SCHEDULES

C3SCHEDULE 1 APPLICABLE AMOUNTS

Annotations:
Modifications etc. (not altering text)
C3

Sch. 1 Pt. 4B modified (for specified purposes and with effect in accordance with art. 1(2)(k) of the amending S.I.) by The Social Security Benefits Up-rating Order 2007 (S.I. 2007/688), arts. 1(2)(k), 24(6), Sch. 16

C3PART III PREMIUMS

5

Except as provided in paragraph 6, the weekly premiums specified in Part IV of this Schedule shall for the purposes of regulations 83(e) and 84(1)(f), be applicable to a claimant who satisfies the condition specified in F42paragraphs 9A to 17 in respect of that premium.

6

Subject to paragraph 7, 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.

F247

1

Subject to sub-paragraph (2), the following premiums, namely—

a

a severe disability premium to which paragraph 15 applies;

b

an enhanced disability premium to which paragraph 15A applies;

c

F45a disabled child premium to which paragraph 16 applies; and

d

a carer premium in which paragraph 17 applies,

may be applicable in addition to any other premium which may apply under this Part of 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 10 or 11; or

b

a higher pensioner premium under paragraph 12.

8

1

Subject to sub-paragraph (2) for the purposes of this Part of this Schedule, once a premium is applicable to a 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 F1 applies, for any period during which, apart from the provisions of those Regulations, he would be in receipt of that benefit; and

F16b

for any period spent by a claimant in undertaking a course of training or instruction provided or approved by the Secretary of State F21... under section 2 of the Employment and Training Act 1973, or by 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.

2

For the purposes of the carer premium under paragraph 17, a person shall be treated as being in receipt of F22carer’s allowance by virtue of sub-paragraph (1)(a) only if and for so long as the person in respect of whose care the allowance has been claimed remains in receipt of attendance allowance, or the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the Benefits Act.

Lone Parent PremiumF349

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Bereavement PremiumF449A

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pensioner premium for persons over 6010

The condition is that the claimant—

a

is a single claimant or lone parent who has attained the age of 60; or

b

has attained the age of 60 and has a partner; or

c

has a partner and the partner has attained the age of 60 but not the age of 75.

Pensioner premium where claimant’s partner has attained the age of 7511

The condition is that the claimant has a partner who has attained the age of 75 but not the age of 80.

Higher Pensioner Premium12

1

F31Subject to sub-paragraph (5), the condition is that–

a

the claimant is a single claimant or lone parent who has attained the age of 60 and either—

i

satisfies one of the additional conditions specified in paragraph 14(1)(a), (c), (e), (f) or (h); or

ii

was entitled to either income support or income-based jobseeker’s allowanceF37, or was treated as being entitled to either of those benefits and the disability premium was or, as the case may be, would have been, applicable to him in respect of a benefit week within 8 weeks of his 60th birthday and he has, subject to sub-paragraph (2), remained continuously entitled to one of those benefits since attaining that age; or

b

the claimant has a partner and–

i

the partner has attained the age of 80; or

ii

the partner has attained the age of 60 but not the age of 80, and the additional conditions specified in paragraph 14 are satisfied in respect of him; or

c

the claimant–

i

has attained the age of 60;

F30ii

satisfies the requirements of either sub-head (i) or (ii) of paragraph 12(1)(a); and

iii

has a partner.

2

For the purposes of this paragraph and paragraph 14–

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 either income support or income based jobseeker’s allowance, F27or ceases to be treated as entitled to either of those benefits he shall, on becoming re-entitled to either of those benefits, thereafter be treated as having been continuously entitled thereto;

b

in so far as sub-paragraphs (1)(a)(ii) and (1)(c)(ii) are concerned, if a claimant ceases to be entitled to either income support or an income-based jobseeker’s allowance F27or ceases to be treated as entitled to either of those benefits for a period not exceeding eight weeks which includes his 60th birthday, he shall, on becoming re-entitled to either of those benefits, thereafter be treated as having been continuously entitled thereto.

F433

In this paragraph where a claimant’s partner is a welfare to work beneficiary, sub-paragraphs (1)(a)(ii) and (2)(b) shall apply to him as if for the words “8 weeks" there were substituted the words “F23104 weeks".

F294

For the purposes of this paragraph, a claimant shall be treated as having been entitled to income support or to an income-based jobseeker’s allowance throughout any period which comprises only days on which he was participating in an employment zone programme and was not entitled to–

a

income support because, as a consequence of his participation in that programme, he was engaged in remunerative work or had income in excess of the claimant’s applicable amount as prescribed in Part IV of the Income Support Regulations; or

b

a jobseeker’s allowance because, as a consequence of his participation in that programme, he was engaged in remunerative work or failed to satisfy the condition specified in section 2(1)(c) or in section 3(1)(a).

