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Effective Dates

There are several factors that go into determining when your effective date will be for your disability claims.

Disability Claims

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There are several factors that go into determining when your effective date will be for your disability claims.

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IMPORTANT NOTES:

  • For the purposes of this article, 'initiate a claim' is synonymous with either an intent to file or the submission of the claim itself (whichever is earliest). For those who recently separated from AD, then this would be the day AFTER you separated.

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  • The month of your effective date you are NOT paid! So for example if you filed on June 6, July 1 would be the date compensation begins.

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  • You are also paid in arrears, one month behind! So using the same example, you filed on June 6, benefits start on July 1 and the government pays you for the month of July on August 1.

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General Rule

  • Your effective date will be the date you initiate a claim, unless you fit into one of the exceptions listed below:

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Date Entitlement Arose

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Only applicable when evidence clearly establishes that the entitling criteria was not met when the claim was initiated.

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An example of this would be if the Veteran opens an intent to file and there is medical evidence that the claimed condition did NOT exist until a later time. This could be something like having above normal elevated sugar levels (lab findings) and then filing a claim for diabetes. Due to there being medical evidence that the Veteran did NOT have diabetes till later. Their effective date would then be the date entitlement arose. AKA the diagnosis of diabetes, be it done at the C&P exam or at a later doctor appointment.

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Example of Date Entitlement Arose Effective Date

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KEY:

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  • ITF = Intent to file

  • CS = Claim submitted

  • NDX = Negative diagnosis

  • PDX = Positive diagnosis

  • CF = Claim finished

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Timeline

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       1/9                                2/1                                    2 /15                               4/1                                      16/5

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Intent to File          Claim Submitted                Negative diagnosis      Positive diagnosis               Claim finished

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Due to there being negative evidence that there was no disability on 2/15. And it was not until a diagnosis was made that showed a disability existed on 4/1. The intent to file on 1/9 is NOT the effective date! The effective date would be 4/1 since that is the earliest it was determined medically that the disability existed.

As such, the Veteran's pay would start 5/1, as again, the month of the effective date is not paid! The Veteran would not get a check until the June 1 due to the VA paying in arrears.

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Separation from Service

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The Veteran does NOT need to have a formal intent to file made at any time within a year of separation. The Veteran has a hanging de facto intent to file that goes back to one day after the Veteran separates from AD service. This applies to ALL claims made within this period of time.

However remember, you are still subject to the Date entitlement arose.

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IMPORTANT NOTE:

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  • If the Veteran does submit an intent to file BEFORE their one year anniversary of separation. They CAN get an extension of up to another year in which their back pay will go back to the day after they separate.

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NOTES:

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  • The effective date CANNOT start while you are still AD! The earliest possible effective date is the day AFTER you separate.

  • If the Veteran's last period of service is DISHONORABLE, the Veteran is NOT granted the provision of having a hanging intent to file for a year following separation!

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Increase Claim

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It is possible to get an effective date up to a year before the Veteran initiates an increase claim, so long as their claim contains MEDICAL EVIDENCE related to an examination, hospitalization, or medical treatment of a disability which adequately demonstrates that the disability was of such severity to warrant a higher evaluation at such date.

Which means, if medical evidence is NOT in-depth enough to demonstrate you rated that increase you won't be able to get this advanced effective date.

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SPECIAL NOTE:

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  • In the cases of Diabetes and Spine related Nerve issues - the effective dates of their secondary conditions CAN be given the consideration of an increase claim, with respect to having an effective date up to a year before the claim for service connection was filed!

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Appeals

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IMPORTANT NOTES:

  • Effective 07/30/2021, intent to files DO preserve effective dates for supplemental claims!

  • Intent to files do NOT apply to Higher Level Reviews or BVA appeals!

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Continuously pursued claims

The Veteran's effective date would be that of whenever they ORIGINALLY initiated their claim OR the date Entitlement arose, whichever is later.

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Supplemental claims filed one year AFTER a denial:

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Date the supplemental claim was filed OR the date Entitlement arose, whichever is later.

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IMPORTANT NOTE:

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  • Failure to file an appeal on the proper form WILL result in you getting the effective date of whenever VA receives the correct form (unless other effective date rules are in play OR the erroneously filed 21-526EZ has no other viable conditions AND there is a valid intent to file)!

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VA Obtaining New Official Military Service Records

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In the event the VA obtains new OFFICIAL military service records that they did not have on hand during their original decision, and such records would have resulted in a grant of service connection, the Veteran is entitled to an effective date of whenever the date Entitlement arose OR the date the original claim was initiated (or the date after separation), whichever is later.

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Clear and Unmistakeable Error (CUE)

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When the VA makes a CUE the Veteran is entitled to an effective date of when the claim was originally initiated or whenever the date of Entitlement arose, whichever is later.

For more information on CUEs click HERE.

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Liberalizing Change of Law

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A liberalizing law is one which brings about a substantive change in the law, creating a new and different entitlement to a benefit.

This usually takes the form of Congress or the VA itself adds a new Presumptive service condition OR changes the criteria of existing presumptive.

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The impact of liberalizing law on effective dates is as follows:

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  • Effective dates can be NO earlier than the date of the effective date of the law!

    • If a Veteran is granted service connection with the basis being the change in law then it can be no sooner than the date the law changed.

  • Effective dates CAN go back up to a YEAR BEFORE the Veteran initiates a claim!

    • IF a Veteran would have meet ALL presumptive criteria BEFORE the law was passed, the Veteran can get an effective date up to a year before they initiated their claim. IE You served in blue water Navy during Vietnam and were diagnosed with type II diabetes 10 years after separating from the military. If the you initiated a claim for diabetes after the Agent orange presumptive eligibility changed. The effective date would go back up to a year before you initiated your claim.

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IMPORTANT NOTE:

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  • If the VA can grant service connection via direct service connection instead of presumptive, the VA will do so. Which may or may not be the most beneficial thing for you.

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List of Liberalizing Law Changes

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Here are a list of liberalizing changes:

*Liberalizing principle CANNOT be applied, unless the Veteran also had a VA or VA-contracted psychiatrist or psychologist confirmed that the claimed stressor was adequate to support a diagnosis of PTSD and that the Veteran's symptoms were related to the claimed stressor.

 

Special Monthly Compensation and Special Monthly Pension

The effective date for SMC S (Housebound) or SMC R1/R2 (Aid and Attendance) as well as increased payments for VA PensionAid and Attendance, or Housebound can go back up to a year before a claim is initiated if the Veteran meet the requirements for those SMCs or SMPs prior.
 

Hospitalizations

If a Veteran is hospitalized for a service connected disability for at least 21 consecutive days the Veteran will be awarded a temporary 100% rating, effective to the day they were admitted. The award is terminated the month following their discharge.
 

SPECIAL NOTE:
 

  • Veterans who are hospitalized for a non-service connected disability for at least 21 consecutive days who initiate a claim before their discharge from the hospital are eligible to have their effective date go back to the date of their admission to the hospital. This award will also include the period of any applicable temporary 100% ratings.
     

Example Hospitalizations Special Note

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KEY:

  • AH = Admittance to hospital

  • CS = Claim submitted

  • DH = Discharged from hospital

  • CF = Claim finished

Timeline

1/163/75/26/14

Admittance to hospitalClaim SubmittedDischarged from hospitalClaim finished

Effective date would be 1/16 since that was the day they were admitted to the hospital due to the later service connected disability. The temporary 100% rate would start to be paid on 2/1 and be paid till 6/1, unless of course the Veteran's rating was determined to be 100%. In which case the 100% rate would continue.

This situation generally occurs for Veterans who are admitted for PTSD or other mental disorders who have yet to File a claim.

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Reductions

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If the Veteran for whatever reason DOES NOT request a hearing for a proposed reduction then the proposed change is effective the first of the month following the date on which the 60-day due process period ends, UNLESS the VA receives evidence within 65 days of the date of the notice of proposed adverse action that shows VA should not take the proposed action.

By requesting a hearing a reduction CANNOT proceed, till after the hearing takes place. This will usually take awhile, allowing you to float on your current rating.

For more information on proposed reductions click HERE.

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Incarcerated Veterans

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Effective the 61st day of incarceration, the Veteran's benefits will be reduced/terminated.

To learn more click HERE.

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Staged Effective Dates

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There are times when the Veteran can receive staged effective dates. While this is unusual, it does happen occasionally when claims take a long time to complete. Usually, in cases such as appeals that can take many years to complete. In these cases, if there is evidence that suggests the Veteran's condition has gotten worse, improved, etc. over the life of the claim the rater can grant a staged rating. In this case there will be multiple effective dates for the different periods of severity.

This can also happen when there is a change in the rating schedule that is more favorable to the Veteran. In such cases, there could be two effective dates, the one before the change and the one after the change.

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NOTE:

  • This can also occur when there are multiple different claims submitted while there is already an ongoing claim.

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Example of Multiple Active Claims

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Timeline

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NOTES:

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  • For ease of understanding the concept of effective dates and pay, we will NOT be using VA Math.

  • Consider the Veteran as NOT having any preexisting ratings.

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From the timeline above, we have a claim that was submitted while another claim was currently active.

Chronologically, claim 2 completed first granting 50% rating and then claim 1 finished, raising the Veteran's rating to 70% (+20%). Now lets try and figure out the effective dates and back pay:

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Effective Dates and Pay

Complicated right? Well lets look at the situation again, but this time looking at the entire situation retrospectively.

