Citation Nr: 0814220 Decision Date: 04/30/08 Archive Date: 05/08/08 DOCKET NO. 06-12 501 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Manila, the Republic of the Philippines THE ISSUES 1. Entitlement to service connection for the cause of veteran's death. 2. Entitlement to accrued benefits. 3. Basic eligibility for nonservice-connected death pension benefits. ATTORNEY FOR THE BOARD J. Meawad, Associate Counsel INTRODUCTION The veteran served in the Philippine Commonwealth Army from December 1941 to May 1942 and in the Regular Philippine Army from July 1945 to March 1946. He died in September 1981. The appellant is his surviving spouse. This matter is before the Board of Veterans' Appeals (Board) on appeal from an October 2005 rating decision of the Department of Veterans Affairs (VA), Regional Office (RO), located in Manila, the Republic of the Philippines, which denied the above claims. In April 2006, the appellant submitted a letter with her Form 9, which included a request for burial benefits. This claim is referred to the RO for appropriate action. FINDINGS OF FACT 1. The veteran died in September 1981. The Certificate of Death lists the cause of death as carcinoma of the lungs. 2. At the time of the veteran's death, he was not service connected for any disability. 3. There is no evidence of record showing that the cause of the veteran's death had its onset during active service or is related to any in-service disease or injury. 4. The appellant's claim for accrued benefits was not filed within one year of the veteran's death; the veteran did not have any claims pending at the time of his death. 5. The veteran had service in the Philippine Commonwealth Army from December 1941 to May 1942 and in the Regular Philippine Army from July 1945 to March 1946. CONCLUSIONS OF LAW 1. A service-connected disability did not cause, or contribute substantially or materially to cause, the veteran's death. 38 U.S.C.A. §§ 1110, 1310, 5103, 5103A, 5107 (West 2002); 38 C.F.R. §§ 3.159, 3.303, 3.304, 3.312 (2007). 2. The basic legal criteria for establishing entitlement to accrued benefits are not met. 38 U.S.C.A. § 5121 (West 2002); 38 C.F.R. § 3.1000 (2007). 3. The appellant is not eligible for a nonservice-connected death pension based on the veteran's recognized military service. 38 U.S.C.A. § 107 (West 2002); 38 C.F.R. § 3.40 (2007). REASONS AND BASES FOR FINDINGS AND CONCLUSIONS Cause of Death Dependency and Indemnity Compensation may be awarded to a surviving spouse upon the service-connected death of the veteran, with service connection determined according to the standards applicable to disability compensation. 38 U.S.C.A. § 1310 (West 2002); 38 C.F.R. § 3.5(a) (2006); see 38 U.S.C.A. Chapter 11. Generally, a veteran's death is service connected if it resulted from a disability incurred or aggravated in the line of duty in the active military, naval, or air service. 38 U.S.C.A. §§ 101(16), 1110; 38 C.F.R. §§ 3.1(k), 3.303. Service connection may be demonstrated either by showing direct service incurrence or aggravation, or by use of applicable presumptions, if available. 38 C.F.R. § 3.303(a); Combee v. Brown, 34 F.3d 1039, 1043 (Fed. Cir. 1994). The service-connected disability may be either the principal or a contributory cause of death. 38 C.F.R. § 3.312(a). A disability is the principal cause of death if it was the immediate or underlying cause of death, or was etiologically related to the death. 38 C.F.R. § 3.312(b). A disability is a contributory cause of death if it contributed substantially or materially to the cause of death, combined to cause death, aided or lent assistance to producing death - e.g., when a causal (not just a casual) connection is shown. 38 C.F.R. § 3.312(c). Direct service connection generally requires evidence of a current disability with a relationship or connection to an injury or disease or some other manifestation of the disability during service. Boyer v. West, 210 F.3d 1351, 1353 (Fed. Cir. 2000). Disorders diagnosed after discharge may still be service connected if all the evidence, including pertinent service records, establishes that the disorder was incurred in service. 38 C.F.R. § 3.303(d). In such case, the physician must relate the current condition to the period of service. Cosman v. Principi, 3 Vet. App. 503, 505 (1992). A layperson is generally not capable of opining on matters requiring medical knowledge. Routen v. Brown, 10 Vet. App. 183, 186 (1997). Where the determinative issue involves medical causation or a medical diagnosis, there must be competent medical evidence to the effect that the claim is plausible; lay assertions of medical status generally do not constitute competent medical evidence. Grottveit v. Brown, 5 Vet. App. 91, 93 (1993); Espiritu v. Derwinski, 2 Vet. App. 492, 494 (1992). However, lay evidence can be competent and sufficient to establish a diagnosis of a condition when (1) a layperson is competent to identify the medical condition, (e.g., a broken