ࡱ> #` 9bjbjmm 8'0nD;88U v(& J,JJJE K55$>h     4( I JT35 А? 46F<:4||45|50                8U8U8U$"8U8U8U@ Section A. General Information on the Effect Income and Net Worth Have on Pension and Parents DIC  PRIVATE INFOTYPE="OTHER" Overview  PRIVATE INFOTYPE="OTHER"  In this SectionThis section contains the following topics: TopicTopic NameSee Page1General Information on Pension and Parents DIC Programs 1-A-22General Information on Concurrent Income and Net Worth Development in DIC and Death Compensation Claims1-A-93Income Reporting for Pension and Parents DIC1-A-124Action to Take When Income for VA Purposes (IVAP) Is Uncertain1-A-145Denying a Claim When IVAP Is Excessive; Considering Amended Income Information1-A-186Pension and Parents DIC Award Effective Dates and Payment Dates1-A-297General Information on the Payment Date Under 38 CFR 3.311-A-308Specific Exclusions to Payment Period Commencement Under 38 CFR 3.311-A-39 1. General Information on Pension and Parents DIC Programs  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains general information on pension and Parents Dependency and Indemnity Compensation (DIC) benefits, including the types of income-based pension programs new entitlement only under the Improved Pension program death pension effective dates and payment dates the protection of Section 306 Pension and Old Law Pension programs under 38 CFR 3.960 the Section 306 Pension and Old Law Pension programs Section 306 or Old Law Pension versus the Improved Pension program the Parents DIC program the effect of income on pension and Parents DIC programs, and net worth on pension and Parents DIC programs, and where to direct questions on income and net worth. Change DateFebruary 13, 2007 PRIVATE INFOTYPE="PRINCIPLE"  a. Types of Income-Based Pension ProgramsThe Department of Veterans Affairs (VA) currently pays pension under the following three income-based pension programs: Improved Pension, per Public Law (PL) 95-558 Section 306 Pension, per PL 86-211, and Old Law Pension. Note: VA also pays Spanish-American War (SAW) death pension under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001536----000-.html"38 U.S.C. 1536. SAW death pension is not an income-based benefit. The Washington Regional Office processes these claims. PRIVATE INFOTYPE="PRINCIPLE"  b. New Entitlement Only Under Improved Pension ProgramA person filing a new or reopened claim for pension benefits must qualify under the Improved Pension program. If Improved Pension entitlement cannot be established, deny the claim. Reference: For specific information about the Improved Pension program, see HYPERLINK "C:\\Documents and Settings\\capjpier\\My Documents\\SharePoint Drafts\\vaww.portal.va.gov\\sites\\manualrewrite\\concurrence\\Concurrence Documents\\Part V\\pt05_sp03_ch01,02,03,04,07\\Change Documents\\pt05_sp03_ch01_secE.xml" \l "V.iii.1.E"M21-1MR, Part V, Subpart iii, 1.E.Continued on next page  STYLEREF "Map Title" 1. General Information on Pension and Parents DIC Programs, Continued  PRIVATE INFOTYPE="PROCEDURE"  c. Death Pension Effective Dates and Payment DatesUse the table below to determine the effective date and payment date of a death pension claim.  If death occurred And the application was received Then the effective date of the award is And the award payment date is Before December 10, 2004within 45 days after the date of deaththe first day of the month of deaththe first day of the month of death if the Veterans month-of-death rate is payable to a surviving spouse under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20(b); otherwise, the first day of the month following death.Before December 10, 2004more than 45 days after the date of deaththe date the claim was receivedthe first day of the month following the date the claim was received.After December 9, 2004within one year after the date of deaththe first day of the month of deaththe first day of the month of death if the Veterans month-of-death rate is payable to a surviving spouse under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20(b); otherwise, the first day of the month following death.Continued on next page  STYLEREF "Map Title" 1. General Information on Pension and Parents DIC Programs, Continued  STYLEREF "Block Label" c. Death Pension Effective Dates and Payment Dates (continued) If death occurred And the application was received Then the effective date of the award is And the award payment date is After December 9, 2004more than one year after the date of deaththe date the claim was receivedthe first day of the month following the date the claim was received. Important: The procedures set forth in HYPERLINK "C:\\Documents and Settings\\capjpier\\My Documents\\SharePoint Drafts\\vaww.portal.va.gov\\sites\\manualrewrite\\concurrence\\Concurrence Documents\\Part V\\pt05_sp03_ch01,02,03,04,07\\Change Documents\\pt04_sp03_ch03_secB.xml" \l "IV.iii.3.B.10"M21-1MR, Part IV, Subpart iii, 3.B.10, that refer to the commencing date of payment apply in death pension claims received after September 30, 1984. Note: When the award effective date is the first day of the month of the Veterans death, the first day of the initial year is the date of the Veterans death. VA does not count income that a surviving spouse or child received before the Veterans death. Reference: For more information on effective dates for disability pension awards, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt05/sp02/ch01/pt05_sp02_ch01_secB.xml" \l "V.ii.1.B.11.a"M2-1MR, Part V, Subpart ii, 1.B.11.a the effective date based on the nonservice-connected (NSC) death of Veteran after separation from service, see  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_400.DOC" 38 CFR 3.400(c)(3), and the definition of initial year, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt05/sp03/ch01/pt05_sp03_ch01_secA.xml" \l "V.iii.1.A.5.g"M21-1MR, Part V, Subpart iii, 1.A.5.g.Continued on next page  STYLEREF "Map Title" 1. General Information on Pension and Parents DIC Programs, Continued  PRIVATE INFOTYPE="PRINCIPLE"  d. Protection of Section 306 Pension and Old Law Pension Programs Under 38 CFR 3.960The Section 306 and Old Law pension programs are protected under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_960.DOC" 38 CFR 3.960. Eligibility for these pension programs is restricted to beneficiaries who were continuously entitled to receive benefits from the dates the programs were phased out until the present. The last date eligibility could be established for Old Law Pension was June 30, 1960, and Section 306 Pension was December 31, 1978. Notes: These benefits are not entirely protected because the hospital reduction provisions of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_551.DOC" 38 CFR 3.551 apply, and the benefits can be discontinued due to fraud, treason, subversion, or incarceration. The fugitive felon provisions of HYPERLINK "http://www4.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00005313---B000-.html"38 U.S.C. 5313B do not apply to Section 306 or Old Law Pension. Reference: For specific information about the Section 306 Pension and Old Law Pension programs, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt05/sp03/ch01/pt05_sp03_ch01_secC.xml" \l "V.iii.1.C"M21-1MR, Part V, Subpart iii, 1.C.Continued on next page  STYLEREF "Map Title" 1. General Information on Pension and Parents DIC Programs, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Section 306 Pension and Old Law Pension Protected ProgramsIn general, Section 306 Pension and Old Law Pension beneficiaries continue to receive the rates to which they were entitled on their respective phase-out dates. Section 306 Pension and Old Law Pension beneficiaries do not get cost-of-living increases, and their rates cannot be increased because of reductions in income, or added dependents. The rate can be reduced under certain circumstances, such as when a dependent is lost. As long as a Section 306 Pension or Old Law Pension beneficiarys income does not exceed the applicable income limitation, pension can be paid at the protected rate. If a Section 306 Pension or Old Law Pension beneficiarys income exceeds the income limit for any year, protection is lost and future pension eligibility can only be established under the Improved Pension program. Although Section 306 Pension and Old Law Pension beneficiaries do not get cost-of-living increases, the income limit for Section 306 Pension and Old Law Pension eligibility increases each year by the cost-of-living factor. Therefore, a protected pensioner should not lose entitlement solely because of cost-of-living increases in benefits such as Social Security (SS). PRIVATE INFOTYPE="PRINCIPLE"  f. Section 306 and Old Law Pension Versus the Improved Pension ProgramIf a Section 306 Pension or Old Law Pension beneficiary wants a higher rate of pension, the beneficiary must elect to receive Improved Pension. Many beneficiaries do not elect Improved Pension because there are fewer income exclusions under the Improved Pension program. Therefore, if the beneficiary receives a type of income that is countable for Improved Pension purposes but not countable for Section 306 Pension, such as a spouses wages, the beneficiary might be better off continuing to receive the protected Section 306 Pension rate.Continued on next page  STYLEREF "Map Title" 1. General Information on Pension and Parents DIC Programs, Continued  PRIVATE INFOTYPE="PRINCIPLE"  g. Parents DIC ProgramThe Parents Dependency and Indemnity Compensation (DIC) program provides a monthly payment to a Veterans parent or parents based on the Veterans service-connected (SC) death occurring after December 31, 1956. Parents DIC is similar to Section 306 Pension and Old Law Pension in that entitlement is based on the amount of income received during the calendar year. Reference: For specific information about the Parents DIC program, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt05/sp03/ch01/pt05_sp03_ch01_secD.xml" \l "V.iii.1.D"M21-1MR, Part V, Subpart iii, 1.D. PRIVATE INFOTYPE="PRINCIPLE"  h. Effect of Income on Pension and Parents DIC ProgramsEntitlement to VA pension and Parents DIC is contingent on income, among other factors. A claim for Improved Pension must be denied if income for VA purposes (IVAP) is higher than the maximum annual pension rate (MAPR), and Parents DIC must be denied if IVAP exceeds the applicable income limit. In Improved Pension cases, the amount of IVAP determines the payment amount of Improved Pension. The higher the claimants countable income, the lower the payment amount of Improved Pension. (Do not confuse this payment amount, also referred to as the pension rate, with the maximum annual pension rate (MAPR).) Note: Old Law and Section 306 Pension must be discontinued if IVAP exceeds the applicable income limit. Reference: For more information about income limits and MAPRs, see  HYPERLINK "http://warms.vba.va.gov/M21_1.html" M21-1, Part I, Appendix B. PRIVATE INFOTYPE="PRINCIPLE"  i. Effect of Net Worth on Pension and Parents DIC ProgramsThe claimants net worth is a factor in determining entitlement to Section 306 Pension and Improved Pension. Net worth is not a factor in Old Law Pension and Parents DIC cases. Reference: For more information about the effect of net worth, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt05/sp03/ch01/pt05_sp03_ch01_secJ.xml" \l "V.iii.1.J"M21-1MR, Part V, Subpart iii, 1.J.Continued on next page  STYLEREF "Map Title" 1. General Information on Pension and Parents DIC Programs, Continued  PRIVATE INFOTYPE="FACT"  j. Where to Direct Questions on Income and Net WorthIf questions arise concerning any income and net worth issues relating to pension and Parents DIC programs, the Veterans Service Center (VSC) or Pension Maintenance Center (PMC) question coordinator should contact Compensation and Pension (C&P) Service  HYPERLINK "http://vbaw.vba.va.gov/bl/21/FAQ/index.htm" Question and Answer Committee. 2. General Information on Concurrent Income and Net Worth Development in DIC and Death Compensation Claims  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains general information on concurrent income and net worth development in DIC and death compensation claims, including considering claims submitted on VA Form 21-534, Application for DIC or Death Pension by a Surviving Spouse or Child when to develop for income and net worth referring cases to the rating activity, and references to DIC and death compensation topics for shared procedures and additional information. Change DateMay 20, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. Considering Claims Submitted on VA Form 21-534Consider a substantially complete claim submitted on VA Form 21-534, Application for DIC or Death Pension by a Surviving Spouse or Child, a claim for DIC (including claims for an additional monthly allowance payable under HYPERLINK "http://straylight.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001311----000-.html"38 U.S.C. 1311a(2)) death pension, and accrued benefits. Give all three benefits proper consideration and develop for all necessary evidence. Notes: If no accrued amount exists, deny the claim for accrued without development and explain that it is denied because no accrued benefit exists. A claim for DIC or pension does not necessarily imply a claim for Aid and Attendance (A&A) or Housebound; however, if there is any indication that such eligibility might exist, consider soliciting a claim for the additional allowance. References: For more information on the criteria for substantially complete claims, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt01/ch01/pt01_ch01_secB.xml" \l "I.1.B.3"M21-1MR, Part I, 1.B.3, and developing claims for DIC or death pension, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt04/sp03/ch01/pt04_sp03_ch01.xml" \l "IV.iii.1"M21-1MR, Part IV, Subpart iii, 1.Continued on next page  STYLEREF "Map Title" 2. General Information on Concurrent Income and Net Worth Development in DIC and Death Compensation Claims, Continued  PRIVATE INFOTYPE="PROCEDURE"  b. When to Develop for Income and Net Worth Use the information in the table below to determine when to develop for income and net worth information. Important: Do not develop a claim only to deny it. If the available evidence clearly shows non-entitlement to the benefit, it is acceptable to deny the claim based on the available evidence. The denial letter should explain the evidence on which the denial is based and provide the appropriate time limits to submit evidence.  If Then the claimant has alleged that the Veterans death was SC, and the claimant otherwise is eligible for pension, and only partial income and net worth information was provided on the applicationdevelop for the missing information. Note: It is not necessarily to develop for income and net worth information if enough income information is provided to show that IVAP exceeds the income limit or MAPR. the claimant has alleged that Veterans death was SC, and all income and net worth information is completely omitted do not develop for income and net worth information. Note: When notifying the claimant of the DIC and accrued decisions, state that death pension is denied because income and net worth information was not provided. eligibility does not otherwise exist, as in cases where there is no qualifying service do not develop income and net worth information, and deny the claim.Continued on next page  STYLEREF "Map Title" 2. General Information on Concurrent Income and Net Worth Development in DIC and Death Compensation Claims, Continued  PRIVATE INFOTYPE="PRINCIPLE"  c. Referring Death Cases to the Rating ActivityOnce development is complete, refer the claim to the rating activity for a death rating. Note: Often a case can be referred to the rating activity for a rating immediately on receipt of the death claim. This is particularly true if disability compensation had been granted during the Veterans lifetime. PRIVATE INFOTYPE="STRUCTURE"  d. References to DIC and Death Compensation Topics for Shared Procedures and Additional InformationSome of the required procedures for processing a claim for death pension or Parents DIC are the same as processing a claim for DIC for surviving spouses or children or death compensation. The table below outlines the locations of shared procedures and additional information that may be helpful in processing a claim for death pension or Parents DIC, as well as for DIC for surviving spouses or children. TopicReferenceThe effective date based on the death of the Veteran after separation from service.HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt04/sp03/ch03/pt04_sp03_ch03_secB.xml" \l "IV.iii.3.B.10"M21-1MR, Part IV, Subpart iii, 3.B.10.The payment of the Veterans rate for the month of death.HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt04/sp03/ch03/pt04_sp03_ch03_secB.xml" \l "IV.iii.3.B.11"M21-1MR, Part IV, Subpart iii, 3.B.11.Adjustments based on claims filed with the Social Security Administration (SSA).HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt04/sp03/ch03/pt04_sp03_ch03_secA.xml" \l "IV.iii.3.A.4"M21-1MR, Part IV, Subpart iii, 3.A.4.Evidence that is required to establish continued entitlement upon the death of a dependent.HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt04/sp03/ch03/pt04_sp03_ch03_secC.xml" \l "IV.iii.3.C.16"M21-1MR, Part IV, Subpart iii, 3.C.16.The action to take on the death of a surviving spouse, child, or parent.HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt04/sp03/ch03/pt04_sp03_ch03_secC.xml" \l "IV.iii.3.C.17"M21-1MR, Part IV, Subpart iii, 3.C.17. 3. Income Reporting for Pension and Parents DIC  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on income reporting for pension and Parents DIC, including the income-reporting period for Section 306 Pension, Old Law Pension, and Parents DIC, and Improved Pension handling income reported in foreign currency, and developing for income information. Change DateFebruary 13, 2007 PRIVATE INFOTYPE="PRINCIPLE"  a. Income Reporting Period for Section 306 Pension, Old Law Pension, and Parents DICIVAP for Section 306 Pension, Old Law Pension, and Parents DIC is computed on a calendar-year basis. A beneficiarys entitlement is determined by the amount of countable income received (and for Section 306 Pension and Parents DIC, also by the amount of deductible expenses paid) during the period January 1 through December 31 of any given year. Note: For Section 306 Pension, Old Law Pension, and Parents DIC, income may not be counted for an entire 12-month period, unlike Improved Pension. PRIVATE INFOTYPE="PRINCIPLE"  b. Income Reporting Period for Improved PensionFor Improved Pension, IVAP is not computed on a calendar-year basis. The income-reporting period for Improved Pension beneficiaries may extend over any 12-month period. In addition, IVAP can be recomputed within a 12-month income-reporting period if there is an intervening income change. Continued on next page  STYLEREF "Map Title" 3. Income Reporting for Pension and Parents DIC, Continued  PRIVATE INFOTYPE="PRINCIPLE"  c. Handling Income Reported in Foreign CurrencyIf a claimant reports income or expenses in a foreign currency convert the foreign currency into U.S. dollars using the quarterly exchange rates established by the Department of the Treasury project rates of exchange based on the most recent quarterly rate of exchange when an Eligibility Verification Report (EVR) is filed, adjust the award retroactively based on the average exchange rate for the EVR period, and calculate retroactive adjustments based on the average of the four quarterly exchange rates that apply to the period for which the award is being adjusted. Note: The Department of the Treasury publishes a quarterly document entitled Treasury Reporting Rates of Exchange. This publication is routinely sent to the Pittsburgh Regional Office (RO), the Pension Maintenance Centers (PMCs), and the Houston RO. Additionally, obtain exchange rate information by contacting the C&P Service Procedures and Program Development Staff (212A). Reference: For more information on handling income reported in foreign currency, see  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_32.DOC" 38 CFR 3.32. PRIVATE INFOTYPE="PRINCIPLE"  d. Developing for Income InformationFor specific information about developing for income, see  HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/m21-1mr_main.htm" \l "pt5_spi_ch3" M21-1MR, Part V, Subpart i, 3. 4. Action to Take When IVAP Is Uncertain  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on the action to take when IVAP is uncertain, including deferments in Improved Pension cases handling deferment in Improved Pension cases Parents DIC cases where the claimant is unable to predict his/her income the action to take when the Social Security (SS) rate reported by the beneficiary is different than the SS rate in Share, and handling unreliable income reporting. Change DateMay 20, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. Deferments in Improved Pension CasesIncome for Improved Pension purposes is normally counted from the first of the month after the month during which it is received. Improved Pension rates are generally based on expected (or projected) income, including deductible expenses. Almost every VA Improved Pension income decision is a deferred determination within the meaning of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_271.DOC" 38 CFR 3.271(f), because pension claimants and beneficiaries have established time limits to report income changes, including deductible expenses. Therefore, award action need not be deferred for processing purposes simply because future IVAP changes cannot be predicted. However, if an application or other income report is so incomplete or unclear that a decision is not possible, the Veterans Service Representative (VSR) may defer for processing purposes and develop the claim. This will be a judgment call on the part of the VSR. Otherwise, the VSR should pay the benefit at the lowest rate justified by all the evidence of record, including any information from sources such as Share. Important: VA will not normally make a decision on an incomplete income report; however, if the information provided clearly shows non-entitlement, deny entitlement based on the incomplete report. Reference: For more information on incomplete EVRs, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt05/sp03/ch07/pt05_sp03_ch07_secB.xml" \l "V.iii.7.B"M21-1MR, Part V, Subpart iii, 7.B.Continued on next page  STYLEREF "Map Title" 4. Action to Take When IVAP Is Uncertain, Continued  PRIVATE INFOTYPE="PROCEDURE"  b. Handling Deferment in Improved Pension CasesUse the information in the table below to handle deferment in Improved Pension cases. If an award is Then deferredinitiate development, and continue the pending issue.paid at the lowest rate justified by the evidence of recordclose out the pending issue. Important: The award letter must fully inform the claimant or beneficiary of the assumptions on which the award is based. Reference: For more information on the time limits to submit evidence in Improved Pension cases, see  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b), and HYPERLINK "C:\\Documents and Settings\\capjpier\\My Documents\\SharePoint Drafts\\vaww.portal.va.gov\\pt05_sp03_ch01_secA.xml" \l "V.iii.1.A.5.c"M21-1MR, Part V, Subpart iii, 1.A.5.c. PRIVATE INFOTYPE="PRINCIPLE"  c. Parents DIC Cases Where the Claimant Is Unable to Predict IncomeEntitlement to Parents DIC is based on the amount of income received during the calendar year. If a claimant is unable to predict the amount or date of receipt of anticipated income, base the award on the greatest amount of income expected during the calendar year. Advise the claimant of the action taken and tell him/her that an adjustment will be made on receipt of actual income information. If it appears that anticipated income might exceed the applicable limit, deny the claim and fully explain the reason for the denial. Do not take award action to pay benefits until actual income information is available or there is a basis for a more accurate prediction of anticipated income.Continued on next page  STYLEREF "Map Title" 4. Action to Take When IVAP Is Uncertain, Continued  PRIVATE INFOTYPE="PROCEDURE"  d. Action to Take When SS Rate Reported by the Beneficiary is Different Than SS Rate in ShareUse the table below to determine the action to take when the Social Security (SS) rate reported by the beneficiary is different than the SS rate in Share. Reference: For information on accessing SS rates through Share, see  HYPERLINK "pt05_sp03_ch01_secB.xml" \l "V.iii.1.B.12" M21-1MR, Part V, Subpart iii, 1.B.12.  If the SS rate reported by the beneficiary is Then higher than the rate in Shareuse the rate reported by the beneficiary to compute IVAP, and inform the beneficiary of the SS rate counted, and the discrepancy with information from SSA.lower than the rate in Share, but the difference in the rates is $1.00 or lessuse the rate shown in Share to calculate IVAP, and inform the beneficiary of the SS rate counted, and the discrepancy with information from SSA. Note: If using the SS rate in Share results in a decrease in the pension rate of a running award, initiate the due process procedures in HYPERLINK "C:\\Documents and Settings\\capjpier\\My Documents\\SharePoint Drafts\\vaww.portal.va.gov\\sites\\manualrewrite\\concurrence\\Concurrence Documents\\Part V\\pt05_sp03_ch01,02,03,04,07\\Change Documents\\pt01_ch02_secB.xml" \l "I.2.B.4"M21-1MR, Part I, 2.B.4.lower than the rate in Share, and the difference in the rates is greater than $1.00calculate IVAP based on the SS rate in Share, and follow the due process procedures in  HYPERLINK "pt01_ch02_secB.xml" \l "I.2.B.4" M21-1MR, Part I, 2.B.4 unless the award is an original award, or a running award already based on the SS rate in Share.Continued on next page  STYLEREF "Map Title" 4. Action to Take When IVAP Is Uncertain, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Handling Unreliable Income ReportingIf a beneficiary has a history of unreliable reporting of income or expenses, the VSR (or other person processing the claim) may at any time ask for proof of income or expenses before awarding benefits or before awarding a higher payment amount. 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on denying a claim when IVAP is excessive and considering amended income information, including the notification when income exceeds the MAPR or income limit the time limits to submit amended income information the provisions of 38 CFR 3.660(b) the definition of the phrase satisfactory evidence of entitlement within specified time limits the Parents DIC time limit for establishing entitlement for the initial year, and following year definition of initial year for Improved Pension and the time limit for establishing entitlement for the initial year considering a Veterans disability status after the original claim is denied because IVAP exceeds the MAPR two examples of Improved Pension time limit for establishing entitlement for the initial year example of Improved pension limit for establishing entitlement for the following 12 month period time limits and payment dates for initial year and following 12-month period for Improved Pension disability claims two examples of Improved Pension time limit for establishing entitlement for the following 12-month period, and the time limit to furnish amended income information to increase rate. Change DateMay 20. 2011Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  a. Notification When Income Exceeds the MAPR or Income LimitIf Improved Pension or Parents DIC is denied because income exceeds the MAPR or income limit, advise the claimant of the evidence considered in reaching the decision the reason for the denial his/her right to submit amended income information the appropriate time limits for submission of the amended income information, and his/her right to appeal, including the right to a hearing and the right to representation. Reference: For more information on claimant notification requirements, see M21-1MR, Part II, 4.B.8 (TBD) or HYPERLINK "http://www.warms.vba.va.gov/admin21/m21_1/part3/ch11.doc"M21-1, Part III, 11.09.  b. Time Limits to Submit Amended Income InformationPer  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_160.DOC" 38 CFR 3.160(d), a claim is not finally adjudicated until one year has elapsed from the date of the earlier of the following two dates: notice of denial, or denial on appellate review.  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b) provides the time limits for a claimant to submit amended income information after his/her claim is denied due to excessive income or net worth. It determines the date from which entitlement can be established when new evidence is submitted. Important:  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_160.DOC" 38 CFR 3.160(d) does not extend the time limits in  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b) for submitting satisfactory evidence of entitlement because of income. If income information is not received within the established time limits, then the income information must be considered a new claim. The earliest possible effective date is the date of receipt of the new claim under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_400.DOC" 38 CFR 3.400(r).Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  c. Provisions of 38 CFR 3.660(b) HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b) has two subsections which address different factual situations and which invoke a different concept of the term year. The table below summarizes the provisions of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(1) and  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(2). RegulationProvided SituationResult of Situation HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(1)A claim is initially denied because a claimants income exceeds the MAPR or income limit, but the claimant later submits new evidence to establish entitlement for the same annualized year. Benefits may be awarded effective the beginning of that annualized year, if evidence of entitlement is received within the same or next calendar year. HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(2)A claim is initially denied because a claimants income exceeds the MAPR or income limit, but the claimant later submits new evidence to establish entitlement for the following annualized year.Benefits can be awarded effective the beginning of the next annualized year, if evidence of entitlement is received within that annualized year. Important: The distinction between calendar years and annualized years is not relevant to Parents DIC cases because income is always counted on a calendar year basis in Parents DIC cases. The distinction is, however, critical in Improved Pension cases. Note: HYPERLINK "http://straylight.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00005110----000-.html"38 U.S.C. 5110(h), the statutory authority for  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(1), specifies that income information to establish entitlement or increased entitlement must be received before the end of the next calendar year for VA to pay or increase pension for the initial year. For Improved Pension purposes, the same calendar year is the year in which the initial year ends, and the next calendar year is the year after that. Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  d. Definition: Satisfactory Evidence of Entitlement Within Specified Time Limits HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b) describes establishing entitlement to benefits if satisfactory evidence is received within specified time limits. The phrase satisfactory evidence of entitlement within specified time limits means evidence adequate to support award action must be received and date stamped in VA by a specific date. Example: Situation: A 65-year old Veteran files a pension claim that the RO receives on March 14, 2005. Initial Year: March 14, 2005, through March 31, 2006. March 28, 2005: The Veteran wins the lottery and receives $15,000. August 7, 2005: VA denies the claim because income exceeds the MAPR. September 15, 2007: The RO receives a letter from the Veteran stating that pension should be awarded from March 14, 2005, because of high medical expenses paid during the initial year of entitlement. September 23, 2007: RO sends the Veteran VA Form 21-8416, Medical Expense Report, for the period March 14, 2005, through March 31, 2006. January 27, 2008: The Veteran returns the completed form. The information furnished establishes that the Veterans medical expenses for the period March 14, 2005, through March 31, 2006, were sufficient to reduce income below the limit. Result: Because satisfactory evidence of entitlement was not received before January 1, 2008, VA cannot award benefits for the period March 14, 2005, through March 31, 2006. The earliest date from which pension entitlement can be established is September 15, 2007 (with a October 1, 2007, payment date), if the Veteran establishes that income and net worth are acceptable from September 15, 2007. September 15, 2007, through September 30, 2008, would then be considered the Veterans new initial year. Reference: For more information on initial year of entitlement, see  HYPERLINK "pt05_sp03_ch01_secA" \l "V.iii.1.A.5.g" M21-1MR, Part V, Subpart iii, 1.A.5.g.Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Parents DIC Time Limit for Establishing Entitlement for the Initial YearIncome determinations for Parents DIC purposes are always made on a calendar-year basis. If a Parents DIC claim is initially denied because income exceeds the limit,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(1) gives the parent the remainder of the calendar year during which entitlement would have been established, had income not been a bar, plus the next calendar year to furnish evidence establishing entitlement from the original effective date. Example: Situation: A parent files a DIC claim on September 29, 2006. The VSR considers all of the parents calendar year 2006 income and compares that with the parents proportional 2006 income to determine entitlement. Entitlement would be established from September 29, 2006, were it not for the fact that calendar year 2006 income and proportional income received on and after September 29, 2006, is above the limit set by law. The parents claim is denied on November 18, 2006. Result: The parent has up to and including December 31, 2007, to submit satisfactory evidence showing that calendar year 2006 income or proportional income for the period September 29, 2006, through December 31, 2006, was within the limit. Notes: The date that VA denies the claim is irrelevant. If the claim had not been denied until February 14, 2007, the parent still would have had only up to and including December 31, 2007, to clarify the 2006 IVAP (or proportional IVAP). Because of the statutory time limit, prompt VA action and notification is imperative.Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  f. Parents DIC Time Limit for Establishing Entitlement for the Following YearPer  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(2), when income for the initial calendar year is above the limit set by law, the parent can establish entitlement for the following calendar year if satisfactory evidence of entitlement is received within the following calendar year. Situation: A parent files a DIC claim on September 29, 2006. Entitlement would be established from September 29, 2006, were it not for the fact that 2006 calendar year income (and proportional income) exceeds the income limit. The parents claim is denied on November 15, 2006. Result: The parent has up to and including December 31, 2007, to submit satisfactory evidence showing that calendar year 2007 income is within the limit. Note: The date VA denies the claim is irrelevant. PRIVATE INFOTYPE="PRINCIPLE"  g. Definition of Initial Year for Improved Pension and Time Limit for Establishing Entitlement for the Initial YearImproved Pension income reporting periods now generally coincide with the calendar year. However, the initial year for an Improved Pension award extends from the effective date of the award (or the date of the Veterans death, if later than the effective date) to 12 months from the payment date. Therefore, the initial year will range in length from 12 months plus the stub month (up to 13 months) and will not coincide with a calendar year. Per  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b), if a claimant is not shown to be entitled for the initial year, the claimant has through the end of the calendar year that follows the end of the initial year to submit satisfactory evidence of entitlement for the initial year. References: For a definition of effective date, see HYPERLINK "\\\\VBACOFPC2\\shared\\CAP-21\\212\\212B\\M21-1 MR\\MR Changes\\Part V\\V.iii.1 (Income and Net Worth)\\V.iii.1.A-J\\pt05_sp03_ch01_secA" \l "V.iii.1.A.6.a"M21-1MR, Part V, Subpart iii, 1.A.6.a, and payment date, see HYPERLINK "pt05_sp03_ch01_secA" \l "V.iii.1.A.7.a"M21-1MR, Part V, Subpart iii, 1.A.7.a.Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  h. Considering a Veterans Disability Status After Original Claim Was Denied Because IVAP Exceeded MAPR When VA denies a Veterans pension claim because IVAP exceeds the MAPR, the claim is not referred to the rating activity for a permanent and total (PT) disability rating determination. If, within the  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b) time limit, a Veteran establishes that initial-year IVAP was below the MAPR, then VA will make a rating determination of the Veterans disability status, if entitlement is otherwise shown. If a Veteran turns 65, enters a nursing home, or is found disabled by Social Security during the initial year and establishes that initial-year IVAP was below the MAPR, VA must determine whether the Veteran has PT disability from the beginning of the initial year. PRIVATE INFOTYPE="PRINCIPLE"  i. Example 1: Improved Pension Time Limit for Establishing Entitlement for the Initial Year- Live PensionSituation: VA receives a Veterans original pension claim on March 14, 2006. The Veteran receives recurring income which exceeds the Improved Pension MAPR, and the claim is denied on August 7, 2006. The initial year extends from March 14, 2006, through March 31, 2007. Result: The Veteran has up to and including December 31, 2008, to submit satisfactory evidence of deductible expenses paid (or other income changes) during the period March 14, 2006, through March 31, 2007, for the purpose of reducing IVAP below the MAPR for the initial year. (If entitlement is shown, the effective date will be March 14, 2006, with a payment date of April 1, 2006, because of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31.) Note: The RO must determine whether the Veteran has PT disability from March 14, 2006, if, before January 1, 2009, VA receives the income information establishing that initial-year IVAP was below the MAPR. If the Veteran is determined to have PT disability (or age 65 status) effective from a later date, then that later date will be the beginning of the initial year. Reference: For more information on effective dates, see  HYPERLINK "pt05_sp03_ch01_secA" \l "V.iii.1.A.6" M21-1MR, Part V, Subpart iii, 1.A.6.Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  j. Example 2: Improved Pension Time Limit for Establishing Entitlement for the Initial Year- Death PensionSituation: The Veteran died February 9, 2006. The Veteran was not in receipt of VA benefits. The Veterans surviving spouse files an original death pension claim on March 2, 2006, but the claim is denied on March 14, 2006, because the surviving spouse received one-time countable income on February 23, 2006. The initial year is February 9, 2006, through February 28, 2007. Result: The surviving spouse has up to and including December 31, 2008, to submit evidence of deductible expenses paid during the period February 9, 2006, through February 28, 2007, or other evidence that initial-year IVAP was below the MAPR. If income evidence is received before January 1, 2009, benefits, if otherwise payable, can be awarded effective February 1, 2006 (with a payment date of March 1, 2006, because of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31). k. Improved Pension Time Limit for Establishing Entitlement for the Following 12-Month PeriodPer  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b), when IVAP for the initial year exceeds the MAPR, the claimant can establish entitlement for the following 12-month period (that is, the 12-month period that follows the initial year) if satisfactory evidence of entitlement is received within that following 12-month period. In this situation, the beginning of the following 12-month period becomes the beginning of a new initial year. Note: For Improved Pension claims, the time limit to establish entitlement for the following 12-month period is shorter than the time limit to establish entitlement for the initial year.Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PROCEDURE"  l. Time Limits and Payment Dates for Initial Year and Following 12-Month Period for Improved Pension Disability Claims The table below contains examples for Improved Pension disability claims of the time limits for VA receiving income information for the initial-year entitlement, and following 12-month period entitlement, and payment dates for initial-year entitlement, and following 12-month period entitlement. If a claim is received on Then the initial year is And the following 12-month period is Income information for initial-year entitlement must be received before Income information for following 12-month period entitlement must be received before Payment date for initial-year entitlement is Payment date for following 12-month period entitlement is January 13, 2006January 13, 2006, through January 31, 2007February 1, 2007, through January 31, 2008.January 1, 2009.February 1, 2008.February 1, 2006.February 1, 2007.April 3, 2006April 3, 2006, through April 30, 2007May 1, 2007, through April 30, 2008.January 1, 2009.May 1, 2008.May 1, 2006.May 1, 2007. Important: If the claimant submits income information before the time limit for the initial-year of entitlement expires, but after the time limit for the following 12-month period of entitlement expires, benefits are payable from the following 12-month period of entitlement only if the claimant is also entitled for the initial year. Otherwise, entitlement would be based on date of receipt of the reopened claim. The date of receipt of that reopened claim would start a new initial period Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="PRINCIPLE"  m. Example 1: Improved Pension Time Limit for Establishing Entitlement for the Following 12-Month Period - Live PensionSituation: A Veteran who is receiving Social Security disability benefits files a claim for pension that VA receives March 14, 2006. However, the Veteran has recurring income that causes expected IVAP to exceed the MAPR, and the claim is denied because IVAP exceeds the MAPR. The initial year extends from March 14, 2006, through March 31, 2007. The following 12-month period extends from April 1, 2007, through March 31, 2008. Result: The Veteran has until April 1, 2008, to submit satisfactory evidence establishing that IVAP for the period April 1, 2007, through March 31, 2008, is below the MAPR. If VA receives the evidence before April 1, 2008, benefits can be awarded with a payment date of April 1, 2007. Reference: For more information on effective dates, see HYPERLINK "pt05_sp03_ch01_secA" \l "V.iii.1.A.6"M21-1MR, Part V, Subpart iii, 1.A.6. n. Example 2: Improved Pension Time Limit for Establishing Entitlement for the Following 12-Month Period - Death PensionSituation: The Veteran died on February 9, 2006. The surviving spouse files for death pension and VA receives the claim on February 13, 2006. The surviving spouse reports receiving retirement benefits of $12,000 per year. The claim is denied because IVAP exceeds the MAPR. Result: The surviving spouse has up to and including December 31, 2008, to submit medical expenses or other evidence establishing that IVAP for the period February 9, 2006, through February 28, 2007, was below the MAPR. However, the surviving spouse only has up to and including February 28, 2008, to submit medical expenses or other evidence establishing that IVAP for the period March 1, 2007, through February 28, 2008, was below the MAPR. Note: If the surviving spouse had submitted the income information after February 28, 2008, but before January 1, 2009, benefits would have been payable from March 1, 2008, only if the surviving spouse was also entitled for the initial year (February 9, 2006, through February 28, 2007). Otherwise, entitlement would be based on date of receipt of the reopened claim. The date of receipt of that reopened claim would start a new initial period.Continued on next page  STYLEREF "Map Title" 5. Denying a Claim When IVAP Is Excessive; Considering Amended Income Information, Continued  PRIVATE INFOTYPE="FACT"  o. Time Limit to Furnish Amended Income Information to Increase RateFor information about the time limit for a Veteran to furnish amended income information to increase his/her rate, see HYPERLINK "pt05_sp03_ch01_secH.xml" \l "V.iii.1.H.53"M21-1MR, Part V, Subpart iii, 1.H.53. 6. Pension and Parents DIC Award Effective Dates and Payment Dates  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on pension and Parents DIC award effective dates and payment dates, including the definition of effective date (or entitlement date) the effective dates for pension and Parents DIC awards, and retroactive effective dates due to a Veterans PT disability. Change DateMay 20, 2011 PRIVATE INFOTYPE="CONCEPT"  a. Definition: Effective Date or Entitlement DateThe effective date (or entitlement date) is the date a claimant is entitled to benefits under the existing law without regard to  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. Reference: For more information on the affect of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 on the payment date, see HYPERLINK "pt05_sp03_ch01_secA" \l "V.iii.1.A.7"M21-1MR, Part V, Subpart iii, 1.A.7, and HYPERLINK "pt05_sp03_ch01_secA" \l "V.iii.1.A.8"M21-1MR, Part V, Subpart iii, 1.A.8. PRIVATE INFOTYPE="PRINCIPLE"  b. Effective Dates for Pension and Parents DIC AwardsGenerally, the effective date for an original or reopened pension or Parents DIC award is the date of the receipt of the claim, per  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_400.DOC" 38 CFR 3.400. c. Retroactive Effective Dates Due to a Veterans PT DisabilityUnder  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_400.DOC" 38 CFR 3.400(b)(1), if all of the conditions listed below are met, a pension award may be retroactive for up to one year prior to the date of receipt of the claim, but not earlier than the date of PT disability. The Veteran files a claim for a retroactive award within one year from the date of PT disability. The Veteran was prevented from applying for pension by a disability. The preventing disability must not be of misconduct in origin, and need not be the PT disability. The disability prevented the Veteran from filing the pension claim for at least the first 30 days immediately following the date on which he/she acquired PT disability. 7. General Information on the Payment Date Under 38 CFR 3.31  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains general information on the payment date under 38 CFR 3.31, including the definition of payment date the provisions of 38 CFR 3.31 the history of 38 CFR 3.31 determining whether to apply 38 CFR 3.31 determining the payment period commencement after an election terminating protected pension when income exceeds the limit recomputing awards based on new income information and two examples of this procedure handling a MAPR and income change effective the same date applying 38 CFR 3.31 when effective dates of the MAPR and income change coincide and one example of this procedure, and handling income that exceeds the MAPR for the initial year and an example of this procedure. Change DateMay 20, 2011 PRIVATE INFOTYPE="CONCEPT"  a. Definition: Payment DateThe payment date is the date an award is effective after application of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. Example: If a Veteran is determined to have a PT disability from March 14, the effective date is March 14 and the payment date is April 1.Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. Provisions of 38 CFR 3.31Under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31, payment of monetary benefits based on original, reopened, or increased awards of pension or Parents DIC may not be made for any period before the first day of the calendar month, following the month in which the award would otherwise have been effective. For purposes of this provision, an increased award is an award that is increased because of an added dependent an increase in disability, or a reduction in IVAP. Notes:  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 became effective October 1, 1982. A reduction in IVAP can result from a change in income and/or deductible expenses. PRIVATE INFOTYPE="FACT"  c. History of 38 CFR 3.31PL 97-253, The Omnibus Budget Reconciliation Act of 1982 (OBRA), provided the statutory authority for  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. It was codified as HYPERLINK "http://straylight.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00005111----000-.html"38 U.S.C. 5111. The Omnibus Act was intended to save money by withholding payment for the initial month of entitlement or stub month. However, this deceptively simple provision has given rise to numerous questions as to its applicability in specific situations and as to its effect on income-counting rules and payment dates. Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PROCEDURE"  d. Determining Whether to Apply 38 CFR 3.31Follow the steps in the table below to determine whether to apply  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. StepAction1Determine the effective date without respect to  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31.2Determine the type of award. If the award is an original or reopened award,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does apply an increased award, go to Step 3, or another type of award,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does not apply.3Is the increase in payment due to an added dependent, an increase in disability, or a reduction in IVAP? If yes,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does apply. If no,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does not apply. Important: The provisions of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 do not apply to certain types of awards. Reference: For information on specific exclusions to the payment period commencement under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31, see HYPERLINK "pt05_sp03_ch01_secA" \l "V.iii.1.A.8"M21-1MR, Part V, Subpart iii, 1.A.8. PRIVATE INFOTYPE="PRINCIPLE"  e. Determining the Payment Period Commencement After an ElectionWhen an election of Improved Pension from Section 306 Pension or Old Law Pension results in an increased rate, the new rate commences as of the first of the month following the date of the election. Elections between disability compensation and pension (including assumed elections) are subject to  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31, but  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does not apply if an assumed election results solely from a legislative change, such as when a cost-of-living adjustment under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_27.DOC" 38 CFR 3.27 makes an election of the other benefit advantageous.Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  f. Terminating Protected Pension When Income Exceeds the LimitIf Section 306 Pension or Old Law Pension is terminated because income exceeds the limit, Improved Pension is effective and payable January 1st of the next year, if the beneficiary is otherwise entitled. Note: The award of Improved Pension is not an election and is not subject to  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. PRIVATE INFOTYPE="PRINCIPLE"  g. Recomputing Awards Based on New Income InformationUnder  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_660.DOC" 38 CFR 3.660(b)(1), a claimant or beneficiary has until the end of the calendar year that follows a calendar year or the end of an initial period to furnish new income information and get a retroactive increase. Until the time limit has expired, the pension or parents DIC payment amount (rate) is always provisional. Important: The adjustment of a provisional rate does not constitute an increased rate for purposes of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31, unless the change in income results in an increased rate compared to the month immediately preceding the date that the income change is effective. If a change in income does cause an increased rate (compared to the month immediately preceding the date that the income change is effective),  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 applies. In this situation, carry forward the preceding months rate for the so-called stub month. The stub month is the month during which payment of the increased rate is barred by  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. Note: In some situations, a stub month can be an entire month in length.Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  h. Example 1: Recomputing Awards Based on New Income InformationSituation: A Veterans pension rate for the period January 1, 2005, through November 30, 2005, is $200 per month. Effective December 1, 2005, the rate increases to $215 per month due to the cost-of-living adjustment (COLA). The pension rate is reduced to $100 per month for the period January 1, 2006, through December 31, 2006, because of the removal of 2005 unreimbursed medical expenses (UMEs). In March 2007, the Veteran reports calendar-year 2006 medical expenses. After recomputation, it is determined that the Veteran is entitled to $150 per month for the period January 1, 2006, through December 31, 2006. Result: Pay the increase from January 1, 2006, because the rate payable on that date ($150) is less than the December 2005 rate ($215). The fact that the $150 rate is greater than the former January 1, 2006, rate ($100), based on estimated income is irrelevant. Rationale: There has not been an increased award within the meaning of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. PRIVATE INFOTYPE="PRINCIPLE"  i. Example 2: Recomputing Awards Based on New Income InformationSituation: A Veterans pension rate for the period January 1, 2005, through November 30, 2005, is $200 per month. Effective December 1, 2005, the rate increases to $215 per month due to the COLA. The rate is reduced to $100 per month for the period January 1, 2006, through December 31, 2006, because of the removal of 2005 UMEs. In March 2007 the Veteran reports calendar-year 2006 medical expenses. After recomputation, it is determined that the Veteran is entitled to a rate of $250 per month for calendar-year 2006. Result: Do not increase the $250 rate until February 1, 2006. Adjust the January 1, 2006, payment to $215 (the December 2005 amount). Rationale: There has been an increased award as defined by  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  j. Handling a MAPR and Income Change Effective the Same DateIn an Improved Pension case, when an income change necessitates application of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31, and the effective date of the income change coincides with the date of a change in the MAPR, strict application of the procedures outlined in this topic deprives the beneficiary of the benefit of the new MAPR for the initial month. To afford the beneficiary the benefit of the MAPR increase, when  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 is a factor and the effective dates of an income change and MAPR change coincide, carry forward the deductible expenses and non-SS income (as opposed to the pension rate) from the month immediately preceding the income/MAPR change. If the beneficiary receives recurring SS income, count the post-COLA SS rate from the effective date of the COLA. If the beneficiary receives a benefit other than SS which has a COLA increase effective the same date as the MAPR change, carry forward the rate of the other benefit (as opposed to the VA pension rate) from the month preceding the income/MAPR change (that is, November for a December 1 COLA). Note: SS is the only type of income that is charged at the post-COLA rate in this situation.Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PROCEDURE"  k. Applying 38 CFR 3.31 When Effective Dates of the MAPR and Income Change CoincideWhen the effective dates of the MAPR change and beneficiarys income change coincide, the basic question is whether  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 would have been applied had the same income change taken place on a date that did not coincide with the SS COLA and change in the VA pension MAPR. One way of determining whether  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 should be applied is to complete the initial (December 1st) Income screen twice. Follow the steps in the table below to determine if  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 must be applied. StepAction1Complete the Income screen with all non-SS income and expenses from the preceding month, and the post-COLA SS rate.2Enter the actual December 1st income, with the new deductible expenses from the current EVR. Result: If a lower IVAP results the second time,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 must be applied.Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  l. Example 1: Handling a MAPR and Income Change Effective the Same DateSituation: A Veteran was paid Improved Pension of $446 per month from January 2005 through November 2005 based on retirement income of $400 per month ($4,800 per year). Effective December 1, 2005, the Improved Pension rate increased to $481 because of the COLA. In February 2006, the Veteran reports that his retirement income was reduced to $350 per month on December 1, 2005. The recomputed IVAP effective December 1, 2005, is $4,200, which entitles the Veteran to a monthly rate of $531 effective December 1, 2005. Result/Rationale: Because there is an increase in the monthly rate compared to the month immediately preceding the month of the income change ($531 for December 2005 compared to $446 for November 2005) and part of the increase is attributable to the reduction in IVAP,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 applies. Therefore, the $531 rate cannot be paid until January 1, 2006. If the VSR carries forward the November 2005 rate ($446) for the month of December 2005, however, the Veteran will be deprived of the benefit of the MAPR increase effective December 1, 2005. To compensate for this, carry forward the November 2005 IVAP of $4,800 for the month of December 2005. The award should pay $446 based on IVAP of $4,800 effective November 1, 2005 $481 based on IVAP of $4,800 effective December 1, 2005, and $531 based on IVAP of $4,200 effective January 1, 2006.Continued on next page  STYLEREF "Map Title" 7. General Information on the Payment Date Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  m. Handling Income That Exceeds the MAPR for the Initial YearIn an Improved Pension case, the initial year extends from the effective date of the award (or later date of the Veterans death) to one year from the payment date. If payment is barred for the initial year because income exceeds the MAPR but income for the following 12-month period is below the MAPR, pay from the beginning of the following 12-month period. Although this is an original award,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 has already been factored into the initial year. n. Improved Pension Example: Handling Income Over the MAPR for the Initial YearSituation: A 65-year old Veteran files a pension claim that VA receives March 14, 2006. VA is about to award pension, but before the award is authorized, the Veteran reports her spouse started working, with the first check received on March 28, 2006. The Veteran expects her spouse to receive wages of $1,400 each month. The claim is denied because income exceeds the MAPR. During March 2007 the Veteran reports that her spouse was fired at the end of calendar-year 2006. The total wages received were $14,000. (The Veteran reported no medical expenses and did not claim special monthly pension.) Her income still exceeds the MAPR for the initial year extending from March 14, 2006, through March 31, 2007. Result: If the Veteran expects no income after December 2006, the original award can be made with a payment date of April 1, 2007. Reference: For more information on this type of recalculation of income, see  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_271.DOC" 38 CFR 3.271(a)(1). 8. Specific Exclusions to Payment Period Commencement Under 38 CFR 3.31  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on specific exclusions to the payment period commencement under 38 CFR 3.31, including a Veterans rate for the month of his/her death 38 CFR 3.31 and death pension rate change and an example of this procedure award adjustments and three example of these situations reduction or discontinuance of award after receipt of nonrecurring income and two examples of this situation, and increases resulting solely from the enactment of legislation. Change DateMay 20. 