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    • My opinion Any new evidence will help you with a NOD. Mine was just a Voc Expert who testifies in VA, SSDI and Railroad Benefits Courts. And even though it sounds silly and anti-progress, i think at this point in time with the games the VA is playing with fast rejections and lowballs have FILLED the frikin Appeals Dockets, we should maybe hold back just ONE bit of evidence, maybe because we kind of already know lowballing is SoP for the bastiches, just have that one bit of evidence ready for your NOD. Once again, just a opinion, and a path i'm taking on my next claim.
    • I thought the same. To be honest I get strong anxiety disgust when I go to the va. Lost trust with the providers there. So part a is free correct? Even if I only have 8 years of solid work and on and off.  As far as part b they are saying that I can lower my rate by signing a earlier effective date my alleged onset date. Which would be a difference of 104.90 starting date June 2011 in which I have to pay an additional 6,517.30. I currently have no medical bills pending throughout that period.  The other one is August 2016 with a premium of 121.80 a month. However, What I don't understand is on the bottom they want to charge me 243.60 due through December 2016. Is that two year enrollment plan?
    • @broncovet @john999 thanks for the feedback, the Peter Principle is exactly what I'm worried about. Since I am SC for PTSD already and filing for an increase, I was concerned that they wouldn't acknowledge any of my treatment records as evidence for increase since the CRNP made diagnosis of MDD on almost every treatment note over the past year. I think he just looks at the thing that's most obvious with me, writes a prescription, and sends me on my way. Maybe he's uncomfortable with the MST part but he has never asked me anything about it, my stressors, etc. When I mentioned my nightmares he didn't ask anything about the nature of them, just prescribed me prazosin. When I mentioned my anxiety and social avoidance, he again didn't ask me anything about it, but he prescribed me hydroxyzine. Aside from the depression, I have all these meds treating me for various PTSD symptoms but that MDD stays right there as my primary dx, and that's what I'm worried about. I'm very afraid they will reject my claim or maybe even reduce my PTSD as not having a current diagnosis and say the depression isn't SC. I guess I just wait and prepare myself.
    • From my experience yes. My initial claim took two years and my current claim,  one increase and one new, is currently at prep for notification and was filed in May. I'm sure this varies greatly by a number of factors. 
    • Dont submit a nod until after the decision.  You have to identify the date of the decision.  Instead, submit new evidence if you have it, or try to get your records fixed: 1.579 Amendment of records. (a) Any individual may request amendment of any Department of Veterans Affairs record pertaining to him or her. Not later than 10 days (excluding Saturdays, Sundays, and legal public holidays) after the date or receipt of such request, the Department of Veterans Affairs will acknowledge in writing such receipt. The Department of Veterans Affairs will complete the review to amend or correct a record as soon as reasonably possible, normally within 30 days from the receipt of the request (excluding Saturdays, Sundays, and legal public holidays) unless unusual circumstances preclude completing action within that time. The Department of Veterans Affairs will promptly either: (1) Correct any part thereof which the individual believes is not accurate, relevant, timely or complete; or (2) Inform the individual of the Department of Veterans Affairs refusal to amend the record in accordance with his or her request, the reason for the refusal, the procedures by which the individual may request a review of that refusal by the Secretary or designee, and the name and address of such official. (Authority: 5 U.S.C. 552a(d)(2)) (b) The administration or staff office having jurisdiction over the recordsinvolved will establish procedures for reviewing a request from an individualconcerning the amendment of any record or information pertaining to theindividual, for making a determination on the request, for an appeal within the Department of Veterans Affairs of an initial adverse Department of Veterans Affairs determination, and for whatever additional means may be necessary for each individual to be able to exercise fully, his or her right under 5 U.S.C. 552a.





NSA-Saigon-ET

Nehmer Class Retro Pay For Ao/ihd Effective Date

28 posts in this topic

Hi all,

Was rereading the Nehmer Class action concerning my AO/IHD original claim.

I am a little confused how the law reads for retro payment dates.

Here is the short background summary.

Service including in-country Vietnam from 1967-1974

First felt Angina pain in 1994 and became a patient of a heart specialist in Cambridge, Ma.

After exhaustive testing was placed on medication and have been every since. (IHD diagnosis of some type, CAD,etc..)

Veteran lost private medical coverage and requested care under VA since 1997, first as a 0% SC and later on at 20% SC.

Archived VAMC records should have the IHD condition listed. I have not requested the older archived records, but did retrieve the newer records for another issue some time ago. They also list the IHD condition. These go back to 2001-2002.

