13 Vet. App. 123 | Vet. App. | 1999
The appellant, Shirley L. Mitscher, widow of veteran Jan E. Mitscher, appeals the January 1998 decision of the Board of Veterans’ Appeals (BVA or Board) which determined that she was not entitled to an effective date earlier than October 14,
On February 16, 1999, the appellant filed a citation of supplemental authority informing this Court that in Nehmer v. United States Veterans Admin., 32 F.Supp.2d 1175 (N.D.Cal.1999) (Nehmer II), a federal district court had ruled that VA’s position in VA Office of General Counsel Precedent Opinion (G.C.Prec.) 95-15 (1995), dealing with which prior claims for service connection must be readjudicat-ed pursuant to Nehmer I, was contrary to the terms of the Stipulation. On March 1, 1999, this Court ordered the appellant to submit a supplemental memorandum addressing (1) how the February 1999 district court order would impact this Court’s review of the Board decision currently on appeal, and (2) what remedy, if any, the appellant ought to be afforded in light of the district court’s order. The appellant filed a supplemental memorandum arguing (1) that pursuant to Bailey v. West, 160 F.3d 1360 (Fed.Cir.1998) (en banc), the one-year period for the appellant to file a formal application for DIC after she had filed an informal claim in 1986 should have been tolled based on VA’s representation that she could not file a claim for service connection for multiple myeloma; (2) that the BVA’s denial of her claim was premised on G.C. Prec. 95-15, which had been invalidated by the district court; and (3) that the matter should be remanded for the BVA to readjudicate the effective date issue. The Secretary responded that a remand to apply the law in Nehmer II would not affect the disposition of the appellant’s case and, therefore, application of the invalidated VA precedent opinion was harmless error. The Secretary argued that because the appellant had not filed a claim for DIC benefits prior to October 1993, the Nehmer II decision does not apply. The Secretary also argued that the Court should not apply the principles of equitable estoppel or equitable tolling in this matter.
The Court has jurisdiction of the ease under 38 U.S.C. § 7252(a). For the following reasons, the Court will affirm the decision of the Board.
I. FACTS
The veteran served on active duty in the U.S. Marine Corps from March 1965 to February 1969. R. at 13. His service included two tours in Vietnam and combat duty. Id.; R. at 52. In April 1986, the veteran died of multiple myeloma. R. at 58. On May 13, 1986, the appellant filed a VA Form 21-530, Application for Burial Benefits. On that application form, she checked “yes” in box 9, which asked: “Are you claiming that the cause of death was due to service?” R. at 40. In that box, there is also an annotation that an application form for DIC was sent to the appellant in May 1986. Id. A letter dated May 18, 1986, from the VA regional office (VARO) to the appellant, explained that an application form for DIC and pension benefits had been enclosed and that it was necessary for the appellant to file a claim for DIC within one year of the veteran’s death in order for DIC to be payable from the date of the veteran’s death. R. at 43.
In October 1993, the appellant filed a formal application for DIC. R. at 54-57. In January 1994, the VARO denied her claim for service connection for the cause of the veteran’s death. R. at 64-65. In July 1994, the VARO determined that pursuant to recently enacted Agent Orange regulations, the veteran’s cause of death was service connected and assigned November 1, 1993, as the effective date. R. at 72. The appellant timely perfected an appeal to the Board. R. at 88, 98. In November 1994, the appellant sent VA a letter stating the following:
[In] May of 1986 I contacted [VA] regarding my husband[’]s death. Explained to the individual the circumstances of his death. That he had served two terms in Vietnam and was exposed to Agent Orange. I was told by the individual at [VA] that his death was not military related [and] that I should file a non-service[-]connected claim which was mailed to me and I filed. I then received notification that I and my family, did not qualify for benefits because my husband[’]s death was not military related and my income level was too high.
I followed instructions I received from [VA] after my husband[’]s death and now you are telling me because I was miss informed [sic] by an individual on your end and the government was also denying responsibility for Agent Orange related deaths, that I am not entitled to back benefits. You are telling me that I took over seven years to file a claim for DIC when in reality [VA] still denied that his death was military related at that time. Not until May of this year did [VA] acknowledge that his death was military related.