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. Veterans Rate for Month of His/Her Death HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20 provides for two different ways for a surviving spouse to be entitled to payment of the Veterans rate of compensation or pension for the Veterans month of death (MOD). Under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20(b), a surviving spouse is entitled to the Veterans MOD rate for the MOD if the Veteran died after September 30, 1982 the surviving spouse is entitled to DIC or death pension effective the first day of the MOD, and the surviving spouses rate for that month is less than the Veterans rate for that month. Under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20(c), a surviving spouse is entitled to the Veterans MOD rate for the MOD if the Veteran died after December 31, 1996, and the surviving spouse is not entitled to DIC or death pension effective the first day of the Veterans MOD.  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 provides that if the surviving spouse is entitled to a MOD payment under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20(b), the delayed payment provision does not apply. If that is the case, pay the surviving spouse the amount which would have been payable to the Veteran for that month but for the fact of the Veterans death. Reference: For more information on how to apply  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20(c), see  HYPERLINK "pt04_sp03_ch03_secB.xml" \l "IV.iii.3.B.12" M21-1MR, Part IV, Subpart iii, 3.B.12.Continued on next page  STYLEREF "Map Title" 8. Specific Exclusions to Payment Period Commencement Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. 38 CFR 3.31 and Death Pension Rate Change HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 may become a factor if a surviving spouse who was previously paid the Veterans rate for the month of death later reports decreased income or deductible expenses for the initial year. If the surviving spouses recomputed pension rate for the month of death exceeds the rate previously paid for the month of death (the Veterans MOD rate), amend the award to show no payment for the month of death and the surviving spouses recomputed pension rate from the first of the following month. Apply this procedure regardless of the overall effect it has on the surviving spouses benefits. Note: If the surviving spouse is subsequently shown not entitled to death pension for the Veterans month of death, the surviving spouse is then still entitled to the Veterans MOD rate. c. Example: 38 CFR 3.31 and Death Pension Rate ChangeSituation: A Veteran receiving Improved Pension of $100 per month dies on July 12, 2005. Therefore, the Veterans MOD rate is $100. The surviving spouse establishes entitlement to death pension of $98 per month effective July 1, 2005. The surviving spouse payment rates are $100 per month effective July 1, 2005 (Veterans MOD rate), and $98 per month effective August 1, 2005 (surviving spouses lower rate) In August 2006, the surviving spouse reports that income was lower than anticipated. Result: Based on new income information, the surviving spouse is entitled to a rate of $104 for the month of July 2005. Amend the award to pay $0 per month effective July 1, 2005, and $104 per month effective August 1, 2005. Note: If the surviving spouses amended income information showed no entitlement to death pension for the month of the Veterans death, then  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_20.DOC" 38 CFR 3.20(c) would apply, and the surviving spouse would be entitled to the Veterans MOD rate for that month.Continued on next page  STYLEREF "Map Title" 8. Specific Exclusions to Payment Period Commencement Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  d. Award AdjustmentsAn award may be reduced or benefits may be withheld for a variety of reasons, such as a Veterans hospitalization apportionment incarceration, or recoupment of an overpayment. In some cases, the award is subsequently restored to the preadjustment rate because the circumstances that necessitated the adjustment no longer exist. For example, the Veteran was discharged from the hospital or is no longer incarcerated. In such cases,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does not apply to restoration of the preadjustment rate, per  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31(c)(3).Continued on next page  STYLEREF "Map Title" 8. Specific Exclusions to Payment Period Commencement Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Example 1: Award AdjustmentsSituation: A Veterans pension has been reduced because a minor child attained age 18. VA Form 21-674, Request for Approval of School Attendance, is received showing the childs continuous enrollment in an approved school from age 18. Result/Rationale: If entitlement exists retroactively to the date the child was removed, with no increase over the prior rate, the award to restore additional benefits for the child is not an increased award for purposes of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. Adjust the award from the date of reduction. PRIVATE INFOTYPE="PRINCIPLE"  f. Example 2: Award AdjustmentsSituation: A Veteran without dependents whose pension was reduced under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_551.DOC" 38 CFR 3.551(c) is now discharged from nursing home care at VA expense. Result/Rationale: Restoration of the full pension benefit is not an increased award within the meaning of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. It is an adjustment to restore the previous rate. Adjust the award effective the date of discharge. Note: The same principle applies if Aid and Attendance (A&A) benefits are reduced under  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_552.DOC" 38 CFR 3.552. PRIVATE INFOTYPE="PRINCIPLE"  g. Example 3: Award AdjustmentsSituation: A part of the Veterans Improved Pension is being apportioned for the Veterans estranged spouse. Result/Rationale 1: If the apportionment is terminated and the apportioned amount is restored to the Veteran,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does not apply. This is viewed as a restoration of benefits. Result/Rationale 2: If the estranged spouse had income that was being counted against the Veteran and the termination of the apportionment results in an increased rate of pension,  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31 does apply. In this instance, the increased award would be at least partially attributable to a reduction in countable income.Continued on next page  STYLEREF "Map Title" 8. Specific Exclusions to Payment Period Commencement Under 38 CFR 3.31, Continued  PRIVATE INFOTYPE="PROCEDURE"  h. Reduction or Discontinuance of Award After Receipt of Nonrecurring IncomeIf an Improved Pension beneficiary receives nonrecurring income, the income is counted on the award for 12 months. However, the effect on pension payments depends on whether the nonrecurring income causes discontinuance or only reduction of the running award. Use the table below to determine when to resume the benefits. If the award must be Then reducedresume the preadjustment rate exactly 12 months from the date of the reduction.discontinuedbenefits cannot be resumed for 13 months. Note: This is sometimes referred to as the 13- month rule. For more information, see HYPERLINK "http://vaww1.va.gov/ogc/docs/PREC_2-89.doc"VAOPGCPREC 2-89.  PRIVATE INFOTYPE="PRINCIPLE"  i. Example 1: 38 CFR 3.31 and Nonrecurring Income Discontinuance of AwardSituation: A Veteran receives a one-time payment of income on August 7, 2006. The amount of the payment causes the Veterans income to exceed the MAPR. The award is discontinued effective September 1, 2006. Result: The earliest effective date for a reopened award is September 1, 2007, with a payment date of October 1, 2007. PRIVATE INFOTYPE="PRINCIPLE"  j. Example 2: 38 CFR 3.31 and Nonrecurring Income Reduction of AwardSituation: A Veteran receives a one-time payment of income on August 7, 2006. Pension is reduced for the period September 1, 2006, to September 1, 2007. Result/Rationale: The pension rate change when it occurs on September 1, 2007, will not be an increased award based on a reduction of income. The September 1, 2007, award line represents a restoration of benefits. PRIVATE INFOTYPE="PRINCIPLE"  k. Increases Resulting Solely from the Enactment of LegislationImproved Pension cost-of-living increases under HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_26.DOC"38 CFR 3.27 and other increases attributable to legislation are not subject to  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31. Reference: For more information on exceptions to the delayed payment provisions of the Omnibus Act, see  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_31.DOC" 38 CFR 3.31(c).  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