Karen GORDON, Appellant, v. R. James NICHOLSON, Secretary of Veterans Affairs, Appellee. Beth Gordon Samargin, Intervenor.
No. 03-0181
United States Court of Appeals for Veterans Claims
May 31, 2007
21 Vet. App. 270
ORDER
GREENE, Chief Judge:
Marlene Davis was appointed as the Court‘s first Administrative Manager on July 30, 1989. She was later appointed as Deputy Executive Officer and served superbly in both capacities until her retirement on April 28, 2007. During these 18 years, she played an instrumental and vital role in the creation and operation of this, the Nation‘s newest national judicial tribunal.
As the Administrative Manager, Ms. Davis used her considerable talents, resourcefulness, creativity, common sense, and energy to ensure that the Court came into being smoothly. Her exceptional attention to detail and organizational ability guided the Court‘s initial build-out at 625 Indiana Avenue and a seamless move into that location. She showed exceptional skill in fostering team loyalty among her staff illustrated when, as Deputy Executive Officer, she oversaw the renovations and the myriad details attendant to the turnover of six judges in two years. She again showed her professionalism and tenacity when she shepherded the three-year project of upgrading security in the garage and first floor lobby. The Court‘s Continuation of Operations Plan is the latest example of her resourcefulness, planning skills, and tenacity in dealing with various government agencies. The overwhelming success of the first Court Judicial Conference, and five succeeding Conferences, resulted from Ms. Davis’ organizational and managerial skills as the Conference Administrative Coordinator. The fact that Ms. Davis has received an outstanding performance award in each year she was eligible illustrates her overwhelming value to the Court, and the respect she garners from all who are associated with her.
Ms. Davis has been a trusted advisor to the Clerk and friend and trusted mentor to the entire Court family. She has earned the highest respect of all who have been privileged to benefit from her intelligence and dedication.
Upon consideration of the foregoing, it is
ORDERED, that Marlene Davis, will take with her our gratitude for the years of outstanding service she has rendered to the Court, our admiration for her many accomplishments, the warmth of our continued friendship, and our best wishes.
Tim S. McClain, General Counsel; R. Randall Campbell, Assistant General Counsel; Edward V. Cassidy, Jr., Deputy Assistant General Counsel; and Christine D. Senseman, all of Washington, D.C., for the appellee.
Before KASOLD, LANCE, and SCHOELEN, Judges.
On Appeal from the Board of Veterans’ Appeals
SCHOELEN, Judge:
The appellant, Karen Gordon, through counsel, appeals an October 17, 2002, Board of Veterans’ Appeals (Board or BVA) decision that denied her claim, on behalf of her two minor children (Kelin A. Gordon and Hunter M. Gordon), for equal shares of the proceeds of the National Service Life Insurance (NSLI) policy of her deceased father, Edward E. Gordon. Beth G. Samargin, another one of Mr. Gordon‘s daughters, is an Intervenor in this case. The Board determined that Ms. Samargin‘s two minor children (Aline E. Wylie and Kristiana L. Wylie) were the only beneficiaries under the policy. Record (R.) at 1-13. The appellant and the Secretary filed briefs. Additionally, Ms. Gordon and the Secretary filed supplemental briefs and a supplemental memorandum of law. Ms. Samargin did not file any briefs in this case. This appeal is timely, and the Court has jurisdiction over the case pursuant to
I. BACKGROUND
In September 1943, Veteran Edward E. Gordon purchased a $10,000 NSLI policy. R. at 17. In December 1992, a VA regional office (RO) received a properly witnessed “Declaration of Beneficiary” form signed by Mr. Gordon. R. at 47. In that document, two of his granddaughters, Aline E. Wylie and Kristiana L. Wylie, the daughters of Ms. Samargin, were named principal beneficiaries. Each was designated to take half of the proceeds of the policy. Id.
The veteran died in August 1995. R. at 64. On September 11, 1995, Ms. Samargin notified the RO of her father‘s death and filed a claim for the proceeds of his NSLI policy on behalf of her minor children (Aline and Kristiana). R. at 63.
On October 13, 1995, Ms. Gordon filed a claim seeking a portion of the proceeds of Mr. Gordon‘s NSLI policy on behalf of her two children (Kelin and Hunter). R. at 91-93. In support of her claim, she submitted a copy of a 1994 divorce settlement agreement between Mr. Gordon and Martha Gordon, her mother. Under the terms of the divorce settlement agreement, Mr. Gordon agreed to name each of his four grandchildren as co-beneficiaries of his NSLI policy. R. at 79-82. The pertinent provision of the divorce settlement agreement provided:
1. That husband is awarded as his sole and exclusive property the ownership and accumulated cash value of the National Service Life Insurance policy on his life.
2. That as long as said policy remains in effect, husband shall name his following grandchildren as equal co-beneficiaries on said policy: Aline, Kristiana, Kelin, and Hunter.
