BVA9406102 DOCKET NO. 92-13 314 ) DATE ) ) ) THE ISSUE Entitlement to an effective date earlier than May 1, 1991, for the award of disability compensation benefits. REPRESENTATION Appellant represented by: The American Legion WITNESS AT HEARING ON APPEAL Appellant ATTORNEY FOR THE BOARD Hilary L. Goodman, Counsel INTRODUCTION The veteran had active service from December 1968 to December 1972 and from September 1976 to November 1980. This matter originally came before the Board of Veterans' Appeals (hereinafter the Board) on appeal from a decision of June 1991 by the Wichita, Kansas, Regional Office (RO). Following review, in April 1993 the veteran's case was remanded for further development. The appeal was again docketed at the Board in September 1993. CONTENTIONS OF APPELLANT ON APPEAL The veteran contends that in December 1984, following a series of medical examinations by military doctors, he was advised by the Navy that he was being removed from the Temporary Disability Retired List (TDRL) and granted severance pay. He asserts that the Department of Veterans Affairs (VA) was informed of this action as the VA contacted him in May 1985 and advised him that he would automatically begin receiving compensation benefits for his service-connected disability after the severance pay was recouped. He avers that his award of VA compensation should therefore be effective in May 1985 and not in May 1991. DECISION OF THE BOARD The Board, in accordance with the provisions of 38 U.S.C.A. § 7104 (West 1991), has reviewed and considered all of the evidence and material of record in the veteran's claims file. Based on its review of the relevant evidence in this matter, and for the following reasons and bases, it is the decision of the Board that the evidence supports an effective date for the award of disability compensation benefits of the day following the last date the veteran was paid military retired pay. FINDINGS OF FACT 1. All relevant evidence necessary for an equitable disposition of the veteran's claim has been obtained by the originating agency. 2. An original claim for service connection for Meniere's disease was received from the veteran in December 1980. By rating action in April 1981, service connection for Meniere's disease with tinnitus was granted; a 30 percent disability evaluation was assigned, effective December 1, 1980. 3. VA was notified in June 1981 that the veteran elected not to waive his retired pay. 4. Medical examinations of the veteran to evaluate his bilateral hearing disability, vertigo and facial hypesthesia were conducted on August 27, 1984 at Fitzsimmons Army Medical Center. Following referral to the Physical Evaluation Board (PEB), the veteran was removed from TDRL and discharged from the service for physical disability with severance pay, effective in March 1985. 5. The VA was notified by the Navy in April 1985 that, the previous month, the veteran had been removed from TDRL and discharged from the naval service for physical disability with severance pay. 6. In correspondence dated in May 1985, the VA advised the veteran that it had been informed by the Navy of his removal from TDRL and his permanent retirement with severance pay. The veteran was also advised that if he wished to reopen his claim for disability conpensation, he should submit a statement. It was specifically stated that "[w]hen the entire amount of your severance pay has been recouped, you may automatically begin to receive compensation." No written response was received from the veteran. 7. In April 1991, the veteran requested information as to the status of recoupment of his disability severance pay by the VA. 8. It is reasonably probable that the May 1985 VA letter was honestly construed by the veteran as meaning that recoupment of the severance pay had been initiated and that such recoupment was not dependent on his responding to the letter. CONCLUSION OF LAW The award of disability compensation, effective from the day following the last date the veteran was paid military retired pay, is warranted. 38 U.S.C.A. §§ 5107, 5110 (West 1991); 38 C.F.R. §§ 3.109, 3.155, 3.157(b)(1), 3.400 (1993) REASONS AND BASES FOR FINDINGS AND CONCLUSION The veteran is seeking an earlier effective date for the grant of VA disability compensation benefits. We note that we have found that the veteran's claim is "well grounded" within the meaning of 38 U.S.C.A. § 5107(a). That is, we find that he has presented a claim which is plausible. We are also satisfied that all relevant facts have been properly developed and no further assistance to the veteran is required to comply with the duty to assist mandated by 38 U.S.C.A. § 5107(a). The relevant facts in this case are not in dispute. The veteran, who was transferred to TDRL, effective December 1, 1980, submitted an original claim for service connection for Meniere's disease in December 1980. Service connection for Meniere's disease with tinnitus was granted in April 1981 and a 30 percent disability evaluation was assigned. Shortly thereafter, in June 1981, VA was informed that the veteran did not wish to waive his retired pay. The veteran, who remained on TDRL, was ordered to report on August 27, 1984, to Fitzsimmons Army Medical Center for his periodic physical examination. In the medical report completed after the scheduled examination was conducted it was concluded that the veteran's facial hypesthesia and vertigo had resolved and that his mild left sensorineural hearing loss in speech frequencies and anacousic right ear had not. It was recommended that he be referred to a PEB. The PEB, in a December 1984 letter to the veteran, listed diagnoses of bilateral Meniere's disease, with