Rosalia A. Flores v. R. James Nicholson ( 2006 )


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  •            UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS
    NO . 04-1743
    ROSALIA A. FLORES, APPELLANT ,
    V.
    R. JAMES NICHOLSON ,
    SECRETARY OF VETERANS AFFAIRS, APPELLEE.
    On Appeal from the Board of Veterans' Appeals
    (Decided March 8, 2006        )
    Rosalia A. Flores, pro se.
    Tim S. McClain, General Counsel; R. Randall Campbell, Assistant General Counsel; Carolyn
    F. Washington, Deputy Assistant General Counsel; and Kerry J. Loring, all of Washington, D.C.,
    were on the brief for the appellee.
    Before GREENE, Chief Judge, and DAVIS and SCHOELEN, Judges.
    DAVIS, Judge: The pro se appellant, Rosalia A. Flores, widow of veteran Bruno N. Flores,
    appeals a June 10, 2004, decision of the Board of Veterans' Appeals (Board or BVA) determining
    that she had forfeited her rights to VA dependency and indemnity compensation (DIC) benefits under
    
    38 U.S.C. § 6103
    (a). The appellant filed an informal brief and the Secretary filed a brief in this case.
    The appeal is timely, and the Court has jurisdiction pursuant to 
    38 U.S.C. §§ 7252
    (a) and 7266(a)
    to review the Board decision. For the reasons provided herein, the Court will affirm the June 10,
    2004, Board decision.
    I. BACKGROUND
    Bruno N. Flores had recognized active service in the Philippine Army from December 1941
    until his death in May 1942. In September 1955, the veteran's widow, Ms. Flores, filed a claim for
    DIC benefits "as an unmarried widow of the veteran." Record (R.) at 65. In December 1955, the
    Manila, Philippines, Regional Office (RO) received a letter from the veteran's father stating that Ms.
    Flores had been remarried since 1944 to another man, Resurreccion Claveria. In response, the
    director of VA's Compensation and Pension (C&P) Service requested that the RO conduct a field
    investigation to determine whether Ms. Flores "may by reason of her conduct be held to have
    remarried." R. at 39. The RO conducted its investigation in April 1956, during which time Ms.
    Flores gave a sworn statement that her only ceremonial marriage was to the veteran, and that she had
    not remarried, had children with, or lived with Mr. Claveria or any other man since the death of the
    veteran. After reviewing the RO's field examiner's report and recommendation, the general counsel
    of VA's C&P Service issued a July 1956 memorandum opinion to the manager of the Veterans
    Benefits Office (VBO) in Washington, D.C., wherein the general counsel concluded: "Inasmuch as
    the credible evidence demonstrates that the claimant has continuously lived a chaste life as the
    unremarried widow of the [] veteran, she may be accepted as such for gratuity payment purposes."
    R. at 68.
    In January 1989, the RO received an unsigned letter stating that Ms. Flores had married Mr.
    Claveria, and alleging that they had conceived nine children together. In June 1989, during a
    followup field examination, Ms. Flores again provided the RO with a sworn statement; this time, she
    informed VA that she "did not admit the truth" in 1956, that she had "lived together [with Mr.
    Claveria] in an open common law relationship" until his death in 1988, and that they had conceived
    nine children together. R. at 75-77. Additionally, the field examiner interviewed two of Ms. Flores'
    children, who confirmed that Ms. Flores and Mr. Claveria had been together since at least 1948 and
    that four of their nine children had been born before the date of her 1956 sworn testimony.
    Based on these statements, in October 1989, the RO issued a proposed administrative
    decision finding sufficient evidence to "recommend that [Ms. Flores] be charged with possible
    violation of [the forfeiture statute]." R. at 88. That same month, the RO informed her of its
    proposed decision to charge her with violating the forfeiture statute, and informed her that she had
    60 days to submit evidence and provide testimony before her case was submitted to the director of
    C&P Service for consideration. In response to the RO's letter, Ms. Flores' attorney asserted in a
    November 1989 letter that Ms. Flores had not remarried but that "she has children fathered by
    2
    Resurreccion Claveria," and that "their relationship was intermitte[nt] and that Resurreccion Claveria
    had long abandoned her even before the birth of her youngest child." R. at 97.
    In January 1999, the RO issued a memorandum wherein it noted that Ms. Flores had
    responded through her "alleged representative, but for unknown reasons, the case has not been
    monitored properly and no final administrative decision has been reached." R. at 120. The RO
