http___www.welfare.ie_ga_Pages_346_Partial-Capacity-Benefit.aspx_2.xml
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PART 1: ENTITLEMENT Description of Scheme Information Leaflet Legislation Administration Qualifying Conditions Requalification after expiry of Partial Capacity Benefit Conditions while receiving Partial Capacity Benefit PART 2 CLAIMS, INVESTIGATION AND DECISION PROCEDURES Claims Certification Decisions PART 3: PROCEDURES FOLLOWING AWARD Payment Payment method Maintenance Medical Referral Assessments Payment while on holidays or abroad Change of circumstances Appeal Credits Special payment arrangements PART 4: GENERAL PROVISIONS THAT APPLY TO THE SCHEME Payment to appointed persons Overpayments (a) Procedures for recovery of overpayment (b) Determining level of recovery, right of appeal (c) Method of recovery (d) Appeal PART 1: ENTITLEMENT Description of Scheme Partial Capacity Benefit is a payment made to insured people after a Medical Assessor assesses their restriction on their capacity for work. Information Leaflet/Guide Department Website: 'www.welfare.ie' Leaflet: Partial Capacity Benefit SW 132 Legislation Social Welfare and Pensions Act 2010 The main provisions relating to Partial Capacity Benefit are contained in Social Welfare (Consolidated Claims, Payments and Control) (Amendment) (No. 2) (Partial Capacity Benefit) Regulations 2012. Administration Partial Capacity Benefit Section, Floor 1, Áras Mhic Dhiarmada, Store Street, Dublin 1 deals with all claims for Partial Capacity Benefit. Qualifying Conditions To qualify for Partial Capacity Benefit a customer needs to be currently in receipt of either: - Illness Benefit ( for a minimum of 6 months), or - Invalidity Pension. A Medical Assessor will assess the restriction on their capacity for work. This may require them to attend a medical assessment. They should include all appropriate medical evidence with their application. They will qualify for Partial Capacity Benefit if the restriction on their capacity for work is assessed as moderate, severe, or profound. If it is assessed as mild they will not qualify and their continued eligibility to Illness Benefit or Invalidity Pension will also be reviewed. If they qualify for Partial Capacity Benefit, they will not be required to send in medical certificates. Be under 66 years To be entitled to Partial Capacity Benefit a customer must be under pensionable age (currently 66 years) on the day for which benefit is claimed. Customers approaching pensionable age should apply for State Pension (Contributory/Non-Contributory) 3 months in advance. Disablement Benefit and PCB If a customer is getting Disablement Benefit they may also qualify for Partial Capacity Benefit if they have some capacity for work and satisfy the PRSI and medical conditions, provided that the Disablement Benefit payment does not include an increase for Incapacity Supplement. Duration of Payment Partial Capacity Benefit payment will last as long as the recipient has an underlying entitlement to payment of Illness Benefit or Invalidity Pension. Increases for Qualified Adult/Qualified Child The conditions for payment of an increase for a qualified adult and/or qualified child(ren) remain the same as those that applied to the Illness Benefit or Invalidity Pension claim. Requalification after expiry of Partial Capacity Benefit A customer who qualifies for Partial Capacity Benefit having previously been on Illness Benefit and who exhausts entitlement to Illness Benefit during the period of entitlement to Partial Capacity Benefit can continue to be entitled to Partial Capacity Benefit by virtue of being deemed to satisfy the conditions for Invalidity Pension. Conditions while receiving Partial Capacity Benefit? A customer may be disqualified from receiving Partial Capacity Benefit for a period of up to 9 weeks if the customer fails without good cause to comply with such requirements as may be specified by the regulations. - Fail, without good reason, to attend a medical assessment by a Medical Assessor. - Fail to see any officials from this Department and answer reasonable enquiries concerning their claim. - Fail to obey their doctor's instructions. PART 2 CLAIMS, INVESTIGATION AND DECISION PROCEDURES Claims Claims for Partial Capacity Benefit are made on form PCB 1. The claim form should be submitted to: Partial Capacity Benefit Section Department of Social Protection Floor 1 Áras Mhic Dhiarmada Store St Dublin 1. Certification No medical certificates are required for Partial Capacity Benefit. Decisions All claims to Partial Capacity