Isenhart v. Derwinski

3 Vet. App. 177, 1992 U.S. Vet. App. LEXIS 286, 1992 WL 211943
CourtUnited States Court of Appeals for Veterans Claims
DecidedSeptember 3, 1992
DocketNo. 91-1184
StatusPublished
Cited by18 cases

This text of 3 Vet. App. 177 (Isenhart v. Derwinski) 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
Isenhart v. Derwinski, 3 Vet. App. 177, 1992 U.S. Vet. App. LEXIS 286, 1992 WL 211943 (Cal. 1992).

Opinion

FARLEY, Associate Judge:

In its decision of April 22, 1991, the Board of Veterans’ Appeals (Board or BVA) denied appellant’s claim for an earlier effective date for death pension benefits. The BVA decision will be reversed and the matter remanded for further proceedings because the BVA failed to apply the correct and controlling statutory law.

I.

On December 8, 1986, appellant’s spouse, veteran William F. Isenhart, died of respiratory and renal failure due to metastatic lung cancer. R. at 4. On January 29, 1987, appellant submitted VA Form 21-534, APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION OR DEATH PENSION BY A SURVIVING SPOUSE OR CHILD (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION, WHERE APPLICABLE). R. at 5-8. Part III of the form, which requests information concerning children, was blank. R. at 6. Parts IV, V, VI, and VII, which deal respectively with net worth, annual income, expenses, and miscellaneous information, were also left blank except for a large “X” across the page. R. at 6-8. In a rating decision dated March 24, 1987, the rating board denied appellant’s claim for service connection of the cause of her husband’s death. R. at 9. Appellant was advised of the denial of her claim for dependency and indemnity compensation (DIC) by a letter dated April 8, 1987, which stated, in toto, as follows: “We cannot grant your claim for death benefits. The evidence does not establish that the veteran’s death was due to a service-connected disability.” R. at 10.

The record on appeal indicates that appellant submitted two separate copies of VA Form 21-4138, statement in support of claim, dated January 18,1989. R. at 11-12. In the first, appellant stated: “I applied for survivor benefits right after [my husband] [178]*178died but was advised by [an] unknown [Department of Veterans Affairs (VA)] representative that I had to wait two years because of my husband’s 6.1. insurance.” R. at 11. In the second form, appellant stated that she was the spouse of her husband and had not represented herself to be the spouse of another. R. at 12. In addition, appellant submitted another VA Form 21-534, which was also dated January 18, 1989. R. at 13-16. Unlike the VA Form 21-534 filed in 1987, Parts IV, V, VI, and VII of the January 1989 form were filled out. By letter dated August 4, 1989, appellant was advised that her claim for death pension had been approved with an effective date of February 1, 1989. R. at 22.

In September 1989, appellant filed a statement in support of claim, contending: “Since I qualify now I should have qualified in 1987 so it is my contention that my benefits should have started in April 1987 and I should receive back pay to that date. My first application was made at a [VA Regional Office] in New Mexico.” R. at 24. The VA treated this as a Notice of Disagreement and prepared a Statement of the Case (R. at 30-32) which advised:

Your original claim was for Dependency and Indemnity Compensation only, based upon your claim that the veteran’s death was due to military service. Your application of January 26, 1989, was for non-service-connected pension benefits based upon income and need. Had this claim been filed by April 7, 1988, within one year of your notification that your claim was disallowed for DIC[,] we would have been able to pay death pension benefits from the earlier date of claim. However, your current claim was almost two years from your original claim for benefits, and benefits may not be paid prior to the date of receipt.

R. at 32. Appellant, who represented herself before the Board, argued that “the VA not only denied my claim but in effect dismissed me, saying only that I was ineligible for D.I.C. In that case [the] VA should have approved the death pension.” R. at 36. Appellant then went on to “quote for the record from Title 38, USC, Chap. 51, Applications, Claims and Forms. 3001.(b)(l): ‘A claim by a widow for compensation or dependency and indemnity compensation shall also be considered to be a claim for death pension and accrued benefits.’ ” R. at 36.

In its decision of April 22, 1991, the Board denied appellant’s claim to an earlier effective date. In so doing, the Board did not discuss appellant’s statutory argument but stated instead:

The appellant argues that when her claim for dependency and indemnity compensation was denied, the VA should have considered whether she was entitled to death pension benefits. However, it is the responsibility of each recipient of VA benefits to read and follow the instructions which apply to claims filed.
In this case, the evidence of record does not show that the appellant reported her income or net worth at the time she submitted her original claim for death benefits. Significantly, as noted in [38 C.F.R. § 3.155], the benefits sought must be identified. The instructions to the form she completed in January 1987 clearly describe the kind of information she needed to furnish for consideration for entitlement to death pension benefits. Such information included her income and net worth.
Therefore, the agency of original jurisdiction properly considered that she only intended in January 1987 to apply for dependency and indemnity compensation benefits, which is a claim not based upon income being within certain limits.

Gladys Isenhart, BVA 91-_, at 5 (Apr. 22, 1991).

A timely Notice of Appeal was filed on July 15, 1991. The pro se appellant filed her brief on December 16, 1991. On January 13, 1992, the Secretary of Veterans Affairs (Secretary) filed a motion for summary affirmance, for acceptance of the motion in lieu of a brief, and for a stay of proceedings. Appellant did not respond.

II.

The resolution of this appeal is dictated by two statutory provisions, 38 U.S.C. [179]*179§§ 5101(b)(1) and 5103(a) (formerly §§ 3001, 3003). The former provides as follows:

(b)(1) A claim by a surviving spouse or child for compensation or [DIC] shall also be considered to be a claim for death pension and accrued benefits, and a claim by a surviving spouse or child for death pension shall be considered to be a claim for death compensation (or [DIC]) and accrued benefits.

The latter provides:

(a) If a claimant’s application for benefits under the laws administered by the Secretary is incomplete, the Secretary shall notify the claimant of the evidence necessary to complete the application. If such evidence is not received within one year from the date of such notification, no benefits may be paid or furnished by reason of such application.

Regulations promulgated by the Secretary are consistent with these statutory obligations. See 38 C.F.R. §§ 3.152(b)(1) (a claim for DIC “will also be considered to be a claim for death pension”); 3.109(a) (“If a claimant’s application is incomplete, the claimant will be notified of the evidence necessary to complete the application”).

The language of these two statutory provisions (and the two regulations) is clear and unambiguous; there is neither need for interpretation nor reason for misinterpretation. Pursuant to 38 U.S.C. § 5101(b)(1) (1991), a claim for DIC

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Cite This Page — Counsel Stack

Bluebook (online)
3 Vet. App. 177, 1992 U.S. Vet. App. LEXIS 286, 1992 WL 211943, Counsel Stack Legal Research, https://law.counselstack.com/opinion/isenhart-v-derwinski-cavc-1992.