Decision Date: 11/06/95 Archive Date: 11/05/95 DOCKET NO. 89-40 747 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in New York, New York THE ISSUE Entitlement to an effective date prior to August 1, 1992, for the award of an apportionment of the veteran's compensation benefits on behalf of the veteran's dependent sons, [redacted] and [redacted], and the appellant. REPRESENTATION Appellant represented by: American Red Cross Appellee represented by: Veterans of Foreign Wars of the United States ATTORNEY FOR THE BOARD Christine E. Puffer, Associate Counsel INTRODUCTION The veteran had active service from June 1979 to August 1985. This matter comes before the Board of Veterans' Appeals (Board) on appeal from a September 1993 Special Apportionment Decision of the Department of Veterans Affairs (VA) New York, New York, Regional Office (RO) which granted the appellant an apportionment, effective from August 1, 1992. CONTENTIONS OF APPELLANT ON APPEAL The appellant contends that she initially filed for apportionment benefits in December 1987, and, after receiving an adverse decision, reapplied in December 1989. Therefore, she requests that the apportionment be made effective from the latter date. She reports that she remains married to the veteran, although they have been living apart since 1988. The appellant emphasizes that the veteran is not reasonably discharging his responsibilities with respect to herself and their two sons, and that the additional amount received by the veteran on account of them should be apportioned as of an earlier effective date. CONTENTIONS OF APPELLEE ON APPEAL It is contended on behalf of the veteran that financial hardship to the veteran would result were the apportionment be made effective from an earlier date in that such action would create a large overpayment balance on his account. This would serve to cause severe hardship as the veteran has no assets and has spent his savings on a drug habit. 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 granting an effective date prior to August 1, 1992, for an apportionment of the veteran's disability benefits on behalf of his son, [redacted], and the appellant, but that the preponderance of the evidence does not support granting an earlier effective date for an apportionment on behalf of the veteran's son, [redacted]. FINDINGS OF FACT 1. All evidence necessary for an equitable adjudication of the instant claim has been obtained by the RO. 2. By rating action of December 1985, the veteran was awarded disability compensation benefits. In September 1986, the veteran began receiving additional disability compensation benefits on behalf of his dependent spouse, the appellant. 3. The VA received a claim from the appellant for apportionment of the veteran's disability benefits on behalf of herself and their son, [redacted], on December 14, 1987. The veteran began receiving additional disability compensation benefits on behalf of [redacted] in February 1987. The RO received [redacted]'s birth certificate in May 1987. 4. The appellant submitted a claim for apportionment on behalf of the veteran's son [redacted] in October 1991. A copy of [redacted]'s birth certificate was received at the RO in September 1992, and the veteran began receiving additional compensation benefits on [redacted]'s behalf in December 1992. 5. At all times relevant to the instant inquiry the veteran failed to reasonably discharge his responsibility for the support of his dependents. The RO has awarded the appellant an apportionment of the additional compensation benefits for a dependent spouse and two children effective August 1, 1992. CONCLUSION OF LAW The criteria for an effective date of December 14, 1987, for an apportionment of the additional disability compensation benefits received by the veteran on behalf of the appellant and the veteran's son, [redacted], have been met; however, the evidence does not support granting an effective date prior to that awarded by the RO on behalf of the veteran's dependent son, [redacted]. 38 U.S.C.A. §§ 5107(a), 5110, 5111(a) (West 1991); 38 C.F.R. § 3.400 (1994). REASONS AND BASES FOR FINDINGS AND CONCLUSION As a preliminary matter, the Board finds that the appellant's claim is well-grounded within the meaning of 38 U.S.C.A. § 5107(a). See Murphy v. Derwinski, 1 Vet.App. 78, 81 (1990). That is, the Board finds that she has presented a claim which is not implausible when her contentions and the evidence of record are viewed in the light most favorable to the claim. The Board is also satisfied that all relevant facts have been properly and sufficiently developed. I. Background The appellant and the veteran were married in August 1986. At that time the veteran was receiving disability compensation benefits. In September 1986, the veteran began receiving additional compensation benefits on behalf of the