Department of Defense
INSTRUCTION
NUMBER 1241.01
April 19, 2016
USD(P&R)
SUBJECT: Reserve Component (RC) Line of Duty Determination for Medical and Dental
Treatments and Incapacitation Pay Entitlements
References: See Enclosure 1
1. PURPOSE. In accordance with the authority in DoD Directive (DoDD) 5124.02 (Reference
(a)), this instruction:
a. Reissues DoDD 1241.01 (Reference (b)) as a DoD instruction (DoDI) to establish policy,
assign responsibility, establish objectives, and provide guidance for determining an entitlement
to medical and dental treatment and pay and allowances for RC Service members with injury,
illness, or disease incurred or aggravated in the line of duty (in-LOD).
b. Incorporates and cancels DoDI 1241.2 and Under Secretary of Defense for Personnel and
Readiness (USD(P&R)) Memorandum (References (c) and (d)).
2. APPLICABILITY. This instruction applies to OSD, the Military Departments (including the
Coast Guard at all times, including when it is a Service in the Department of Homeland Security
by agreement with that Department), the Office of the Chairman of the Joint Chiefs of Staff and
the Joint Staff, the Combatant Commands, the Office of the Inspector General of the Department
of Defense, the Defense Agencies, the DoD Field Activities, and all other organizational entities
within the DoD.
3. POLICY. It is DoD policy that:
a. An RC Service member is entitled to medical and dental treatment for an injury, illness, or
disease that was incurred or aggravated while in a qualified duty status and that is not the result
of gross negligence or misconduct (referred to in this instruction as a “covered condition”). A
determination that establishes a covered condition will be referred to in this instruction as an “in-
LOD determination.”
(1) In the case of a qualified duty status other than active duty for a period of more than
30 days, the in-LOD determination for a covered condition will establish eligibility for