right side being more symptomatic, resolved; and anacousic right ear and mild sensorineural hearing loss, left. It was noted that the recommended finding was that the veteran was unfit because of the latter physical disability. The VA was informed by the Navy in April 1985 that the previous month the veteran had been removed from TDRL and discharged from naval service for physical disability with severance pay. The VA, in correspondence dated May 13, 1985, advised the veteran that it had been informed by the Navy of his removal from TDRL and his permanent retirement with severance pay. The veteran was also advised that, if he wished to reopen his claim for disability compensation benefits, he should submit a statement on the enclosed VA Form 21-4138, Statement in Support of Claim. It was specifically stated that "[w]hen the entire amount of your severance pay has been recouped, you may automatically begin to receive compensation." No written response was received from the veteran. In April 1991, the veteran requested information as to the status of the recoupment of his disability severance pay by VA. In June 1991, the originating agency assigned an effective date of May 1, 1991, for the grant of the veteran's disability compensation and informed him that his compensation would be withheld until the full amount of his severance pay had been recovered. Under the provisions of 38 C.F.R.§ 3.157(b), receipt of a report of a uniformed service examination will be accepted as an informal claim in the case of a retired member of a uniformed service whose formal claim for compensation has been disallowed because of receipt of retired pay. The provisions of this paragraph apply only when such reports relate to examination or treatment of a disability for which service connection has previously been established or when a claim specifying the benefits sought is received within one year from the date of such examination. This veteran's August 27, 1984 uniformed service examination was the basis for granting severance pay and was for a disability for which service connection had already been granted, and he was on TDRL at that time. An informal claim is defined, under 38 C.F.R. § 3.155, as any communication or action indicating an intent to apply for one or more benefits under the laws administered by VA. Such informal claim must identify the benefit sought. Upon receipt of an informal claim, if a formal claim has not been filed, an application form will be forwarded to the claimant for execution. If received within one year from the date it was sent to the claimant, it will be considered filed as of the date of receipt of the informal claim. The RO promptly contacted the veteran after learning of his removal from TDRL and retirement with severance pay, and advised him that he might wish to submit VA Form 21-4138 to reopen his claim for disability compensation. This action was in conformity with the applicable instructions contained in Paragraph 21.03b, M21-1, Part IV. However, the May 13, 1985, letter from the RO contained language which, we conclude, could have been honestly construed by the veteran as meaning that his severance pay was already being recouped and his disability compensation payments would begin "automatically" after recoupment was completed. We find it to be reasonably probable that this was the reason he took no action to perfect his claim within one year of the RO's notice. 38 C.F.R. § 3.109(b) provides that time limits within which claimant's are required to act to perfect a claim may be extended for good cause shown. The Board is of the opinion that such good cause for the veteran's failure to timely perfect his claim has been shown. Accordingly, the effective date of the award of disability compensation benefits is the day following the last date the veteran was paid military retired pay. 38 U.S.C.A. §§ 5107, 5110; 38 C.F.R. §§ 3.109, 3.155, 3.157(b)(1), 3.400. ORDER Entitlement to an effective date for the award of disability compensation benefits as of the day following the last date the veteran was paid military retired pay is granted. This award is subject to other applicable regulations regarding payment of monetary benefits. BOARD OF VETERANS' APPEALS WASHINGTON, D.C. 20420 ROBERT D. PHILIPP JAMES R. ANTHONY * (MEMBER TEMPORARILY ABSENT) *38 U.S.C.A. § 7102(a)(2)(A) (West 1991) permits a Board of Veterans' Appeals Section, upon direction of the Chairman of the Board, to proceed with the transaction of business without awaiting assignment of an additional member to the Section when the Section is composed of fewer than three Members due to absence of a Member, vacancy on the Board or inability of the Member assigned to the Section to serve on the panel. The Chairman has directed that the Section proceed with the transaction of business, including the issuance of decisions, without awaiting the assignment of a third Member. NOTICE OF APPELLATE RIGHTS: Under 38 U.S.C.A. § 7266 (West 1991), a decision of the Board of Veterans' Appeals granting less than the complete benefit, or benefits, sought on appeal is appealable to the United States Court of Veterans Appeals within 120 days from the date of mailing of notice of the decision, provided that a Notice of Disagreement concerning an issue which was before the Board was filed with the agency of original jurisdiction on or after November 18, 1988. Veterans' Judicial Review Act, Pub. L. No. 100-687, § 402 (1988). The date which appears on the face of this decision constitutes the date of mailing and the copy of this decision which you have received is your notice of the action taken on your appeal by the Board of Veterans' Appeals.