X.v.2.B.1.g. Action to Take Upon Receipt of a Request for Reinstatement of Compensation | | Follow the steps in the table below following receipt of a request for reinstatement of compensation from a Veteran who is no longer on active duty. Important: - VA does not require a Veteran to use a prescribed form to request reinstatement of benefits unless the Veteran is concurrently pursuing an initial or supplemental claim.
- Accept as a request for reinstatement of compensation a Veteran’s communication of an intent to file (ITF) a claim for VA disability benefits.
References: For more information on - the use of prescribed forms, see M21-1, Part II, Subpart iii, 1.A.1.a.
- informal claims received prior to March 24, 2015, see M21-1, Part II, Subpart iii, 2.H, and
- handling a
| Step | Action |
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| 1 | Did VA accept the request for reinstatement as a Benefits Delivery at Discharge (BDD) claim, or will VA concurrently process a claim the Veteran submitted with the request for reinstatement under the BDD program?- If yes,
- If no, go to the next step.
Note: Claims processors skip the instructions in Steps 2 through 5 of this table if the Veteran filed a BDD claim, as VA takes actions similar to those described in these steps during the course of processing the BDD claim. References: For more information on | | 2 | Use DPRIS or VIS to confirm the date the Veteran was discharged from active duty. Note: If attempts to confirm the date of discharge through DPRIS or VIS are unsuccessful, ask the Veteran to provide official documentation (such as a DD Form 214 or order to duty) that shows the date of discharge. - Go to the next step after the Veteran provides documentation.
- If the Veteran fails to provide documentation within 30 days,
- deny the request for a reinstatement of benefits, and
- disregard the remaining steps in this table.
| | 3 | Follow the instructions in the table below. | If … | Then … |
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- the Veteran is requesting reinstatement only (the Veteran is not pursuing an initial or supplemental claim) and
- all of the Veteran's service-connected (SC) disabilities are static (no future review examination is indicated on the most recent rating decision)
| - establish EP 290, and
- go to Step 6.
| - the Veteran is requesting reinstatement only (the Veteran is not pursuing an initial or supplemental claim), and
- the Veteran has an SC disability that is not static, but the designated date for the review examination is a future date
| - establish EP 290, and
- go to Step 6.
Exception: Go to Step 4 instead of Step 6 if- the Veteran is a member of the Reserve or National Guard, and
- the corporate record shows the Veteran’s most recent period of active duty ended prior to
- September 1, 2014, if the period of active duty was in the Coast Guard, or
- January 1, 2014, if the period of active duty was in a branch of service other than the Coast Guard.
| - the Veteran is requesting reinstatement only (the Veteran is not pursuing an initial or supplemental claim)
- the Veteran has an SC disability that is not static, and
- the designated date for reexamination of the non-static disability falls between the current date and the dates during which the Veteran was on active duty
| - establish EPs 290 (for reinstatement) and 310 (for reexamination of the non-static disability), and
- go to Step 5.
| | the Veteran is requesting reinstatement and concurrently pursuing an initial or supplemental claim | - establish EP 290 (for reinstatement) and the rating EP that corresponds with the type of claim the Veteran is concurrently pursuing, and
- go to Step 5.
Notes: - Establish EP 310, in addition to the other EPs referenced in this cell, if
- the Veteran has an SC disability that is not static, and
- the designated date for reexamination of the non-static disability falls between the current date and the dates during which the Veteran was on active duty.
- Do not establish EP 310 if the only contention associated with the concurrently filed claim is entitlement to an increased disability rating for (a) non-static disability(ies) that is(are) subject to immediate reexamination.
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| | 4 | Note: Take no action on the STRs after they’re obtained. The purpose of the action described in this step is to ensure STRs from the Veteran’s most recent period of active duty are available for the rating activity to review in connection with the future review examination. | | 5 | Follow the instructions in the table below.| Step | Action |
|---|
| 1 | Is the Veteran a member of the Reserve or National Guard?- If yes, go to the next step in this embedded table.
