BVA9504330 DOCKET NO. 92-14 972 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Providence, Rhode Island THE ISSUE Entitlement to waiver of the recovery of an overpayment of Section 306 disability pension benefits, in the calculated amount of $4,240. REPRESENTATION Appellant represented by: Disabled American Veterans ATTORNEY FOR THE BOARD Suzie St. Vil, Associate Counsel INTRODUCTION The veteran had active military service from March 1944 to December 1945. He has been represented throughout his appeal by the Disabled American Veterans. This matter came before the Board of Veterans' Appeals (hereinafter Board) on appeal from a February 1992 decision by the Committee on Waivers and Compromises (Committee) at the Providence, Rhode Island Regional Office (RO), which denied the veteran's request for waiver of the recovery of an overpayment of Section 306 disability pension benefits, in the calculated amount of $4,240. The appeal was received at the Board in August 1992. In October 1994, the Board remanded the case to the RO for further development. A financial status report was received in November 1994. A supplemental statement of the case was issued in December 1994. The case has now been returned to the Board for further appellate consideration. CONTENTIONS OF APPELLANT ON APPEAL The veteran essentially contends that recovery of the overpayment would be against equity and good conscience. It is maintained that the veteran was not at fault in the creation of the overpayment at issue. The veteran explains that while he received proceeds from the sale of his home, he fully believed, based upon information from the Internal Revenue Service, that the proceeds of the sale or interest earned thereon was unreportable income as it was not taxed by that agency or any state agencies. The service representative points out that the veteran and his wife live on a fixed income from Social Security benefits. It is argued that the veteran's income is clearly insufficient to meet the veteran's needs. The veteran further maintains that he and his wife have both become quite ill and will continue to have significant medical expenses in the future. As a result, it is argued that repayment of the debt would cause the veteran to suffer undue financial hardship and would defeat the purpose of the benefit. It is requested that the veteran be accorded the benefit of the doubt. 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 the preponderance of the evidence is against the claim for waiver of the recovery of the overpayment of Section 306 disability pension benefits, in the calculated amount of $4,240. FINDINGS OF FACT 1. All relevant evidence necessary for an equitable disposition of the veteran's claim has been obtained by the RO. 2. The veteran's failure to promptly notify the Department of Veterans Affairs (VA) that he had received additional interest income during 1989 caused the overpayment of Section 306 disability pension benefits, in the calculated amount of $4,240; there was no fault by the VA. 3. Recovery of the debt would not cause undue financial hardship, and failure to recover the debt would result in unjust enrichment. 4. The other equitable elements weigh against the veteran. CONCLUSION OF LAW Recovery of the overpayment of Section 306 disability pension benefits, in the calculated amount of $4,240, would not be against equity and good conscience. 38 U.S.C.A. §§ 5107, 5302 (West 1991); 38 C.F.R. §§ 1.963, 1.965, 3.660(a)(1) (1993). REASONS AND BASES FOR FINDINGS AND CONCLUSION Initially, we note that we have found that the veteran's claim is "well-grounded" within the meaning of 38 U.S.C.A. § 5107(a); effective on and after September 1, 1989. That is, we find that he has presented a claim which is plausible. Moreover, after careful review of the evidentiary record, we are also satisfied that all relevant facts have been properly developed. Therefore, no further assistance to the veteran is required to comply with the duty to assist as mandated by 38 U.S.C.A. § 5107(a). The pertinent facts in this case are not in dispute and may be briefly described. By rating action of September 1976, the RO found the veteran to be permanently and totally disabled for pension purposes, effective January 20, 1976. He was informed of this award by VA letter dated in October 1976. Attached to this letter was VA Form 21-6896, which advised the veteran of the need to promptly report his income from all sources as well as any change in his income. That attachment further notified the veteran that the rate of pension payable was based on income and that the failure to promptly and accurately report income to VA could result in an overpayment of benefits which would be subject to recovery. He was provided similar notice in September 1978. In December 1985, November 1986, and October 1987, the veteran completed and submitted Eligibility Verification Reports (EVR), reporting his and his wife's income for the years in question. These forms had clearly marked spaces with express instructions for the reporting of any interest income received. For the years covered by these forms, the veteran reported "0" interest income. In a November 1988 EVR, the veteran indicated that