‘‘§ 5104A. Binding nature of favorable findings ‘‘Any finding favorable to the claimant as described in section 5104(b)(4) of this title shall be binding on all subsequent adjudicators within the Department, unless clear and convincing evidence is shown to the contrary to rebut such favorable finding.’’.
2. You may request an adjutication by a different (VARO Office) with HLR:
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(5104 B) (2) Such request may specifically indicate whether such review is requested by a higher-level adjudicator at the same office within the agency of original jurisdiction or by an adjudicator at a different office of the agency of original jurisdiction. The Secretary shall not deny such request for review by an adjudicator at a different office of the agency of original jurisdiction without good cause.
3. You must choose between HLR, SCL or NOD, but you can not do more than one with the same claim issue: (Note: If your decision was 2 or more issues, you may elect an SCL on PTSD, and file a NOD to the BVA on the issue of hearing loss, for example. )
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(5104 C). ‘‘(2)(A) Once a claimant takes an action set forth in paragraph (1), the claimant may not take another action set forth in that paragraph with respect to the same claim or same issue contained within the claim until— ‘‘(i) the higher-level review, supplemental claim, or notice of disagreement is adjudicated; or ‘‘(ii) the request for higher-level review, supplemental claim, or notice of disagreement is withdrawn. ‘‘(B) Nothing in this subsection shall prohibit a claimant from taking any of the actions set forth in paragraph (1) in succession with respect to a claim or an issue contained within the claim. ‘‘(C) Nothing in this subsection shall prohibit a claimant from taking different actions set forth in paragraph (1) with respect to different claims or different issues contained within a claim.
The Secretary shall publish on the internet the backlog and average wait times:
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(B) The number of appeals on any docket maintained under section 7107 of such title, as amended by section 2(t), that are pending. (C) The average duration for processing claims and supplemental claims, disaggregated by regional office. (D) The average duration for processing requests for higher-level review under section 5104B of such title, as added by section 2(g), disaggregated by regional office.
Author's note: The average wait times, and backlogs are posted here:
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.
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:
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.
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broncovet
Some changes you may not be aware of:
1. Binding nature of favorable findings:
2. You may request an adjutication by a different (VARO Office) with HLR:
3. You must choose between HLR, SCL or NOD, but you can not do more than one with the same claim issue: (Note: If your decision was 2 or more issues, you may elect an SCL on PTSD, and file a NOD to the BVA on the issue of hearing loss, for example. )
The Secretary shall publish on the internet the backlog and average wait times:
Author's note: The average wait times, and backlogs are posted here:
https://www.benefits.va.gov/reports/detailed_claims_data.asp
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broncovet
Some changes you may not be aware of: 1. Binding nature of favorable findings: 2. You may request an adjutication by a different (VARO Office) with HLR: 3. You must choose between
broncovet
The full text of Public Law 115-55 is here: https://www.govinfo.gov/content/pkg/PLAW-115publ55/pdf/PLAW-115publ55.pdf Apparently the CUE regulations are separate, so you could file a CUE while si
blahsaysme2u
but what does that mean? i went to read the new reg and it doesnt identify how this has changed or how this improves the process.
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