Disability Pension Rejected? Reasons & New Rules Explained.
DEFENCE PENSION • LEGAL INFORMATION
A disability-pension claim may be rejected, reduced, or sanctioned under a different category even when a serving person or veteran has a genuine medical condition. Entitlement is determined by the applicable rules, the assessed disability, the connection with military service, and the circumstances of discharge or retirement. A rejection should be checked against the medical-board record—not accepted or challenged blindly.
1. Disability Pension and Impairment Relief: What Is the Difference?
Under the current terminology, Disability Pension generally concerns personnel invalided from service (or eligible PBORs treated as deemed invalided) because of a disability accepted as attributable to or aggravated by military service. It comprises a Service Element and a Disability Element.
Impairment Relief relates to an attributable/aggravated disability where the individual is retained in service after the prescribed Retention cum Impairment Assessment Board process and later retires or is discharged on normal service terms. Subject to the applicable provisions and choices, it may be paid with otherwise admissible retiring or service pension/gratuity. The Ministry of Defence says that the monthly Impairment Relief is the former Disability Element for retained personnel: the terminology changed, not its rate. A capitalised option is also contemplated by the 2023 framework.
Importantly, the provision for being deemed invalided applies to eligible PBORs and equivalent personnel, not to commissioned officers, under the government’s 2023 clarification.
2. When Can Disability Compensation Be Granted?
Three questions are usually decisive: (i) what percentage of disability was assessed; (ii) whether it was held attributable to or aggravated by military service; and (iii) whether the person was invalided out, deemed invalided, or retained in service and subsequently retired. The entitlement category, reporting date, applicable regulations and medical-board findings must all be checked.
For the ordinary disability element, an assessed disability of 20% or above is generally material. An assessment below 20% normally does not attract that element, subject to the applicable legal position and the individual facts. It is not enough that a diagnosis exists; service connection also matters.
Understanding Broad-Banding
Where rounding-off or broad-banding is admissible, the percentage used to calculate compensation may differ from the percentage medically assessed. The general 2023 Ministry of Defence clarification uses the following bands, subject to the particular scheme and eligibility:
| Assessed Disability | Reckoned for Calculation (if eligible) |
|---|---|
| Up to 50% | 50% |
| More than 50% and up to 75% | 75% |
| More than 75% and up to 100% | 100% |
Important: This rounding table does not by itself create entitlement for every disability below 20%, nor does it establish that every retiree qualifies for broad-banding. Determine entitlement first, then apply the relevant computation rule.
3. Why Is Disability Pension Rejected or Reduced?
Common reasons found in actual decisions include:
- Disability assessed below the applicable threshold for the claimed element;
- A finding of Neither Attributable Nor Aggravated (NANA) by military service;
- Medical-board reasons rejecting a connection between service conditions and the disease or injury;
- A condition assessed as temporary, improved, or insufficiently impairing on reassessment;
- Disagreement about the correct pension category, retirement circumstances, or the appropriate medical-board procedure.
What Does NANA Mean?
NANA means the competent medical assessment has found that the disability was neither caused by military service nor worsened by it. It is an important adverse finding, but it is not automatically beyond challenge. The actual recorded reasons, entry medical history, service conditions, medical chronology, and applicable rules should be examined. Depending on the facts, even where disability compensation is unavailable, a separate Invalid Pension question may arise for someone invalided out for a NANA disability; that benefit has its own conditions.
Do Hypertension, Diabetes and Cardiac Conditions Automatically Fail?
No blanket answer is legally safe. Medical boards may assess conditions such as hypertension, diabetes and cardiac disease by reference to medical evidence, onset, risk factors, postings and duty conditions under the applicable GMO. A label such as “constitutional” or “lifestyle-related” must be understood in the context of the individual record. Equally, a serious diagnosis alone does not establish military-service aggravation.
4. What Changed with ER 2023 and GMO 2023?
The Ministry of Defence issued the Entitlement Rules for Casualty Pension and Disability Compensation Awards, 2023 (ER 2023) and the Guide to Medical Officers (Military Pensions), 2023 (GMO 2023) on 21 September 2023. The Government clarified that cases of death and disability reported or recorded after 21 September 2023 are governed by this framework, while existing pensioners and family pensioners already receiving relevant awards are not affected merely by its introduction.
