PART 13Supplementary

CHAPTER 4Appeals in relation to payment of benefits

Appeals to sheriff197

1

This regulation applies in relation to payment of benefits under this scheme to or in respect of a member of the police force.

2

The member or person claiming payment of a benefit in respect of the member (P) may, subject to regulation 199 (limitation on appeals), appeal to the sheriff against any of the following decisions—

a

a decision by the scheme manager to refuse to accept P’s claim for payment of a benefit;

b

a decision by the scheme manager to refuse to pay P a benefit the entitlement to which arises on the fulfilment of conditions which do not include a claim for payment;

c

a decision by the scheme manager to refuse to accept P’s claim for payment of a benefit larger than the benefit granted to P;

d

a decision by the employer under regulation 65 (permanent medical unfitness) as to whether a refusal to accept medical treatment is reasonable;

e

a decision by the employer under regulation 105 (cancellation of ill-health pension: failure to receive appropriate medical treatment) as to whether a refusal to accept medical treatment is reasonable;

f

a decision by the employer under regulation 97 (reduction of pension in case of default) to reduce the amount of pension payable to the member.

3

The sheriff, after enquiring into the case, may make such order in the matter as appears to the sheriff to be just.

Appeals to tribunal198

1

This regulation applies in relation to payment of benefits under this scheme to or in respect of an inspector of constabulary.

2

The member or person claiming payment of a benefit in respect of the member (P) may, subject to regulation 199, lodge an appeal with the Scottish Ministers against any of the following decisions—

a

a decision by the scheme manager to refuse to accept P’s claim for payment of a benefit;

b

a decision by the scheme manager to refuse to pay P a benefit the entitlement to which arises on the fulfilment of conditions which do not include a claim for payment;

c

a decision by the scheme manager to refuse to accept P’s claim for payment of a benefit larger than the benefit granted to P;

d

a decision by the employer under regulation 65 (permanent medical unfitness) as to whether a refusal to accept medical treatment is reasonable;

e

a decision by the employer under regulation 105 (cancellation of ill-health pension: failure to receive appropriate medical treatment) as to whether a refusal to accept medical treatment is reasonable;

f

a decision by the employer under regulation 97 (reduction of pension in case of default) to reduce the amount of pension payable to the member.

3

Regulation 115 (procedure on appeals to tribunal) sets out the procedure for appeals under this regulation.

Limitation on appeals199

1

A person may not appeal under regulation 197 (appeals to sheriff) or 198 (appeals to tribunal) against anything done by the scheme manager, employer or pension supervising authority under a power conferred by these Regulations which is expressly stated to be a power in respect of which the scheme manager, employer or pension supervising authority may exercise a discretion.

2

Unless the sheriff hearing an appeal under regulation 197 or a tribunal hearing an appeal under regulation 198 refers a medical decision77 for reconsideration under Schedule 1, the sheriff or tribunal hearing the appeal is bound by a final decision of a medical authority78 under Schedule 1.