Back pay refers to the retroactive benefits veterans are owed from the effective date of their claim to the time their benefits are granted. This article explains how VA disability back pay works, including key details on when it starts, how far back it can go, how to get back pay for dependents, and what veterans should expect in terms of payment.
Effective Date of VA Claims
The effective date for VA claims is typically the date of receipt of the claim or the date entitlement arose, whichever is later. In most cases, back pay is calculated from the date the VA received your claim. According to 38 CFR § 3.400, the following applies:
- Direct Service Connection Claims: If you file a disability claim within one year of your separation from service, your effective date could be the day following your discharge from active duty. Otherwise, it will be the date the VA receives your claim.
- Presumptive Service Connection Claims: For conditions presumed to be service connected (like those related to Agent Orange or Gulf War exposures), the effective date is the date entitlement arose, provided the claim is filed within one year after separation. If filed later, the effective date is the date of receipt of the claim.
- Reopened Claims: If a previously denied claim is reopened and granted based on new and material evidence, the effective date will be the date of receipt of the reopened claim or the date entitlement arose, whichever is later.
- Aid and Attendance Benefits: For veterans who qualify for additional benefits due to the need for aid and attendance or housebound status, § 3.401 outlines that the effective date for these benefits is the date of receipt of claim or the date entitlement arose, whichever is later. If the veteran qualifies for retroactive pension or compensation, aid and attendance may also apply to the retroactive period.
How Does the VA Pay Back Pay for Disabilities?
VA gives back pay for disabilities incurred or aggravated during military service, compensating veterans for the time they were entitled to benefits but were not receiving them. Typically, veterans will receive back pay as a lump sum once their claim is approved.
Do I Get Back Pay for a Disability Increase?
If your symptoms worsen and you receive a higher disability rating, the VA may grant back pay for the difference between your previous and new ratings, going back to when your symptoms worsened—if you file for an increase within one year of the worsening. Retroactive benefits can be awarded based on medical evidence showing the date an increase in disability occurred.
When Will I Get Back Pay for My VA Disability?
VA typically issues back pay within 15 days of claim approval, though processing times may vary. If you have questions about receiving back pay, you should follow up with the VA. Back pay is usually issued as a lump sum via check or direct deposit.
How Far Back Does VA Disability Back Pay Go?
Back pay is calculated from your effective date. For example, if your claim took 12 months to process, your back pay would cover that 12-month period. In cases of clear and unmistakable error (CUE) or claims reopened with new evidence, the VA may backdate benefits significantly further, based on the original claim date or new evidence submission.
Will VA Back Pay for a Previously Denied Claim?
Yes, if a previously denied claim is approved after review or appeal, the VA will issue back pay from the effective date of the original claim as long as the claim has been continuously pursued. Veterans may receive substantial retroactive payments, especially if the claim had been denied for years. For new and material evidence cases, the effective date for a reopened claim is the date of receipt of the claim or the date entitlement arose, whichever is later.
Special Considerations for Nehmer Class Members
For veterans exposed to herbicides (Agent Orange), who had a claim denied for a disease related to herbicide exposure between September 25, 1985, and May 3, 1989, may have their effective date retroactively adjusted to the date the VA received the original claim. This ensures they receive the full retroactive benefits owed under the Nehmer ruling.
Winning VA Disability Back Pay: Case Example
In this case, a veteran who served from May 1950 to May 1954, and from November 1955 to August 1957, was initially denied a proper rating decision in May 1961 for chorio-retinal degeneration that led to blindness. Due to a clear and unmistakable error (CUE), the decision was overturned years later. The veteran was eventually awarded back pay for disability benefits dating back to February 2, 1961.
The VA determined that there had been an error in the original rating decision, and after years of incorrect payments, the Board of Veterans’ Appeals awarded the veteran $203,497.31 in retroactive compensation, covering the period from February 2, 1961, to July 31, 1993. However, the veteran appealed further, asserting he was entitled to interest on the retroactive award. While the appeal for interest was ultimately dismissed, the veteran’s successful challenge on the original error led to a significant back pay award.
Key Factors That Contributed to Winning the Back Pay Claim:
- Clear and Unmistakable Error (CUE): The key to the veteran’s success was the VA’s finding of clear and unmistakable error in the 1961 decision. This allowed for the reconsideration of his rating and entitlement backdated to the original claim date.
