Citation Nr: 1008268 Decision Date: 03/05/10 Archive Date: 03/11/10 DOCKET NO. 08-31 100 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Salt Lake City, Utah THE ISSUE Entitlement to Dependency and Indemnity Compensation, paid without recoupment of tort settlement. REPRESENTATION Appellant represented by: Disabled American Veterans WITNESS AT HEARING ON APPEAL Appellant ATTORNEY FOR THE BOARD J. M. Macierowski, Counsel INTRODUCTION The Veteran served on active duty from February 1967 to February 1969, and died in February 2001. The appellant is his surviving spouse. This matter comes before the Board of Veterans' Appeals (Board) on appeal from the Department of Veterans Affairs (VA) Regional Office in Salt Lake City, Utah (RO). FINDINGS OF FACT 1. The appellant is the surviving spouse of the decedent Veteran. 2. In a March 2002 decision, the appellant was awarded Dependency and Indemnity Compensation (DIC) benefits under 38 U.S.C.A. § 1151. 3. In November 2006, the appellant and the four other plaintiffs (the Veteran's mother, and the appellant and Veteran's three children) entered into a Stipulation for Compromise Settlement and Release of Federal Tort Claims (Settlement) pursuant to 28 U.S.C. § 2672 for and in consideration of $362,500.00 in settlement of the Veteran's wrongful death. 4. The appellant and the four other plaintiffs received $302,500.00 in a cash sum payment; the remaining $60,000.00 was paid by the United States to a private insurance company to purchase an annuity contract to benefit the three children on their 30th birthday. 5. The setoff of benefits received under 38 U.S.C.A. § 1151(a) against DIC benefits is prescribed by law under 38 U.S.C.A. § 1151(b) and 38 C.F.R. § 3.362. CONCLUSION OF LAW The offset amount of $302,500.00 awarded under 38 U.S.C.A. § 1151 against the appellant's DIC benefits was proper. 38 U.S.C.A. § 1151 (West 2002 & Supp. 2009); 38 C.F.R. §§, 3.103, 3.362, 3.363, 3.800 (2009); Sabonis v. Brown, 6 Vet. App. 426, 430 (1994). REASONS AND BASES FOR FINDINGS AND CONCLUSION The appellant contends that the offset amount of $302,500.00, derived from the amount of a settlement received under the Federal Tort Claims Act, against her DIC benefits was not proper. Specifically, she asserts that she was never informed that her negotiated settlement would precluded such an occurrence, and that the loss of said income would essentially result in an elimination of any benefit she should have received from VA under the circumstances of the Veteran's death. She also asserts that she only received $78.804.20 of the $302,500.00 cash sum payment; she alleges that the remaining amounts went to the Veteran's three children and his mother, and for attorneys' fees. After a careful review of the law and the record, the Board finds that as a matter of law, the appeal must be denied. The following facts of the case are not in dispute. A March 2002 rating decision awarded DIC benefits to the appellant under 38 U.S.C.A. § 1151. In November 2002, the appellant filed a claim against the United States Government under the provisions of the Federal Tort Claims Act (FTCA), seeking damages stemming from the February 2001 death of the Veteran, in accordance with 28 U.S.C.A. § 2672. In November 2006, the appellant agreed to settle her FTCA claim for $362,500. The Settlement indicated that $60,000.00 of that total would be used by the United States to purchase an annuity contract for the benefit of the Veteran's three children, and that the remaining amount, $302,500, was to be paid to the appellant and the four other plaintiffs (the Veteran's mother, and the appellant and Veteran's three children) in a cash sum payment. The Settlement also noted that the appellant's DIC payments would "be suspended due to this settlement according to the provisions of [38 U.S.C.A. § 1151]." See Settlement, at 8 (6). Under 38 U.S.C.A. § 1151, "[w]here an individual is, on or after December 1, 1962, awarded a judgment against the United States in a civil action brought pursuant to section 1346(b) of title 28, or . . . enters into a settlement or compromise under section 2672 or 2677 of title 28 by reason of a disability or death treated pursuant to this section as if it were service-connected, then no benefits shall be paid to such individual for any month beginning after the date such judgment, settlement, or compromise becomes final until the aggregate amount of benefits which would be paid but for this subsection equals the total amount included in such judgment, settlement or compromise." 38 U.S.C.A. § 1151(b); see also 69 Fed. Reg. 46,426 (August 3, 2004). VA regulations implementing 38 C.F.R. § 1151(b) are in accord with the statute, and provide that where any person is awarded a judgment on or after December 1, 1962, against the United States in a civil action brought pursuant to 28 U.S.C. § 1346(b), or enters into a settlement or compromise on or after December 1, 1962, under 28 U.S.C. § 2672 or § 2677, by reason of disability, aggravation or death within the purview of this section (i.e., 38 U.S.C.A. § 1151), no compensation . . . shall be paid to such person for any month beginning after the date of such judgment, settlement, or compromise on account of such disability, aggravation, or death becomes final until the total amount of benefits which would be paid except for this provision equals the total amount included in such judgment, settlement, or compromise. The provisions of this paragraph do not apply, however, to any portion of such compensation or dependency and indemnity compensation payable for any period preceding the end of the month in which such judgment, settlement, or compromise becomes final. 