Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Ao Vets Retro And

Rate this question


Berta

Question

I have posted info on the Nehmer Court Order many times before but a local AO vet I am helping has an issue that made me realise-

the Nehmer Court Order is still in force and I sure hope these vet lawyers will comprehend the significance of it-

Beverly Nehmer is widow of a AO veteran and the Nehmer Decision was the most important VA legislation -in my opinion-in decades.

Basically- the 1991 court order was won by NVLSP and it provided special effective date rules for

AO veterans that faill into the specific categories as defined in the Nehmer Stipulation and Court Order.

VA however, "failed to re-open" claims denied prior to 1991 and that were part of the class action that many of the Nehmer veterans were in.

All of us with AO claims are part of the class action.

NVLSP -from 1999 to 2002 found 1200 vets who had been denied proper application of Nehmer as to their EED.

Then NVLSP forced VA to re-review 13,510 diabetes claims.

These DMII vets fell into a specific category for more retro-

they had been denied previous to the DMII regs for DMII SC.

As long as they had filed a claim for SC of diabetes prior to July 9,2001, they were eligible, under the Nehmer Order, for retro back to the date of the claim that the VA had denied.

Some veterans also got even 2 months more retro then the published reg date.

I could write a book here on Nehmer but my point is- Nehmer was and still is a unique situation for AO veterans.I hope the lawyers will all become familiar with this decision.

It changed EEDs for vets and widows of AO vets .

Through NVLSP's excellent prosecution of Nehmer the VA was forced to pay out over $100 million in retroactive payments to AO vets and NVLSP still urges all AO vets to consider the proper application of Nehmer by the VA in processing their claims.

Here are 2 brief examples of how it works-

Page 630 VBM)

1.Vietnam incountry Vet files claim for ulcer SC and the rating decision lists diabetes as NSC- April 1989.

Vet then files claim when the DMII regs come out . His claim for SC DMII due to AO is dated Oct 23, 1991.

The regs were published for AO DMII on May 8, 2001.

This veteran's EED is April 1989. !!!!

2. Vietnam vet dies of lung cancer on Sept 3, 1982.

Widow files timely DIC claim (within one year after death) and is denied in 1984.

Widow appeals and BVA denies in 1985.

On June 6, 1994 the VA adds lung cancer to the AO list.

The widow finds out the regs have been changed and files a second DIC claim in 1994.

The VA grants the new DIC claim.

The widows EED is September 3, 1982. !!!

I bet there are still thousands of AO claims that VA owes on AO retro.!!!!!

I have a local vet I am helping that they might owe 12 years of AO retro to.

at 100%. It is an intricate claim and his rep is leaving next month- so we have to prepare it well for whoever takes his reps place-

If you are an AO veterans - it might pay to take the time to read the info on Nehmer at NVLSP-

My AO claim falls into the Class Action of Nehmer -I am a Category One widow claimant under Nehmer-

and I realised that my lawyer must fully comprehend Nehmer and take this all into consideration-if I have to hire him.

Each claim situation is so unique that it often pays for a veteran to read the full Nehmer court Order and stipulation at NVLSP web site and also read the VBM info on it.

And make sure your lawyer gets it all-and looks over any past denials you might have had for disabilities that subsequently became SC due to AO regs.

In most cases (not all)

if an incountry Vietnam veteran had a disability listed as NSC After September 25, 1985-

in any rating decision----

that subsequently became an AO disability-

the date of the actual AO claim usually NOT the proper EED -the date of the decision listing the disability as NSC is.

One more example -this is what my local vet falls into -he has NHL Lymphoma-

filed claim in 1995.The award was under Sec 1151-BUT they failed to consider this was an AO disability.

The effective date of Non Hodgkins is Aug. 5, 1964.

The VA did not diagnose this disease properly until 1995 and 1151 was granted in 1995.

I believe the VA owes this vet 12 years at 100% for AO NHL.

A challenging situation-

with the misdiagnosis it is difficult to determine when the veterans actually manifested symptoms of NHL but I can give personal testimony to VA as to fact he was symptomatic back to 1988.

I also believe a good search of his med recs will support that date.

Edited by Berta

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

  • Answers 1
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

1 answer to this question

Recommended Posts

sorry all -need to clarify this

Vietnam vet files claim to try to SC ulcer- Claim dated April 1, 1989.

In the decision the rater lists the vets disabilities and lists diabetes as NSC

On Oct 23, 1991 the vet files a claim for DMII due to AO -which the VA grants.

(I think I said this date wrong in prior post)

The veteran's EED is April 1, 1989. (NVLSP page 630)

The EED is retro to the first acknowledgement (NSC diabetes in decision of 1989 claim)

of this now presumptive AO condition and goes back to the date of that prior claim.

Nehmer V. United States Veterans Administration ,284 F 3d. 1158 (9th Circuit 2002), paragra[h 3.816 T (2006)

and Paragraph 5 footnote 1 of 1991 Court Order for Nehmer.

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
    • KMac1181 went up a rank
      Rookie
    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use