leg), (2) the layperson is reporting a contemporaneous medical diagnosis, or (3) lay testimony describing symptoms at the time supports a later diagnosis by a medical professional. Jandreau v. Nicholson, 492 F.3d 1372 (Fed. Cir. 2007). In essence, lay testimony is competent when it regards the readily observable features or symptoms of injury or illness and "may provide sufficient support for a claim of service connection." Layno v. Brown, 6 Vet. App. 465, 469 (1994). See also 38 C.F.R. § 3.159(a)(2). In this case, the veteran died in September 1981. The death certificate lists the cause of death as carcinoma of the lungs. After a careful review of the record, the Board finds that there is no competent evidence which connects the veteran's death to his active service and that the available service and post-service records do not support this claim. During the veteran's lifetime, he was not service connected for any disability. Service medical records are silent for any findings or treatment of lung cancer. Separation examination reported no abnormalities with the veteran's physical condition, including lungs. Post-service private treatment records show that the veteran was diagnosed as having squamous cell carcinoma of the lungs in 1981, approximately 35 years after service. The Board must note the lapse of many years between the veteran's separation from service and the first treatment for the claimed disorder that caused death. The long time lapse between service and any documented evidence of treatment preponderates against a finding of carcinoma of the lungs during service. See Maxson v. Gober, 230 F.3d 1330 (Fed. Cir. 2000). The appellant contends that the veteran's carcinogenic cells may have already existed prior to, during or after the war, but were not manifested until an older age. Neither the Board nor the veteran is competent to supplement the record with unsubstantiated medical conclusions. Colvin v. Derwinski, 1 Vet. App. 171, 175 (1991); Espiritu, 2 Vet. App. at 494. A June 1981 private medical record specifically states that the veteran was diagnosed as having squamous cell carcinoma of the lungs in 1981 and the medical evidence does not indicate that this disease existed prior to that year. The record does not contain a competent opinion linking the veteran's cause of death to service, and the medical evidence of record does not otherwise demonstrate it is related to service. Therefore, because the veteran's death was not caused by a disability for which service connection had been established at the time of death or for which service connection should have been established, the appellant's claim is denied. The preponderance of the evidence is against the claim and the benefit of the doubt rule is not for application. 38 C.F.R. §§ 3.102, 4.3. Accrued Benefits VA law provides that, upon the death of an individual receiving benefit payments, certain persons shall be paid periodic monetary benefits to which that individual was entitled at the time of death under existing ratings or decisions, or those based on evidence in the file at date of death, and due and unpaid for a period not to exceed 2 years prior to the last date of entitlement. See 38 U.S.C.A. § 5121; 38 C.F.R. § 3.1000(a). Application for accrued benefits must be filed within 1 year after the date of death. 38 U.S.C.A. § 5121(c); 38 C.F.R. § 3.1000(c); see Zevalkink v. Brown, 102 F.3d 1242 (Fed. Cir. 1996) (noting that an accrued benefits claim is derivative of the veteran's claim). There is no basis for an accrued benefits claim, unless the individual from whom the accrued benefits claim derives had a claim for VA benefits pending at the time of death. See Jones v. West, 136 F.3d 1296, 1300 (Fed. Cir. 1998). The evidence shows that the veteran died in September 1981, and that the appellant's accrued benefits claim was received in July 2005. There is no evidence indicating that she submitted a claim within one year of the veteran's alleged death, nor does she assert that any such claim was filed. Furthermore, the veteran did not have a pending claim with VA when he died. Therefore, the threshold legal criteria for establishing entitlement to accrued benefits are not met, and the appeal must be denied because of the absence of legal merit. See 38 U.S.C.A. § 5121; 38 C.F.R. § 3.1000(c); Sabonis v. Brown, 6 Vet. App. 426, 430 (1994). Nonservice-connected Death Pension Eligibility for VA benefits is governed by statutory and regulatory law, which defines an individual's legal status as a veteran of active military, naval or air service. 38 U.S.C.A. §§ 101(2), 101(24); 38 C.F.R. §§ 3.1, 3.6. Service in the Philippine Scouts and in the organized military forces of the Government of the Commonwealth of the Philippines, including recognized guerrilla service, is recognized service for certain VA purposes as authorized by 38 U.S.C.A. § 107 and 38 C.F.R. § 3.40. Section 107(a) contained in Title 38 of the United States Code provides that service before July 1, 1946, in the organized military forces of the Government of the Commonwealth of the Philippines, while such forces were in the service of the Armed Forces of the United States, shall not be deemed to have been active military, naval, or air service for the purposes of awarding nonservice-connected death pension benefits. 