Damian Reyes v. R. James Nicholson

21 Vet. App. 370, 2007 U.S. Vet. App. LEXIS 1125, 2007 WL 2068340
CourtUnited States Court of Appeals for Veterans Claims
DecidedJuly 20, 2007
Docket03-1929
StatusPublished
Cited by6 cases

This text of 21 Vet. App. 370 (Damian Reyes v. R. James Nicholson) 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
Damian Reyes v. R. James Nicholson, 21 Vet. App. 370, 2007 U.S. Vet. App. LEXIS 1125, 2007 WL 2068340 (Cal. 2007).

Opinion

MOORMAN, Judge:

The appellant, Damian Reyes, through counsel, seeks review of an October 2, 2003, decision of, the Board of Veterans’ Appeals (Board) that denied his requests for waiver of pension overpayments in the amounts of $1,802.18 and $17,076 upon finding bad faith on his part in the creation of the debt. Record (R.) at 9. This appeal is timely and the Court has jurisdiction to review the Board decision pursuant to 38 U.S.C. §§ 7252(a) and 7266(a). For the reasons set forth below, the Court will affirm, in part, and vacate, in part, the Board’s October 2003 decision as to the matters appealed and remand for further adjudication consistent with this decision.

I. FACTS

Mr. Reyes served in the U.S. Army from April 1944 to February 1946. R. at 13. In March 1991, he submitted an application for VA disability compensation and pension, which the VA regional office (RO) granted in April 1993. R. at 16, 21. His notice of award informed him of the following:

Your rate of VA pension depends on total “family” income which includes your income and that of any dependents. We must adjust your payments whenever this income changes. You must notify us immediately if income is received from any source other than that shown above. You must also report any changes in the income shown above. Your failure to promptly tell VA about income changes may create an overpayment which will have to be repaid.

*372 R. at 23. He was notified of this requirement in several other letters from the RO, dated from July 1993 to February 1999. See R. at 42-43, 49, 55, 86, 179, 181, 203, 218, 229-30.

In September 1995, the RO notified Mr. Reyes that his pension payments had been reduced, effective from December 1, 1994, because he failed to report his wife’s and son’s receipt of Social Security benefits. R. at 58, 60. In November 1995, Mr. Reyes requested a waiver of this overpayment, asserting that he was unaware of the debt and that the reduction in his pension would cause an undue, financial hardship on him and his family. R. at 80. In December 1995, his pension was reduced again, based on notification that he had received pension fund payments. R. at 84, 95. He then filed a Notice of Disagreement (NOD), in which he requested an increase in his pension benefits because of his son’s unemployment and loss of income. R. at 88. In February 1996, VA again adjusted his pension award, effective from February 1993, for failure to report wages. R. at 98. In March 1996, he requested waiver of this $945 overpayment, and asked VA to consider his personal medical expenses and current physical condition, as well as possible entitlement to improved pension with aid and attendance or housebound benefits. R. at 105.

On April 10, 1996, the VA Committee on Waivers and Compromises (Committee) denied Mr. Reyes’s request for waiver of $945, after concluding that the debt was created in bad faith. R. at 109-10. On April 26, 1996, VA reduced his pension effective February 1995, and terminated the pension award effective from January 1, 1996, due to excessive income for pension. R. at 148. This created a total overpayment of $1,802.18. Id. Mr. Reyes requested a waiver of this overpayment and in a September 1996 Statement of the Case (SOC), the RO affirmed its denial of waiver in the amount of $1,802.18, after concluding, as the RO originally had, that the debt was created in bad faith because of Mr. Reyes’s failure to timely report all sources of, and changes in, income. R. at 150. In October 1996, he filed an appeal with the Board, in which he also asserted entitlement to VA disability compensation for various injuries and disorders. R. at 152. In January 1998, the Board remanded Mr. Reyes’s appeal to the RO, instructing the RO to request from Mr. Reyes a list of all personal medical expenses from 1993 forward, and to adjudicate his claim as to the amount and propriety of the creation of each element of the overpayment. R. at 190. The Board, after determining that the claims were not inextricably intertwined with his overpayment issue, also referred claims for service connection for post-traumatic stress disorder, a back disorder, throat disorder, malaria, dysentery, a stomach disorder, and residuals of exposure to cold weather, to the RO for “appropriate action.” R. at 188.

In April 1998, the RO requested the information from the appellant ordered by the Board’s January 1998 remand. R. at 193. In a report of contact, a VA representative noted that Mr. Reyes “indicated he cannot remember expenses for the time frame requested because he is suffering from multiple medical problems, but he did not have any expenses because he receives almost all of his medical care and medications from the DVA [Department of Veterans Affairs] Medical Center.” R. at 195.

In July 2000, Mr. Reyes notified the RO that he and his wife were no longer married. He requested VA reinstate his pension as a single veteran. R. at 233. In January 2001, the RO sent Mr. Reyes a notice, informing him that VA was termi *373 nating his pension benefits effective from February 1, 1997, until he responded to VA’s September 2000 request for information regarding his wife’s income from that time until the date of their divorce. R. at 238-39 (noting that his spouse had reported receipt of $5,200 in income in 1997, which was not reported to VA at that time). The RO sent another notice in March 2001, noting that it had received information that his former wife had received additional income in the amount of $6,996 in 1999 that was not reported to VA. R. at 243-44. In March 2001, Mr. Reyes paid the overpayment of $4,833 resulting from the unreported income from February 1997 to January 1998. R. at 257. Based on Mr. Reyes’s wife’s 1999 unreported income, VA notified Mr. Reyes in August 2001 that an additional overpayment, in the amount of $20,156, had been created. R. at 255.

On August 21, 2001, Mr. Reyes requested a waiver of the overpayment in the amount of $20,156. R. at 257. He noted that VA had instructed him, since his March 2001 payment, not to send any funds because his overpayments had been paid in full. R. at 257. In February 2002, the Committee denied his request for waiver, finding that the overpayment was created in bad faith. The Committee stated:

The evidence of record shows that you have been repeatedly advised that your pension was based on your total family income. Despite the VA’s notices to accurately and promptly report your total family income, you failed to report your wife was working for years 1998 and 1999. A review of your claim file shows overpayments in the past, caused by your failure to inform the VA of your total family income. In spite of your previous overpayments you continued to submit eligibility verification reports (EVRs) which indicated your spouse was not in receipt of income. Your failure to report your spouse’s income allowed you to receive benefits you were not entitled to receive.
Your failure to report your total family income and continued acceptance of VA pension based on the intentional omission of that income shows an intent to seek an unfair advantage.

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Bluebook (online)
21 Vet. App. 370, 2007 U.S. Vet. App. LEXIS 1125, 2007 WL 2068340, Counsel Stack Legal Research, https://law.counselstack.com/opinion/damian-reyes-v-r-james-nicholson-cavc-2007.