Dependency and Indemnity Compensation Benefits, 61326-61348 [05-21026]
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Federal Register / Vol. 70, No. 203 / Friday, October 21, 2005 / Proposed Rules
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 5
RIN 2900–AL89
Dependency and Indemnity
Compensation Benefits
Department of Veterans Affairs.
Proposed rule.
AGENCY:
ACTION:
SUMMARY: The Department of Veterans
Affairs (VA) has published a series of
Notices of Proposed Rulemaking
(NPRM)s setting out new proposed
regulations governing VA
compensation, pension, burial and
related benefits that would be located in
a new part of the Code of Federal
Regulations. This NPRM adds proposed
regulations concerning dependency and
indemnity compensation (DIC) for a
veteran’s surviving spouse, children,
and parents and general rules relating to
proof of death and service-connected
cause of death to that proposed new
part. The intended effect of the
proposed revisions is to assist claimants
and VA personnel in locating and
understanding these provisions.
DATES: Comments must be received by
VA on or before December 20, 2005.
ADDRESSES: Written comments may be
submitted by: mail or hand-delivery to
Director, Regulations Management
(00REG1), Department of Veterans
Affairs, 810 Vermont Ave., NW., Room
1068, Washington, DC 20420; fax to
(202) 273–9026; e-mail to
VAregulations@va.gov or through https://
www.Regulations.gov. Comments
should indicate that they are submitted
in response to ‘‘RIN 2900–AL89.’’ All
comments received will be available for
public inspection in the Office of
Regulation Policy and Management,
Room 1063B, between the hours of 8
a.m. and 4:30 p.m., Monday through
Friday (except holidays). Please call
(202) 273–9515 for an appointment.
FOR FURTHER INFORMATION CONTACT: Clay
Witt, Chief, Regulations Rewrite Project
(00REG2), Department of Veterans
Affairs, 810 Vermont Avenue, NW.,
Washington, DC 20420, (202) 273–9515.
SUPPLEMENTARY INFORMATION: The
Secretary of Veterans Affairs has
established an Office of Regulation
Policy and Management to provide
centralized management and
coordination of VA’s rulemaking
process. One of the major functions of
this office is to oversee a Regulation
Rewrite Project (the Project) to improve
the clarity and consistency of existing
VA regulations. The Project responds to
a recommendation made in the October
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2001 ‘‘VA Claims Processing Task
Force: Report to the Secretary of
Veterans Affairs.’’ The Task Force
recommended that the Compensation
and Pension regulations be rewritten
and reorganized in order to improve
VA’s claims adjudication process.
Therefore, the Project began its efforts
by reviewing, reorganizing and
redrafting the content of the regulations
in 38 CFR part 3 governing the
compensation and pension program of
the Veterans Benefits Administration.
These regulations are among the most
difficult VA regulations for readers to
understand and apply.
Once rewritten, the proposed
regulations will be published in several
portions for public review and
comment. This is one such portion. It
includes proposed rules regarding DIC
for a veteran’s surviving spouse,
children, and parents and proposed
rules relating to proof of death and
service-connected cause of death. After
review and consideration of public
comments, final versions of these
proposed regulations will ultimately be
published in a new part 5 in 38 CFR.
Outline
Overview of New Part 5 Organization
Overview of Proposed Subpart G
Organization
Table Comparing Current Part 3 Rules With
Proposed Part 5 Rules
Content of Proposed Regulations
General Provisions
5.500 Proof of death.
5.501 Proving death by other means.
5.502 Proving death after 7 years of
continuous, unexplained absence.
5.503 Establishing the date of death.
5.504 Service-connected cause of death.
Dependency and Indemnity Compensation—
General
5.510 Dependency and indemnity
compensation—basic entitlement.
5.511 Special monthly dependency and
indemnity compensation.
5.512 Eligibility for death compensation or
death pension instead of dependency
and indemnity compensation.
Dependency and Indemnity Compensation—
Eligibility Requirements and Payment Rules
for Surviving Spouses and Children
5.520 Dependency and indemnity
compensation—time of marriage
requirements for surviving spouses.
5.521 [Reserved]
5.522 Dependency and indemnity
compensation benefits for survivors of
certain veterans rated totally disabled at
time of death—offset of wrongful death
damages.
5.523 [Reserved]
5.524 Awards of dependency and
indemnity compensation benefits to
children when there is a retroactive
award to a schoolchild.
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Dependency and Indemnity Compensation—
Eligibility Requirements and Payment Rules
for Parents
5.530—Eligibility for, and payment of,
parents’ dependency and indemnity
compensation.
5.531 General income rules.
5.532 Deductions from income.
5.533 Exclusions from income.
5.534 When VA counts parents’ income.
5.535 Adjustments to parents’ DIC when
income is less than anticipated.
5.536 Parents’ dependency and indemnity
compensation rates.
5.537 Payment intervals.
Effective Dates
Note: For information concerning proposed
§§ 5.550 through 5.572, see 69 FR 59072 (Oct.
1, 2004).
5.573 Effective date for dependency and
indemnity compensation rate
adjustments when an additional survivor
files an application.
5.574 Effective dates of awards and
discontinuances of special monthly
dependency and indemnity
compensation.
Omission of rule in 38 CFR 3.22(h).
Endnote Regarding Amendatory Language
Paperwork Reduction Act
Regulatory Flexibility Act
Executive Order 12866
Unfunded Mandates
Catalog of Federal Domestic Assistance
Numbers
List of Subjects in 38 CFR Part 5
Overview of New Part 5 Organization
We plan to organize the part 5
regulations so that all provisions
governing a specific benefit are located
in the same subpart, with general
provisions pertaining to all
compensation and pension benefits also
grouped together. We believe this
organization will allow claimants,
beneficiaries, and their representatives,
as well as VA personnel, to find
information relating to a specific benefit
more quickly than the organization
provided in current part 3.
The first major subdivision would be
‘‘Subpart A—General Provisions.’’ It
would include information regarding
the scope of the regulations in new part
5, delegations of authority, general
definitions, and general policy
provisions for this part.
‘‘Subpart B—Service Requirements for
Veterans’’ would include information
regarding a veteran’s military service,
including the minimum service
requirement, types of service, periods of
war, and service evidence requirements.
This subpart was published as proposed
on January 30, 2004. See 69 FR 4820.
‘‘Subpart C—Adjudicative Process,
General’’ would inform readers about
claims and benefit application filing
procedures, VA’s duties, rights and
responsibilities of claimants and
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beneficiaries, general evidence
requirements, and general effective
dates for new awards, as well as
revision of decisions and protection of
VA ratings. This subpart will be
published as three separate NPRMs due
to its size. The first, concerning the
duties of VA and the rights and
responsibilities of claimants and
beneficiaries, was published on May 10,
2005. See 70 FR 24680.
‘‘Subpart D—Dependents and
Survivors’’ would inform readers how
VA determines whether an individual is
a dependent or a survivor for purposes
of determining eligibility for VA
benefits. It would also provide the
evidence requirements for these
determinations.
‘‘Subpart E—Claims for Service
Connection and Disability
Compensation’’ would define serviceconnected compensation, including
direct and secondary service
connection. This subpart would inform
readers how VA determines entitlement
to service connection. The subpart
would also contain those provisions
governing presumptions related to
service connection, rating principles,
and effective dates, as well as several
special ratings. This subpart will be
published as three separate NPRMs due
to its size. The first, concerning
presumptions related to service
connection, was published on July 27,
2004. See 69 FR 44614.
‘‘Subpart F—Nonservice-Connected
Disability Pensions and Death
Pensions’’ would include information
regarding the three types of nonserviceconnected pension: Improved Pension,
Old-Law Pension, and Section 306
Pension. This subpart would also
include those provisions that state how
to establish entitlement to each pension,
and the effective dates governing each
pension. This subpart will be published
as two separate NPRMs due to its size.
The portion concerning Old-Law
Pension, Section 306 Pension, and
elections of Improved Pension was
published as proposed on December 27,
2004. See 69 FR 77578.
‘‘Subpart G—Dependency and
Indemnity Compensation, Death
Compensation, Accrued Benefits, and
Special Rules Applicable Upon Death of
a Beneficiary’’ would contain
regulations governing claims for DIC;
death compensation; accrued benefits;
benefits awarded, but unpaid at death;
and various special rules that apply to
the disposition of VA benefits, or
proceeds of VA benefits, when a
beneficiary dies. This subpart would
also include related definitions,
effective-date rules, and rate-of-payment
rules. This subpart will be published as
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two separate NPRMs due to its size. The
portion concerning accrued benefits,
special rules applicable upon the death
of a beneficiary, and several effective
date rules, was published as proposed
on October 1, 2004. See 69 FR 59072.
The portion concerning DIC benefits
and general provisions relating to proof
of death and service-connected cause of
death is the subject of this NPRM.
‘‘Subpart H—Special and Ancillary
Benefits for Veterans, Dependents, and
Survivors’’ would pertain to special and
ancillary benefits available, including
benefits for children with various birth
defects.
‘‘Subpart I—Benefits for Filipino
Veterans and Survivors’’ would pertain
to the various benefits available to
Filipino veterans and their survivors.
‘‘Subpart J—Burial Benefits’’ would
pertain to burial allowances.
‘‘Subpart K—Matters Affecting
Receipt of Benefits’’ would contain
provisions regarding bars to benefits,
forfeiture of benefits, and renouncement
of benefits.
‘‘Subpart L—Payments and
Adjustments to Payments’’ would
include general rate-setting rules,
several adjustment and resumption
regulations, and election-of-benefit
rules. Because of its size, proposed
regulations in subpart L will be
published in two separate NPRMs.
The final subpart, ‘‘Subpart M—
Apportionments and Payments to
Fiduciaries or Incarcerated
Beneficiaries,’’ would include
regulations governing apportionments,
benefits for incarcerated beneficiaries,
and guardianship.
Some of the regulations in this NPRM
cross-reference other compensation and
pension regulations. If those regulations
have been published in this or earlier
NPRMs, we cite the proposed part 5
section. We also include, in the relevant
portion of the Supplementary
Information, the Federal Register page
where a proposed part 5 section
published in an earlier NPRM may be
found. However, where a regulation
proposed in this NPRM would crossreference a proposed part 5 regulation
that has not yet been published, we cite
to the current part 3 regulation that
deals with the same subject matter. The
current part 3 section we cite may differ
from its eventual part 5 counterpart in
some respects, but we believe this
method will assist readers in
understanding these proposed
regulations where no part 5 counterpart
has yet been published. If there is no
part 3 counterpart to a proposed part 5
regulation that has not yet been
published, we have inserted
‘‘[regulation that will be published in a
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61327
future Notice of Proposed Rulemaking]’’
where the part 5 regulation citation
would be placed.
In connection with this rulemaking,
VA will accept comments relating to a
prior rulemaking issued as a part of the
Project, if the matter being commented
on relates to both Notices of Proposed
Rulemaking. VA will provide a separate
opportunity for public comment on each
segment of proposed part 5 regulations
before adopting a final version of part 5.
Overview of Proposed Subpart G
Organization
As its title, ‘‘Dependency and
Indemnity Compensation, Accrued
Benefits, Death Compensation Benefits,
and Special Rules Applicable Upon
Death of a Beneficiary,’’ suggests,
proposed subpart G will address a broad
range of VA death benefits. Because of
its length, subpart G will be published
in two separate NPRMs. This NPRM
pertains to those regulations governing
DIC benefits and general provisions
relating to proof of death and serviceconnected cause of death. Although
these regulations have been
substantially restructured and rewritten
for greater clarity and ease of use, most
of the basic concepts contained in these
proposed regulations are the same as in
their existing counterparts in 38 CFR
part 3. However, a few substantive
changes are proposed.
Table Comparing Current Part 3 Rules
With Proposed Part 5 Rules
The following table shows the
relationship between the current
regulations in part 3 and the proposed
regulations contained in this NPRM:
Proposed part 5 section or paragraph
Based in whole or in
part on 38 CFR part 3
section or paragraph
5.500(a) .....................
5.500(b) .....................
5.500(c)(1) .................
5.500(c)(2) .................
5.500(c)(3) .................
5.500(d) .....................
5.500(e) .....................
5.501(a) .....................
5.501(b) .....................
New.
3.211(a).
3.211(d)(1).
3.211(d)(2).
3.211(d)(3).
3.211(b).
3.211(c).
New.
3.211(e), first sentence.
3.211(e), second sentence.
3.211(f) and (g).
3.212(a).
3.212(b).
3.212(b) and (c).
New.
3.212(a).
New.
New.
New.
New.
3.312(c)(3) and (c)(4).
3.5(a).
5.501(c) .....................
5.501(d) .....................
5.502(a) .....................
5.502(b) .....................
5.502(c) .....................
5.503(a) .....................
5.503(b) .....................
5.503(c) .....................
5.504(a) .....................
5.504(b) .....................
5.504(c)(1) .................
5.504(c)(2) .................
5.510(a) .....................
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Proposed part 5 section or paragraph
Based in whole or in
part on 38 CFR part 3
section or paragraph
Proposed part 5 section or paragraph
Based in whole or in
part on 38 CFR part 3
section or paragraph
5.510(b), except for
(b)(1)(ii).
5.510(b)(1)(ii) ............
5.510(c) .....................
5.510(d) .....................
5.511(a) .....................
New.
5.534(a) .....................
3.5(b).
3.5(d).
3.251(a)(1).
3.351(a)(3), (a)(4),
(b), and (c)(3).
3.351(c)(1) and (c)(2).
3.351(e).
3.5(c).
New.
Introduction to 3.54.
3.54(c)(2).
3.54(c)(3).
3.54(c)(1)
New.
Reserved.
3.22(e).
New.
3.22(g).
New.
3.22(f).
3.22(g).
3.22(g).
Reserved.
3.650(c)(2).
5.534(b) .....................
5.534(c) .....................
5.535 .........................
3.650(c)(1).
3.650(c)(1).
New.
3.251(b), Introduction
to 3.262(a).
Introduction to
3.262(a).
3.261(a)(7).
3.261(a)(26).
3.262(h).
Introduction to
3.262(b) and
3.262(b)(1).
3.262(k)(1) and (k)(2).
New.
3.262(k)(1).
3.260(b).
3.262(a)(2) and
(a)(3).
3.262(j)(4).
3.262(o) and (p).
Introduction to
3.262(l), 3.262(l)(4).
3.261(a)(22), and
3.262(a)(1).
3.261(a)(12).
3.262(c), (d), and (f).
3.261(a)(20).
3.262(f).
3.261(a)(13).
Introduction to
3.262(e), (e)(4), (f),
(g), (i)(2), (j)(1),
(j)(2), and (j)(4).
Introduction to
3.262(t), (t)(1).
3.262(k)(5).
3.261(a)(31).
3.262(w).
New.
3.262(a)(2), last sentence.
3.261(a)(22).
New.
5.574(a) .....................
5.574(b)(1) ................
3.251(b) and Introduction to 3.260.
3.260(c), (d), and (f).
3.260(f).
3.660(b), Introduction
and (b)(1).
3.25.
3.25, 3.27(b) and (d).
3.251(a)(2).
3.251(a)(4).
3.251(a)(5).
3.25(a), (c), and (d).
3.25(e).
3.260(f).
3.704(b).
Introduction to 3.30
and 3.30(e).
Introduction to
3.650(a).
3.650(a)(1).
3.650(a)(2).
3.650(b).
Unnumbered paragraph in 3.650(a).
Introduction to
3.650(a).
3.402(c) and 3.404.
3.502(e)(1) and
3.504.
New.
5.511(b) .....................
5.511(c) .....................
5.512 .........................
5.520(a) .....................
5.520(b)(1)(i) .............
5.520(b)(1)(ii) ............
5.520(b)(1)(iii) ............
5.520(b)(1)(iv) ...........
5.520(b)(2) ................
5.521 .........................
5.522(a) and (b) ........
5.522(c)(1) .................
5.522(c)(2) .................
5.522(c)(3) .................
5.522(c)(4) .................
5.522(c)(5) .................
5.522(d) .....................
5.523 .........................
5.524(a), except for
(a)(1).
5.524(a)(1) ................
5.524(b) and (c) ........
5.530 .........................
5.531(a) .....................
5.531(b)(1) ................
5.531(b)(2)(i) .............
5.531(b)(2)(ii) ............
5.531(b)(2)(iii) ............
5.531(c) .....................
5.531(d)(1) and (d)(2)
5.531(d)(3) ................
5.531(d)(4) ................
5.531(e) .....................
5.532(a) .....................
5.532(b) .....................
5.532(c) .....................
5.532(d) .....................
5.532(e) .....................
5.533(a) .....................
5.533(b) .....................
5.533(c) and (d) ........
5.533(e) .....................
5.533(f) ......................
5.533(g) .....................
5.533(h) .....................
5.533(i) ......................
5.533(j) ......................
5.533(k) .....................
5.533(l) through (n) ...
5.533(o) .....................
5.533(p) .....................
5.533(q) .....................
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5.536(a) .....................
5.536(b) .....................
5.536(c) .....................
5.536(d) .....................
5.536(e) .....................
5.536(f)(1) .................
5.536(f)(2) .................
5.536(g) .....................
5.536(h) .....................
5.537 .........................
5.573(a) .....................
5.573(b)(1) ................
5.573(b)(2) ................
5.573(c) .....................
5.573(d) .....................
5.573(e) .....................
5.574(b)(2) ................
Readers who use this table to compare
existing regulatory provisions with the
proposed provisions, and who observe a
substantive difference between them,
should consult the text that appears
later in this document for an
explanation of significant changes in
each regulation. Not every paragraph of
every current part 3 section regarding
the subject matter of this rulemaking is
accounted for in the table. In some
instances other portions of the part 3
sections that are addressed in these
proposed regulations will appear in
subparts of part 5 that are being
published separately for public
comment. For example, a reader might
find a reference to paragraph (a) of a
part 3 section in the table, but no
reference to paragraph (b) of that section
because paragraph (b) will be addressed
in a separate NPRM. The table also does
not include provisions from part 3
regulations that will not be repeated in
part 5. Such provisions are discussed
specifically under the appropriate part 5
heading in this preamble. Readers are
invited to comment on the proposed
part 5 provisions and also on our
proposals to omit those part 3
provisions from part 5.
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Content of Proposed Regulations
General Provisions
5.500
Proof of death.
Proposed § 5.500 is a reorganization of
rules in current § 3.211(a) through (d),
which describe the kinds of evidence
that would suffice as proof of death
applicable in most cases. Section
5.500(a) is new. Section 5.500(a)(1)
states the purpose of § 5.500. Section
5.500(a)(2) provides a rule for applying
§ 5.500, specifically that VA will accept
the evidence described in any relevant
paragraph of § 5.500 as proof of death.
This rule reflects current VA practice
and clarifies that the various methods of
proving death set out in § 5.500 are
alternatives.
Current § 3.211(d) describes various
forms of proof of death VA will accept
when an individual dies abroad. Section
3.211(d)(3) lists ‘‘[a]n official report of
death from the head of the department
concerned, where the deceased person
was, at the time of death, a civilian
employee of such department.’’ We
propose instead to describe this
acceptable form of proof of death, in
§ 5.500(c)(3), as ‘‘[a]n official report of
death of a civilian employee of the U.S.
Government from the employing U.S.
Government entity.’’ This revision
serves to clarify that the rule applies to
a U.S. Government employee and that it
is not limited to employing Federal
entities that are cabinet departments.
Further, reports of death need not
necessarily come from the head of the
employing entity. VA’s concern is that
such a report is an authentic official
report of the Federal entity. Implicit in
the requirement for an official report is
that the report will have been issued by
a person authorized to issue it, but that
person will not necessarily be the
person who is the head of the
employing entity.
5.501
Proving death by other means.
Proposed § 5.501 is based on current
§ 3.211(e) through (g) and long-standing
VA practice. It states the rules on how
to prove death where the evidence
described in proposed § 5.500 is not
available. It includes new § 5.501(a),
which describes the scope of the
section.
Proposed § 5.501(d)(2) clarifies how
VA determines whether death has
occurred in those cases where a body
has not been recovered, or the body
cannot be identified. Current § 3.211(f)
provides that ‘‘[w]here it is indicated
that the veteran died under
circumstances which precluded
recovery or identification of the body,
the fact of death should be established
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by the best evidence, which from the
nature of the case must be supposed to
exist.’’ The ‘‘best evidence’’ requirement
is not explained. However, it is longstanding VA practice to consider
statements from the claimant and other
witnesses describing the facts that led
them to believe that the person in
question died. We also note that this
portion of the regulation should provide
information regarding what to do when
the death of any person, not just a
veteran, is relevant and the body cannot
be recovered or identified. Proposed
§ 5.501(d)(2) addresses these issues by
broadening the scope of this portion of
the regulation to cover the death of any
person whose body cannot be recovered
or identified and by clarifying the kinds
of evidence VA considers in this
situation.
Current § 3.211(f) refers to ‘‘an
official’’ authorized to approve a finding
of the fact of death. Proposed
§ 5.501(d)(3) clarifies that this means an
authorized VA official.
Current § 3.211(e) requires the
submission of affidavits to prove the fact
of death. In line with VA’s current
practice of accepting somewhat less
formal means of proof in most instances,
proposed § 5.501 permits the
submission of either certified statements
or affidavits. (We note that ‘‘certified
statement’’ will be defined in subpart A
of part 5, which will be the subject of
a separate NPRM.)
5.502 Proving death after 7 years of
continuous, unexplained absence.
Proposed § 5.502 provides rules
regarding how a claimant may establish
the fact of a person’s death if that person
has been missing for 7 years or more
and his or her absence is unexplained.
It is derived from current § 3.212.
Current § 3.212 includes a
requirement that ‘‘satisfactory evidence’’
be produced to show a person’s
continued and unexplained absence. In
order to clarify what evidence is
necessary to establish the death of a
missing person, we propose to replace
the phrase ‘‘satisfactory evidence’’ with
‘‘competent, credible evidence’’ because
this term more appropriately describes
the qualities that make such evidence
‘‘satisfactory.’’ VA will propose a
definition of ‘‘competent evidence’’ in a
separate NPRM. ‘‘Credible’’ evidence is
just evidence that is believable.
(‘‘Credible testimony is that which is
plausible or capable of being believed.’’
Caluza v. Brown, 7 Vet. App. 498, 511
(1995).)
All other proposed revisions to the
language of § 3.212 are structural in
nature and do not change the substance
of the regulation.
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5.503
Establishing the date of death.
The fact of death, that is that a person
died, may be established through the
evidence described in §§ 5.500 and
5.501, but that evidence may not show
exactly when death occurred. The exact
date of death may never be known when
the fact of death is established using the
presumption in § 5.502 when there has
been a 7-year unexplained absence.
Proposed § 5.503 sets out rules for
establishing the date of death for VA
purposes in such circumstances.
The current regulation concerning the
7-year-absence death presumption,
§ 3.212(a), refers to an individual who
has been absent ‘‘from his or her home
and family for a period of 7 years or
more.’’ It provides that in such cases
death occurred ‘‘as of the expiration of
such period.’’ It is not entirely clear
from the language used whether the ‘‘or
more’’ is part of ‘‘such period.’’ VA’s
practice has been to presume that death
occurred seven years after the person
was last known to be alive in cases
where the fact of death is established
under current § 3.212 (proposed
§ 5.502). This date of death presumption
is set out more clearly in proposed
§ 5.503(b).
In cases where the fact of death is
proven by the evidence described in
proposed § 5.500 or § 5.501, and not the
7-year-absence rule, but the exact date
of death is unknown, long-standing VA
practice is that the date of death can be
established as the date the deceased
person was last seen alive, the date the
body was found, or any time between
those dates, depending on the
circumstances. Proposed § 5.503(c)
incorporates and clarifies this practice.
It includes standards for setting the date
of death when the body of the deceased
is found and a presumption that, if no
identifiable body is found, the date of
death is the date the deceased was last
known to be alive in the absence of
evidence to the contrary.
5.504 Service-connected cause of
death.
The next regulation in this NPRM
concerns how VA determines whether a
veteran’s death was service connected.
This determination is important to a
veteran’s survivors because a veteran’s
service-connected death is a foundation
for awarding several types of VA
benefits. For example, see proposed
§ 5.510, ‘‘Dependency and indemnity
compensation—basic entitlement,’’ and
§ 3.1600(a) (concerning the serviceconnected burial allowance). Proposed
paragraph (a) of § 5.504 sets this context
and explains that the purpose of the
section is to provide rules on how VA
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determines whether a veteran’s death
was service connected.
Proposed paragraph (b) defines
‘‘service-connected disability’’ for
purposes of proposed § 5.504. An
examination of 38 U.S.C. 1310(a), the
basic authorizing statute for the award
of DIC for service-connected deaths, is
instructive. The statute provides:
(a) When any veteran dies after December
31, 1956, from a service-connected or
compensable disability, the Secretary shall
pay dependency and indemnity
compensation to such veteran’s surviving
spouse, children, and parents. The standards
and criteria for determining whether or not
a disability is service-connected shall be
those applicable under chapter 11 of this
title.
