I currently have a disability claim that va has deferred. It is for heart disease, and they are waiting for the 60 day review period to end. The regulation was finalized Aug 31 for presumptive disability benefits for ischemic heart disease for vets exposed to agent orange. I have been told that they will pay retroactively to the first date of application. I originally applied for my heart condition in 1993 but was denied. How far back will they go if I am approved for benefits?
1 Answer from Attorneys
Generally the effective date of the claim is the date the claim was last filed. In cases where the law or regulation is changed by the government the law states:
3.114 - Change of law or Department of Veterans Affairs issue.
(a) Effective date of award. Where pension, compensation, dependency and indemnity compensation, or a monetary allowance under 38 U.S.C. chapter 18 for an individual who is a child of a Vietnam veteran is awarded or increased pursuant to a liberalizing law, or a liberalizing VA issue approved by the Secretary or by the Secretary's direction, the effective date of such award or increase shall be fixed in accordance with the facts found, but shall not be earlier than the effective date of the act or administrative issue. Where pension, compensation, dependency and indemnity compensation, or a monetary allowance under 38 U.S.C. chapter 18 for an individual who is a child of a Vietnam veteran is awarded or increased pursuant to a liberalizing law or VA issue which became effective on or after the date of its enactment or issuance, in order for a claimant to be eligible for a retroactive payment under the provisions of this paragraph the evidence must show that the claimant met all eligibility criteria for the liberalized benefit on the effective date of the liberalizing law or VA issue and that such eligibility existed continuously from that date to the date of claim or administrative determination of entitlement. The provisions of this paragraph are applicable to original and reopened claims as well as claims for increase.
(1) If a claim is reviewed on the initiative of VA within 1 year from the effective date of the law or VA issue, or at the request of a claimant received within 1 year from that date, benefits may be authorized from the effective date of the law or VA issue.
(2) If a claim is reviewed on the initiative of VA more than 1 year after the effective date of the law or VA issue, benefits may be authorized for a period of 1 year prior to the date of administrative determination of entitlement.
(3) If a claim is reviewed at the request of the claimant more than 1 year after the effective date of the law or VA issue, benefits may be authorized for a period of 1 year prior to the date of receipt of such request. (Authority: 38 U.S.C. 1822, 5110(g)) (b) Discontinuance of benefits. Where the reduction or discontinuance of an award is in order because of a change in law or a Department of Veterans Affairs issue, or because of a change in interpretation of a law or Department of Veterans Affairs issue, the payee will be notified at his or her latest address of record of the contemplated action and furnished detailed reasons therefor, and will be given 60 days for the presentation of additional evidence. If additional evidence is not received within that period, the award will be reduced or discontinued effective the last day of the month in which the 60day period expired.
It is unclear how the Nehmer decision and subsequent legislation will affect these cases. http://cfr.vlex.com/vid/816-nehmer-caused-presumptively-herbicide-19775958
However, your should visit the website operated by the VA for questions concerning these issues http://www.vba.va.gov/bln/21/AO/claimherbicide.htm. If you would still like to talk with someone about it, please call us at 877-838-2889. Thanks!
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