The medal was designed by Mr. Jay Morris of the Institute of Heraldry, and the design was approved by the committee on March 20, 1969. The ribbon design purposely follows the colors used for the Legion of Merit to reflect the parallel between the two medals. The eagle, symbol of the United States, stands on laurel branches denoting achievement. The star is used to represent the military service and the rays emanating therefrom denote the constant efforts of individuals to achieve through excellent and meritorious service.