R. at 53.
On October 20, 1995, the RO and insurance center issued an administrative decision that disallowed Ms. Gordon‘s claim. R. at 95. The RO determined that the proceeds of the NSLI policy were payable to Aline and Kristiana Wylie in accordance with Mr. Gordon‘s December 1992 beneficiary designation. Id. In December 1995, Ms. Gordon appealed the RO decision. R. at 406. In April 1996, the RO issued a Statement of the Case (SOC). R. at 115-20. In August 1997, Ms. Gordon testified at an RO hearing that the veteran stated that he intended to include Kelin and Hunter as co-beneficiaries on the NSLI policy “but did not get around to doing it.” R. at 138-39. In her Substantive Appeal, Ms. Gordon asserted that the 1994 divorce decree and her father‘s verbal promises to her and her two children indicated his intent to make a beneficiary change, but that Mr. Gordon had a history of “not getting around to things ... in a timely manner” and that he “was very sick [and] possessed little energy.” R. at 122.
In December 1997, the RO and insurance center issued a Supplemental SOC (SSOC) indicating that “there was no evidence that the insured either intended and/or took the required action to make a beneficiary change subsequent to the designation of December 15, 1992.” R. at 168.
In January 1999, the Board granted Ms. Gordon‘s claim for equal shares on behalf of her sons. R. at 172-79. The Board found that the divorce settlement agreement was the “last expression” of the appellant‘s intent and that the filing of the 1994 divorce decree in state court showed evidence of an overt act to make such a change. R. at 179.
Ms. Samargin appealed the January 1999 Board decision to this Court. R. at
In January 2001, the Board issued a decision finding that Ms. Gordon‘s minor children were not among the beneficiaries of the veteran‘s NSLI policy. R. at 214-21. The Board, after considering Fagan, found that although there was clear and convincing evidence of the veteran‘s intent to change the beneficiaries of his NSLI policy, he never performed an overt act sufficient to further his intent to change the beneficiaries of the policy. R. at 219-21.
In May 2001, Ms. Gordon, through counsel, appealed that decision to the Court.1 Ms. Samargin was not a party to the appeal before the Court. In June 2001, the Secretary moved, unopposed, to remand the matter for consideration of the applicability of the Veterans Claims Assistance Act of 2000 (VCAA), Pub.L. No. 106-475, 114 Stat. 2096, in accordance with this Court‘s decision in Holliday v. Principi, 14 Vet. App. 280 (2001). R. at 237-41. In September 2001, the Court granted the Secretary‘s motion. R. at 236.
On April 26, 2002, the Board notified Ms. Gordon‘s attorney that she had 90 days from the date of the letter to submit any additional evidence or argument in support of Ms. Gordon‘s claim. R. at 246-47. There is no indication in the record that Ms. Gordon‘s attorney responded to this letter. On October 17, 2002, the Board issued the decision now on appeal. R. at 1-12. The Board found that the divorce settlement was clear and convincing evidence of the veteran‘s intent to change his beneficiary. However, it concluded that there was no evidence that the veteran had performed an overt act reasonably designed to effectuate his intent to change his beneficiaries. R. at 11. The appellant appealed the 2002 Board decision to this Court.
II. PARTIES’ CONTENTIONS
Ms. Gordon raises several arguments before the Court. She asserts as follows: (1) VA failed to fulfill its notice obligations under
The Secretary counters that because an NSLI beneficiary claimant is not a “claimant” within the meaning of
III. ANALYSIS
A. NSLI Beneficiary Claims
The NSLI is a benefit program found in part II (pertaining to “GENERAL BENEFITS“), chapter 19 of title 38 of the U.S.Code. An NSLI policy is a contract between a veteran and the U.S. Government. See
First, a person seeking to show that the NSLI insured veteran had effected a beneficiary change (hereinafter “the claimant“] may prevail by proving that the insured veteran complied with the regulations in filing a valid change of beneficiary with VA. Second, if this cannot be shown, then, in order to prevail, the claimant must prove by clear and convincing evidence that the insured veteran intended that the claimant should be the beneficiary and also prove that the insured veteran took an overt action reasonably designed to effectuate that intent. Third, if the insured veteran‘s intent cannot be proven by clear and convincing evidence, then the claimant must prove the insured veteran‘s intent by a preponderance of the evidence and must also prove that the insured veteran did everything reasonably necessary, or at least everything he or she subjectively and reasonably believed was necessary, to effectuate his intention.... [D]uring this process, the claimant always has the burden of proof.
Id. at 57 (citations omitted). Further, the Court held that, “[b]ecause this issue of overt action will generally have to be decided by examining the totality of the circumstances, it is important for the claimant to submit and the fact finder to weigh all available evidence on such factors as whether ... the insured veteran had the opportunity to take further action.” Id. (citing Criscuolo v. United States, 239 F.2d 280, 282 (7th Cir.1956) (recognizing a change in beneficiary, in part, based upon a veteran‘s inability to complete the beneficiary form because of physical incapacity)).