F265

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) or (c) refers.

Disability Premium13

F281

F10Subject to sub-paragraph (2), the condition is that the claimant—

a

is a single claimant or lone parent who has not attained the age of 60 and satisfies any one of the additional conditions specified in paragraph 14(1)(a), (c), (e), (f) or (h); or

b

has not attained the age of 60, has a partner and the claimant satisfies any one of the additional conditions specified in paragraph 14(1)(a), (c), (e), (f) or (h); or

c

has a partner and the partner has not attained the age of 60 and also satisfies any one of the additional conditions specified in paragraph 14.

F462

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 polygamous marriage and a member of that couple or polygamous marriage—

i

is a long-term patient; and

ii

is the only member of the couple or polygamous marriage to whom the condition in sub-paragraph (1)(b) or (c) refers.

Additional Conditions for Higher Pensioner and Disability Premium14

1

The additional conditions specified in this paragraph are that

a

the claimant or, as the case may be, his partner, is in receipt of F38the 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 or mobility supplement;

b

the claimant’s partner is in receipt of severe disablement allowance;

c

the claimant or, as the case may be, his partner, is in receipt of attendance allowance or disability living allowance or is a person whose disability living allowance is payable, in whole or in part, to another in accordance with regulation 44 of the Claims and Payments Regulations (payment of disability living allowance on behalf of third party);

d

the claimant’s partner is in receipt of long-term incapacity benefit or is a person to whom section 30B(4) of the Benefits Act (long term rate of incapacity benefit payable to those who are terminally ill) applies F2;

e

the claimant or, as the case may be, his partner, has an invalid carriage or other vehicle provided to him by the Secretary of State under section 5(2)(a) of and Schedule 2 to the National Health Service Act 1977 F3 or under section 46 of the National Health Service (Scotland) Act 1978 F4 or provided by the Department of Health and Social Services for Northern Ireland under article 30(1) of the Health and Personal Social Services (Northern Ireland) Order 1972 F5, or receives payments by way of grant from the Secretary of State under paragraph 2 of Schedule 2 to the Act of 1977 (additional provisions as to vehicles) or, in Scotland, under section 46 of the Act of 1978;

f

the claimant or, as the case may be, his partner, is a person who is entitled to the mobility component of disability living allowance but to whom the component is not payable in accordance with regulation 42 of the Claims and Payments Regulations (cases where disability living allowance not payable);

g

the claimant’s partner was either–

i

in receipt of long term incapacity benefit under section 30A(5) of the Benefits Act F6 immediately before attaining pensionable age and he is still alive; or

ii

entitled to attendance allowance or disability living allowance but payment of that benefit was suspended in accordance with regulations under section 113(2) of the Benefits Act or otherwise abated as a consequence of F25the partner becoming a patient within the meaning of regulation 85(4) (special cases),

and in either case the higher pensioner premium or disability premium had been applicable to the claimant or his partner;

h

the claimant or, as the case may be, his partner, is registered as blind in a register compiled by a local authority under section 29 of the National Assistance Act 1948 F7 (welfare services), or, in Scotland, has been certified as blind and in consequence is registered as blind in a register maintained by or on behalf of a regional or islands council.

2

For the purposes of sub-paragraph (1)(h), a person who has ceased to be registered as blind on regaining his eyesight shall nevertheless be treated as blind 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 registered.

Severe Disability Premium15

1

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 (3), the condition is that—

a

he is in receipt of attendance allowance or the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the Benefits Act; and

b

subject to sub-paragraph (4), there are no non-dependants aged 18 or over normally residing with him or with whom he is normally residing; and

F12c

no person is entitled to, and in receipt of, F22aF22carer’s allowance under section 70 of the Benefits Act in respect of caring for him;

2

Where the claimant has a partner, the condition is that–

a

the claimant is in receipt of attendance allowance or the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the Benefits Act (the “qualifying benefit"); and

b

the partner is also in receipt of a qualifying benefit, or if he is a member of a polygamous marriage, all the partners of that marriage are in receipt of a qualifying benefit; and

c

subject to sub-paragraph (4), there is no non-dependant aged 18 or over normally residing with him or with whom he is normally residing; and

d

either–

i

F49no person is entitled to, and in receipt of, F22aF22carer’s allowance under section 70 of the Benefits Act in respect of caring for either member of the couple or all the members of the polygamous marriage; or

ii

a person is engaged in caring for one member (but not both members) of the couple, or one or more but not all members of the polygamous marriage, and in consequence is F40entitled to F22aF22carer’s allowance under section 70 of the Benefits Act.