he was in receipt of social security benefits in the amount of $634 per month, and his wife was receiving $269 per month. The veteran also reported that his annual interest and dividends was $72.15 for 1988. He further reported cash in the bank totaling $8,461.15. In November 1989, the veteran submitted an EVR which reported monthly Social Security benefits of $660.90 for himself, and $280.90 for his wife. In the spaces plainly provided for the reporting of all interest income on the EVR, the veteran reported that he and his wife each had annual interest and dividends of $223.06 in 1989, and expected to receive the same in 1990. The EVR further indicated that the veteran and his wife each had cash in bank accounts totaling $10,424.98. By letter dated in January 1990, the VA requested information on the additional $12,000 of combined net worth reflected on the November 1989 EVR. Received later in January 1990 was a statement from the veteran (VA Form 21-4138), wherein he explained that the $10,424 in savings reflected money held in a joint account, rather than separate accounts. The veteran also reported paying $1,624 for health insurance in 1989, as well as other expenses. In December 1990, the veteran filed an EVR which showed that he and his wife had total annual interest and dividends of $302.74 in 1990. He also reported that they had cash in bank accounts totaling $3,371.23. The record reflects that in response to correspondence from the VA dated in August 1991, inquiring about unearned income during the year 1989, the veteran signed a certification acknowledging receipt of interest income in 1989, totaling $6,357. By letter dated in September 1991, the veteran was informed that the VA proposed to terminate his disability pension benefits, effective January 1, 1990. He was informed that his benefits were being terminated because his Social Security benefits and interest income for 1989 totaled $12,791, after adjustment for allowable medical expenses reported by him for that year. He was advised that this amount exceeded the annual pension income limit of $10,350. Subsequently, in October 1991, the veteran requested that his pension payments be reduced or terminated. In a Financial Status Report, filed by the veteran in October 1991, he reported that his and his wife's monthly net income, from Social Security benefits and interest, totaled $1,103. He estimated his monthly expenses to be $1,102. The veteran reported total assets of $45,000, including $20,000 in cash in the bank. Also received in October 1991 were VA Forms 21-8416 reflecting medical expenses for the veteran and his wife for 1989 and 1990. The expenses reported for 1989 were in an amount similar to the amount considered by the RO in computing the veteran's income for 1989, about which he was notified in September 1991. The veteran's October 1991 financial status report reflects, among the $1,102 monthly expenses, the amount of $227 for medical insurance and medical expenses. By letter dated in December 1991, the veteran was informed that his VA disability pension benefits had been terminated effective January 1, 1990, because his countable income for 1989 exceeded the income limitation set by law. This resulted in the creation of the overpayment of pension in the amount of $4,240. Received in November 1994 was another Financial Status Report. The veteran reported monthly net income of $1,063.66, primarily from Social Security benefits, after total monthly deductions for Medicare of $82. He calculated his monthly expenses to be $1,186.33, although this figure included $82 monthly Medicare deductions which were already accounted for as a deduction from gross monthly income. Thus, without consideration of Medicare, the calculation of the veteran's total monthly expenses was 1,104.33. Among his listed expenses were: $300 for food, $65 for utilities and heat, $177.63 for insurance supplements, $48.25 for wife's insurance, $40 for telephone, $35 for gas, $35 for cable, $205 for prescriptions, $40.50 for house insurance, $13 for house tax, $39 for car insurance, $17 for garbage collection, $8.95 for life insurance, and $50 for miscellaneous. The veteran reported total assets of $60,221.07, including: $5,196.07 cash in the bank, $25 cash on hand, a 1987 automobile valued at $5,000, and real estate valued at $50,000. The veteran reported that monthly expenses included credit installment payments each month of $30, of which none was overdue. Received by the RO in December 1994 were several letters and other correspondence from the veteran. In one letter, he reported that income for the year was $12,758.36, and his expenses totaled $12,667.67. In another letter, the veteran reported monthly net income of $1,055, and monthly expenses of approximately $1,073.00. He also reported various yearly expenses, at least some of which were apparently not included in the accounting of monthly expenses, although it is not clear whether some or not some of the expenditures were being shown on both a monthly and yearly basis. The veteran also reported an expense of $33 per visit for visits to physicians, although no clear information regarding the frequency of such visits was provided. The veteran did state in his letter that with their income and savings, he and his wife were able to "barely meet" their monthly living expenses. Attached to this letter was a copy of a bank statement dated in October 1994, reflecting a joint savings account balance of $4,605.07. The Board points out that the applicable law and regulations provide that, assuming there is no fraud, misrepresentation, or bad faith, as here, when collection would be against equity and good conscience, the VA will waive its right to collect the indebtedness. 