BVA9506336 DOCKET NO. 93-11 044 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Nashville, Tennessee THE ISSUE Entitlement to waiver of recovery of an overpayment of parents' dependency and indemnity compensation benefits in the amount of $20,276.24. ATTORNEY FOR THE BOARD Susan S. Toth, Associate Counsel INTRODUCTION The veteran had active service from September 1979 to March 1983. He died in March 1983. The appellant is the veteran's dependent mother. This matter arises from an administrative decision of November 1992, whereby the Regional Office's Committee on Waivers and Compromises (RO) denied the appellant's claim for waiver of recovery of the indebtedness at issue. An overpayment has also been declared in the appellant's husband's account, which will be the subject of a separate appellate decision. CONTENTIONS OF APPELLANT ON APPEAL The appellant contends that recovery of the overpayment should be waived because collection would result in undue financial hardship. She asserts that she bears no fault with respect to creation of the overpayment since a County Services Officer (CSO) assisted her with the paperwork required to apply for parents' dependency and indemnity compensation (DIC). She reported her income to the CSO, but the CSO informed her that income information was not relevant to a claim for DIC benefits. She specifically sought assistance with the Department of Veterans' Affairs (VA) paperwork because of her limited education and inability to understand the income reporting requirements. Moreover, the appellant reported that discovery of the indebtedness caused her to have a nervous breakdown. 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 appellant's claim for waiver of recovery of an overpayment of DIC in the amount of $20,276.24. FINDINGS OF FACT 1. Attempts to obtain all relevant evidence necessary for an equitable disposition of the appeal have been made by the RO. 2. The appellant is significantly and primarily at fault in the creation of the overpayment by virtue of her failure to properly report the amounts of income received by her family to the VA. 3. Collection of the debt would not deprive the appellant of the basic necessities. 4. Failure to make restitution would result in unfair gain to the debtor. 5. The appellant has not changed her position to her detriment in reliance upon VA DIC benefits; she is not currently in receipt of benefits due to excessive income. CONCLUSION OF LAW Recovery of an overpayment of DIC benefits in the amount of $20,276.24 would not be against the principles of equity and good conscience. 38 U.S.C.A. §§ 5107, 5302 (West 1991); 38 C.F.R. §§ 1.963(a), 1.965 (a) (1994). REASONS AND BASES FOR FINDINGS AND CONCLUSION The appellant satisfied the threshold requirement of presenting a well-grounded claim within the meaning of 38 U.S.C.A. § 5107(a). That is, she set forth a claim which was plausible. The Board is also satisfied that all relevant evidence has been properly developed, and that no further assistance is required to comply with the VA's duty to assist as mandated by 38 U.S.C.A. § 5107(a). The appellant filed a joint application for DIC with her husband in April 1983. They reported either the receipt or expected receipt of the following income: (1) $880 in unemployment compensation from January to March 1983; (2) $1,760 in unemployment compensation was expected from March to December 1983; (3) $400 in dividends and interest was expected from March to December 1983; (4) $2,400 in dividends and interest was expected in 1984 and; (5) $17,500 in insurance benefits was expected by each applicant from March to December 1983. Based on this information, the RO disallowed the appellant's claim due to excess income in June 1983. The appellant filed another application for DIC separately from her husband in August 1983. On that form, zeros were placed in every space that requested the amount of income received from a particular source. Zeros were also placed in the spaces reserved for the reporting of wages, unemployment compensation, dividends and interest, and other income. Based on the information provided, the RO awarded parents' DIC benefits to her in October 1983, retroactive to May 1, 1983. The appellant was specifically informed that she and her husband were considered to have no countable annual income for VA purposes since they reported having zero income from each of the following sources: (1) Earned; (2) Social Security; (3) Retirement; (4) Interest; (5) Insurance and; (6) Other Income. Enclosed with the award letter was VA Form 21-8765 which informed her that she was required to promptly notify the VA if the combined income of herself and her spouse increased or decreased, otherwise, an overpayment might result. In December of each year from 1985 through 1989, the appellant submitted DIC Parents' Eligibility Verification Reports. She placed zeros in each box which requested amounts of income received in various forms. She did, however, report the amounts paid by herself and her husband during each applicable calendar year for unreimbursed medical expenses. In December 1985, January 1987, January 1988 and December 1988, the RO notified the appellant that the award of parents' DIC was continued with no reductions for income. The RO based the DIC award amounts on the information provided in the EVRs. Enclosed with each award letter was VA Form 21-8765 which continued to inform the appellant of the reporting requirements. In