Regulations 17[(1)](d) and 18(e)
PART IIIE+W+Spremiums
Modifications etc. (not altering text)
4. Except as provided in paragraph 5, the weekly premiums specified in Part IV of this Schedule shall, for the purposes of regulations 17[(1)](d) [and 18(1)](e), be applicable to a claimant who satisfies the condition specified in [[paragraphs 9] [paragraphs 8A]] [to 14ZA] in respect of that premium.E+W+S
Textual Amendments
Commencement Information
5. Subject to paragraph 6, where a claimant satisfies the conditions in respect of more than one premium in this Part of this Schedule, only one premium shall be applicable to him and, if they are different amounts, the higher or highest amount shall apply.E+W+S
[6.—(1) Subject to sub-paragraph (2), the following premiums, namely—E+W+S
(a)a severe disability premium to which paragraph 13 applies;
(b)an enhanced disability premium to which paragraph 13A applies;
(c)[a disabled child premium to which paragraph 14 applies; and]
(d)a carer premium to which paragraph 14ZA applies,
may be applicable in addition to any other premium which may apply under this Schedule.
(2) An enhanced disability premium in respect of a person shall not be applicable in addition to—
(a)a pensioner premium under paragraph 9 or 9A; or
(b)a higher pensioner premium under paragraph 10.]
7.—[(1)] [Subject to sub-paragraph (2)] for the purposes of this Part of this Schedule, once a premium is applicable to claimant under this Part, a person shall be treated as being in receipt of any benefit—
(a)in the case of a benefit to which the Social Security (Overlapping Benefits) Regulations 1979 applies, for any period during which, apart from the provisions of those Regulations, he would be in receipt of that benefit; ...
(b)for any period spent by a person in undertaking a course of training or instruction provided or approved by the [Secretary of State ...] under section 2 of the Employment and Training Act 1973 [or by [Skills Development Scotland,] Scottish Enterprise or Highlands and Islands Enterprise under section 2 of the Enterprise and New Towns (Scotland) Act 1990,] [or for any period during which he is in receipt of a training allowance] [and]
[(c)in the case of carer support payment, for any period during which, apart from regulation 16 of the Carer’s Assistance (Carer Support Payment) (Scotland) Regulations 2023, he would be in receipt of that benefit.]
[(2) For the purposes of the carer premium under paragraph 14ZA, a person shall be treated as being in receipt of [carer’s allowance] by virtue of sub-paragraph (1)(a) [or carer support payment by virtue of sub-paragraph (1)(c)] only if and for so long as the person in respect of whose care the allowance [or payment] has been claimed remains in receipt of attendance allowance [, pension age disability payment] [, ... the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 37ZB(3) of the Social Security Act] [, the care component of child disability payment at the highest or middle rate prescribed in accordance with the regulation 11(5) of the DACYP Regulations] [or the daily living component of personal independence payment at the standard or enhanced rate in accordance with section 78(3) of the 2012 Act] [, the daily living component of adult disability payment at the standard or enhanced rate in accordance with regulation 5 of the Disability Assistance for Working Age People (Scotland) Regulations 2022] [or armed forces independence payment].]
Textual Amendments
Commencement Information
Lone Parent PremiumE+W+S
8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Bereavement PremiumE+W+S
8A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pensioner premium for persons under 75E+W+S
[9. The condition is that the claimant has a partner aged [not less than the qualifying age for state pension credit] but less than 75.]
Pensioner premium for persons 75 and overE+W+S
[9A. The condition is that the claimant has a partner aged not less than 75 but less than 80.]
Higher Pensioner PremiumE+W+S
10.—[(1) [Subject to sub-paragraph (6), the] condition is that—
(a)the claimant’s partner is aged not less than 80; or
(b)the claimant’s partner is aged less than 80 but [not less than the qualifying age for state pension credit] and either—
(i)the additional condition specified in [paragraph 12(1)(a), (c) [(d) or (e)]] is satisfied; or
(ii)the claimant was entitled to, or was treated as being in receipt of, income support and—
(aa)the disability premium was or, as the case may be, would have been, applicable to him in respect of a benefit week within eight weeks of [the day his partner attained the qualifying age for state pension credit]; and
(bb)he has, subject to sub-paragraph (3), remained continuously entitled to income support since his partner attained [the qualifying age for state pension credit].]
