENIENCE OF THE GOVERNMENT MEDICAL STATUS (COFGM).
        (8) MEDICAL EVALUATION BOARD (MEB). SEE REF C.  A MEDICAL EVALUATION, SPECIFICALLY AUTHORIZED BY A BUREAU OF MEDICINE DESIGNATED CONVENING AUTHORITY, AT A MILITARY TREATMENT FACILITY TO IDENTIFY A MARINE WHOSE PHYSICAL/MENTAL QUALIFICATION TO CONTINUE ON FULL DUTY IS IN DOUBT OR WHOSE PHYSICAL/MENTAL LIMITATIONS PRECLUDE THE MARINE'S RETURN TO FULL DUTY WITHIN A REASONABLE PERIOD OF TIME OR AT ALL.  MEDICAL EVALUATION BOARDS ARE CONVENED TO EVALUATE AND REPORT ON THE DIAGNOSIS, PROGNOSIS FOR RETURN TO FULL DUTY, PLAN FOR FURTHER TREATMENT, AND MEDICAL RECOMMENDATION FOR RETENTION OR SEPARATION OF MARINES.  A MEB MAY RETURN A MARINE TO FULL DUTY, RECOMMEND A PERIOD OF TEMPORARY LIMITED DUTY, BE FORWARDED TO THE CMC (MMSR-4) FOR DEPARTMENTAL REVIEW, OR BE FORWARDED TO THE PEB FOR DETERMINATION OF FITNESS TO CONTINUE NAVAL SERVICE.
        (9) MEDICAL EVALUATION BOARD REPORT - MEB(R). SEE REFERENCE C.
            (A) ABBREVIATED MEDICAL EVALUATION BOARD REPORT - AMEB(R) NAVMED 6100/5.  A BRIEF SUMMARY OF THE MEMBER'S MEDICAL CONDITION, LIMITATIONS, AND EXPECTED RETURN TO DUTY DATE USED TO PLACE A MARINE ON TEMPORARY LIMITED DUTY (TLD).  AN AMEB(R) MAY RETURN A MARINE TO FULL DUTY, RECOMMEND A PERIOD OF LIMITED DUTY, BE FORWARDED TO CMC (MMSR-4) FOR DEPARTMENTAL REVIEW, OR BE FORWARDED TO THE PHYSICAL EVALUATION BOARD (PEB) FOR DETERMINATION OF FITNESS TO CONTINUE NAVAL SERVICE.
            (B) A MEB(R) IS A DETAILED CLINICAL REPORT, NARRATIVE SUMMARY AND COMMANDER'S NONMEDICAL ASSESSMENT OF A MARINE'S MEDICAL CONDITION(S) DICTATED BY A PHYSICIAN AND USED TO REQUEST ADDITIONAL LIMDU IN EXCESS OF 12 MONTHS FOR DEPARTMENTAL REVIEW BY CMC(MMSR-4) OR FOR A REFERRAL TO THE PEB FOR DISABILITY DETERMINATION.
        (10) MEDICAL HOLD.  TEMPORARY LIMITED DUTY (TLD) STATUS OF A MARINE TO REMAIN ON ACTIVE DUTY BEYOND EAS TO RECEIVE MEDICAL TREATMENT FOR SERVICE CONNECTED INJURIES, ILLNESSES AND/OR DISEASES BASED UPON CMC (MMSR-4) RECEIPT AND APPROVAL OF A VALID AMEB(R) WHICH CLEARLY INDICATES MEDICAL CONDITIONS, LIMITATIONS, PROGNOSIS FOR RECOVERY OR THE RECOMMENDATION TO PROCESS THROUGH THE DISABILITY EVALUATION SYSTEM (DES) VIA THE PEB.
        (11) MEDICAL READINESS REPORTING SYSTEM (MRRS).  MRRS IS A WEB-BASED SYSTEM THAT PROVIDES COMMANDERS WITH THE CAPABILITY TO RECORD, TRACK, AND REPORT AGGREGATED MCTFS AND MEDICAL DATA AND PROVIDES FULL VISIBILITY OF INDIVIDUAL MEDICAL READINESS (IMR) STATUS.  MOST BATTALION AID STATIONS HAVE ACCESS.  VIEW ACCESS CAN BE AUTHORIZED BY ANY MTF WITH MEDICAL EVALUATION BOARD CONVENING AUTHORITY.
        (12) NONMEDICAL ASSESSMENT (NMA).  WHEN A MARINE IS REFERRED TO A MEB, THE COMMANDING OFFICER'S ASSESSMENT OF THE MARINE'S PERFORMANCE OF DUTY MAY PROVIDE BETTER EVIDENCE OF THE MARINE'S ABILITY TO PERFORM DUTIES THAN A CLINICAL ESTIMATE BY A PHYSICIAN.  PARTICULARLY IN CASES OF CHRONIC INJURY/ILLNESS AND CASES WHERE OBJECTIVE EVIDENCE IS MINIMAL OR LACKING ALTOGETHER, DOCUMENTS SUCH AS LETTERS FROM THE CHAIN OF COMMAND, ANNUAL PERFORMANCE EVALUATIONS, OR PERSONAL TESTIMONY MAY MORE ACCURATELY REFLECT A MARINE'S CAPACITY TO PERFORM.  COMMANDING OFFICERS PLAY A VITAL ROLE IN PROVIDING VALUABLE INFORMATION AS TO HOW THE MARINE'S PHYSICAL AND/OR MENTAL CONDITION AFFECTS THE MARINE'S ABILITY TO FUNCTION ON A DAILY BASIS.  A NMA MUST BE INCLUDED AS PART OF A MEDICAL EVALUATION BOARD AND MEB(R), AND FOR CMC(MMSR-4) APPROVAL OF THIRD OR GREATER PERIODS OF LIMITED DUTY.  SEE REFERENCE D, FIGURE 8-5, FOR THE NMA QUESTIONNAIRE AND ASSESSMENT.