Benefit are examined by a Deciding Officer. If a Deciding Officer disallows a claim to Partial Capacity Benefit, the customer must be informed of all the reasons that the claim to Benefit is being disallowed. A customer who is not satisfied with the decision of the Deciding Officer on their claim may appeal the decision to the independent Social Welfare Appeals Office within 21 days of the date of the decision. In advance of an appeal the customer can seek a review of the decision by another Deciding Officer. ( See Appeal Submission Guidelines) PART 3: PROCEDURES FOLLOWING AWARD Payment Partial Capacity Benefit is paid weekly in arrears. There is no fixed date of payment. Sunday is not counted for payment purposes. Payment method Payment is made by Electronic Funds Transfer (EFT) directly into the customer's Bank or Building Society account. PCB is not paid into an employer's bank account. Maintenance Stop/Review dates are inserted in the computer system for appropriate dates e.g. customer reaches pension age, qualified child reaches 18 years of age, review of earnings for spouse/partner, etc. Medical Referral Assessments During the course of a claim to Partial Capacity Benefit, a customer may be asked to attend for a medical assessment by a Medical Assessor. (See separate guideline on Medical Assessments). The opinion of the Medical Assessor following this assessment is submitted to a Deciding Officer for consideration regarding the customer's continued entitlement. In any case where payment of Partial Capacity Benefit is disallowed, the customer is notified of the decision and advised of their right to appeal against the decision. Payment while on holidays or abroad Overall, a customer going to an EEA Member State is entitled to be treated as if they never left the State, regardless of the reason for leaving the State. A customer who wishes to go to a non- EEA country for health reasons, may be entitled to Partial Capacity Benefit for the duration of their absence. While each case is treated on its own merits, a decision would take into account factors such as duration of claim at time application is received, nature of incapacity and likely period to be spent abroad. In any event the customer must notify the Department in advance of departure and is paid for the period of absence on their return. Change of circumstances Any change in circumstances should be notified to the Department immediately. Partial Capacity Benefit Appeal Credits (See separate guideline on " PRSI - Credited Social Insurance Contributions"). Where a person has been disallowed Partial Capacity Benefit and appeals that decision, credits are awarded up to the end of the week following that in which the Appeal Officer's decision issued to them. Special payment arrangements Special arrangements can be made, where necessary, to ensure that the spouse and the children of a customer get a portion of the weekly payment paid directly to them. Where a customer claims for a qualified adult increase in respect of a spouse or partner who is not living with them, a questionnaire may issue to the spouse/partner to obtain details in relation to income from employment/Social Welfare payment, maintenance being paid by customer, whether support is voluntary or under Court Order, etc. PART 4: GENERAL PROVISIONS THAT APPLY TO THE SCHEME Payment to appointed persons Social Welfare Consolidation Act 2005, Section 244 & S.I. 142 of 2007 Sections 201 - 208 refer Where a customer requests that payment issues to a person other than themself, the name being used for payment purposes may be changed. For all cases, other than where a customer is in hospital, a submission is made to an Higher Executive Officer outlining the reason for this change in procedure and, where appropriate, requesting a decision as to whether a proposed medical assessment referral should be deferred and if so, for what period. Overpayments Social Welfare Consolidation Act 2005, Section 335 & S.I. 142 of 2007 Sections 242 - 249 Regulations provide for a Code of Practice on the Recovery of Overpayments. The Code specifies the circumstances in which this Department may or may not pursue repayment of monies by a customer who was overpaid benefit. A copy of the Department's Information Leaflet on the Code (leaflet SW 2) is issued to the claimant when they are being notified of the overpayment relating to the Partial Capacity Benefit scheme. (a) Procedures for recovery of overpayment In advance of an overpayment being assessed, the Department applies the principle of natural justice and advises the customer