(3) For the purposes of this paragraph and paragraph 12—
(a)once the higher pensioner premium is applicable to a claimant, if he then ceases, for a period of eight weeks or less, to be entitled to [or treated as entitled to] income support, he shall, on becoming re-entitled to income support, thereafter be treated as having been continuously entitled thereto;
(b)in so far as [sub-paragraph (1)(b)(ii) is] concerned, if a claimant ceases to be entitled to [or treated as entitled to] income support for a period not exceeding eight weeks which includes [the day his partner attained the qualifying age for state pension credit], he shall, on becoming re-entitled to income support, thereafter be treated as having been continuously entitled thereto.
[(4) In the case of a claimant who is a welfare to work beneficiary, references in sub-paragraphs (1)(b)(ii)... and (3)(b) to a period of 8 weeks shall be treated as references to a period of [104 weeks].]
[(5) For the purposes of this paragraph, a claimant shall be treated as having been entitled to and in receipt of income support throughout any period which comprises only days on which he was participating in an employment zone programme and was not entitled to income support because, as a consequence of his participation in that programme, he was engaged in remunerative work or had income in excess of his applicable amount as prescribed in Part IV.]
[(6) The condition is not satisfied if the claimant’s partner to whom sub-paragraph (1) refers is a long-term patient.]
Textual Amendments
Commencement Information
Disability PremiumE+W+S
11.—[(1)] [Subject to sub-paragraph (2), the] condition is that—
(a)where the claimant is a single claimant or a lone parent,... the additional condition specified in paragraph 12 is satisfied; or
(b)where the claimant has a partner, either—
[(i)the claimant satisfies the additional condition specified in [paragraph 12(1)(a), (b), (c) or (d)]; or]
(ii)his partner [has not attained the qualifying age for state pension credit] and the additional condition specified in [paragraph 12(1)(a), (c) [(d) or (e)]] is satisfied by his partner.
[(2) The condition is not satisfied if—
(a)the claimant is a single claimant or a lone parent and (in either case) is a long-term patient;
(b)the claimant is a member of a couple or polygamous marriage and each member of the couple or polygamous marriage is a long-term patient; or
(c)the claimant is a member of a couple or a polygamous marriage and a member of that couple or polygamous marriage is—
(i)a long-term patient; and
(ii)the only member of the couple or polygamous marriage to whom sub-paragraph (1)(b) refers.]
Textual Amendments
Commencement Information
Additional condition for the Higher Pensioner and Disability PremiumsE+W+S
12.—(1) Subject to sub-paragraph (2) and paragraph 7 the additional condition referred to in paragraphs 10 and 11 is that either—
(a)the claimant or, as the case may be, his partner—
(i)is in receipt of one or more of the following benefits: attendance allowance [, pension age disability payment], [disability living allowance, [armed forces independence payment,] [personal independence payment,] [adult disability payment,] [the disability element or the severe disability element of working tax credit as specified in regulation 20(1)(b) and (f) of the Working Tax Credit (Entitlement and Maximum Rate) Regulations 2002]], mobility supplement, [long-term incapacity benefit] under [Part II of the Contributions and Benefits Act or severe disablement allowance under Part III of that Act] [but, in the case of [long-term incapacity benefit] or severe disablement allowance only where it is paid in respect of him]; or
(ii)is provided by the Secretary of State with an invalid carriage or other vehicle under section 5(2) of the National Health Service Act 1977 (other services) or, in Scotland, under section 46 of the National Health Service (Scotland) Act 1978 (provision of vehicles) or receives payments by way of grant from the Secretary of State under paragraph 2 of Schedule 2 to that 1977 Act (additional provisions as to vehicles) or, in Scotland, under that section 46; or
[(iii)is certified as severely sight impaired or blind by a consultant ophthalmologist; or]
[(b) the claimant—
(i)is entitled to statutory sick pay or [is, or is treated as, incapable of work,] in accordance with the provisions of Part XIIA of the Contributions and Benefits Act and the regulations made thereunder (incapacity for work), and
