Betzaida P. Jernigan v. Eric K. Shinseki

25 Vet. App. 220, 2012 WL 2305648, 2012 U.S. Vet. App. LEXIS 1239
CourtUnited States Court of Appeals for Veterans Claims
DecidedJune 19, 2012
Docket10-1226
StatusPublished
Cited by12 cases

This text of 25 Vet. App. 220 (Betzaida P. Jernigan v. Eric K. Shinseki) is published on Counsel Stack Legal Research, covering United States Court of Appeals for Veterans Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Betzaida P. Jernigan v. Eric K. Shinseki, 25 Vet. App. 220, 2012 WL 2305648, 2012 U.S. Vet. App. LEXIS 1239 (Cal. 2012).

Opinion

HAGEL, Judge:

Betzaida P. Jernigan appeals through counsel a March 23, 2010, Board of Veterans’ Appeals (Board) decision that denied entitlement to an effective date earlier than October 31, 2001, for the award of VA disability benefits for gastroesophageal reflux disease, a lumbosacral strain, and an appendectomy scar. 1 Ms. Jernigan’s No *222 tice of Appeal was timely and the Court has jurisdiction to review the Board decision pursuant to 38 U.S.C. § 7252(a). This matter was referred to a panel of the Court to determine whether the timing requirement in 38 C.F.R. § 3.155(a) (1995) within which a veteran must submit a formal application form was a valid exercise of the Secretary’s rulemaking authority and whether the Secretary has a duty to notify claimants of that timing requirement. For the reasons set forth below, the Court will affirm the March 2010 Board decision.

I. FACTS

Ms. Jernigan served on active duty in the U.S. Navy from April 1989 to May 1995.

In July 1995, Ms. Jernigan submitted a VA Form 21-4138, Statement in Support of Claim, in which she stated that she suffered from, among other conditions, back, spinal, and stomach disabilities. On that form, Ms. Jernigan included her full name, Social Security number, and mailing address. She also enclosed several service medical records in support of her claims that indicated that she served in the Navy. In an August 1995 letter, VA responded. The relevant paragraphs of the letter read:

Please note the paragraph(s) checked below: IGNORE ANY PARAGRAPH NOT CHECKED.
□ 1. The evidence requested below should be submitted as soon as possible, preferably within 60 days, and in any case it must be received in the VA within one year from the date of this letter; otherwise benefits, if entitlement is established, may not be paid prior to the date of its receipt.
I a. The enclosed form(s) should be completed and returned to this office so that further action may be taken on your claim.

Record (R.) at 2185. Only paragraph la was checked. The letter indicated that “1-526” was enclosed; Form 1-526 (now Form 21-526) was VA’s formal application form. 2

After more than six years of silence, in October 2001 Ms. Jernigan submitted a completed VA Form 21-526, Veteran’s Application for Compensation or Pension, seeking disability benefits for, among other conditions, back and stomach disabilities. In a statement submitted with the application, Ms. Jernigan wrote:

I previously filed a claim for compensation at time of discharge. The [veterans service organization] officer assisted with this claim. However[,] VA sent claim back paperwork requesting additional forms be filled out. (See attached original paperwork sent in along with 5 pages of [service medical records]). I again request consideration for compensation for my back [and] ... stomach *223 condition[s].... I am now enclosing VA [Form] 21-526 along with the original papers from 1995.

R. at 2171. Ms. Jernigan’s application was submitted with a letter from her authorized representative that stated, “Please accept the attached material as an original application for benefits.” R. at 2169.

In July 2002, a VA regional office granted disability benefits for gastroesophageal reflux disease, chronic lumbosacral strain, and residuals of an appendectomy scar, all effective as of October 31, 2001, the date VA received Ms. Jernigan’s completed Form 21-526, which it treated as an original claim for benefits. Ms. Jernigan filed a Notice of Disagreement with the effective dates assigned. She asserted:

I submitted an informal claim on a [Form] 21-4138 on July 21, 1995, which was received in the [regional office] on July 31,1995. Subsequent to VA receiving the documents, VA returned all original claim documents to me, with no letter of explanation. I contend that specific error[s] of fact or law in the process of the recording of my claim ... and failure of the VA to notify me of further action required, were made.

R. at 1895. She ultimately appealed to the Board.

In March 2010, the Board issued the decision on appeal. The Board determined that, as a matter of law, an effective date prior to October 31, 2001, could not be awarded. Specifically, the Board relied on the combination of 38 U.S.C. § 5101(a) and 38 C.F.R. §§ 3.151(a) and 3.155(a) to conclude that, because Ms. Jernigan did not return the formal application form to establish her original claim, see 38 C.F.R. § 3.160(b), within one year of August 1995, the earliest possible effective date for her disability benefits was the date of her properly filed original claim, October 31, 2001.

In her briefs, Ms. Jernigan argued that (1) the requirement in 38 C.F.R. § 3.155(a) that she return the formal application form within one year of receiving it was not in accordance with the law and should be struck down; (2) there is no substantive necessity to file a claim on a particular form; and (3) VA violated her right to due process when it failed to inform her of the time limit to return the form and the consequences for failing to do so. At oral argument, however, Ms. Jernigan framed the issues as: “What is the proper effective date” for her award of benefits and “What is an application?” She conceded that she received VA’s August 1995 letter with Form 1-526 attached and did not dispute that she did not return the form to VA within one year of receiving it. At oral argument, neither party raised or discussed due process or the Secretary’s authority to implement a time limit in § 3.155(a).

II. ANALYSIS

A. Form and Timing of Claim

The effective date for an award of compensation benefits is the date of VA’s receipt of the application or the date entitlement to the benefit arose, whichever is later. 38 U.S.C. § 5110(a); 3 38 C.F.R. § 3.157(a) (2011). VA defines “Claim-Application” as “a formal or informal communication in writing requesting a determination of entitlement or evidencing a belief in *224 entitlement, to a benefit.” 38 C.F.R.

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Bluebook (online)
25 Vet. App. 220, 2012 WL 2305648, 2012 U.S. Vet. App. LEXIS 1239, Counsel Stack Legal Research, https://law.counselstack.com/opinion/betzaida-p-jernigan-v-eric-k-shinseki-cavc-2012.