M21-1 Manual / Part VIII, Subpart iv, Chapter 3, Section C
Individual Unemployability (IU) Rating and Decision Review
M21-1, Part VIII, Subpart iv, Chapter 3, Section C
Overview
In This Section | This section contains the following topics:
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1. Considerations for IU Decision Making
Introduction | This topic contains guidance on considerations for IU decision making, including
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Change Date | July 29, 2021 |
VIII.iv.3.C.1.a. Considerations for IU Claims | When deciding a claim for entitlement to a total evaluation due to individual unemployability (IU), the rating activity must consider
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VIII.iv.3.C.1.b. Applicability of the Concept of Average Impairment in Earning Capacity to IU Claims | Do not apply the concept of average impairment in earning capacity set forth in 38 CFR 4.1 to determinations regarding IU. This concept applies only to determinations of the percentage of disability for schedular evaluations. |
VIII.iv.3.C.1.c. Factors Not Affecting IU Determinations | Determine whether the severity of the SC disabilities precludes the Veteran from securing or following substantially gainful employment. The following factors have no bearing on a determination of whether an SC disability renders a Veteran unemployable:
References: For more information on
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VIII.iv.3.C.1.d. Considering Educational History in IU Claims | Education is a non-economic factor that must be considered in an IU determination. A Veteran’s educational history and/or current student status is not determinative of the outcome of a claim for entitlement to IU. However, it is a factor that must be weighed in decision making. In weighing the relevance of education in claims for IU, consider the factors below.
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VIII.iv.3.C.1.e. Considering Occupational History in IU Claims | Occupational history is a non-economic factor that must be considered in an IU determination. A Veteran’s occupational history is not determinative of the outcome of a claim for IU unless the Veteran is currently gainfully employed. In weighing the relevance of occupational history in claims for IU, consider the factors below.
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2. Evaluating Evidence of Self-Employment or Employment With a Tightly Held Corporation
Introduction | This topic contains information on evaluating evidence of self-employment or employment with a tightly held corporation, including
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Change Date | July 29, 2021 |
VIII.iv.3.C.2.a. Deciding Whether Self-Employed Individuals Are Unemployable Due to an SC Disability | When determining entitlement of self-employed individuals to increased compensation based on IU, consider the relationship between the frequency and the type of service performed by the Veteran for the business and the Veteran’s net and gross earnings for the past 12 months. Consider facts of the case, such as
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VIII.iv.3.C.2.b. Definition: Tightly Held Corporation | A tightly held corporation (or closely held corporation) is usually a family corporation. A corporation bearing the Veteran’s name is usually indicative of a tightly held corporation. |
VIII.iv.3.C.2.c. Evaluating Evidence Showing Income From a Tightly Held Corporation | Since the Veteran may control the amount of wages paid, do not make a finding of marginal employment solely on the basis of low wages received by the Veteran. Keep in mind that the issue for consideration is whether the frequency and type of service performed by the Veteran equates to substantially gainful employment. Therefore, consider evidence that the Veteran received, or was entitled to receive, other remuneration from the corporation, such as stock dividends or loans, in lieu of wages. Note: If the reported wages appear low for the work performed, request a field examination per M21-1, Part X, Subpart v, 1.E to determine the Veteran’s entitlement to the corporation and corporate earnings. |
3. Preparing a Rating Decision Addressing IU
Introduction | This topic contains information on preparing a rating decision addressing IU, including
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Change Date | June 9, 2025 |
VIII.iv.3.C.3.a. Requirement for Deciding All IU Claims | The Department of Veterans Affairs (VA) must make a decision on IU when the issue is
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VIII.iv.3.C.3.b. Addressing Disabilities Within Scope of the IU Claim | A claim for IU may not be a freestanding claim and must be associated with the evaluation of a current SC condition or an initial request for service connection (SC) for the underlying disabilities claimed to cause unemployability. Refer to the table in M21-1, Part VIII, Subpart iv, 3.B.1.e to determine which issues are considered within scope of the IU claim. The rating decision must separately address all issues identified as within scope of the IU claim. Important: At all times when a VA Form 21-8940 is received, the issue of entitlement to IU must be addressed in a rating decision even when the Veteran fails to list SC disabilities that cause or contribute to unemployability. |
VIII.iv.3.C.3.c. Information to Include in the Rating Decision | Use the table below to determine what information to include in the rating decision.
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VIII.iv.3.C.3.d. Reasons for Denying IU Claims | Deny entitlement to IU only if the facts demonstrate that the Veteran
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VIII.iv.3.C.3.e. Formally Denying IU | Formally code the rating decision to indicate denial of IU if
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VIII.iv.3.C.3.g. When an IU Evaluation Is Considered Moot | A single SC disability rated 100-percent disabling generally renders an IU evaluation moot, as no additional benefit would typically flow to the Veteran by substituting an IU evaluation for a single SC disability rated 100-percent disabling. Similarly, a combined evaluation of 100 percent may also render an IU evaluation moot when no additional benefit may be derived. However, when additional benefit may be derived from a grant of entitlement to IU, such as when IU is warranted for a single disability and entitlement to special monthly compensation (SMC) based on housebound status will be an ancillary benefit, then IU is not moot. Upon determining that the IU evaluation is moot, if the issue of IU has been claimed, formally address the issue of mootness as a free text issue in the rating decision.
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VIII.iv.3.C.3.h. Granting Temporary or Permanent 100-Percent Evaluations With IU | In situations in which the Veteran was previously granted entitlement to IU and in a subsequent decision a schedular 100-percent evaluation is granted, whether permanent or temporary, the grant of IU must remain in the record as an active decision. Do not close out entitlement to IU unless the evidence actually warrants discontinuance as specified in 38 CFR 3.343(c). Do not stop and re-start IU entitlement due to the grant of the temporary 100-percent evaluation. Note: When entitlement to IU exists and the schedular combined rating is 100 percent, only the greater benefit may be paid. In some situations, entitlement to IU based on a single disability may result in entitlement to SMC based on housebound status, in which case IU would be the greater benefit as discussed in M21-1, Part VIII, Subpart iv, 3.C.3.g. References: For more information on
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4. Special Policies and Procedures for IU Decisions
Introduction | This topic contains special policies and procedures for IU decisions, including
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Change Date | July 29, 2021 |
VIII.iv.3.C.4.a. Considering Multiple Disabilities in IU Claims | Under certain circumstances, multiple disabilities may be considered one disability for the purpose of meeting the requirements of 38 CFR 4.16(a). As stated in 38 CFR 4.16(a), for the purpose of meeting the requirement of having one 60-percent or one 40-percent disability, the following will be considered as one disability:
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VIII.iv.3.C.4.b. Handling Claims Requiring Compensation Service Approval | Submit any claim to Compensation Service for extra-schedular IU consideration if the schedular requirements of 38 CFR 4.16(a) are not met but the evidence of record supports a finding that the Veteran is unemployable by reason of an SC disability(ies). Reference: For more information on submitting compensation claims for extra-schedular consideration, see M21-1, Part V, Subpart ii, 3.D.3. |
VIII.iv.3.C.4.c. Considering IU for Incarcerated Veterans | An IU rating that would first become effective while a Veteran is incarcerated in a Federal, State, local, or other penal institution or correctional facility for conviction of a felony shall not be assigned during such period of incarceration. If an IU evaluation is in effect prior to incarceration in excess of 60 days for conviction of a felony, the IU evaluation will be reduced to 10 percent in accordance with 38 CFR 3.665. Note: If a Veteran is sentenced to a mental institution or other institution for care, custody, or treatment as a result of a conviction for a felony, IU may not be awarded even though the facility may not be generally viewed as a correctional institution consistent with a prison or jail-type setting. When institutionalization is due to a felony conviction, handle the IU determination on par with other types of incarceration. References: For more information on
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VIII.iv.3.C.4.f. Determining Whether to Substitute a Single 100 Percent Schedular Evaluation for IU in Housebound Cases | VA is obligated to maximize the benefits awarded. In determining whether to substitute a 100-percent schedular evaluation for IU, consider whether substitution would result in the Veteran no longer being entitled to SMC at the housebound rate. VA decision makers are to assess whether the Veteran still meets the criteria for IU based on a single disability for the IU. Further, VA is obligated to maximize a claimant’s benefits by assessing all of a Veteran’s SC disabilities to determine whether any combination of the disabilities establishes entitlement to SMC based on housebound status. Even when IU has been previously established based on multiple disabilities or when a combined schedular 100-percent evaluation is established, decision makers must assess whether entitlement to IU based on a single disability is warranted such as to maximize benefits by allowing for a grant of entitlement to SMC based on housebound status. References: For more information on
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5. Handling Decision Reviews and Legacy Appeals for IU
Introduction | This topic contains procedures for handling decision reviews and legacy appeals for IU, including
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Change Date | May 15, 2020 |
VIII.iv.3.C.5.a. Pursuit of Subsequent IU Claims or Reviews | Because IU is a type of claim for increased compensation, a Veteran may follow the prior adjudication of IU with a(n)
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VIII.iv.3.C.5.b. Issues to Adjudicate in Supplemental IU Claims | Follow the procedures in the table below to determine appropriate actions to take based on receipt of a supplemental claim for IU.