38 U.S.C.A. § 107(a). Findings by the United States service department verifying a person's service "are binding on the VA for purposes of establishing service in the U.S. Armed Forces." Duro v. Derwinski, 2 Vet. App. 530, 532 (1992); see also Dacoron v. Brown, 4 Vet. App. 115, 120 (1993). In the present case, the U.S. Army confirmed that the veteran had active military service for VA purposes from December 1941 to May 1942 and from July 1945 to March 1946. The service department's determination that the veteran had recognized service is binding on VA. 38 C.F.R. § 3.203; see Duro, 2 Vet. App. at 532. As noted above, the provisions of 38 U.S.C.A. § 107(a) render the survivors of those who served as members of the organized military forces of the Government of the Commonwealth of the Philippines prior to July 1, 1946, such as the appellant's deceased husband, ineligible for nonservice-connected death pension benefits. Therefore, the appellant's claim for entitlement to VA death pension benefits must be denied as a matter of law. See Sabonis v. Brown, 6 Vet. App. 426, 430 (1994) (where the law and not the evidence is dispositive, the claim should be denied or the appeal to the Board terminated because of the absence of legal merit or the lack of entitlement under the law). Notice and Assistance Upon receipt of a complete or substantially complete application, VA must notify the claimant of the information and evidence not of record that is necessary to substantiate a claim, which information and evidence VA will obtain, and which information and evidence the claimant is expected to provide. 38 U.S.C.A. § 5103(a). VA must request that the claimant provide any evidence in the claimant's possession that pertains to a claim. 38 C.F.R. § 3.159. The notice requirements apply to all five elements of a service connection claim: 1) veteran status; 2) existence of a disability; (3) a connection between the veteran's service and the disability; 4) degree of disability; and 5) effective date of the disability. Dingess v. Nicholson, 19 Vet. App. 473 (2006). The notice must be provided to a claimant before the initial unfavorable adjudication by the RO. Pelegrini v. Principi, 18 Vet. App.112 (2004). The notice requirements may be satisfied if any errors in the timing or content of such notice are not prejudicial to the claimant. Mayfield v. Nicholson, 444 F.3d 1328 (Fed. Cir. 2006). The RO provided the appellant pre-adjudication notice by letters dated in August 2005 and September 2005. An additional letter regarding assignment of disability ratings and effective dates was sent in January 2008. The notification substantially complied with the specificity requirements of Dingess v. Nicholson, 19 Vet. App. 473 (2006) identifying the five elements of a service connection claim; Quartuccio v. Principi, 16 Vet. App. 183 (2002), identifying the evidence necessary to substantiate a claim and the relative duties of VA and the claimant to obtain evidence; Pelegrini v. Principi, 18 Vet. App. 112 (2004), requesting the claimant to provide evidence in his or her possession that pertains to the claims; and Hupp v. Nicholson, 21 Vet. App. 342 (2007) regarding particularized notice obligations with respect to DIC claims. Because service-connection was not in place for any disabilities suffered by the veteran, properly tailored notice need not have included a statement of the conditions, if any, for which a veteran was service connected at the time of his or her death and an explanation of the evidence and information required to substantiate a DIC claim based on a previously service-connected condition. As the claim of service connection is denied herein, any error in the timing of the Dingess notice is harmless. VA has obtained service medical records and assisted the veteran in obtaining evidence. Here, a medical opinion is not required because there is no competent evidence of record indicating that the veteran's cause of death may be associated with his active service. McLendon v. Nicholson, 20 Vet. App. 79 (2006). All known and available records relevant to the issues on appeal have been obtained and associated with the veteran's claims file; and the veteran has not contended otherwise. VA has substantially complied with the notice and assistance requirements and the veteran is not prejudiced by a decision on the claim at this time. ORDER Entitlement to service connection for the cause of the veteran's death is denied. Entitlement to accrued benefits is denied. Entitlement to a nonservice-connected death pension is denied. ____________________________________________ M. E. LARKIN Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs