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

What Constitutes An Inferred Claim For Iu?

Rate this question


Gardener

Question

Can anyone tell me what would constitute an inferred claim for IU (individual unemployability)?

For example,

If one files for service connection (original service connection filing) and in the c-file there is evidence from doctor's statement "saying unemployable" and on original application for benefits (which states: "what prevents you from working? which was what was being filed for) would this be an inferred claim for IU at the time of original filing?

I was granted qualifying percentage for IU (notified 3 years after the original filing) and had not worked for quite sometime before that filing or since, then should the original rater have considered this evidence as an inferred claim for IU or not?

Gardener

Link to comment
Share on other sites

  • Answers 12
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

VA infers IU if the SC rating is 70%.

Did your medical evidence that VA had warrant a 70% rating at the time of the original claim?

What did the VA say in the decision as to how they determined the effective date ?

"I was granted qualifying percentage for IU (notified 3 years after the original filing)"

I am not sure I understand the question-

Did the VA send you the TDIU form? DID you fill it out and send it back? Did they then award you TDIU?

What date did they use and why?

Did you appeal the EED and tell them of the entry as to "unemployable" ?

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

Hi Berta,

Yes, the orginal rating was 70%. There was evidence in the c-file (including my original application which asked "what prevented me from working?: here I listed the condition that I was applying for original service connection (which was then granted at 70%). Even the C&P that was given before the rating of 70% refers to me being unemployed, along with a private doc's statement that I was unemployable due to what I applied for through the VA.

I received this original rating 3 years after filing my original application for service connection (due to an NOD filed with additional evidence proving stressor, and "promptly" filed for TDIU (application was included with the original award letter).

After filing for TDIU I was sent for a C&P and was reduced quite a bit. Then it went to the BVA and it was reversed and awarded TDIU) Then, this was sent to the AMC along with remanded issues (I already received the SSOC on the remanded issues: which are being returned to the BVA). I received a letter from the DAV last month informing me that they granted effective date only to the date of my application for TDIU (which was 3 years after they found me 70%).

I haven't received the "official" award letter as of yet, but expect it soon. I am only trying to find out if it should have gone back to my "original filing date" for service connection on the grounds of an inferred claim for IU with the evidence that was a part of my c-file before they granted the 70%.

I know it is a long story, but I want to make sure I understand if I can file for an EED on the inferred portion.

Thanks,

Gardener

Link to comment
Share on other sites

  • HadIt.com Elder

Remember 4.16B which states if a vet is unemployable due to a SC condition they he/she is entitled to IU. I interpret that to mean if you have evidence of being unemployable due to SC condition that is an inferred claim for IU. The VA may not infer IU unless you are 70%, but that is not what the regulation actually says. VBM notes a hypothetical case where vet has bad smell from SC foot condition. Social worker notes this is a bar to employment. This is an inferred claim for IU. This according to VBM.

Link to comment
Share on other sites

  • HadIt.com Elder

Even when you ask the VA does not always infer. That said I think that you have good evidence to get an earlier effective date

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

My guess on a infers claims is when you had a duction in ratings.If you are not gainful employable due to your service connected disabilities,you should qualify for IU under 4.16B eaxtra schedule.

mpbie16r

Link to comment
Share on other sites

  • HadIt.com Elder

If you are serious about inferred claims you often have to prove it should have been inferred. This is a long term project. For instance, you have evidence that shows the VA should have inferred IU 20 years ago. Now you have to go through appeals to prove what is obvious. This is what lawyers were invented for...the big money.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

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

    • kidva earned a badge
      First Post
    • kidva earned a badge
      Conversation Starter
    • Lebro earned a badge
      Week One Done
    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
  • Our picks

    • 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.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • 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.  
      • 4 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use