I checked one of Alex Humphries posts, the now deceased Veteran advocate lawyer who used to help Veterans by posting on this board. He recommended a law firm, so I called them.
Essentially, I have been awarded 100% P and T, but at an effective date 5 years later than when I applied.
I dont want to mess up my 100% P and T, but on the other hand, strongly feel that my effective date should be in 2002 because I applied for a benefit increase by an informal claim at the Docs office. Alex Humphrey pointed out, in his post, that if a Veteran goes to his doc complaining of unemployment issues, that constitutes an informal claim for TDIU.
Roberson vs Principi states it this way:
when the VA conducts a medical examination . . . if the results indicate an increase in severity in the disability, VA must then evaluate the circumstances as a claim for an increased rating. Further, the Court holds that when an RO is considering a rating increase claim from a claimant who’s schedular rating meets the minimum criteria of section 4.16(a) and there is evidence of current service-connected unemployability . . . evaluation of that rating increase must also include an evaluation of a reasonably raised claim for a TDIU rating. In that situation, where those two criteria are satisfied, a well-grounded TDIU claim is included in every rating-increase claim, and VA would be required to adjudicate that well-grounded TDIU claim.
I have already filed a NOD to the March, 09 RO decision which awarded 100% P and T, disputing the effective date.
If the VA gets away with delaying the Veterans claim for 5 years, then finally awarding benefits with an effective date 5 years later, they have succeeded in swindling the Veteran out of 5 years of benefits.
I really do not think it is fair to other Veterans for me to just sit by and watch the VA do this. My guess is that they have done this to other Veterans.
Veterans need to know that informal claims are a perfectly legitimate way of applying for benefits. Altho I dont recommend not following this up with a formal claim for benefits, informal claims should trigger the VA to assist the Veteran applying for benefits, under this important court case.
These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.
Service Connection
Frost v. Shulkin (2017)
This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected.
Saunders v. Wilkie (2018)
The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.
Effective Dates
Martinez v. McDonough (2023)
This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.
I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful. We decided I should submit a few new claims which we did. He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims. He said that the VA now has entire military medical record on file and would find the record(s) in their own file. It seemed odd to me as my service dates back to 1981 and spans 34 years through my retirement in 2015. It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me. He didn't want my copies. Anyone have any information on this. Much thanks in advance.
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”
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.
Question
broncovet
I checked one of Alex Humphries posts, the now deceased Veteran advocate lawyer who used to help Veterans by posting on this board. He recommended a law firm, so I called them.
Essentially, I have been awarded 100% P and T, but at an effective date 5 years later than when I applied.
I dont want to mess up my 100% P and T, but on the other hand, strongly feel that my effective date should be in 2002 because I applied for a benefit increase by an informal claim at the Docs office. Alex Humphrey pointed out, in his post, that if a Veteran goes to his doc complaining of unemployment issues, that constitutes an informal claim for TDIU.
Roberson vs Principi states it this way:
when the VA conducts a medical examination . . . if the results indicate an increase in severity in the disability, VA must then evaluate the circumstances as a claim for an increased rating. Further, the Court holds that when an RO is considering a rating increase claim from a claimant who’s schedular rating meets the minimum criteria of section 4.16(a) and there is evidence of current service-connected unemployability . . . evaluation of that rating increase must also include an evaluation of a reasonably raised claim for a TDIU rating. In that situation, where those two criteria are satisfied, a well-grounded TDIU claim is included in every rating-increase claim, and VA would be required to adjudicate that well-grounded TDIU claim.
Source: http://www.ll.georgetown.edu/federal/judic...ns/00-7009.html
I have already filed a NOD to the March, 09 RO decision which awarded 100% P and T, disputing the effective date.
If the VA gets away with delaying the Veterans claim for 5 years, then finally awarding benefits with an effective date 5 years later, they have succeeded in swindling the Veteran out of 5 years of benefits.
I really do not think it is fair to other Veterans for me to just sit by and watch the VA do this. My guess is that they have done this to other Veterans.
Veterans need to know that informal claims are a perfectly legitimate way of applying for benefits. Altho I dont recommend not following this up with a formal claim for benefits, informal claims should trigger the VA to assist the Veteran applying for benefits, under this important court case.
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