I did not wait for seven years to file my claim for death benefits, the government denied responsibility for seven years. When I received notification from [VA] that my claim had be [sic] accepted and my family qualified for veterans benefits[,] I thought finally something positive.
R. at 86.
At an August 1995 VA hearing, the appellant testified that she had spoken with an employee at the local VARO and had explained to him the circumstances of her husband’s death and that she believed his death was caused by exposure to Agent Orange. R. at 103. She then stated that the VA employee had told her that the death was not caused by service because it had happened so many years after service. Id. She also stated that the VA employee had told her that if she felt the veteran’s death was caused by Agent Orange, then she should file her claim through Dow Chemical because they were the responsible party. Id. She denied that the VA employee had sent her any forms to fill out. R. at 105. According to her testimony, she continued to call VA and monitor whether the government had accepted responsibility for Agent Orange causing multiple myeloma. R. at 104. She also stated that she had filed her claim in October 1993 because she had seen in an Agent Orange review flyer, and heard from a VA employee, that multiple myeloma had been added to the list of diseases that were possibly caused by Agent Orange. R. at 105. She stated that VA then sent her an application for DIC. R. at 106. The hearing officer issued a decision denying the appellant’s claim for an earlier effective date. R. at 112-14.
An October 1996 letter from the appellant stated that the Supplemental Statement of the Case she had received in September 1996 indicated that she had been sent an application for DIC benefits in May 1986. R. at 138. She stated that while she could not dispute that she had been sent the application, she believed that the VA counselor had sent it to her for non-service-connected pension benefits which she did not qualify for because of
The Board found that the appellant was not entitled to an earlier effective date for payment of DIC. The Board determined that the appellant’s October 1993 application for DIC was subject to the Stipulation, but the May 1986 application for service-connected burial benefits was not. R. at 9. The Board noted that there was no indication in the record, prior to October 1993, that the veteran’s death was due to exposure from Agent Orange. Also, the Board found that “the record does not reflect that former 38 C.F.R. § 3.311(a) was considered in the denial of service-connected benefits shown by the June 1986 award of non-service-connected burial benefits.” Id. The Board stated that it had carefully reviewed her claim that she had not filed an application for DIC because of reliance on a representation by a VA employee, but that there was no basis in VA law to permit the appellant to prevail on such a claim. Id.
II. ANALYSIS
A BVA determination regarding whether a formal or informal claim has been filed will be set aside by this Court if it is “arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law.” 38 U.S.C. § 7261(a)(3)(A); Westberry v. West, 12 Vet.App. 510, 513 (1999) (holding that whether an informal claim had been filed required the application of the law to the facts of a case and is reviewed under 38 U.S.C. § 7261(a)(3)(A)); Butts v. Brown, 5 Vet.App. 532, 538-40 (1993) (en banc). Generally, the effective date for an award of DIC cannot be set earlier than the date VA received a claimant’s application for that benefit. See 38 U.S.C. § 5110(a). Pursuant to 38 U.S.C. § 5110(g), the effective date for an award of benefits pursuant to a new VA issuance cannot be earlier than the effective date of the VA issuance. The terms application and claim are defined by regulation as “a formal or informal communication in writing requesting a determination of entitlement, or evidencing a belief in entitlement to a benefit.” 38 C.F.R. § 3.1(p) (1998). Any written communication which indicates an intent to apply for an identified benefit may be considered an informal claim. See 38 C.F.R. § 3.155(a) (1998); see also Rodriguez v. West, 189 F.3d 1351, 1354 (Fed.Cir.1999). “Upon receipt of an informal claim, if a formal claim has not been filed, an application form will be forwarded to the claimant for execution.” 38 C.F.R. § 3.155(a). If an executed application form is submitted to VA within one year after the date it was sent to the claimant, it will be deemed filed on the date the informal claim was received. See id. The BVA or VARO must review all the communications in the claims file, after the last final disallowance of the claim, that could be interpreted as a formal or informal claim for benefits. See Servello v. Derwinski, 3 Vet.App. 196, 198 (1992). A claim for VA benefits must be submitted in the form prescribed by the Secretary before any benefits can be awarded. See 38 U.S.C. § 5101; see also Jones v. West, 136 F.3d 1296, 1299 (Fed.Cir.1998).
