Decision Date: 08/09/95 Archive Date: 08/08/95 DOCKET NO. 95-08 241 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in New York, New York THE ISSUE Whether new and material evidence has been submitted to reopen a claim of entitlement to service connection for schizophrenia. REPRESENTATION Appellant represented by: Disabled American Veterans ATTORNEY FOR THE BOARD L. M. Barnard, Counsel INTRODUCTION The veteran served on active duty from January 1973 to June 1974. This appeal arose from an October 1994 rating decision of the New York, New York, Department of Veteran's Affairs (VA), Regional Office (RO), which found that the veteran had not submitted new and material evidence to reopen his claim for entitlement to service connection for schizophrenia. CONTENTIONS OF APPELLANT ON APPEAL The veteran contends, in essence, that service connection for schizophrenia, which was severed in November 1980, should be restored. He argues that he had submitted a timely notice of disagreement with that action, but that he had never been provided with a statement of the case. Further, if service connection were not to be restored, he asserted that he has submitted new and material evidence to justify reopening his claim for entitlement to service connection for schizophrenia. 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 November 1980 severance of service connection for schizophrenia did not become final. FINDING OF FACT The veteran filed a timely notice of disagreement with the proposal to sever service connection for schizophrenia in September 1980; a statement of the case was not provided following the severance of service connection in November 1980. CONCLUSION OF LAW 1. A timely notice of disagreement with the severance proposal of September 1980 was filed; a statement of the case was not provided and the rating action of November 1980 did not become final. 38 U.S.C.A. § 5107(a) (West 1991); 38 U.S.C. § 4005 (1976); 38 C.F.R. §§ 3.104(a), 19.153, 19.154 (1980); VA Adjudication Procedures Manual, M21-1, Chapter 18, Paragraph 18.25 (Change 145, September 9, 1976). REASONS AND BASES FOR FINDING AND CONCLUSION The veteran's claims are well grounded within the meaning of 38 U.S.C.A. § 5107(a). That is, we find that he has presented claims which are plausible. We are also satisfied that all relevant facts have been properly developed. The record is devoid of any indication that there are other records available which should be obtained. Therefore, no further development is required in order to comply with the duty to assist mandated by 38 U.S.C.A. § 5107(a). According to the applicable provisions of the M21-1, in effect in 1980, a proposed rating to sever service connection is merely a preliminary action and consequently is not an appealable determination. However, if a notice of disagreement is filed in such a case before the expiration of the 60-day period, a statement of the case should be prepared and furnished the claimant together with advice that should they have no further evidence to submit and desire to appeal before the end of the 60-day period allowed for submission of evidence, they may and the appeal processed. VA Adjudication Procedures Manual, M21-1, Chapter 18, Paragraph 18.25 (Change 145, September 9, 1976). In the instant case, it is initially noted that the veteran was awarded service connection for schizophrenia in a rating action issued in June 1974. On June 12, 1980, the RO issued a rating action which proposed to sever service connection for this disorder, noting that the veteran did not have schizophrenia in service, nor was it found to a compensable degree within one year of his separation. Therefore, it was noted that the 1974 grant of service connection had been clearly and unmistakably erroneous. The veteran was notified of this proposed action in a letter dated July 24, 1980. He was informed that he had 60 days from the date of that letter in which to submit additional evidence or statements. Should no reply be received, his award would be discontinued effective October 1, 1980. On September 16, 1980, the RO received the veteran's notice of disagreement with the proposed severance. On November 19, 1980, a rating action was issued which noted the veteran's protest of the proposed severance; however, the severance action was finalized since the veteran had not submitted evidence to explain why service connection should be maintained. He was notified of this severance in December 1980. In a rating action dated in October 1994, the RO found that this November 1980 severance action was final since the veteran had failed to submit a timely notice of disagreement, and also found that he had not submitted new and material evidence necessary to reopen his claim for service connection. After carefully reviewing the evidence, it is found that the July and November 1980 ratings are not final. The above quoted Manual provision clearly stated that under certain circumstances a proposal to sever is not an appealable determination. However, in those cases in which a veteran filed a notice of disagreement before the expiration of the allowed 60-day period in which to submit additional evidence, the RO was obliged to furnish the claimant a statement of the case. This statement was to be accompanied by advice that, should no such further evidence be submitted, and he desires to appeal, the veteran may do so and the appeal should be processed. In this case, the veteran clearly submitted a notice of disagreement prior to the expiration of the 60-day period in which to submit additional evidence. The appropriate step for the RO should have been to issue the veteran a statement of the case, and to proceed with the appeal, should that be the desire of the veteran, as was obviously the case here. The failure of the RO to issue the appropriate statement of the case denied the veteran his right to due process. Therefore, the appeal of the severance is still a pending appeal. Since the veteran's appeal of the severance was timely, the question becomes whether the original rating action which granted service connection for schizophrenia in November 1974 was clearly and unmistakably erroneous. A statement of the case must be provided on this issue, and all proper appellate procedures followed. ORDER To the extent that the severance of service connection for schizophrenia in 1980 did not become final, the appeal is resolved in favor of the appellant. REMAND Initially, it is noted that the veteran's appeal of the 1980 severance has been found to be timely. Therefore, the question is whether the original rating action which granted service connection for schizophrenia in November 1974 was clearly and unmistakably erroneous. However, no statement of the case on this issue has been provided to the veteran. Under the circumstances of this case, additional assistance is necessary, and this case is REMANDED to the RO for the following: 1. The RO should issue the veteran an appropriate statement of the case which contains all pertinent laws and regulations pertaining to whether the original grant of service connection for schizophrenia was clearly and unmistakably erroneous. 2. Following the issuance of this statement of the case, all proper appellate procedures should be followed. The case should then be returned to the Board for further appellate consideration if otherwise in order. The RO should note that this case, based on the medical evidence of record, has been advanced on the docket. Therefore, the RO should handle this case as expeditiously as possible. KENNETH R. ANDREWS, JR. Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. NOTICE OF APPELLATE RIGHTS: Under 38 U.S.C.A. § 7266 (West Supp. 1995), 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. Appellate rights do not attach to those issues addressed in the remand portion of the Board's decision, because a remand is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1994). - 2 -