        (13) PERMANENT LIMITED DUTY (PLD).  A SPECIFIED CONTINUATION ON ACTIVE DUTY IN A LIMITED DUTY STATUS AFTER A MARINE IS DETERMINED UNFIT BY THE PEB AS A RESULT OF A PHYSICAL DISABILITY.  PLD IS AUTHORIZED BY CMC (MMSR-4) BASED ON THE BEST INTERESTS OF THE MARINE CORPS AND THE MARINE.
        (14) PHYSICAL EVALUATION BOARD (PEB).  ESTABLISHED TO ACT ON BEHALF OF THE SECRETARY OF THE NAVY (SECNAV) TO MAKE DETERMINATIONS OF FITNESS TO CONTINUE NAVAL SERVICE, ENTITLEMENT TO BENEFITS, AND COORDINATE DISABILITY RATINGS OF MARINES REFERRED FOR DISABILITY EVALUATION.
        (15) PHYSICAL DISABILITY.  ANY IMPAIRMENT DUE TO DISEASE OR INJURY, REGARDLESS OF DEGREE, THAT REDUCES OR PREVENTS A MARINE'S ACTUAL OR PRESUMED ABILITY TO ENGAGE IN GAINFUL EMPLOYMENT OR NORMAL ACTIVITY.
        (16) PRESUMPTION OF FITNESS (PFIT).  A PEB FINDING APPLIED TO MARINES REFERRED TO THE PEB WITHIN 12 MONTHS OF MANDATORY RETIREMENT OR AFTER THE APPROVAL OF VOLUNTARY RETIREMENT, WHO, THEREFORE, ARE EVALUATED UNDER A PRESUMPTION OF FITNESS.  PFIT MEANS EVIDENCE ESTABLISHES THAT THE MARINE'S FUNCTIONAL IMPAIRMENT DID NOT CAUSE EARLY TERMINATION OF A MILITARY CAREER.  MARINES FOUND PFIT ARE AFFORDED THE SAME RIGHTS WITHIN THE DISABILITY EVALUATION SYSTEM AS THOSE FOUND FIT TO CONTINUE NAVAL SERVICE.  MARINES FOUND PFIT ARE NOT ELIGIBLE FOR DISABILITY RETIREMENT, BUT ARE ELIGIBLE FOR RETIREMENT UNDER OTHER PROVISIONS OF LAW AND FOR EVALUATION BY THE DEPARTMENT OF VETERANS AFFAIRS FOR DISABILITY COMPENSATION.
        (17) TEMPORARY LIMITED DUTY (TLD).  SPECIFIED CONDITIONS AND PERIOD OF LIMITED DUTY MUST RESULT FROM A MEB CONVENED AT A MILITARY TREATMENT FACILITY.  THE CUMULATIVE PERIOD OF TLD SHALL NOT NORMALLY EXCEED 12 MONTHS.  TLD IS NOT AUTHORIZED FOR RESERVISTS ON INACTIVE DUTY.
            (A) TLD FOR ENLISTED MARINES MAY BE APPROVED AT THE LOCAL MTF FOR UP TO TWO INITIAL PERIODS OF 6 MONTHS.  ANY ADDITIONAL PERIODS PAST 12 MONTHS REQUIRES DEPARTMENTAL REVIEW AND APPROVAL FROM CMC (MMSR-4) VIA SUBMISSION OF AN AMEB(R) NAVMED 6100/5 WHICH CLEARLY INDICATES MEDICAL CONDITIONS, LIMITATIONS, PROGNOSIS FOR RECOVERY AND CONTINUED ACTIVE SERVICE AND INCLUDES THE COMMANDER'S NON MEDICAL ASSESSMENT.
            (B) ANY PERIOD OF TLD FOR OFFICERS REQUIRES SUBMISSION OF AN AMEB(R) AND APPROVAL FROM CMC (MMSR-4).  THIRD AND GREATER PERIODS OF OFFICER LIMITED DUTY REQUIRE SUBMISSION OF AN AMEB(R) NAVMED 6100/5 WHICH CLEARLY INDICATES MEDICAL CONDITIONS, LIMITATIONS, PROGNOSIS FOR RECOVERY AND CONTINUED ACTIVE SERVICE AND INCLUDES THE COMMANDER'S NON MEDICAL ASSESSMENT.
        (18) UNFIT.  FINDING BY THE PEB THAT A MARINE IS UNFIT TO CONTINUE NAVAL SERVICE BASED ON EVIDENCE WHICH ESTABLISHES THAT THE MARINE IS UNABLE TO PERFORM ASSIGNED DUTIES OF HIS OR HER OFFICE, GRADE, RANK OR RATING, TO INCLUDE DUTIES DURING A REMAINING PERIOD OF RESERVE OBLIGATION.