When questions arise regarding the “denial of applications for insurance” or “disallowance of claims for insurance benefits,” the claimant has a right to appeal that decision to the Board by initiating a Notice of Disagreement. See
B. Applicability of the VCAA Notice Provisions to Claims for NSLI Benefits
The VCAA was enacted “to reaf-
Section 38 U.S.C. § 5100 defines a “claimant” as “any individual applying for, or submitting a claim for, any benefit under the laws administered by the Secretary.” The Secretary‘s duties under the VCAA essentially fall into two categories: Collecting evidence that could result in a successful claim, see
The Secretary argues that the notice provisions of
The “plain meaning [of a statute] must be given effect unless a ‘literal application of [the] statute [or regulation] will produce a result demonstrably at odds with the intention of its drafters.‘” Gardner v. Derwinski, 1 Vet. App. 584, 586-87 (1991), aff‘d sub nom. Gardner v. Brown, 5 F.3d 1456 (Fed. Cir.1993), aff‘d, 513 U.S. 115 (1994); Lee, 13 Vet. App. at 394. Therefore, “[i]f the intent of Congress is clear, that is the end of the matter.” Skinner v. Brown, 27 F.3d 1571, 1572 (Fed. Cir.1994) (quoting Chevron, U.S.A., Inc. v. Natural Res. Def. Council, Inc., 467 U.S. 837, 842 (1984)).
The Secretary contends that a person claiming to be a beneficiary under an NSLI policy is not a “claimant“, within the meaning of section 5100, because the proceeds of the NSLI policy are not “benefits” within the meaning of the statute and instead are merely proceeds, resulting from a contract between the veteran and VA. Secretary‘s Br. at 11-12. He attempts to make a distinction between veterans who apply for NSLI policies and beneficiaries who seek proceeds under the policies. Id. He argues that veterans are claimants but beneficiaries are not. Id.
The Court is not persuaded by this argument. Section 5100 governs the definition of “claimant” for the purposes of chapter 51. It provides that the term ” ‘claimant’ means any individual applying for, or submitting a claim for, any benefit under the laws administered by the Secretary.”
The statute does not define the term “benefit.” However, a fundamental canon of statutory construction is that when interpreting a statute, the words of a statute are given “their ordinary, contemporary, common meaning, absent an indication Congress intended them to bear some different import.” Williams v. Taylor, 529 U.S. 420, 431 (2000); Smith (John Angus) v. United States, 508 U.S. 223 (1993) (citing Perrin v. United States, 444 U.S. 37, 42 (1979)) (stating that “words [in a statute], unless otherwise defined, will be interpreted as taking their ordinary, contemporary, common meaning.“). The term “benefit” is defined in its common, ordinary usage to mean a “payment made by an insurance company, public agency, welfare society, etc., as during sickness, retirement, unemployment, etc. or for death.” WEBSTER‘S NEW WORLD DICTIONARY OF AMERICAN ENGLISH 129 (3d. College Edition 1988). The Court also notes that VA regulations define the term “benefits” to mean “any payment, service, commodity, function, or status, entitlement to which is determined by the laws administered by the Department of Veterans Affairs pertaining to veterans and survivors.”
The only limiting criteria imposed by the plain language of section 5100 is that the “claimant” must be seeking a “benefit under the laws administered by the Secretary.” There is no question that the NSLI program was created by congressional statute and that the Secretary is charged with the authority to administer the program under the standards created by Congress. Indeed, as the Secretary recognizes in his brief, NSLI policies “are governed by federal statutes and regulation[s][in] determining who is to share in the benefits arising from such policies.” Secretary‘s Br. at 11 (quoting Smith (James E.) v. United States, 226 F. Supp. 656, 658 (W.D. Ark. 1964)); see also Curtis v. West, 11 Vet. App. 129, 132 (1998) (“[T]he construction of a life insurance policy issued by the United States is governed by federal law.“). The fact that Congress chose to have the proceeds of the NSLI policies flow to beneficiaries through the mechanism of a statutorily created contract does not change the character of the proceeds. They are “benefits under the laws administered by the Secre-
The Secretary is correct that the veteran‘s “benefit” under the NSLI program is different from the NSLI beneficiary‘s “benefit.” On the one hand, the “benefit” to the veteran is the ability to purchase life insurance at a relatively low cost, to provide for his family after his death. On the other hand, the “benefit” to the beneficiary is the monetary proceeds under the policy. The Court rejects the Secretary‘s argument that the term “benefit” as used by the statute requires VCAA notification for veterans’ claims under the NSLI program but not for NSLI beneficiary claims. The language in section 5100 broadly defines “claimant” as an “individual applying for, or submitting a claim for, any benefit under the laws administered by the Secretary.” (Emphasis added). The statute clearly applies to any benefit that a claimant seeks and makes no distinction that would exclude certain types of “benefits.” The Court similarly refuses to draw the distinction urged by the Secretary that has no basis in the statutory language itself. See Jones v. Brown, 41 F.3d 634, 640 (Fed. Cir.1994) (holding that because the statutory phrase “case pending” in section 506 of the Federal Court‘s Administration Act of 1992 made no distinction between the fee application stage of a case and consideration of the case on the merits, the court would likewise make no distinction). Thus, while there is a difference in the nature of the “benefits” flowing to the veteran and his beneficiary, each “benefit” is governed by the terms and conditions set forth in the Federal laws enacted by Congress and “administered by the Secretary.” As such, both veteran and beneficiary are “claimants” seeking “benefits” within the meaning of section 5100.