Chapter 11 of Title 38, United States
Code, referenced in 38 U.S.C. 1310(a),
contains the provisions for determining
whether living veterans are entitled to
service connection for disabilities. In
other words, VA determines whether a
disability is service connected in death
cases using the same principles it
applies in determining service
connection for the disabilities of living
veterans. Therefore, § 5.504(b)(1) defines
service-connected disability, in the
context of service-connected cause of
death, as ‘‘(i) * * * a disability that was
service connected at the time of the
veteran’s death, or (ii) [a] disability that
is service connectable under the
provisions of subpart E of this part,
‘Claims for service connection and
disability compensation.’ ’’ (Subpart E
will be the subject of a separate NPRM.)
To preclude an interpretation that a
traumatic death in service was so
sudden that it did not produce a
‘‘disability’’ before death and that the
death was therefore not serviceconnectable, we also propose to state in
§ 5.504(b)(1)(ii) that ‘‘[f]or purposes of
this section, VA will deem a sudden
death in service from trauma to have
been preceded by disability from the
trauma.’’
There is an important exception to the
principle stated in proposed
§ 5.504(b)(1)(i) that (for purposes of
determining service-connected causes of
death) service-connected disabilities
include disabilities that were service
connected at the time of the veteran’s
death. Congress has precluded VA from
granting service connection for the
cause of a veteran’s death in some cases,
even though the disability in question
may have been service connected at the
time of the veteran’s death.
One such case results from 38 U.S.C.
1103(a), which provides that
‘‘[n]otwithstanding any other provision
of law, a veteran’s disability or death
shall not be considered to have resulted
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from personal injury suffered or disease
contracted in the line of duty in the
active military, naval, or air service for
purposes of this title on the basis that
it resulted from injury or disease
attributable to the use of tobacco
products by the veteran during the
veteran’s service.’’ See also Kane v.
Principi, 17 Vet. App. 97, 101 (2003)
(‘‘Thus, the plain language of 38 U.S.C.
§ 1103 expresses the Congressional
intent to no longer award service
connection for a veteran’s death that
results from a service connected disease
that was ‘capable of being attributed’ to
the use of tobacco products during the
veteran’s service.’’).
Another case in which service
connection may not be granted for the
cause of death based on a disability
service connected at the time of death
is the result of 38 U.S.C. 105(a) which
provides, in part, that ‘‘[a]n injury or
disease incurred during active military,
naval, or air service will be deemed to
have been incurred in line of duty and
not the result of the veteran’s own
misconduct when the person on whose
account benefits are claimed was, at the
time the injury was suffered or disease
contracted, in active military, naval, or
air service, whether on active duty or on
authorized leave, unless such injury or
disease was a result of the person’s own
willful misconduct or abuse of alcohol
or drugs.’’ See also VAOPGCPREC 11–
96, 61 FR 66748, 66750 (1996), which
held that ‘‘[s]ection 8052 of the
Omnibus Budget Reconciliation Act of
1990, Pub. L. No. 101–508, § 8052, 104
Stat. 1388, 1388–351, applicable to
claims filed after October 31, 1990,
precludes an injury or disease that is a
result of a person’s own abuse of alcohol
or drugs from being considered incurred
in line of duty and, consequently,
precludes resulting disability or death
from being considered service
connected.’’
We propose to provide for these
Congressionally mandated exceptions,
and any such exceptions that may arise
in the future, by stating the following in
proposed § 5.504(b)(2):
(2) Exception. For purposes of this section,
‘‘service-connected disability’’ does not
include a disability that was service
connected at the time of the veteran’s death
if the law in effect at the time of a survivor’s
claim precludes VA from establishing service
connection for the cause of the veteran’s
death. See § 3.300 of this chapter, ‘‘Claims
based on the effects of tobacco products,’’
and § 3.301(d) of this chapter ‘‘Line of duty;
abuse of alcohol or drugs.’’
We note that current § 3.301(d), crossreferenced in proposed § 5.504(b)(2),
does not yet include provisions based
on Allen v. Principi, 237 F.3d 1368 (Fed.
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Cir. 2001) (concluding that 38 U.S.C.
1110 does not preclude compensation
for an alcohol or drug abuse disability
secondary to a service-connected
disability). However, we anticipated
that we will address that issue in the
part 5 equivalent of § 3.301(d) and that
part 5 regulation would be the one
cross-referenced in the final version of
proposed 5.504.
Proposed § 5.504(c) addresses the
kind of link that must exist between a
service-connected disability and the
veteran’s death in order for VA to
determine that the death was service
connected. It is based on the provisions
of current § 3.312(c). Current § 3.312(c)
distinguishes between ‘‘principal’’ and
‘‘contributory’’ causes of death and
includes elaborate provisions
concerning ‘‘contributory’’ causes of
death. We believe that these provisions
can be simplified considerably.
The causation question can be
adjudicated using two relatively simple
standards that better reflect VA’s longstanding practice and interpretation of
the authorizing statutes. The first
standard would be to determine if the
veteran’s death would have occurred in
the absence of the service-connected
disability, or the combined effects of
multiple service-connected disabilities.
If the answer is that the death would not
have occurred in the absence of the
service-connected disability, or
disabilities, service connection should
be awarded for the cause of the veteran’s
death.
Answering this ‘‘in the absence of’’
question should resolve a broad
spectrum of cases. Sometimes the
answer to the question will depend
upon medical evidence. For example, if
the medical evidence (such as autopsy
reports, reports of the veteran’s final
hospitalization, etc.) shows that the
veteran died of a particular kind of
cancer, then clearly the veteran would
not have died in the absence of that
cancer. If that cancer was service
connected or service connectable, the
death should be service connected.
The ‘‘in the absence of’’ standard
should also work well in other types of
cases that may involve fact finding
beyond the purely medical realm, such
as cases involving service-connected or
service-connectable disabilities that
produce impairment of balance or
physical mobility that plays a role in the
death of a veteran. For example, a
veteran with a service-connected leg
amputation might have died as the
result of a slip and fall accident. A
veteran who was bedridden due to the
service-connected residuals of a stroke
might have died in a home fire. The
literal cause of death might be the
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injuries sustained in the accident or fire,
but the evidence might show that the
impaired mobility due to the serviceconnected disabilities caused the
accident in one case and prevented the
veteran from escaping from the fire in
the other. In both cases, the veteran
would not have died in the absence of
the service-connected disability and
determining that the death is service
connected would be appropriate under
the proposed test.
However, there are circumstances
where death would be service
connected under the provisions in
current § 3.312(c) even though such
death would not satisfy the ‘‘in the
absence of’’ test described above.
Specifically, current § 3.312(c)(3) and
(4) provide:
(3) Service-connected diseases or injuries
involving active processes affecting vital
organs should receive careful consideration
as a contributory cause of death, the primary
cause being unrelated, from the viewpoint of
whether there were resulting debilitating
effects and general impairment of health to
an extent that would render the person
materially less capable of resisting the effects
of other disease or injury primarily causing
death. Where the service-connected
condition affects vital organs as
distinguished from muscular or skeletal
functions and is evaluated as 100 percent
disabling, debilitation may be assumed.
(4) There are primary causes of death
which by their very nature are so
overwhelming that eventual death can be
anticipated irrespective of coexisting
conditions, but, even in such cases, there is
for consideration whether there may be a
reasonable basis for holding that a serviceconnected condition was of such severity as
to have a material influence in accelerating
death. In this situation, however, it would
not generally be reasonable to hold that a
service-connected condition accelerated
death unless such condition affected a vital
organ and was of itself of a progressive or
debilitating nature.
While stated in different ways, the
basic concept in these provisions is the
same. Even though a veteran may have
died of a nonservice-connected
disability, VA may grant service
connection for the cause of death if the
service-connected disability was so
debilitating that death was materially
hastened. VA proposes to preserve this
concept in § 5.504(c)(2), together with
the presumption that such a degree of
debilitation is presumed where a
service-connected disability rated as
100% disabling affects vital organs.
‘‘Vital organs’’ are also defined in this
proposed paragraph as ‘‘those organs
necessary to sustain life, including the
heart, lungs, central nervous system,
liver, and kidneys.’’ (‘‘The word ‘vital’
means necessary to life or essential.’’
Federal Tel. & Radio Corp. v. Associated
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Tel. & Tel. Co., 169 F.2nd 1012, 1015
(3rd Cir. 1948). ‘‘[V]ital * * * 1. Of or
characteristic of life: vital processes. 2.
Necessary to the continuation of life; life
sustaining: vital functions.’’ The
American Heritage Dictionary of the
English Language 1433 (New College
Ed. 1976). ‘‘[V]ital * * * necessary to or
pertaining to life.’’ Dorland’s Illustrated
Medical Dictionary 1834 (28th ed.
1994).)
Dependency and Indemnity
Compensation—General
5.510 Dependency and indemnity
compensation—basic entitlement.
Proposed § 5.510 is the first of several
sequential proposed regulations
explaining DIC benefits for a veteran’s
surviving spouse, children, and parents.
It serves as an introduction to the DIC
program and outlines basic
requirements for DIC entitlement. It
includes provisions from current 38
CFR 3.5(a), (b), and (d).
Proposed paragraph (a) defines DIC
and is derived from current § 3.5(a).
Proposed § 5.510(b) sets out the three
statutory bases for the award of DIC: (1)
Service-connected death during or after
service (38 U.S.C. 1310, ‘‘Deaths
entitling survivors to dependency and
indemnity compensation’’); (2) serviceconnected disability that had been rated
as totally disabling for certain specified
periods of time prior to the veteran’s
death (38 U.S.C. 1318, ‘‘Benefits for
survivors of certain veterans rated
totally disabled at time of death’’); and
(3) death due to incidents occurring
during certain VA-furnished medical,
training, rehabilitation, or compensated
work therapy services (38 U.S.C. 1151,
‘‘Benefits for persons disabled by
treatment or vocational rehabilitation’’).
Proposed paragraph (b) also includes
provisions from current § 3.5(b). Current
§ 3.5(b) includes three different date of
death requirements for basic entitlement
to DIC based upon the interplay
between DIC and a benefit program
called death compensation that DIC
replaced in the 1950s. VA data shows
that fewer than 1,000 persons, primarily
the parents of veterans, are still
receiving death compensation benefits.
On the other hand, more than 300,000
persons are receiving DIC benefits.
Detailed information about the
relationship between DIC and death
compensation was desirable years ago
when current § 3.5 was drafted and VA
was transitioning between the two
death-benefit programs. However, a
simpler explanation of DIC benefits will
now be more useful to most claimants
and VA personnel adjudicating claims.
Therefore, we propose to place death
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compensation rules in a portion of
subpart G dealing with death
compensation (published as part of a
separate NPRM, see 69 FR 59072, Oct.
1, 2004) and include only essential
information about the relationship
between DIC and death compensation in
VA’s DIC regulations, such as proposed
§ 5.510.
Specifically, we state in proposed
§ 5.510(b)(1)(ii) that ‘‘DIC is not payable
unless the service-connected death
occurred after December 31, 1956,
except in the case of certain individuals
receiving or eligible to receive death
compensation who elect to receive DIC
in lieu of death compensation.’’. The
few users seeking more information
about death compensation and the
election of DIC in lieu of death
compensation would be referred to
other sections that address those topics.
In keeping with the simplification of
§ 5.510 in comparison with current
§ 3.5, we have intentionally not repeated
in § 5.510 some of the details in current
§ 3.5(b)(2) concerning entitlement to
elect DIC in lieu of death compensation.
Current § 3.5(b)(2) provides that one of
the bases for DIC entitlement is that
‘‘[d]eath occurred prior to January 1,
1957, and the claimant was receiving or
eligible to receive death compensation
on December 31, 1956 (or, as to a parent,
would have been eligible except for
income), under laws in effect on that
date or who subsequently becomes
eligible by reason of a death which
occurred prior to January 1, 1957.’’
Instead, as previously indicated, we
propose to merely state in
§ 5.510(b)(1)(ii) that ‘‘DIC is not payable
unless the service-connected death
occurred after December 31, 1956,
except in the case of certain individuals
receiving or eligible to receive death
compensation who elect to receive DIC
in lieu of death compensation.’’ We
intend no substantive change. A person
could not be ‘‘receiving, or eligible to
receive, death compensation’’ unless
they were ‘‘receiving or eligible to
receive death compensation on
December 31, 1956 ‘‘ under laws in
effect on that date or * * *
subsequently bec[a]me[] eligible by
reason of a death which occurred prior
to January 1, 1957.’’ And, as also
mentioned previously, rules concerning
death compensation entitlement are
addressed elsewhere in proposed part 5.
The same is true of rules concerning the
election of DIC in lieu of death
compensation.
Finally, in paragraph (d) of proposed
§ 5.510, we state that DIC for parents is
subject to income limitations. This
provision is derived from current 38
CFR 3.251(a).
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61331
5.511 Special monthly dependency
and indemnity compensation.
Proposed § 5.511, based on current 38
CFR 3.351(a)(3), (a)(4), (b), (c), and (e),
provides for payment of increased DIC
benefits to a surviving spouse or parent
based on the need for regular aid and
attendance or being permanently
housebound.
5.512 Eligibility for death
compensation or death pension instead
of dependency and indemnity
compensation.
Proposed § 5.512 explains that VA
may not pay death compensation or
death pension to a person eligible for
DIC based upon a death occurring after
December 31, 1956, subject to the right
of a surviving spouse to elect death
pension in lieu of DIC. This proposed
section is based on current § 3.5(c),
which is, in turn, based on 38 U.S.C.
1317, ‘‘Restriction on payments under
this chapter.’’
Current § 3.5(c) states:
No person eligible for dependency and
indemnity compensation by reason of a death
occurring on or after January 1, 1957, shall
be eligible by reason of such death for death
pension or compensation under any other
law administered by the Department of
Veterans Affairs, except that, effective
November 2, 1994, a surviving spouse who
is receiving dependency and indemnity
compensation may elect to receive death
pension instead of such compensation.
The November 2, 1994, date
referenced in current § 3.5(c) is the
effective date of Pub. L. 103–446, which
added subsection (b) to 38 U.S.C. 1317,
thereby permitting DIC recipients to
elect to receive death pension instead of
DIC. See Veterans’ Benefits
Improvements Act of 1994, Pub. L. 103–
446, section 111(a), 108 Stat. 4645,
4654. Including the date was helpful
during the time when the right to elect
death pension in lieu of DIC was new.
However, we propose to omit it from
this revision inasmuch as elections are
prospective and its inclusion is no
longer necessary.
Current § 3.5(c) speaks of the right of
a surviving spouse ‘‘receiving’’ DIC to
elect death pension. However, under 38
U.S.C. 1317(b), the surviving spouse
need only be eligible for DIC in order to
make this election. Proposed § 5.512(b)
uses the statutory term. No other
substantive changes are proposed.
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Dependency and Indemnity
Compensation—Eligibility
Requirements and Payment Rules for
Surviving Spouses and Children
5.520 Dependency and indemnity
compensation—time of marriage
requirements for surviving spouses.
A surviving spouse must meet various
requirements in order to qualify for DIC
benefits. These include requirements
that the date of his or her marriage to
the veteran, or the length of that
marriage, must fall within certain
parameters. Proposed § 5.520, based on
portions of current § 3.54 and applicable
statutory provisions, sets out the time of
marriage requirements and the ways in
which the requirements can be met.
The first way in which the
requirements can be met is set out in the
introduction to current § 3.54, which
explains that a surviving spouse who
married the veteran before, or during,
the veteran’s service may qualify for
DIC. Three alternative time-of-marriage
requirements, which apply when the
veteran and the surviving spouse were
married after the veteran’s separation
from service, are listed in current
§ 3.54(c). These alternative requirements
are that the surviving spouse was
married to the veteran:
(1) Before the expiration of 15 years after
the termination of the period of service in
which the injury or disease causing the death
of the veteran was incurred or aggravated, or
(2) For 1 year or more, or
(3) For any period of time if a child was
born of the marriage, or was born to them
before the marriage.
This list in current § 3.54(c) is based
on 38 U.S.C. 1304, ‘‘Special provisions
relating to surviving spouses,’’ which
applies to a surviving spouse who is
seeking DIC under 38 U.S.C. 1310.
However, current § 3.54 does not
explain time of marriage requirements
for surviving spouses who married the
veteran after service and who are
seeking DIC under 38 U.S.C. 1151 or 38
U.S.C. 1318. Proposed § 5.520 explains
how the time of marriage requirement
applies to claims for DIC under any of
the three statutory bases for DIC.
The time of marriage requirements are
not specifically addressed in 38 U.S.C.
1151. However, subsection 1151(a)
provides that ‘‘[DIC] under chapter 13 of
this title shall be awarded for a
qualifying * * * death of a veteran in
the same manner as if such * * * death
were service-connected.’’ (Emphasis
added.) Therefore, we conclude that the
three methods in current § 3.54(c) for
meeting the time of marriage
requirements under 38 U.S.C. 1310 also
apply to cases in which DIC is awarded
based upon the provisions of 38 U.S.C.
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1151. Proposed § 5.520(b) includes this
information.
Proposed § 5.520(b)(1)(ii) resolves an
ambiguity in the current regulation. As
noted above, the time of marriage
requirements for eligibility for DIC
under 38 U.S.C. 1151 or 1310 may be
met if the surviving spouse was married
to the veteran for one year or more. We
propose to state that multiple periods of
marriage can be added together to meet
this 1-year marriage requirement. The
one-year marriage requirement is
designed to prevent abuse by sham
‘‘death bed’’ marriages to obtain
benefits. We believe that there is much
less risk of such abuse where the
veteran and the surviving spouse have
had an ongoing close relationship
demonstrated by previous marriage.
This information has been included to
fill a gap in the current regulation.
We believe that this interpretation,
favorable to surviving spouses, is
reasonable. The statute authorizing the
time of marriage requirement, 38 U.S.C.
1304, does not prohibit adding multiple
periods of marriage together. On the
other hand, 38 U.S.C. 1318 does provide
such a prohibition. Specifically, 38
U.S.C. 1318(c)(1) provides that benefits
may not be paid under that section to
a surviving spouse of a veteran unless
‘‘the surviving spouse was married to
the veteran for one year or more
immediately preceding the veteran’s
death.’’ Inasmuch as Congress
prohibited combining multiple
marriages together to meet the 1-year
marriage requirement in 38 U.S.C. 1318
and did not do so in 38 U.S.C. 1304, we
believe it was Congress’ intent not to
apply the prohibition to other claims for
DIC. Norman J. Singer, Sutherland On
Statutory Construction § 46:06 (6th ed.
2000) (‘‘when the legislature uses
certain language in one part of the
statute and different language in
another, the court assumes different
meanings were intended. In like
manner, where the legislature has
carefully employed a term in one place
and excluded it in another, it should not
be implied where excluded.’’).
Therefore, we have included in
proposed § 5.520(b)(1)(ii) that multiple
periods of marriage may be combined to
meet the 1-year marriage requirement
for claims of DIC based on 38 U.S.C.
1151 or 1310.
Proposed § 5.520(b)(2) describes the
methods of meeting the time of marriage
requirements under 38 U.S.C. 1318,
which only provides for two methods of
meeting the requirements. Following the
statute, proposed paragraph (b)(2) omits
the provision for marriage ‘‘[b]efore the
expiration of 15 years after the
termination of the period of service in
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which the injury or disease causing the
death of the veteran was incurred or
aggravated.’’
Concerning the one-year marriage
requirement in claims based on 38
U.S.C. 1318, we have previously noted
that the statute provides that benefits
may not be paid to a surviving spouse
unless ‘‘the surviving spouse was
married to the veteran for one year or
more immediately preceding the
veteran’s death.’’ 38 U.S.C. 1318(c)(1)
(emphasis added). VA interprets this
provision to mean that multiple periods
of marriage cannot be added together to
meet the 1-year marriage requirement
for purposes of eligibility for DIC under
38 U.S.C. 1318. In order to satisfy the
one-year marriage requirement, the
veteran and spouse must have been
married continuously for a year or more
immediately prior to the veteran’s
death. Therefore, we propose to add the
requirement for continuity of the
marriage during the year prior to the
veteran’s death to paragraph
§ 5.520(b)(2).
5.521 [Reserved]
VA proposes to set out in §§ 5.521 and
5.522 the rules concerning the payment
of DIC benefits to the survivors of
certain deceased veterans who received,
or were entitled to receive,
compensation for service-connected
disability rated as totally disabling.
These rules would be based on the
statute that authorizes DIC on this basis,
38 U.S.C. 1318, and VA’s implementing
regulation, current § 3.22.
However, we propose to simply
reserve § 5.521 for purposes of this
NPRM. VA is undertaking a separate
rulemaking to respond to a decision by
the United States Court of Appeals for
the Federal Circuit in National
Organization of Veterans’ Advocates,
Inc. v. Secretary of Veterans Affairs, 314
F.3d 1373 (Fed. Cir. 2003). See 69 FR
62229 (2004). This proposed rulemaking
involves revision of provisions of
current § 3.22(b), which defines
‘‘entitled to receive’’ for purposes of
determining whether a veteran’s
survivors are entitled to benefits under
38 U.S.C. 1318. See 38 U.S.C. 1318(b).
We propose to reserve § 5.521 as the
eventual location for a part 5 regulation
that will repeat the material in § 3.22(b)
after the final amendment of § 3.22(b) is
adopted.
5.522 Dependency and indemnity
compensation benefits for survivors of
certain veterans rated totally disabled at
time of death—offset of wrongful death
damages.
VA is required by 38 U.S.C. 1318(d)
to offset the value of money or property
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a surviving spouse or child may receive
‘‘pursuant to an award in a judicial
proceeding based upon, or a settlement
or compromise of, any cause of action
for damages’’ for the death of a veteran
against any death benefits to which the
spouse or child may be entitled under
38 U.S.C. 1318. Current § 3.22(e)
implements this requirement. In
proposed § 5.522, the part 5 replacement
for § 3.22(e), we have restructured this
material in more readily understandable
language and to provide additional
information about how the offset should
be calculated.
An opinion by the United States Court
of Appeals for Veterans Claims in Bryan
v. West, 13 Vet. App. 482 (2000), shows
the need for regulatory guidance
concerning how offsets are calculated.
In Bryan the Court remanded a case to
the Board of Veterans’ Appeals in order
for the Board to decide the following
matters with respect to a 38 U.S.C.
1318(d) offset: ‘‘(1) How much money
was received by a plaintiff other than
[the VA claimant]; (2) Whether the
money received by such a plaintiff was
received ultimately by [the VA
claimant] through estate distribution; (3)
If so, whether such distribution was
considered received by [the VA
claimant]; and (4) Whether the money
received by her attorney was, in
contemplation of law, ‘received’ by [the
VA claimant].’’ Proposed § 5.522
addresses these and other practical
issues.
Proposed § 5.522(c)(1) incorporates a
concept favorable to VA claimants
(because it would reduce the amount of
offset) from a 1997 Precedent Opinion
by VA’s General Counsel,
VAOPGCPREC 3–97, which states:
Section 1318(d) of title 38, United States
Code, requires offset against survivors’
benefits payable under section 1318 of
amounts received by the beneficiary pursuant
to an award, settlement, or compromise
based on a claim for damages resulting from
the death of a veteran, i.e., the types of
damages typically recoverable under state
wrongful death statutes, but does not require
offset of amounts received pursuant to a
survival action as compensation for injuries
suffered by the veteran prior to his or her
death.
Legislative history is of some
assistance in determining other aspects
of how the offset should be calculated.
VAOPGCPREC 3–97 includes the
following information, at paragraph 10:
The legislative history indicates that the
purpose of providing DIC in the case of such
non-service-connected deaths was to provide
a measure of income to the surviving spouse
or child to replace the support lost when the
veteran died. In a report prepared during
consideration of that legislation, the Senate
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Committee on Veterans’ Affairs stated that
‘‘[t]he appropriate Federal obligation to these
survivors should, in the Committee’s view,
be the replacement of the support lost when
the veteran dies.’’ S. Rep. No. 1054, 95th
Cong., 2d Sess. 28 (1978), reprinted in 1978
U.S.C.C.A.N. 3465, 3486. Similarly, the basis
for authorizing such benefits was described
during floor debates as follows:
The purpose of those benefits is to provide
income security to the survivors. This reflects
the Committee’s view that the veteran’s total
disability endured over a lengthy period of
time, necessarily results in a substantial
impairment of the veteran’s ability to provide
for his or her survivors; and that the primary
purpose of the new benefit is to compensate
for that impairment.
124 Cong. Rec. S12687 (daily ed. Aug. 7,
1978) (statement of Sen. Cranston). * * *
Particularly in view of Congressional
intent that 38 U.S.C. 1318 benefits are
to provide for the survivors’ support, we
propose to look to whether the money
or property received is actually
available to meet the claimants’ needs
and obligations, rather than the
technical form in which the money or
property is passed to the claimant, in
calculating the offset under 38 U.S.C.
1318(d). In this regard, we propose to
adopt the rationale in paragraph 13 of
VAOPGCPREC 3–97:
13. Finally, we note that the reference in
section 1318(d) to amounts received
‘‘pursuant to’’ an award, settlement, or
compromise may be intended to indicate that
the surviving spouse or child need not have
been an actual party to the action, but need
only have received money or property of
value ‘‘pursuant to’’ the action. Many state
statutes require wrongful death actions to be
brought by a representative of the estate or
other designated representative, although
such actions are for the exclusive benefit of
the actual beneficiaries. 22A Am. Jur. 2d
Death § 399. The phrase ‘‘pursuant to’’ may
be read as clarifying that offset will be
required against amounts received by the
actual beneficiaries pursuant to a wrongful
death action regardless of whether the
beneficiaries were individually named as
parties in the award, settlement, or
compromise.
Under proposed § 5.522(c)(2), any
amounts used to pay a third party to
satisfy a legal obligation of the claimant
would be considered as ‘‘received’’ by
the claimant regardless of whether the
claimant receives the damages and pays
the third party directly or whether the
third party is paid on the claimant’s
behalf by the party liable for the
damages. This view is consistent with
long-standing VA policy that attorney’s
fees, court costs and other expenses
incident to a civil claim are not
deductible from the total amount
awarded or accepted. For example,
current § 3.22(g) provides that when a
VA beneficiary reports money or
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61333
property received, ‘‘[e]xpenses incident
to recovery, such as attorney’s fees, may
not be deducted from the amount to be
reported.’’ However, in providing that
damages going to pay attorney’s fees and
costs be included in the offset, proposed
§ 5.522(c)(2) limits the amount included
to the particular claimant’s proportional
share of fees and costs in cases where
the recovered damages are payable to
multiple parties.
The 38 U.S.C. 1318(d) offset would
not normally include damages payable
to another person or entity. However,
because the focus of 38 U.S.C. 1318(d)
is on who receives the money or
property, that exclusion does not apply
where the other person or entity is
merely acting as a conduit to pass the
money or property recovered to the
claimant. For example, a wrongful death
award paid to a veteran’s estate that is
then distributed to the claimant, or paid
into a trust for the benefit of the
claimant, would be included in the
offset. We propose to address this
situation in § 5.522(c)(3).
Another addition to proposed § 5.522
provides for determining the date of the
valuation of property for purposes of
this section. Current § 3.22(g) requires,
in part, that a beneficiary receiving DIC
under 38 U.S.C. 1318 report the value of
property received as damages for the
death of a veteran at fair market value,
but is silent as to the time of valuation
of such property. The statute, 38 U.S.C.
1318, is also silent as to the time of
valuation. We propose to fill this gap by
providing, in § 5.522(c)(5), that the
property be valued at its fair market
value at the time the claimant receives
it. We believe that this is most
consistent with the expressed
Congressional intent that these DIC
benefits serve to provide for the support
of the veteran’s survivors.
Proposed paragraph (d), based on
current § 3.22(g), states the DIC
beneficiary’s obligation to report
wrongful death recoveries to VA. We
propose to add that overpayments
created by failure to report will be
subject to recovery if not waived. The
instructions for VA Form 21–534,
‘‘Application for Dependency and
Indemnity Compensation, Death
Pension and Accrued Benefits by a
Surviving Spouse or Child (Including
Death Compensation if Applicable),’’
notify claimants of the reporting
requirement described in proposed
§ 5.522(d).
5.523 [Reserved]
As indicated in the discussion
concerning reservation of § 5.521, VA is
undertaking a separate rule-making to
respond to a decision by the United
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States Court of Appeals for the Federal
Circuit in National Organization of
Veterans’ Advocates, Inc. v. Secretary of
Veterans Affairs, 314 F.3d 1373 (Fed.
Cir. 2003). See 69 FR 62229 (2004). That
proposed rulemaking involves revision
of provisions of current § 3.5(e) relating
to the rates of DIC payable to surviving
spouses and moving those provisions
into new § 3.10. We propose to reserve
§ 5.523 as the eventual location for the
part 5 regulation that will repeat the
material in proposed § 3.10 when § 3.10
is adopted as a final rule.
5.524 Awards of dependency and
indemnity compensation benefits to
children when there is a retroactive
award to a school child.
Under 38 U.S.C. 1313, ‘‘Dependency
and indemnity compensation to
children,’’ DIC is payable to eligible
children when there is no surviving
spouse entitled to DIC. The total amount
payable to the children, which varies
according to the number of eligible
children, is divided and paid to the
children in equal shares. However, there
is an exception to the equal-share rule
that applies to a retroactive payment to
a child whose entitlement terminated
when he or she reached eighteen years
of age, but who later reestablished
entitlement because he or she is
pursuing a course of instruction at an
approved educational institution.
We have addressed rules concerning
this exception, currently found in
§ 3.650(c), in proposed § 5.524. In an
effort to make them more
understandable, we have substantially
restructured the text. In proposed
§ 5.524(a), ‘‘Applicability,’’ we have also
provided more context by including a
description of the equal-share rule and
a better description of the exception to
that rule that § 5.524 addresses.
Because of requirements of 38 U.S.C.
5111, ‘‘Commencement of period of
payment,’’ payment of newly awarded
or increased DIC does not begin to
accrue until the first day of the calendar
month following the month in which
the award or increased award became
effective. For that reason, proposed
§ 5.524 refers to the ‘‘payment
commencement date,’’ rather than the
‘‘effective date,’’ in some instances.
We have not included the provisions
in § 3.650(c)(3) that state the method for
determining retroactive awards to a
school child for periods prior to October
1, 1981 (a date established by Congress
in the Veterans’ Disability
Compensation, Housing, and Memorial
Benefits Amendments of 1981, Pub. L.
97–66, 95 Stat. 1026). We propose to
omit this provision because we believe
that all eligible dependents who could
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be affected by the provision have
already received their benefits. In the
unlikely event that the need should
arise, VA could process the retroactive
award relying on applicable statutory
authority.
Dependency and Indemnity
Compensation—Eligibility
Requirements and Payment Rules for
Parents
5.530 Eligibility for, and payment of,
parents’ dependency and indemnity
compensation.
Proposed § 5.530 serves as an
introduction to a group of regulations
concerning parents’ DIC and provides a
brief overview of that VA benefit
program.
As noted previously, proposed
§ 5.510(b) sets out the three statutory
bases for the award of DIC. Proposed
paragraph § 5.530(a) explains that only
two of those bases are applicable to
parents’ DIC. This is because 38 U.S.C.
1318, which provides for payment of
DIC to the survivors of certain veterans
with a service-connected disability rated
as totally disabling at the time of their
death, only provides benefits to the
veteran’s surviving spouse and children.
Unlike DIC benefits payable to
surviving spouses and children, parents’
DIC is an income-based benefit program.
Under 38 U.S.C. 1315(b) the amount of
parents’ DIC payable bears an inverse
relationship to the amount of the
parents’ income and no DIC is payable
if the parents’ income exceeds statutory
limits. Proposed paragraph 5.530(b)
states these principles and, through a
cross-reference, points readers to
subsequent part 5 sections that provide
income and payment rate rules.
Some income-based VA benefit
programs also consider the claimant’s
net worth in determining payments. For
example, eligibility for certain benefits
requires a specific finding that a parent
was actually ‘‘dependent’’ upon the
veteran, and VA considers the parent’s
net worth in making such findings. See
38 U.S.C. 102, 1115, 1121, 5121; 38 CFR
3.263(a). However, that is not the case
with parents’ DIC, as 38 U.S.C 1315
does not require a specific finding of
dependency, but merely provides that
DIC may be paid to a veteran’s parent,
subject to reduction based on the
parent’s income. We therefore propose
to state in paragraph 5.530(c) that net
worth is not a factor in determining
entitlement to parents’ DIC or the
amount of parents’ DIC payable.
5.531
General income rules.
Proposed § 5.531 is based on 38
U.S.C. 1315(f), which contains the basic
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statutory rules for determining what
counts as income for parents’ DIC
purposes, and portions of current
§§ 3.251, 3.260, 3.261 and 3.262 that
implement that statute.
Proposed paragraph 5.531(a) states the
basic statutory rule that VA must count
all payments of any kind from any
source in determining income.
Beginning with this basic rule permits
simplification of the proposed
regulation because the all-inclusive
nature of the basic rule eliminates any
need to catalog types of countable
income. All income that a parent
receives is income for parents’ DIC
purposes unless there is a specific
exclusion. For example, with this
beginning point, provisions such as the
first sentence of current § 3.262(j)(2)
(providing that, with respect to life
insurance, ‘‘the full amount of payments
is considered income as received’’)
become redundant and need not be
carried forward. We have also included
a cross-reference to proposed § 5.533,
‘‘Exclusions from income,’’ where the
exceptions to the general rule in
paragraph (a) may be found.
Because VA must count all payments,
it is necessary to know what VA
includes in and excludes from the term
‘‘payments.’’ Proposed § 5.531(b) serves
that function. It is based on various
rules from portions of current §§ 3.261
and 3.262. See the ‘‘Table comparing
current part 3 rules with proposed part
5 rules’’ earlier in the supplementary
information.
Proposed § 5.531(c) provides that if a
parent is married, ‘‘income’’ is the
combined income of the parent and the
parent’s spouse, except if the marriage
has been terminated or the parent is
separated from his or her spouse. We
also propose to state in paragraph (c)
that ‘‘[i]ncome is combined whether the
parent’s spouse is the veteran’s other
surviving parent or the veteran’s
stepparent.’’ We believe that this is a
clearer statement of the principle in the
introduction to current § 3.262(b),
which provides that ‘‘[i]ncome of the
spouse will be determined under the
rules applicable to income of the
claimant.’’ The income rules in
proposed § 5.531 are applicable to a
parent. The spouse of a claimant-parent
will always be either the veteran’s other
parent (in which case the rules would
expressly apply) or the veteran’s
stepparent.
Proposed paragraph (d) provides the
rules VA uses to determine whether
income from property is the income of
a parent. Property ownership is an
important indicator of the right to
income from that property, but it is not
always controlling. In keeping with
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long-standing VA practice, we propose
to state in paragraph (d)(3) that if a
parent transfers ownership of incomeproducing property to another person or
legal entity, but retains the right to that
income, the income will be counted.
Current § 3.262(k)(1) provides, in part,
that ‘‘if property is owned jointly each
person will be considered as owning a
proportionate share. The claimant’s
share of property held in partnership
will be determined on the facts found.’’
Current § 3.262(k)(2) provides, in part,
that the ‘‘claimant’s share [of income]
will be determined in proportion to his
right according to the rules of
ownership.’’ We propose to combine
these provisions in § 5.531(d)(4) by
stating that ‘‘[i]n the absence of
evidence showing otherwise, VA will
consider a parent who owns property
jointly with others, including
partnership property, to be entitled to a
share of the income from that property
proportionate to the parent’s share of
ownership. VA will accept the
claimant’s statement concerning the
terms of ownership in the absence of
evidence to the contrary.’’ The last
sentence of paragraph (d)(4) follows the
last sentence of current § 3.261(k)(1).
Current § 3.260(b) provides rules for
how VA calculates income when there
is uncertainty about the amount of
income a parent will receive during a
calendar year. We propose, in § 5.531(e),
to more clearly explain the process
involved. We also propose to include a
cross-reference to proposed § 5.535,
‘‘Adjustments to parents’ DIC when
income is less than anticipated,’’ to
assist users of the proposed regulation
in finding information about submitting
amended income information.
5.532 Deductions from income.
While all income is counted except
where there is statutory authority to
exclude it, VA permits deductions from
countable income in some instances.
That is, the amount of income
ultimately counted is the difference
between income and certain deductible
expenses directly associated with that
income. Proposed § 5.532 lists permitted
deductions. These deductions are the
same as those included in current
§ 3.262. However, we propose to add
some clarifications, as described in the
following paragraphs.
Proposed § 5.532(a) continues a rule
in current § 3.262(a)(2) that permits the
deduction of expenses incident to the
operation of businesses and professions
from income from those sources. We
propose to clarify that ‘‘business’’
includes the operation of a farm and
transactions involving investment
property. Because of this definitional
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change, it is only necessary to state in
§ 5.532(a) that losses sustained in
operating a business or profession may
not be deducted from income from any
other source. This is consistent with the
rule in current § 3.262(a)(3) that states
that ‘‘[a] loss sustained in operating a
business, profession, or farm or from
investments may not be deducted from
income derived from any other source.’’
Note also that current § 3.262(a)(3)
implies that investment income is
counted and that current § 3.262(k)(5)
provides, with respect to DIC, that profit
from the sale of nonbusiness property is
not counted. With respect to
investments, VA only counts income
when the investment property is sold
and does not constantly adjust income
based on increases or decreases in the
market value of investment property
due to market fluctuations. Therefore,
VA essentially already treats investment
transactions as business transactions.
Proposed § 5.532(b) continues a
provision in current § 3.262(j)(4) that
permits deduction of related medical,
legal, or other expenses from sums
recovered under disability, accident, or
health insurance. Of course the same
expenses cannot be deducted twice.
Therefore, we propose to state in
§ 5.532(b) that if medical expenses are
deducted under that paragraph, they
cannot be deducted as unusual medical
expenses under § 5.532(d).
Proposed § 5.532(d) states the rules
for deducting unusual medical
expenses, as authorized by 38 U.S.C.
1315(f)(3) and described in current
§ 3.262(l). Among other things, the latter
permits deduction of the unusual
medical expenses of relatives of a parent
or, under some circumstances, of a
parent’s spouse who are ‘‘constructive
members’’ of the household. See
§ 3.262(l)(4). However, there is no
definition of what a ‘‘constructive’’
household member is. In VAOPGCPREC
61–90, VA’s Office of General Counsel
discussed exceptions that had been
carved out of the general rule that a
‘‘household’’ is comprised of those who
dwell under the same roof and compose
a family. The General Counsel then
observed that:
We regard the foregoing exceptions with
respect to the language ‘‘who is a member of
a veteran’s household’’ generally as
recognizing any situation where it may be
reasonably assumed that the parties would be
dwelling under one roof but for unusual or
unavoidable circumstances, such as one
temporary in nature or one beyond the
control of the parties and wherein the family
ties and relationship continue and the parties
considered themselves morally bound to care
for each other.
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61335
We believe that this statement
captures the meaning of ‘‘constructive’’
household membership. However rather
than referring to constructive household
members and then defining that term,
we propose to use a simpler approach
by stating in § 5.532(d)(1)(i) that ‘‘[a
family member] includes a relative who
would normally be a resident of the
household, but who is physically absent
due to unusual or unavoidable
circumstances, such as a child away at
school or a family member confined to
a nursing home.’’
We have not repeated in proposed
§ 5.532(d) a restriction in current
§ 3.262(l)(4) that limits the exclusion of
unreimbursed amounts a parent pays for
the unusual medical expenses of the
parent’s relatives who are members, or
‘‘constructive members,’’ of the parent’s
household to relatives ‘‘in the ascending
as well as descending class.’’ We
construe this to mean relatives in the
parents’ direct line. (Ascendant means
‘‘[o]ne who precedes in lineage, such as
a parent or grandparent.’’ Black’s Law
Dictionary 121 (8th ed. 2004).
Descendant means ‘‘[o]ne who follows
in lineage, in direct (not collateral)
descent from a person. Example are
children and grandchildren.’’ Id. at 476.)
This would appear to exclude, for
example, the medical expenses of an
orphaned niece or nephew who had
been taken into the parent’s household.
This restriction to the ascending and
descending class is not required by
statute. The authorizing statute, 38
U.S.C. 1315(f)(3), merely states that
‘‘[t]he Secretary [of Veterans Affairs]
may provide by regulation for the
exclusion from income under this
section of amounts paid by a parent for
unusual medical expenses.’’ We do not
believe that the restriction is necessary,
particularly because the deduction is
already limited in several ways that
should serve to deter any abuse. The
deduction is limited to expenses of
persons who are relatives, who are
members of the parent’s household (or
who would be a member of the
household absent unusual or
unavoidable circumstance), and to
whom the parent has a moral or legal
obligation of support. We also note that
there is no such restriction with respect
to medical expenses deductions used in
calculating VA’s largest income-based
program, Improved Pension. See current
§ 3.272(g)(1)(i). We believe that VA’s
rules for determining income for
purposes of administering its incomebased programs should be consistent
unless the law requires otherwise.
The term ‘‘medical expenses’’ is used
in a number of regulations in current
part 3 and would similarly appear in a
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number of regulations in proposed part
5. Therefore, we will propose a
centralized definition of that term in a
separate NPRM as part of the Project.
This is the definition referenced in
proposed § 5.532(d)(1)(ii).
5.533
Exclusions from income.
Income that VA does not count when
calculating parents’ income is listed in
proposed § 5.533. Paragraph (a) is based
on 38 U.S.C. 1315(f)(1)(A), which
excludes ‘‘payments of the six-months’
death gratuity.’’ However, we propose to
change the description to ‘‘death
gratuity payments by the Secretary
concerned under 10 U.S.C. 1475
through 1480.’’ The phrase ‘‘six-months’
death gratuity’’ is obsolete. While the
death gratuity consisted of six-months’
pay when originally enacted (see Pub. L.
66–99, 41 Stat. 367 (1919)), that is no
longer the case. Over the years these
death gratuity payments have evolved
into a fixed sum, rather than a variable
amount equal to six-months’ pay. See 10
U.S.C. 1478. As would be provided in
proposed paragraph (a), this exclusion
extends to death gratuity payments in
lieu of payments under 10 U.S.C. 1478
made to certain survivors of ‘‘Persian
Gulf conflict’’ veterans as authorized by
the Persian Gulf Conflict Supplemental
Authorization and Personnel Benefits
Act of 1991. See Pub. L. 102–25, Title
III, Part A, § 307, 105 Stat. 82 (1991).
(Note that the phrase ‘‘Secretary
concerned’’ is defined currently in
§ 3.1(g). It will also be defined in § 3.1’s
part 5 equivalent, to be published in
another NPRM.)
Subsection (f)(1)(B) of 38 U.S.C. 1315
excludes ‘‘donations from public or
private relief or welfare organizations’’
from income for parents’ DIC purposes.
Proposed § 5.533(b) would combine
material from several portions of current
§ 3.262 that explain how VA interprets
this exclusion. One of these is current
§ 3.262(f), which states that ‘‘[b]enefits
received under noncontributory
programs, such as old age assistance, aid
to dependent children, and
supplemental security income are
subject to the rules contained in
paragraph (d) of this section applicable
to charitable donations.’’ We propose to
remove the references to the Old Age
Assistance program and the Aid to
Dependent Children program because
these programs no longer exist. The Old
Age Assistance program was phased out
and totally replaced by the
Supplemental Security Income program
in 1972 and the Aid to Dependent
Children program became a federal
block grant known as Temporary
Assistance to Needy Families in 1996.
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Section (f)(1)(C) of 38 U.S.C. 1315
provides that several types of VA benefit
payments are not counted in
determining income for parents’ DIC
purposes. These include payments
made under 38 U.S.C. chapter 15, the
chapter that authorizes VA’s current
Improved Pension program, and ‘‘under
the first sentence of section 9(b) of the
Veterans’ Pension Act of 1959.’’ The
referenced sentence preserved the rights
of persons receiving earlier types of
pension to continue to receive that
pension at the time that Section 306
pension was introduced. The Veterans’
and Survivors’ Pension Improvement
Act of 1978, Pub. L. 95–588, 92 Stat.
2497 (1978), introduced the current
Improved Pension program. Section
306(b)(1) of that public law explicitly
repealed section 9(b) of the Veterans’
Pension Act of 1959. See 92 Stat. 2509.
However, section 306(b)(3) of Pub. L.
95–588 provides that those who do not
elect to receive Improved Pension ‘‘shall
continue to receive pension at the
monthly rate being paid to such person
on December 31, 1978, subject to all
provisions of law applicable to basic
eligibility for and payment of pension
under section 9(b) of the Veterans’
Pension Act of 1959, as in effect on
December 31, 1978.’’ 92 Stat. 2509. We
interpret these various provisions
together as excluding all VA nonserviceconnected disability and death pension
payments from income for parents’ DIC
purposes, as currently provided in
§ 3.261(a)(20). That rule is stated in
§ 5.533(c)(3).
Another exclusion from parents’
countable income, found at 38 U.S.C.
1315(f)(1)(G), is ‘‘10 percent of the
amount of payments to an individual
under public or private retirement,
annuity, endowment, or similar plans or
programs.’’ VA has traditionally
construed this ten-percent exclusion to
apply to a broad range of payments for
disability or death, including payments
pursuant to insurance policies, statutory
retirement or disability-compensation
programs, and tort damages collected
pursuant to employer’s liability statutes.
In a 1966 opinion, designated as VA
Administrator’s Decision 989, the
Administrator of Veterans’ Affairs
applied the principle that statutes
should be construed in favor of veterans
and reasoned that such payments are
sufficiently similar to payments under a
retirement program to come within the
meaning of statutory language
essentially identical to that in 38 U.S.C.
1315(f)(1)(G). That interpretation is
reflected in current VA regulations at 38
CFR 3.262(f), (g), (i)(2), (j)(1), (j)(2), and
(j)(4). We propose to aggregate in
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proposed § 5.533(g) all of the various
§ 3.262 ten-percent exclusions based on
the 38 U.S.C. 1315(f)(1)(G) exclusion.
One of these 10-percent exclusions,
found at current § 3.262(i)(2), is for
‘‘payments based on permanent and
total disability or death * * * received
from the Bureau of Employees’
Compensation.’’ The Bureau of
Employees’ Compensation was
abolished in 1974. See 20 CFR 1.5. Its
functions are now carried out by the
Office of Workers’ Compensation
Programs of the U.S. Department of
Labor. See 20 CFR 1.6(b). This change
is reflected in proposed paragraph (g)(4).
Section 1315(f)(1)(K) of 38 U.S.C.
1315 excludes ‘‘profit realized from the
disposition of real or personal property
other than in the course of a business’’
from being counted as income for
parents’ DIC purposes. Current
§ 3.262(k)(5) states, in part, that ‘‘[a]ny
amounts received in excess of the sales
price will be counted as income. Where
payments are received in installments,
principal and interest will not be
counted separately.’’ We interpret this
last statement to mean that where
payments are received in installments,
the installments received will not begin
to count as income until the total of
installments received is equal to the
sales price without interest. That rule is
more clearly stated at proposed
§ 5.533(i).
Section 38 U.S.C. 1315(f)(1)(F)
excludes, among other things,
‘‘payments of servicemen’s indemnity.’’
We propose to omit this exclusion
because it is now obsolete. The
Servicemen’s Indemnity Act of 1951,
Pub. L. 82–23, 65 Stat. 33, 34 (1951),
authorized VA to pay indemnity in the
form of $10,000 automatic life insurance
coverage to the survivors of members of
the Armed Forces who died in service.
However, the Act authorizing this
benefit was repealed in 1956. See sec.
502(9) of the Servicemen’s and
Veterans’ Survivor Benefits Act, Pub. L.
84–881, 70 Stat. 857, 886 (1956).
Current § 3.262(e)(4) provides, in part,
that:
Where a parent was receiving or entitled to
receive dependency and indemnity
compensation and retirement benefits based
on his or her own employment on December
31, 1966, the retirement payments will not be
considered income until the amount of the
claimant’s personal contribution (as
distinguished from amounts contributed by
the employer) has been received. Thereafter
the 10 percent exclusion will apply.
Similarly, current § 3.262(j)(1)
provides in part that:
In dependency and indemnity
compensation claims, where the parent is
receiving or entitled to receive dependency
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and indemnity compensation on December
31, 1966, and is also receiving or entitled to
receive annuity payments on that date, or
endowment insurance matures on or before
that date, no part of the payments received
will be considered income until the full
amount of the consideration has been
received, after which 10 percent of the
amount received will be excluded.
We propose to omit these two
provisions from § 5.533. It is extremely
unlikely that a parent’s contributions to
retirement benefits, an annuity, or an
endowment he or she was receiving on
December 31, 1966, were not recovered
long ago. Should the occasion arise, VA
will adjudicate any affected claims
under existing statutory authority.
Proposed § 5.533(k) continues an
exclusion for payments under section 6
of the Radiation Exposure
Compensation Act of 1990, Pub. L. 101–
426, 104 Stat. 920, 923. Payments under
that act are not countable as income for
parents’ DIC purposes because section
6(h)(2) of the act provides that amounts
paid to individuals under section 6
‘‘shall not be included as income or
resources for purposes of determining
eligibility to receive benefits described
in section 3803(c)(2)(C) of title 31,
United States Code, or the amount of
such benefits.’’ The list of benefits in 31
U.S.C. 3803(c)(2)(C) includes benefits
under 38 U.S.C. chapter 13. See 31
U.S.C. 3803(c)(2)(C)(viii). Parents’ DIC is
such a benefit.
However, payments under section 6 of
the Radiation Exposure Compensation
Act of 1990 are not the only payments
that Congress has excluded from
consideration as income for benefit
programs on the 31 U.S.C. 3803(c)(2)(C)
list. Our research has shown three
others that we propose to add to § 5.533
as paragraph (l) through (n). These are
payments under section 103(c)(1) of the
Ricky Ray Hemophilia Relief Fund Act
of 1998, payments under the Energy
Employees Occupational Illness
Compensation Program, and payments
to certain eligible Aleuts under 50 U.S.C
Appx. 1989c–5.
There are also a number of other
Federal statutes that exempt specific
kinds of income from consideration in
determining either eligibility for all
Federal income-based programs, or
eligibility for all of VA’s income-based
benefit programs. Because those
exclusions affect more than the parents’
DIC benefit program, they will be
addressed in a separate regulation in
another NPRM to be published later as
part of this Project. This separate
regulation is the future regulation
mentioned in paragraphs (c)(4) and (q)
of proposed § 5.533.
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These broad exclusions that will be
addressed in a future NPRM include
some of the income exclusions that
currently appear in §§ 3.261 and 3.262.
These are Agent Orange settlement
payments, certain relocation payments,
annuity payments elected under the
Retired Serviceman’s Family Protection
Plan, restitution to individuals of
Japanese ancestry, income received by
American Indian beneficiaries from
trust or restricted lands, payments
under the Alaska Native Claims
Settlement Act, payments from certain
volunteer programs, Victims of Crime
Act of 1984 payments, and monetary
allowances under 38 U.S.C. chapter 18
for certain children of veterans who
served in Vietnam and Korea. Because
these exclusions will be addressed in
another regulation included in a future
NPRM, they have not been listed in
proposed § 5.533.
In redrafting various provisions of
current § 3.262 for proposed § 5.533, we
have intentionally omitted references to
a January 1, 1967, effective date
applicable to various income exclusions
in paragraphs (e)(4), (i)(2), (j)(1), (j)(4),
and (k)(5) of § 3.262. We believe that it
is highly unlikely that VA would need
to process a retroactive adjustment to a
prior parents’ DIC award effective more
than 35 years in the past. Therefore, we
believe it is no longer necessary to refer
to these effective dates in the regulation.
Should the occasion arise, VA will
adjudicate any affected claims under
existing statutory authority.
5.534 When VA counts parents’
income.
Proposed § 5.534 is based on portions
of current §§ 3.251 and 3.260 that
pertain to when VA counts income for
parents’ DIC purposes. Rules concerning
pension in current § 3.260 will be
addressed in a different NPRM.
Current § 3.251(b) provides that
‘‘[i]ncome will be counted for the
calendar year in which it is received
and total income for the full calendar
year will be considered except as
provided in § 3.260.’’ The introduction
to current § 3.260 provides that ‘‘[f]or
entitlement to pension or dependency
and indemnity compensation, income
will be counted for the calendar year in
which it is received.’’ Proposed
§ 5.534(a) provides a consolidated
restatement of these rules. It also
clarifies that VA uses anticipated
income in calculating parents’ DIC in
some circumstances (for example, see
proposed § 5.531(e)).
The remainder of proposed § 5.534
sets out the exceptions referenced in
paragraph 5.534(a)(3), ‘‘VA will count
parents’ total income for the full
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calendar year except as provided in this
section.’’
The first exception, addressed in
proposed paragraph (b), is based on
concepts in current § 3.260(c) and (d)
concerning ‘‘proportionate’’ income
calculations. As proposed paragraph
5.534(b) indicates, ‘‘proportionate’’
income calculations are used when
parents’ DIC is first awarded, or when
an award follows a period of no
entitlement. Under the proportionate
annual income calculation method, VA
disregards income received, and
expenses paid, during the portion of the
year prior to the award of parents’ DIC.
It then determines what the parent(s)’
income would have been if income had
been received at the same rate for the
entire calendar year as it was from the
effective date of the award of parents’
DIC to the end of the calendar year. The
result is the proportionate annual
income.
Paragraph (b)(3) describes the specific
steps VA would use to calculate this
proportionate annual income. While
there are several ways in which the
mathematical process involved could be
described, we are proposing a daily
average method, because we believe this
will be the most understandable to
regulation users. Basically, VA would
calculate the daily average income for
the applicable portion of the year and
multiply that figure by 365 to determine
what annual income would have been if
the same level of income had been in
effect for the entire year.
As current 3.260(c) does, proposed
paragraph 5.534(b) permits using actual
annual income, rather than
proportionate income, if that would be
to the parents’ advantage.
The second exception to the general
rule in proposed § 5.534(a)(3) is set out
in paragraph (c). It states that ‘‘[i]f a
parent marries during the applicable
calendar year, income received by the
parent’s spouse prior to the date of the
marriage is not counted.’’ This simple
rule is in accord with long-standing VA
practice. It would replace complex rules
in current § 3.260(f), as they relate to
parents’ DIC, and would achieve
essentially the same result.
Finally, we note that we have
intentionally omitted the rule stated in
current § 3.260(a) that installment
income ‘‘will be determined by the total
amount received or anticipated during
the calendar year.’’ In terms of whether
installment income will be counted as
parents’ income, this rule is subsumed
in the general rule stated in proposed
§ 5.531(a) that all payments of any kind
from any source are counted in
determining the income of a veteran’s
parents. With respect to proposed
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§ 5.534, the rule in § 3.260(a) is not an
exception to the general rules in
§ 5.534(a).
5.535 Adjustments to parents’ DIC
when income is less than anticipated.
Proposed § 5.535 is a simplification
and clarification of the rules in current
§ 3.660(b) that state when VA may make
a retroactive award of parents’
dependency and indemnity
compensation based on amended
income information. Current
§ 3.660(b)(1) and (2) state the following
alternative rules for determining when a
parent must submit amended income
information in order to obtain a
retroactive increase in DIC benefits
when income decreases:
(1) Anticipated income. Where payments
were not made or were made at a lower rate
because of anticipated income, pension or
dependency and indemnity compensation
may be awarded or increased in accordance
with the facts found but not earlier than the
beginning of the appropriate 12-month
annualization period if satisfactory evidence
is received within the same or the next
calendar year.
(Authority: 38 U.S.C. 5110(h))
(2) Actual income. Where the claimant’s
actual income did not permit payment, or
payment was made at a lower rate, for a given
12-month annualization period, pension or
dependency and indemnity compensation
may be awarded or increased, effective the
beginning of the next 12-month
annualization period, if satisfactory evidence
is received within that period.
Proposed § 5.535(b) follows the rule
in § 3.660(b)(1). We propose to omit the
rule in § 3.660(b)(2), which provides a
shorter period of time for submitting
amended income information in some
instances, because we believe that it has
no practical application to parents’ DIC
cases.
With respect to parents’ DIC, current
§ 3.660(b)(2) contemplates a situation
such as the following: A parents’ DIC
beneficiary provides VA with the
amount of income expected for year A.
VA pays DIC for year A based on that
anticipated income. The beneficiary
receives actual income for year A in the
amount anticipated. Therefore, no
adjustments are necessary for year A.
However, income decreases during year
B. If the beneficiary provides VA with
evidence of the decreased income for
year B not later than December 31 of
year B, VA will increase benefits for
year B because of the decreased income.
However, as a practical matter, what
will have taken place in this situation is
that VA will have commenced paying
benefits for year B either in anticipation
that income for year B is going to be the
same as it was for year A or on the basis
of anticipated income information for
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year B from the beneficiary. In either
case, the situation will be one in which
anticipated income for year B turned out
to be less than anticipated. Therefore,
the rule in 3.660(b)(1) would apply and
the parent would have through
December 31 of year C to provide
evidence of the decreased income for
year B.
5.536 Parents’ dependency and
indemnity compensation rates.
Current part 3 regulations for
determining the rates payable for
parents’ dependency and indemnity
compensation are quite complex.
Current § 3.25 sets out a series of rules
for calculating payments of DIC to
parents. The rules vary depending upon
whether there is one unmarried parent,
one parent who has remarried, two
parents living together, two parents not
living together, two parents not living
together one or both of whom have
remarried, or a parent who is a patient
in a nursing home or who is so helpless
or blind, or so nearly helpless or blind,
as to require the regular aid and
attendance of another person. The rules
refer regulation users to various
provisions of 38 U.S.C. 1315 for specific
rates. Together with current § 3.27(b),
they note that those rates, and the
annual income limitation for parents’
DIC, are increased in step with cost-ofliving increases in benefits under title II
of the Social Security Act. (These
increases are required by 38 U.S.C.
5312(b).) Because parents’ DIC is
income based and because 38 U.S.C.
1315 requires it, these rules also provide
for rate reductions based on parents’
income. They provide a formula for that
reduction, but note that the formula will
be recomputed when there is a rate
increase in order to achieve ‘‘an
equitable distribution of the rate
increase.’’
Current §§ 3.25 and 3.27(d) together
require that VA publish in the Federal
Register the increased DIC payment
rates, the annual income limitation
increases, and the updated formulas VA
uses for reducing DIC payments because
of income. Section 3.25 also includes
various other rules based on
requirements of 38 U.S.C. 1315, such as
a $5.00 minimum for parents’ DIC
payments applicable under some
circumstances.
These various provisions of §§ 3.25
and 3.27 are all accurate, but they do
not provide the information in a way
that is very practical for regulations
users who want specific information
about the dollar amounts of rates and
income limitations and the specific
current formulas for calculating
payment reductions because of income.
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Essentially, they send users to different
sections of statutes and to
announcements by the Social Security
Administration to obtain data for
performing complex calculations under
different scenarios. However, as they
also note, VA performs those
calculations when there are changes and
publishes the result in the Federal
Register. For an example, see the rates
of parents’ DIC published in the Federal
Register on April 7, 2004 (69 FR 18425).
In § 5.536, we propose to take a much
simpler and more practical approach.
Proposed paragraph (a) states that VA
pays DIC to eligible parents based upon
statutory requirements and briefly
describes the nature of the relevant
statutory provisions. It also crossreferences the regulation concerning the
calculation of parents’ DIC based on
service of certain Filipino veterans.
Then, in paragraph (b), proposed § 5.536
provides that VA will use the data it
publishes in the Federal Register in
calculating parents’ DIC payments. VA
normally publishes such data within
three months of the effective date of the
legislative cost-of-living increases.
The remainder of § 5.536 provides
specific rate payment rules based on
various provisions of current §§ 3.25,
3.251, 3.260, and 3.704. See the ‘‘Table
comparing current part 3 rules with
proposed part 5 rules’’ earlier in the
supplementary information.
5.537
Payment intervals.
Proposed § 5.537(a) states the general
rule that VA pays parents’ DIC monthly.
An exception in proposed paragraph (b)
is based on the rule in current § 3.30(e)
that provides that parents’ DIC will be
paid semiannually if the amount of the
annual benefit is less than 4 percent of
the maximum allowable rate as
published in the Notices section of the
Federal Register. We propose to retain
the exception, found in the introduction
to current § 3.30, that permits parents
receiving payment semiannually to elect
to receive payment monthly in cases in
which other Federal benefits would
otherwise be denied.
Effective Dates
5.573 Effective date for dependency
and indemnity compensation rate
adjustments when an additional
survivor files an application.
Proposed § 5.573 is a revision of
current § 3.650(a) and (b) and provides
general DIC rate and effective date
determination rules. We intend no
substantive changes in these provisions.
We propose to use ‘‘survivor’’ rather
than the word ‘‘dependent,’’ which is
used in current § 3.650. DIC is payable
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to certain survivors of a veteran who
may or may not have been financially
dependent upon the veteran. See 38
U.S.C. 1310(a) (providing for payment of
DIC to a veteran’s surviving spouse,
children, or parents). This proposed rule
would fall at the end of the effective
date rules for subpart G previously
published for notice and comment. See
69 FR 59072 (Oct. 1, 2004).
5.574 Effective dates of awards and
discontinuances of special monthly
dependency and indemnity
compensation.
Proposed § 5.574 provides effective
date rules for the award and
discontinuance of special monthly DIC
benefits. Proposed § 5.574(b)(1), based
on current §§ 3.502(e)(1) and 3.504,
provides an effective date rule for the
discontinuance of special monthly DIC
when a surviving spouse or parent is no
longer in need of aid and attendance.
The current rules refer to discontinuing
special monthly DIC on the ‘‘date of last
payment.’’ We propose to instead state
that ‘‘VA will discontinue special
monthly DIC based upon the need of aid
and attendance effective the first day of
the month that follows the month for
which VA last paid that benefit.’’ The
result is exactly the same, but we
believe that this description will be
clearer to VA claimants and to VA
personnel who adjudicate claims. As the
name suggests, VA pays special monthly
DIC on a monthly basis. See 38 U.S.C.
1311(c) and (d) and 1315(g). The ‘‘last
payment’’ in question is the check for
the last month in which VA paid the
benefit. Benefit payments would
therefore stop on the first day of the
following month.
We have not included in this special
monthly DIC effective date section
language in current § 3.502(e)(2) which
states the following: ‘‘If hospitalized at
Department of Veterans Affairs expense
as a veteran, the date [of discontinuance
of the aid and attendance allowance to
a surviving spouse will be the date]
specified in § 3.552(b)(1) or (3).’’ We
have also omitted similar language from
current § 3.504 pertaining to the
discontinuance of the aid and
attendance allowance for surviving
parents. Current § 3.552(b) is based on
38 U.S.C. 5503(c) (identified in the
authority citation at the end of
§ 3.552(b) under its old designation of
38 U.S.C. 5503(e)). The provisions of 38
U.S.C. 5503(c) only concern adjustments
of special monthly disability
compensation under various portions of
38 U.S.C. 1114 for veterans who are in
need of aid and attendance and special
monthly pension for veterans who are in
need of aid and attendance.
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We propose, in § 5.574(b)(2), to
provide an effective date rule for
discontinuance of a surviving spouse’s
special monthly DIC award based on
housebound status that parallels the
structure of the rule for the
discontinuance of a surviving spouse’s
special monthly DIC award based on the
need for aid and attendance. ‘‘When a
surviving spouse is no longer
housebound, VA will discontinue
special monthly DIC based upon
housebound status effective the first day
of the month that follows the month for
which VA last paid that benefit.’’
Omission of Rule in 38 CFR 3.22(h)
Current § 3.22(h), based on 38 U.S.C.
1318(e), sets out a rule concerning the
offset of certain DIC payments to a
surviving spouse against annuity
payments to that spouse under a
survivor benefit plan applicable to
survivors of members of the Armed
Forces. We propose not to repeat that
rule in part 5. The rule is accurate, but
it provides no substantive information
that is not included in the underlying
statute. Further, the survivor benefit
plan in question is not administered by
VA. It is administered by the
Department of Defense.
Endnote Regarding Amendatory
Language
We intend to ultimately remove part
3 entirely, but we are not including
amendatory language to accomplish that
at this time. VA will provide public
notice before removing part 3.
Paperwork Reduction Act
Proposed 38 CFR 5.500 through 5.502,
which are set forth in full in the
proposed regulatory text portion of this
document, contain collections of
information under the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501–
3521). These provisions prescribe the
information VA claimants submit to
prove the death of a person upon whose
death their entitlement to various VA
benefits for survivors depends. As
required under section 3507(d) of the
Act, VA has submitted a copy of this
proposed rulemaking action to the
Office of Management and Budget
(OMB) for its review of the collection of
information.
OMB assigns control numbers to
collections of information it approves.
VA may not conduct or sponsor, and a
person is not required to respond to, a
collection of information unless it
displays a currently valid OMB control
number. Subject to OMB approval, VA
proposes to amend the collection
currently approved by OMB under
control number 2900–0004 to include
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the information described in proposed
38 CFR 5.500 through 5.502.
Comments on the collections of
information should be submitted to the
Office of Management and Budget,
Attention: Desk Officer for the
Department of Veterans Affairs, Office
of Information and Regulatory Affairs,
Washington, DC 20503, with copies to
the Director, Regulations Management
(00REG1), Department of Veterans
Affairs, 810 Vermont Avenue, NW.,
Washington, DC 20420. Comments
should indicate that they are submitted
in response to ‘‘RIN 2900–AL89.’’
Title: Proof of death.
Summary of collection of information:
Survivors of VA beneficiaries may be
entitled to certain VA survivors’ benefits
when that beneficiary dies. Examples of
such survivors’ benefits that would be
governed by provisions of proposed 38
CFR part 5 include benefits awarded,
but unpaid at death, and accrued
benefits under 38 U.S.C. 5121; death
compensation under 38 U.S.C. 1121 and
1141; dependency and indemnity
compensation under 38 U.S.C. chapter
13; and death pension under 38 U.S.C.
chapter 15. Proposed 38 CFR 5.500
through 5.502 set forth the various kinds
of evidence that a survivor may submit
to prove the death. VA will provide
assistance in obtaining this evidence as
provided in 38 CFR 3.159(c).
Description of the need for
information and proposed use of
information: A basic element of
entitlement to VA benefits for survivors
is establishing the death of the person
whom the claimant survives. VA will
examine the evidence of death
submitted in determining eligibility for
claimed survivors’ benefits.
Description of likely respondents: VA
survivors’ benefits claimants.
Estimated number of respondents:
Approximately 56,865 per year.
Estimated frequency of responses:
This information is collected on a ‘‘onetime’’ basis.
Estimated average burden per
collection: In most cases survivors will
have evidence of death at hand because
they have gathered that evidence for
probating estates, filing commercial life
insurance claims, and similar purposes.
Most survivors know that proof of death
should accompany applications for VA
survivors’ benefits and mail copies of
the proof of death to VA with their
applications. (The information
collections in survivor benefit
applications have been separately
approved by OMB.) VA estimates that
the burden for those individuals will be
approximately one-quarter hour for
locating and mailing the documentation
proving death they already have at
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hand. In other cases, VA will obtain the
proof of death for the claimant. VA is
obligated under 38 CFR 3.159(c) to
obtain for claimants records in the
custody of a Federal department or
agency and will make reasonable efforts
to obtain records in the custody of other
sources. In a relatively small number of
cases claimants will need to obtain
proof of death and provide it to VA. VA
estimates that this will take an average
of 1 hour per respondent.
Estimated total annual reporting and
recordkeeping burden: This information
collection imposes no recordkeeping
requirement. VA estimates that it will
receive approximately 66,900
applications for VA survivors’ benefits
annually. VA estimates that it will
obtain proof of death for approximately
15 percent of those claimants. Of the
remaining 56,865 claimants, VA
estimates that approximately 90 percent,
or 51,179 claimants, will already have
the information at hand and that the
remaining 10 percent, or 5,686
claimants, will need to obtain and
provide proof of death. The information
collection burden per case is
approximately one-quarter hour for
those who have the information at hand,
or a total of 12,795 hours. VA estimates
the time necessary to obtain and provide
proof of death in other cases will
average approximately 1 hour, or 5,686
hours. Therefore VA estimates the total
annual reporting burden to be 18,481
hours.
The Department considers comments
by the public on proposed collections of
information in:
• Evaluating whether the proposed
collections of information are necessary
for the proper performance of the
functions of the Department, including
whether the information will have
practical utility;
• Evaluating the accuracy of the
Department’s estimate of the burden of
the proposed collections of information,
including the validity of the
methodology and assumptions used;
• Enhancing the quality, usefulness,
and clarity of the information to be
collected; and
• Minimizing the burden of the
collections of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses.
OMB is required to make a decision
concerning the proposed collection of
information contained in this proposed
rule between 30 and 60 days after
publication of this document in the
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Federal Register. Therefore, a comment
to OMB is best assured of having its full
effect if OMB receives it within 30 days
of publication. This does not affect the
deadline for the public to comment on
the proposed regulations.
Regulatory Flexibility Act
The Secretary hereby certifies that
this proposed regulatory amendment
will not have a significant economic
impact on a substantial number of small
entities as they are defined in the
Regulatory Flexibility Act, 5 U.S.C. 601–
612. This proposed amendment would
not affect any small entities. Therefore,
pursuant to 5 U.S.C. 605(b), this
proposed amendment is exempt from
the initial and final regulatory flexibility
analysis requirements of sections 603
and 604.
Executive Order 12866
This document has been reviewed by
the Office of Management and Budget
under Executive Order 12866.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
developing any rule that may result in
an expenditure by State, local, or tribal
governments, in the aggregate, or by the
private sector of $100 million or more
(adjusted annually for inflation) in any
given year. This proposed amendment
would have no such effect on State,
local, or tribal governments, or the
private sector.
Catalog of Federal Domestic Assistance
Numbers
The Catalog of Federal Domestic
Assistance program number and title for
this proposal is 64.110, Veterans
Dependency and Indemnity
Compensation for Service-Connected
Death.
List of Subjects in 38 CFR Part 5
Administrative practice and
procedure, Claims, Disability benefits,
Health care, Pensions, Radioactive
materials, Veterans, Vietnam.
Approved: July 13, 2005.
Gordon H. Mansfield,
Deputy Secretary of Veterans Affairs.
For the reasons set out in the
preamble, VA proposes to amend 38
CFR chapter I by further amending
subpart G of part 5, as proposed to be
added at 69 FR 59084, October 1, 2004,
as follows:
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PART 5—COMPENSATION, PENSION,
BURIAL, AND RELATED BENEFITS
Subpart G—Dependency and
Indemnity Compensation, Accrued
Benefits, Death Compensation
Benefits, and Special Rules Applicable
Upon Death of a Beneficiary
1. The authority citation for subpart G
of part 5 continues to read as follows:
Authority: 38 U.S.C. 501(a) and as noted in
specific sections.
2. Sections 5.500 through 5.549 are
added to subpart G to read as follows:
General Provisions
Sec.
5.500 Proof of death.
5.501 Proving death by other means.
5.502 Proving death after 7 years of
continuous, unexplained absence.
5.503 Establishing the date of death.
5.504 Service-connected cause of death.
5.505–5.509 [Reserved]
Dependency and Indemnity Compensation—
General
5.510 Dependency and indemnity
compensation—basic entitlement.
5.511 Special monthly dependency and
indemnity compensation.
5.512 Eligibility for death compensation or
death pension instead of dependency
and indemnity compensation.
5.513–5.519 [Reserved]
Dependency and Indemnity Compensation—
Eligibility Requirements and Payment Rules
for Surviving Spouses And Children
5.520 Dependency and indemnity
compensation—time of marriage
requirements for surviving spouses.
5.521 [Reserved]
5.522 Dependency and indemnity
compensation benefits for survivors of
certain veterans rated totally disabled at
time of death—offset of wrongful death
damages.
5.523 [Reserved]
5.524 Awards of dependency and
indemnity compensation benefits to
children when there is a retroactive
award to a school child.
5.525–5.529 [Reserved]
Dependency and Indemnity Compensation—
Eligibility Requirements and Payment Rules
for Parents
5.530 Eligibility for, and payment of,
parents’ dependency and indemnity
compensation.
5.531 General income rules.
5.532 Deductions from income.
5.533 Exclusions from income.
5.534 When VA counts parents’ income.
5.535 Adjustments to parents’ DIC when
income is less than anticipated.
5.536 Parents’ dependency and indemnity
compensation rates.
5.537 Payment intervals.
5.538–5.549 [Reserved]
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§ 5.501
General Provisions
§ 5.500
Proof of death.
(a) Purpose and application.—(1) This
section describes evidence VA will
accept to prove that a person has died
in cases where the death of the person
is relevant to eligibility for a VA benefit.
It covers the most common situations.
Sections 5.501, ‘‘Proving death by other
means,’’ and 5.502, ‘‘Proving death after
7 years of continuous, unexplained
absence,’’ apply where the evidence
described in this section is not
available.
(2) Where more than one paragraph of
this section applies, VA will accept the
evidence described in any relevant
paragraph as proof of death. For
example, if the person died in a U.S.
Government hospital located within a
State, VA would accept the evidence
establishing death specified in either
paragraph (b) or (d) of this section.
(b) Deaths occurring within a State.
Death occurring within a State may be
established by: (1) A copy of the public
record of the State or community where
death occurred, or
(2) A copy of a coroner’s report of
death, or of a verdict of a coroner’s jury,
from the State or community where
death occurred, provided the report or
verdict properly identifies the deceased.
