Updated Mar 21, 2024
In This Section |
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This section contains the following topics:
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1. Additional Compensation for Dependents
Introduction |
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This topic contains information on additional compensation for dependents, including
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Change Date |
March 21, 2024 |
VII.i.1.C.1.a. Initial Screening of a Claim for Additional Compensation for a Dependent(s) that Is Pending Concurrent With a Rating EP |
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When a claim for additional compensation for a dependent(s) and a claim for service connection (SC) and/or a higher disability evaluation are concurrently pending, claims processors must
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VII.i.1.C.1.b. Promulgating a Rating Decision That Renders a Veteran Eligible for Additional Compensation for Dependents |
When promulgating a rating decision that assigns an overall SC disability evaluation of at least 30 percent to a Veteran whose overall SC disability evaluation prior to the rating decision was less than 30 percent, follow the instructions in the table below.
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VII.i.1.C.1.c. Promulgating the Rating Decision When No Claim for Additional Compensation for a Dependent(s) Is Pending |
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When promulgating the rating decision referenced in M21-1, Part VII, Subpart i, 1.C.1.b, follow the instructions in the table below when no claim for additional compensation for a dependent(s) is pending, but the evidence of record suggests the Veteran has a dependent(s).
Important:
Reference: For more information on documenting attempts to contact a Veteran by telephone, see M21-1, Part III, Subpart i, 2.D.1.e. |
VII.i.1.C.1.d. Promulgating the Rating Decision When a Claim for Additional Compensation for a Dependent(s) Is Pending But Entitlement Cannot Be Granted |
When promulgating a rating that assigns an overall SC disability evaluation of at least 30 percent to a Veteran whose overall SC disability evaluation prior to the rating decision was less than 30 percent, follow the instructions in the table below when
Important: If a Veteran indicates an inability to provide documentary evidence of a life event (birth, marriage, death, divorce), VA has an obligation to assist the claimant in obtaining such evidence by sending a request to the appropriate records custodian.
References: For more information on
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VII.i.1.C.1.e. Notification Requirements That Apply Each Time the Rating Activity Assigns an Overall SC Disability Evaluation of at Least 30 Percent |
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Each time the rating activity assigns to a Veteran an overall SC disability evaluation of at least 30 percent,
Important: The policy described in this block applies even if the rating activity previously determined the Veteran was at least 30-percent disabled and is now
Reference: For more information on using RADL to provide Veterans with the notification described in this block, see M21-1, Part VII, Subpart i, 1.C.1.f. |
VII.i.1.C.1.f. Using RADL to Generate a Decision Notice |
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When RADL is used to prepare notification of the types of rating decisions discussed in M21-1, Part VII, Subpart i, 1.C.1.e, the application automatically inserts standardized text that notifies the Veteran of
Exception: RADL does not insert the text referenced in the preceding paragraph into a decision notice if
Follow the instructions in the table below when
Reference: For more information on preparing decision notices using RADL, see
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2. Determining the Proper Effective Date of Entitlement to Additional Compensation for Dependents
Change Date |
February 15, 2022 |
VII.i.1.C.2.a. Granting Additional Compensation for Dependents Effective the Date of a Life Event, the Date of Claim, or the Date Dependency Arose |
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If a Veteran with an overall SC disability evaluation of at least 30 percent submits a claim for additional compensation for a dependent solely because dependency arose or the Veteran experienced a life event, such as a marriage or birth (not in response to the rating decision notice referenced in M21-1, Part VII, Subpart i, 1.C.1), grant entitlement (if entitlement exists) effective the date shown in the table below. Exception: Disregard the text in the center column of the table below that reads “the Veteran responded within one year to VA’s request for any additional evidence/information it requires to establish entitlement” if
Rationale: If, when submitting a September 2018 or later version of VA Form 21-686c, a Veteran fails to provide the evidence/information the form requires, claims processors must deny the claim without undertaking any development. Notes:
References: For more information on establishing
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VII.i.1.C.2.b. Example: Granting Entitlement to Additional Compensation for a Dependent Effective the Date of a Life Event |
Scenario:
Action: Grant entitlement to additional compensation for the child effective December 23, 2010. |
VII.i.1.C.2.c. Rating Decisions That Render a Veteran Eligible for Additional Compensation for Dependents |
When entitlement to additional compensation for a dependent(s) is granted concurrent with promulgation of a rating decision that assigns an overall SC disability evaluation of at least 30 percent to a Veteran whose overall SC disability evaluation prior to the rating decision was less than 30 percent (as described in M21-1, Part VII, Subpart i, 1.C.1.b), the effective date is the later of the following dates:
Notes:
Reference: For more information on the effective date of entitlement to additional benefits for dependents, see 38 CFR 3.401(b). |
VII.i.1.C.2.d. Handling Responses to the Rating Decision Notices Referenced in M21-1, Part VII, Subpart ii, 1.C.1 That VA Receives Within One Year |
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If a Veteran responds to one of the rating decision notices referenced in M21-1, Part VII, Subpart i, 1.C.1 within one year by providing the evidence, information, and/or forms VA requires to grant entitlement to additional compensation for a dependent(s), the effective date of entitlement is the later of the following dates:
Exceptions:
Notes:
References: For more information on
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VII.i.1.C.2.e. Effect of Sharp v. Shinseki on the Assignment of Effective Dates |
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As a result of an October 15, 2009, decision by the Court of Appeals for Veterans Claims in Sharp v. Shinseki, 23 Vet.App. 267 (2009), claims processors must apply the effective date policy described in M21-1, Part VII, Subpart i, 1.C.2.d, even if the disability evaluation of the Veteran referenced in M21-1, Part VII, Subpart i, 1.C.1.e, was at least 30 percent before VA made the rating decision referenced in that block.
Prior to the decision in Sharp v. Shinseki, if a Veteran failed to provide evidence/information about dependent(s) within one year of the date VA initially requested it (following assignment of the initial disability evaluation of 30 percent or greater), VA granted entitlement to additional compensation for the dependent(s) from an effective date that was no earlier than
If, during routine review of a Veteran’s record, it is discovered that a rating decision completed on or after October 15, 2009, entitles the Veteran to additional compensation for a dependent(s) from an earlier effective date based on Sharp v. Shinseki, take action to correct the Veteran’s award.
Exception: The policy stemming from Sharp v. Shinseki does not apply to
Reference: For more information on granting entitlement to additional compensation for dependents from the effective date of a rating decision, see 38 CFR 3.401(b)(3). |
VII.i.1.C.2.f. Handling Responses to the Rating Decision Notices Referenced in M21-1, Part VII, Subpart i, 1.C.1 That VA Receives After the One-Year Time Limit |
If a Veteran waits one year or more after the date of the rating decision notice referenced in M21-1, Part VII, Subpart i, 1.C.1 to provide the evidence, information, and/or forms VA requires to grant entitlement to additional compensation for the dependent(s), the effective date of entitlement may be no earlier than the date VA receives the response, unless
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VII.i.1.C.2.g. Examples: Granting Entitlement to Additional Compensation for a Dependent Following Notification of Potential Entitlement |
Scenario 1: VA awards a combined disability evaluation of 30 percent to a Veteran effective April 21, 2011, and notifies him of potential entitlement to additional compensation for dependents on May 1, 2011. The Veteran forgets to inform VA that he is currently married.
The Veteran has no interaction with VA until June 15, 2016, when he discovers the May 1, 2011, letter while cleaning out his desk. He reads over the letter again and realizes he has been missing out on additional compensation for his spouse. He immediately submits an online application that shows he first married in August 13, 1998, and remains married to the same person.
Action: Grant entitlement to additional compensation for a spouse effective June 15, 2016.
Scenario 2: On November 11, 2019, VA rates the same Veteran totally disabled based on IU effective September 18, 2013.
Action: Retroactively grant entitlement to additional compensation for a spouse effective September 18, 2013. |
VII.i.1.C.2.h. Effective Date for Granting Entitlement to Additional Compensation Based on a Same-Sex Marriage |
On September 4, 2013, the U.S. Attorney General announced that the President had directed the Executive Branch to cease enforcement of 38 U.S.C. 101(3) and (31) to the extent it prevented government agencies from paying benefits based on the marriage of two individuals of the same sex.
The President’s directive allowed VA to recognize a same-sex marriage as valid, as long as the marriage was legal according to the law of the place where the individuals resided
On June 26, 2015, the Supreme Court ruled in Obergefell v. Hodges that all states must
As a consequence of the Supreme Court ruling, the process for determining the validity of a same-sex marriage is now no different than the process for determining the validity of a marriage between individuals of the opposite sex (as described in M21-1, Part VII, Subpart i, 2.A).
The table below explains how the President’s directive (which represents a liberalizing change in law) and the Supreme Court ruling affect the assignment of an effective date for entitlement to additional compensation based on a same-sex marriage.
Notes:
References:
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VII.i.1.C.2.i. Examples: Selecting an Appropriate Effective Date When Granting Entitlement to Additional Compensation for a Same-Sex Spouse |
The table below contains examples of the policies expressed in M21-1, Part VII, Subpart i, 1.C.2.h.
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3. Special Considerations When Making Award Adjustments for Dependents
Introduction |
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This topic discusses special considerations when making adjustments for dependents, including
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Change Date |
February 15, 2022 |
VII.i.1.C.3.a. Providing Notice of an Award Adjustment |
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Notify a beneficiary of any adjustment VA makes to the award because of a change in the status of a dependent.
Important:
Example: The mailbox for the Salt Lake City RO’s VR&E office is VAVBASLC/RO/VRE.
References: For more information on
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VII.i.1.C.3.b. Effect of Separation or Estrangement |
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Separation or estrangement does not affect disability compensation awards unless
Important:
References: For more information on
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VII.i.1.C.3.c. Payment of Compensation While a Reduction Is Under Consideration |
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If either of the following actions are pending when a claim for additional compensation for dependents is pending or received, continue to adjudicate the claim:
Important: The provisions of 38 CFR 3.501(g)(2) allow for payment of additional compensation for dependents until the actual severance/reduction occurs. |
VII.i.1.C.3.d. Processing Notice of a Change in the Status of a Parent or Schoolchild |
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Use the table below for processing notice of a change in the state of a parent or schoolchild.
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VII.i.1.C.3.e. Requirement to Notify a Child’s Custodian |
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Provide a notice of proposed adverse action to the custodian of any child whose rate of payment is adversely affected by a change in the status of a child or children on other awards. |
VII.i.1.C.3.f. Example: Adjustment of a Child’s Award and Notification |
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Situation:
Result:
Notes:
Reference: For more information on the adjudication of claims based on school attendance, see M21-1, Part VII, Subpart ii, 1.B. |
4. Award Adjustments Necessitated by the Loss of a Dependent
Introduction |
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This topic contains general information on adjustments necessitated by the loss of a dependent, including
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Change Date |
May 16, 2022 |
VII.i.1.C.4.a. When a Notice of Proposed Adverse Action to Remove a Dependent Is Not Required |
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A notice of proposed adverse action to remove a dependent is not required if a beneficiary or a custodian provides VA with the evidence or information that triggers a reduction or discontinuation of benefits.
Reference: For more information on the circumstances under which a notice of proposed adverse action is required, see M21-1, Part I, Subpart i, 1.B.2.a. |
VII.i.1.C.4.b. When the End-of-Month Rule Applies to the Removal of a Dependent From a Beneficiary’s Award |
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The end-of-month rule applies to the total award amount paid to the Veteran or surviving spouse as the primary beneficiary.