In Livesay v. Principi, 15 Vet. App. 165, 179 (2001) (en banc), this Court recognized that a “claimant” within the meaning of section 5100 includes a “person applying for or seeking benefits under part II [“GENERAL BENEFITS“] or III [“RE-ADJUSTED AND RELATED BENEFITS“] of title 38.” In Livesay, the Court determined that the VCAA did not apply to claims for revisions of decisions based on clear and unmistakable error [CUE] because a CUE litigant is not pursuing a claim for benefits under parts II or III of chapter 38, but rather is collaterally attacking a final decision pursuant to parts IV (“GENERAL ADMINISTRATIVE PROVISIONS“), or V (“BOARD, ADMINISTRATIONS, AND SERVICES“) of title 38. See also Sims v. Nicholson, 19 Vet. App. 453, 456 (2006) (holding VCAA notice not applicable to applications for restoration of competency; applicant is not seeking benefits under chapter 51 of title 38, but, rather, is seeking a decision regarding how his benefits will be distributed under chapter 55 (“Minors, Incompetents, and other Wards“)); Lueras v. Principi, 18 Vet. App. 435, 439 (2004) (holding VCAA does not apply to claims for waiver of overpayment of pension benefits under chapter 53 because an applicant for waiver of overpayment is not seeking benefits under chapter 51; rather the applicant is requesting a waiver of recovery of indebtedness). As discussed earlier, the NSLI benefit program is located within part II (“GENERAL BENEFITS“) of title 38. Thus, when viewed within the context of title 38, NSLI-beneficiary claimants are “claimants” within the meaning of section 5100.
The Secretary‘s argument also ignores the plain language of section 5103(a). That section provides:
§ 5103. Notice to claimants of required information and evidence
(a) Required information and evidence. Upon receipt of a complete or substan-
tially complete application, the Secretary shall notify the claimant and the claimant‘s representative, if any, of any information, and any medical or lay evidence, not previously provided to the Secretary that is necessary to substantiate the claim. As part of that notice, the Secretary shall indicate which portion of that information and evidence, if any, is to be provided by the claimant and which portion, if any, the Secretary, in accordance with section 5103A of this title and any other applicable provisions of law, will attempt to obtain on behalf of the claimant. (b) Time limitation.
(1) In the case of information or evidence that the claimant is notified under subsection (a) is to be provided by the claimant, such information or evidence must be received by the Secretary within one year from the date such notice is sent.
(2) This subsection shall not apply to any application or claim for Government life insurance benefits.
(3) Nothing in paragraph (1) shall be construed to prohibit the Secretary from making a decision on a claim before the expiration of the period referred to in that subsection.
In summary, subsection (a) sets forth the Secretary‘s notice obligations. Subsection (b)(1) sets forth a one-year limit, which begins to run after subsection 5103(a) notice has been provided, to submit the information or evidence specified in 5103(a). Section 5103(b)(3) authorizes the Secretary to make a decision on a claim prior to the expiration of the one-year period for submitting the information or evidence identified under subsection (a). Subsection (b)(2) expressly provides that the time limitation in subsection (b) does not apply “to any application or claim for Government life insurance benefits.” A plain reading of the statute indicates that section 5103(a) notice is to be provided to all claimants for VA benefits. Unlike other “claimants,” an individual who files an “application or claim for Government life insurance benefits” is not limited to one year to submit the information or evidence that the Secretary notified the claimant that he may provide to substantiate the claim.2
If the Secretary were correct that section 5103(a) notice did not apply to NSLI beneficiary claims, there would be no need for the section 5103(b)(2) exception. This Court has recognized the canon of statutory construction that “legislation must be construed in light of the venerable rule that ‘where Congress includes particular language in one section of a statute but omits it in another section of the same Act, it is generally presumed that Congress acts intentionally and purposely in the disparate inclusion or exclusion.‘” Dippel v. West, 12 Vet. App. 466, 474 (1999) (quoting Gardner, 513 U.S. at 120 (quoting Russello v. United States, 464 U.S. 16, 23 (1983))); see also Lee (Raymond), 13 Vet. App. at 396. Clearly, if Congress had
Our dissenting colleague raises numerous concerns with this determination; however, these concerns are either unfounded or matters of policy to be addressed not in a court of law, but rather by the executive or legislative branches. See Republican Party of Minn. v. White, 536 U.S. 765, 798 (2002). For example, concern that the VCAA should not be made applicable to adversarial proceedings where the Secretary is a stakeholder is a policy matter. Significantly, however, the statutes and regulations governing the VA contemplate adversarial proceedings on claims, see
Further, the concern that VCAA notice might now be required for claims filed in Federal district court is unfounded. Such notice is required when a claim is filed with the Secretary. See
C. VCAA Notice
Section 5103(a) of title 38, U.S.Code, requires the Secretary to inform a claimant of any information and evidence not of record (1) that is necessary to substantiate the claim, (2) that the Secretary will seek to obtain, if any, and (3) that the claimant is expected to provide, if any. See Quartuccio v. Principi, 16 Vet. App. 183, 187 (2002). Further, VA will “request that the claimant provide any evidence in the claimant‘s possession that pertains to the claim.”