(ii)has been so entitled or so incapable[, or has been treated as so incapable,] for a continuous period of not less than—
(aa)196 days in the case of a claimant who is terminally ill within the meaning of section 30B(4) of the Contributions and Benefits Act; or
(bb)[subject to [paragraph 2A] of Schedule 7,] 364 days in any other case;
and for these purposes any two or more periods of entitlement or incapacity separated by a break of not more than 56 days shall be treated as one continuous period; or; and]
[(c)the claimant’s partner was in receipt of long-term incapacity benefit under Part II of the Contributions and Benefits Act when entitlement to that benefit ceased on account of the payment of a retirement pension under that Act [or a state pension under Part 1 of the Pensions Act 2014] and—
(i)the claimant has since remained continuously entitled to income support;
(ii)the higher pensioner premium or disability premium has been applicable to the claimant; and
(iii)the partner is still alive;
(d)except where paragraph [2A ...] of Schedule 7 (patients) applies, the claimant or, as the case may be, his partner was in receipt of attendance allowance [, disability living allowance [, personal independence payment or adult disability payment]] —
(i)but payment of that benefit has been suspended under the [Social Security (Attendance Allowance) Regulations 1991 [, the Social Security (Disability Living Allowance) Regulations 1991 or regulations made under section 86(1) (hospital in-patients) of the 2012 Act]] or otherwise abated as a consequence of the claimant or his partner becoming a patient within the meaning of regulation 21(3); and
(ii)a higher pensioner premium or disability premium has been applicable to the claimant][; or
(e)except where paragraph 2A of Schedule 7 (patients) applies, the claimant or, as the case may be, the claimant’s partner was in receipt of pension age disability payment—
(i)but no amount is payable in accordance with regulation 20 (effect of admission to hospital on ongoing entitlement to pension age disability payment) of the Disability Assistance for Older People (Scotland) Regulations 2024; and
(ii)a higher pensioner premium or disability premium has been applicable to the claimant.]
[(1A) In the case of a claimant who is a welfare to work beneficiary, the reference in sub-paragraph (1)(b) to a period of 56 days shall be treated as a reference to a period of [104 weeks].]
[(2) For the purposes of sub-paragraph (1)(a)(iii), a person who has ceased to be certified as severely sight impaired or blind on regaining his eyesight shall nevertheless be treated as severely sight impaired or blind, as the case may be, and as satisfying the additional condition set out in that sub-paragraph for a period of 28 weeks following the date on which he ceased to be so certified.]
(3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(4) For the purpose of [sub-paragraph (1)(c) and (d)], once the higher pensioner premium is applicable to the claimant by virtue of his satisfying the condition specified in that provision, if he then ceases, for a period of eight weeks or less, to be entitled to income support, he shall on again becoming so entitled to income support, immediately thereafter be treated as satisfying the condition in [sub-paragraph (1)(c) and (d)].
[(5) For the purposes of sub-paragraph (1)(b), once the disability premium is applicable to a claimant by virtue of his satisfying the additional condition specified in that provision, he shall continue to be treated as satisfying that condition for any period spent by him in undertaking a course of training provided under section 2 of the Employment and Training Act 1973 [or for any period during which he is in receipt of a training allowance].]
[(6) For the purposes of [sub-paragraph (1)(a)(i) and (c)], a reference to a person in receipt of long-term incapacity benefit includes a person in receipt of short-term incapacity benefit at a rate equal to the long-term rate by virtue of section 30B(4)(a) of the Contributions and Benefits Act (short-term incapacity benefit for a person who is terminally ill), or who would be or would have been in receipt of short-term incapacity benefit at such a rate but for the fact that the rate of short-term incapacity benefit already payable to him is or was equal to or greater than the long-term rate.]
(7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Textual Amendments
Modifications etc. (not altering text)
Commencement Information
Severe Disability PremiumE+W+S
13.—(1) The condition is that the claimant is a severely disabled person.