38 U.S.C.A. § 5302; 38 C.F.R. §§ 1.963, 1.965. 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 various elements which are not intended to be all inclusive. These elements are the fault of the debtor where such actions contribute to creation of the debt, balancing of faults where VA fault is also involved, whether collection of the debt would cause the debtor undue financial hardship by depriving him of the basic necessities, whether collection would defeat the purpose of the VA benefit, whether failure to make restitution would result in unjust enrichment and whether reliance on the VA benefits resulted in relinquishment of a valuable right, i.e., changing position to one's detriment. 38 C.F.R. § 1.965(a). As already noted above, the information that the veteran had received interest income of some $6,357 during 1989 was only received some two years later when the veteran verified that he had received that amount of interest for 1989. This was a much greater amount than the amount which he had previously reported for 1989. He had been given specific repeated notices of his obligation to report all income to VA, and despite such notification, he vastly underreported his interest income on the EVR submitted by him for 1989. Under 38 C.F.R. § 3.660(a)(1), a pension beneficiary has the obligation to promptly notify VA of any material change in income which could affect pension entitlement. While the Board can accept the veteran's explanation that he didn't report the sale of his home, or the proceeds derived therefrom, because he believed the transaction and proceeds did not result in income for Federal tax purposes, we cannot accept this explanation with respect to interest ultimately earned on money received from the sale. As we have already noted, the veteran was clearly advised on several occasions that he was to report all income to VA and he was put on plain notice, through his completion and submission of several EVR's, that any interest income was to be reported. Therefore, the Board concludes that the veteran bears full responsibility for the creation of the overpayment by failing to report his full receipt of interest income in 1989 to the VA. The VA was not responsible in any way for the overpayment that was created in reliance on information provided by the veteran, and took prompt action once the additional income was discovered. The Board notes that while the veteran's monthly expenses apparently exceed his monthly income, it is not shown that collection of the overpayment would deprive him and his family of food, clothing, shelter and other basic necessities. The November 1994 financial statement and the veteran's subsequent correspondence indicate that the monthly imbalance between income and expenses is sufficiently close that monthly needs can be met by income and reliance on savings. It is also noteworthy that the veteran has considerable assets, and is evidently able to meet his other payments of indebtedness. We stress that indebtedness to the government is entitled to the same consideration by the veteran which is owed to his other financial obligations. Therefore, we find that recovery of the overpayment would not deprive the veteran or his wife of the basic necessities of living. Moreover, to the extent that the veteran received the additional interest income, resulting in excessive income for continued pension entitlement, while he was receiving disability pension benefits, unjust enrichment would arise were the debt to be waived. This is because VA pension is an income based program, which requires that income be below specified limitations for continued entitlement to Section 306 pension benefits. Similarly, the Board finds that collection of the debt would not defeat the purpose of the benefit, which is to provide a source of income to those who qualify by virtue of having income from other sources below specified levels. There is also no indication that the veteran relinquished a valuable right or incurred a legal obligation in reliance on VA benefits. Consequently, the Board must find that to demand payment of the indebtedness in reasonable amounts would not be unfair, unconscionable, or unjust, nor would it defeat the purpose for which the benefit was intended. The preponderance of the evidence is against a finding that recovery of the overpayment would be against equity and good conscience. The request for waiver of the recovery of the overpayment in question is denied. ORDER Entitlement to waiver of the recovery of the overpayment of Section 306 disability pension benefits, in the calculated amount of $4,240 is denied. D. C. SPICKLER 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.