A Board determination of whether section 5103(a) statutory and regulatory notice requirements have been complied with is “a substantially factual determination.” Mayfield, 444 F.3d at 1335. The Board‘s findings of fact are reviewed under the “clearly erroneous” standard of review in
Board error is assessed under the rule of prejudicial error.
Here, the appellant asserts that VA failed to satisfy its duty to provide VCAA-compliant notice as to all four VCAA notice elements. Appellant‘s Br. at 8-12. Because Ms. Gordon‘s claim was on appeal before VA in November 2000, and thus was pending at VA at the time of the VCAA‘s enactment, the VCAA applied to her claim. See Pelegrini, supra.
In its 2002 decision, the Board stated:
[T]he Board finds that the RO & IC [Insurance Center] notified both parties of the reason for its decision, as well as the laws and regulations applicable to his claim. This information was provided in the April 1996 Statement of the Case, and in the November 1997 Supplemental Statement of the Case.
Numerous letters have been sent to both parties. In October and November 1995, the RO & IC sent letters to both parties telling them that the appellant‘s claim had been denied. The appellant was afforded a hearing in August 1997, and the appellee was provided information about the hearing. Letters were written to the appellant and the appellee in October 1997 asking them to provide more information about their parents’ settlement agreement. A letter was also sent to the attorney who prepared the agreement, asking him for information about the agreement. The claims folder is replete with letters and reports of contact between VA and the interested parties. In short, the RO & IC ha[ve] informed the appellant and appellee which information and evidence that the
appellant was to provide to VA and which information and evidence that the VA would attempt to obtain on behalf of the appellant.
R. at 6.
We hold that the Board erroneously relied on postdecisional documents in the record, which were unrelated to section 5103(a) notice, to conclude that Ms. Gordon had been provided adequate section 5103(a) and
Therefore, having established first-element VCAA notice error, the burden shifts to the Secretary to demonstrate a lack of prejudice in terms of the fairness of the adjudication and opportunity for Ms. Gordon‘s meaningful participation in the processing of her claim. The Secretary has failed to meet his burden in this case to show that the error was not prejudicial. The Secretary argues that any first-element VCAA notice error was nonprejudicial because the appellant “had actual knowledge of the evidence required to substantiate her claim and that a reasonable person could be expected to understand from the notice provided by VA what was needed to substantiate her claim.” Secretary‘s Supplemental Br. at 5.
The only documents relied upon by the Secretary to demonstrate a lack of prejudice are all postdecisional documents that could not have assisted Ms. Gordon in participating in the initial adjudication of her claim, particularly where there was no VCAA notification followed by a readjudication of the claim. See Overton, 20 Vet. App. at 443 (holding that VA could not rely on a June 2002 SSOC, which was a postdecisional document to satisfy its burden to demonstrate that a first-element VCAA error was nonprejudicial); cf. Medrano v. Nicholson, 21 Vet. App. 165, No. 04-1009, 2007 WL 1201524 (Apr. 23, 2007) (holding that VCAA timing-notice error was nonprejudicial where following postadjudicatory, content-compliant VCAA notice, the veteran affirmatively indicated, through counsel, that he had no further evidence to submit; returning the claim to the RO would have resulted in a readjudication of the matter on exactly the same evidence and law previously considered by RO).3 Moreover, despite the Secretary‘s argument to the contrary, the record does not demonstrate that Ms. Gordon had knowledge of the evidence and information needed to substantiate her claim, particularly with regard to the evidence needed to support her assertion that her father was
The Court also notes that it appears that Ms. Gordon was represented by her former counsel from May 2001 until October 17, 2002, the date of the Board decision on appeal. However, there is nothing in Ms. Gordon‘s former counsel‘s actions and communications to VA that demonstrate that the appellant had a meaningful opportunity to participate effectively in the processing her claim. See R. at 243-44. Therefore, we conclude that the Secretary has not met his burden of demonstrating a lack of prejudice. Because we are not convinced that Ms. Gordon was able to meaningfully participate in the adjudication of this claim, we cannot conclude that the presumed notice error was nonprejudicial. Accordingly, a remand is required to correct that error and to provide VCAA-compliant notice.