    further noted that "[t]he claimant has been given more than enough time to respond to the charge
    letter of October 12, 1989. To date she has not satisfactorily presented her contentions regarding the
    findings gathered during the field investigation conducted in June 1989." R. at 121. The
    memorandum concluded that a final administrative decision should be made by the RO, and that her
    claim should be submitted to the director of C&P Service for a decision. In April 1999, the director
    of C&P Service determined that Ms. Flores "knowingly, intentionally, and deliberately" submitted
    fraudulent information about her cohabitation with Mr. Claveria in order to obtain VA benefits,
    thereby violating 
    38 U.S.C. § 6103
    (a). R. at 130.
    In a March 26, 2001, decision, the Board determined that the evidence established "beyond
    any reasonable doubt, that the appellant knowingly, intentionally, and deliberately presented false
    statements and information in order to obtain VA benefits in 1956." R. at 191. Ms. Flores appealed
    the decision to this Court, which, without addressing the merits of her claim, remanded the matter
    to provide her a hearing before the RO. See Flores v. Principi, 
    18 Vet.App. 162
     (2002) (table).
    Upon remand, Ms. Flores was afforded the opportunity to submit additional evidence and testify at
    a personal hearing before the RO. In its June 2004 decision on appeal, the Board again concluded
    that the appellant forfeited her rights to VA benefits under 
    38 U.S.C. § 6103
    (a).
    II. CONTENTIONS ON APPEAL
    The appellant filed an informal brief in which she argues for reversal on three grounds. First,
    she argues that the Board wrongfully determined that she forfeited her benefits as a result of fraud.
    In support of her first argument, she asserts the following: (1) She did not have the requisite intent
    level under the statute because there was no evidence of specific intent to defraud, or, alternatively,
    her lack of education made it "impossible" to "concoct falsehoods"; and (2) VA wrongfully
    determined that she and Mr. Claveria had entered into a common law marriage because their
    3
    relationship was "illicit, intermittent and not open to the public," that she was never legally married
    to Mr. Claveria, and that he had been involved in adulterous affairs with other women. Appellant's
    (App.) Informal Brief (Br.) at 1-2. Second, the appellant argues that the Board erred in failing to
    apply 
    38 U.S.C. § 103
    (d), which provides for the restoring of benefits for surviving spouses, and that
    her DIC benefits should be restored as of the date of Mr. Claveria's death. Third, the appellant
    argues that the Board had no right to question the 1956 general counsel decision that she was eligible
    to receive DIC benefits.
    In response, the Secretary asserts, inter alia, that the appellant's arguments are unsupported
    by the law and facts presented and, therefore, he requests that the Court affirm the Board's June 2004
    decision. As to the merits of the Board's forfeiture decision, the Secretary first asserts that "in
    reviewing that, the Court can look only to whether the Board's finding is clearly erroneous."
    Secretary's Br. at 7. Moreover, the Secretary argues that there is a plausible basis in the record to
    support the Board's findings that Ms. Flores knowingly submitted false information to gain VA
    benefits. As to the appellant's jurisdictional argument, the Secretary asserts that "[t]here is no
    distinction with regard to the authority, and no basis in the law for the [g]eneral [c]ounsel's decision
    in this instance to overrule subsequent evidence and the [d]irector's decision." Secretary's Br. at 11.
    As to the appellant's section 103(d) argument, the Secretary contends that this argument has no merit
    because the Board's consideration under this matter "would be required only if [the a]ppellant's
    benefits had been discontinued based upon her lack of status as surviving spouse, because she held
    herself out to be married." Secretary's Br. at 11-12.
    III. ANALYSIS
    A. Review of the Board's Findings Regarding Forfeiture
    1. Forfeiture of VA Benefits under 
    38 U.S.C. § 6103
    (a)
    Section 6103(a) of title 38, U.S. Code, provides:
    Whoever knowingly makes or causes to be made or conspires, combines, aids, or
    assists in, agrees to, arranges for, or in any way procures the making or presentation
    of a false or fraudulent affidavit, declaration, certificate, statement, voucher, or paper,
    concerning any claim for benefits under any of the laws administered by the Secretary
    (except laws pertaining to insurance benefits) shall forfeit all rights, claims, and
    4
    benefits under all laws administered by the Secretary (except laws pertaining to
    insurance benefits).
    
