On a white rectangle arched at top and bottom 3 inches (7.62 cm) in height and 2 inches (5.08 cm) in width overall, having at center a maroon cross with arms extending throughout, thereon between two gold stars a green serpent entwined around a gold staff charged at top with a maroon fleur-de-lis, all within a 1/8 inch (.32 cm) gold border.
Maroon and white are the colors traditionally associated with the Medical Corps. The cross and staff of Aesculapius, symbols of healing and medicine, highlight the Brigades mission. The fleur-de-lis alludes to the units World War II campaign participation in France. The two stars represent Texas, the location of the Brigades Headquarters when activated in 2010 and California, the location of the units Headquarters as a Medical Group from 1981 through 2010. The gold border is emblematic of honor and excellence in service.
The shoulder sleeve insignia was approved on 21 May 2014. (TIOH Dwg. No. A-1-1095)