The Court does not need to address the other issues that Ms. Gordon has raised on appeal at this time.4 On remand, Ms. Gordon is free to submit additional evidence and raise these arguments to VA, and VA must address any such evidence and arguments. See Best v. Principi, 15 Vet. App. 18, 20 (2001) (per curiam order); Kutscherousky v. West, 12 Vet. App. 369, 372 (1999) (per curiam order).
IV. CONCLUSION
Upon consideration of the foregoing, the October 17, 2002, Board decision is VACATED and that matter is REMANDED to the Board for further adjudication consistent with this opinion.
LANCE, Judge, filed a dissenting opinion.
LANCE, Judge, dissenting:
I believe that the appellant had a meaningful opportunity to participate in the Board decision on appeal and that the Court need go no further than such a conclusion to resolve this appeal. I also have grave doubts about the conclusion that the notice requirements of the VCAA apply to adversarial proceedings where the Secretary‘s role is that of a neutral stakeholder. It does not seem to me that the language of the statute or the intent of Congress to facilitate the generally nonadversarial claim process can be applied to require the Secretary to give notice to two competing groups as to how to defeat each other‘s assertions of entitlement to a sum of money that can only be awarded to one or the other. The majority‘s failure to recognize that Congress drafted the VCAA to facilitate nonadversarial claims and its failure to describe with any specificity what must be included to provide valid notice to parties seeking to disprove each other‘s positions leaves the Secretary in the awkward position of having not provided valid notice without sufficient guidance as to how to provide valid notice while remaining a neutral stakeholder. Leaving the Secretary in this position is both unfair and unnecessary.
I. MS. GORDON‘S PARTICIPATION IN THE DECISION ON APPEAL
For the last seven years, the only substantive issue in this case has been whether the veteran performed an overt act sufficient to effectuate his intent to change the beneficiaries of his NSLI policy. R. at 192-96. Even though Ms. Gordon was not a party to the February 2000 Court proceeding where this issue became the focus of the dispute, she was a party to the
To me, this clearly provided Ms. Gordon the opportunity to meaningfully participate in her claim. The sole substantive dispute during the entire time Ms. Gordon was represented by counsel before VA was whether she had proven the veteran took an overt act sufficient to effectuate the intent he expressed in the divorce agreement. Even assuming—as the majority did in Overton v. Nicholson, 20 Vet. App. 427 (2006)—that attorneys do not know how to prove a claim unless the record demonstrates otherwise, it is difficult to see how the majority finds attorney lack of knowledge in this case. As stated above, during the entire period that counsel represented Ms. Gordon before the Secretary there has only been one substantive issue in dispute. Such would be obvious to any attorney who reviewed the Court‘s February 2000 remand or the Board‘s January 2001 decision. Moreover, unlike a claim for benefits based upon medical disability, this fact in dispute does not require any expert evidence nor does it raise any potentially complicated issues of causation. The only way to conclude that Ms. Gordon‘s attorney did not know what evidence she needed to submit is to presume that the attorney did not even take the minimal step of reviewing the basic history of this case; and that presumption, I believe, is unfair to counsel and her reputation. For the reasons stated in my dissent in Overton, I believe the majority‘s presumption of attorney error or oversight makes even less sense when applied to the facts of this case. Id. at 444-46 (Lance, J., dissenting in part).
Moreover, I do not agree with the majority‘s conclusion that failing to submit evidence in response to the Board‘s explicit letter inviting further evidence and argument is proof that Ms. Gordon did not have a meaningful opportunity to participate in the adjudication of her claim. As the Court noted recently in Prickett v. Nicholson, 20 Vet. App. 370, 377 n. 2 (2006), the failure of an informed party to submit evidence may be regarded as a waiver of the right to submit additional evidence. Given the explicit letter from the Board to counsel providing the opportunity to submit evidence prior to the Board‘s decision, I would construe the lack of a response as a waiver rather than evidence that counsel does not know how to prove an overt act by the veteran. Accordingly, I do not believe that it is necessary to decide anything more than whether the appellant was able to meaningfully participate in the proceedings below.