how the overpayment has arisen and inviting them to submit comments before a formal decision on the overpayment is made. Fourteen days are allowed for a reply to be received. Where there is no reply or the reply does not alter the case, the overpayment is formally assessed against the customer. Forms or a decision letter are/is issued to inform the customer of the amount of the overpayment and the intended level and method of recovery, giving the right of appeal. Details of the overpayment and the recovery method as determined by the Deciding Officer are recorded with the claim. (b) Determining level of recovery, right of appeal When deciding on the level of recovery, regard is had to the financial and family circumstances of the customer. The Deciding Officer does not normally reduce the customer's weekly payment below the Supplementary Welfare Allowance (SWA) level as it is accepted by the Department that customers are entitled to a minimum level of income. However, where the customer's spouse has other income (e.g. from employment or other SW payment) then SWA level does not have to be applied. (c) Regarding the method of recovery the following methods may be used - withholding arrears which may be due to the customer, - making deductions from ongoing or future payments, - a single payment to repay the overpayment in full, - weekly repayments, - seek recovery of overpayment from an employer (where appropriate *). *an example, would be where overpayment arose through concurrent working and claiming and the employer was obliged to and failed to notify the Department of the commencement of employment. - seek recovery by requesting the social security institution of another Member State of the EEA to deduct the amount of Irish Partial Capacity Benefit overpaid from the amounts of benefits which it is responsible to pay. The social security institution of another Member State of the EEA makes the deductions under the conditions and within the limits provided for the setting off of benefits under its own legislation and treats the Irish overpayment as if the sum had been overpaid by itself and transfers the amounts deducted to this Department. (The rule also applies in reverse - social security institutions of other Member States of the EEA can seek recovery of overpayments from our Partial Capacity Benefit). See Article 111 of Council Regulation (EEC) No. 574/72. - where a customer was paid social assistance by the social security institution of another EEA Member State during a period when they wetre entitled to Partial Capacity Benefit under our legislation, the institution which gave the assistance may request the Department to deduct the amount of assistance from the amount of Partial Capacity Benefit which the Department pays. The institution requesting recovery must be legally entitled to reclaim the benefits from the customer concerned. (d) Appeal Where the customer lodges an appeal to the independent Social Welfare Services Appeals Office (within 21 days) against the decision to set up an overpayment, the Deciding Officer suspends further recovery action until the appeal has been decided. If a late appeal is accepted after 21 days has elapsed and the recovery procedure is already in place then the recovery continues pending the outcome of the appeal. The date of receipt of an appeal relating to Partial Capacity Benefit by an authority, institution or tribunal in another Member State of the EEA which should have been submitted to the Social Welfare Services Appeals Office is treated as the date of receipt of an appeal by the latter. The authority, institution or tribunal in another Member State of the EEA sends the appeal without delay to Ireland.
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Scéim leasa shóisialaigh atá sa Sochar Cumais Pháirtigh a ligeann duit filleadh ar an obair (má tá agat cumas laghdaithe le hoibriú) agus le leanúint agus íocaíocht a fháil ón Rannóg seo. Má tá Sochar Breoiteachta á fháil agat (ar feadh 6 mhí ar a laghad) nó Pinsean Easláinte á fháil agat, agus más mian leat filleadh ar an obair, d’fhéadfá cáiliú don Sochar Cumais Pháirtigh má tá do chumas chun oibrithe laghdaithe ag do riocht míochaine. Cáileofar thú don Sochar Cumais Pháirtigh má mheastar go bhfuil srian measartha, dian nó trom an srian ar do chumas oibre. Má mheastar go bhfuil srian éadrom ar do chumas, ní cháileoidh tú. Is ar bhonn deonach atá an rannpháirtíocht ar scéim an tSochair Cumais Pháirtigh agus tá cead agat Sochar Breoiteachta nó Pinsean Easláine a fháil arís, mar shampla, sa chás go dtagann deireadh