Citation Nr: 0006611 Decision Date: 03/10/00 Archive Date: 03/17/00 DOCKET NO. 00-03 054 ) DATE ) ) THE ISSUE Eligibility for the payment of attorney fees from past-due benefits. ATTORNEY FOR THE BOARD D. M. Fogarty, Associate Counsel INTRODUCTION The veteran served on active duty from January 1978 to January 1981. In a February 1992 rating decision, the Regional Office (RO) determined that an evaluation in excess of 10 percent was not warranted for pseudofolliculitis barbae, that a compensable evaluation for chondromalacia of the left patella was not warranted, and that new and material evidence had not been presented to reopen a claim of entitlement to service connection for a right knee disorder. In a June 1994 decision, the Board of Veterans' Appeals (Board) remanded the case to the Department of Veterans Affairs (VA) Waco, Texas RO for additional development of the record. In a December 1998 decision, the Board denied the veteran's claim of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae and reopened the veteran's claim of entitlement to service connection for a right knee disorder. The Board also remanded the case to the RO for additional development of the issues of entitlement to service connection for a right knee disorder and an increased rating for chondromalacia of the left patella. The veteran appealed the December 1998 Board decision to the United States Court of Appeals for Veterans Claims (known as the United States Court of Veterans Appeals prior to March 1, 1999) (hereinafter, "the Court"). In March 1999, the Court issued an order remanding the issue of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae to the Board. In a July 1999 decision, the Board remanded the issue of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae to the RO for additional development. In an August 1999 rating decision, the RO determined that a 30 percent evaluation was warranted for pseudofolliculitis barbae, effective from May 6, 1999. In September 1999, the veteran filed a notice of disagreement as to the effective date of the award of a 30 percent evaluation for pseudofolliculitis barbae. In an October 1999 decision, the Board determined that the criteria for a valid fee agreement between the veteran and the attorney had been met with respect to the claim of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae. The Board granted an attorney fee amounting to 20 percent of past-due benefits awarded for the period of May 6, 1999 to August 4, 1999, resulting from the grant of a 30 percent disability evaluation for pseudofolliculitis barbae from June 1, 1999. In a November 1999 decision, the RO awarded entitlement to an earlier effective date for a 30 percent evaluation for pseudofolliculitis barbae, effective from January 21, 1992. FINDINGS OF FACT 1. In a February 1992 rating decision, the RO determined that an evaluation in excess of 10 percent was not warranted for pseudofolliculitis barbae, that a compensable evaluation for chondromalacia of the left patella was not warranted, and that new and material evidence had not been presented to reopen a claim of entitlement to service connection for a right knee disorder. The veteran filed a notice of disagreement with the decision in June 1992. 2. In a December 1998 decision, the Board determined that an evaluation in excess of 10 percent was not warranted for pseudofolliculitis barbae, reopened the veteran's claim of entitlement to service connection for a right knee disorder and remanded the case to the RO for additional development of the issues of service connection for a right knee disorder and entitlement to a compensable evaluation for chondromalacia of the left patella. 3. The veteran subsequently retained the services of a private attorney to provide legal services with respect to his claim; the attorney was retained on December 12, 1998 and notified the Board of his representation of the veteran in December 1998. 4. Pursuant to the written agreement signed by the veteran in December 1998, the attorney agreed to provide legal services on a contingency basis of 20 percent of past-due benefits awarded, to be paid by VA directly to the attorney, based upon the favorable resolution of the veteran's claims. 5. The attorney provided legal services with respect to the veteran's claim of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae. 6. In an August 1999 rating decision, the RO determined a 30 percent disability evaluation was warranted for pseudofolliculitis barbae, effective May 6, 1999. The award resulted in past-due benefits payable to the veteran. 7. In an October 1999 decision, the Board found that the criteria for a valid fee agreement had been met with respect to the claim of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae and that an attorney fee amounting to 20 percent of past-due benefits was payable for the period of May 6, 1999 to August 4, 1999, resulting from the grant of a 30 percent disability evaluation for pseudofolliculitis barbae from June 1, 1999. 8. In a November 1999 rating decision, the RO determined that an effective date of January 21, 1992 was warranted for the 30 percent disability evaluation for pseudofolliculitis barbae. The award resulted in past-due benefits payable to the veteran. CONCLUSIONS OF LAW 1. The criteria for a valid fee agreement between the attorney and the veteran for representational services before VA and the Board have been met with respect to the claim of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae. 38 U.S.C.A. § 5904 (West 1991 & Supp. 1998); 38 C.F.R. § 20.609 (1999). 2. An attorney fee amounting to 20 percent of past-due benefits is payable from past-due benefits for the period of January 21, 1992 to November 17, 1999, resulting from the grant of a 30 percent disability evaluation for pseudofolliculitis barbae from February 1, 1992. 38 U.S.C.A. § 5904(d) (West 1991 & Supp. 1999). REASONS AND BASES FOR FINDINGS AND CONCLUSIONS Factual Background A review of the record reflects that in a February 1992 rating decision, the RO denied the veteran's claims for an evaluation in excess of 10 percent for pseudofolliculitis barbae and a compensable rating for chondromalacia of the left patella, and determined that new and material evidence had not been presented to reopen a claim of entitlement to service connection for a right knee disorder. The veteran filed a timely notice of disagreement in March 1992. A timely substantive appeal was filed in October 1992. In a June 1994 decision, the Board remanded the issues of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae and a compensable evaluation for chondromalacia of the left patella as well as the issue of whether new and material evidence had been presented to reopen a claim of entitlement to service connection for a right knee disorder to the RO for further development. In a February 1995 rating decision, the RO, in pertinent part, granted a 10 percent disability evaluation for chondromalacia of the left patella and determined that an evaluation in excess of 10 percent for pseudofolliculitis barbae was not warranted. In a December 4, 1998 decision, the Board determined that an evaluation in excess of 10 percent for pseudofolliculitis barbae was not warranted. The Board also reopened the veteran's claim of entitlement to service connection for a right knee disorder and remanded the case to the RO for additional development of the issues of entitlement to service connection for a right knee disorder and an evaluation in excess of 10 percent for chondromalacia of the left patella. The veteran subsequently retained the services of a private attorney. The Board received a copy of the attorney fee agreement between the veteran and his attorney on December 21, 1998. The Board also received a cover letter stating that the December 1998 Board decision had been appealed and that a copy of the attorney fee agreement had been filed with the Court and served upon VA's Office of General Counsel. Pursuant to the written agreement signed by the veteran on December 12, 1998, the veteran retained a private attorney to provide legal services on a contingency basis of 20 percent of past-due benefits awarded, to be paid by VA directly to the attorney. In a January 1999 letter to the RO, the attorney submitted a VA document entitled Appointment of Attorney or Agent as Claimant's Representative and a request for a copy of the veteran's claims folder. In March 1999, the veteran's attorney and the General Counsel of VA filed a Joint Motion for Remand of One Issue, For Dismissal of the Remaining Two Issues, and to Stay Further Proceedings. The parties requested the Court to issue an order remanding the December 4, 1998 Board decision to the extent it denied entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae. The parties also requested the Court to stay further proceedings and it was noted that the Court did not have jurisdiction to review the non-final Board decision remanding other issues. In a May 1999 decision, the Court vacated that part of the December 1998 Board decision that denied entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae and remanded the matter to the Board. In a July 1999 decision, the Board remanded the issue of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae to the RO for a VA examination and additional development of the record. In an August 1999 decision, the RO determined that a 30 percent disability evaluation was warranted for pseudofolliculitis barbae, effective May 6, 1999. In an August 1999 letter, the RO informed the veteran that he was entitled to the payment of benefits from June 1, 1999. It was noted that his past-due benefits had been calculated as $844.00. It was also noted that the maximum attorney fee payable, 20 percent of past-due benefits, computed as $168.80, had been withheld pending a determination by the Board of eligibility for the payment of attorney fees from such past-due benefits. In September 1999, the veteran filed a notice of disagreement as to the effective date assigned for the 30 percent evaluation for pseudofolliculitis barbae. In an October 1999 decision, the Board determined that the criteria for a valid fee agreement between the attorney and the veteran had been met with respect to the claim of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae. An attorney fee amounting to 20 percent of past-due benefits was awarded from past-due benefits for the period of May 6, 1999 to August 4, 1999, resulting from the grant of a 30 percent disability evaluation for pseudofolliculitis barbae from June 1, 1999. In a November 1999 rating decision, the RO determined that an effective of January 21, 1992 for the grant of a 30 percent evaluation for pseudofolliculitis barbae was warranted. The RO noted that the veteran's claim for an increased evaluation had been filed on January 21, 1992. In a December 1999 letter, the RO informed the veteran that he was entitled to the payment of benefits from February 1, 1992. It was noted that his maximum past-due benefits had been calculated as $17,990.80. It was also noted that the maximum attorney fee payable, 20 percent of past-due benefits, computed as $3,598.16, had been withheld pending a determination by the Board of eligibility for the payment of attorney fees from such past-due benefits. Pertinent Law and Regulations The Veterans Judicial Review Act (VJRA), Pub. L. 100-687, 102 Stat. 4105 (1988) allows VA claimants to enter into agreements with attorneys to represent them in proceedings before VA, as long as the fee charged is neither "unreasonable" nor "excessive." A fee may be charged to a claimant if all of the following conditions are met: 1. A final decision must have been promulgated by the Board with respect to the issue, or issues, involved. Fees may neither be charged, allowed, nor paid for services provided prior to the date of the Board's decision. 38 U.S.C.A. § 5904(c)(1); 38 C.F.R. § 20.609(c)(1). 2. The notice of disagreement that preceded the Board's decision with respect to the issue, or issues, involved must have been received by the agency of original jurisdiction (the RO) on or after November 18, 1988. V.J.R.A. Section 403, 102 Stat. at 4122; 38 C.F.R. § 20.609(c)(2). 3. The attorney must have been retained not later than one year following the date that the decision by the Board with respect to the issue, or issues, involved was promulgated. (This condition will be considered to have been met with respect to all successor attorneys at law or agents acting in the continuous prosecution of the same matter if a predecessor was retained within the required time period.) 38 U.S.C.A. § 5904(c)(1); 38 C.F.R. § 20.609(c)(3). If any of the foregoing criteria are lacking, a fee may not be charged. In a precedent opinion, the VA's Office of the General Counsel cited analysis of the legislative history of the VJRA contained in the Court decision in In the Matter of the Fee Agreement of Smith, 1 Vet. App. 492, 508-509 (1991), which highlighted the fact that Congress only envisioned paid attorney representation after the Board first entered a final decision on a claim. The General Counsel concluded that an attorney may not receive or solicit a fee in connection with representation of a claimant before the Department on a benefits issue until after the Board first issues a final decision on that claim. Furthermore, a remand decision is not a "final" decision of the Board. VAOPGCPREC 18-92, 57 Fed. Reg. 49747 (1992); 38 C.F.R. § 20.1100(b) (1999). Analysis The Board determined in an October 1999 decision that the criteria for a valid fee agreement between the attorney and the veteran for representational services before VA and the Board had been met with respect to the claim of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae. The Board also determined in that same decision that an attorney fee amounting to 20 percent of past-due benefits was payable from past-due benefits for the period of May 6, 1999 to August 4, 1999, resulting from the grant of a 30 percent disability evaluation for pseudofolliculitis barbae from June 1, 1999. The record reflects that shortly after the Board issued the October 1999 decision, the RO determined that an effective date of January 21, 1992 was warranted for the grant of a 30 percent evaluation for pseudofolliculitis barbae. Thus, the only change in the facts of this case since the Board's October 1999 decision is the effective date of the award of past-due benefits. The Board finds that the effective date of an evaluation in excess of 10 percent was an inchoate issue in terms of 38 U.S.C.A. § 5904(c) and (d) in the July 1999 Board decision and the August 1999 RO decision, in that it never would have emerged but for those decisions. The Board is unable to conclude that the decision in Grantham v. Brown, 114 F.3d 1156 (Fed.Cir. 1997) is a bar to payment of fees arising from the revised effective date of the award. If the rule in Grantham were so extended, then the "effective date" would be a separate claim and thus outside the scope of the existing fee arrangement. The effect would be to vitiate the purpose of 38 U.S.C.A. § 5904. Thus, once again the Board finds that the December 4, 1998 "final