Caseyv. McDonald

CourtUnited States Court of Appeals for Veterans Claims
DecidedJune 26, 2019
Docket18-1051
StatusPublished

This text of Caseyv. McDonald (Caseyv. McDonald) 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
Caseyv. McDonald, (Cal. 2019).

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 18-1051

NETTIE CASEY, APPELLANT,

V.

ROBERT L. WILKIE, SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued April 23, 2019 Decided June 26, 2019)

Erin E. Ralston, with whom Daniel G. Krasnegor and Krystle D. Waldron, all of Glen Allen, Virginia, were on the briefs for the appellant.

Jessica K. Grunberg, with whom Catherine C. Mitrano, Acting General Counsel; Mary Ann Flynn, Chief Counsel; and Edward V. Cassidy, Jr., Deputy Chief Counsel, all of Washington, D.C., were on the brief for the appellee.

Before DAVIS, Chief Judge, and ALLEN and MEREDITH, Judges.

ALLEN, Judge: The appellant Nettie Casey is the surviving spouse of veteran Jared D. Casey, who served the Nation honorably in the United States Air Force.1 As we explain in detail below, the road to this appeal began when VA paid Mrs. Casey $91,066, the accrued benefits her husband was owed at the time of his death. There is no dispute that the amount of accrued benefits was accurate to the penny. So, one quite naturally might wonder how an entirely accurate accrued benefits calculation could lead to a Federal appeal. The problem is that VA should have paid only $72,852.80 of the total accrued benefits award to Mrs. Casey. The balance ($18,213.20) should have been paid to her attorney according to a fee agreement. No one contests these facts. When VA became aware of this mistake, it paid Mrs. Casey's attorney $18,213.20, which created an overpayment with respect to the appellant, and attempted to recoup that amount from her. This action was designed to leave her with the 80% of the accrued benefits she was entitled to and provide her representative with the 20% he was due under the fee agreement.

1 Record (R.) at 3, 184. The appellant appeals a March 22, 2017, decision of the Board of Veterans' Appeals that found that this overpayment of $18,213.20 was properly created. This appeal, which is timely and over which the Court has jurisdiction, 2 turns on whether 38 U.S.C. § 5112(b)(10), and its implementing regulation, 38 C.F.R. § 3.500(b)(2), apply to defeat the proper creation of an overpayment in such a situation. Section 5112(b)(10) provides: "The effective date of a reduction or discontinuance of compensation, dependency and indemnity compensation, or pension by reason of an erroneous award based solely on administrative error or error in judgment shall be the date of last payment." There are four operative words and phrases at issue in this case: "reduction"; "compensation, dependency and indemnity compensation, or pension"; "erroneous award"; and "based solely on administrative error." As we will explain, the key term in this statutory provision for our purposes is "reduction." If the overpayment amount of $18,213.20 is a "reduction" in accrued benefits, then the appellant might be able to escape recoupment of that amount if she could show that (1) "compensation, dependency and indemnity compensation, or pension" includes accrued benefits; (2) there was an "erroneous award"; and (3) the erroneous award was "based solely on administrative error."3 After considering the statutory language, we hold that VA's recoupment of attorney fees mistakenly paid to an accrued benefits recipient as part of the one-time payment of an accrued benefits award does not result in a "reduction." Therefore, section 5112(b)(10) doesn't apply to defeat the proper creation of an overpayment here. Correspondingly, because there was no "reduction," we need not consider whether there was an erroneous award based solely on administrative error.4 So, the Court will affirm the March 22, 2017, Board decision.

I. FACTUAL AND PROCEDURAL HISTORY The parties don't dispute any of the dispositive facts. Nevertheless, we describe them in some detail to provide the foundation for our decision. Between an October 2012 VA decision

2 See 38 U.S.C. §§ 7252(a), 7266(a). 3 38 U.S.C. § 5112(b)(10); 38 C.F.R. § 3.500(b)(2). 4 As explained below, however, the phrase "compensation, dependency and indemnity compensation, or pension" does not include accrued benefits.

2 granting several of the veteran's claims5 and payment of the retroactive accrued benefits award at issue in July 2013, the appellant's spouse died in January 2013.6 In February 2013, the appellant entered into a fee agreement with the current counsel of record,7 appointed him her representative,8 and then notified VA of this appointment in March 2013.9 Under that fee agreement, the appellant agreed to pay counsel 20% of any award she received and specifically authorized and requested that VA withhold the fee from the payment of any award she was due and disburse it to counsel.10 This is an arrangement authorized by statute and VA regulations that require VA to make such a payment to counsel as long as the regulatory requirements are satisfied.11 On June 12, 2013, the appellant applied for dependency and indemnity compensation (DIC) and substitution.12 Two days later, VA awarded her DIC, effective January 7, 2013.13 In a July 5, 2013, rating decision, VA substituted the appellant into her late husband's administrative appeal14 and granted her claim for accrued benefits in the amount of $91,066.15 VA deposited that amount in the appellant's bank account on July 8, 2013.16 No one disputes that the amount of accrued benefits is correct. We pause to note that there are two distinct VA benefits here: The grant of accrued benefits in July 2013, which was paid to the appellant in one lump sum, and the separate grant of DIC, which is paid to the appellant monthly. We return to the distinction below. On October 15, 2014, VA wrote a letter to the appellant informing her that it'd received notification from her counsel that VA hadn't withheld attorney fees from the accrued benefits

5 R. at 278-84, 316-25. Though the case doesn't turn on the nature of these claims, they were various service- connection claims and a special monthly compensation claim. Id. These are the claims that ultimately resulted in the accrued-benefits award. 6 R. at 174. 7 R. at 134-42. 8 R. at 143-44. 9 R. at 134. 10 R. at 136. 11 See 38 U.S.C. § 5904(d); 38 C.F.R. § 14.636 (2018). See generally Snyder v. Nicholson, 489 F.3d 1213 (Fed. Cir. 2007). 12 R. at 185-94, 196-97. 13 R. at 176-79, 182-84. 14 See R. at 158. 15 R. at 158-61. 16 See R. at 10.

3 payment and so proposed to create an overpayment to recoup the $18,213.20 attorney fees.17 This recoupment would have placed the appellant and her counsel in the positions they should have occupied if VA had properly divided the accrued benefits award. The recoupment would not have changed the amount of the accrued benefits award, which remained $91,066. VA informed the appellant that she could pay the fee to her lawyer directly and notify VA that she'd done so to avoid the creation of an overpayment.18 The record doesn't indicate that the appellant ever responded to this letter, and the appellant does not suggest that she did.

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Caseyv. McDonald, Counsel Stack Legal Research, https://law.counselstack.com/opinion/caseyv-mcdonald-cavc-2019.