- Effective Date from 1961: Because the veteran’s disability was traced back to his original service-connected condition from February 2, 1961, his back pay spanned over 30 years. The VA eventually acknowledged this long period when granting retroactive compensation.
- Verification of Military Retired Pay: An important aspect of calculating the correct amount of retroactive benefits included ensuring that the veteran’s military retired pay was properly deducted from the overall back pay award, avoiding double compensation.
This case exemplifies the importance of pursuing appeals and challenging past decisions, particularly when there is a clear and unmistakable error. The veteran’s determination and advocacy, paired with the proper legal representation, led to over $200,000 in back pay. Although the request for interest was not granted, the case underscores the importance of fighting for the benefits and compensation veterans deserve.
If you’re wondering whether you’re entitled to VA disability back pay or if you have questions about your claim, we can help. Contact us today for a free review of your case to see how we can assist you in getting the compensation you deserve.
Get a free case evaluationDependency and Spousal Benefits Back Pay
In some cases, veterans may be eligible for additional compensation based on the dependency of their spouse or children. According to § 3.401(b), the effective date for additional benefits due to dependents may be based on:
- The date of marriage, birth, or adoption if evidence is received within one year of the event.
- The date dependency arises (i.e., when the dependent becomes eligible).
- The date of notification of the veteran’s disability rating, provided dependency evidence is submitted within one year of the rating decision.
In the case of a spouse needing aid and attendance, § 3.401(a)(3) allows additional compensation for the veteran if the spouse qualifies for aid and attendance benefits. This additional compensation can be retroactively applied if the veteran was entitled to retroactive benefits.
If a veteran files a claim for an increase in their disability rating, § 3.400(o)(2) outlines that the effective date for the increase may be the date it was factually ascertainable that the increase occurred, if the claim is filed within one year.
Dependency and Indemnity Compensation (DIC): Under § 3.400(c), if a veteran dies from a service-connected condition, the surviving spouse or dependents may be eligible for back pay dating to the month of the veteran’s death—provided the claim is filed within one year of death.
How Do You Get Back Pay When Adding Dependents to VA Disability?
When dependents are added to a veteran’s claim, and there is a delay in processing, back pay ensures veterans are compensated for the entire period that their dependents should have been covered. Back pay is a lump sum payment for the period between the effective date and the approval date.
Eligibility Criteria for VA Back Pay for Dependents
- Disability Rating: You must have a combined disability rating of at least 30% at the time of the marriage, birth, or adoption of your dependent.
- Timely Filing: You must file your claim for additional compensation for dependents within one year of marriage, birth, or adoption.
- Response to VA: You must respond to any requests from VA for additional information within one year.
If these conditions are met, your benefits may be backdated to the date of your marriage, the birth or adoption of your child, or when a stepchild became your legal dependent.
How VA Determines Effective Dates for Dependent Claims
The effective date is the date VA uses to determine when your benefits start. For dependents, the effective date is often the date of your marriage, birth, adoption, or when a stepchild became your legal dependent.
If you file your claim within one year of the qualifying event, VA usually sets the effective date as the date of the event itself. If more than a year has passed, VA typically sets the effective date as the date they received your claim.
Examples of Dependent Back Pay Scenarios
- Married but Delayed Adding Spouse: If you were married in 2019 but did not file a claim to add your spouse until 2022, your back pay will generally only go back to 2021 (one year before the date of the claim) unless you meet the earlier date requirements.
- Stepchildren Over 18: If your stepchild turned 18 but remained in school full-time, you will need to submit VA Form 21-674 to continue receiving dependent compensation. Without this form, VA will automatically stop payments at age 18.
Filing for VA Disability Back Pay for Dependents
To file for back pay for your spouse or stepchildren, follow these steps:
- Gather Necessary Documents: You will need your marriage certificate, children’s birth certificates, or proof of legal guardianship for stepchildren.
- Submit VA Form 21-686c: This form, called the Declaration of Status of Dependents, is used to add dependents to your benefits. You can file this form online through eBenefits or mail it to the VA Evidence Intake Center.
- VA Review: VA will review your claim, verify the information, and determine your eligibility for back pay.
VA Back Pay Estimator
You can estimate the amount of back pay you may be owed using our VA back pay calculator. This tool provides an estimate based on your disability rating, the effective date, and the number of dependents you have. Remember that this is only an estimate—exact benefits will vary based on your specific case.
Calculate VA retroactive pay