appellant, as his dependent. In January 1987, the veteran's son, [redacted], was born, and in February 1987 the veteran began receiving additional disability compensation benefits on his behalf. In May 1987 the RO acknowledged receipt of [redacted]'s birth certificate. Although the appellant initially submitted a claim for an apportionment that was received in June 1987, she withdrew it prior to any adjudicatory action on the part of the RO as she and the veteran had reconciled. However, on December 14, 1987, the RO received a statement from the appellant indicating that she wished to reapply for apportionment benefits for herself and [redacted]. There is no indication that the RO took any action on this claim. The appellant reiterated her desire to obtain an apportionment on various occasions in subsequent correspondence. However, it was not until May 1988 that the RO issued letters to the appellant and appellee, seeking the submission of relevant evidence. By Special Apportionment Decision of June 1988, the RO denied the appellant's claim for an apportionment, noting that the veteran's service-connected rating had been reduced from 100 to 30 percent, and that an apportionment would thus cause the veteran undue hardship. A notice of this decision was issued to the appellant. The appellant submitted a statement received on July 6, 1988, expressing her disagreement with the adverse decision, reporting that she had stopped working as of that month, and had no income. In September 1988 the RO issued notices to the appellant and the veteran, again requesting that they submit relevant evidence. Later that month, the appellant submitted the requested evidence, stating that she wished to reapply for apportionment benefits, and the veteran proffered a statement in opposition to the appellant's claim. In November 1988, the RO informed the appellant that her claim for apportionment had previously been denied. However, by letter of December 1988, the appellant informed the RO that she wished to appeal the denial, appending further evidence for RO consideration. In February 1989, a VA District Counsel notified the RO that an appeal had been received from the appellant in December 1988, and that there was no indication that the RO had responded to the appeal. In May 1989, the RO issued a statement of the case, indicating that the appellant had originally submitted a claim on December 14, 1987, and had appealed the RO's adverse decision of that claim on July 6, 1988. The appellant submitted a substantive appeal in June 1989, and proffered testimony on her behalf at a September 1989 hearing. Apparently in response to a RO letter of that month denying her further benefits, the appellant responded in October 1989, indicating that she intended to pursue her appeal. The appellant subsequently submitted a statement in September 1990 reporting that she and the veteran had a second son. There is no indication that the RO corresponded further with the appellant in the interim period. In an October 1991 letter, the appellant stated that she had applied for apportionment for her sons, [redacted] and [redacted], requesting support for her sons. She submitted a certified copy of her son [redacted]'s birth certificate in September 1992. In December 1992, additional dependency benefits were added to the veteran's disability compensation award on [redacted]'s behalf. By Special Apportionment Decision of September 1993, the appellant was granted an apportionment in the amount of additional benefits for her, as the veteran's dependent spouse, and the children. This was made effective August 1, 1992. The appellant contested this effective date, noting that she initially filed her claim in 1987 and, after being rejected, again in December 1989. In a March 1995 supplemental statement of the case, the RO reported that August 1992 was established as the effective date for her claim because to apportion the veteran's benefits back to the date of the original claim would create a large overpayment in the veteran's account, resulting in undue hardship on the veteran. II. Analysis Generally, the effective date of an award of VA compensation shall be the date of receipt of the claim, or the date entitlement arose, whichever is later. 38 U.S.C.A. § 5110(a); 38 C.F.R. § 3.400. In an original claim for apportionment, as here, the effective date will be designated in accordance with the facts found. 38 C.F.R. § 3.400(e). A veteran's disability compensation benefits may be apportioned if the veteran is not living with his spouse and children and is not reasonably discharging his responsibility for their support. 