(c) Deaths occurring abroad. Death
occurring abroad may be established by:
(1) A U.S. consular report of death
bearing the signature and seal of the
U.S. consul,
(2) A copy of the public record of
death authenticated by the U.S. consul
or other agency of the State Department
or which is exempt from such
authentication as provided in
§ 3.202(b)(4) of this chapter (concerning
certain copies of public or church
records), or
(3) An official report of death of a
civilian employee of the U.S.
Government from the employing U.S.
Government entity.
(d) Deaths at institutions under the
control of the U.S. Government. Death
occurring in a hospital or other
institution under the control of the U.S.
Government may be established by:
(1) A death certificate signed by a
medical officer, or
(2) A clinical summary, or other
report, signed by a medical officer
showing the fact and date of death.
(e) Deaths of members of the
uniformed services. The death of a
member of the uniformed services may
be established by an official report of
the death from the uniformed service
concerned.
(Authority: 38 U.S.C. 501(a)(1))
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Proving death by other means.
(a) Applicability. This section and
§ 5.502, ‘‘Proving death after 7 years of
continuous, unexplained absence,’’
describe methods of proving that a
person has died if the death of that
person is relevant to eligibility for a VA
benefit and the evidence described in
§ 5.500, ‘‘Proof of death,’’ is not
available.
(b) Required statement. A claimant
seeking to establish the fact of death
under this section must submit a
statement explaining why none of the
evidence described in § 5.500 is
available.
(c) Affidavits or certified statements of
witnesses who viewed the body. The fact
of death may be established by the
affidavit or certified statement of one or
more persons who have personal
knowledge of the fact of death, have
viewed the body of the deceased, and
know it to be the body of the person
whose death is being alleged. These
affidavits or statements should describe
all the facts and circumstances known
concerning the death, including the
place, date, time, and cause of death.
(d) Other methods of establishing
death. If the claimant cannot furnish the
affidavits or certified statements
described in paragraph (c) of this
section, the fact of death may be
established by one of the following:
(1) U.S. Government agency finding.
In the absence of evidence to the
contrary, VA will accept a finding of the
fact of death by another U.S.
Government agency.
(2) Body not recovered or not
identifiable. If circumstances preclude
recovery or identification of the body of
the deceased, the fact of death may be
established by the claimant’s affidavit or
certified statement setting forth the
circumstances under which the missing
person was last seen and the known
facts which led the claimant to believe
that death has occurred and one of the
following, as applicable:
(i) The affidavits or certified
statements of persons who witnessed
the event in which the missing person
is alleged to have perished, describing
the event and, if applicable, why they
believe the missing person perished in
the event, or
(ii) If the testimony of eyewitnesses is
not obtainable, the affidavits or certified
statements of persons who have the
most reliable information available
concerning why the missing person is
believed to have been at the event in
which the missing person is alleged to
have perished, why the missing person
was in imminent peril at the time the
event occurred, and the basis on which
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they concluded that death was caused
by the event.
(3) Finding of fact of death by
authorized VA official. An authorized
VA official may make a finding of the
fact of death where death is shown by
competent evidence. See § 3.100(a) of
this chapter (concerning delegation of
authority to make findings and
decisions concerning entitlement to VA
benefits).
(Authority: 38 U.S.C. 501(a)(1))
§ 5.502 Proving death after 7 years of
continuous, unexplained absence.
(a) Evidence required. A claimant
seeking to establish the death of a
person who has been absent for 7 years,
where death is not established with
documentary evidence described in
§ 5.500, ‘‘Proof of death,’’ or § 5.501,
‘‘Proving death by other means,’’ must
produce competent, credible evidence
to show that:
(1) The person has been continuously
absent from home and family for at least
7 years without explanation; and
(2) A diligent search disclosed no
evidence of the person’s continued
existence after the disappearance.
(b) Finding of death conclusive. A
finding of death under this section will
be conclusive and final for the purposes
of laws administered by VA except
where suit is filed for insurance under
38 U.S.C. 1984, ‘‘Suits on insurance.’’
(c) Impact of findings of death made
by other entities.—(1) State laws that
provide for presumption of death are
not applicable to claims for VA benefits
and may not be used to establish death
under this section.
(2) A finding of death by another
Federal agency meeting the criteria
described in paragraphs (a)(1) and (2) of
this section is acceptable for VA
purposes if there is no credible evidence
to the contrary.
(Authority: 38 U.S.C. 108, 501(a)(1))
§ 5.503
Establishing the date of death.
(a) Applicability. This section applies
when the fact of death is established
under §§ 5.500 through 5.502, but the
exact date of death is uncertain.
(b) Date of death in cases involving a
continuous, unexplained absence of
seven years or more. When the fact of
death is established under § 5.502,
‘‘Proving death after 7 years of
continuous, unexplained absence,’’ the
date of death for purposes of the laws
administered by VA is seven years after
the date the person was last known to
be alive.
(c) Date of death in other cases. If the
fact of death is established by the
evidence described in § 5.500, ‘‘Proof of
death,’’ or § 5.501, ‘‘Proving death by
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other means,’’ VA will determine the
date of death for purposes of the laws
administered by VA by considering all
of the known facts and circumstances
surrounding the death, including the
condition of the body when found and
any estimate of the date of death
provided by a coroner or other official
within the scope of that official’s duties.
If no identifiable body is found, the date
of death will be presumed to be the date
the deceased was last known to be alive
in the absence of evidence to the
contrary.
(Authority: 38 U.S.C. 108, 501(a))
§ 5.504
Service-connected cause of death.
(a) Purpose. Eligibility for several VA
benefits for a veteran’s survivors
requires that the veteran’s death be
service connected. This section provides
the rules VA uses to determine whether
a veteran’s death is service connected.
(b) Definition of service-connected
disability—(1) General. For purposes of
this section, ‘‘service-connected
disability’’ means:
(i) Except as provided in paragraph
(b)(2) of this section, a disability that
was service connected at the time of the
veteran’s death, or
(ii) A disability that is service
connectable under the provisions of
subpart E of this part, ‘‘Claims for
service connection and disability
compensation.’’ For purposes of this
section, VA will deem a sudden death
in service from trauma to have been
preceded by disability from the trauma.
(2) Exception. For purposes of this
section, ‘‘service-connected disability’’
does not include a disability that was
service connected at the time of the
veteran’s death if the law in effect at the
time of a survivor’s claim precludes VA
from establishing service connection for
the cause of the veteran’s death. See
§ 3.300 of this chapter, ‘‘Claims based
on the effects of tobacco products,’’ and
§ 3.301(d) of this chapter ‘‘Line of duty;
abuse of alcohol or drugs.’’
(c) Determining whether a veteran’s
death is service connected. A veteran’s
death is service connected if death
resulted from a service-connected
disability. Death resulted from a serviceconnected disability if the serviceconnected disability produced death or
hastened death, as provided in the
following paragraphs:
(1) Service-connected disability
produces death. A service-connected
disability is the cause of death if a single
service-connected disability, or the
combined effect of multiple serviceconnected disabilities, is such that
death would not have occurred in the
absence of the disability, or disabilities.
If two or more disabilities were present
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at the time of death, only one of which
was service connected or service
connectable, and each disability by
itself was sufficient to bring about
death, VA will grant service connection
for the cause of the veteran’s death.
(2) Service-connected disability
hastens death. VA will grant service
connection for the cause of death if
competent medical evidence shows that
a service-connected disability, or the
combined effect of multiple serviceconnected disabilities, was so
debilitating as to materially hasten
death from nonservice-connected
causes. VA will presume such
debilitation where a service-connected
disability affected a vital organ and was
evaluated as 100 percent disabling
under the Schedule for Rating
Disabilities in part 4 of this chapter at
the time of the veteran’s death. For
purposes of this paragraph, vital organs
are those organs necessary to sustain
life, including the heart, lungs, central
nervous system, liver, and kidneys.
(Authority: 38 U.S.C. 101(16), 501(a), 1121,
1141, 1310)
§§ 5.505–5.509
[Reserved]
Dependency and Indemnity
Compensation—General
§ 5.510 Dependency and indemnity
compensation—basic entitlement.
(a) Definition. Dependency and
indemnity compensation (DIC) is a
monthly VA payment to a veteran’s
surviving spouse, child, and/or parent
based on the veteran’s death. The
surviving relative must be otherwise
qualified and meet the entitlement
criteria provided in this section.
(b) Bases for entitlement. There are
three ways in which an otherwise
qualified survivor may become entitled
to DIC:
(1) Service-connected death—38
U.S.C. 1310. (i) VA will grant DIC to the
qualified survivors of a veteran when it
determines that the cause of the
veteran’s death, whether occurring
during or after service, is service
connected. See 38 U.S.C. 1310, ‘‘Deaths
entitling survivors to dependency and
indemnity compensation,’’ and § 5.504,
‘‘Service-connected cause of death.’’
(ii) DIC is not payable unless the
service-connected death occurred after
December 31, 1956, except in the case
of certain individuals receiving or
eligible to receive death compensation
who elect to receive DIC in lieu of death
compensation. See § 3.702 of this
chapter, ‘‘Dependency and indemnity
compensation.’’
(2) Veterans with a service-connected
disability rated as totally disabling at
the time of death—38 U.S.C. 1318. VA
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will grant DIC to the qualified survivors
of a veteran rated totally disabled due to
service-connected disability for a
specified period of time at the time of
death, in the same manner as if the
veteran’s death were service connected.
See § 3.22 of this chapter, ‘‘DIC benefits
for survivors of certain veterans rated
totally disabled at time of death,’’ and
38 U.S.C. 1318, ‘‘Benefits for survivors
of certain veterans rated totally disabled
at time of death.’’
(3) Veterans whose death was due to
certain VA-furnished medical, training,
compensated work therapy, or
rehabilitation services—38 U.S.C. 1151.
VA will grant DIC to the qualified
survivors of a veteran whose death was
caused by VA-furnished hospital care,
medical or surgical treatment, medical
examination, training and rehabilitation
services, or participation in a
compensated work therapy program, in
the same manner as if the veteran’s
death were service connected. See
§§ 3.358, 3.361 and 3.800 of this chapter
and 38 U.S.C. 1151, ‘‘Benefits for
persons disabled by treatment or
vocational rehabilitation.’’
(c) Certain Federal Employees’ Group
Life Insurance beneficiaries ineligible.
VA cannot pay DIC to any surviving
spouse, child or parent based on the
death of a commissioned officer of the
Public Health Service, the Coast and
Geodetic Survey, the Environmental
Science Services Administration, or the
National Oceanic and Atmospheric
Administration occurring after April 30,
1957, if any amounts are payable based
on the same death under the Federal
Employees’ Group Life Insurance Act of
1954 (Pub. L. 598, 83d Cong., as
amended).
(d) Special rules for parents’ DIC. The
basis of entitlement described in
paragraph (b)(2) of this section does not
apply to parents’ DIC and payment of
parents’ DIC is subject to income
limitations. See §§ 5.530 through 5.537
for special eligibility and payment rules
for parents’ DIC.
(Authority: 38 U.S.C. 101(14), 1151, 1304,
1310, 1315, 1318; Sec. 501(c)(2), Pub. L. 84–
881, 70 Stat. 857, as amended by Sec. 13(u),
Pub. L. 85–857, 72 Stat. 1266; Sec. 5, Pub. L.
91–621, 84 Stat. 1863)
§ 5.511 Special monthly dependency and
indemnity compensation.
(a) Entitlement based on need for
regular aid and attendance. A surviving
spouse or parent in receipt of
dependency and indemnity
compensation (DIC) is entitled to special
monthly DIC benefits if he or she is
helpless, or so nearly helpless as to need
the regular aid and attendance of
another person. Among other factors,
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VA considers the presence of conditions
listed in § 3.352(a) of this chapter when
determining whether a person
demonstrates this degree of
helplessness.
(b) Automatic entitlement. VA will
automatically consider a person to be in
need of regular aid and attendance,
without having to demonstrate the
degree of helplessness described in
paragraph (a) of this section, if the
person:
(1) Is blind or so nearly blind as to
have corrected visual acuity of 5/200 or
less in both eyes;
(2) Has concentric contraction of the
visual field in both eyes to 5 degrees or
less; or
(3) Is a patient in a nursing home
because of mental or physical
incapacity.
(c) Entitlement based on permanent
housebound status—surviving spouse. A
surviving spouse who does not qualify
for special monthly DIC based on need
for regular aid and attendance, as
provided in paragraphs (a) and (b) of
this section, is entitled to special
monthly DIC if he or she is permanently
housebound. A surviving spouse will be
considered permanently housebound if
substantially confined to his or her
home (ward or clinical areas, if
institutionalized) or immediate
premises because of a disability or
disabilities and it is reasonably certain
that such disability or disabilities will
remain throughout the surviving
spouse’s lifetime.
(Authority: 38 U.S.C. 1311(c), (d), 1315(g))
§ 5.512 Eligibility for death compensation
or death pension instead of dependency
and indemnity compensation.
(a) General rule. Subject to paragraph
(b) of this section, VA will not pay death
compensation or death pension to any
person eligible for dependency and
indemnity compensation (DIC) based
upon a death occurring after December
31, 1956.
(b) Right of spouse to elect death
pension. A surviving spouse eligible for
DIC may elect to receive death pension
instead of DIC. For effective date
information, see § 3.400(j)(1) of this
chapter.
(Authority: 38 U.S.C. 1317)
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§§ 5.513–5.519
[Reserved]
Dependency and Indemnity
Compensation—Eligibility
Requirements and Payment Rules for
Surviving Spouses and Children
§ 5.520 Dependency and indemnity
compensation—time of marriage
requirements for surviving spouses.
(a) Purpose. In addition to meeting the
marriage requirements necessary to
qualify as a surviving spouse, as defined
at § 3.50 of this chapter, a surviving
spouse must meet certain requirements
concerning the time of his or her
marriage to the veteran in order to
qualify for dependency and indemnity
compensation (DIC). This section sets
out those requirements.
(b) Time of marriage requirements—
(1) Surviving spouse eligible under
§ 5.510(b)(1) or (b)(3). A surviving
spouse meets the time of marriage
requirements for DIC under the bases for
eligibility set out in § 5.510(b)(1),
‘‘Service-connected death—38 U.S.C.
1310’’ or (b)(3), ‘‘Veterans whose death
was due to certain VA-furnished
medical, training, compensated work
therapy, or rehabilitation services—38
U.S.C. 1151,’’ if his or her marriage to
the veteran meets any of the following
criteria:
(i) The surviving spouse married the
veteran before or during the veteran’s
military service.
(ii) The surviving spouse was married
to the veteran for one year or more.
Multiple periods of marriage may be
added together to meet the 1-year
marriage requirement.
(iii) The surviving spouse was
married to the veteran for any length of
time and a child was born of the
marriage or before the marriage. See
§ 3.54(d) of this chapter, ‘‘Child born.’’
(iv) The surviving spouse married the
veteran within 15 years of the date of
termination of the period of service in
which the injury or disease causing the
veteran’s death was incurred or
aggravated. For purposes of this
paragraph, ‘‘period of service’’ means a
period of active military service from
which the veteran was discharged under
conditions other than dishonorable. If
the surviving spouse has been married
to the veteran more than once, see
§ 3.54(e) of this chapter, ‘‘More than one
marriage to veteran.’’
(2) Surviving spouse eligible under
§ 5.510(b)(2). A surviving spouse meets
the time of marriage requirements for
DIC under the basis for eligibility set out
in § 5.510(b)(2), ‘‘Veterans with a
service-connected disability rated as
totally disabling at the time of death—
38 U.S.C. 1318,’’ if his or her marriage
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to the veteran meets any of the
following criteria:
(i) The surviving spouse was married
to the veteran continuously for one year
or more immediately preceding the
veteran’s death.
(ii) The surviving spouse was married
to the veteran for any length of time and
a child was born of the marriage or
before the marriage. See § 3.54(d) of this
chapter, ‘‘Child born.’’
(Authority: 38 U.S.C. 1151, 1304, 1310, 1318)
§ 5.521
[Reserved]
§ 5.522 Dependency and indemnity
compensation benefits for survivors of
certain veterans rated totally disabled at
time of death—offset of wrongful death
damages.
(a) Applicability. This section applies
when a surviving spouse or child:
(1) Is eligible for dependency and
indemnity compensation (DIC) on the
basis described in § 5.510(b)(2),
‘‘Veterans with a service-connected
disability rated as totally disabling at
the time of death—38 U.S.C. 1318,’’ and
(2) Receives any money or property of
value pursuant to an award in a judicial
proceeding based upon, or a settlement
or compromise of, any cause of action
for damages for the wrongful death of
the veteran whose death is the basis for
such VA benefits.
(b) Offset. VA will not pay DIC on the
basis described in § 5.510(b)(2) for any
month following a month in which the
beneficiary receives money or property
described in paragraph (a)(2) of this
section until the total amount of such
DIC benefits that would otherwise have
been payable equals the total of the
amount of such money and/or value of
such property. This paragraph does not
apply to DIC benefits payable under this
section for any period preceding the end
of the month in which such money or
property was received.
(c) Amount of offset. The following
rules apply when calculating the
amount to be offset in DIC cases:
(1) The amount to be offset includes
damages typically recoverable under
wrongful death statutes, such as
reimbursement for the loss of support,
services, and other contributions, which
the surviving spouse or child would
have received if the veteran had lived
and, where allowed, reimbursement for
pain, suffering or mental anguish of the
survivors due to death. Damages
recoverable as compensation for injuries
suffered by, or economic loss sustained
by, the veteran prior to death such as
wages lost prior to death, medical
expenses, and compensation for the
veteran’s pain and suffering prior to
death are excluded.
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(2) The amount to be offset includes
amounts paid to a third party to satisfy
a legal obligation of the surviving
spouse or child. This includes the
payment of the claimant’s proportional
share of attorney’s fees, court costs, and
other expenses incident to the civil
claim.
(3) The amount to be offset excludes
money or property payable to a person
or entity other than the spouse or child
under the terms of the judgment,
settlement, or compromise agreement
unless the spouse or child receives the
benefit of such a payment. For example,
wrongful death damages paid to a
veteran’s estate or into a trust or similar
arrangement will be included in the
amount to be offset to the extent that
they are distributed to, or available for
the use and benefit of, the surviving
spouse or child.
(4) The amount to be offset excludes
benefits received under Social Security
or worker’s compensation even though
such benefits may have been awarded in
a judicial proceeding.
(5) The value of property received is
that property’s fair market value at the
time it is received by the claimant.
(d) Beneficiary’s duty to report receipt
of money or property. Any person
entitled to DIC on the basis described in
§ 5.510(b)(2), ‘‘Veterans with a serviceconnected disability rated as totally
disabling at the time of death—38 U.S.C.
1318,’’ must promptly report to VA the
receipt of any money or property
described in paragraph (a)(2) of this
section. This obligation may be satisfied
by providing VA a copy of the
judgment, settlement agreement, or
compromise agreement awarding the
money or property. Overpayments
created by failure to report will be
subject to recovery if not waived.
was discontinued because he or she
reached 18 years of age;
(3) That additional child has
reestablished entitlement to DIC because
he or she is attending an approved
educational institution; and
(4) The effective date of the additional
child’s reestablished entitlement is prior
to the date VA received the application
to reestablish entitlement.
(b) Award to the additional child—(1)
Retroactive payment. The payment to
the additional child for the period
extending from the payment
commencement date of the award to the
additional child through the month that
award was approved is equal to the
difference between the total amount
payable for all children, including the
additional child, during that period and
the total amount paid to the other
children during that period. If more
than one child reestablishes entitlement
as described in paragraph (a) of this
section, the retroactive award will be
paid to each such child in equal shares.
(2) Payment commencement date for
full equal share. The payment
commencement date for the full equal
share of DIC to the additional child, or
additional children, is the first of the
month following the month VA
approved his or her reestablished DIC
award.
(c) Effective date of payment of
reduced shares to the other children.
The running awards to the other
children will be reduced to the amount
of their new equal shares effective the
first of the month following the month
VA approved the award of reestablished
DIC to the additional child.
(Authority: 38 U.S.C. 1313(b), 5110(e), 5111)
(Authority: 38 U.S.C. 1318(d))
Cross-references: See also § 3.31 of
this chapter, ‘‘Commencement of the
period of payment,’’ and § 3.667 of this
chapter, ‘‘School attendance.’’
§ 5.523
§§ 5.525–5.529
[Reserved]
§ 5.524 Awards of dependency and
indemnity compensation benefits to
children when there is a retroactive award
to a school child.
(a) Applicability. Dependency and
indemnity compensation (DIC) is
payable to eligible children when there
is no surviving spouse entitled to DIC.
The total amount payable to the
children, which varies according to the
number of children, is divided and paid
to the children in equal shares. This
section states an exception that applies
when all of the following conditions are
met:
(1) DIC is being paid to one or more
children;
(2) DIC was previously paid to an
additional child, but that child’s DIC
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[Reserved]
Dependency and Indemnity
Compensation—Eligibility
Requirements and Payment Rules for
Parents
§ 5.530 Eligibility for, and payment of,
parents’ dependency and indemnity
compensation.
(a) Basic eligibility. A veteran’s
surviving parents may receive
dependency and indemnity
compensation (DIC) on the basis
described in § 5.510(b)(1), ‘‘Serviceconnected death—38 U.S.C. 1310,’’ and
§ 5.510(b)(3), ‘‘Veterans whose death
was due to certain VA-furnished
medical, training, compensated work
therapy, or rehabilitation services—38
U.S.C. 1151.’’ DIC is not payable to
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parents on the basis described in
§ 5.510(b)(2), ‘‘Veterans with a serviceconnected disability rated as totally
disabling at the time of death— 38
U.S.C. 1318.’’
(b) Parents’ DIC is income based.
Unlike DIC benefits for a surviving
spouse and children, the amount of
parents’ DIC payable is adjusted based
on parents’ income and DIC is not
payable to parents whose income
exceeds statutory limits. Sections 5.531
through 5.537 provide income and
payment rules.
(c) Net worth not considered. Net
worth is not a factor in determining
entitlement to parents’ DIC or the
amount of parents’ DIC payable.
(Authority: 38 U.S.C. 501(a), 1151, 1310,
1318, 1315)
§ 5.531
General income rules.
(a) All payments included in income.
All payments of any kind from any
source are counted in determining the
income of a veteran’s parents, except as
provided in § 5.533, ‘‘Exclusions from
income.’’
(b) Payments—(1) What is included.
For purposes of this section,
‘‘payments’’ are cash and cash
equivalents (such as checks and other
negotiable instruments) and the fair
market value of personal services,
goods, or room and board a parent
receives from someone else in lieu of
other forms of payment.
(2) What is not included. ‘‘Payments’’
do not include any of the following:
(i) The value of a parent’s use of his
or her own property, such as the rental
value of a home a parent owns and lives
in.
(ii) Dividends on commercial
insurance policies.
(iii) Retirement benefits from the
following sources (or to the following
persons), if the benefits have been
waived pursuant to Federal statute:
(A) Civil Service Retirement and
Disability Fund;
(B) Railroad Retirement Board;
(C) District of Columbia, firemen,
policemen, or public school teachers;
(D) Former United States Lighthouse
Service.
(c) Spousal income combined. Income
for parents’ dependency and indemnity
compensation purposes is the combined
income of a parent and the parent’s
spouse, unless the marriage has been
terminated or the parent is separated
from his or her spouse. Income is
combined whether the parent’s spouse
is the veteran’s other surviving parent or
the veteran’s stepparent. See also
§ 5.534(c) (concerning how much of the
spouse’s income to count for the year of
remarriage).
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(d) Income-producing property—(1)
Scope. This paragraph (d) provides rules
for determining whether income from
property should be counted as a parent’s
income. The provisions of this
paragraph (d) apply to all property, real
or personal, in which a parent has an
interest, whether acquired through
purchase, bequest or inheritance.
(2) Proof of ownership. In determining
whether to count income from real or
personal property, VA will consider the
terms of the recorded deed or other
evidence of title. However, VA will
accept the claimant’s statement
concerning the terms of ownership in
the absence of evidence to the contrary.
(3) Transfer of ownership with
retention of income. If a parent transfers
ownership of property to another person
or legal entity, but retains the right to
income, the income will be counted.
(4) Income from jointly owned
property. In the absence of evidence
showing otherwise, VA will consider a
parent who owns property jointly with
others, including partnership property,
to be entitled to a share of the income
from that property proportionate to the
parent’s share of ownership. VA will
accept the claimant’s statement
concerning the terms of ownership in
the absence of evidence to the contrary.
(e) Procedure when income amounts
are uncertain—deferred determinations.