When the VBA looks at this situation retrospectively this is what they will see:

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  • Veteran's pay was at the 20% rate between 2/1 - 5/1. Then on 5/1 Veterans pay rate increased to 70%.

Veteran is due any discrepancy. Since the Veteran would have received some back pay when their claim 2 was completed, the VA would need to calculate the total back pay due minus any benefits the Veteran had already received.

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TDIU

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If the Veteran initiates a claim for TDIU within a year of them Statutorily qualifying for TDIU, the effective date can go back up to a year of when they qualified. Also know, if a rater suspects a Veteran may qualify for TDIU they will invite the Veteran to submit a claim for it, though of course an invitation is not required to apply.

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IMPORTANT NOTES:

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  • Effective date for TDIU CANNOT be earlier than the effective date of service connection for the underlying disability or disabilities.

  • Statutorily qualifying is NOT a one time situation! Anytime an SC disability is evaluated and the outcome of the claim either grants or confirms and continues an evaluation causing the Veteran’s SC disabilities to satisfy the schedular criteria for TDIU counts!

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Miscellaneous Circumstances

The following situations MAY result in LOSS of your effective date!

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Duplicate Intents to File

  • You CANNOT have more than one active intent to file at once! In the event you file additional ones while you have an active one, the duplicate intent to file(s) ARE INVALID!

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Duplicate Example 1

Here is an example of a duplicate intent to file (ITF):

Duplicate Example 2

Here is another example of a duplicate intent to file (ITF):

Since the claim was still filed within a year of the original ITF, the claim can of course still use it.

NOTE:

  • The duplicate ITF does NOT now become active. It is and always will be invalid!

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Expired Forms

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In the event you file an appeal or claim on an expired form - the appeal/claim is INVALID!

Meaning, if/when the VA figures it out, they will administratively close the case. Once closed, the VA will send you a letter asking you to apply on the proper form.

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IMPORTANT NOTE:

Claims and appeals filed by a VSO are EXEMPT from the requirements to use up-to-date forms! Why? Dunno. But VSOs can file on expired forms.

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Incomplete Application

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In the event you or your POA forgets to sign your claim/appeal - the appeal/claim is INVALID!

Meaning, if/when the VA figures it out, they will administratively close the case. Once closed, the VA will send you a letter asking you to apply again.

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Incorrectly Established Claim/Appeal

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In the event you file an appeal or claim on the wrong form - the appeal/claim is INVALID!

Consequences

If you submitted an intent to file, and re-file your claim/supplemental appeal within a year of that intent to file - you are good! The re-filed claim/supplemental appeal will takeover the intent!

Otherwise, you WILL forfeit the effective date you may have been entitled to!

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Miscellaneous Intent to File Information

Here are bits and bobs of information.

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Calculating the Timeliness of Receipt of ITFs

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ITFs have an active shelf life of a year. However, there are some extenuation circumstances than can make it last longer!:

  • Holidays

  • Weekends

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If your ITFs' anniversary is on a weekend or a holiday, so long as you file on the following business day, it will still be VALID!

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General NOTE:

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  • If you file exactly on the anniversary of your ITF, you are good to go!

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Adding Dependents

There are a few situations that come into play when it comes to adding dependents:

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  • Marriage

  • Birth of a child

  • Gaining a dependent parent

  • Obtaining a Combined rating of at least 30%

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If you add your new spouse, child, or dependent parent within one year of gaining them as a dependent your effective date can go back up to a year. If you are past that year then the effective date will be the date you initiate the claim.

 

If you have just received a combined rating of at least 30% then the effective date of your added dependent(s) will be identical to that of your disability claim or the date of your marriage, birth of child, or gaining a dependent parent - whichever is later.

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Adding Dependents Example

The following example is from one Veteran:

*If the dependent was born/wed no earlier than 10/01/2021, the effective date could potentially go back to 10/01/2021.
 

Education

Education housing allowances run on a 30 day calendar, even if the month has more or less days in the actual month.
 

Example

If your semester starts on August 23 then for the month of August (assuming you are full time and have 100% eligibility). You would be entitled to 26.7%* of your normal monthly housing allowance (MHA).

*8 days divided by 30 = 26.7%.
 

Requesting an Earlier Effective Date

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So you did it. After absorbing the knowledge from this article you have determined the VA messed up your effective date. What to do?

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If you are still within a year of the claim decision you may simply request a Higher Level Review (HLR). However, if over a year - the Veteran must invoke a CUE. For more information on CUEs click HERE.

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FAQ

The VA combined two or more of my claims. Will they all share the same effective date?

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  • No* each claim will keep their individual effective dates. Being combined will not result in them sharing effective dates.

*unless the claims are made within a year of separation.

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References

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