    B.  HOW THE LIMITED DUTY AND DISABILITY EVALUATION SYSTEM WORKS AND THE NORMAL SEQUENCE OF ACTIONS.
        (1) DUTY LIMITATION CODE D - MEDICALLY NON-DEPLOYABLE.  COMPETENT AUTHORITY IDENTIFIES A MARINE AS MEDICALLY NON-DEPLOYABLE, WHICH INDICATES A REQUIREMENT FOR FURTHER MEDICAL EVALUATION AND TREATMENT.  D CODES GREATER THAN 90 DAYS OLD, OTHER THAN FOR PREGNANCY POST PARTUM, INDICATE EITHER INCORRECT REPORTING AND/OR FAILURE TO COMPLETE AND REPORT MEDICAL EVALUATION.
        (2) LIGHT DUTY.  A MARINE WHO BECOMES SICK, INJURED, OR DEVELOPS A MEDICAL CONDITION WHICH PROHIBITS PERFORMANCE IN A FULL DUTY STATUS AS DETERMINED BY COMPETENT MEDICAL AUTHORITY.  UNDER NO CIRCUMSTANCES MAY A MARINE BE IN A LIGHT DUTY STATUS IN EXCESS OF 90 DAYS WITHOUT INITIATION AND COMPLETION OF A MEB.
        (3) MEDICAL EVALUATION BOARDS MAY:
            (A) RETURN A MARINE TO FULL DUTY.
            (B) RECOMMEND A PERIOD OF TEMPORARY LIMITED DUTY.
            (C) BE FORWARDED TO CMC (MMSR-4) FOR DEPARTMENTAL REVIEW.
            (D) BE FORWARDED TO THE PHYSICAL EVALUATION BOARD FOR DETERMINATION OF FITNESS FOR CONTINUED ACTIVE SERVICE.
        (4) TEMPORARY LIMITED DUTY - DUTY LIMITATION CODE Q.
            (A) PERIODS OF TEMPORARY LIMITED DUTY ARE GRANTED IN NOT MORE THAN 6-MONTH INCREMENTS.  THE TOTAL TIME A MARINE MAY REMAIN ON TEMPORARY LIMITED DUTY DOES NOT NORMALLY EXCEED 12 MONTHS BEFORE THE MARINE'S MEB(R) IS FORWARDED TO THE PEB FOR DETERMINATION OF FITNESS TO CONTINUE NAVAL SERVICE.  FORWARD AN AMEB(R) NAVMED 6100/5 TO CMC (MMSR-4) FOR ALL OFFICER TLD.  FOR THIRD OR GREATER PERIODS OF TLD FOR ALL MARINES, FORWARD AN AMEB(R) NAVMED 6100/5 WHICH CLEARLY INDICATES MEDICAL CONDITIONS, LIMITATIONS, PROGNOSIS FOR RECOVERY AND CONTINUED ACTIVE SERVICE AND INCLUDES THE COMMANDER'S NON MEDICAL ASSESSMENT TO CMC(MMSR-4) FOR APPROVAL.  TLD STATUS MUST BE PROPERLY REPORTED IN MEDBOLTTS, MRRS, AND MCTFS.
            (B) MARINES AUTHORIZED TEMPORARY LIMITED DUTY ARE REQUIRED TO BE REEVALUATED PRIOR TO THE TERMINATION OF THE AUTHORIZED PERIOD.  Q CODES GREATER THAN 6 MONTHS INDICATE EXPIRATION OF TLD.
        (5) PHYSICAL EVALUATION BOARD.  BASED UPON MEDICAL DETERMINATION THAT AN INJURED/ILL MARINE WILL NOT RETURN TO FULL DUTY OR AS DIRECTED BY CMC (MMSR-4), A COMPLETE MEB(R) WITH COMMANDER'S NON-MEDICAL ASSESSMENT IS SUBMITTED TO THE PEB FOR DETERMINATION OF FITNESS FOR CONTINUED NAVAL SERVICE AND DISABILITY DETERMINATION IF FOUND UNFIT.  THE MARINE WILL RECEIVE NOTIFICATION OF THE PHYSICAL EVALUATION BOARD'S FINDINGS VIA THE PHYSICAL EVALUATION BOARD LIAISON OFFICER (PEBLO) AT THE MEDICAL TREATMENT FACILITY, WHO ALSO NOTIFIES THE COMMAND LIMITED DUTY COORDINATOR.  UPON RECEIPT OF THE FINDINGS, THE MARINE MAY UNCONDITIONALLY ACCEPT THE PHYSICAL EVALUATION BOARD FINDINGS, REQUEST RECONSIDERATION, OR CONTEST THE FINDINGS AT A FORMAL HEARING. A FINDING OF UNFIT MAY RESULT IN PLACEMENT ON THE TEMPORARY DISABILITY RETIRED LIST (TDRL), PERMANENT DISABILITY RETIRED LIST (PDRL), DISCHARGE WITH SEVERANCE PAY, OR DISCHARGE WITHOUT ENTITLEMENT TO SEVERANCE PAY.
        (6) ONCE THE DISABILITY PROCESS IS COMPLETE, TO INCLUDE APPEALS AND PETITIONS, THE MARINE WILL EITHER BE:
            (A) RETURNED TO FULL DUTY;
            (B) MEDICALLY DISCHARGED/RETIRED; OR
            (C) AUTHORIZED PERMANENT LIMITED DUTY.