When a parent is uncertain about the
amount of income the parent will
receive during a calendar year, VA will
calculate dependency and indemnity
payments for that calendar year using
the highest amount of income the parent
estimates, or VA’s best estimate of
income if the parent’s estimate appears
to be unrealistically low in light of the
parent’s past income and current
circumstances. VA will adjust benefits,
or pay benefits, when actual total
income for the year is determined. See
also § 5.535, ‘‘Adjustments to parents’
DIC when income is less than
anticipated.’’
(Authority: 38 U.S.C. 1315(f))
§ 5.532
Deductions from income.
(a) Expenses of a business or
profession. Necessary business
operating expenses are deductible from
gross income from a business or
profession. Examples include the cost of
goods sold and payments for rent, taxes,
upkeep, repairs, and replacements.
Depreciation is not a deductible
expense. Losses sustained in operating a
business or profession may not be
deducted from income from any other
source. For purposes of this section,
‘‘business’’ includes the operation of a
farm and transactions involving
investment property.
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(b) Expenses associated with
disability, accident, or health insurance
recoveries. Medical, legal, or other
expenses incident to the insured
disability are deductible from sums
recovered under disability, accident, or
health insurance. However, if medical
expenses are deducted under this
paragraph, they cannot be deducted as
unusual medical expenses under
paragraph (d) of this section.
(c) Expenses of a deceased spouse or
of the deceased veteran—(1) Deceased
spouse. Amounts a parent pays for the
following expenses of a deceased spouse
are deductible:
(i) A deceased spouse’s just debts,
excluding debts secured by real or
personal property.
(ii) The expenses of the spouse’s last
illness and burial to the extent such
expenses are not reimbursed by VA
under 38 U.S.C. chapter 23 (see subpart
J of this part concerning VA burial
benefits) or 38 U.S.C. chapter 51 (see
§ 5.551(e) concerning the use of accrued
benefits to reimburse the person who
bore the expense of a deceased
beneficiary’s last sickness or burial).
(2) Deceased veteran. Amounts a
parent pays for the expenses of the
veteran’s last illness and burial are
deductible to the extent that such
expenses are not reimbursed by VA
under 38 U.S.C. chapter 23 (see subpart
J of this part concerning VA burial
benefits).
(3) When expenses are deducted.
Expenses deductible under this
paragraph (c) are deductible for the year
in which they were paid. However, if
such expenses were paid during the
year following the year the veteran or
spouse died, the expenses may be
deducted for the year the expenses were
paid or the year of death, whichever is
to the parent’s advantage.
(4) Proof of expenses. VA will accept
as proof of expenses deductible under
this paragraph (c) a claimant’s statement
as to the amount and nature of each
expense, the date of payment, and the
identity of the creditor unless the
circumstances create doubt as to the
credibility of the statement.
(d) Unusual medical expenses—(1)
Applicability—(i) Family members. For
purposes of determining whose medical
expenses are deductible, a family
member is a relative of the parent or
parent’s spouse who is a member of the
household of the parent or parent’s
spouse whom the parent or parent’s
spouse has a moral or legal obligation to
support. This includes a relative who
would normally be a resident of the
household, but who is physically absent
due to unusual or unavoidable
circumstances, such as a child away at
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school or a family member confined to
a nursing home.
(ii) Medical expenses. See [regulation
that will be published in a future Notice
of Proposed Rulemaking] (defining
medical expenses).
(iii) Unusual medical expenses. For
purposes of this section, ‘‘unusual
medical expenses’’ means unreimbursed
medical expenses above five percent of
annual income. If annual income
includes retirement plan income, the
five percent will be calculated prior to
deduction of the ten percent exclusion
under § 5.533(g), ‘‘Ten percent of
income from retirement plans and
similar plans and programs.’’
(2) Expenses of parent and parent’s
family members. Amounts paid by a
parent for his or her own unusual
medical expenses and those of family
members are deductible.
(3) Expenses of spouse and spouse’s
family members. The deduction
includes the unusual medical expenses
of the spouse and the spouse’s family
members if the combined annual
income of the parent and the parent’s
spouse is the basis for calculating
income.
(4) When expenses are deducted. VA
will deduct unusual medical expenses
from income for the calendar year in
which they were paid regardless of
when the expenses were incurred.
(5) Proof of expenses. VA will accept
the claimant’s statement as to the
amount and nature of each medical
expense, the date of payment, and the
identity of the creditor unless the
circumstances create doubt as to the
credibility of the statement.
(6) Estimates of expenses for future
benefit periods. For the purpose of
authorizing prospective payment of
benefits, VA may accept a claimant’s
estimate of future medical expenses
based on a clear and reasonable
expectation that unusual medical
expenditure will be incurred. VA will
adjust an award based on such an
estimate upon receipt of an amended
estimate or upon receipt of an eligibility
verification report. See also § 3.256 of
this chapter (concerning requirements
for eligibility verification reports).
(e) Certain salary deductions not
deductible for determining income. For
purposes of determining a parent’s
income, a salary may not be reduced by
the amount of deductions made under a
retirement act or plan or for income tax
withholding.
(Authority: 38 U.S.C. 1315(f))
§ 5.533
Exclusions from income.
VA will not count payments from the
following sources when calculating
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parents’ income for dependency and
indemnity compensation purposes:
(a) Death gratuity. Death gratuity
payments by the Secretary concerned
under 10 U.S.C. 1475 through 1480.
This includes death gratuity payments
in lieu of payments under 10 U.S.C.
1478 made to certain survivors of
Persian Gulf conflict veterans
authorized by sec. 307, Pub. L. 102–25,
105 Stat. 82.
(b) Donations received. Donations
from public or private relief or welfare
organizations, including the following:
(1) The value of maintenance
furnished by a relative, friend, or a civic
or governmental charitable organization,
including money paid to an institution
for the care of the parent due to
impaired health or advanced age.
(2) Benefits received under
noncontributory programs, such as
Supplemental Security Income
payments.
(c) Certain VA benefit payments. The
following VA benefit payments:
(1) Payments under 38 U.S.C. chapter
11, ‘‘Compensation for ServiceConnected Disability or Death.’’
(2) Payments under 38 U.S.C. chapter
13, ‘‘Dependency and Indemnity
Compensation for Service-Connected
Death.’’ However, payments under 38
U.S.C. 1312(a), described in § 3.804 of
this chapter, are counted as income.
(3) Nonservice-connected VA
disability and death pension payments.
(4) VA benefit payments listed in
[regulation that will be published in a
future Notice of Proposed Rulemaking].
(d) Certain life insurance payments.
Payments under policies of
Servicemembers’ Group Life Insurance,
United States Government Life
Insurance, or National Service Life
Insurance.
(e) Social Security death payments.
Lump-sum death payments under title II
of the Social Security Act.
(f) State service bonuses. Payments of
a bonus or similar cash gratuity by any
State based upon service in the Armed
Forces.
(g) Ten percent of income from
retirement plans and similar plans and
programs. Ten percent of the amount of
payments to an individual under public
or private retirement, annuity,
endowment, or similar plans or
programs is not counted. This includes
payments for:
(1) Annuities or endowments paid
under a Federal, State, municipal, or
private business or industrial plan.
(2) Old age and survivor’s insurance
and disability insurance under title II of
the Social Security Act.
(3) Retirement benefits received from
the Railroad Retirement Board.
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(4) Payments for permanent and total
disability or death received from the
Office of Workers’ Compensation
Programs of the U.S. Department of
Labor, the Social Security
Administration, or the Railroad
Retirement Board, or pursuant to any
worker’s compensation or employer’s
liability statute, including damages
collected incident to a tort suit under
employer’s liability law of the United
States or a political subdivision of the
United States. This ten-percent
exclusion applies after the income from
the specified payments is reduced by
the deductions described in § 5.532(b),
‘‘Expenses associated with disability,
accident, or health insurance
recoveries.’’
(5) The proceeds of a commercial
annuity, endowment, or life insurance.
(6) The proceeds of disability,
accident or health insurance. This tenpercent exclusion applies after the
income from the specified payments is
reduced by the deductions described in
§ 5.532(b), ‘‘Expenses associated with
disability, accident, or health insurance
recoveries.’’
(h) Casualty loss reimbursement.
Reimbursements of any kind for any
casualty loss are not counted, but only
up to the greater of the fair market value
or the reasonable replacement value of
the property involved immediately
preceding the loss. For purposes of this
section, a ‘‘casualty loss’’ is the
complete or partial destruction of
property resulting from an identifiable
event of a sudden, unexpected or
unusual nature.
(i) Profit from sale of non-business
property.—(1) Profit realized from the
sale of real or personal property other
than in the course of a business.
However, any amounts received in
excess of the sale price, such as interest
payments, will be counted as income.
(2) If payments are received in
installments, the sums received
(including principal and interest) will
be excluded until the parent has
received an amount equal to the sale
price. Any amounts received after the
sale price has been recovered will be
counted as income.
(j) Payment for civic obligations.
Payments received for discharge of jury
duty or other obligatory civic duties.
(k) Radiation Exposure Compensation
Act payments. Payments under Section
6 of the Radiation Exposure
Compensation Act of 1990.
(Authority: 42 U.S.C. 2210 (note))
(l) Ricky Ray Hemophilia Relief Fund
payments. Payments under section
103(c)(1) of the Ricky Ray Hemophilia
Relief Fund Act of 1998.
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(Authority: 42 U.S.C. 300c–22 (note))
(m) Energy Employees Occupational
Illness Compensation Program
payments. Payments under the Energy
Employees Occupational Illness
Compensation Program.
(Authority: 42 U.S.C. 7385e(2))
(n) Payments to Aleuts. Payments to
certain eligible Aleuts under 50 U.S.C.
Appx. 1989c–5.
(Authority: 50 U.S.C. Appx. 1989c–5(d)(2))
(o) Increased inventory value of a
business. The value of an increase of
stock inventory of a business.
(p) Employer contributions. An
employer’s contributions to health and
hospitalization plans for either an active
or retired employee.
(q) Other payments. Other payments
listed in [regulation that will be
published in a future Notice of Proposed
Rulemaking].
(Authority: 38 U.S.C. 1315(f))
§ 5.534
When VA counts parents’ income.
(a) General rules—(1) VA counts
income for parents’ dependency and
indemnity compensation (DIC) purposes
on a calendar year basis.
(2) The calendar year for which VA
will count income is the calendar year
in which the parent received the
income, or anticipates receiving it.
(3) VA will count parents’ total
income for the full calendar year except
as provided in this section.
(b) Exception for first awards and
awards following a period of no
entitlement—proportionate annual
income—(1) When used. VA will use
proportionate annual income for the
first award of parents’ DIC, or for
resuming payments on an award of
parents’ DIC which was discontinued
for a reason other than excess income or
a change in marital or dependency
status, if it is to the parents’ advantage.
Otherwise, VA will base the award on
the parent’s actual total annual income
for the entire calendar year.
(2) Proportionate annual income
calculation. A proportionate annual
income calculation disregards income
received, and expenses paid, prior to the
effective date of an initial award of
parents’ DIC, or prior to the effective
date of an award that follows a period
of no entitlement for a reason other than
excess income or a change in marital or
dependency status. In performing a
proportionate annual income
calculation, VA first determines what
the parents’ income was for the portion
of the calendar year from the effective
date of the award of parents’ DIC to the
end of the calendar year. VA then
calculates what annual income would
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have been if income had been received
at the same rate for the entire calendar
year.
(3) How VA computes proportionate
annual income. VA will use the
following steps in making the
proportionate annual income
calculation, rounding the result only at
the final step.
(i) Determine income from the
effective date of the award of parents’
DIC to the end of the calendar year,
disregarding income received and
expenses paid before the effective date
of the award.
(ii) Divide the result by the number of
days from the effective date of the award
of parents’ DIC to the end of the
calendar year.
(iii) Multiply that result by 365. This
result, rounded down to the nearest
dollar, is the proportionate annual
income.
(c) Exception for an increase in
income because of a parent’s marriage.
If a parent marries during the applicable
calendar year, income received by the
parent’s spouse prior to the date of the
marriage is not counted.
(Authority: 38 U.S.C. 501(a), 1315(b))
§ 5.535 Adjustments to parents’ DIC when
income is less than anticipated.
(a) Applicability. This section applies
when, based on anticipated income, VA
did not pay parents’ DIC for a particular
calendar year, or paid less than the full
applicable statutory rate for that
particular calendar year, but income for
that calendar year was actually less than
anticipated.
(b) Retroactive adjustment; income
reporting time limitation. VA may
retroactively pay parents’ DIC or pay a
higher rate of parents’ DIC from the first
of the applicable calendar year under
the following circumstances:
(1) Satisfactory evidence shows that
income was actually less than
anticipated for that calendar year and
(2) VA receives such evidence not
later than the end of the year following
the year to which the evidence pertains.
Otherwise, payment or increased
payments may not be made for the
applicable calendar year on the basis of
such evidence.
(Authority: 38 U.S.C. 501(a), 1315(e), 5110(a))
Cross-reference: See also § 3.256 of this
chapter, ‘‘Eligibility reporting requirements.’’
§ 5.536 Parents’ dependency and
indemnity compensation rates.
(a) Statutory rates. VA pays
dependency and indemnity
compensation (DIC) to eligible parents
based upon statutory rates that vary
depending upon whether both parents
are living, upon the parents’ marital
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status, upon whether a parent is
separated from his or her spouse, and
upon whether a parent is a patient in a
nursing home or helpless or blind or so
nearly helpless or blind as to require the
aid and attendance of another person.
These rates are reduced by varying
amounts that depend upon the parents’
income. See 38 U.S.C. 1315. Rate and
income limitations are periodically
adjusted whenever there is an increase
in benefit amounts payable under title II
of the Social Security Act. See 38 U.S.C.
5312(b). In cases based on service in the
Commonwealth Army of the
Philippines, or as a guerrilla or as a
Philippine Scout, also see § 3.251(a)(3)
of this chapter (concerning calculation
of the parents’ DIC income limitation for
claims based on such service).
(b) Use of published rates and income
limitations. Whenever there is a cost-ofliving increase in benefit amounts
payable under section 215(i) of title II of
the Social Security Act, VA increases
the annual income limitations and the
maximum monthly rates of parents’ DIC
by the same percentage as the Social
Security increase. These increases are
effective on the same date as the Social
Security increase. VA will publish
parents’ DIC rates, the annual income
limitations, and the formulas for
adjusting parents’ DIC rates for annual
income in the Notices section of the
Federal Register when there is a change
in the amounts. VA will use this
published data in calculating parents’
DIC payments. The rates referenced in
paragraphs (c) through (e) of this section
are the rates specified in the applicable
Federal Register notice of an increase in
the rates of parents’ DIC.
(c) One parent—remarried. Where
there is only one parent and that parent
has remarried and is living with his or
her spouse, VA will pay DIC at the rate
for one parent who has not remarried,
or the rate applicable to a remarried
parent living with his or her spouse,
whichever will provide the greater
monthly rate of DIC. However, § 5.531(c)
(requiring spousal income to be
combined) applies in either instance.
(d) One parent—marriage ends or
parent is separated from spouse. Where
there is only one parent and that parent
has remarried and that marriage has
ended or the parent is separated from
his or her spouse, the rate of DIC for that
parent will be that which would be
payable if there were one parent alone,
in the case of termination of the
marriage, or two parents not living
together, in the case of separation.
(e) Two parents living—one parent
files DIC application. Where there are
two parents of the veteran living and
only one parent has filed an application
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for DIC, the rate of DIC payable to that
parent will be that which would be
payable to such parent if both parents
had filed an application.
(f) Minimum payment—(1) Five dollar
minimum. If any payment of parents’
DIC is due after the applicable rate
payable is adjusted for income, the
amount of that payment will not be less
than $5.00 monthly.
(2) Minimum DIC payment required
for special monthly DIC. The special
monthly DIC payable to a parent who is
a patient in a nursing home, is helpless
or blind or requires the aid and
attendance of another person will be
paid to a parent only if he or she
qualifies for at least the minimum DIC
payment described in paragraph (f)(1) of
this section.
(g) Rate changes due to changes in
marital status or living arrangements. If
a parent’s conditions of entitlement
change because of a change in marital
status or living arrangements, VA will
determine the new rate payable based
on the new status. For example, if the
parent was unmarried for part of the
year, and married for part of the year,
VA will pay the applicable rate for an
unmarried parent for the part of the year
that the parent was unmarried, and then
pay the applicable rate for a married
parent for the part of the year that the
parent was married.
(h) Rates payable when one of two
parents receiving death compensation
elects DIC—(1) Parent who elects DIC.
The rate of DIC for the parent who elects
DIC will not exceed the amount that
would be paid to the parent if both
parents had elected DIC.
(2) Parent still receiving death
compensation. The rate of death
compensation for the parent who did
not elect DIC will not exceed the
amount that would be paid if both
parents were receiving death
compensation.
(Authority: 38 U.S.C. 501(a), 1315, 5312)
§ 5.537
Payment intervals.
(a) Monthly payments. VA pays
parents’ dependency and indemnity
compensation (DIC) monthly, except as
provided in paragraph (b) of this
section.
(b) Exception. VA will pay the
parents’ DIC benefit semiannually, on or
about June 1 and December 1, if the
amount of the annual benefit is less than
four percent of the maximum annual
rate payable for that parent. However,
parents receiving payment semiannually
may elect to receive payment monthly
in cases in which receiving payments
semiannually would cause other Federal
benefits to be denied.
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(Authority: 38 U.S.C. 501(a), 1315)
§§ 5.538–5.549
[Reserved]
3. Sections 5.573 through 5.579 are
added to subpart G to read as follows:
§ 5.573 Effective date for dependency and
indemnity compensation rate adjustments
when an additional survivor files an
application.
(a) General. If an additional survivor
files an application for dependency and
indemnity compensation (DIC) benefits
while other survivors are receiving
benefits under a running award (for
example, one or more children are
receiving benefits and another child
files for benefits), VA will reduce the
running award while VA determines the
additional survivor’s entitlement when:
(1) The additional survivor has
apparent entitlement to benefits; and
(2) Payment to the additional survivor
would reduce the DIC benefits being
paid to other survivors under the
running award.
(b) Effective date of reduction to
running awards.—(1) Benefits payable
prior to filing of application. If benefits
would be payable to the additional
survivor from a date prior to the date
VA received the additional survivor’s
application, the effective date of any
reduction in the running award will be
the date of the additional survivor’s
potential entitlement.
(2) Benefits payable from the date of
application. If benefits would be
payable to the additional survivor from
the date VA received the additional
survivor’s application, VA will reduce
the running award on the later of the
following dates:
(i) The date VA received the
additional survivor’s application, or
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(ii) The first day of the month that
follows the month for which VA last
paid benefits to the original survivor(s).
(c) Effective date for award to
additional survivor. If an award for the
additional survivor is warranted, the
full rate to which the additional
survivor is entitled is payable to the
additional survivor from the effective
date of that award.
(d) Resumption of previous level of
payments to other survivors. If
entitlement is not established for the
additional survivor, benefits previously
being paid to other survivors will be
resumed, if otherwise in order, from the
date of the reduction in the running
award.
(e) Exception. This section does not
apply to cases governed by § 5.524,
‘‘Awards of dependency and indemnity
compensation benefits to children when
there is a retroactive award to a school
child.’’
(Authority: 38 U.S.C. 1313, 5110(a), (e), 5112)
§ 5.574 Effective dates of awards and
discontinuances of special monthly
dependency and indemnity compensation.
(a) Effective date of award—(1)
General rule. The effective date for an
award of special monthly dependency
and indemnity compensation (DIC) will
be the date VA receives the application
for special monthly DIC or the date
entitlement arose, as defined in
[regulation that will be published in a
future Notice of Proposed Rulemaking],
whichever date is later.
(2) Exception—cases involving a
retroactive award of basic DIC. When an
award of basic DIC is effective for a
period prior to the date of receipt of the
application and a spouse or parent is
PO 00000
Frm 00024
Fmt 4701
Sfmt 4702
also entitled to special monthly DIC at
the time of that basic DIC award, the
effective date for special monthly DIC
will be the later of the following dates:
(i) The effective date of the basic DIC
award, or
(ii) The date entitlement to special
monthly DIC arose. See [regulation that
will be published in a future Notice of
Proposed Rulemaking] (defining ‘‘date
entitlement arose’’).
(3) Surviving spouse or parent in
receipt of hospital, institutional, or
domiciliary care at VA expense. If the
surviving spouse or parent is provided
hospital, institutional, or domiciliary
care at VA expense, the effective date of
any special monthly DIC award based
on the need for aid and attendance
under § 5.511(a) or (b) will be the date
of departure from the medical facility.
(b) Effective date of discontinuance—
(1) Aid and attendance. When a parent
or surviving spouse is no longer in need
of aid and attendance, VA will
discontinue special monthly DIC based
upon the need of aid and attendance
effective the first day of the month that
follows the month for which VA last
paid that benefit.
(2) Housebound. When a surviving
spouse is no longer housebound, VA
will discontinue special monthly DIC
based upon housebound status effective
the first day of the month that follows
the month for which VA last paid that
benefit.
(Authority: 38 U.S.C. 501(a), 1311(c) and (d),
1315(g), 5110, 5112)
§§ 5.575–5.579
[Reserved]
[FR Doc. 05–21026 Filed 10–20–05; 8:45 am]
BILLING CODE 8320–01–P
E:\FR\FM\21OCP2.SGM
21OCP2
Agencies
[Federal Register Volume 70, Number 203 (Friday, October 21, 2005)]
[Proposed Rules]
[Pages 61326-61348]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-21026]
[[Page 61325]]
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Part II
Department of Veterans Affairs
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38 CFR Part 5
Dependency and Indemnity Compensation Benefits; Proposed Rule
Federal Register / Vol. 70, No. 203 / Friday, October 21, 2005 /
Proposed Rules
[[Page 61326]]
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DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 5
RIN 2900-AL89
Dependency and Indemnity Compensation Benefits
AGENCY: Department of Veterans Affairs.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) has published a series
of Notices of Proposed Rulemaking (NPRM)s setting out new proposed
regulations governing VA compensation, pension, burial and related
benefits that would be located in a new part of the Code of Federal
Regulations. This NPRM adds proposed regulations concerning dependency
and indemnity compensation (DIC) for a veteran's surviving spouse,
children, and parents and general rules relating to proof of death and
service-connected cause of death to that proposed new part. The
intended effect of the proposed revisions is to assist claimants and VA
personnel in locating and understanding these provisions.
DATES: Comments must be received by VA on or before December 20, 2005.
ADDRESSES: Written comments may be submitted by: mail or hand-delivery
to Director, Regulations Management (00REG1), Department of Veterans
Affairs, 810 Vermont Ave., NW., Room 1068, Washington, DC 20420; fax to
(202) 273-9026; e-mail to VAregulations@va.gov or through https://
www.Regulations.gov. Comments should indicate that they are submitted
in response to ``RIN 2900-AL89.'' All comments received will be
available for public inspection in the Office of Regulation Policy and
Management, Room 1063B, between the hours of 8 a.m. and 4:30 p.m.,
Monday through Friday (except holidays). Please call (202) 273-9515 for
an appointment.
FOR FURTHER INFORMATION CONTACT: Clay Witt, Chief, Regulations Rewrite
Project (00REG2), Department of Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420, (202) 273-9515.
SUPPLEMENTARY INFORMATION: The Secretary of Veterans Affairs has
established an Office of Regulation Policy and Management to provide
centralized management and coordination of VA's rulemaking process. One
of the major functions of this office is to oversee a Regulation
Rewrite Project (the Project) to improve the clarity and consistency of
existing VA regulations. The Project responds to a recommendation made
in the October 2001 ``VA Claims Processing Task Force: Report to the
Secretary of Veterans Affairs.'' The Task Force recommended that the
Compensation and Pension regulations be rewritten and reorganized in
order to improve VA's claims adjudication process. Therefore, the
Project began its efforts by reviewing, reorganizing and redrafting the
content of the regulations in 38 CFR part 3 governing the compensation
and pension program of the Veterans Benefits Administration. These
regulations are among the most difficult VA regulations for readers to
understand and apply.
Once rewritten, the proposed regulations will be published in
several portions for public review and comment. This is one such
portion. It includes proposed rules regarding DIC for a veteran's
surviving spouse, children, and parents and proposed rules relating to
proof of death and service-connected cause of death. After review and
consideration of public comments, final versions of these proposed
regulations will ultimately be published in a new part 5 in 38 CFR.
Outline
Overview of New Part 5 Organization
Overview of Proposed Subpart G Organization
Table Comparing Current Part 3 Rules With Proposed Part 5 Rules
Content of Proposed Regulations
General Provisions
5.500 Proof of death.
5.501 Proving death by other means.
5.502 Proving death after 7 years of continuous, unexplained
absence.
5.503 Establishing the date of death.
5.504 Service-connected cause of death.
Dependency and Indemnity Compensation--General
5.510 Dependency and indemnity compensation--basic entitlement.
5.511 Special monthly dependency and indemnity compensation.
5.512 Eligibility for death compensation or death pension instead of
dependency and indemnity compensation.