38 U.S.C.A. § 5307(a)(2); 38 C.F.R. § 3.450(a)(ii). A "claim" is defined in the VA regulations, under 38 C.F.R. § 3.1(p), as "a formal or informal communication in writing requesting a determination of entitlement, or evidencing a belief in entitlement, to a benefit." Under 38 C.F.R. § 3.155, any communication or action indicating a claimant's intent to apply for a VA benefit may be considered an "informal claim," so long as it identifies the benefit sought. Generally, for VA benefit purposes, date of receipt means "the date on which a claim, information or evidence was received." 38 C.F.R. § 3.1(r). Upon receipt of the informal claim, VA will forward to the claimant a formal claim form. So long as that form is submitted to VA within one year of the filing of the informal claim, the date of the claim will be the date of receipt of the informal claim. The appellant's December 1987 statement seeking an apportionment on her and [redacted]'s behalf clearly fulfills the noted criteria for recognition as a claim. The RO's failure to respond in a timely manner to that claim merely had the effect of keeping the claim open, and does not serve to render the claim "abandoned" for VA purposes. See 38 C.F.R. § 3.158. The Board observes that in its statement of the case the RO implicitly recognized this procedural fact. The appellant's statement indicating her intent to appeal, submitted immediately after the RO's June 1988 adverse apportionment decision, clearly meets the criteria for acceptance as a notice of disagreement of that decision. See 38 C.F.R. § 20.201. When, as here, a notice of disagreement was filed in a timely manner, the RO is required to issue a statement of the case, notifying the appellant of her right to file a substantive appeal. See 38 C.F.R. §§ 19.29, 19.30, 20. 202. Once again, the RO's failure to perform this required procedural act until May 1989 did not serve to terminate the appellant's appellate rights, and the appeal remained open. At no relevant time could the appellant's appeal be deemed abandoned as she responded in a timely manner whenever requested to produce evidence by the RO. See 38 C.F.R. § 3.158. In view of the totality of the evidence, the Board finds that the correct date of claim for an apportionment for the appellant and [redacted] is the date of receipt of the appellant's initial claim, December 14, 1987. In this regard, the Board notes that as of that date all necessary evidence, including [redacted]'s birth certificate, was of record. However, the appellant did not submit a claim for an apportionment on [redacted]'s behalf until October 1991, and did not submit a copy of his birth certificate until September 1992. As the necessary evidence was submitted within one year, the proper date of claim for an apportionment on behalf of [redacted] is October 1991. The next issue to resolve is at what date entitlement to an apportionment arose, which encompasses the issue of whether the appellant and the veteran's sons were entitled to an apportionment during the pendency of the appeal. For both the appellant and the appellee, where a range of figures was offered, the Board's calculations utilized the lower range reported. In factoring the veteran's income, the Board notes that his 100 percent service-connected rating for disseminated coccidiomycosis was reduced by rating action of May 1988 to 30 percent as reported in the June 1988 Special Apportionment Decision, but retroactive reinstatement of the total rating was effectuated by rating action of November 1988. Based on a review of the income and expenses respectively reported by the veteran and the appellant, the Board observes that the appellant at all points relevant to the instant inquiry has consistently sustained a monthly shortfall in income over expenses, while the veteran has had excess income. In its evaluation, the Board notes that although the appellant indicated in September 1989 that she was to take a year off from work, she has consistently reported a yearly income of at least $26,000. While the June 1988 Special Apportionment Decision denying an apportionment noted a shortfall in the veteran's income created by the recent rating reduction, as stated, that reduction was subsequently vacated, and the total rating reinstated retroactively. In light of this fact, using the figures utilized by the RO in June 1988, the veteran then in actuality had excess monthly income of over $1,000 as opposed to the appellant's $91 shortfall. In view of the totality of the evidence of record, hardship clearly would not have resulted from an apportionment during the time period in issue. Although the veteran disputes the appellant's assertion that he has either failed to pay child support at all, or in a timely manner without judicial intervention, court records demonstrate that he has been delinquent or in arrears on his support payments on numerous occasions, and that his current child support order includes payments for support that is in arrears. Although the Board notes that the figures reported by the appellant as expenses