3

Where the claimant has a partner who does not satisfy the condition in sub-paragraph (2)(b), and that partner is blind or treated as blind within the meaning of paragraph 14(l)(h) and (2), that partner shall be treated for the purposes of sub-paragraph (2) as if he were not a partner of the claimant.

4

The following persons shall not be regarded as a non-dependant for the purposes of sub-paragraphs (l)(b) and (2)(c)—

a

a person in receipt of attendance allowance or the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the Benefits Act;

b

subject to sub-paragraph (6), 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 satisfied the condition in sub-paragraph (l) or, as the case may be, (2);

c

a person who is blind or treated as blind within the meaning of paragraph 14(l)(h) and (2).

5

For the purposes of sub-paragraph (2), a person shall be treated F47...—

a

F20as 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 72(3) of the Benefits Act if he would, but for his being a patient for a period exceeding 28 days, be so in receipt;

F41b

as being entitled to and in receipt of F22aF22carer’s allowance 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.

6

Sub-paragraph (4)(b) 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.

7

For the purposes of sub-paragraph (1)(c) and (2)(d), no account shall be taken of an award of F22carer’s allowance to the extent that payment of such an award is back-dated for a period before F19the date on which the award is first paid.

8

A person shall be treated as satisfying this condition if he would have satisfied the condition specified for a severe disability premium in income support in paragraph 13 of Schedule 2 to the Income Support Regulations by virtue only of regulations 4 to 6 of the Income Support (General) Amendment (No.6) Regulations 1991 F8 (savings provisions in relation to severe disability premium) and for the purposes of determining whether in the particular case regulation 4 of those Regulations had ceased to apply in accordance with regulation 5(2)(a) of those Regulations, a person who is entitled to an income-based jobseeker’s allowance shall be treated as entitled to income support.

F339

In sub-paragraphs (1)(c) and (2)(d), references to a person being in receipt of F22aF22carer’s allowance shall include references to a person who would have been in receipt of that allowance but for the application of a restriction under section 7 of the Social Security Fraud Act 2001 (loss of benefit provisions).

F50Enhanced disability premium15A

1

Subject to sub-paragraph (2), the condition is that 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 Benefits Act or but for an abatement as a consequence of hospitalisation, be payable at the highest rate prescribed under section 72(3) of the Benefits Act in respect of—

a

the claimant; or

b

F13a member of the claimant’s familyF13the claimant’s partner (if any),

who is aged less than 60.

F482

The condition is not satisfied where the person to whom sub-paragraph (1) refers is—

C2a

a child or young person—

i

whose capital if calculated in accordance with Part 8 of these Regulations in like manner as for the claimant, except as provided in regulation 106(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 is—

i

a long-term patient; and

ii

the only member of the couple or polygamous marriage to whom sub-paragraph (1) refers.

F18 Disabled Child Premium16

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; or

b

blind or treated as blind within the meaning of paragraph 14(1)(h) and (2).

2

The condition is not satisfied in respect of a child or young person—

C1a

whose capital, if calculated in accordance with Part 8 of these Regulations in like manner as for the claimant, except as provided in regulation 106(1), would exceed £3,000; or

b

who is a long-term patient.

Carer Premium17

1

Subject to sub-paragraphs (3) and (4), the condition is that the claimant or his partner is, or both of them are, F36entitled toF22carer’s allowance under section 70 of the Benefits Act.

F152

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F393

Where a carer premium is awarded but—

a

the person in respect of whose care the F22carer’s allowance 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 entitledF35... to F22aF22carer’s allowance,

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

F9where sub-paragraph (3)(a) applies, the Sunday following the death of the person in respect of whose care F22aF22carer’s allowance has been awarded or the date of death if the death occurred on a Sunday;

F14b

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c

in any other case, the date on which the person who has been entitled to F22aF22carer’s allowance ceases to be entitled to that allowance.

F174

Where a person who has been entitled to an F22carer’s allowance ceases to be entitled to that allowance and makes a claim for a jobseeker’s allowance, 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–

F11a

the person in respect of whose care the F22carer’s allowance has been awarded dies;

F51b

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c

F32in any other case, the person who has been entitled to a carer’s allowance ceased to be entitled to that allowance.

Persons in receipt of concessionary payments18

For the purpose of determining whether a premium is applicable to a person under paragraphs 14 to 17, 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 benefit19

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.