Dependency and Indemnity Compensation--Eligibility Requirements and
Payment Rules for Surviving Spouses and Children
5.520 Dependency and indemnity compensation--time of marriage
requirements for surviving spouses.
5.521 [Reserved]
5.522 Dependency and indemnity compensation benefits for survivors
of certain veterans rated totally disabled at time of death--offset
of wrongful death damages.
5.523 [Reserved]
5.524 Awards of dependency and indemnity compensation benefits to
children when there is a retroactive award to a schoolchild.
Dependency and Indemnity Compensation--Eligibility Requirements and
Payment Rules for Parents
5.530--Eligibility for, and payment of, parents' dependency and
indemnity compensation.
5.531 General income rules.
5.532 Deductions from income.
5.533 Exclusions from income.
5.534 When VA counts parents' income.
5.535 Adjustments to parents' DIC when income is less than
anticipated.
5.536 Parents' dependency and indemnity compensation rates.
5.537 Payment intervals.
Effective Dates
Note: For information concerning proposed Sec. Sec. 5.550
through 5.572, see 69 FR 59072 (Oct. 1, 2004).
5.573 Effective date for dependency and indemnity compensation rate
adjustments when an additional survivor files an application.
5.574 Effective dates of awards and discontinuances of special
monthly dependency and indemnity compensation.
Omission of rule in 38 CFR 3.22(h).
Endnote Regarding Amendatory Language
Paperwork Reduction Act
Regulatory Flexibility Act
Executive Order 12866
Unfunded Mandates
Catalog of Federal Domestic Assistance Numbers
List of Subjects in 38 CFR Part 5
Overview of New Part 5 Organization
We plan to organize the part 5 regulations so that all provisions
governing a specific benefit are located in the same subpart, with
general provisions pertaining to all compensation and pension benefits
also grouped together. We believe this organization will allow
claimants, beneficiaries, and their representatives, as well as VA
personnel, to find information relating to a specific benefit more
quickly than the organization provided in current part 3.
The first major subdivision would be ``Subpart A--General
Provisions.'' It would include information regarding the scope of the
regulations in new part 5, delegations of authority, general
definitions, and general policy provisions for this part.
``Subpart B--Service Requirements for Veterans'' would include
information regarding a veteran's military service, including the
minimum service requirement, types of service, periods of war, and
service evidence requirements. This subpart was published as proposed
on January 30, 2004. See 69 FR 4820.
``Subpart C--Adjudicative Process, General'' would inform readers
about claims and benefit application filing procedures, VA's duties,
rights and responsibilities of claimants and
[[Page 61327]]
beneficiaries, general evidence requirements, and general effective
dates for new awards, as well as revision of decisions and protection
of VA ratings. This subpart will be published as three separate NPRMs
due to its size. The first, concerning the duties of VA and the rights
and responsibilities of claimants and beneficiaries, was published on
May 10, 2005. See 70 FR 24680.
``Subpart D--Dependents and Survivors'' would inform readers how VA
determines whether an individual is a dependent or a survivor for
purposes of determining eligibility for VA benefits. It would also
provide the evidence requirements for these determinations.
``Subpart E--Claims for Service Connection and Disability
Compensation'' would define service-connected compensation, including
direct and secondary service connection. This subpart would inform
readers how VA determines entitlement to service connection. The
subpart would also contain those provisions governing presumptions
related to service connection, rating principles, and effective dates,
as well as several special ratings. This subpart will be published as
three separate NPRMs due to its size. The first, concerning
presumptions related to service connection, was published on July 27,
2004. See 69 FR 44614.
``Subpart F--Nonservice-Connected Disability Pensions and Death
Pensions'' would include information regarding the three types of
nonservice-connected pension: Improved Pension, Old-Law Pension, and
Section 306 Pension. This subpart would also include those provisions
that state how to establish entitlement to each pension, and the
effective dates governing each pension. This subpart will be published
as two separate NPRMs due to its size. The portion concerning Old-Law
Pension, Section 306 Pension, and elections of Improved Pension was
published as proposed on December 27, 2004. See 69 FR 77578.
``Subpart G--Dependency and Indemnity Compensation, Death
Compensation, Accrued Benefits, and Special Rules Applicable Upon Death
of a Beneficiary'' would contain regulations governing claims for DIC;
death compensation; accrued benefits; benefits awarded, but unpaid at
death; and various special rules that apply to the disposition of VA
benefits, or proceeds of VA benefits, when a beneficiary dies. This
subpart would also include related definitions, effective-date rules,
and rate-of-payment rules. This subpart will be published as two
separate NPRMs due to its size. The portion concerning accrued
benefits, special rules applicable upon the death of a beneficiary, and
several effective date rules, was published as proposed on October 1,
2004. See 69 FR 59072. The portion concerning DIC benefits and general
provisions relating to proof of death and service-connected cause of
death is the subject of this NPRM.
``Subpart H--Special and Ancillary Benefits for Veterans,
Dependents, and Survivors'' would pertain to special and ancillary
benefits available, including benefits for children with various birth
defects.
``Subpart I--Benefits for Filipino Veterans and Survivors'' would
pertain to the various benefits available to Filipino veterans and
their survivors.
``Subpart J--Burial Benefits'' would pertain to burial allowances.
``Subpart K--Matters Affecting Receipt of Benefits'' would contain
provisions regarding bars to benefits, forfeiture of benefits, and
renouncement of benefits.
``Subpart L--Payments and Adjustments to Payments'' would include
general rate-setting rules, several adjustment and resumption
regulations, and election-of-benefit rules. Because of its size,
proposed regulations in subpart L will be published in two separate
NPRMs.
The final subpart, ``Subpart M--Apportionments and Payments to
Fiduciaries or Incarcerated Beneficiaries,'' would include regulations
governing apportionments, benefits for incarcerated beneficiaries, and
guardianship.
Some of the regulations in this NPRM cross-reference other
compensation and pension regulations. If those regulations have been
published in this or earlier NPRMs, we cite the proposed part 5
section. We also include, in the relevant portion of the Supplementary
Information, the Federal Register page where a proposed part 5 section
published in an earlier NPRM may be found. However, where a regulation
proposed in this NPRM would cross-reference a proposed part 5
regulation that has not yet been published, we cite to the current part
3 regulation that deals with the same subject matter. The current part
3 section we cite may differ from its eventual part 5 counterpart in
some respects, but we believe this method will assist readers in
understanding these proposed regulations where no part 5 counterpart
has yet been published. If there is no part 3 counterpart to a proposed
part 5 regulation that has not yet been published, we have inserted
``[regulation that will be published in a future Notice of Proposed
Rulemaking]'' where the part 5 regulation citation would be placed.
In connection with this rulemaking, VA will accept comments
relating to a prior rulemaking issued as a part of the Project, if the
matter being commented on relates to both Notices of Proposed
Rulemaking. VA will provide a separate opportunity for public comment
on each segment of proposed part 5 regulations before adopting a final
version of part 5.
Overview of Proposed Subpart G Organization
As its title, ``Dependency and Indemnity Compensation, Accrued
Benefits, Death Compensation Benefits, and Special Rules Applicable
Upon Death of a Beneficiary,'' suggests, proposed subpart G will
address a broad range of VA death benefits. Because of its length,
subpart G will be published in two separate NPRMs. This NPRM pertains
to those regulations governing DIC benefits and general provisions
relating to proof of death and service-connected cause of death.
Although these regulations have been substantially restructured and
rewritten for greater clarity and ease of use, most of the basic
concepts contained in these proposed regulations are the same as in
their existing counterparts in 38 CFR part 3. However, a few
substantive changes are proposed.
Table Comparing Current Part 3 Rules With Proposed Part 5 Rules
The following table shows the relationship between the current
regulations in part 3 and the proposed regulations contained in this
NPRM:
------------------------------------------------------------------------
Based in whole or in part on
Proposed part 5 section or paragraph 38 CFR part 3 section or
paragraph
------------------------------------------------------------------------
5.500(a).................................. New.
5.500(b).................................. 3.211(a).
5.500(c)(1)............................... 3.211(d)(1).
5.500(c)(2)............................... 3.211(d)(2).
5.500(c)(3)............................... 3.211(d)(3).
5.500(d).................................. 3.211(b).
5.500(e).................................. 3.211(c).
5.501(a).................................. New.
5.501(b).................................. 3.211(e), first sentence.
5.501(c).................................. 3.211(e), second sentence.
5.501(d).................................. 3.211(f) and (g).
5.502(a).................................. 3.212(a).
5.502(b).................................. 3.212(b).
5.502(c).................................. 3.212(b) and (c).
5.503(a).................................. New.
5.503(b).................................. 3.212(a).
5.503(c).................................. New.
5.504(a).................................. New.
5.504(b).................................. New.
5.504(c)(1)............................... New.
5.504(c)(2)............................... 3.312(c)(3) and (c)(4).
5.510(a).................................. 3.5(a).
[[Page 61328]]
5.510(b), except for (b)(1)(ii)........... New.
5.510(b)(1)(ii)........................... 3.5(b).
5.510(c).................................. 3.5(d).
5.510(d).................................. 3.251(a)(1).
5.511(a).................................. 3.351(a)(3), (a)(4), (b),
and (c)(3).
5.511(b).................................. 3.351(c)(1) and (c)(2).
5.511(c).................................. 3.351(e).
5.512..................................... 3.5(c).
5.520(a).................................. New.
5.520(b)(1)(i)............................ Introduction to 3.54.
5.520(b)(1)(ii)........................... 3.54(c)(2).
5.520(b)(1)(iii).......................... 3.54(c)(3).
5.520(b)(1)(iv)........................... 3.54(c)(1)
5.520(b)(2)............................... New.
5.521..................................... Reserved.
5.522(a) and (b).......................... 3.22(e).
5.522(c)(1)............................... New.
5.522(c)(2)............................... 3.22(g).
5.522(c)(3)............................... New.
5.522(c)(4)............................... 3.22(f).
5.522(c)(5)............................... 3.22(g).
5.522(d).................................. 3.22(g).
5.523..................................... Reserved.
5.524(a), except for (a)(1)............... 3.650(c)(2).
5.524(a)(1)............................... 3.650(c)(1).
5.524(b) and (c).......................... 3.650(c)(1).
5.530..................................... New.
5.531(a).................................. 3.251(b), Introduction to
3.262(a).
5.531(b)(1)............................... Introduction to 3.262(a).
5.531(b)(2)(i)............................ 3.261(a)(7).
5.531(b)(2)(ii)........................... 3.261(a)(26).
5.531(b)(2)(iii).......................... 3.262(h).
5.531(c).................................. Introduction to 3.262(b) and
3.262(b)(1).
5.531(d)(1) and (d)(2).................... 3.262(k)(1) and (k)(2).
5.531(d)(3)............................... New.
5.531(d)(4)............................... 3.262(k)(1).
5.531(e).................................. 3.260(b).
5.532(a).................................. 3.262(a)(2) and (a)(3).
5.532(b).................................. 3.262(j)(4).
5.532(c).................................. 3.262(o) and (p).
5.532(d).................................. Introduction to 3.262(l),
3.262(l)(4).
5.532(e).................................. 3.261(a)(22), and
3.262(a)(1).
5.533(a).................................. 3.261(a)(12).
5.533(b).................................. 3.262(c), (d), and (f).
5.533(c) and (d).......................... 3.261(a)(20).
5.533(e).................................. 3.262(f).
5.533(f).................................. 3.261(a)(13).
5.533(g).................................. Introduction to 3.262(e),
(e)(4), (f), (g), (i)(2),
(j)(1), (j)(2), and (j)(4).
5.533(h).................................. Introduction to 3.262(t),
(t)(1).
5.533(i).................................. 3.262(k)(5).
5.533(j).................................. 3.261(a)(31).
5.533(k).................................. 3.262(w).
5.533(l) through (n)...................... New.
5.533(o).................................. 3.262(a)(2), last sentence.
5.533(p).................................. 3.261(a)(22).
5.533(q).................................. New.
5.534(a).................................. 3.251(b) and Introduction to
3.260.
5.534(b).................................. 3.260(c), (d), and (f).
5.534(c).................................. 3.260(f).
5.535..................................... 3.660(b), Introduction and
(b)(1).
5.536(a).................................. 3.25.
5.536(b).................................. 3.25, 3.27(b) and (d).
5.536(c).................................. 3.251(a)(2).
5.536(d).................................. 3.251(a)(4).
5.536(e).................................. 3.251(a)(5).
5.536(f)(1)............................... 3.25(a), (c), and (d).
5.536(f)(2)............................... 3.25(e).
5.536(g).................................. 3.260(f).
5.536(h).................................. 3.704(b).
5.537..................................... Introduction to 3.30 and
3.30(e).
5.573(a).................................. Introduction to 3.650(a).
5.573(b)(1)............................... 3.650(a)(1).
5.573(b)(2)............................... 3.650(a)(2).
5.573(c).................................. 3.650(b).
5.573(d).................................. Unnumbered paragraph in
3.650(a).
5.573(e).................................. Introduction to 3.650(a).
5.574(a).................................. 3.402(c) and 3.404.
5.574(b)(1)............................... 3.502(e)(1) and 3.504.
5.574(b)(2)............................... New.
------------------------------------------------------------------------
Readers who use this table to compare existing regulatory
provisions with the proposed provisions, and who observe a substantive
difference between them, should consult the text that appears later in
this document for an explanation of significant changes in each
regulation. Not every paragraph of every current part 3 section
regarding the subject matter of this rulemaking is accounted for in the
table. In some instances other portions of the part 3 sections that are
addressed in these proposed regulations will appear in subparts of part
5 that are being published separately for public comment. For example,
a reader might find a reference to paragraph (a) of a part 3 section in
the table, but no reference to paragraph (b) of that section because
paragraph (b) will be addressed in a separate NPRM. The table also does
not include provisions from part 3 regulations that will not be
repeated in part 5. Such provisions are discussed specifically under
the appropriate part 5 heading in this preamble. Readers are invited to
comment on the proposed part 5 provisions and also on our proposals to
omit those part 3 provisions from part 5.
Content of Proposed Regulations
General Provisions
5.500 Proof of death.
Proposed Sec. 5.500 is a reorganization of rules in current Sec.
3.211(a) through (d), which describe the kinds of evidence that would
suffice as proof of death applicable in most cases. Section 5.500(a) is
new. Section 5.500(a)(1) states the purpose of Sec. 5.500. Section
5.500(a)(2) provides a rule for applying Sec. 5.500, specifically that
VA will accept the evidence described in any relevant paragraph of
Sec. 5.500 as proof of death. This rule reflects current VA practice
and clarifies that the various methods of proving death set out in
Sec. 5.500 are alternatives.
Current Sec. 3.211(d) describes various forms of proof of death VA
will accept when an individual dies abroad. Section 3.211(d)(3) lists
``[a]n official report of death from the head of the department
concerned, where the deceased person was, at the time of death, a
civilian employee of such department.'' We propose instead to describe
this acceptable form of proof of death, in Sec. 5.500(c)(3), as ``[a]n
official report of death of a civilian employee of the U.S. Government
from the employing U.S. Government entity.'' This revision serves to
clarify that the rule applies to a U.S. Government employee and that it
is not limited to employing Federal entities that are cabinet
departments. Further, reports of death need not necessarily come from
the head of the employing entity. VA's concern is that such a report is
an authentic official report of the Federal entity. Implicit in the
requirement for an official report is that the report will have been
issued by a person authorized to issue it, but that person will not
necessarily be the person who is the head of the employing entity.
5.501 Proving death by other means.
Proposed Sec. 5.501 is based on current Sec. 3.211(e) through (g)
and long-standing VA practice. It states the rules on how to prove
death where the evidence described in proposed Sec. 5.500 is not
available. It includes new Sec. 5.501(a), which describes the scope of
the section.
Proposed Sec. 5.501(d)(2) clarifies how VA determines whether
death has occurred in those cases where a body has not been recovered,
or the body cannot be identified. Current Sec. 3.211(f) provides that
``[w]here it is indicated that the veteran died under circumstances
which precluded recovery or identification of the body, the fact of
death should be established
[[Page 61329]]
by the best evidence, which from the nature of the case must be
supposed to exist.'' The ``best evidence'' requirement is not
explained. However, it is long-standing VA practice to consider
statements from the claimant and other witnesses describing the facts
that led them to believe that the person in question died. We also note
that this portion of the regulation should provide information
regarding what to do when the death of any person, not just a veteran,
is relevant and the body cannot be recovered or identified. Proposed
Sec. 5.501(d)(2) addresses these issues by broadening the scope of
this portion of the regulation to cover the death of any person whose
body cannot be recovered or identified and by clarifying the kinds of
evidence VA considers in this situation.
Current Sec. 3.211(f) refers to ``an official'' authorized to
approve a finding of the fact of death. Proposed Sec. 5.501(d)(3)
clarifies that this means an authorized VA official.
Current Sec. 3.211(e) requires the submission of affidavits to
prove the fact of death. In line with VA's current practice of
accepting somewhat less formal means of proof in most instances,
proposed Sec. 5.501 permits the submission of either certified
statements or affidavits. (We note that ``certified statement'' will be
defined in subpart A of part 5, which will be the subject of a separate
NPRM.)
5.502 Proving death after 7 years of continuous, unexplained absence.
Proposed Sec. 5.502 provides rules regarding how a claimant may
establish the fact of a person's death if that person has been missing
for 7 years or more and his or her absence is unexplained. It is
derived from current Sec. 3.212.
Current Sec. 3.212 includes a requirement that ``satisfactory
evidence'' be produced to show a person's continued and unexplained
absence. In order to clarify what evidence is necessary to establish
the death of a missing person, we propose to replace the phrase
``satisfactory evidence'' with ``competent, credible evidence'' because
this term more appropriately describes the qualities that make such
evidence ``satisfactory.'' VA will propose a definition of ``competent
evidence'' in a separate NPRM. ``Credible'' evidence is just evidence
that is believable. (``Credible testimony is that which is plausible or
capable of being believed.'' Caluza v. Brown, 7 Vet. App. 498, 511
(1995).)
All other proposed revisions to the language of Sec. 3.212 are
structural in nature and do not change the substance of the regulation.
5.503 Establishing the date of death.
The fact of death, that is that a person died, may be established
through the evidence described in Sec. Sec. 5.500 and 5.501, but that
evidence may not show exactly when death occurred. The exact date of
death may never be known when the fact of death is established using
the presumption in Sec. 5.502 when there has been a 7-year unexplained
absence. Proposed Sec. 5.503 sets out rules for establishing the date
of death for VA purposes in such circumstances.
The current regulation concerning the 7-year-absence death
presumption, Sec. 3.212(a), refers to an individual who has been
absent ``from his or her home and family for a period of 7 years or
more.'' It provides that in such cases death occurred ``as of the
expiration of such period.'' It is not entirely clear from the language
used whether the ``or more'' is part of ``such period.'' VA's practice
has been to presume that death occurred seven years after the person
was last known to be alive in cases where the fact of death is
established under current Sec. 3.212 (proposed Sec. 5.502). This date
of death presumption is set out more clearly in proposed Sec.
5.503(b).
In cases where the fact of death is proven by the evidence
described in proposed Sec. 5.500 or Sec. 5.501, and not the 7-year-
absence rule, but the exact date of death is unknown, long-standing VA
practice is that the date of death can be established as the date the
deceased person was last seen alive, the date the body was found, or
any time between those dates, depending on the circumstances. Proposed
Sec. 5.503(c) incorporates and clarifies this practice. It includes
standards for setting the date of death when the body of the deceased
is found and a presumption that, if no identifiable body is found, the
date of death is the date the deceased was last known to be alive in
the absence of evidence to the contrary.
5.504 Service-connected cause of death.
The next regulation in this NPRM concerns how VA determines whether
a veteran's death was service connected. This determination is
important to a veteran's survivors because a veteran's service-
connected death is a foundation for awarding several types of VA
benefits. For example, see proposed Sec. 5.510, ``Dependency and
indemnity compensation--basic entitlement,'' and Sec. 3.1600(a)
(concerning the service-connected burial allowance). Proposed paragraph
(a) of Sec. 5.504 sets this context and explains that the purpose of
the section is to provide rules on how VA determines whether a
veteran's death was service connected.
Proposed paragraph (b) defines ``service-connected disability'' for
purposes of proposed Sec. 5.504. An examination of 38 U.S.C. 1310(a),
the basic authorizing statute for the award of DIC for service-
connected deaths, is instructive. The statute provides:
(a) When any veteran dies after December 31, 1956, from a
service-connected or compensable disability, the Secretary shall pay
dependency and indemnity compensation to such veteran's surviving
spouse, children, and parents. The standards and criteria for
determining whether or not a disability is service-connected shall
be those applicable under chapter 11 of this title.
Chapter 11 of Title 38, United States Code, referenced in 38 U.S.C.
1310(a), contains the provisions for determining whether living
veterans are entitled to service connection for disabilities. In other
words, VA determines whether a disability is service connected in death
cases using the same principles it applies in determining service
connection for the disabilities of living veterans. Therefore, Sec.
5.504(b)(1) defines service-connected disability, in the context of
service-connected cause of death, as ``(i) * * * a disability that was
service connected at the time of the veteran's death, or (ii) [a]
disability that is service connectable under the provisions of subpart
E of this part, `Claims for service connection and disability
compensation.' '' (Subpart E will be the subject of a separate NPRM.)
To preclude an interpretation that a traumatic death in service was so
sudden that it did not produce a ``disability'' before death and that
the death was therefore not service-connectable, we also propose to
state in Sec. 5.504(b)(1)(ii) that ``[f]or purposes of this section,
VA will deem a sudden death in service from trauma to have been
preceded by disability from the trauma.''
There is an important exception to the principle stated in proposed
Sec. 5.504(b)(1)(i) that (for purposes of determining service-
connected causes of death) service-connected disabilities include
disabilities that were service connected at the time of the veteran's
death. Congress has precluded VA from granting service connection for
the cause of a veteran's death in some cases, even though the
disability in question may have been service connected at the time of
the veteran's death.
One such case results from 38 U.S.C. 1103(a), which provides that
``[n]otwithstanding any other provision of law, a veteran's disability
or death shall not be considered to have resulted
[[Page 61330]]
from personal injury suffered or disease contracted in the line of duty
in the active military, naval, or air service for purposes of this
title on the basis that it resulted from injury or disease attributable
to the use of tobacco products by the veteran during the veteran's
service.'' See also Kane v. Principi, 17 Vet. App. 97, 101 (2003)
(``Thus, the plain language of 38 U.S.C. Sec. 1103 expresses the
Congressional intent to no longer award service connection for a
veteran's death that results from a service connected disease that was
`capable of being attributed' to the use of tobacco products during the
veteran's service.'').
Another case in which service connection may not be granted for the
cause of death based on a disability service connected at the time of
death is the result of 38 U.S.C. 105(a) which provides, in part, that
``[a]n injury or disease incurred during active military, naval, or air
service will be deemed to have been incurred in line of duty and not
the result of the veteran's own misconduct when the person on whose
account benefits are claimed was, at the time the injury was suffered
or disease contracted, in active military, naval, or air service,
whether on active duty or on authorized leave, unless such injury or
disease was a result of the person's own willful misconduct or abuse of
alcohol or drugs.'' See also VAOPGCPREC 11-96, 61 FR 66748, 66750
(1996), which held that ``[s]ection 8052 of the Omnibus Budget
Reconciliation Act of 1990, Pub. L. No. 101-508, Sec. 8052, 104 Stat.
1388, 1388-351, applicable to claims filed after October 31, 1990,
precludes an injury or disease that is a result of a person's own abuse
of alcohol or drugs from being considered incurred in line of duty and,
consequently, precludes resulting disability or death from being
considered service connected.''
We propose to provide for these Congressionally mandated
exceptions, and any such exceptions that may arise in the future, by
stating the following in proposed Sec. 5.504(b)(2):
(2) Exception. For purposes of this section, ``service-connected
disability'' does not include a disability that was service
connected at the time of the veteran's death if the law in effect at
the time of a survivor's claim precludes VA from establishing
service connection for the cause of the veteran's death. See Sec.
3.300 of this chapter, ``Claims based on the effects of tobacco
products,'' and Sec. 3.301(d) of this chapter ``Line of duty; abuse
of alcohol or drugs.''
We note that current Sec. 3.301(d), cross-referenced in proposed
Sec. 5.504(b)(2), does not yet include provisions based on Allen v.
Principi, 237 F.3d 1368 (Fed. Cir. 2001) (concluding that 38 U.S.C.
1110 does not preclude compensation for an alcohol or drug abuse
disability secondary to a service-connected disability). However, we
anticipated that we will address that issue in the part 5 equivalent of
Sec. 3.301(d) and that part 5 regulation would be the one cross-
referenced in the final version of proposed 5.504.