    38 U.S.C. § 6103
    (a). "Fraud" is defined in VA's regulations as an "act committed when a person
    knowingly makes or causes to be made . . . a false or fraudulent affidavit, declaration, certificate,
    statement, voucher, or paper, concerning any claim for benefits under any laws administered by
    [VA]." 
    38 C.F.R. § 3.901
    (a) (2005). This Court addressed the provisions of 
    38 U.S.C. § 6103
    (a) in
    Trilles v. West, wherein it stated that "[t]he language of section 6103 plainly states that a person who
    commits fraud in connection with his or her claim or award of benefits [] loses all rights, claims, and
    benefits." Trilles, 
    13 Vet.App. 314
    , 321 (2000) (en banc). The Court also noted that "section
    6103(d)(1) authorizes forfeiture actions for acts occurring in the Philippine Islands after July 4, 1946,
    the date of Philippine independence from its previous status as a territory of the United States." 
    Id. at 322
    ; see also 
    38 U.S.C. § 6103
    (d)(1).
    2. VA's Authority to Bring Forfeiture Cases; and Appellate Review of Forfeiture Decisions
    Under his 
    38 U.S.C. § 512
    (a) statutory powers, the Secretary delegated authority to the
    director of C&P Service "to determine whether a claimant or payee has forfeited the right to
    gratuitous benefits or to remit a prior forfeiture pursuant to the provisions of 
    38 U.S.C. § 6103
     or
    6104." 
    38 C.F.R. § 3.100
     (2005). Additionally, pursuant to 
    38 U.S.C. § 501
    (a), the Secretary
    prescribed regulations establishing adjudicative procedures for rendering forfeiture decisions. See
    