(2) For the purposes of sub-paragraph (1), a claimant shall be treated as being a severely disabled person if, and only if—
(a)in the case of a single claimant [, a lone parent or a claimant who is treated as having no partner in consequence of sub-paragraph (2A)]—
(i)he is in receipt of attendance allowance [, ... the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 37ZB(3) of the Social Security Act] [or the daily living component of personal independence payment at the standard or enhanced rate in accordance with section 78(3) of the 2012 Act] [, the daily living component of adult disability payment at the standard or enhanced rate in accordance with regulation 5 of the Disability Assistance for Working Age People (Scotland) Regulations 2022] [or armed forces independence payment], and
(ii)subject to sub-paragraph (3), he has no non-dependants aged 18 or over [normally residing with him or with whom he is normally residing,] and
[(iii)no person is entitled to, and in receipt of, [a carer’s allowance] under section 70 of the Contributions and Benefits Act [or carer support payment] [or has an award of universal credit which includes the carer element] in respect of caring for him;]
(b)[in the case of a claimant who] has a partner—
(i)he is in receipt of attendance allowance [, pension age disability payment] [, ... the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 37ZB(3) of the Social Security Act] [or the daily living component of personal independence payment at the standard or enhanced rate in accordance with section 78(3) of the 2012 Act] [, the daily living component of adult disability payment at the standard or enhanced rate in accordance with regulation 5 of the Disability Assistance for Working Age People (Scotland) Regulations 2022] [or armed forces independence payment]; and
(ii)his partner is also in receipt of such an allowance or, if he is a member of a polygamous marriage, all the partners of that marriage are in receipt thereof; and
(iii)subject to sub-paragraph (3), he has no non-dependants aged 18 or over [normally residing with him or with whom he is normally residing,]
and, either [a person is entitled to, and in receipt of, [a carer’s allowance] [or carer support payment] [or has an award of universal credit which includes the carer element] in respect of caring for only one of the couple or, in the case of a polygamous marriage, for one or more but not all the partners of the marriage or, as the case may be, no person is entitled to, and in receipt of, such an allowance] [or payment] [or has such an award of universal credit] in respect of caring for either member of the couple or any partner of the polygamous marriage.
[(2A) Where a claimant has a partner who does not satisfy the condition in sub-paragraph (2)(b)(ii), and that partner is [severely sight impaired or blind or treated as severely sight impaired or blind] within the meaning of paragraph 12(1)(a)(iii) and (2), that partner shall be treated for the purposes of sub-paragraph (2) as if he were not a partner of the claimant.]
(3) For the purposes of sub-paragraph (2)(a)(ii) and (2)(b)(iii) no account shall be taken of—
(a)a person receiving attendance allowance [, pension age disability payment] [, ... the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 37ZB(3) of the Social Security Act] [or the daily living component of personal independence payment at the standard or enhanced rate in accordance with section 78(3) of the 2012 Act] [, the daily living component of adult disability payment at the standard or enhanced rate in accordance with regulation 5 of the Disability Assistance for Working Age People (Scotland) Regulations 2022] [or armed forces independence payment]; or
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c)subject to sub-paragraph (4), a person who joins the claimant's household for the first time in order to care for the claimant or his partner and immediately before so joining the claimant or his partner was treated as a severely disabled person; [or
(d)a person who is [severely sight impaired or blind or treated as severely sight impaired or blind] within the meaning of paragraph 12(1)(a)(iii) and (2).]