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VIII.iv.3.C.5.d. Development for Employment and VR&E Information During a Supplemental IU Claim | Develop for VA Form 21-4192, Request for Employment Information in Connection With Claim for Disability Benefits,or SSA or VR&E records during a supplemental claim when
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VIII.iv.3.C.5.e. Issues Within Scope of Supplemental IU Claims | While VA Form 21-8940 is not an independent claim for increased evaluation of the disabilities claimed to be associated with IU, VA procedures dictate that the evaluation of the underlying disabilities be put into issue and addressed in conjunction with the IU claim. The evaluation of issues newly identified as associated with IU on a VA Form 21-8940 received during the supplemental claim process will be adjudicated as within the scope of the supplemental IU claim. Exception: When the Veteran has a pending supplemental claim or request for HLR concerning the evaluation of a disability, the supplemental claim or HLR takes precedence. Similarly, issues that are on appeal remain on appeal and should not be addressed in the supplemental claim. Reference: For more information on the relationship between IU and the underlying, associated disability evaluations, see M21-1, Part VIII, Subpart iv, 3.B.1.e. |
VIII.iv.3.C.5.f. Handling Issues Identified on a VA Form 21-8940 Received During a Supplemental Claim | When VA Form 21-8940 is received during the processing of a supplemental claim, use the table below to determine proper action to take relative to the issues listed on the form. When the table below indicates that the evaluation of the disability is within scope of the IU claim, the issue must be specifically addressed in the rating decision.
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VIII.iv.3.C.5.g. Requesting Examinations for Supplemental IU Claims | Do not routinely re-examine disabilities associated with the supplemental IU claim. For those disabilities claimed to be associated with IU that are
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VIII.iv.3.C.5.h. Handling Mixed Submission Claims | As discussed in M21-1, Part II, Subpart iii, 1.A.2.c, additional correspondence submitted with a prescribed form may be used to augment the prescribed form. When VA Form 20-0995 and VA Form 21-8940 are submitted simultaneously and specific procedures do not exist to direct claims development, proceed in the manner most favorable with due consideration for the clearly expressed intent of the claimant. Example 1: A Veteran has three SC disabilities, has been denied SC for five separate disabilities, and has never claimed IU nor had it formally considered. The Veteran now submits VA Form 20-0995identifying two of the five previously denied issues and VA Form 21-8940 identifying all three SC disabilities. Analysis: Accept the initial claim for IU with associated consideration of the evaluation of the three SC disabilities. Accept a supplemental claim for the two NSC issues. Example 2: Same facts as Example 1, except that the Veteran waspreviously denied entitlement to IU. Analysis: If the contention of IU is specified on VA Form 20-0995, then accept the IU as a supplemental claim. If the IU is not specified on VA Form 20-0995, then proceed in the manner most favorable to the claimant. Note: In most cases, accepting VA Form 21-8940 as an initial claim will allow for the most favorable effective date should a grant of entitlement to IU or an increased evaluation be warranted. Conversely, when the evidence may be accepted as new and relevant evidence associated with a claim for IU denied within the past year, then it may be most favorable to accept a VA Form 21-8940 submitted at the same time as VA Form 20-0995 as a supplemental IU claim to allow for review of the prior decision. References: For more information on
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VIII.iv.3.C.5.i. Incorporating IU Denial Into a Pending Legacy Appeal | A claim for IU will be encompassed in a pending legacy appeal for an increased evaluation for an SC disability when all of the criteria below are met:
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VIII.iv.3.C.5.j. Prohibition Against Incorporating Rated Issues Into a Legacy IU Appeal | When a legacy appeal for IU is pending and the Veteran subsequently claims that an SC disability not on legacy appeal causes or contributes to unemployability, do not incorporate the disability claimed to cause or contribute to unemployability into the pending legacy appeal for IU.
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VIII.iv.3.C.5.k. IU Effective Dates Associated With Appellate Status | When entitlement to IU is raised during the adjudicatory process of the underlying disability or during the administrative appeal of the initial rating for that disability, it is part of the claim for benefits for the underlying disability. A claim for IU, which has been awarded, remains in appellate status if the IU award is not effective from the date of claim for the underlying disability rating that is on appeal.
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Source: VA M21-1 Adjudication Procedures Manual, M21-1, Part VIII, Subpart iv, Chapter 3, Section C (U.S. government work, reproduced for reference). Browse all sections →