    38 U.S.C. § 501
    (a) ("The Secretary has authority to prescribe all rules and regulations which are
    necessary or appropriate to carry out the laws administered by the Department and are consistent with
    those laws.").
    With regard to adjudication of forfeiture cases arising in the Philippines, where prosecution
    under the U.S. criminal code and attendant procedural rights for the accused could not be relied upon,
    the Secretary implemented the adjudication procedures set forth in 
    38 C.F.R. § 3.905
     (2005) and
    supplemented by chapter 36 of VA's Adjudication Procedure Manual M21-1, part IV [hereinafter
    M21-1]. See Trilles, 13 Vet.App. at 318. Under these provisions, the Manila RO is authorized to
    conduct a preliminary adjudication of the alleged forfeiture. See 
    38 C.F.R. § 3.905
    (a). If the RO
    concludes that the evidence establishes forfeiture, the RO forwards the matter to the director of C&P
    Service, VA Central Office for a final determination. See 
    id.
     ("Jurisdiction to determine whether the
    5
    claimant or payee has forfeited the right to gratuitous benefits or to remit a prior forfeiture is vested
    in the [d]irector, [C&P] Service, and personnel to whom authority has been delegated.").
    In accordance with 
    38 C.F.R. § 3.905
    (b), a final forfeiture declaration shall not be made by
    the director of C&P Service until the RO has sent to the person affected a written notice containing
    the following: (1) The specific charges against the person; (2) a detailed statement of the evidence
    supporting the charges, subject to regulatory limitations on disclosure of information; (3) citation and
    discussion of the applicable statute; (4) notification of the right to submit a statement or evidence
    within 60 days, either to rebut the charges or to explain the person's position; and (5) notification of
    the right to a hearing within 60 days with representation by counsel of the person's own choosing, that
    fees for the representation are limited in accordance with 
    38 U.S.C. § 5904
    (c), and that no expenses
    incurred by a claimant, counsel, or witnesses will be paid by VA. 
    38 C.F.R. § 3.905
    (b).
    The Board's jurisdiction and scope of authority is set forth in 
    38 U.S.C. § 7104
    (a), which
    provides: "All questions in a matter which under section 511(a) of this title is subject to decision
    by the Secretary shall be subject to one review on appeal to the Secretary. Final decisions on such
    appeals shall be made by the Board." 
    38 U.S.C. § 7104
    (a). Because a forfeiture determination
    affects the provision of VA benefits, the Board must hear appeals from a person adversely affected
    by such decision. Trilles, 13 Vet.App. at 318-19; id. at 319 ("In forfeiture cases, as in claims for VA
    benefits, sections 511 and 7104 give the person adversely affected the right to appeal the forfeiture
    decision to the Board." (citation omitted)). The Board is required to consider all evidence of record
    and to consider, and discuss in its decision, all "potentially applicable" provisions of law and
    regulation. Schafrath v. Derwinski, 
    1 Vet.App. 589
    , 593 (1991); see 
    38 U.S.C. § 7104
    (a); Weaver
    v. Principi, 
    14 Vet.App. 301
    , 302 (1991) (per curiam order); Sanden v. Derwinski, 
    2 Vet.App. 97
    ,
    100 (1992). Moreover, the Board is also required to include in its decision a written statement of
    the reasons or bases for its findings and conclusions on all material issues of fact and law presented
    in the record; that statement must be adequate to enable an appellant to understand the precise basis
    for the Board's decision, as well as to facilitate informed 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). To comply with this requirement, the Board must analyze the credibility and probative
    value of the evidence, account for the evidence that it finds persuasive or unpersuasive, and provide
    6
    the reasons for its rejection of any such evidence. See Caluza v. Brown, 
    7 Vet.App. 498
    , 506 (1995),
    aff'd per curiam, 
    78 F.3d 604
     (Fed. Cir. 1996) (table); Gabrielson v. Brown, 
    7 Vet.App. 36
    , 39-40
    (1994); Gilbert, supra.
    3. Standard of Review
    Citing to 
    38 U.S.C. § 7261
    , the Secretary asserts in his brief that when reviewing the Board's
    forfeiture decision, "the Court can only look to whether the Board's finding is clearly erroneous."
    Secretary's Br. at 7. Although the Court notes the relevance of section 7261 to its review of
    forfeiture of benefits under section 6103(a), the Court is unaware of any decision of its own or the
    U.S. Court of Appeals for the Federal Circuit that sets forth the standard of review to be applied in
    this case. See Trilles, 13 Vet.App. at 325-27 (regarding the application of the new and material
    evidence requirement for reopening prior final forfeiture decisions); Villaruz v. Brown, 
    7 Vet.App. 561
     (1995) (implying, without expressly holding, that the "clearly erroneous" standard of review is
    appropriate for review of the Board's determination regarding a reopened forfeiture decision); Reyes
    v. Brown, 
    7 Vet.App. 113
    , 115-16 (1994) (finding that no new and material evidence had been
    presented to reopen VA's prior forfeiture decision). Accordingly, before the Court can properly
    review the Board's determination that Ms. Flores' actions constituted fraud, thereby warranting
    forfeiture under 
    38 U.S.C. § 6103
    (a), we must decide, for the first time, the issue of the correct
    standard of review applicable here, a case involving a direct appeal from a Board forfeiture
    determination due to fraud under section 6103(a).
    We begin our analysis with section 7261, which provides in relevant part:
    [This] Court . . . to the extent necessary to its decisions and when presented shall . . .
    in the case of findings of material fact made in reaching a decision in a case before
    the Department with respect to benefits under laws administered by the Secretary,
    hold unlawful and set aside such findings if the finding is clearly erroneous.
    
