SCHEDULE 1Applicable amounts
PART 3Premiums
4
Except as provided in paragraph 5, the premiums specified in Part 4 of this Schedule shall, for the purposes of regulations 12(d) and 13(e), be applicable to a claimant who satisfies the condition specified in paragraphs 8 to 17 in respect of that premium.
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.
F86
-The following premiums, namely—
a
a severe disability premium to which paragraph 14 applies;
b
an enhanced disability premium to which paragraph 15 applies;
c
a disabled child premium to which paragraph 16 applies; and
d
a carer premium to which paragraph 17 applies,
may be applicable in addition to any other premium which may apply under this Schedule.
7
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 for—
a
in the case of a benefit to which the Social Security (Overlapping Benefits) Regulations 1979 M1 applies, any period during which, apart from the provisions of those Regulations, he would be in receipt of that benefit; and
b
any period spent by a person in undertaking a course of training or instruction provided or approved F20by the Secretary of State under section 2 of the 1973 Act or F21by Skills Development Scotland, Scottish Enterprise or Highlands and Islands Enterprise under section 2 of the Enterprise and New F22Towns (Scotland) Act 1990 M2 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 carer'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 Act.
Bereavement premiumF78
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pensioner Premium for persons under 75F99
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pensioner Premium for persons 75 and overF1010
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Higher Pensioner PremiumF1111
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Disability Premium12
The condition is that—
a
where the claimant is a single claimant or a lone parent, he F25has not attained the qualifying age for state pension credit and the additional condition specified in paragraph 13 is satisfied; or
b
where the claimant has a partner, either—
i
the claimant F25has not attained the qualifying age for state pension credit and the additional condition specified in paragraph 13 (1)(a) or (b) is satisfied by him; or
ii
his partner F25has not attained the qualifying age for state pension credit and the additional condition specified in paragraph 13(1)(a) is satisfied by his partner.
Additional Condition for the F12Disability Premium13
1
Subject to sub-paragraph (2) and paragraph 7, the additional condition referred to in paragraphs 11 and 12 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, disability living allowance, 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 Regulations, mobility supplement, long-term incapacity benefit under Part 2 of the Act or severe disablement allowance under Part 3 of the 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
was in receipt of long-term incapacity benefit under Part 2 of the Act when entitlement to that benefit ceased on account of the payment of a retirement pension under that Act and the claimant has since remained continuously entitled to F19... council tax benefit and, if the long-term incapacity benefit was payable to his partner, the partner is still a member of the family; or
iii
F1..., was in receipt of attendance allowance or disability living allowance but payment of benefit has been suspended in accordance with regulations made under section 113(2) of the Act or otherwise abated as a consequence of the claimant or his partner becoming a patient within the meaning of F2regulation 18(11)(e) (treatment of child care charges); or
iv
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 M3 (other services) or, in Scotland, under section 46 of the National Health Service (Scotland) Act 1978 M4 (provision of services by Scottish Ministers) 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, by Scottish Ministers under section 46 of the Act of 1978; or
v
is blind and in consequence registered in a register compiled by a local authority under section 29 of the National Assistance Act 1948 M5 (welfare services) or, in Scotland, has been certified as blind and in consequence he is registered in a register maintained by or on behalf of a council constituted under section 2 of the Local Government (Scotland) Act 1994 M6; or
b
the claimant—
i
is, or is treated as, incapable of work in accordance with the provisions of, and regulations made under, Part 12A of the Act (incapacity for work); and
ii
has been incapable, or has been treated as incapable, of work for a continuous period of not less than—
aa
in the case of a claimant who is terminally ill within the meaning of section 30B(4) of the Act M7, 196 days;
bb
in any other case, 364 days.
2
For the purposes of sub-paragraph (1)(a)(v), 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.
3
For the purposes of sub-paragraph (1)(b), once F13... the disability premium is applicable to a claimant by virtue of his satisfying the additional condition specified in that provision, if he then ceases, for a period of 8 weeks or less, to be treated as incapable of work or to be incapable of work he shall, on again becoming so incapable of work, immediately thereafter be treated as satisfying the condition in sub-paragraph (1)(b).
F144
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 1973 Act M8 or section 2 of the Enterprise and New Towns (Scotland) Act 1990 M9 or for any period during which he is in receipt of a training allowance.
6
For the purposes of sub-paragraph (1)(b), where any two or more periods of incapacity are separated by a break of not more than 56 days, those periods shall be treated as one continuous period.