    C.  PERMANENT LIMITED DUTY.  A MARINE WHO HAS BEEN FOUND UNFIT BY THE PHYSICAL EVALUATION BOARD MAY BE RETAINED ON ACTIVE DUTY IN A PERMANENT LIMITED DUTY STATUS FOR A SPECIFIED PERIOD OF TIME, BASED UPON THE DESIRE OF THE MARINE AND THE NEEDS OF THE MARINE CORPS.  PERMANENT LIMITED DUTY IS REQUESTED BY THE MARINE, ENDORSED BY THE CHAIN OF COMMAND AND APPROVED BY CMC (MMSR-4).  MARINES ON PLD MUST BE ABLE TO PERFORM REQUIRED DUTIES AND MAINTAIN STANDARDS WITHOUT ADVERSELY AFFECTING THEIR HEALTH OR THE HEALTH AND SAFETY OF OTHER MARINES.  PERMANENT LIMITED DUTY IS GENERALLY APPROVED FOR MARINES APPROACHING 18 YEARS OF ACTIVE DUTY SERVICE WHO DESIRE RETENTION UNTIL THEY REACH RETIREMENT ELIGIBILITY OR WHO DESIRE A SPECIFIC SEPARATION DATE BASED ON THEIR UNIQUE CIRCUMSTANCES SUCH AS: TO COMPLETE A CURRENT TOUR OF DUTY; HARDSHIP OR OTHER EXTRAORDINARY CIRCUMSTANCES; TO COMPLETE MEDICAL TREATMENT FOR A FAMILY MEMBER; TO PROVIDE CONTINUITY IN A KEY, MISSION-ESSENTIAL BILLET PENDING RELIEF; OR TO COMPLETE ACTIVE SERVICE OBLIGATION FOR EDUCATION AND TRAINING.
        (1) REFER TO MARADMIN 228/06 REGARDING EXPANDED PERMANENT LIMITED DUTY (EPLD) AND CAREER RETENTION FOR COMBAT WOUNDED/INJURED MARINES.
        (2) MARINES RETAINED ON PERMANENT LIMITED DUTY FOR A PERIOD GREATER THAN 12 MONTHS MUST BE REEVALUATED AND HAVE A CURRENT MEB(R) SENT TO THE PHYSICAL EVALUATION BOARD NOT LATER THAN 4 MONTHS PRIOR TO THEIR PERMANENT LIMITED DUTY EXPIRATION DATE.  UPON REEVALUATION BY THE PHYSICAL EVALUATION BOARD, THOSE MARINES WHO ARE STILL DETERMINED TO BE UNFIT WILL BE DISCHARGED OR RETIRED DUE TO THEIR DISABILITY.  THOSE FEW MARINES WHO HAVE OVERCOME THEIR ILLNESS/INJURY AND ARE FOUND FIT UPON REEVALUATION BY THE PHYSICAL EVALUATION BOARD MAY REENLIST, BE DISCHARGED, OR REQUEST RETIREMENT/TRANSFER TO FMCR, IF ELIGIBLE.
        (3) ENLISTED MARINES RETAINED ON ACTIVE DUTY IN A PERMANENT LIMITED DUTY STATUS PENDING RETIREMENT ARE NOT ELIGIBLE FOR SELECTION OR PROMOTION UNLESS SELECTED FOR PROMOTION PRIOR TO ENTERING PLD STATUS (ENLPROMMAN MCO P1400.32D, PARA 1203.4.A).  THIS DOES NOT APPLY TO MARINES APPROVED FOR EPLD.
4.  POLICY
    A.  MARINES WITH A MEDICAL CONDITION EXISTING FOR MORE THAN 60 DAYS THAT PRECLUDES THEM FROM BEING IN A FULL DUTY STATUS REQUIRE A MEB AND REPORTING OF THEIR DUTY LIMITATION STATUS IN MEDBOLTTS, MRRS, AND MCTFS.  MCTFS DUTY LIMITATION "D" CODES GREATER THAN 90 DAYS, OTHER THAN FOR PREGNANCY POST PARTUM, AND "Q" CODES GREATER THAN 8 MONTHS WILL BE REMOVED BY CMC (MMSR-4) WITH NOTIFICATION AND FURTHER GUIDANCE PROVIDED TO THE COMMAND.
    B.  ALL OFFICER LIMITED DUTY AND ENLISTED LIMITED DUTY GREATER THAN 12 MONTHS REQUIRES APPROVAL OF CMC (MMSR-4).
    C.  ONE YEAR BEFORE A MANDATORY RETIREMENT DATE OR UPON THE APPROVAL OF VOLUNTARY REQUEST FOR RETIREMENT (OR TRANSFER TO THE FMCR), A MARINE IS PRESUMED TO BE PHYSICALLY FIT.  THIS PRESUMPTION OF FITNESS (PFIT) IS ONLY RARELY OVERCOME WHEN IT CAN BE ESTABLISHED BY A PREPONDERANCE OF EVIDENCE AS OUTLINED IN REF B (PARAGRAPH 3305), THAT THE MEDICAL CONDITION IN QUESTION MAY WARRANT A PERMANENT DISABILITY RATING OF AT LEAST 60 PERCENT.  MODIFICATION OF A MANDATORY OR AN APPROVED RETIREMENT DATE FOR ELECTIVE SURGERY/REHABILITATION WILL NOT BE APPROVED.  MARINES FACING RETIREMENT MUST PLAN APPROPRIATELY SO THAT ALL ELECTIVE PROCEDURES AND REHABILITATION ARE COMPLETED PRIOR TO THE RETIREMENT DATE.