    38 U.S.C. § 7261
    (a)(4); see also Gilbert, 1 Vet.App. at 52 (noting that Congress intended this Court
    to review facts similarly to how a Federal appellate court reviews a district court's finding of facts
    under the "clearly erroneous" standard of Rule 52(a) of the Federal Rules of Civil Procedure). Under
    the "clearly erroneous" standard of review, the Court must set aside a finding of material fact when,
    after reviewing the record as a whole, it is "left with the definite and firm conviction that a mistake
    has been committed." Gilbert, 1 Vet.App. at 52 (quoting United States v. U.S. Gypsum Co., 333
    
    7 U.S. 364
    , 395 (1948)). When applying this standard, "'[i]f the [Board's] account of the evidence is
    plausible in light of the record viewed in its entirety, the [Court] may not reverse it even though
    convinced that had it been sitting as the trier of fact, it would have weighed the evidence
    differently.'" 
    Id.
     (quoting Anderson v. City of Bessemer City, 
    470 U.S. 564
    , 573-74 (1985)).
    A plain reading of section 7261 makes clear that Congress did not make exceptions or
    purport to exclude certain categories of factual findings from the "clearly erroneous" standard of
    review. Indeed, the Supreme Court has warned against drawing such distinctions, particularly with
    regard to so-called "ultimate facts." See Bose Corp. v. Consumers Union of United States, 
    466 U.S. 485
    , 501 (1984) ("Rule 52(a) applies to finding of facts, including those described as 'ultimate facts'
    because they may determine the outcome of litigation."); see also BLACK'S LAW DICTIONARY 612
    (7th ed. 1999) (defining "ultimate fact" as "[a] fact essential to the claim or the defense"); Pullman-
    Standard v. Swint, 
    456 U.S. 273
    , 287 (1982) (noting that Rule 52(a) "does not make exceptions or
    purport to exclude certain categories of factual findings from the obligation of a court of appeals to
    accept a district court's findings unless clearly erroneous. It does not divide facts into categories; in
    particular it does not divide findings of fact into those that deal with 'ultimate' and those that deal
    with 'subsidiary' facts."); but see Bose Corp., 
    466 U.S. at 501, n.16
     (warning that "[f]inding so-called
    'ultimate facts' more clearly implies the application of standards of law"); id. at n.17 ("Regarding
    certain largely factual questions in some areas of the law, the stakes–in terms of impact on future
    cases and future conduct–are too great to entrust them finally to the judgment of the trier of fact.").
    With regard to fraud determinations resulting in forfeiture, we find no reason to stray from
    the general rule that findings of facts, even so-called "ultimate facts," should be reviewed under the
    "clearly erroneous" standard of review. Moreover, our caselaw has long recognized that findings
    with regard to fraudulent intent or bad faith are findings of fact and therefore, the province of VA.
    See, e.g., Brown v. Brown, 
    8 Vet.App. 40
    , 42 (1995) (holding Board's determination that veteran's
    conduct was fraudulent and prevented a waiver of indebtedness is a factual finding); East v. Brown,
    