Under the provisions of 38 U.S.C. 5112(b)(2), 38 CFR 3.500, and 38 CFR 3.660(a)(2), the effective date of reduction or discontinuance of an award of compensation, current-law pension, or DIC is the last day of the month in which the event occurs if the reduction or discontinuance is due to the loss of a
Important:
References: For more information on
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VII.i.1.C.4.c. When the End-of-Month Rule Does Not Apply to the Removal of a Dependent From a Beneficiary’s Award |
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The table below contains a description of the circumstances under which the end-of-month rule does not apply to the removal of a dependent from a beneficiary’s award.
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VII.i.1.C.4.d. Processing Notice of the Results of a Paternity Test |
The results of a paternity or similar type of test might require the removal of a child from a beneficiary’s award. Before removing the child, determine whether the child may be recognized as a stepchild under 38 CFR 3.57(b).
If VA may no longer recognize an individual as a Veteran’s child based on the results of a paternity test, remove the individual from the beneficiary’s award according to the instructions in M21-1, Part VII, Subpart i, 1.C.4.c. (The date the beneficiary received the results of the test represents “the date of the event” referenced in M21-1, Part VII, Subpart i, 1.C.4.c.)
Exception: Follow the instructions in M21-1, Part VII, Subpart iii, 1.B.6.g, if VA is apportioning benefits to or on behalf of the individual VA must remove from the beneficiary’s award.
Note: Do not request a copy of the paternity test unless
References: For more information on
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VII.i.1.C.4.e. Action to Take if a Beneficiary Fails to Provide Information Required to Remove a Dependent |
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If a beneficiary notifies VA of the loss of a dependent but does not provide the following information, attempt to obtain it from the beneficiary by telephone:
Exception: VA Form 21-0538, Mandatory Verification of Dependents, does not ask Veterans for the location of the event that necessitates removal of a dependent from their award. Accordingly, when a Veteran uses this form to notify VA of the loss of a dependent, claims processors may remove the dependent without this information and without making the telephone call referenced in the previous paragraph. Follow the instructions in the table below if attempts to obtain the missing information by telephone are unsuccessful.
Notes:
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VII.i.1.C.4.f. Information That Is Unique to Changes in the Status of Children in Receipt of DIC |
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The following information is unique to changes in the status of children in receipt of DIC:
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VII.i.1.C.4.g. Award Adjustment Upon the Death or Marriage of a Child |
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If a Veteran or surviving spouse is receiving additional benefits for a child, and that child dies or marries, reduce or discontinue benefits effective the earlier of the following:
Note: If entitlement is based on school attendance, and the child stops attending school before marrying, reduce or discontinue benefits effective the first day of the month following the month during which the child last attended school, per 38 CFR 3.667(c).
Reference: For more information on the marriage of a beneficiary’s child, see M21-1, Part VII, Subpart i, 3.C. |
VII.i.1.C.4.h. Application of 38 CFR 3.551 |
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Depending on the type of pension a Veteran is receiving, 38 CFR 3.551 may require a reduction of benefits if the Veteran loses an only dependent while VA is furnishing the Veteran with hospital, domiciliary, or nursing home care.
Reference: For more information on award adjustments under 38 CFR 3.551, see M21-1, Part X, Subpart iii, 1.D. |
VII.i.1.C.4.i. Handling a Renouncement of the Right to Additional Benefits for a Dependent |
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38 CFR 3.106 allows an individual that is entitled to compensation, pension, or DIC to renounce the right to that benefit. However, an individual may not renounce individual components of a benefit, such as the additional benefits VA pays for a dependent. A Veteran who is eligible for additional compensation for dependents may choose not to add a dependent to the award. However, once VA has added the dependent, VA will not remove the dependent from the Veteran’s award unless and until the Veteran loses entitlement to additional compensation for that dependent due to, for example, death or divorce.
References: For more information on
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