    D.  MARINES FACING MANDATORY SEPARATION OR RETIREMENT OR WITH AN APPROVED RETIREMENT DATE MAY ONLY BE DEFERRED FOR MEDICAL REASONS IF A MEB(R) IS ACCEPTED BY THE PEB FOR DISABILITY EVALUATION PRIOR TO THE SEPARATION DATE, OR THE MARINE IS HOSPITALIZED ON THE DATE OF RETIREMENT FOR A SERIOUS MEDICAL CONDITION LIKELY TO LEAD TO DISABILITY, OR THE SUDDEN ONSET OF A SERIOUS MEDICAL CONDITION LIKELY TO LEAD TO DISABILITY, SUCH AS CANCER OR A VERY SERIOUS INJURY IN A TRAFFIC ACCIDENT.  MODIFICATION OF RETIREMENT DATE FOR THE LATTER TWO CONDITIONS REQUIRES THE MARINE'S REQUEST, WRITTEN CERTIFICATION BY A MILITARY PHYSICIAN OF THE SERIOUS NATURE OF THE CONDITION, SPECIFICALLY ADDRESSING WHETHER THE CONDITION IS DEFERRABLE OR ELECTIVE AND ESTIMATED TREATMENT AND PROGNOSIS, COMMAND ENDORSEMENT AND APPROVAL BY CMC (MMSR-4).
    E.  FOR MARINES FOUND MEDICALLY UNQUALIFIED FOR SEPARATION AT EAS/ECC, THE MEDICAL TREATMENT FACILITY WILL REQUEST THAT THE MARINE'S COMMAND RETAIN THE MARINE IN A CONVENIENCE OF THE GOVERNMENT MEDICAL STATUS FOR FURTHER MEDICAL PROCESSING.  WHEN CMC IS THE SEPARATION AUTHORITY, THE COMMAND WILL IMMEDIATELY NOTIFY CMC (MMSR-3) FOR DISPOSITION.  A COMMAND MAY NOT RETAIN A MARINE IN EXCESS OF 60 DAYS BEYOND EAS/ECC IN A CONVENIENCE OF THE GOVERNMENT MEDICAL STATUS WITHOUT CMC (MMSR-4) RECEIPT AND APPROVAL OF A VALID AMEB(R) WHICH CLEARLY INDICATES MEDICAL CONDITIONS, LIMITATIONS, PROGNOSIS FOR RECOVERY OR THE RECOMMENDATION FOR FURTHER EVALUATION AND PROCESSING THROUGH THE DISABILITY EVALUATION SYSTEM (DES) VIA THE PEB.  PHYSICIANS AND COMMANDERS MUST USE DISCRETION IN MEDICAL RETENTION BEYOND EAS, AS MARINES ARE NOT NECESSARILY REQUIRED TO BE FIT FOR FULL DUTY BEYOND THAT DATE.  THE MARINE'S HEALTH AND WELL BEING, DETERMINATION OF DEFERRABLE OR ELECTIVE MEDICAL TREATMENT, PROGNOSIS FOR RECOVERY, POSSIBLE PROCESSING FOR DISABILITY THROUGH THE PEB AND MEDICAL TREATMENT AVAILABLE AFTER SEPARATION THROUGH THE DEPARTMENT OF VETERANS AFFAIRS ARE FACTORS FOR CONSIDERATION.  SEE REF C, ARTICLE 18-25.
    F.  ADMINISTRATIVE SEPARATION PROCEEDINGS FOR MISCONDUCT OR DISCIPLINARY PROCEEDINGS WHICH COULD RESULT IN AN ADVERSE OR PUNITIVE DISCHARGE NORMALLY TAKE PRECEDENCE OVER MEDICAL DISABILITY EVALUATION PROCESSING.  GENERAL COURT MARTIAL CONVENING AUTHORITIES SHALL DETERMINE APPROPRIATE SEPARATION PROCESSING, BALANCING GOOD ORDER AND DISCIPLINE WITH THE HEALTH OF THE MARINE. THE COMMAND MUST NOTIFY CMC (MMSR-4) AND REQUEST THAT DISABILITY PROCESSING BE HELD IN ABEYANCE WHEN ADMINISTRATIVE OR JUDICIAL SEPARATION PROCESSING IS COMMENCED AND ALSO IMMEDIATELY PROVIDE THE OUTCOME OF THAT SEPARATION PROCESS.
    G.  WHEN A MARINE HAS APPLIED FOR DISCHARGE AS A CONSCIENTIOUS OBJECTOR IN ACCORDANCE WITH MCO 1306.16E, CONSCIENTIOUS OBJECTOR, AND MEDICAL DISABILITY EVALUATION PROCEEDINGS ARE CONCURRENTLY PROCESSED.  NEITHER PROCESS TAKES PRECEDENCE AND BOTH SHOULD PROCEED UNTIL A DISCHARGE IS AUTHORIZED UNDER ONE OF THE PROCESSES.