[(3A) For the purposes of sub-paragraph (2)(b) a person shall be treated...—
(a)[as being in receipt of] attendance allowance[, or the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 37ZB(3) of the Social Security Act] if he would, but for his being a patient for a period exceeding 28 days, be so in receipt;]
[(b)as being entitled to and in receipt of [a carer’s allowance] [or carer support payment] [or having an award of universal credit which includes the carer element] if he would, but for the person for whom he was caring being a patient in hospital for a period exceeding 28 days, be so entitled and in receipt [of carer’s allowance [or carer support payment] or have such an award of universal credit];]
[(c)as being in receipt of the daily living component of personal independence payment at the standard or enhanced rate in accordance with section 78(3) of the 2012 Act if he would, but for a suspension of benefit in accordance with regulations under section 86(1) (hospital in-patients) of the 2012 Act, be so in receipt][;
(d)as being in receipt of the daily living component of adult disability payment at the standard or enhanced rate in accordance with regulation 5 of the [Disability Assistance for Working Age People (Scotland) Regulations 2022], if they would, but for regulation 28 (effect of admission to hospital on ongoing entitlement to Adult Disability Payment) of those Regulations, be so in receipt;]
[(e)as being in receipt of pension age disability payment if they would, but for regulation 20 (effect of admission to hospital on ongoing entitlement to pension age disability payment) of the Disability Assistance for Older People (Scotland) Regulations 2024, be so in receipt.]
[(3ZA) For the purposes of sub-paragraph (2)(a)(iii) and (2)(b), no account shall be taken of an award of [carer’s allowance] [, carer support payment] [or universal credit which includes the carer element] to the extent that payment of such an award is back-dated for a period before [the date on which the award is first paid].]
(4) Sub-paragraph (3)(c) shall apply only for the first 12 weeks following the date on which the person to whom that provision applies first joins the claimant's household.
[(5) In sub-paragraph (2)(a)(iii) and (b), references to a person being in receipt of [a carer’s allowance] [or as having an award of universal credit which includes the carer element] shall include references to a person who would have been in receipt of that allowance [or had such an award] but for the application of a restriction under section [6B or] 7 of the Social Security Fraud Act 2001 (loss of benefit provisions).]
[(6) For the purposes of this paragraph, a person has an award of universal credit which includes the carer element if the person has an award of universal credit which includes an amount which is the carer element under regulation 29 of the Universal Credit Regulations 2013.]
Textual Amendments
Modifications etc. (not altering text)
Commencement Information
[Enhanced disability premiumE+W+S
13A.—[[(1) Subject to sub-paragraph (2), the condition is that—
(a)the claimant; or
(b)the claimant’s partner, if any, who has not attained the qualifying age for state pension credit,
is a person to whom sub-paragraph (1ZA) applies.]
[(1ZA) This sub-paragraph applies to the person mentioned in sub-paragraph (1) where—
(a)armed forces independence payment is payable to that person;
(b)the care component of disability living allowance is, or would, but for a suspension of benefit in accordance with regulations under section 113(2) of the Contributions and Benefits Act or but for an abatement as a consequence of hospitalization, be payable to that person at the highest rate prescribed under section 72(3) of that Act; ...
[(ba)the care component of child disability payment is payable to that person at the highest rate in accordance with the DACYP Regulations (see regulation 11(5) of those Regulations); ...]
(c)the daily living component of personal independence payment is, or would, but for regulations made under section 86(1) (hospital in-patients) of the 2012 Act, be payable to that person at the enhanced rate in accordance with section 78(2) of that Act]][or
(d)the daily living component of adult disability payment is, or would, but for regulation 28 (effect of admission to hospital on ongoing entitlement to Adult Disability Payment) of the [Disability Assistance for Working Age People (Scotland) Regulations 2022], be payable to that person at the enhanced rate in accordance with regulation 5 of those Regulations.]
[(1A) Where the condition in sub-paragraph (1) ceases to be satisfied because of the death of a child or young person, the condition is that the claimant [or partner] is entitled to child benefit in respect of that person under section 145A of the Contributions and Benefits Act (entitlement after death of child or qualifying young person).]
[(2) The condition is not satisfied if the person to whom sub-paragraph (1) refers is—
(a)a child or young person—
(i)whose capital if calculated in accordance with Part 5 of these Regulations in like manner as for the claimant, except as provided in regulation 44(1), would exceed £3,000; or
(ii)who is a long-term patient;
(b)a single claimant or a lone parent and (in either case) is a long-term patient;
(c)a member of a couple or polygamous marriage and each member of the couple or polygamous marriage is a long-term patient; or
(d)a member of a couple or polygamous marriage who—
(i)is a long-term patient; and
(ii)is the only member of the couple or polygamous marriage to whom sub-paragraph (1) refers.]]
