Citation Nr: 0005903 Decision Date: 03/03/00 Archive Date: 03/14/00 DOCKET NO. 00-03 230 ) DATE ) ) THE ISSUE Eligibility for payment of attorney fees from past-due benefits. ATTORNEY FOR THE BOARD N. L. Rippel, Associate Counsel INTRODUCTION The veteran served on active duty from February 1971 to November 1972. This matter comes before the Board of Veterans' Appeals (BVA or Board) from the Department of Veterans Affairs (VA) Regional Office (RO) in Lincoln, Nebraska. FINDINGS OF FACT 1. The Board entered a final decision on the underlying issues in question on July 21, 1993; a notice of disagreement was received by VA after November 18, 1988; and the veteran retained an attorney in November 1993, within one year of the date of the Board's decision. 2. On November 5, 1993, the veteran and his attorney entered into a contingent attorney fee agreement, which provided that 20 percent of past-due benefits were to be paid by the VA to the veteran's attorney. 3. A series of favorable decisions resulted from the original claim, including a November 1996 Board decision granting service connection for bilateral bunions, an October 1997 Board decision granting an increase in disability compensation for service-connected fracture of the medial lateral malleolus of the right ankle with traumatic arthritis, from 20 to 30 percent, effective from February 1, 1997, and a November 1998 rating decision which granted an increase from 0 to 10 percent for bunionettes of each foot, effective from July 24, 1989, and these determinations in turn resulted in past-due benefits being payable to the veteran. CONCLUSION OF LAW The requirements for payment of attorney fees from past-due benefits by the VA pursuant to the terms of the November 1993 attorney fee agreement, for the receipt of compensation for service connected bunionettes of each foot, for the period of time between July 24, 1989, to November 6, 1998, as well as additional compensation for service-connected fracture of the medial lateral malleolus of the right ankle with traumatic arthritis, for the period of time between February 1, 1997, and October 3, 1997, have been met. 38 U.S.C.A. § 5904 (West 1991 & Supp. 1999); 38 C.F.R. § 20.609 (1999). REASONS AND BASES FOR FINDINGS AND CONCLUSION A determination of basic eligibility for attorney fees paid by the VA from past-due benefits requires: (1) A final decision promulgated by the Board, (2) a notice of disagreement (NOD) pertaining to that decision dated on or after November 18, 1988, and (3) the retention of counsel not later than one year after the date of the Board's decision. See 38 U.S.C.A. § 5904(c); 38 C.F.R. § 20.609(c). In this case, the Board issued a decision on July 21, 1993, denying service connection for bilateral bunions, service connection for a low back disorder and an evaluation in excess of 20 percent for fracture of the medial lateral malleolus of the right ankle with traumatic arthritis. Thereafter, on November 5, 1993, the veteran and his attorney entered into an attorney fee agreement to represent the veteran in his claim for VA benefits denied in the July 1993 Board decision. At that time, the veteran was appealing the denial of this claim to the United States Court of Appeals for Veterans Claims (Court). The attorney fee agreement called for the attorney to be paid on a contingent basis 20 percent of any past-due benefits directly by the VA. In February 1995, the Court issued an Order granting a Joint Motion submitted on behalf of the Secretary and the veteran to vacate the Board decision and to remand the case to the Board. In June 1995, the Board issued a decision remanding the case to the RO for development consistent with the Court Order. Following the submission of additional evidence and additional examination of the veteran, the RO continued the denial of the issues on appeal and returned the case to the Board. In a decision issued November 25, 1996, the Board granted service connection for bunions and remanded the case to the RO on the two remaining issues. The RO effectuated the Board's decision in a March 31, 1997, rating action and assigned a noncompensable or zero percent rating for bilateral bunionettes. As such, no attorney fee award resulted. Thereafter, the veteran timely disagreed with the assignment of a noncompensable rating. In an October 3, 1997, Board decision, the Board granted an increase in compensation from 20 to 30 percent for the veteran's right ankle disability. That decision was effectuated by the RO in a rating action later that month. Finally, the RO ultimately assigned a 10 percent rating for bunionettes of each foot in a November 6, 1998, rating action. The veteran and his attorney were informed as to past-due benefits resulting from the awards in letters dated in November 1997, April 1998 and February 1999. Due to the piece meal manner in which this case has been adjudicated, the attorney has not received any fees for his services to date. In separate letters dated in January 2000, the veteran and his attorney were been provided a breakdown of fees computed as twenty percent of the past-due benefits and withheld as the maximum attorney fee payable, pending a determination by the Board as to the issue of attorney fees. Based on this evidence, the Board finds that the November 1993, attorney fee agreement satisfied the eligibility requirements under 38 U.S.C.A. § 5904(c) and 38 C.F.R. § 20.609(c). In this case, the Board promulgated a final decision that denied the benefit sought on July 1993. A Notice of Disagreement pertaining to