- If no, go to Step 6.
| | 2 | Does the corporate record show the Veteran’s most recent period of active duty ended on or after September 1, 2014 (if the period of active duty was in the Coast Guard), or January 1, 2014 (if the period of active duty was in a branch of service other than the Coast Guard)?- If yes, go to Step 6.
- If no, go to the next step in this embedded table.
| | 3 | |
| | 6 | If VA received the Veteran’s request for reinstatement- within one year of discharge from active duty, reinstate compensation for all SC disabilities (static and non-static) effective the day following the date of discharge, or
- one year or more after the date of discharge, reinstate compensation for all SC disabilities (static and non-static) effective one year prior to the date VA received the claim.
Important: - Reinstate compensation by award action without a rating decision, except under the circumstances described in M21-1, Part X, Subpart v, 2.B.1.h.
- When applicable, withhold benefits to
- prevent concurrent payment of VA benefits and military retired pay (MRP), and/or
- recoup a Veteran’s separation benefit.
- Follow the instructions in the VBMS Awards User Guide to ensure the Veteran’s benefits are
- discontinued effective the date the Veteran returned to active duty, and
- reinstated from the appropriate effective date following discharge.
References: For more information on - prohibition of concurrent payment of VA benefits and MRP, see M21-1, Part VI, Subpart ii, 4.A
- preparing and adjusting awards in MRP cases, see M21-1, Part VI, Subpart ii, 4.B, and
- recoupment of separation benefits, see M21-1, Part VI, Subpart ii, 2.
| | 7 | Was a rating EP established in Steps 1 or 3 of this table?- If yes, go to the next step.
- If no, take no further action.
Note: EP 290 is not a rating EP. | | 8 | Undertake any necessary development, to include issuing Section 5103 notice, if the Veteran is pursuing an initial or supplemental claim.Reference: For more information on the circumstances under which it is necessary to issue Section 5103 notice, see | | 9 | Follow the instructions in the table below for each of the Veteran's non-static, SC disabilities. | If the designated date for the future review examination ... | Then ... |
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| falls between the current date and the dates during which the Veteran was on active duty | schedule the Veteran for a review examination unless the evidence of record is sufficient to assign a disability rating without an examination report. | | is a future date | do not schedule the examination until the review examination control referenced in M21-1, Part IV, Subpart ii, 1.B, matures. | Example:Scenario:- A Veteran with two non-static, SC disabilities (a back disorder and a knee disorder) is discharged from active duty.
- The designated date for a review examination of the back disorder is June 2025.
- The designated date for a review examination of the knee disorder is July 2029.
- Award action to reinstate the Veteran's benefits is being taken in August of 2025.
Result: The only non-static disability that is subject to reexamination concurrent with reinstatement of the Veteran’s benefits is the back disorder. | | 10 | Refer the claim to the rating activity for a decision- after development is complete (if initiated), and/or
- following receipt of examination reports (if requested) and STRs (if new STRs exist).
Note: Do not postpone rating action based solely on the absence of the Veteran’s STRs if the evidence of record supports an award of the benefit the Veteran is seeking. In such cases,- process the rating decision
- continue the EP at authorization, and
- refer the STRs to the rating activity when the STRs arrive.
| Note: The establishment of a rating EP triggers an automatic request for STRs through the Department of Defense’s Healthcare Artifacts and Images Management Solution (HAIMS) unless the- Veteran is a member of the Reserve or National Guard, and
- corporate record shows the Veteran’s most recent period of active duty ended prior to
- September 1, 2014, if the period of active duty was in the Coast Guard, or
- January 1, 2014, if the period of active duty was in a branch of service other than the Coast Guard.
References: For more information on- reinstating benefits following release from active duty, see 38 CFR 3.654(b)(2)
- handling notice of a Veteran’s return to active duty and subsequent discharge that VA received more than one year after discharge occurred, see M21-1, Part X, Subpart v, 2.B.1.k
- resuming a claim VA previously suspended based on an inability to develop the claim due to the Veteran’s return to active duty, see M21-1, Part X, Subpart v, 2.A
- EPs, see M21-4, Appendix B, and
- HAIMS, see M21-1, Part III, Subpart ii, 2.B.1.c.
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