decision" addressed the issue of entitlement to an evaluation in excess of 10 percent for pseudofolliculitis barbae. The notice of disagreement which preceded the Board's decision was received by the RO after November 18, 1988. The attorney fee agreement reflects the attorney was retained not later than one year following the date of the Board's promulgation of the underlying decision. Therefore, the criteria under which attorney fees may be charged have been met. In considering whether the attorney may be paid a fee directly by VA from past-due benefits awarded the veteran, the following criteria must be met: (1) The total fee payable (excluding expenses) does not exceed 20 percent of the total amount of past-due benefits awarded; (2) the amount of the fee is contingent on whether or not the claim is resolved in a manner favorable to the claimant or appellant; (3) the award of past-due benefits results in a cash payment to a claimant or an appellant from which the fee may be deducted; and (4) the claimant or appellant and an attorney have entered into a fee agreement providing that payment for the services of the attorney will be made directly to the attorney by VA out of any past-due benefits awarded as a result of his successful appeal to the Board or an appellate court, or as a result of a reopened claim before VA following a prior final denial of such benefits by the Board or an appellate court. 38 U.S.C.A. § 5904(d); 38 C.F.R. § 20.609(h). The Board finds that the contingency fee agreement executed by both the veteran and his attorney was signed by the parties on December 12, 1998 and by definition, the payment of the fee was contingent on whether or not the claim was resolved successfully. The agreement provided that the attorney's services were to be rendered on a contingent basis of 20 percent of past-due benefits awarded. A fee that does not exceed 20 percent of past-due benefits is presumed to be reasonable. 38 C.F.R. § 20.609(f). Additionally, the requirement that an award of past-due benefits resulting in a cash payment to the appellant from which the attorney fee may be deducted has been met, since the November 1999 rating decision established a 30 percent disability evaluation for pseudofolliculitis barbae, effective from January 21, 1992. The provisions of 38 C.F.R. § 20.609(g) and (h) require that the fee agreement include an applicable VA file number and be filed with the Board and the RO within 30 days of its execution. A review of the record discloses that the attorney was in substantial compliance with the provisions of 38 C.F.R. § 20.609(g) and (h). Consequently, the Board must determine whether the fee agreement provided for the payment of the services of the attorney directly to that attorney by VA. As noted above, state plainly within the context of the attorney fee agreement is a proviso that any contingent fees are to be paid by VA directly to the attorney from any past due benefits awarded on the basis of the veteran's claim. Thus, the Board concludes that the fee agreement provided for a total fee payable to the attorney that did not exceed 20 percent of past-due benefits awarded on the basis of the claim, in compliance with the provisions of 38 U.S.C.A. § 5904(d) and 38 C.F.R. § 20.609(h). The attorney's expenses may be paid out of past-due benefits, pursuant to 38 C.F.R. § 20.610(b) (1999). The contingency fee agreement did not violate this regulatory provision. Based upon the November 1999 RO decision, the effective date of the grant of a 30 percent disability evaluation for pseudofolliculitis barbae is January 21, 1992. In light of this, the inclusive dates for the purpose of entitlement to attorney fees based on the veteran's receipt of a 30 percent disability evaluation for pseudofolliculitis barbae are January 21, 1992 to November 17, 1999 (the date of the rating decision granting the benefit). Finally, the Board is cognizant of the ongoing nature of the veteran's appeal, as noted in the Introduction section above. Notably, the issues of entitlement to service connection for a right knee disorder and entitlement to an increased evaluation for chondromalacia of the left patella remain on appeal. Since the veteran could potentially be awarded additional past-due benefits in the future with respect to those claims, the Board is compelled to clarify that the impact of this decision is limited exclusively to eligibility for attorney fees from past-due benefits awarded prior to this decision. It is not intended to affect future Board dispositions, if any, of the eligibility for the payment of additional attorney fees from any future award of past-due benefits resulting from subsequent decisions rendered in any ongoing appeal. ORDER Eligibility for the direct payment by VA of attorney fees is established. The attorney should be paid 20 percent of past- due benefits resulting from the grant of entitlement to a 30 percent disability evaluation for pseudofolliculitis barbae for the period from January 21, 1992 to November 17, 1999. John E. Ormond, Jr. Member, Board of Veterans' Appeals