Proposed Sec. 5.504(c) addresses the kind of link that must exist
between a service-connected disability and the veteran's death in order
for VA to determine that the death was service connected. It is based
on the provisions of current Sec. 3.312(c). Current Sec. 3.312(c)
distinguishes between ``principal'' and ``contributory'' causes of
death and includes elaborate provisions concerning ``contributory''
causes of death. We believe that these provisions can be simplified
considerably.
The causation question can be adjudicated using two relatively
simple standards that better reflect VA's long-standing practice and
interpretation of the authorizing statutes. The first standard would be
to determine if the veteran's death would have occurred in the absence
of the service-connected disability, or the combined effects of
multiple service-connected disabilities. If the answer is that the
death would not have occurred in the absence of the service-connected
disability, or disabilities, service connection should be awarded for
the cause of the veteran's death.
Answering this ``in the absence of'' question should resolve a
broad spectrum of cases. Sometimes the answer to the question will
depend upon medical evidence. For example, if the medical evidence
(such as autopsy reports, reports of the veteran's final
hospitalization, etc.) shows that the veteran died of a particular kind
of cancer, then clearly the veteran would not have died in the absence
of that cancer. If that cancer was service connected or service
connectable, the death should be service connected.
The ``in the absence of'' standard should also work well in other
types of cases that may involve fact finding beyond the purely medical
realm, such as cases involving service-connected or service-connectable
disabilities that produce impairment of balance or physical mobility
that plays a role in the death of a veteran. For example, a veteran
with a service-connected leg amputation might have died as the result
of a slip and fall accident. A veteran who was bedridden due to the
service-connected residuals of a stroke might have died in a home fire.
The literal cause of death might be the injuries sustained in the
accident or fire, but the evidence might show that the impaired
mobility due to the service-connected disabilities caused the accident
in one case and prevented the veteran from escaping from the fire in
the other. In both cases, the veteran would not have died in the
absence of the service-connected disability and determining that the
death is service connected would be appropriate under the proposed
test.
However, there are circumstances where death would be service
connected under the provisions in current Sec. 3.312(c) even though
such death would not satisfy the ``in the absence of'' test described
above. Specifically, current Sec. 3.312(c)(3) and (4) provide:
(3) Service-connected diseases or injuries involving active
processes affecting vital organs should receive careful
consideration as a contributory cause of death, the primary cause
being unrelated, from the viewpoint of whether there were resulting
debilitating effects and general impairment of health to an extent
that would render the person materially less capable of resisting
the effects of other disease or injury primarily causing death.
Where the service-connected condition affects vital organs as
distinguished from muscular or skeletal functions and is evaluated
as 100 percent disabling, debilitation may be assumed.
(4) There are primary causes of death which by their very nature
are so overwhelming that eventual death can be anticipated
irrespective of coexisting conditions, but, even in such cases,
there is for consideration whether there may be a reasonable basis
for holding that a service-connected condition was of such severity
as to have a material influence in accelerating death. In this
situation, however, it would not generally be reasonable to hold
that a service-connected condition accelerated death unless such
condition affected a vital organ and was of itself of a progressive
or debilitating nature.
While stated in different ways, the basic concept in these
provisions is the same. Even though a veteran may have died of a
nonservice-connected disability, VA may grant service connection for
the cause of death if the service-connected disability was so
debilitating that death was materially hastened. VA proposes to
preserve this concept in Sec. 5.504(c)(2), together with the
presumption that such a degree of debilitation is presumed where a
service-connected disability rated as 100% disabling affects vital
organs. ``Vital organs'' are also defined in this proposed paragraph as
``those organs necessary to sustain life, including the heart, lungs,
central nervous system, liver, and kidneys.'' (``The word `vital' means
necessary to life or essential.'' Federal Tel. & Radio Corp. v.
Associated
[[Page 61331]]
Tel. & Tel. Co., 169 F.2nd 1012, 1015 (3rd Cir. 1948). ``[V]ital * * *
1. Of or characteristic of life: vital processes. 2. Necessary to the
continuation of life; life sustaining: vital functions.'' The American
Heritage Dictionary of the English Language 1433 (New College Ed.
1976). ``[V]ital * * * necessary to or pertaining to life.'' Dorland's
Illustrated Medical Dictionary 1834 (28th ed. 1994).)
Dependency and Indemnity Compensation--General
5.510 Dependency and indemnity compensation--basic entitlement.
Proposed Sec. 5.510 is the first of several sequential proposed
regulations explaining DIC benefits for a veteran's surviving spouse,
children, and parents. It serves as an introduction to the DIC program
and outlines basic requirements for DIC entitlement. It includes
provisions from current 38 CFR 3.5(a), (b), and (d).
Proposed paragraph (a) defines DIC and is derived from current
Sec. 3.5(a).
Proposed Sec. 5.510(b) sets out the three statutory bases for the
award of DIC: (1) Service-connected death during or after service (38
U.S.C. 1310, ``Deaths entitling survivors to dependency and indemnity
compensation''); (2) service-connected disability that had been rated
as totally disabling for certain specified periods of time prior to the
veteran's death (38 U.S.C. 1318, ``Benefits for survivors of certain
veterans rated totally disabled at time of death''); and (3) death due
to incidents occurring during certain VA-furnished medical, training,
rehabilitation, or compensated work therapy services (38 U.S.C. 1151,
``Benefits for persons disabled by treatment or vocational
rehabilitation'').
Proposed paragraph (b) also includes provisions from current Sec.
3.5(b). Current Sec. 3.5(b) includes three different date of death
requirements for basic entitlement to DIC based upon the interplay
between DIC and a benefit program called death compensation that DIC
replaced in the 1950s. VA data shows that fewer than 1,000 persons,
primarily the parents of veterans, are still receiving death
compensation benefits. On the other hand, more than 300,000 persons are
receiving DIC benefits. Detailed information about the relationship
between DIC and death compensation was desirable years ago when current
Sec. 3.5 was drafted and VA was transitioning between the two death-
benefit programs. However, a simpler explanation of DIC benefits will
now be more useful to most claimants and VA personnel adjudicating
claims. Therefore, we propose to place death compensation rules in a
portion of subpart G dealing with death compensation (published as part
of a separate NPRM, see 69 FR 59072, Oct. 1, 2004) and include only
essential information about the relationship between DIC and death
compensation in VA's DIC regulations, such as proposed Sec. 5.510.
Specifically, we state in proposed Sec. 5.510(b)(1)(ii) that ``DIC
is not payable unless the service-connected death occurred after
December 31, 1956, except in the case of certain individuals receiving
or eligible to receive death compensation who elect to receive DIC in
lieu of death compensation.''. The few users seeking more information
about death compensation and the election of DIC in lieu of death
compensation would be referred to other sections that address those
topics.
In keeping with the simplification of Sec. 5.510 in comparison
with current Sec. 3.5, we have intentionally not repeated in Sec.
5.510 some of the details in current Sec. 3.5(b)(2) concerning
entitlement to elect DIC in lieu of death compensation. Current Sec.
3.5(b)(2) provides that one of the bases for DIC entitlement is that
``[d]eath occurred prior to January 1, 1957, and the claimant was
receiving or eligible to receive death compensation on December 31,
1956 (or, as to a parent, would have been eligible except for income),
under laws in effect on that date or who subsequently becomes eligible
by reason of a death which occurred prior to January 1, 1957.''
Instead, as previously indicated, we propose to merely state in Sec.
5.510(b)(1)(ii) that ``DIC is not payable unless the service-connected
death occurred after December 31, 1956, except in the case of certain
individuals receiving or eligible to receive death compensation who
elect to receive DIC in lieu of death compensation.'' We intend no
substantive change. A person could not be ``receiving, or eligible to
receive, death compensation'' unless they were ``receiving or eligible
to receive death compensation on December 31, 1956 `` under laws in
effect on that date or * * * subsequently bec[a]me[] eligible by reason
of a death which occurred prior to January 1, 1957.'' And, as also
mentioned previously, rules concerning death compensation entitlement
are addressed elsewhere in proposed part 5. The same is true of rules
concerning the election of DIC in lieu of death compensation.
Finally, in paragraph (d) of proposed Sec. 5.510, we state that
DIC for parents is subject to income limitations. This provision is
derived from current 38 CFR 3.251(a).
5.511 Special monthly dependency and indemnity compensation.
Proposed Sec. 5.511, based on current 38 CFR 3.351(a)(3), (a)(4),
(b), (c), and (e), provides for payment of increased DIC benefits to a
surviving spouse or parent based on the need for regular aid and
attendance or being permanently housebound.
5.512 Eligibility for death compensation or death pension instead of
dependency and indemnity compensation.
Proposed Sec. 5.512 explains that VA may not pay death
compensation or death pension to a person eligible for DIC based upon a
death occurring after December 31, 1956, subject to the right of a
surviving spouse to elect death pension in lieu of DIC. This proposed
section is based on current Sec. 3.5(c), which is, in turn, based on
38 U.S.C. 1317, ``Restriction on payments under this chapter.''
Current Sec. 3.5(c) states:
No person eligible for dependency and indemnity compensation by
reason of a death occurring on or after January 1, 1957, shall be
eligible by reason of such death for death pension or compensation
under any other law administered by the Department of Veterans
Affairs, except that, effective November 2, 1994, a surviving spouse
who is receiving dependency and indemnity compensation may elect to
receive death pension instead of such compensation.
The November 2, 1994, date referenced in current Sec. 3.5(c) is
the effective date of Pub. L. 103-446, which added subsection (b) to 38
U.S.C. 1317, thereby permitting DIC recipients to elect to receive
death pension instead of DIC. See Veterans' Benefits Improvements Act
of 1994, Pub. L. 103-446, section 111(a), 108 Stat. 4645, 4654.
Including the date was helpful during the time when the right to elect
death pension in lieu of DIC was new. However, we propose to omit it
from this revision inasmuch as elections are prospective and its
inclusion is no longer necessary.
Current Sec. 3.5(c) speaks of the right of a surviving spouse
``receiving'' DIC to elect death pension. However, under 38 U.S.C.
1317(b), the surviving spouse need only be eligible for DIC in order to
make this election. Proposed Sec. 5.512(b) uses the statutory term. No
other substantive changes are proposed.
[[Page 61332]]
Dependency and Indemnity Compensation--Eligibility Requirements and
Payment Rules for Surviving Spouses and Children
5.520 Dependency and indemnity compensation--time of marriage
requirements for surviving spouses.
A surviving spouse must meet various requirements in order to
qualify for DIC benefits. These include requirements that the date of
his or her marriage to the veteran, or the length of that marriage,
must fall within certain parameters. Proposed Sec. 5.520, based on
portions of current Sec. 3.54 and applicable statutory provisions,
sets out the time of marriage requirements and the ways in which the
requirements can be met.
The first way in which the requirements can be met is set out in
the introduction to current Sec. 3.54, which explains that a surviving
spouse who married the veteran before, or during, the veteran's service
may qualify for DIC. Three alternative time-of-marriage requirements,
which apply when the veteran and the surviving spouse were married
after the veteran's separation from service, are listed in current
Sec. 3.54(c). These alternative requirements are that the surviving
spouse was married to the veteran:
(1) Before the expiration of 15 years after the termination of
the period of service in which the injury or disease causing the
death of the veteran was incurred or aggravated, or
(2) For 1 year or more, or
(3) For any period of time if a child was born of the marriage,
or was born to them before the marriage.
This list in current Sec. 3.54(c) is based on 38 U.S.C. 1304,
``Special provisions relating to surviving spouses,'' which applies to
a surviving spouse who is seeking DIC under 38 U.S.C. 1310. However,
current Sec. 3.54 does not explain time of marriage requirements for
surviving spouses who married the veteran after service and who are
seeking DIC under 38 U.S.C. 1151 or 38 U.S.C. 1318. Proposed Sec.
5.520 explains how the time of marriage requirement applies to claims
for DIC under any of the three statutory bases for DIC.
The time of marriage requirements are not specifically addressed in
38 U.S.C. 1151. However, subsection 1151(a) provides that ``[DIC] under
chapter 13 of this title shall be awarded for a qualifying * * * death
of a veteran in the same manner as if such * * * death were service-
connected.'' (Emphasis added.) Therefore, we conclude that the three
methods in current Sec. 3.54(c) for meeting the time of marriage
requirements under 38 U.S.C. 1310 also apply to cases in which DIC is
awarded based upon the provisions of 38 U.S.C. 1151. Proposed Sec.
5.520(b) includes this information.
Proposed Sec. 5.520(b)(1)(ii) resolves an ambiguity in the current
regulation. As noted above, the time of marriage requirements for
eligibility for DIC under 38 U.S.C. 1151 or 1310 may be met if the
surviving spouse was married to the veteran for one year or more. We
propose to state that multiple periods of marriage can be added
together to meet this 1-year marriage requirement. The one-year
marriage requirement is designed to prevent abuse by sham ``death bed''
marriages to obtain benefits. We believe that there is much less risk
of such abuse where the veteran and the surviving spouse have had an
ongoing close relationship demonstrated by previous marriage. This
information has been included to fill a gap in the current regulation.
We believe that this interpretation, favorable to surviving
spouses, is reasonable. The statute authorizing the time of marriage
requirement, 38 U.S.C. 1304, does not prohibit adding multiple periods
of marriage together. On the other hand, 38 U.S.C. 1318 does provide
such a prohibition. Specifically, 38 U.S.C. 1318(c)(1) provides that
benefits may not be paid under that section to a surviving spouse of a
veteran unless ``the surviving spouse was married to the veteran for
one year or more immediately preceding the veteran's death.'' Inasmuch
as Congress prohibited combining multiple marriages together to meet
the 1-year marriage requirement in 38 U.S.C. 1318 and did not do so in
38 U.S.C. 1304, we believe it was Congress' intent not to apply the
prohibition to other claims for DIC. Norman J. Singer, Sutherland On
Statutory Construction Sec. 46:06 (6th ed. 2000) (``when the
legislature uses certain language in one part of the statute and
different language in another, the court assumes different meanings
were intended. In like manner, where the legislature has carefully
employed a term in one place and excluded it in another, it should not
be implied where excluded.''). Therefore, we have included in proposed
Sec. 5.520(b)(1)(ii) that multiple periods of marriage may be combined
to meet the 1-year marriage requirement for claims of DIC based on 38
U.S.C. 1151 or 1310.
Proposed Sec. 5.520(b)(2) describes the methods of meeting the
time of marriage requirements under 38 U.S.C. 1318, which only provides
for two methods of meeting the requirements. Following the statute,
proposed paragraph (b)(2) omits the provision for marriage ``[b]efore
the expiration of 15 years after the termination of the period of
service in which the injury or disease causing the death of the veteran
was incurred or aggravated.''
Concerning the one-year marriage requirement in claims based on 38
U.S.C. 1318, we have previously noted that the statute provides that
benefits may not be paid to a surviving spouse unless ``the surviving
spouse was married to the veteran for one year or more immediately
preceding the veteran's death.'' 38 U.S.C. 1318(c)(1) (emphasis added).
VA interprets this provision to mean that multiple periods of marriage
cannot be added together to meet the 1-year marriage requirement for
purposes of eligibility for DIC under 38 U.S.C. 1318. In order to
satisfy the one-year marriage requirement, the veteran and spouse must
have been married continuously for a year or more immediately prior to
the veteran's death. Therefore, we propose to add the requirement for
continuity of the marriage during the year prior to the veteran's death
to paragraph Sec. 5.520(b)(2).
5.521 [Reserved]
VA proposes to set out in Sec. Sec. 5.521 and 5.522 the rules
concerning the payment of DIC benefits to the survivors of certain
deceased veterans who received, or were entitled to receive,
compensation for service-connected disability rated as totally
disabling. These rules would be based on the statute that authorizes
DIC on this basis, 38 U.S.C. 1318, and VA's implementing regulation,
current Sec. 3.22.
However, we propose to simply reserve Sec. 5.521 for purposes of
this NPRM. VA is undertaking a separate rulemaking to respond to a
decision by the United States Court of Appeals for the Federal Circuit
in National Organization of Veterans' Advocates, Inc. v. Secretary of
Veterans Affairs, 314 F.3d 1373 (Fed. Cir. 2003). See 69 FR 62229
(2004). This proposed rulemaking involves revision of provisions of
current Sec. 3.22(b), which defines ``entitled to receive'' for
purposes of determining whether a veteran's survivors are entitled to
benefits under 38 U.S.C. 1318. See 38 U.S.C. 1318(b). We propose to
reserve Sec. 5.521 as the eventual location for a part 5 regulation
that will repeat the material in Sec. 3.22(b) after the final
amendment of Sec. 3.22(b) is adopted.
5.522 Dependency and indemnity compensation benefits for survivors of
certain veterans rated totally disabled at time of death--offset of
wrongful death damages.
VA is required by 38 U.S.C. 1318(d) to offset the value of money or
property
[[Page 61333]]
a surviving spouse or child may receive ``pursuant to an award in a
judicial proceeding based upon, or a settlement or compromise of, any
cause of action for damages'' for the death of a veteran against any
death benefits to which the spouse or child may be entitled under 38
U.S.C. 1318. Current Sec. 3.22(e) implements this requirement. In
proposed Sec. 5.522, the part 5 replacement for Sec. 3.22(e), we have
restructured this material in more readily understandable language and
to provide additional information about how the offset should be
calculated.
An opinion by the United States Court of Appeals for Veterans
Claims in Bryan v. West, 13 Vet. App. 482 (2000), shows the need for
regulatory guidance concerning how offsets are calculated. In Bryan the
Court remanded a case to the Board of Veterans' Appeals in order for
the Board to decide the following matters with respect to a 38 U.S.C.
1318(d) offset: ``(1) How much money was received by a plaintiff other
than [the VA claimant]; (2) Whether the money received by such a
plaintiff was received ultimately by [the VA claimant] through estate
distribution; (3) If so, whether such distribution was considered
received by [the VA claimant]; and (4) Whether the money received by
her attorney was, in contemplation of law, `received' by [the VA
claimant].'' Proposed Sec. 5.522 addresses these and other practical
issues.
Proposed Sec. 5.522(c)(1) incorporates a concept favorable to VA
claimants (because it would reduce the amount of offset) from a 1997
Precedent Opinion by VA's General Counsel, VAOPGCPREC 3-97, which
states:
Section 1318(d) of title 38, United States Code, requires offset
against survivors' benefits payable under section 1318 of amounts
received by the beneficiary pursuant to an award, settlement, or
compromise based on a claim for damages resulting from the death of
a veteran, i.e., the types of damages typically recoverable under
state wrongful death statutes, but does not require offset of
amounts received pursuant to a survival action as compensation for
injuries suffered by the veteran prior to his or her death.
Legislative history is of some assistance in determining other
aspects of how the offset should be calculated. VAOPGCPREC 3-97
includes the following information, at paragraph 10:
The legislative history indicates that the purpose of providing
DIC in the case of such non-service-connected deaths was to provide
a measure of income to the surviving spouse or child to replace the
support lost when the veteran died. In a report prepared during
consideration of that legislation, the Senate Committee on Veterans'
Affairs stated that ``[t]he appropriate Federal obligation to these
survivors should, in the Committee's view, be the replacement of the
support lost when the veteran dies.'' S. Rep. No. 1054, 95th Cong.,
2d Sess. 28 (1978), reprinted in 1978 U.S.C.C.A.N. 3465, 3486.
Similarly, the basis for authorizing such benefits was described
during floor debates as follows:
The purpose of those benefits is to provide income security to
the survivors. This reflects the Committee's view that the veteran's
total disability endured over a lengthy period of time, necessarily
results in a substantial impairment of the veteran's ability to
provide for his or her survivors; and that the primary purpose of
the new benefit is to compensate for that impairment.
124 Cong. Rec. S12687 (daily ed. Aug. 7, 1978) (statement of Sen.
Cranston). * * *
Particularly in view of Congressional intent that 38 U.S.C. 1318
benefits are to provide for the survivors' support, we propose to look
to whether the money or property received is actually available to meet
the claimants' needs and obligations, rather than the technical form in
which the money or property is passed to the claimant, in calculating
the offset under 38 U.S.C. 1318(d). In this regard, we propose to adopt
the rationale in paragraph 13 of VAOPGCPREC 3-97:
13. Finally, we note that the reference in section 1318(d) to
amounts received ``pursuant to'' an award, settlement, or compromise
may be intended to indicate that the surviving spouse or child need
not have been an actual party to the action, but need only have
received money or property of value ``pursuant to'' the action. Many
state statutes require wrongful death actions to be brought by a
representative of the estate or other designated representative,
although such actions are for the exclusive benefit of the actual
beneficiaries. 22A Am. Jur. 2d Death Sec. 399. The phrase
``pursuant to'' may be read as clarifying that offset will be
required against amounts received by the actual beneficiaries
pursuant to a wrongful death action regardless of whether the
beneficiaries were individually named as parties in the award,
settlement, or compromise.
Under proposed Sec. 5.522(c)(2), any amounts used to pay a third
party to satisfy a legal obligation of the claimant would be considered
as ``received'' by the claimant regardless of whether the claimant
receives the damages and pays the third party directly or whether the
third party is paid on the claimant's behalf by the party liable for
the damages. This view is consistent with long-standing VA policy that
attorney's fees, court costs and other expenses incident to a civil
claim are not deductible from the total amount awarded or accepted. For
example, current Sec. 3.22(g) provides that when a VA beneficiary
reports money or property received, ``[e]xpenses incident to recovery,
such as attorney's fees, may not be deducted from the amount to be
reported.'' However, in providing that damages going to pay attorney's
fees and costs be included in the offset, proposed Sec. 5.522(c)(2)
limits the amount included to the particular claimant's proportional
share of fees and costs in cases where the recovered damages are
payable to multiple parties.
The 38 U.S.C. 1318(d) offset would not normally include damages
payable to another person or entity. However, because the focus of 38
U.S.C. 1318(d) is on who receives the money or property, that exclusion
does not apply where the other person or entity is merely acting as a
conduit to pass the money or property recovered to the claimant. For
example, a wrongful death award paid to a veteran's estate that is then
distributed to the claimant, or paid into a trust for the benefit of
the claimant, would be included in the offset. We propose to address
this situation in Sec. 5.522(c)(3).
Another addition to proposed Sec. 5.522 provides for determining
the date of the valuation of property for purposes of this section.
Current Sec. 3.22(g) requires, in part, that a beneficiary receiving
DIC under 38 U.S.C. 1318 report the value of property received as
damages for the death of a veteran at fair market value, but is silent
as to the time of valuation of such property. The statute, 38 U.S.C.
1318, is also silent as to the time of valuation. We propose to fill
this gap by providing, in Sec. 5.522(c)(5), that the property be
valued at its fair market value at the time the claimant receives it.
We believe that this is most consistent with the expressed
Congressional intent that these DIC benefits serve to provide for the
support of the veteran's survivors.
Proposed paragraph (d), based on current Sec. 3.22(g), states the
DIC beneficiary's obligation to report wrongful death recoveries to VA.
We propose to add that overpayments created by failure to report will
be subject to recovery if not waived. The instructions for VA Form 21-
534, ``Application for Dependency and Indemnity Compensation, Death
Pension and Accrued Benefits by a Surviving Spouse or Child (Including
Death Compensation if Applicable),'' notify claimants of the reporting
requirement described in proposed Sec. 5.522(d).
5.523 [Reserved]
As indicated in the discussion concerning reservation of Sec.
5.521, VA is undertaking a separate rule-making to respond to a
decision by the United
[[Page 61334]]
States Court of Appeals for the Federal Circuit in National
Organization of Veterans' Advocates, Inc. v. Secretary of Veterans
Affairs, 314 F.3d 1373 (Fed. Cir. 2003). See 69 FR 62229 (2004). That
proposed rulemaking involves revision of provisions of current Sec.
3.5(e) relating to the rates of DIC payable to surviving spouses and
moving those provisions into new Sec. 3.10. We propose to reserve
Sec. 5.523 as the eventual location for the part 5 regulation that
will repeat the material in proposed Sec. 3.10 when Sec. 3.10 is
adopted as a final rule.
5.524 Awards of dependency and indemnity compensation benefits to
children when there is a retroactive award to a school child.
Under 38 U.S.C. 1313, ``Dependency and indemnity compensation to
children,'' DIC is payable to eligible children when there is no
surviving spouse entitled to DIC. The total amount payable to the
children, which varies according to the number of eligible children, is
divided and paid to the children in equal shares. However, there is an
exception to the equal-share rule that applies to a retroactive payment
to a child whose entitlement terminated when he or she reached eighteen
years of age, but who later reestablished entitlement because he or she
is pursuing a course of instruction at an approved educational
institution.
We have addressed rules concerning this exception, currently found
in Sec. 3.650(c), in proposed Sec. 5.524. In an