    8 Vet.App. 34
    , 40 (1995) (determining that the question of whether the debtor has acted in bad faith
    is a factual determination subject to review by this Court under a "clearly erroneous" standard);
    Farless v. Derwinski, 
    2 Vet.App. 555
    , 556 (1992) ("the question of whether the debtor was guilty
    of fraud is a factual determination subject to review by this Court under a 'clearly erroneous'
    8
    standard."); see also Engelke v. Gober, 
    10 Vet.App. 396
    , 399 (1997) (holding that the Court reviews
    the Board's determinations of whether a veteran's conduct constituted "good cause" under the "clearly
    erroneous" standard of review); Struck v. Brown, 
    9 Vet.App. 145
    , 153 (1996) (holding that the
    Board's determination that a veteran's conduct was fraudulent and prevented a waiver of
    indebtedness is a factual finding).
    Practicality and proper judicial function further reinforce the appropriateness of this highly
    deferential standard of review. As the U.S. Supreme Court noted in Miller v. Fenton:
    Perhaps much of the difficulty in this area stems from the practical truth that the
    decision to label an issue a "question of law," a "question of fact," or a "mixed
    question of law and fact" is sometimes as much a matter of allocation as it is of
    analysis. At least in those instances in which Congress has not spoken and in which
    the issue falls somewhere between a pristine legal standard and a simple historical
    fact, the fact/law distinction at times has turned upon a determination that, as a matter
    of the sound administration of justice, one judicial actor is better suited than another
    to decide the issue in question.
    Miller, 
    474 U.S. 104
    , 113-14 (1985); see also Pierce v. Underwood, 
    487 U.S. 552
    , 558 (1988)
    (providing further support that a reviewing court must consider which judicial actor is better
    positioned to decide an issue).
    Here, as a matter of the sound administration of justice, we find that VA and not the Court
    is best suited to decide this issue. VA is in a far better position than the Court to evaluate and to
    weigh the credibility of testimony and other evidence. See Anderson, 
    470 U.S. at 574
     (noting that
    finding of intent is a factual matter whether the findings rest on determinations of credibility, review
    of physical or documentary evidence, or inferences from other facts); see also Pullman-Standard,
    
    456 U.S. at 288
     ("Treating issues of intent as factual matters for the trier of fact is commonplace.").
    Thus, not only is it more efficient to give deference to VA's factual findings because of VA's position
    and practice, such deference ensures that the process is also more accurate. See Anderson, 
    470 U.S. at 574
     ("The rationale for deference to the original finder of fact is not limited to the superiority of
    the trial judge's position to make determinations of credibility. The trial judge's major role is the
    determination of fact, and with experience on fulfilling that role comes experience."). Moreover,
    fraud determinations do not inherently implicate clearly ascertainable legal principles, and therefore,
    a highly deferential standard of review will not prevent the Court from fulfilling its primary purpose
    of bringing consistency and fairness to the VA benefits process. See Cooter & Gell v. Hartmax
    9
    Corp., 
    496 U.S. 384
    , 405 (1990) ("Fact-bound resolutions cannot be made uniform through appellate
    review, de novo or otherwise."). Accordingly, the Court holds that the "clearly erroneous" standard
    of review is the proper standard of review for Board determinations of forfeiture under section
    6103(a).
    4. Application of Law to Fact
    We begin our review of the Board's findings by first rejecting the appellant's argument that
    the Board had no right to question the 1956 general counsel decision that she was eligible to receive
    DIC benefits. In accordance with § 3.905(a) and the applicable provisions of the M21-1, in June
    1989, the Manila RO conducted a preliminary investigation and concluded that there was sufficient
    evidence to forward the matter to the director of C&P Service for a forfeiture decision. That same
    month, the RO sent the appellant a letter that fully complied with the above-mentioned notice and
    process requirements under § 3.905 and subsequently submitted her case to the director of C&P
    Service for determination. Following the director of C&P Service's determination that forfeiture was
    warranted, the appellant appealed her claim to the Board. As we noted above, a forfeiture
    determination is a decision referred to in 
    38 U.S.C. § 511
    (a) and thus, under section 7104(a), the
    Board has the right to hear appeals from the person adversely affected. See Trilles, supra.
    Therefore, the Board had proper authority to decide the matters in this case.
    As to the merits of the Board's decision, reviewing all the evidence of record, the Court is
    satisfied that the BVA had a plausible basis in the record for finding that Ms. Flores' actions
    constituted fraud and that forfeiture was therefore warranted under 
    38 U.S.C. § 6103
    (a). See
    generally Trilles, supra.    In her June 1988 sworn statement, Ms. Flores knowingly and
    unambiguously informed VA that she had lied in April 1956 regarding her relationship with Mr.
    Claveria. There was also substantial evidence in the record, including statements made by the
    appellant and her children, for the Board to conclude that "[t]he appellant knowingly and
    intentionally submitted false and fraudulent statements regarding her relationship with [Mr.
    Claveria]." R. at 5. Accordingly, the BVA had a plausible basis in the record to conclude that the
    appellant had, with the requisite level of intent, committed fraud in connection with her claim for
    benefits, and, as a result, the June 2004 decision of the Board will be affirmed.
    10
    B.   Ms. Flores' 
    38 U.S.C. § 103
    (d) Argument
    The appellant asserts in her brief that the Board should have restored her DIC benefits upon
    the death of Mr. Claveria under 
    38 U.S.C. § 103
    (d)(3) because she is a "surviving spouse." Pursuant
    to 
    38 U.S.C. § 101
    (3), "surviving spouse" is defined as
    a person of the opposite sex who was the spouse of a veteran at the time of the
    veteran's death, and who lived with the veteran continuously from the date of
    marriage to the date of the veteran's death (except where there was a separation which
    was due to the misconduct of, or procured by, the veteran without the fault of the
    spouse) and who has not remarried or (in cases not involving remarriage) has not
    since the death of the veteran, and after September 19, 1962, lived with another
    person and held himself or herself out openly to the public to be the spouse of such
    other person.
    
