Crews v. McDonough

63 F.4th 37

• Court: Court of Appeals for the Federal Circuit
• Decided: March 16, 2023
• Docket: 21-2030
• Status: Published

Opinion

Case: 21-2030 Document: 40 Page: 1 Filed: 03/16/2023

United States Court of Appeals for the Federal Circuit ______________________

YVONNE CREWS, Claimant-Appellant

v.

DENIS MCDONOUGH, SECRETARY OF VETERANS AFFAIRS, Respondent-Appellee ______________________

2021-2030 ______________________

Appeal from the United States Court of Appeals for Veterans Claims in No. 19-6298, Judge Joseph L. Falvey, Jr. ______________________

Decided: March 16, 2023 ______________________

KENNETH M. CARPENTER, Law Offices of Carpenter Chartered, Topeka, KS, argued for claimant-appellant.

TANYA KOENIG, Commercial Litigation Branch, Civil Division, United States Department of Justice, Washing- ton, DC, argued for respondent-appellee. Also represented by BRIAN M. BOYNTON, PATRICIA M. MCCARTHY, LOREN MISHA PREHEIM; Y. KEN LEE, DEREK SCADDEN, Office of General Counsel, United States Department of Veterans Affairs, Washington, DC. ______________________ Case: 21-2030 Document: 40 Page: 2 Filed: 03/16/2023

Before REYNA, MAYER, and HUGHES, Circuit Judges. HUGHES, Circuit Judge. Yvonne Crews appeals the final decision of the United States Court of Appeals for Veterans Claims denying her request to be substituted under 38 U.S.C. § 5121A as the claimant in place of her deceased spouse. Because we con- clude that her allegation of a clear and unmistakable error is not part of a “pending” claim for which she could substi- tute under § 5121A, we affirm. I The veteran, Sylvester D. Crews, served in the U.S. Air Force from March 1954 to September 1958. In connection with his service, Mr. Crews was originally granted a 100% disability rating for schizophrenia. But in November 1960, his disability rating was lowered to 70%. In December 2006, Mr. Crews filed a new claim for an increased schizophrenia rating, which the Regional Office denied in May 2007. In September 2009, Mrs. Crews—on behalf of her husband—submitted a letter stating that Mr. Crews was 100% disabled and requested further evalua- tion. The letter made no mention of an effective date for the requested 100% rating. The Regional Office responded that it would not consider the letter to be a notice of disagree- ment with the May 2007 decision because it was filed more than one year after the May 2007 decision. Instead, the Re- gional Office construed the letter as a new “claim for an increased rating.” J.A. 2. In March 2010, the Regional Of- fice granted the new claim and increased his schizophrenia rating from 70% to 100% effective from September 29, 2009. Unfortunately, in October 2010, Mr. Crews passed away. In March 2011, Mrs. Crews, Mr. Crews’ surviving spouse, moved to be substituted as the appellant and filed a notice of disagreement with the September 2009 effective Case: 21-2030 Document: 40 Page: 3 Filed: 03/16/2023

CREWS v. MCDONOUGH 3

date. The basis for challenging the effective date was an allegation of clear and unmistakable error (CUE) in the No- vember 1960 rating decision that terminated the 100% schizophrenia rating. In January 2012, the Regional Office rejected her re- quest for substitution because Mr. Crews had no claim or notice of disagreement pending at the time of his death. Mrs. Crews filed a notice of disagreement with that deci- sion, but the Regional Office issued a statement of the case continuing to deny the substitution request because Mrs. Crews was not eligible to seek benefits on past decisions that had been finalized, and the November 1960 rating de- cision became final once the appeal window closed. Mrs. Crews appealed to the Board. In December 2014, the Board granted her motion for substitution, but deter- mined that it lacked jurisdiction over the CUE claim be- cause the Regional Office had not adjudicated the issue and remanded the case to the Regional Office. In March 2015, the Regional Office issued a statement of the case continu- ing to deny an effective date earlier than September 2009— the date Mr. Crews had filed the new increased rating claim. The Board agreed and issued a final decision stating that “a CUE motion cannot be filed by a survivor seeking accrued benefits if no CUE motion was pending at the time of the Veteran’s death.” J.A. 120. The Veterans Court af- firmed. Mrs. Crews appeals. II Mrs. Crews argues that the Veterans Court misinter- preted § 5121A in denying her request to substitute as a CUE claimant because there was a claim pending at the time of Mr. Crews’ death within the meaning of § 5121A. Under 38 U.S.C. § 7292(a) and (c), we have jurisdiction to review the Veterans Court’s interpretation of the statute. We review the Veterans Court’s interpretation of law de novo. Bazalo v. West, 150 F.3d 1380, 1382 (Fed. Cir. 1998). Case: 21-2030 Document: 40 Page: 4 Filed: 03/16/2023