December 1991, the appellant submitted an EVR wherein she reported the receipt of interest and dividends in the amount of $1,636.50. She expected to receive the same amount the following calendar year. With respect to her husband, she reported that he received wages of $35,214.91 in 1991 and that he expected to receive $35,000 the following year. He also had received interest and dividends totaling $1, 636.50 in 1991 and expected to receive the same amount the following year. In February 1992, the RO contacted the appellant and her husband to request further information concerning her income. Specifically, the RO requested the date that wages were first received, the amount of the first check and the gross monthly amount. The appellant's husband responded in March 1992. He reported that he received income in the form of wages and interest during each year from 1983 to 1991. In April 1992, the RO amended the appellant's DIC account retroactive to May 1983 to reflect this newly acquired income information. The appellant was notified of the overpayment amount later in April 1992; and she requested waiver of recovery the following month. Initially, it should be considered whether the overpayment of benefits in this case was properly created. In this regard, the appellant was paid DIC as a dependent parent of the veteran under the provisions of 38 U.S.C.A.§ 1315 which provides that benefits will be paid at specified rates according to the amount of countable income of the parent. If income exceeds the prescribed limits, benefits are not payable. See 38 C.F.R.§ 3.25. In this case the appellant has not questioned the creation of the overpayment. She has neither disputed the amount of income actually received nor the retroactive adjustment in benefits required as a result of the income received. The effective date of a reduction or discontinuance of DIC by reason of a change in countable income shall be the last day of the month in which the change occurred. 38 U.S.C.A. § 5112(b)(4)(A). Overpayments caused by retroactive discontinuance of benefits will be subject to recovery if not waived. Where DIC was being paid to two parents living together, an overpayment will be established on the award to each parent. 38 C.F.R.§ 3.660. The effective date of a reduction or discontinuance of DIC by reason of an erroneous award based on an act of commission or omission by the beneficiary, or with the beneficiary's knowledge, shall be the effective date of the award. 38 U.S.C.A. § 5112(b)(9). The effective date of a reduction or discontinuance of DIC by reason of an erroneous award based solely on administrative error or error in judgment shall be the date of last payment. 38 U.S.C.A. § 5112(b)(10). Since the appellant failed to notify the RO after August 1983 that her husband had received income in that year, she continued to receive monetary DIC benefits as if the family had no income. Since she did not provide full disclosure concerning her family's income until 1991, erroneous awards of monetary benefits were made from 1983 to 1991. Accordingly, the RO properly reduced the appellant' s DIC award retroactive to the effective date of the original award. Pursuant to 38 U.S.C.A. § 5302(c), a finding of fraud, misrepresentation or bad faith precludes a grant of a waiver of recovery of the overpayment. The RO has held that the appellant is not precluded from waiver of recovery due to the presence of any of the above mentioned factors. The Board will not disturb those findings of the RO. As a result, the Board's decision will be limited to the determination of whether or not waiver of recovery of an overpayment of compensation benefits is warranted on the basis of equity and good conscience. In the absence of the aforementioned statutory bars to waiver, recovery of an overpayment of improved pension benefits may be waived if recovery of the indebtedness from the payee who received the benefit would be against equity and good conscience. 38 U.S.C.A. § 5302; 38 C.F.R. § 1.963(a). The equity and good conscience standard means arriving at a fair decision between the obligor and the Government. In making this decision, consideration is given to the fault of the debtor; balancing of fault of the debtor against any fault of the VA; whether collection would deprive the debtor of basic necessities; whether recovery would nullify the objective for which benefits were intended; whether failure to make restitution would result in unfair gain to the debtor; and whether reliance on the benefits would result in relinquishment of a valuable right or incurrence of a legal obligation. 38 C.F.R. § 1.965(a). With regard to fault of the appellant and fault of the VA, the Board concludes that the appellant was significantly at fault in the creation of the overpayment. Based on the questions asked in the application forms and EVRs, the appellant either knew or reasonably should have known that income had to be reported to the VA. Moreover, while she may not have filled out the forms herself, she verified the incorrect information contained in those forms by signing the documents. Even if she did not understand the forms or they were filled out inaccurately due to errors on the CSO's part, the award letters sent to the appellant informed her that she had reported the receipt of no income. The appellant, who obviously knew that her family did indeed receive income, was obligated at that time to contact the RO and report her income. However, she did not do so. Along those same lines, it is important to note that the appellant reported from August 1983 onward that she and her husband had no income whatsoever. It was not until 1991, eight years later, that she reported the receipt of income from 1983 through 1991. Under these circumstances, it is evident that the appellant bears significant fault with respect to creation of the overpayment. While it would indeed be unfortunate if misleading or erroneous information from a CSO (a non-VA employee) contributed to the overpayment amount at issue, that does not excuse the appellant from insuring that accurate information was relayed to the VA. The appellant received EVRs, award letters and VA Form 21-8765, all of which made it clear that income information was relevant to the award of DIC. Instead of making inquiry to the VA, the appellant chose to rely on information provided by the CSO which was in direct conflict with every document sent to her by the VA. While her limited education and reported inability to understand the reporting requirements are mitigating factors, they do not exonerate her from blame. Nor does any fault on the part of the VA assist in exculpating the appellant from blame. The VA does not bear any blame in this case since information provided above the appellant's signature was promptly acted upon. The Board must also consider the appellant's ability to make restitution without seriously impairing her ability to provide herself and her husband with life's basic necessities. The appellant has asserted that undue hardship would result if she were called upon to repay the VA indebtedness. In connection with that assertion, she submitted a financial status report in May 1992, which indicated that the family's combined monthly net income was $2,033 and total monthly expenses were $1,940. A monthly balance of $93 remained following the payment of necessary expenses. The combined monthly income consisted of monthly gross salary of $2,383 for the appellant's husband and interest income of $97.50 which was received by both individuals. The expenses included $400 for food, $180 for utilities and heat, $45 for telephone, $240 for insurance, $150 for clothing, $200 in unreimbursed medical expenses, $600 for work related travel, $50 for homeowners' insurance, $25 for property taxes and $50 for payments on installment contracts and other debts. The $50 debt was being paid to a hospital for a previous surgery. Liquid assets consisted of $4,000 cash in the bank, $300 cash on hand, $2,300 in U.S. Savings Bonds and $58,543 in savings certificates. Taken as a whole, the appellant's financial picture does not show that hardship would result from repayment of the overpayment amount. She and her husband have a surplus of $93 following payment of the listed expenses, in addition to significant liquid assets. Some of these expenses do not appear to be minimized. For instance, the reported $600 in work related travel expenses seems excessive and no explanation has been offered to account for this amount. Although the appellant has suffered a nervous breakdown attributable to the overpayment at issue, her condition is not a factor that would automatically call for waiver of recovery of the debt. It does not appear that the family's income was compromised since the appellant's husband was the sole wage earner in the family. In sum, the family receives income from several sources and their income exceeds expenditures to a substantial degree. Taking the above into consideration, the Board finds that the appellant and her husband would not be deprived of life's basic necessities if recovery of the debt is not waived. The Board further finds that failure to make restitution would result in unfair gain to the appellant since she was paid monetary benefits in a sum to which she was not entitled. The VA made erroneous payments of benefits based on incorrect information which the appellant failed to rectify, and she, in turn benefited. As to the question of whether recovery of the overpayment would defeat the purposes for which the benefits were intended, the Board notes that the appellant is not receiving DIC due to excess income. Eligibility for monetary benefits may be re-established if the appellant's income falls below the maximum threshold. Finally, the appellant has not alleged nor do the facts show that reliance on VA benefits resulted in relinquishment of a valuable right or incurrence of a legal obligation. She has not reported that she waived additional income from other income sources based on her receipt of DIC benefits. The Board concludes that the facts of this case, when weighed against the various elements to be considered, demonstrate that a recovery of the overpayment of benefits would not be against equity and good conscience. It is recognized that the elements as discussed are not all inclusive; however, the appellant has not advanced any other factor, nor does the record reflect any other factor, which would be of any significance in applying the equity and good conscience standard. The preponderance of the evidence is against waiver of recovery of the overpayment of parents' DIC benefits in the amount of $20,276.24. ORDER Since recovery of the overpayment of parents' DIC benefits in the amount of $20,276.24 would not be against the principles of equity and good conscience, the appeal is denied. C. W. SYMANSKI 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.