7
For the purposes of this paragraph, a reference to a person who is or was in receipt of long-term incapacity benefit includes a person who is or was 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 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.
8
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 1973 Act or section 2 of the Enterprise and New Towns (Scotland) Act 1990.
9
In the case of a claimant who is a welfare to work beneficiary F15(a person to whom regulation 13A(1) of the Social Security (Incapacity for Work) (General) Regulations 1995 applies, and who again becomes incapable of work for the purposes of Part 12A of the Act)—
a
the reference to a period of 8 weeks in sub-paragraph (3); and
b
the reference to a period of 56 days in sub-paragraph (6),
shall in each case be treated as a reference to a period of F5104 weeks.
F1610
The claimant is not entitled to the disability premium if the claimant has, or is treated as having, limited capability for work F17....
Severe Disability Premium14
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 (3)—
i
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 Act; and
ii
subject to sub-paragraph (4), 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 Act in respect of caring for him;
b
in the case of a claimant who has a partner—
i
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 Act; 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 of such an allowance; and
iii
subject to sub-paragraph (4), the claimant has no non-dependants aged 18 or over normally residing with him or with whom he is normally residing,
and either a person is F23entitled to and in receipt of a carer's allowance in respect of caring for only one of a 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 in respect of caring for either member of a couple or any partner of a polygamous marriage.
3
Where a claimant has a partner who does not satisfy the condition in sub-paragraph (2)(b)(ii), and that partner is blind or is treated as blind within the meaning of paragraph 13(1)(a)(v) and (2), that partner shall be treated for the purposes of sub-paragraph (2)(b)(ii) as if he were not a partner of the claimant.
4
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, or disability living allowance by virtue of the care component at the highest or middle rate prescribed in accordance with section 72(3) of the Act; or
b
a person who is blind or is treated as blind within the meaning of paragraph 13(1)(a)(v) and (2).
5
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 72(3) of the 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 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
For the purposes of sub-paragraph (2)(a)(iii) and (2)(b), no account shall be taken of an award of carer's allowance to the extent that payment of such an award is back-dated for a period before F6the date on which the award is first paid.
7
In sub-paragraph (2)(a)(iii) and (b), references to a person being in receipt of a carer'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 F246B or 7 of the Social Security Fraud Act 2001 M10 (loss of benefit provisions).
Enhanced disability premium15
F181
Subject to sub-paragraph (2), the condition is that—
a
the Secretary of State has decided that the claimant has, or is to be treated as having, limited capability for work-related activity; or
b
the care component of disability living allowance is, or would, but for a suspension of benefit in accordance with regulations made under section 113(2) of the Act or but for an abatement as a consequence of hospitalisation be payable at the highest rate prescribed under section 72(3) of the Act in respect of—
i
the claimant; or
ii
a member of the claimant's family,
who F26has not attained the qualifying age for state pension credit.
F271A
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 is entitled to child benefit in respect of that person under section 145A of the Act (entitlement after death of child or qualifying young person).
2
F28An enhanced disability premium shall not be applicable in respect ofF28The condition is not satisfied if the person to whom sub-paragraph (1) refers is —
a
a claimant who—
i
is not a member of a couple or a polygamous marriage; and
ii
is a patient within the meaning of F3regulation 18(11)(e) (patients) and has been for a period of more than 52 weeks; or
b
a member of a couple or a polygamous marriage where each member is a patient within the meaning of F4regulation 18(11)(e) and has been for a period of more than 52 weeks.
Disabled Child Premium16
The condition is that a 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—
a
is in receipt of disability living allowance or is no longer in receipt of such allowance because he is a patient, provided that the child or young person continues to be a member of the family; or
b
is blind or treated as blind within the meaning of paragraph 13; or
F29c
is a child or young person in respect of whom section 145A of the 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.
Carer Premium17
1
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 Act.
2
Where a carer premium is awarded but—
a
the person in respect of whose care the carer'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 entitled to a carer'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 (3).
3
The relevant date for the purposes of sub-paragraph (2) shall be—
a
where sub-paragraph (2)(a) applies, the Sunday following the death of the person in respect of whose care a carer's allowance has been awarded or the date of death if the death occurred on a Sunday;
b
in any other case, the date on which the person who has been entitled to a carer's allowance ceases to be entitled to that allowance.
4
Where a person who has been entitled to a carer's allowance ceases to be entitled to that allowance and makes a claim for council tax benefit, 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 has been awarded dies;
b
in 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 13 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.
Persons in receipt of benefit for another19
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.