38 U.S.C.A. § 3.800(a) (2). The amount to be offset under 38 U.S.C.A. § 1151(b) from benefits awarded under 38 U.S.C.A. § 1151(a) is the survivor's proportional share of the cost to the United States of the settlement or compromise, including the survivor's proportional share of attorney fees. 38 C.F.R. § 3.362(d). Moreover, the amount to be offset under 38 U.S.C.A. § 1151(b) from any DIC awarded under 38 U.S.C.A. § 1151(a) is only the amount of the settlement representing damages for the Veteran's death the survivor receives in an individual capacity or as distribution from the decedent Veteran's estate of sums included in the settlement to compensate for harm suffered by the survivor, plus the survivor's proportional share of attorney fees. 38 C.F.R. § 3.362(c). Under the applicable statutes and regulations, the amount of $302,500.00 is subject to recoupment from the appellant's award of VA compensation benefits under 38 U.S.C.A. § 1151 before payments of those benefits to her can resume. The Settlement reflects that the $302,500.00 was paid to her both in her individual capacity and on behalf of the estate of the Veteran. She has alleged, to include in her October 2009 letter to her Member of Congress, that she paid out amounts to the Veteran's three children, his mother, and to the attorneys, such that she only received $78,804.20 for herself. However, she has submitted no evidence, other than the letter to her Member of Congress, that she has paid out those amounts, nor was she required to; the Settlement does not prescribe any specific payments to the Veteran's mother or his three children, other than those amounts they will be paid from the matured annuity contract at each of their 30th birthdays. Thus, if the appellant has paid out monies to those parties, she did so by her own accord. Moreover, even if the attorneys' fees are considered to be a "required" payment due to the nature of the Settlement, the monies were paid to the attorneys by the appellant; at no time were the attorneys' fees paid by the United States. Thus, any argument that VA would be recovering "sums the benefit of which the [appellant] never enjoyed" fails; the appellant may not have "enjoyed" the monies she paid in attorneys' fees, as she did not retain them for her personal use, but she received the benefit of the attorneys' counsel in exchange for same. See VAOPGCPREC 79-90 (the offset provision of section 351 was intended to assure that the same individual does not recover twice for the same disability or death). Additionally, the appellant asserted in her April 2008 notice of disagreement and October 2008 substantive appeal that she was never informed, either by her attorney or by VA, that she would be required to offset her DIC by the amount of the award. Without addressing her allegations as to the responsibilities of her private attorney, the stipulation to recoupment of DIC benefits is clearly stated, as noted above, in Paragraph 6 of the Settlement, which the appellant signed. See Settlement, at 8 (6). Moreover, the Court of Appeals for Veterans Claims held that persons dealing with the Government are charged with knowledge of Federal statutes and lawfully promulgated agency regulations, regardless of actual knowledge or hardship resulting from innocent ignorance. See Morris v. Derwinski, 1 Vet. App. 260, 265 (1991), citing Fed. Crop Ins. Corp. v. Merrill, 332 U.S. 380, 384-85 (1947); see also Velez v. West, 11 Vet. App. 148, 156- 57 (1998). The Board is cognizant of the Veteran's honorable service and notes that it empathizes with the appellant's plight and her loss. Nonetheless, the controlling law and regulation are quite specific, and there is no legal authority for any exception in the present case. The Board is bound by the law and is without authority to grant benefits on an equitable basis. See 38 U.S.C.A. §§ 503, 7104; Harvey v. Brown, 6 Vet. App. 416, 425 (1994). Having carefully reviewed the evidence of record, and in light of the laws and regulations, the Board concludes that the offset of $302,500, awarded under 38 U.S.C.A. § 1151 against DIC benefits was proper and the claim must be denied as a matter of law. Sabonis v. Brown, 6 Vet. App. 426, 430 (1994). The appellant's claim to have DIC paid without recoupment of tort settlement is a matter of law; in this case, there is no legal entitlement to the claimed benefit as a matter of law. The notice provisions and duty to assist provisions are not applicable to a claim where the claim cannot be substantiated because there is no legal basis for the claim or because undisputed facts render the claimant ineligible for the claimed benefit. See VAOPGCPREC 5-2004 (June 23, 2004). There is no reasonable possibility that any further assistance would aid the appellant in substantiating her claim. See Sabonis v. Brown, 6 Vet. App. 426, 430 (1994). Accordingly, it is not prejudicial for the Board to decide the issue before it without further development. Bernard v. Brown, 4 Vet. App. 384 (1993). ORDER The offset amount of $302,500.00, awarded under 38 U.S.C.A. § 1151 against the appellant's DIC benefits was proper, and the appeal is denied. ____________________________________________ C. CRAWFORD Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs