Opinion

Gantt v. Principi

  • 16 Vet. App. 89
  • 2002 U.S. Vet. App. LEXIS 297
  • 2002 WL 773633
Court
United States Court of Appeals for Veterans Claims
Filed
Apr 30, 2002
Status
Published
Author
Greene
On the bench
Kramer, Greene
Cited by
2 cases
Authority
More cited than 46.5%

The opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

NO . 99-2234

SARAH J. GANTT , APPELLANT ,

V.

ANTHONY J. PRINCIPI,

SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Decided April 30, 2002 )

Andrew W. Green, of West Chester, Pennsylvania, was on the briefs for the appellant.

John H. Thompson, Acting General Counsel; Ron Garvin, Assistant General Counsel;

Michael A. Leonard, Deputy Assistant General Counsel; and Adam K. Llewellyn, all of Washington,

D.C., were on the brief for the appellee.

Before KRAMER, Chief Judge, and IVERS and GREENE, Judges.

GREENE, Judge: Sarah J. Gantt appeals, through counsel, a September 30, 1999, Board of

Veterans' Appeals (Board) decision that determined that under 38 U.S.C. § 1151 (1995), the amount

of her judgment under the Federal Tort Claims Act (FTCA), 28 U.S.C. § 1346, 2671-80, should be

offset against her Department of Veterans Affairs (VA) dependency and indemnity compensation

(DIC). The Court has jurisdiction over the case under 38 U.S.C. §§ 7252(a) and 7266(a). For the

following reasons, the Court will vacate in part the Board's decision and remand two matters.

I. BACKGROUND

Veteran Charles R. Gantt died at the Montgomery, Alabama, VA Medical Center on May 22,

1988, of an acute myocardial infarction caused by his coronary artery disease. Record (R.) at 15.

The appellant, Mrs. Sarah J. Gantt, is his widow. She filed a claim for DIC, claiming that the cause

of her husband's death was related to his service; that claim was denied. R. at 10-13, 18-19.

However, she was awarded non-service-connected death pension benefits effective the first day of

the month following the month of her husband's death. R. at 21-24. She appealed the denial of DIC.

On November 7, 1989, the Board remanded to a VA regional office (RO) her DIC claim for further

development and readjudication. R. at 54-56. It appears that the RO denied the claim and returned

it to the Board. For reasons not stated in the record on appeal, Mrs. Gantt's death pension benefits

were discontinued in March 1991. See R. at 85.

While Mrs. Gantt's appeal to the Board was pending, she also was pursuing, apparently as

administratrix of the estate of her deceased husband, an FTCA civil action alleging that VA's

medical treatment caused her husband's death. In October 1991, a United States District Court

(District Court) entered a judgment in her favor for $86,362. R. at 79-82. In the Memorandum

Opinion accompanying the judgment, the District Court noted, "Plaintiff . . . concedes that any award

that she receives should be reduced by the amount the Government has paid her in widow's benefits."

R. at 80-81. In determining the loss of income due to her husband's death, the District Court

concluded, "The court finds that plaintiff is entitled to an award of damages in the amount of

$86,362, consisting of $53,344 for loss of income and $45,000 for loss of services, reduced by

$11,982 for widow's benefits received." R. at 82.

In August 1992, Mrs. Gantt's DIC claim was included in a VA-wide stay of active claims

pending the outcome of Brown v. Gardner, 513 U.S. 115 (1994). R. at 70-71. In April 1995, after

Gardner had been decided, VA awarded Mrs. Gantt DIC under 38 U.S.C. § 1151. R. at 73-74. The

award was effective June 1, 1988, the first day of the month following the month of her husband's

death. Id. In May 1995, Mrs. Gantt was paid $12,197 of retroactive DIC. See R. at 85.

A July 1995 VA audit of Mrs. Gantt's benefits payment account found that she had received

a total of $11,982 in death pension benefits. The audit also confirmed that the District Court's

judgment of $86,362 would be offset against Mrs. Gantt's DIC beginning in November 1991. R. at

86. The audit further showed that the $12,197 of retroactive DIC Mrs. Gantt received in May 1995

represented the difference between the death pension benefits she had received ($11,982) and the

amount of DIC due to her from June 1988 through October 1991 ($24,179). R. at 85.

In September 1995, the attorney who represented Mrs. Gantt in the FTCA civil action

notified the Birmingham, Alabama, RO that, in rendering its judgment, the District Court had already

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reduced her court judgment by the amount that she had received in VA death pension benefits and

that it appeared that VA was attempting a double recovery of that amount. R. at 89. The RO

responded that it would offset only the $86,362 that Mrs. Gantt was awarded, not $98,344. R. at 96.

In March 1997, Mrs. Gantt filed with VA a statement asserting that her check for retroactive DIC

should have been $24,179 rather than $12,197 because, in light of the District Court's reduction of

her award by $11,982, she had never received that money. R. at 103. After an April 1997 VA

benefits payment account audit, the RO determined that Mrs. Gantt had received VA benefits

totaling $24,179 for the period from June 1988 through October 1991. R. at 108.

An April 1997 VA report of contact notes that Mrs. Gantt had complained to VA that,

because the District Court had reduced her judgment by the amount she had received for death

pension benefits, VA should not be able to recover it from her as well. She requested a letter

explaining "in plain English" why she was not entitled to an additional $11,982. R. at 115. That

same month she filed a Notice of Disagreement to the RO's audit of her benefits payment account.

See R. at 120, 122. The RO responded in an October 1997 letter, reiterating its earlier conclusion

that Mrs. Gantt had been correctly paid all retroactive DIC and that $86,362 was to be offset from

additional DIC payments. R. at 118. In May 1998, the RO issued a Statement of the Case, and Mrs.

Gantt appealed the matter to the Board. R. at 120-24, 126. In that appeal she also argued, for the

first time, that $29,107 for attorney fees incurred by her in the FTCA civil action should be excluded

from the amount offset by VA. R. at 127.

In the decision here on appeal, the Board determined that Mrs. Gantt had received $11,982

in death pension benefits during the time she was eligible for retroactive DIC. Thus, it concluded

that under 38 U.S.C. § 1317(a) she was not eligible to receive both. The Board determined that she

was entitled only to the additional $12,197, representing the difference between the greater benefit

(DIC) and the lesser benefit (pension) for that period. R. at 5. The Board also determined that,

pursuant 38 U.S.C. § 1151 (1995), the $86,362 awarded by the District Court must be offset from

Mrs. Gantt's DIC.

Mrs. Gantt argues for reversal of the Board decision. She urges the Court to order VA to pay

her $11,982 based upon a "wrongful second recoupment" of her benefits. Appellant's Brief (Br.) at

23. She suggests that the total amount of lost income and lost wages found by the District Court was

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$98,344, but that that amount was reduced by $11,982, the amount received from VA in death

pension benefits, resulting in the FTCA judgment award of $86,362. She argues that in light of the

reduction made by the District Court, it was improper for VA to have offset $11,982 from the

amount of her past-due DIC. Id. at 4-7, 10-13. Finally, she contests the Board's determination that

under 38 U.S.C. § 1151 the attorney fees she incurred in her FTCA civil action, which she apparently

paid out of her judgment, are included in the amount of the VA offset. Id. at 19-21. She states that

this determination produces an "absurd result" and permits VA to profit from its own wrong. Id.

The Secretary contends that Mrs. Gantt has received the maximum amount of DIC authorized

by law and that because the law prohibits payment of both DIC and death pension benefits, she was

correctly paid the $12,197 difference between the $24,179 retroactive DIC awarded and the $11,982

death pension benefits she had already received. Secretary's Br. at 3-7. He further argues that the

Board did not err in holding that the law requires VA to withhold Mrs. Gantt's DIC until the entire

court judgment of $86,362 is offset.

II. ANALYSIS

A. Death Pension Benefits and DIC

The surviving spouse of a veteran is entitled to receive death pension benefits where the

veteran satisfied certain service requirements or, at the time of death, was receiving or entitled to

receive compensation or retirement pay for a service-connected disability. See 38 U.S.C. § 1541(a);

Martin v. Brown, 7 Vet.App. 196, 199 (1994); 38 C.F.R. § 3.3(b)(4) (2001). If a veteran dies due

to a service-connected disability, the surviving spouse, in his or her own right, may receive DIC. See

38 U.S.C. §§ 1310(a), 1311; Burris v. Principi, 15 Vet.App. 348, 352 (2001); 38 C.F.R. § 3.5(a)

(2001). A surviving spouse is also eligible for DIC where a veteran suffers an injury as the result

of VA treatment and that injury results in the veteran's death, as long as the death was not the result

of willful misconduct by the veteran. 38 U.S.C. § 1151; see also 38 C.F.R. § 3.358 (2001). No

person eligible for DIC shall be eligible for payment of death pension benefits. See 38 U.S.C.

§ 1317(a); 38 C.F.R. § 3.5(c).

At the time of Mrs. Gantt's May 1988 DIC claim and her June 1995 disagreement with the

VA offset, section 1151 provided:

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Where an individual is . . . awarded a judgment against the United States in a civil

action brought pursuant to section 1346(b) of title 28 [FTCA] . . . by reason of a

disability, aggravation, or death treated pursuant to this section as if it were service-

connected, then no benefits shall be paid to such individual for any month beginning

after the date such judgment . . . on account of such disability, aggravation, or death

becomes final until the aggregate amount of benefits which would be paid but for this

sentence equals the total amount included in such judgment . . . .