II. THE APPLICABILITY OF VCAA NOTICE
For the reasons stated above, I would not reach the question of whether VCAA notice applies to disputes between potential beneficiaries of an NSLI policy. I believe that this question is much more difficult than the majority acknowledges. Although the majority opinion correctly states that the statutory question must be resolved by looking at the ” ’ “whole law, and to its object and policy,” ’ ” ante at 276 (quoting Moreau v. Brown, 9 Vet. App. 389, 396 (1996) (quoting Richards v. United States, 369 U.S. 1, 11 (1962))), the analysis is actually narrowly drafted so as to read
A. The Purpose of the VCAA
Congress passed the VCAA because it believed Morton v. West, 12 Vet. App. 477 (1999), “constructed a significant barrier to veterans who need assistance in obtaining information and evidence in order to receive benefits from the VA.” 146 CONG. REC. H9913 (Oct. 17, 2000) (statement of Mr. Stump). In Morton, the Court interpreted the version of
This purpose was recognized by U.S. Court of Appeals for the Federal Circuit (Federal Circuit) in Paralyzed Veterans of America v. Secretary of Veterans Affairs, 345 F.3d 1334, 1346 (Fed. Cir.2003) when it invalidated part of the Secretary‘s implementation of
Despite the intended focus of the VCAA, the majority applies the notice provisions of that statute to a proceeding that is inherently adversarial. In a dispute over NSLI proceeds, the Secretary acts as a stakeholder for money that cannot be awarded to all competing parties such as in an action in interpleader. See
B. The Plain Language of 38 U.S.C. § 5103(a)
Starting with the plain language of the statute,
Rather than rehash this argument, I focus on the fact that the plain language of title 38 presents additional problems with the majority‘s position that a dispute over NSLI proceeds is a “claim” for benefits. First, the notice requirement is introduced with a key timing clause. The required notice must be provided “[u]pon receipt of a complete or substantially complete application.” In Locklear v. Nicholson, 20 Vet. App. 410, 415 (2006), the Court recognized that this timing requirement was crucial to understanding the intended scope of VCAA notice. Accordingly, the Court ruled that section 5103(a) requires only a single, initial notice; not continuous mini-adjudications in the guise of notice. However, the majority‘s conclusion amounts to a holding that multiple VCAA notices are required. The appellant in this case did not submit the “claim” that started the adjudication to award the NSLI proceeds at issue. That “claim” was submitted by the intervenor. Although the VCAA was not in effect at the time that the initial “claim” was filed, the majority opinion seems to require VCAA notice be issued not just upon receipt of the initial “claim,” but also whenever a new intervenor becomes involved. This is difficult to square with the timing language of the VCAA.
I also note that
Furthermore, applying the plain-language analysis used by the majority to other provisions in title 38 leads to highly suspect results. If the majority‘s analysis is correct, then it would appear that
For these reasons, I do not believe that the majority‘s conclusion that the plain language of the statute is controlling is based on an examination of the “whole law, and its object and policy.” To fairly conclude that a dispute over NSLI proceeds is a “claim” within the meaning of chapter 51 of title 38, the conclusion should be based on more than just the language of one section. Given the breadth of provisions that use the word “claim,” a broader view is required before attaching that word to the dispute here.
C. The Legislative History of 38 U.S.C. § 5103
Even accepting that the plain language of the statute requires the result reached, I believe there is at least a colorable issue of whether the use of the word “subsection” in
Prior to the VCAA,
Turning to the history of the VCAA, the change from “section” to “subsection” occurred in the middle of the drafting process when two different proposals were merged. In July 2000, when the House of Representatives proposed H.R. 4864, 106th Cong. (2000), it continued to use the word “section” in the new version of section 5103. H.R. 4864 proposed that section 5102 deal with incomplete applications, as well as VA‘s duty to notify of additional information, lay and medical evidence, necessary to substantiate the claim. Subsection (d) of 5102 was entitled “Inapplicability to Certain Benefits” and maintained the identical language to the 1991 and 1958 versions, i.e., “this section shall not apply to any application or claim for Government life insurance benefits.” The Senate version of the VCAA, section 101 of S.1810, 106th Cong. (2000), did not address any duty to notify claimants. The Senate‘s sole concern was the duty to assist in developing evidence. To summarize, the House bill contained a duty to notify that explicitly did not apply to Government life insurance benefits while the Senate bill had no duty to notify at all.
The Senate and House Committees on Veteran‘s Affairs produced a compromise version to reconcile the two bills. The compromise bill divided the House‘s proposed section 5102(a) through (d) into sections 5102 and 5103. Section 5102 retained subsections (a) and (b). The new 5103(a) expanded on the duty to notify and took on what were subsections (c) and (d) of H.R. 4864. Without any explanation, the word “section” was converted to “subsection.” H.R. 9912, 106th Cong. (2000). In other words, despite the fact that the prior version of section 5103 explicitly did not apply to Government life insurance benefits and the fact that neither of the original bills contained a duty to notify that applied to Government life insurance benefits, when the proposals merged during the reorganization of the two bills being combined, that duty was suddenly created when the word “section” was changed to “subsection.”
The legislative history does not support the proposition that this change was the result of any intentional decision to expand the duty to notify proposed by the original House bill. Nothing in the history of either original bill suggests that anyone ever expressed a belief that the originally proposed duty to notify should be expanded to include Government life insurance benefits. Moreover, nothing in the statements explaining the merger of the two proposals acknowledges a change in the scope of the proposed duty to notify, much less provides a rationale for expanding the duty. Senator Specter presented the “compromise agreement” to the Senate, Amendment No. 4189, and stated in relevant part: “The Senate and House committees have now reached an agreement and have reconciled the differences between the Senate-and House-passed provisions. Those differences—which are, principally matters of tone and emphasis, not—substance—are contained in the proposed amendment to H.R. 4864....” 146 CONG. REC. S9205 (Sept. 25, 2000) (emphasis added). Representative Stump provided the following relevant statements in his statement to the House introducing the compromise agreement:
As revised section 5102 would contain almost all of existing sections 5102 and 5103.... Subsections (c) and (d) of proposed section 5102 are identical to existing sections (a) and (b) of existing subsection 5103.... Proposed section 5102(b) clarifies the Secretary‘s obligation to send notices to the claimant ... as to information the claimant must submit to complete the application. It would also require the Secretary to notify the claimant ... of any additional information and medical and lay evidence necessary to substantiate the claim.