The appellant initially argues that her 1986 application for burial benefits, on which she indicated that the veteran’s cause of death was service connected, should be construed as a formal claim for DIC benefits that would be subject to the Stipulation. Pursuant to Nehmer II, any claim for service connection of death or disability, which is later determined to be related to exposure to Agent Orange pursuant to the Secretary’s revised regulations, must be readjudicated. Therefore, the determinative question in this matter is whether the appellant filed a claim for service connection of the veteran’s death earlier than October 1993.
The appellant next contends that pursuant to the recent decision by the U.S. Court of Appeals for the Federal Circuit in Bailey, supra, the doctrine of equitable tolling should be applied in this matter and the one-year time period for filing her formal application for DIC benefits should have been tolled. The appellant asserts that she did not return the application for DIC because she had spoken with a VA benefits counselor who had told her (1) that multiple myeloma was not a condition that could be service connected under the regulations relating to Agent Orange exposure, and (2) that she did not qualify for a non-service-connected pension because her income level was too high.
This Court may apply the doctrine of equitable tolling to extend the 120-day period for filing a Notice of Appeal with this Court. See id. at 1363-68. Equitable tolling is appropriate where “ ‘the claimant has actively pursued his judicial remedies by filing a defective pleading during the statutory period, or where the complainant has been induced or tricked by his adversary’s misconduct into allowing the filing deadline to pass.’ ” Id., at 1364 (quoting Irwin v. Department of Veterans Affairs, 498 U.S. 89, 96, 111 S.Ct. 453, 112 L.Ed.2d 435 (1990)). Even assuming that the doctrine of equitable tolling applies to the one-year period for filing a formal claim under 38 C.F.R. § 3.155(a), cf. Pfau v. West, 12 Vet.App. 515, 517 (1999), under the facts in this case, there was no government misconduct. First, the VARO sent the appellant a formal application form for DIC with instructions that she must file the application within one year to preserve an earlier effective date for an award of DIC. Therefore, the documented, contemporaneous evidence of record shows that the Secretary provided the appellant with the correct advice in 1986 regarding the requirement to file a formal application. Second, if the alleged advice given by the VA employee was that multiple myeloma was not then listed by the Secretary as a disease entitled to presumptive service connection, that advice was correct. In 1986, 38 C.F.R. § 3.311a(c), stated that only chloracne was entitled to the presumption of service connection if the veteran had been exposed to Agent Orange. In fact, section 3.311a(d) specifically stated that sound scientific evidence had not established a relationship between “[a]ny other disease” besides chloracne and Agent Orange exposure. Section 3.31 la(g) did state that service connection for any disease could be established if it was shown by sound scientific or medical evidence to have been incurred or aggravated
Assuming arguendo that the VA employee, who supposedly advised the appellant as to the “Agent Orange” situation in 1986, failed to be prescient as to the jurisprudence of direct service connection that evolved ten years later in Combee v. Brown, 34 F.3d 1039 (Fed.Cir.1994), nonetheless, this “misadvice” (more accurately nonadvice) cannot, nunc pro tunc, be the basis of an equitable waiver. The advice given was correct. If she failed to file a claim because the law that existed when the advice was given was not favorable to her claim, that is not an uncommon situation and is hardly the basis for equitable relief.
The Court holds that under the facts of this case, the doctrine of equitable tolling is not applicable, and the appellant did not file a claim for DIC benefits prior to October 1993. Furthermore, the Court agrees with the Secretary that because the appellant did not file a claim prior to October 1993, a remand by this Court for the Board to apply the Nehmer II decision would not benefit the appellant. Therefore, the Board’s application of G.C. Prec. 15-95 was harmless error. See Winters v. West, 12 Vet.App. 203 (1999) (holding that it was harmless error for the Board to apply the test in Colvin v. Derwinski, 1 Vet.App. 171 (1991), which was overruled by the Federal Circuit, when it was clear that the claim was not well grounded there was no possibility of the appellant prevailing on the claim); cf. Karnas v. Derwinski, 1 Vet.App. 308, 313 (1991) (holding that where the law changes during the pendency of a claim for VA benefits, the version most favorable to the claimant applies unless Congress has provided otherwise).
III. CONCLUSION
After consideration of the record and the pleadings of the parties, the Court holds that the January 1998 decision of the Board is AFFIRMED.