    H.  PHYSICAL FITNESS TEST (PFT) AND COMBAT FITNESS TEST (CFT).  PER MCO 6100.13 W/CH 1, FAILURE TO TAKE ALL OR PART OF THE PFT/CFT FOR MEDICAL REASONS IS AUTHORIZED ONLY WHEN A MARINE IS IN A BONA FIDE, MEDICALLY DOCUMENTED LIGHT DUTY OR TEMPORARY LIMITED DUTY STATUS.  A LIGHT DUTY STATUS WILL NOT EXCUSE A MARINE FROM TAKING THE ANNUAL PFT/CFT AT A LATER DATE WITHIN THE ANNUAL PERIOD OR TAKING A PARTIAL PFT/CFT AS APPROPRIATE.  MARINES MEDICALLY UNABLE TO TAKE A PFT/CFT FOR MORE THAN 60 DAYS MUST BE PLACED ON LIMITED DUTY AND AFTER 12 MONTHS MUST BE REFERRED TO CMC (MMSR-4) WITH APPROPRIATE DOCUMENTATION FOR APPROVAL OF ADDITIONAL LIMITED DUTY OR BE REFERRED TO THE PEB.
5.  RESPONSIBILITIES
    A.  COMMANDING OFFICER.
        (1) RESPONSIBLE FOR PROPER ADMINISTRATION, TRACKING AND REPORTING OF ALL LIGHT DUTY AND LIMITED DUTY PERSONNEL.  COMPLY WITH REFERENCE D, PARAGRAPH 8506.
        (2) ENSURE MARINE ON-LINE MORNING REPORTS, STATUS OF RESOURCES AND TRAINING (SORTS), MEDBOLTTS, AND THE MEDICAL READINESS REPORTING SYSTEM (MRRS) UNIFORMLY REFLECT MEDICALLY NON-DEPLOYABLE, LIGHT DUTY, AND LIMITED DUTY STATUS OF THE UNIT'S MARINES.
        (3) APPOINTS A LIMITED DUTY COORDINATOR (SNCO OR ABOVE) IN WRITING WHO COORDINATES WITH THE MARINE, MEDICAL, COMMAND ADMINISTRATIVE PERSONNEL AND THE SERVICING INSTALLATION PERSONNEL ADMINISTRATION CENTER (IPAC).
        (4) UPON RECEIPT OF REQUEST FROM MILITARY TREATMENT FACILITY, PROVIDES COMPLETE NON-MEDICAL ASSESSMENT TO THE MILITARY TREATMENT FACILITY WITHIN 10 DAYS.
        (5) CONDUCTS A LINE OF DUTY/MISCONDUCT INVESTIGATION (LODI), AS REQUIRED, WHICH IS FORWARDED WITH THE MEDICAL EVALUATION BOARD REPORT TO THE PHYSICAL EVALUATION BOARD.  SECTION 0222 OF JAGINST 5800.7E (JAGMAN, CHANGE 2) DETAILS CIRCUMSTANCES WHICH REQUIRE SUCH DETERMINATIONS.
        (6) COORDINATES WITH THE GCMCA AND NOTIFIES CMC (MMSR-4) VIA NAVAL MESSAGE IMMEDIATELY IF A MARINE UNDERGOING DISABILITY PROCESSING IS FACING ADMINISTRATIVE OR LEGAL SEPARATION PROCEEDINGS AND THE RESULTS UPON CONCLUSION OF THOSE PROCEEDINGS.
        (7) SEPARATES MARINES UPON COMPLETION OF DISABILITY PROCESSING, AS DIRECTED BY CMC (MMSR-4), WITHIN REQUIRED TIMEFRAMES.
        (8) RETURNS MARINES TO FULL DUTY UPON MILITARY TREATMENT FACILITY DISPOSITION OR CMC (MMSR-4) AUTHORITY, AS APPROPRIATE.
        (9) COORDINATES WITH CMC (MMSR-2) FOR PENDING RETIREMENT DATES, OR CMC (MMSR-3) FOR PENDING DISCHARGE DATES, WHEN MARINES ARE FOUND FIT BY THE PHYSICAL EVALUATION BOARD.
        (10) ENTERS/REMOVES DUTY LIMITATION CODES "D" AND "Q" IN MCTFS.
        (11) COORDINATES WITH MILITARY TREATMENT FACILITY TO ENSURE A MARINE IS REEVALUATED PRIOR TO TERMINATION OF TEMPORARY LIMITED DUTY.
        (12) ENSURES MARINES ASSIGNED PERMANENT LIMITED DUTY FOR GREATER THAN 12 MONTHS ARE REEVALUATED 4 MONTHS PRIOR TO THE END OF THE PERMANENT LIMITED DUTY PERIOD AND THAT THE EVALUATIONS ARE FORWARDED TO PHYSICAL EVALUATION BOARD FOR DISPOSITION.  INFORMS CMC (MMSR-4) VIA NAVAL MESSAGE WHEN REEVALUATION HAS BEEN COMPLETED.
        (13) ENSURES THAT MARINES REPORT FOR ALL MEDICAL APPOINTMENTS AND THAT THE MARINES INFORM THEIR COMMAND LIMITED DUTY COORDINATOR OF THE RESULTS.
        (14) MAKES APPROPRIATE STATEMENTS FOR REENLISTMENT OR EXTENSION ENDORSEMENTS PERTAINING TO MEDICAL DUTY STATUS OF MARINES: I.E. FIT FOR DUTY, ON LIGHT DUTY, TEMPORARY LIMITED DUTY (START/STOP DATE, FIRST/SECOND PERIOD), OR PERMANENT LIMITED DUTY (START/STOP DATE).