have varied, at all relevant points to the instant inquiry her expenses have exceeded her income, while the veteran had excess income. In light of the facts of the instant case, the Board finds that an apportionment of those additional benefits received by the veteran from December 1987 to August 1992 on behalf of the appellant and [redacted] would not result in undue hardship to the veteran. See 38 C.F.R. §§ 3.450, 3.451; Hall v. Brown, 5 Vet.App. 294, 295 (1993). See also M21-1, Part IV, par. 19.05 ("If the veteran is receiving additional benefits for dependents and the evidence shows that he or she is not reasonably contributing to their support, hardship on the veteran would not result from apportionment of the additional amounts payable for such dependents.") The Board's inquiry, however, does not end there. Before benefits may be apportioned for a dependent spouse or child not residing with the veteran, a claim must be filed for or on the child's behalf. 38 C.F.R. § 3.452(a). Additionally, the effective date of payment can be no sooner than the date of entitlement. 38 C.F.R. § 3.400. As stated, in December 1987 the veteran was already in receipt of additional dependency benefits on behalf of the appellant and [redacted], and the criteria for an apportionment on their behalf were met. See 38 C.F.R. §§ 3.400(e), 3.401(b). While the appellant previously informed the RO of the birth of the veteran's second son, [redacted], it was not until October 1991 that she requested that an apportionment be granted on his behalf. It was not until September 1992 that a copy of [redacted]'s birth certificate was received at the RO, and not until December 1, 1992, that the RO granted the veteran additional disability benefits for [redacted] as a dependent. Therefore, in accordance with facts found, an earlier effective date for a grant of an apportionment on behalf of [redacted] is not warranted. The RO has denied the appellant's request for an earlier effective date on the basis that a large overpayment to the veteran's account would result, which would impose undue hardship on the veteran. However, the VA General Counsel (GC) has determined that the effective date of an apportionment "would not be altered by the fact that no withholding from the [veteran's] award had been made to accommodate the apportionment claimant's potential entitlement." The GC held that if it were found that an apportionment were due retroactively, the principal beneficiary's (i.e., the veteran's) award "must be adjusted to accommodate the apportionee's entitlement, because there is no authority to pay more than the beneficiary's gross entitlement." See General Counsel Opinion, June 20, 1985 (a copy of which has been included in the claims folder). In this regard, the Board further notes that the RO is mandated to amend the principal beneficiary's award to provide for withholding effective the first day of the month following the month in which the predetermination notice period elapses. See M21-1, Part IV, paragraph 19.05(b). The RO's failure to implement withholding or to follow proper development procedures in a timely manner may not serve as a basis to deny an earlier effective date for an apportionment where such action creates an overpayment in the primary beneficiary's account. The Board has found that the veteran did not reasonably discharge his responsibilities for the appellant and his son, [redacted], at any relevant time prior to August 1, 1992. In accordance with facts found and the evidence of record, the Board finds that the appellant and her dependent son, [redacted], are entitled an earlier effective date of December 14, 1987, for the apportionment of additional benefits received by the veteran on behalf of her and [redacted].NOTICE OF APPELLATE RIGHTS: Under 38 U.S.C.A. § 5904(c)(2) (West 1991), a finding or order of the Board of Veterans' Appeals upon review of an agent's or attorney's fee agreement may be reviewed by the United States Court of Veterans Appeals under 38 U.S.C.A. § 7263(d) (West 1991). Under 38 U.S.C.A. § 7266 (West 1991), a final decision of the Board of Veterans' Appeals may be appealed to the United States Court of Veterans Appeals by a person adversely affected by the decision within 120 days from the date of mailing of notice of the decision. 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 by the Board of Veterans' Appeals. ORDER Entitlement to an apportionment of those amounts of additional compensation benefits received by the veteran on behalf of the appellant and the veteran's son, [redacted], is granted effective December 14, 1987. An earlier effective date for an apportionment on behalf of the veteran's son, [redacted], is denied. CHARLES E. HOGEBOOM 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 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. . - 2 -