The Government describes the exercise as a clarification and consolidation of assessment and entitlement procedures, and expressly states that it did not change the rates of death or disability compensation. The terminology Impairment Relief and the formal Retention cum Impairment Assessment Board process are particularly important for personnel retained in service. Practical disputes about how medical guidance is applied must be evaluated case by case, rather than assuming that every illness has been newly disqualified.
5. Can a Rejected Claim Be Challenged?
Yes. A rejected or reduced claim may be open to medical review, statutory or departmental appeals and, where maintainable, proceedings before the Armed Forces Tribunal (AFT). The proper route depends on the challenged order, service category, governing rules and the relief sought. A Review/Appeal Medical Board is not an automatic or identical remedy in every case.
Practical Steps Before Filing
- Obtain the Release / Invaliding / Review Medical Board proceedings, including reasons for the assessed percentage and attributability/aggravation findings.
- Read the rejection or sanction order, PPO, disability profile and relevant dates; determine whether Disability Pension, Impairment Relief or another category is involved.
- Collect enrolment medical records, service medical documents, treatment history, specialist reports, medical-category history and evidence of duties/postings relevant to the illness or injury.
- Check First Appeal and Second Appeal procedures, applicable deadlines and the actual communication of the decision. Government guidance for the established appeal framework refers to six months for each relevant stage; the governing rules and any delay-condonation position should be verified for the case.
- Where necessary, evaluate a legally appropriate AFT claim on service connection, percentage assessment, effective date, arrears or other relief, supported by documents rather than general assertions.
Entitlement approved after an appeal or judicial decision may result in arrears, but the start date, limitations and interest depend on the order, governing provisions and individual facts.
6. Frequently Asked Questions
Q1. I have a serious illness. Why was my disability pension rejected?
Illness alone is not the test. The board’s assessment of percentage, service connection and discharge category must be examined.
Q2. What is Impairment Relief?
It is the term now used for the former monthly Disability Element applicable to qualifying personnel retained in service despite an attributable or aggravated disability and later released on normal terms.
Q3. Is its monthly rate lower than the old Disability Element?
The Ministry of Defence has stated that the rate is unchanged by the terminology change.
Q4. Is 20% disability always necessary?
The ordinary disability element normally requires at least 20% assessed disability, but every claim needs consideration of its applicable regulations and legal history.
Q5. What does NANA signify?
A finding that the disability is neither attributable to nor aggravated by military service. The reasons may be scrutinised and, where justified, challenged.
Q6. Can my disability percentage change on reassessment?
Yes. A properly conducted reassessment may record improvement or worsening, applying the relevant medical standards.
Q7. Can I challenge a rejection?
Depending on the case, avenues may include a prescribed appeal, appropriate medical review and the AFT. Check the order and deadline before choosing a route.
Q8. Does every diagnosed disease qualify?
No. Degree of impairment, service connection and the nature of separation from service remain relevant.
Q9. Are hypertension and diabetes automatically excluded?
No automatic conclusion should be drawn without examining the medical findings, service history and governing guidelines.
Q10. What role does the medical board play?
It assesses diagnosis, percentage, functional impairment and service connection; its recorded findings often form the core of the pension decision.
Q11. Which documents are most important?
Medical-board proceedings, enrolment and service medical records, treatment records, posting/duty documents, rejection letters and PPO details are a strong starting point.
Q12. What if my disability is temporary?
The need and schedule for reassessment may differ. A temporary assessment should be read with the actual board decision and scheme.
Q13. Can I receive arrears if an appeal succeeds?
Potentially, yes. The eligible period depends on the final sanction or judicial order and any applicable limitation.
Q14. What should I check first?
Check the board’s assessed percentage, its NANA or attributability/aggravation reasoning, the separation category and the sanction/rejection letter.
Q15. What is a common mistake in rejected claims?
Filing a generic appeal without obtaining the medical-board reasons, supporting evidence, or checking the proper remedy and timeframe.
Official References
For authoritative interpretation and any case-specific filing, consult the operative government instruments and applicable judgments:
This article provides general legal information, not an automatic pension-entitlement determination or advice on an individual matter. Medical-board findings, applicable service rules, judicial orders and limitation periods should be checked before proceeding.


