BVA9507841 DOCKET NO. 93-11 011 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Louisville, Kentucky THE ISSUE Entitlement to waiver of recovery of an overpayment of improved disability pension benefits in the calculated amount of $1,361. REPRESENTATION Appellant represented by: Disabled American Veterans ATTORNEY FOR THE BOARD Darryl A. Joe, Associate Counsel INTRODUCTION The veteran had active military service from April 1952 to March 1958. This matter comes before the Board of Veterans' Appeals (the Board) on appeal from a September 1992 determination by the Committee on Waivers and Compromises (Committee) of the Louisville, Kentucky Regional Office (RO) of the Department of Veterans Affairs (VA), which denied the veteran's request for waiver of recovery of an overpayment of improved disability pension benefits in the calculated amount of $1,361. CONTENTIONS OF APPELLANT ON APPEAL The veteran contends that he is entitled to waiver of recovery of the overpayment of the improved pension benefits at issue. He maintains that he did not knowingly withhold information from VA. He further argues, essentially, that requiring repayment of the assessed overpayment would be against the principles of equity and good conscience, since he and his wife are both unable to work due to their respective physical disabilities, and rely on no other income besides monthly VA and Social Security disability payments. DECISION OF THE BOARD The Board, in accordance with the provisions of 38 U.S.C.A. § 7104 (West 1991), has reviewed and considered all of the evidence and material of record in the veteran's claims file. Based on its review of the relevant evidence in this matter, and for the following reasons and bases, it is the decision of the Board that waiver of the recovery of an overpayment of improved disability pension benefits in the calculated amount of $1,361 is warranted. FINDINGS OF FACT 1. All relevant evidence necessary for an equitable disposition of the veteran's claim has been obtained by the RO. 2. Effective October 1961, the veteran was awarded VA disability pension benefits based on his countable income; at the time of his award and on several subsequent occasions, he was advised of the relationship of family income to his receipt of VA pension and of the necessity for reporting any changes in income promptly. 3. The veteran's improved disability pension award was reduced effective from July 1, 1991, through May 1992, based on the increase in Social Security benefits paid to his daughter [redacted]. 4. This action by the RO resulted in the creation of an overpayment in the calculated amount of $1,361. 5. The veteran was at fault in the creation of the indebtedness. 6. The most recent financial data of record shows that the veteran's monthly expenses exceed his monthly income by over $300. 7. Recovery of the overpayment would cause undue financial hardship. CONCLUSION OF LAW Recovery of the overpayment of improved pension disability benefits, in the calculated amount of $1,361, would violate the standard of equity and good conscience. 38 U.S.C.A. §§ 5107, 5302 (West 1991); 38 C.F.R. §§ 1.963, 1.965 (1994). REASONS AND BASES FOR FINDINGS AND CONCLUSION The Board finds that the veteran's claim is well-grounded within the meaning of 38 U.S.C.A. § 5107(a). That is, we find that he has presented a claim which is plausible or capable of substantiation. Further, after examining the record, we are satisfied that all relevant facts have been properly developed and that the data on file are sufficient for us to render a fair and equitable determination in the matter at hand. The Board's review of the record shows that the veteran was first awarded VA disability pension benefits in April 1962. Information submitted in support of the veteran's claim for pension benefits showed that he was in receipt of Social Security benefits. At the time of the award, the veteran was unmarried and reportedly did not have any dependent children. An award letter, with attachments, was forwarded to the veteran in May 1962, advising him of his responsibilities for providing VA with prompt notice of any changes in his income. Documents of record further demonstrate that the veteran married his wife [redacted] in June 1969. Thereafter, by separate award actions, he was granted additional VA pension benefits for his wife and three children, [redacted], [redacted], and [redacted]. Records further reflect that benefits were also paid out by the Social Security Administration for the three children. Following various adjustments to the veteran's pension award, including his election in April 1979 to receive improved pension benefits, he was advised of the relationship between pension and family income. He was further instructed that he was to notify VA immediately if he or any of his dependents received any other income or if his dependents received any additional income in the future. The RO warned him that failure to inform VA promptly of income changes would result in the creation of an overpayment in his account. In April 1991, the RO informed the veteran of a change in the rate of his pension benefits. In relevant part, he was advised that he would be paid at the monthly rate of $267, based upon his receipt of $489 in Social Security benefits, as well as [redacted]'s receipt of $123 from the same source. At the time of the adjustment, [redacted] was the veteran's only remaining dependent child for VA purposes. Subsequently, by letter dated in December 1991, the veteran was notified that his pension award had again been amended. He was advised that effective December 1, 1991, he was to be paid at the monthly rate of $278 and from September 1, 1992, he would receive payments at the monthly rate of $300. The award letter explained that this action was based on countable annual income of $7608 from December 1, 1991, consisting of the his annual Social Security income of $6084 and that of his daughter [redacted], totaling $1524, or $127 per month. Thereafter, in February 1992, the veteran reported in an eligibility verification report that his daughter [redacted] received $244 in monthly Social Security benefits. A VA report of contact shows that, in May 1992, the RO asked the Social Security Administration to verify the rates of benefits paid from December 1, 1990 to the veteran, his wife, and their remaining dependent child, [redacted]. VA was advised that from December 1990 the veteran was paid at the rate of $489 per month, and from December 1991, he received $507. VA was also informed that [redacted] received $123 per month from December 1990, but that her rate was increased to $244 from June 1991, and to $253 from December 1991. In June 1992, the RO informed the veteran that his payments were being reduced based on the discovery that [redacted]'s Social Security benefits were increased in June 1991. The increased income was credited effective July 1, 1991, and created an overpayment in his account in the calculated amount of $1,361. A waiver of recovery of an overpayment, or waiver of collection of any indebtedness is precluded where fraud, misrepresentation, or bad faith is found to exist. 38 U.S.C.A. § 5302(c) (West 1991); 38 C.F.R. § 1.965(b) (1994). The Committee has determined that there was no willful intention on the part of the veteran to commit fraud, misrepresent a material fact, or exercise bad faith in the creation of the overpayment that has been assessed against him. In view of this, the Board now seeks to determine whether the evidence establishes that recoupment of the indebtedness would be against equity and good conscience, in which case recovery of that overpayment may be waived. 38 U.S.C.A. § 5302; 38 C.F.R. §§ 1.963, 1.965. The following is pertinent to this matter: The standard "equity and good conscience" will be applied when the facts and circumstances in a particular case indicate a need for reasonableness and moderation in the exercise of the Government's rights. The decision reached should not be unduly favorable or adverse to either side. The phrase "equity and good conscience" means arriving at a fair decision between the obligor and the Government. In making this determination, consideration will be given to the following elements, which are not intended to be all-inclusive: 1. Fault of the debtor. Where actions of the debtor contribute to creation of the debt. 2. Balancing of faults. Weighing fault of debtor against VA fault. 3. Undue hardship. Whether collection would deprive debtor or family of basic necessities. 4. Defeat the purpose. Whether withholding of benefits or recovery would nullify the objective for which benefits were intended. 5. Unjust enrichment. Failure to make restitution would result in unfair gain to the debtor. 6. Changing position to one's detriment. Reliance on VA benefits results in relinquishment of a valuable right or incurrence of a legal obligation. 38 C.F.R. § 1.965(a). The record in this case demonstrates that the veteran was advised on several occasions of the relationship between his family's income and his entitlement to VA disability pension benefits, as well as his responsibility for providing VA with prompt notice of income changes. Although the veteran's previous actions in causing an earlier overpayment have no bearing on the outcome, it is clear that the circumstances surrounding that overpayment, in addition to the abundance of information furnished him, certainly put him on notice with respect to his obligations as a VA pension beneficiary. In light of the facts surrounding the most recent overpayment, the Board is left with no alternative but to find that the veteran was solely at fault in the creation of the indebtedness at issue, as he failed to provide VA with prompt notice of the increase in Social Security benefits paid for his daughter [redacted]. Notwithstanding our above finding, we must point out that fault is only one consideration to be analyzed in this case. Pertinent regulations require that the VA must also consider other equitable factors, such as undue financial hardship, when deciding a veteran's waiver request. In this regard, we observe that in a Financial Status Report filed by the veteran in October 1992, he reported that his monthly net income was $849, reflecting the amount he received in VA disability pension and Social Security benefits, including an amount paid for his daughter [redacted]. The veteran also reported that he had monthly expenses of $1,189, resulting in a monthly deficit of over $300. The veteran's expenses are moderate. Included in the veteran's monthly expenses is the $300 he pays on a monthly basis for medication. The veteran also indicated that he incurs a monthly expense of $150 for home oxygen. In listing the value of his assets, the veteran reported $0 in a checking account, $5000 worth of furniture and household goods, a 1978 Plymouth Volare worth $500, and his home estimated to be worth $40,000. The veteran also indicated that he was able to pay his monthly bills by either remitting payment for some bills every other month, by sending incremental payments to his creditors, or by not paying anything at all. A finding of financial hardship would be justified if the collection of the indebtedness would deprive the veteran of food, clothing, shelter, or other basic necessities. Financial information furnished by the veteran reflects that he faces a substantial deficit after satisfying his monthly expenses. As noted above, these expenses are moderate. He has few assets. Further, we believe that the veteran's age and present state of health severely limits any opportunities he might have for future employment. Under these circumstances, the Board finds that requiring that the veteran repay his debt would deprive him of the basic necessities of life and result in financial hardship. The undue financial hardship which would result from recovery of the indebtedness outweighs the veteran's fault in the creation of the overpayment. The fact that the veteran was recently awarded pension at the aid and attendance rate, which generated an award of retroactive benefits, does not persuade the Board that requiring repayment would not impose financial hardship. After careful consideration of the record, the Board concludes that recovery of the overpayment would be against equity and good conscience. Waiver of the recovery of the overpayment of improved pension in the amount of $1,361 is granted. ORDER Entitlement to waiver of recovery of an overpayment of improved disability pension benefits in the calculated amount of $1,361 is granted. N. R. ROBIN Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. NOTICE OF APPELLATE RIGHTS: Under 38 U.S.C.A. § 7266 (West 1991), a decision of the Board of Veterans' Appeals granting less than the complete benefit, or benefits, sought on appeal is appealable to the United States Court of Veterans Appeals within 120 days from the date of mailing of notice of the decision, provided that a Notice of Disagreement concerning an issue which was before the Board was filed with the agency of original jurisdiction on or after November 18, 1988. Veterans' Judicial Review Act, Pub. L. No. 100-687, § 402 (1988). The date which appears on the face of this decision constitutes the date of mailing and the copy of this decision which you have received is your notice of the action taken on your appeal by the Board of Veterans' Appeals.