38 U.S.C. § 1151 (1995) (emphasis added). That provision was subsequently amended; however,

those amendments were made applicable only to claims filed on or after October 1, 1997. See Pub.

L. No. 104-204, § 422(b)(1), (c), 110 Stat. 2926-27 (1996) (found at 38 U.S.C. § 1151 note); Boggs

v. West, 11 Vet.App. 334, 343-44 (1998). VA regulations implementing section 1151 provided:

Where any person is awarded a judgment on or after December 1, 1962,

against the United States in a civil action brought pursuant to 28 U.S.C. 1346(b), or

enters into a settlement or compromise on or after December 1, 1962, under

28 U.S.C. 2672 or 2677, by reason of a disability, aggravation, or death within the

purview of this section, no compensation or dependency and indemnity compensation

shall be paid to such person for any month beginning after the date such judgment,

settlement, or compromise on account of such disability, aggravation, or death

becomes final until the total amount of benefits which would be paid except for this

provision equals the total amount included in such judgment, settlement, or

compromise. The provisions of this paragraph do not apply, however, to any portion

of such compensation or dependency and indemnity compensation payable for any

period preceding the end of the month in which such judgment, settlement, or

compromise becomes final.

38 C.F.R. § 3.800(a)(2) (1995) (emphasis added). In other words, once an individual entitled to DIC

receives a final judgment in a civil action, monthly DIC will not be paid until the total amount of

DIC payments that would have been paid equals the amount of the civil judgment.

Mrs. Gantt argues that VA wrongfully recouped $11,982 from her DIC entitlement. In

response, the Secretary asserts:

Appellant essentially contends that the District Court withheld $11,982 from

her judgment and that she should not have this amount withheld a second time from

her DIC benefits. Appellant fails to understand two critical facts. First, the District

Court did not withhold $11,982 from her judgment. It reduced her damages by

$11,982, reflecting the amount of lost wages mitigated, in determining the amount

of judgment. Second, the additional payment after the award of DIC in the amount

of $12,197 was to make up the difference between total death pension benefits and

total DIC benefits. Appellant was only entitled to the latter which was a greater

benefit in the total amount of $24,179. Appellant was paid $12,197 in addition to the

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$11,982 previously received for the maximum allowable amount of $24,179.

Appellant's DIC benefits were not reduced a second time by $11,982 as she argues

in her brief. They were not even reduced a first time by the Court, as she argues in

her brief, because she actually received them.

Secretary's Br. at 5-6.

From June 1988 to October 1991, Mrs. Gantt was paid $11,982 in VA death pension benefits.

In her FTCA civil action, the District Court, in determining the loss of income due to Mr. Gantt's

death, found that Mrs. Gantt's damages should be reduced by the amount of death pension benefits

that she had already received ($11,982), and awarded her $86,362. R. at 79-82. Several years later,

in 1995, VA determined that Mrs. Gantt was entitled to DIC under 38 U.S.C. § 1151. See R. at 73-

74, 76, 78. Retroactive DIC was awarded and VA determined that, as of October 1991, Mrs. Gantt

was entitled to a total of $24,179, representing DIC owed from June 1988 to October 1991. R. at

85-86; see also R. at 73-74. Monthly DIC payments owed from November 1991 forward were

withheld as VA began to offset the "total amount included in [the FTCA] judgment," $86,362,

against the DIC payments owed. 38 U.S.C. § 1151 (1995).

In calculating the amount of her retroactive award, VA determined that, because a claimant

may receive only DIC or death pension benefits, but not both, and because it had already paid to her

$11,982 in death pension benefits, Mrs. Gantt was entitled to $12,197, representing the difference

between the full retroactive amount of DIC ($24,179) and the amount of benefits already paid to her

($11,982). R. at 86; see also 38 U.S.C. § 1317(a). Nothing in the record on appeal indicates that

Mrs. Gantt ever had returned any of the $11,982 to VA or that she elected to receive the death

pension benefits instead of DIC. See 38 U.S.C. § 1317; 38 C.F.R. § 3.5(c). Therefore, Mrs. Gantt's

argument of a "wrongful second recoupment" fails. VA has not reduced the amount of her

retroactive DIC entitlement, but rather has subtracted from it the sum of money that she already

received as death pension benefits.