        (15) ENSURES APPROPRIATE COMMENTS ARE MADE IN SECTION A AND SECTION I OF A MARINE'S FITNESS REPORT, IF A MARINE TAKES A PARTIAL PFT/CFT OR FAILS TO TAKE THE ANNUAL PFT/CFT BECAUSE OF A MEDICAL CONDITION (I.E APPROPRIATE ASSIGNMENT TO LIGHT DUTY, TEMPORARY LIMITED DUTY, PERMANENT LIMITED DUTY OR UNDERGOING DISABILITY EVALUATION BY THE PEB).
    B.  LIMITED DUTY COORDINATORS
        (1) COMPLY WITH REF D PARAGRAPH 8506.
        (2) IDENTIFY, TRACK AND ENSURE PROPER ADMINISTRATIVE REPORTING OF ALL PERSONNEL ON LIGHT DUTY, TLD, PLD, OR PROCESSING THROUGH THE PEB.
        (3) ENSURE PERSONNEL NOT IN A FULL DUTY STATUS IN EXCESS OF 60 DAYS FOR MEDICAL REASONS ARE SCHEDULED FOR A MEB, PLACED ON TLD AND PROPERLY REPORTED IN MEDBOLTTS, MRRS, AND MCTFS.
        (4) MONITOR THE STATUS OF ALL PERSONNEL WHO ARE ON CONVENIENCE OF THE GOVERNMENT MEDICAL HOLD.
        (5) MONITOR THE STATUS OF ALL MARINES SENT HOME AWAITING FINAL DISPOSITION BY THE PEB.
        (6) MAINTAIN A CASE FILE ON ALL LIMITED DUTY PERSONNEL WHICH AS A MINIMUM INCLUDES THE AMEB(R) NAVMED 6100/5 WHICH DIRECTS TLD, ANY COMMANDER'S NON-MEDICAL ASSESSMENTS, EXTENSIONS ON LIMITED DUTY, NAVMED 6100/6 DIRECTING REMOVAL FROM TLD AND ALL COMMUNICATIONS WITH CMC (MMSR-4).  FILE MUST BE MAINTAINED FOR 2 YEARS.
        (7) COORDINATE WITH PERSONNEL AT THE MTF, IPAC, REGIONAL LIMITED DUTY COORDINATORS AND CMC(MMSR-4) IN THE PERFORMANCE OF THESE DUTIES.
    C.  MILITARY TREATMENT FACILITY/MEB PHYSICIAN.
        (1) RECOMMENDS MARINES FOR PERIODS OF LIGHT DUTY NOT TO EXCEED 90 DAYS.
        (2) CONDUCTS MEDICAL EVALUATION BOARDS AND NOTIFIES COMMAND IF MEDICAL EVALUATION BOARD COMPLETION WILL REQUIRE AN EXCESS OF 30 DAYS.  TEMPORARY LIMITED DUTY DOES NOT NORMALLY EXCEED 12 MONTHS BEFORE FORWARDING A MEB(R) FOR DISPOSITION BY THE PEB.
        (3) REEVALUATES MARINES PRIOR TO TERMINATION OF THE TEMPORARY LIMITED DUTY PERIOD.
        (4) NOTIFIES CMC (MMSR-4) VIA NAVAL MSG, WITH INFO COPY TO MARINE'S COMMAND AND THE SERVICING IPAC OF MEDICAL EVALUATION BOARD ACTIONS WHEN REQUIRED.
        (5) FOR ENLISTED PERIODS OF TEMPORARY LIMITED DUTY GREATER THAN 12 MONTHS, FORWARD A COPY OF THE ABBREVIATED LIMITED DUTY MEDICAL BOARD REPORT (AMEBR) NAVMED 6100/5 TO CMC (MMSR-4), WHICH CLEARLY INDICATES MEDICAL CONDITIONS, LIMITATIONS, PROGNOSIS FOR RECOVERY AND CONTINUED ACTIVE SERVICE AND INCLUDES THE COMMANDER'S NON MEDICAL ASSESSMENT.
        (6) FOR OFFICER FIRST AND SECOND PERIODS OF TEMPORARY LIMITED DUTY, FORWARD ONLY A COPY OF AN AMEB(R) NAVMED 6100/5 TO CMC (MMSR-4) FOR DEPARTMENTAL REVIEW.  FOR OFFICER THIRD AND GREATER PERIODS FORWARD A COPY OF THE ABBRIEVATED LIMITED DUTY MEDICAL BOARD REPORT (AMEBR) NAVMED 6100/5 TO CMC (MMSR-4), WHICH CLEARLY INDICATES MEDICAL CONDITIONS, LIMITATIONS, PROGNOSIS FOR RECOVERY AND CONTINUED ACTIVE SERVICE AND INCLUDES THE COMMANDER'S NON MEDICAL ASSESSMENT.
        (7) PROCESSES MEDICAL EVALUATION BOARDS FOR FITNESS FOR DUTY DETERMINATIONS BY PHYSICAL EVALUATION BOARD, WITH INFO MSG TO CMC (MMSR-4).