As a general rule, when a veteran dies, the veteran’s claim for benefits also terminates. Phillips v. Shinseki, 581 F.3d 1358, 1363 (Fed. Cir. 2009). Even so, a surviving spouse is entitled to be paid any accrued benefits following the veteran’s death. 38 U.S.C. § 5121(a) (providing the vet- eran’s spouse “monetary benefits . . . to which an individual was entitled at death . . . [that are] due and unpaid . . . upon the death of such individual” (emphasis added)). Prior to 2008, the surviving spouse could, with limited excep- tions, pursue those claims only by restarting from the be- ginning and filing a new accrued benefits claim. See Phillips, 581 F.3d at 1363–64 (citing Zevalkink v. Brown, 102 F.3d 1236, 1243 (Fed. Cir. 1996) (providing the general rule that substitution was not appropriate)); but see Padgett v. Nicholson, 473 F.3d 1364, 1368–71 (Fed. Cir. 2007) (acknowledging an exception for an accrued benefits claimant to receive nunc pro tunc relief following a vet- eran’s death). But in 2008, to remedy the inefficiencies and delays from restarting the process, Congress enacted § 5121A to allow a surviving spouse to be substituted as a claimant in place of a deceased veteran. Section 5121A reads: If a claimant dies while a claim for any ben- efit under a law administered by the Secre- tary, or an appeal of a decision with respect to such a claim, is pending, [a surviving spouse] may, not later than one year after the date of the death of such claimant, file a request to be substituted as the claimant for the purposes of processing the claim to completion. 38 U.S.C. § 5121A (emphases added). This provision now allows a surviving spouse (or other accrued benefits claim- ant) to be substituted rather than file a new accrued bene- fits claim. Rusick v. Gibson, 760 F.3d 1342, 1346–47 (Fed. Cir. 2014). Case: 21-2030 Document: 40 Page: 5 Filed: 03/16/2023

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On its face, the statute limits the scope of substitution to “pending” claims “for the purposes of processing the claim[s] to completion.” 38 U.S.C. § 5121A. And, as we have explained, because § 5121A was intended to “address the problem of survivors who were . . . forced to ‘restart the claim at the back of the line[,]’. . .” it did not create a mech- anism for a surviving spouse to file a new claim. Rusick, 760 F.3d at 1346–47 (“If a veteran had never filed a claim, however, there would be nothing to ‘restart,’ and the per- ceived injustice Congress sought to remedy . . . would not exist.”). The import of § 5121A is that Mrs. Crews was entitled to be “substituted as the claimant for the purposes of pro- cessing the [pending] claim to completion.” 38 U.S.C. § 5121A (emphasis added). Here, there was only one possi- ble “pending” claim at the time of Mr. Crews’ death: his September 2009 claim to increase his disability rating to 100%. Although this claim was granted in March 2010, the September 2009 claim could still have been considered “pending” at the time of Mr. Crews’ death in October 2010 because the one-year window to appeal was not set to ex- pire until March 2011. Given the statutory language, Mrs. Crews may have been entitled to substitute on the September 2009 claim to process that claim to completion. But nothing in § 5121A allows Mrs. Crews to file a new claim, which is what she did by alleging CUE in the November 1960 decision and seeking a new effective date back to that decision. As the Veterans Court found, “Mr. Crews had never alleged CUE in the November 1960 decision” before his death. J.A. 7. Instead, the September 2009 claim was a new, standalone claim for an increased disability rating and was independ- ent of the November 1960 decision. Indeed, even if we were to ignore the Regional Office’s decision to treat it as a new claim, the September 2009 claim was filed by Mr. Crews as a challenge to the May 2007 decision—not a challenge to the November 1960 decision. Like the September 2009 Case: 21-2030 Document: 40 Page: 6 Filed: 03/16/2023

claim, the claim that resulted in the May 2007 decision never alleged CUE in the November 1960 decision. It, too, was a new, independent claim for an increased disability rating. Thus, at most, Mr. Crews’ September 2009 claim stems from a disagreement with the May 2007 decision. In con- trast, Mrs. Crews’ allegation of CUE stems from the No- vember 1960 decision. Because she is challenging a separate decision that was not challenged by the only pend- ing claim, Mrs. Crews’ CUE allegation constitutes a new claim. This new CUE claim is not allowed by the plain lan- guage of § 5121A. This conclusion also reflects our previously stated un- derstanding of § 5121A. In Rusick, we noted that § 5121A “did not undercut the critical portion of the decision in Haines [v. West].” 760 F.3d at 1346. In particular, we stated that: [e]ven though section 5121A might now allow a survivor to substitute on a pending CUE claim that the veteran had filed before his death, Haines still stands for the proposition that a survivor cannot initiate a freestanding CUE claim under section 5109A if the veteran had not already filed such a claim. Id. (citing Haines v. West, 154 F.3d 1298, 1301 (Fed. Cir. 1998)). The facts here present the same scenario this court anticipated in Rusick, and we maintain the same view: Sec- tion 5121A only allows a survivor to substitute as a claim- ant for a previously raised CUE claim. Id. It does not allow a survivor to bring a CUE claim that was not previously raised. Id. Mrs. Crews argues that, rather than being a new claim, her CUE allegation is merely a new theory of entitlement in support of the pending September 2009 claim. Appel- lant’s Br. 7–9 (citing 38 C.F.R. § 3.1010(f)(2)). We disagree. Case: 21-2030 Document: 40 Page: 7 Filed: 03/16/2023

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A CUE allegation is a claim for entitlement that must be tied to an error in some prior decision. See Haines, 154 F.3d at 1301–02 (stating that the CUE provision, 38 U.S.C. § 5109A, “provides nothing more than a procedure for a claimant to seek reconsideration of a limited type of error in a prior decision”). Thus, in considering whether Mrs. Crews’ CUE allegation is part of the pending claim, we must consider whether the pending claim challenges the same decision as Mrs. Crews’ CUE claim. As explained above, Mr. Crews never challenged the November 1960 decision, either in his September 2009 claim or in his December 2006 claim. At most, the only prior decision the September 2009 claim can be said to challenge is the May 2007 decision. In contrast, Mrs. Crews’ entire basis for CUE depends on the November 1960 decision. Because the September 2009 claim does not challenge this 1960 decision, Mrs. Crews’ CUE claim can- not simply be a new theory of entitlement under the pend- ing September 2009 claim. III Because we find that the Veterans Court did not mis- interpret 38 U.S.C. § 5121A by denying a substituted claimant from raising a CUE allegation never raised by the deceased veteran, we affirm. AFFIRMED COSTS No costs.