that decision was received by the RO in January 1990, thus after November 18, 1988, and the fee agreement was properly and timely executed. That agreement provided that 20 percent of past-due benefits was to be paid by the VA to the veteran's attorney for representation. The Board further observes that the total fee (excluding expenses) required in the agreement does not exceed 20 percent of the total amount of past-due benefits awarded, the amount of the fee is contingent on whether the claim is resolved in a manner favorable to the veteran, and, as reflected in the RO's January 2000 letters, the award of past-due benefits resulted in payment to the veteran from which a fee may be deducted. See 38 C.F.R. § 20.609(h)(1). It is noted that while there had been no denial of an increased evaluation for bilateral bunions, the appeal of the noncompensable rating was timely and was in essence a disagreement with the initial rating. In a recent decision, the Court distinguished between an appeal of a decision denying a claim for an increased rating from an appeal resulting from a veteran's dissatisfaction with an initial rating assigned at the time of a grant of service connection. Fenderson v. West, 12 Vet. App. 119 (1999). It is noted that Fenderson makes it clear that cases involving such a disagreement are in fact part of the initial claim. See also 38 C.F.R. § 20.609 (h)(1)(i) (past due benefits will be based on the initial disability rating and include any additional benefits awarded based on an appeal of the evaluation initially assigned). As such, the Board considers the award of past due benefits stemming from the award of compensation for bunionettes to be subject to payment of attorney fees. Under the law, the Board may order a reduction in the fee called for in the agreement if the Board finds that the fee is "excessive or unreasonable." Matter of Fee Agreement of Smith, 4 Vet. App. 487, 492 (1993), vacated in part on other grounds sub nom. In re Wick, 40 F.3d 367 (Fed. Cir. 1994); Matter of the Fee Agreement of Vernon, 8 Vet. App. 457, 459 (1996). The Board notes that under 38 C.F.R. § 20.609(f), fees that total no more than 20 percent of any past-due benefits awarded will be presumed to be reasonable. The Board concludes that the fee agreed to in the fee agreement involved in this case is, on its face, neither excessive nor unreasonable. See Matter of Fee Agreement of Smith, 4 Vet. App. at 492. However, to the extent that the fee agreement indicates that the veteran is liable to the attorney for 20 percent of any award unless and until such award is paid by VA, the agreement is not in accord with VA regulations, as fee agreements are required to be wholly contingent. Consequently, the Board concludes that the requirements of 38 U.S.C.A. § 5904(d) and 38 C.F.R. § 20.609(h), for payment of the attorney's fee by VA from past-due benefits relating to the grant of compensation for bilateral bunionettes and increased compensation for fracture of the medial lateral malleolus of the right ankle with traumatic arthritis, are met concerning the past-due benefits. Past-due benefits is defined in 38 C.F.R. § 20.609(h)(3) as [a] nonrecurring payment resulting from a benefit, or benefits, granted on appeal or awarded on the basis of a claim reopened after a denial by the Board . . . or the lump sum payment which represents the total amount of recurring cash payments which accrued between the effective date of the award, as determined by applicable laws and regulations, and the date of the grant of the benefit by the agency of original jurisdiction, the Board . . ., or an appellate court. In this case, the proper amount of the past-due benefits is the lump sum payment representing the total amount of recurring cash payments, stemming from the issue of the award of compensation for bilateral bunionettes that accrued between the effective date of the award, i.e., July 24, 1989, and the date of the grant of the benefit by the RO, i.e., November 6, 1998, as well as increased compensation for the right ankle disability, that accrued between the effective date of that award, February 1, 1997, and the date of the grant of the benefit by the Board, October 3, 1997. Thus, the attorney is entitled to payment of 20 percent of the amount of the award for these disabilities, accrued between the appropriate dates. See 38 C.F.R. § 20.609(h)(3)(i) (1999). Payment of monetary benefits based, as here, on an award of both initial compensation and increased compensation may not be made for any period prior to the first day of the calendar month following the month in which the award became effective. See 38 U.S.C.A. § 5111(a) (West 1991); 38 C.F.R. § 3.31 (1999). Hence, the actual payment of monetary benefits was effective from August 1989 for bilateral bunionettes, and from March 1997 for the right ankle disability, as the veteran and his attorney were advised by the previously noted correspondence from the RO. ORDER Eligibility for payment directly by VA to the veteran's attorney is established, and the attorney should be paid 20 percent of the veteran's past-due benefits awarded the veteran for the grant of service connection and resulting compensation for bilateral bunionettes for the period of time between July 24, 1989, and November 6, 1998, as well as for increased disability compensation for service connected fracture of the medial lateral malleolus of the right ankle with traumatic arthritis, from February 1, 1997, and October 3, 1997. RAYMOND F. FERNER Acting Member, Board of Veterans' Appeals