146 CONG. REC. H9914 (Oct. 17, 2000) (emphasis added). By referring to the final version as “identical” to the duty to notify originally proposed in the House, Representative Stump strongly indicates that the reorganization was not intended to expand the duty to notify beyond the version originally proposed.
Furthermore, Representative Stump also stated in discussing the compromise agreement:
The compromise version of revised section 5103 ... substantially maintains the current provisions of section 5103. However, it renames the title of the section ... [and] enhances the notice the Secretary is now required to provide to a claimant regarding information that is necessary to complete the application.... The compromise agreement also maintains the language in current section 5103 relating to time limits, but expands that language to include “information or evidence.” It is not the Com-
mittee‘s purpose to modify the historical application of this provision....”
Id. (emphasis added). Again, his statements suggest that the compromise “maintained” the originally proposed duty to notify; not that it expanded that duty.
Despite the substantial questions raised by this history, the majority does not even discuss it or entertain the possibility that it is a mere drafting error that
III. THE CONTENT OF VCAA NOTICE ON NSLI CLAIMS
My final concern with the majority opinion is that it does not adequately indicate what would be acceptable VCAA notice in this case. Although the majority decision states: “nothing in the record relied upon by the Board indicates that Ms. Gordon was ever adequately informed of what evidence was necessary to substantiate her NSLI beneficiary claim,” Ante at 282, it does not elaborate on what would be adequate notice in this case. In Kent v. Nicholson, 20 Vet. App. 1, 9-10 (2006), the Court made clear that adequate VCAA notice requires the Secretary to conduct a basic review of the status of the claim to determine what propositions must be substantiated. As to the appellant here it would seem that adequate VCAA notice would require the Secretary to see what the original “claimant” had submitted and inform the new “claimant” how to disprove the initial claim. Furthermore, if we assume that in future cases the Secretary will supply prompt VCAA notice, then it would appear that intervenors will generally have the advantage in that they should receive notice that may consider what the initial claimant submitted and how to rebut it.
This raises another question ignored by the majority. What does the Secretary need to do to provide adequate VCAA notice to Ms. Samargin? Under the majority‘s analysis, both the appellant and the intervenor are “claimants.” Yet, the majority does not consider whether Ms. Samargin received adequate VCAA notice. Assuming she has not yet received adequate notice, it would appear that any notice supplied to her at this point would be focused on how to disprove the proposition that the veteran performed an overt act to effectuate his intent. Or perhaps the majority thinks that she is not entitled to notice because, as the current the prevailing party, her claim has been substantiated. See Dingess v. Nicholson, 19 Vet. App. 473, 491 (2006). Of course, this raises the question of whether prevailing below amounts to substantiation of the claim where the merits are still being appealed. Would the logic of Dingess apply to a claim that was “substantiated” at the time the VCAA was passed but became unsubstantiated thereafter? Perhaps the Court will be faced with this problem if the appellant prevails on remand. I would also note that it appears from the record that, because this dispute has continued for 12
Regardless of the particular result on remand, I fear that the lack of guidance provided by this opinion will mean that the fourth time this dispute is appealed to the Court, the arguments raised will again be procedural.
IV. CONCLUSION
Ultimately, I believe that the majority‘s decision to expand the scope of the VCAA to include adversarial proceedings is insufficiently justified and raises many more concerns than are acknowledged. I also believe that the Board‘s decision can be affirmed without even ruling upon this issue. However, assuming that the question were squarely presented, I do not see how it could be properly addressed without taking a broader look at the VCAA and the case that inspired it, Morton. The nonadversarial proceedings at issue in Morton are simply not comparable to the inherently adversarial proceeding on appeal here. Nonetheless, if there is one aspect of Morton applicable here, then it would be the conclusion. After reaching the result in Morton, the Court ended the opinion by observing that “it is possible that after evaluating such considerations as fairness, equity, and the personnel, facility, and financial expenditures which would be required, Congress might well opt” to reverse the outcome reached. 12 Vet. App. at 485-86. Similarly, the outcome reached here is so inconsistent with the unambiguous intent of the VCAA that it would not be unreasonable for the Court to suggest to Congress that it may want to revise the statute to reverse this decision. Accordingly, I respectfully dissent from the majority opinion.
Vola M. BROWN, Appellant, v. R. James NICHOLSON, Secretary of Veterans Affairs, Appellee. No. 04-0418. United States Court of Appeals for Veterans Claims. Argued Oct. 17, 2005. Decided May 31, 2007.