    38 U.S.C. § 101
    (3); see 
    38 C.F.R. § 3.50
    (b) (2005). If "surviving spouse" status is discontinued
    because a surviving spouse remarries, or lives with another person and holds himself or herself out
    openly to the public as the spouse of that person, section 103(d)(3) provides that his or her DIC
    benefits can be reinstated if the remarriage ends or "[i]f the surviving spouse of a veteran ceases
    living with another person and holding himself or herself out openly to the public as that person's
    spouse." 
    38 U.S.C. § 103
    (d); see 
    38 C.F.R. §§ 3.55
    (a), 3.215 (2005).
    Here, the appellant asserts that section 103(d)(3) warrants reinstatement of her DIC benefits
    on the grounds that she has stopped living with "another person" and has stopped holding herself out
    "openly to the public as that person's spouse" since the death of Mr. Claveria in 1988. 
    38 U.S.C. § 103
    (d)(3). This argument, however, misconstrues the statute's intended purpose, which is to
    reinstate benefits for a "surviving spouse" whose status was revoked because he or she remarried (or
    lived with another person and held himself or herself openly to the public as the spouse of that
    person), but where the remarriage has terminated (or where the former "surviving spouse" has ceased
    living with another person and holding himself or herself out as the spouse of that person). See
    144 CONG . REC. H3,950 (statement of Rep. Stump) (stating that this provision will allow surviving
    spouses to resume eligibility for DIC benefits if their subsequent remarriage is terminated).
    Although it is true that following the death of Mr. Claveria the appellant was no longer openly living
    with another person, her benefits were not revoked because of her relationship with Mr. Claveria.
    Rather, the appellant's benefits were forfeited, under section 6103(a), because of her false statement
    that she had not remarried, not had children with, or not lived with Mr. Claveria, or any other man
    11
    since the death of the veteran, in order to obtain those benefits. The death of Mr. Claveria had no
    impact on the decision and facts surrounding the forfeiture. Accordingly, the Court finds that the
    appellant's section 103(d)(3) argument lacks merit.
    IV. CONCLUSION
    On consideration of the foregoing, the June 10, 2004, Board decision is AFFIRMED. Because
    the Court's decision renders judgment on this matter, Ms. Flores' January 26, 2006, motion for
    continuance of panel review is DENIED on the grounds that it is now moot.
    12
    

Document Info

Docket Number: 04-1743

Filed Date: 3/8/2006

Precedential Status: Precedential

Modified Date: 1/24/2023