Textual Amendments
Modifications etc. (not altering text)
Disabled Child PremiumE+W+S
[14.—(1) Subject to sub-paragraph (2), the condition is that where the child or young person for whom the claimant or a partner of his is responsible and who is a member of the claimant’s household is—
(a)in receipt of disability living allowance or is no longer in receipt of that allowance because he is a patient provided that the child or young person continues to be a member of the family; ...
[(aa)in receipt of child disability payment;]
(b)[severely sight impaired or blind or treated as severely sight impaired or blind] within the meaning of paragraph 12(1)(a)(iii) and (2)[; or
(c)a child or young person in respect of whom section 145A of the Contributions and Benefits Act (entitlement after death of child or qualifying young person) applies for the purposes of entitlement to child benefit but only for the period prescribed under that section, and in respect of whom a disabled child premium was included in the claimant’s applicable amount immediately before the death of that child or young person, or ceased to be included in the claimant’s applicable amount because of that child or young person’s death][; or
(d)a young person who is in receipt of personal independence payment or who would, but for regulations made under section 86(1) (hospital in-patients) of the 2012 Act, be so in receipt provided that the young person continues to be a member of the family][; or]
[(da)a young person who is in receipt of adult disability payment or who would, but for regulation 28 (effect of admission to hospital on ongoing entitlement to Adult Disability Payment) of the Disability Assistance for Working Age People (Scotland) Regulations 2022, be so in receipt provided that the young person continues to be a member of the family; or]
[(e)in receipt of armed forces independence payment.]
(2) The condition [in sub-paragraph (1)(a) [, (aa)] [, (b), (d) [, (da)] or (e)]] is not satisfied in respect of a child or young person—
(a)whose capital, if calculated in accordance with Part 5 of these Regulations in like manner as for the claimant, except as provided in regulation 44(1), would exceed £3,000; or
(b)who is a long-term patient.]
Textual Amendments
Modifications etc. (not altering text)
[Carer premiumE+W+S
14ZA.—(1) [Subject to sub-paragraphs (3) and (4),] the condition is that the claimant or his partner is, or both of them are, [entitled to [a carer’s allowance] under section 70 of the Contributions and Benefits Act] [or carer support payment].
(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .]
[(3) Where a carer premium is awarded but—
(a)the person in respect of whose care the [carer’s allowance] [or carer support payment] has been awarded dies; or
(b)in any other case the person in respect of whom a carer premium has been awarded ceases to be entitled ...to [a carer’s allowance] [or carer support payment],
the condition for the award of the premium shall be treated as satisfied for a period of eight weeks from the relevant date specified in sub-paragraph (3A) below.
(3A) The relevant date for the purposes of sub-paragraph (3) above shall be—
(a)[where sub-paragraph (3)(a) applies,] the Sunday following the death of the person in respect of whose care [a carer’s allowance] [or carer support payment] has been awarded or the date of death if the death occurred on a Sunday;
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c)in any other case, the date on which the person who has been entitled to [a carer’s allowance] [or carer support payment] ceases to be entitled to that allowance [or payment].]
(4) Where a person who has been entitled to [a carer’s allowance] [or carer support payment] ceases to be entitled to that allowance [or payment] and makes a claim for income support, the condition for the award of the carer premium shall be treated as satisfied for a period of eight weeks from the date on which–
[(a)the person in respect of whose care the [carer’s allowance] [or carer support payment] has been awarded dies;
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c)[in any other case, the person who has been entitled to a carer’s allowance [or carer support payment] ceased to be entitled to that allowance [or payment].]]
[Persons in receipt of concessionary paymentsE+W+S
14A. For the purpose of determining whether a premium is applicable to a person [under paragraphs 12 to 14ZA], any concessionary payment made to compensate that person for the non-payment of any benefit mentioned in those paragraphs shall be treated as if it were a payment of that benefit.]
[Person in receipt of benefitE+W+S
14B. For the purposes of this Part of this Schedule, a person shall be regarded as being in receipt of any benefit if, and only if, it is paid in respect of him and shall be so regarded only for any period in respect of which that benefit is paid.]