Nor does the District Court's judgment of $86,362, which included consideration of the

$11,982 she had received, constitute a "wrongful second recoupment" of that $11,982. In its written

opinion the District Court recognized that the government had paid death pension benefits in the

amount of $11,982, in essence already compensating Mrs. Gantt, in part, for lost income suffered

as a result of her husband's death. Mrs. Gantt agreed that this amount should be subtracted from

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what the District Court would determine as her lost income. R. at 65-67. The District Court

awarded $86,362, which VA is now offsetting against her DIC payments. The Board concluded that

$86,362, the "total amount of the District Court's judgment," must be offset by any post-judgment

DIC payments and that, if Mrs. Gantt was dissatisfied with the District Court's calculation, "her

remedy for the reduced judgment is not with . . . VA." R. at 6. Despite Mrs. Gantt's discontentment

with this finding (see Appellant's Br. at 12-13), the Board's conclusion is not erroneous. See Bryan

v. West, 13 Vet.App. 482, 486 (2000) ("The FTCA claim and decisions pertaining thereto are not part

of this Court's jurisdiction; it is the U.S. District Courts that would have jurisdiction over questions

arising from that litigation."). Accordingly, the Court holds, subject to the considerations addressed

in parts II.B and II.C, that the Board did not err in determining that Mrs. Gantt is not entitled to an

additional payment of DIC for the period before the District Court's judgment.

B. Party as Administratrix of the Estate versus Party as Individual

Notwithstanding the Court's holding as to offset and section 1151, there is another issue that

was neither addressed by the Board nor raised by the parties, but that applies to Mrs. Gantt's claim.

That question concerns a determination of Mrs. Gantt's legal status in the FTCA civil action, and the

effect of this status in determining the amount of money to be offset under section 1151. In Neal

v. Derwinski, this Court held that under section 1151, in a case where there was a judgment that

awarded money both to the estate and to the beneficiaries, the money recovered by the estate was not

subject to offset. Neal, 2 Vet.App. 296, 299 (1992).

When rendering its decision, the Board is required to provide an adequate written statement

of reasons or bases for its findings and conclusions on all material issues of fact and law presented

on the record; the statement must be adequate to enable a claimant to understand the precise basis

for its decision, as well as to facilitate review in this Court. See 38 U.S.C. § 7104(d)(1); Allday

v. Brown, 7 Vet.App. 517, 527 (1995); Gilbert v. Derwinski, 1 Vet.App. 49, 56-57 (1990). Here, the

Board's statement of the reasons or bases does not address this critical issue. Only when this issue

is addressed can the Court conduct a complete review. Therefore, the Board's decision will be

vacated in part and this matter remanded to the Board to make factual determinations and conduct

a readjudication. See Webster v. Derwinski, 1 Vet.App. 155, 159 (1991) (holding that Court is not

7

to conduct de novo fact finding but rather to remand to Board for it to find facts in the first instance

subject to possible later review by Court).

C. Attorney Fees in FTCA Action

The appellant argues that the amount of attorney fees that she paid in connection with the

FTCA action should not be included in the judgment amount that is being offset from her DIC

payments. Section 1151 provides that "[w]here an individual is . . . awarded a judgment . . . then no

benefits shall be paid to such individual . . . until the aggregate amount of benefits which would be

paid but for this sentence equals the total amount included in such judgment . . . ." 38 U.S.C. § 1151

(1995) (emphasis added). We note that, based on the plain language of section 1151, the

determination of whether attorney fees will be included in the VA offset against the appellant's DIC

payments appears to depend on whether she was awarded a judgment as an individual, as opposed

to as administratrix of the veteran's estate. Accordingly, the appellant's legal status affects the

attorney-fee matter, see 38 U.S.C. § 1151, and the Court will therefore not now address this

argument but will remand the matter to the Board to address this issue in light of this opinion. See

Bryan, supra; VA Gen. Coun. Prec. 3-97 (Jan. 16, 1997), 7-94 (Mar. 1, 1994), 79-90 (July 18, 90).

III. CONCLUSION

On consideration of the foregoing, the Court holds that the Board committed legal error that

warrants remand. Accordingly, the Board's September 30, 1999, decision is VACATED IN PART

and two matters are REMANDED to the Board for further proceedings consistent with this opinion

and issuance of a decision supported by an adequate statement of reasons or bases. See 38 U.S.C.

§ 7104(a), (d)(1); Fletcher v. Derwinski, 1 Vet.App. 394, 397 (1991). The Board shall proceed

expeditiously in accordance with section 302 of the Veterans' Benefits Improvement Act, Pub. L.

No. 103-446, § 302, 108 Stat. 4645, 4658 (1994) (found at 38 U.S.C. § 5101 note) (requiring

Secretary to provide for "expeditious treatment" for claims remanded by Board or Court). See

Drosky v. Brown, 10 Vet.App. 251, 257 (1997); Allday, 7 Vet.App. at 533-34. On remand, the

appellant may submit additional evidence and argument on the remanded claim in accordance with

Kutscherousky v. West, 12 Vet.App. 369 (1999) (per curiam order). The Court notes that a remand

by this Court or by the Board confers on an appellant the right to VA compliance with the remand

8

order and imposes on the Secretary a concomitant duty to ensure compliance with the terms of such

order. See Stegall v. West, 11 Vet.App. 268, 271 (1998).

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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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