le d'fhostaíocht nó má fhaigheann tú amach nach féidir leat leanúint de do chuid oibre. Ionadú socruithe díolúine Ón 13 Feabhra 2012, cuirtear an Sochar Cumais Pháirtigh in ionad na socruithe díolúine a bhí ann roimhe seo, sa chás go bhféadfadh daoine ag a raibh Sochar Breoiteachta nó Pinsean Easláinte á fháil cead a fháil chun oibrithe go páirtaimseartha (ar a dtugtar díolúine) ar mhaithe le cuspóirí athshlánaithe nó teiripeacha agus a n-íocaíocht iomlán leasa shóisialaigh a choimeád. Ní gá go mbeidh an obair a dhéanann duine fad a bhíonn an Sochar Cumais Pháirtigh á fháil acu ar mhaithe le cuspóirí athshlánaithe nó teiripeacha. Is ar bhonn deonach atá an rannpháirtíocht ar scéim an tSochair Cumais Pháirtigh. Ní gá duit a aistriú isteach ar an Shochar Cumais Pháirtigh mian leat obair dheonach a dhéanamh. Oiliúint Má fhaigheann tú Sochar Breoiteachta nó Pinsean Easláinte agus más mian leat cúrsa oiliúna FET a dhéanamh, ní chuireann tú ar Shochar Cumais Pháirtigh. Cuir iarratas isteach chuig an Rannóg Sochar Breoiteachta nó chuig an Rannóg Pinsean Easláinte, amhail is cuí. D’fhéadfá an liúntas oiliúna a fháil anuas ar do ghnáthíocaíocht leasa shóisialaigh. Ó 1 Éanair 2014 ní fhaigheann rannpháirtithe nua liúntas oiliúna SOLAS. Ní féidir leat Sochar Cumais Pháirtigh agus Scéim Fhostaíochta Pobail a fháil. Rialacha Chun cáiliú don Sochar Cumais Pháirtigh, is gá duit ceann den dá rud seo a leanas a bheith á fháil agat: nó Ní féidir leat oibriú go dtí go bhfaigheann tú cead i scríbhinn chun amhlaidh a dhéanamh ón Roinn Gnóthaí Fostaíochta agus Coimirce Sóisialaí. Ba cheart duit cead a fháil ó do dhochtúir sula nglacann tú le fostaíocht. Ní ann d’aon srianta ar thuillimh ná ar an líon uaireanta is féidir leat oibriú. Má fhaigheann tú Sochar Cumais Pháirtigh, is féidir leat obair mar dhuine féinfhostaithe. Ní féidir leat Sochar Cumais Pháirtigh agus Forlíonadh Ioncaim Teaghlaigh a fháil. Tabhair faoi deara nach íocaíochtaí cáilithe don Sochar Cumais Pháirtigh iad Liúntas Míchumais agus Pinsean na nDall. Cá fhad a mhaireann an íocaíocht? Mairfidh an íocaíocht fad is a bheidh teidlíocht bhunúsach agat ar íocaíocht an tSochair Bhreoiteachta nó an Phinsin Easláine. Tá do theidlíocht leantach ar an Sochar Cumais Pháirtigh faoi réir athbhreithnithe agus is féidir go mbeidh ort freastal ar mheasúnú leighis ó Mheasúnóir Leighis. Rátaí Ráta pearsanta duit féin agus méaduithe i leith duine fásta agus leanbh/leanaí cáilithe a bheadh sa Sochar Cumais Pháirtigh. Bunaítear an ráta pearsanta ar mheasúnú ar an srianadh ar do chumas oibre cibé acu an raibh Sochar Breoiteachta nó Pinsean Easláinte á fháil agat agus ar ráta reatha d’íocaíochta. Leanfar méadaithe do leanaí cáilithe agus do dhaoine fásta cáilithe a bheith íoctha ag an ráta céanna. Is mar an gcéanna iad na coinníollacha d’íocaíocht mhéadaithe do leanbh cáilithe agus/nó do leanaí cáilithe agus iad siúd a bhí i gceist le d'éileamh ar Shochar Breoiteachta nó ar Phinsean Easláinte. Uasrátaí an tSochair Cumais Pháirtigh ó Márta 2018 Íocfar an Sochar Cumais Pháirtigh go díreach isteach i do chuntas bainc Éireannach nó isteach i do chuntas cumann foirgníochta (ní íocfar é isteach i gcuntas mórgáiste). Tá sé incháinithe. Sochair thánaisteacha Má bhí Pinsean Easláinte á fháil agat agus má bhí tú i dteideal Saorthaistil nó Liúntas Oileáin, is féidir leat iad a choimeád má cháilítear thú don Sochar Cumais Pháirtigh. Má bhí an Pacáiste Sochar Teaghlaigh á fháil agat is féidir leat é a choimeád freisin, faoi réir tástáil mhaoine tar éis 2 bhliain. Má ghlacann tú páirt sa Scéim Cumais Pháirtigh ba chóir duit seiceáil leis ionadaí na Roinne Gnóthaí Fostaíochta agus Coimirce Sóisialaí (tugadh Oifigeach Leasa Pobal) i d’ionad sláinte áitiúil chun fáil amach an mbeidh tionchar ar d’ Fhorlíonadh Cíos nó d’ Fhorlíonadh Ús Morgáiste. Conas iarratas a dhéanamh Déan teagmháil le Rannóg Sochar Cumais Pháirtigh den Roinn Gnóthaí Fostaíochta agus Coimirce Sóisialaí. Seolfaidh siad foirm iarratais chugat. Déanfaidh Lia-Mheasúnóir measúnú ar an srian ar do chumas oibre. D’fhéadfadh go mbeadh gá ort measúnú leighis a fhreastal. Ba cheart duit an uile fhianaise chuí leighis a áireamh le d’iarratas. Má cháilítear thú don Sochar Cumais Pháirtigh, ní bheidh ort deimhnithe leighis a sheoladh isteach. Cá háit a ndéanfaidh mé iarratas Rannóg an tSochar Cumais Pháirtigh Roinn Gnóthaí Fostaíochta agus Coimirce Sóisialaí Urlár 5 Áras Mhic Dhiarmada Sráid an Storáis Baile Áthe Cliath 1 Éire Lóghlao: 1890 928 400 (Note: the rates charged for using 1890 (Lo-call) numbers may vary) Láithreán Gréasáin: http://www.welfare.ie