        (8) REQUESTS THAT COMMAND CONDUCT LINE OF DUTY INVESTIGATIONS (LODI), AS REQUIRED.
    D.  CMC (MMSR-4).
        (1) DIRECTS MEDICAL EVALUATION BOARDS FOR DEPARTMENTAL REVIEW OR FITNESS FOR DUTY DETERMINATIONS.
        (2) CONDUCTS DEPARTMENTAL REVIEW OF ALL MEDICAL EVALUATION BOARDS FOR OFFICER TEMPORARY LIMITED DUTY AND PERIODS OF TEMPORARY LIMITED DUTY GREATER THAN 12 MONTHS FOR ALL MARINES.
        (3) APPROVES ASSIGNMENT TO AND REMOVAL FROM PERMANENT LIMITED DUTY.
        (4) MONITORS DUTY LIMITATION CODES.
        (5) EVALUATES AMEB(R) AND DIRECTS SUBMISSION OF MEB(R) TO THE PEB.
        (6) PROCESSES MARINES ONCE DISABILITY DETERMINATIONS ARE FINALIZED AND:
            (A) RETURNS TO FULL DUTY;
            (B) APPROVES PERMANENT LIMITED DUTY;
            (C) DISCHARGES WITH OR WITHOUT SEVERANCE PAY; OR,
            (D) RETIRES WITH DISABILITY RETIREMENT PAY.
    E.  WOUNDED WARRIOR REGIMENT.
        (1) THE WWR AND SUBORDINATE ELEMENTS SUPPORT THE MISSION OF THE MARINE CORPS' REGIONAL LIMITED DUTY COORDINATOR PROGRAM BY PROVIDING ON-SITE SUPERVISION AND MANAGEMENT OVER THE REGIONAL LIMITED DUTY COORDINATORS IN ADDITION TO ADMINISTRATIVE AND LOGISTICAL SUPPORT.
        (2) IN COORDINATION WITH MMSR-4, ARE RESPONSIBLE FOR OVERALL REGIONAL LIMITED DUTY COORDINATOR PROGRAM MANAGEMENT WITH THE WWR-BN COMMANDERS BEING RESPONSIBLE FOR PROGRAM EXECUTION THROUGH THEIR STAFFS AND SUBORDINATE ELEMENTS.
        (3) REGIONAL LIMITED DUTY COORDINATORS WILL BE ASSIGNED TO GEOGRAPHIC LOCATIONS AS DETERMINED BY THE APPROPRIATE BATTALION COMMANDER IN COORDINATION WITH THE REGIMENT S-1.  REGIONAL LIMDU COORDINATORS WILL REPORT TO, BE UNDER THE OPERATIONAL CONTROL OF, AND BE SUPERVISED BY THE DESIGNATED WWR MILITARY LEADERSHIP IN THE LOCATION WHERE ASSIGNED.
6.  THE CONTENTS OF THIS MARADMIN ARE INCLUDED IN THE AUTOMATED INSPECTION REPORTING SYSTEM (AIRS) CHECKLIST, SECTION 123 (SEPARATION AND RETIREMENT).  THIS CHECKLIST IS USED TO EVALUATE MISSION CAPABILITY IN THE INSPECTION PROCESS ASSOCIATED WITH THE COMMANDING GENERAL'S INSPECTION PROGRAM (CGIP), INSPECTOR GENERAL PROGRAM (IGP), AND UNIT INSPECTION PROGRAM (UIP).
7.  ACTION.  COMMANDING OFFICER COMPLETE THE FOLLOWING ACTIONS NLT 1 JAN 2010:
    A.  VERIFY THAT MARINES IN YOUR COMMAND WHO ARE ILL OR INJURED ARE IN A BONA FIDE LIGHT DUTY OR LIMITED DUTY STATUS.
    B.  ENSURE THAT ALL MARINES ON TEMPORARY LIMITED DUTY (REQUIRES MEDICAL EVALUATION BOARD ACTION AND APPROPRIATE DOCUMENTATION) HAVE A DUTY LIMITATION CODE "Q" IN MCTFS AND ARE ALSO PROPERLY REPORTED IN MEDBOLTTS AND MRRS.  ENSURE CORRECT REPORTING OF DUTY LIMITATION CODES "D" AND "Q".
8.  COMMENCING JAN 2010 CMC(MMSR-4) WILL REMOVE DUTY LIMITATION "D" CODES GREATER THAN 90 DAYS (EXCEPT FOR PREGNANCY POST PARTUM), DUTY LIMITATION "Q" CODES GREATER THAN 8 MONTHS, AND WILL ASSIGN MARINES A HARD EAS WHO ARE IN A CONVENIENCE OF THE GOVERNMENT MEDICAL STATUS (COFGM) PAST 60 DAYS WITHOUT AN AMEB(R) APPROVED BY CMC (MMSR-4).
9.  THE POINT OF CONTACT AT THIS HEADQUARTERS IS CMC (MMSR-4), MR. GARY RICHARDSON OR MRS. PAULETTE SANGSTER AT DSN 278-9308/9309 OR COMM (703) 784-9308/9309.  FAX NUMBER IS COMM (703) 784-9834 OR DSN 278-9834.
10.  THIS MARADMIN IS APPLICABLE TO THE TOTAL FORCE.
11.  RELEASE AUTHORIZED BY BGEN A. SALINAS, DIRECTOR, MANPOWER MANAGEMENT DIVISION.//