Ok, so the VA has records that confirm this disability all the way back to 1997 and I can get the records from private doctor pretty easily

that take it back to 1994.

The veteran first filed for IHD disability in 2008, which was denied.

So the veteran comes under Nehmer.

The veteran then filed again in spring of 2010 for AO/IHD.

How far back will the Nehmer class take the compensation by law?

Please state the actual sentence for this.

Thanks!

donald

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“As a result of the court order NVLSP obtained in its Agent Orange class action, Nehmer v. U.S. Department of Veterans Affairs, the VA is required to pay you, if your claim is successful, benefits retroactive to the date the VA first received your claim. “

http://www.nvlsp.org/Information/ArticleLibrary/AgentOrange/AO-VABeginsReview.htm

"The veteran first filed for IHD disability in 2008, which was denied.

So the veteran comes under Nehmer."

The date of the 2008 claim is the retro date.

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Hi Berta,

Thanks for your input.

I have copied this small section from the training guide and pasted it here:

Effective Date

The effective date of claims for service connection is the later of the date VA received the claim on which the prior denial was based or the date the disability arose.

For purposes of Nehmer IHD, PD, or HCL claims, the date a disability arose is the date VA had sufficient evidence or information to identify the existence of such a disease or, the evidence or information available was sufficient to "code" IHD, PD, or HCL as a disability pursuant to guidance regarding coding contained in the Veterans Benefits Adjudication Manual M21-1MR, and/or prior versions of such manual.

NOTE: 38 U.S.C. § 5110(g) and 38 C.F.R. § 3.114 do not apply to Nehmer claims.

This says that the original date I filed the claim is the date they could use for the retro award

or

it also says that they can use a date when the condition first became a disabling condition

whichever is later

My VA records show treatment for Arteriosclerosis before my original claim.

Does that change the effective retro date?

-donald

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I agree with Berta somewhat BUT if the VA has it in your records that they knew you had CAD/IHD they could, might maybe will consider another earlier date! keep your fingers and toes crossed and let us know.

This would be handled under Nehmer and would be called an inferred claim BUT again there is a lot of grey areas there!!

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I agree with Berta somewhat BUT if the VA has it in your records that they knew you had CAD/IHD they could, might maybe will consider another earlier date! keep your fingers and toes crossed and let us know.

This would be handled under Nehmer and would be called an inferred claim BUT again there is a lot of grey areas there!![

Simply mentioning or being diagnosed with a condition isn't enough; there must be a positive assertion that it is due to service before it is an inferred claim.

I noticed NSA-Saigon-ET is 20% SC. Now if when he filed a formal claim for SC for the condition that he got 20% for and while undergoing a C&P exam happens to mention to the doc that he thinks that his heart condition is also due to service, if the doc notes this assertion by NSA-Saigon-ET in his report, the decision maker at the RO is required to put the heart condition at issue just like he does the claimed condition. 

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Simply mentioning or being diagnosed with a condition isn't enough; there must be a positive assertion that it is due to service before it is an inferred claim.

I noticed NSA-Saigon-ET is 20% SC. Now if when he filed a formal claim for SC for the condition that he got 20% for and while undergoing a C&P exam happens to mention to the doc that he thinks that his heart condition is also due to service, if the doc notes this assertion by NSA-Saigon-ET in his report, the decision maker at the RO is required to put the heart condition at issue just like he does the claimed condition.

AHHHH! I see what you mean; that would be similar for a case of "duty to assist". The regulation says that the VA must help develop an issue it sees for a benefit to the vet even if the vet has not yet claimed the issue at that time. So, supposedly if the examiner finds a new issue while processing the existing issue, it is supposed to contact the claimant and help them on the new isue as well.

Not the same thing I am asking.

So getting back to the original question I posted :

The training guide says the retro effective date will be from the date of the original claim filed

OR

the date the disability arose.

It is that second part I do not understand.

It defines this as

"For purposes of Nehmer IHD, PD, or HCL claims, the date a disability arose is the date VA had sufficient evidence or information to identify the existence of such a disease "

In my case, the VAMC records show treatment for IHD from before I filed the original claim. These records go back to when I first transferred my health care from private practice to the VA system in 1997. This means to me that the records show the existence of the disease earlier than when I filed the claim.

So my question is this: Can my claim effective date be pushed back to 1997? The evidence I mentioned seems to comply with the training guide statements which says it should be.

-donald

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