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Whereas this Order is made only for purposes corresponding to those of the provisions of the Social Security (Recovery of Benefits) Act 1997: Now, therefore, Her Majesty, in exercise of the powers conferred by paragraph 1 of Schedule 1 to the Northern Ireland Act 1974 (as modified by section 25 of the said Act of 1997) and of all other powers enabling Her in that behalf, is pleased, by and with the advice of Her Privy Council, to order, and it is hereby ordered, as follows: - Title and commencement 1. - (1) This Order may be cited as the Social Security (Recovery of Benefits) (Northern Ireland) Order 1997. (2) This Order shall come into operation on such day or days as the Department may by order appoint. Interpretation 2. - (1) The Interpretation Act (Northern Ireland) 1954 shall apply to Article 1 and the following provisions of this Order as it applies to a Measure of the Northern Ireland Assembly. (2) In this Order -
Cases in which this Order applies 3. - (1) This Order applies in cases where -
(b) any listed benefits have been, or are likely to be, paid to or for the other during the relevant period in respect of the accident, injury or disease.
(2) The reference in paragraph (1)(a) to a payment in consequence of any accident, injury or disease is to a payment made -
(b) in pursuance of a compensation scheme for motor accidents,
but does not include a payment mentioned in Part I of Schedule 1.
(b) in the United Kingdom or elsewhere.
(4) In a case where this Order applies -
(b) the "compensation payment" is the payment within paragraph (1)(a), ad (c "recoverable benefit" is any listed benefit which has been or is likely to be paid as mentioned in paragraph (1)(b).
Compensation payments to which this Order applies
(b) an agreement is made under which an earlier compensation payment is treated as having been made in final discharge of any such claim,
the relevant period ends at that time. Applications for certificates of recoverable benefits 6. - (1) Before a person ("the compensator") makes a compensation payment he shall apply to the Department for a certificate of recoverable benefits. (2) Where the compensator applies for a certificate of recoverable benefits, the Department shall -
(b) subject to paragraph (7), issue the certificate before the end of the following period.
(3) The period is -
(b) if there is no prescribed period, the period of four weeks,
which begins with the day on which the application is received.
(b) if there is no prescribed period, the period of four weeks,
which begins with the day on which the existing certificate ceases to be in force.
(b) if the benefit is paid or likely to be paid after the specified date, the rate and period for which, and the intervals at which, it is or is likely to be so paid.
(2) In a case where the relevant period has ended before the day on which the Department receives the application for the certificate, the date specified in the certificate for the purposes of paragraph (1) shall be the day on which the relevant period ended.
(b) any person who it thinks will receive a compensation payment in respect of the injured person.
(6) A person to whom a certificate of recoverable benefits is issued or who is provided with information under paragraph (5) is entitled to particulars of the manner in which any amount, rate or period specified in the certificate has been determined, if he applies to the Department for those particulars. Liability to pay Department amount of benefits 8. - (1) A person who makes a compensation payment in any case is liable to pay to the Department an amount equal to the total amount of the recoverable benefits. (2) The liability referred to in paragraph (1) arises immediately before the compensation payment or, if there is more than one, the first of them is made. (3) No amount becomes payable under this Article before the end of the period of 14 days from the day on which the liability arises. (4) Subject to paragraph (3), an amount becomes payable under this Article at the end of the period of 14 days beginning with (and including) the day on which a certificate of recoverable benefits is first issued showing that the amount of recoverable benefit to which it relates has been or is likely to have been paid before a specified date. Recovery of payments due under Article 8 9. - (1) This Article applies where a person has made a compensation payment but -
(b) has not made a payment to the Department under Article 8 before the end of the period allowed under that Article.
(2) The Department may -
(b) issue him with a copy of the certificate of recoverable benefits or (if more than one has been issued) the most recent one,
and (in either case) issue him with a demand that payment of any amount due under Article 8 be made immediately.
(b) states that the document, apart from the certificate, is a record of the amount recoverable under paragraph (3),
is conclusive evidence that that amount is so recoverable. Reduction of compensation payment 10. - (1) This Article applies in a case where, in relation to any head of compensation listed in column (1) of Schedule 2 -
(b) any recoverable benefit is shown against that head in column (2) of that Schedule.
(2) In such a case, any claim of a person to receive the compensation payment is to be treated for all purposes as discharged if -
(b) if the amount of the compensation payment so calculated is nil, he is given a statement saying so by the person who (apart from this Article) would have paid the gross amount of the compensation payment.
(3) For each head of compensation listed in column (1) of Schedule 2 for which sub-paragraphs (a) and (b) of paragraph (1) are met, so much of the gross amount of the compensation payment as is attributable to that head is to be reduced (to nil, if necessary) by deducting the amount of the recoverable benefit or, as the case may be, the aggregate amount of the recoverable benefits shown against it.
less
(and, accordingly, the amount may be nil).
(b) of the date for payment by reference to which the calculation has been made.
(2) If the amount of a compensation payment calculated in accordance with Article 10 is nil, a person giving a statement saying so is to be treated for the purposes of this Order as making a payment within Article 3(1)(a) on the day on which he gives the statement.
(b) if the amount of the compensation payment so calculated is nil, gives a statement saying so,
he is to be treated, for the purpose of determining any rights and liabilities in respect of contribution or indemnity, as having paid the gross amount of the compensation payment.
(b) the amount of any recoverable benefit is the amount determined in accordance with the certificate of recoverable benefits.
Review of certificates of recoverable benefits
(b) that a mistake (whether in computation or otherwise) has occurred in the preparation of the certificate.
(2) On a review under this Article the Department may either -
(b) (subject to paragraph (3)) issue a fresh certificate containing such variations as it considers appropriate.
(3) The Department may not vary the certificate so as to increase the total amount of the recoverable benefits unless it appears to the Department that the variation is required as a result of the person who applied for the certificate supplying the Department with incorrect or insufficient information.
(b) that listed benefits which have been, or are likely to be, paid otherwise than in respect of the accident, injury or disease in question have been brought into account.
(2) An appeal under this Article may be made by -
(b) (in a case where the amount of the compensation payment has been calculated under Article 10) the injured person or other person to whom the payment is made.
(3) No appeal may be made under this Article until -
(b) the liability under Article 8 has been discharged.
(4) For the purposes of paragraph (3)(a), if an award of damages in respect of a claim has been made under or by virtue of paragraph 10(2)(a) of Schedule 6 to the Administration of Justice Act 1982, (orders for provisional damages in personal injury cases), the claim is to be treated as having been finally disposed of.
(b) as to the procedure to be followed where such an appeal is made, and (c) for the purpose of enabling any such appeal to be treated as an application for review under Article 12.
(6) Regulations under paragraph (5)(c) may (among other things) provide that the circumstances in which a review may be carried out are not to be restricted to those specified in Article 12(1).
(b) whether listed benefits which have been, or are likely to be, paid otherwise than in respect of the accident, injury or disease in question have been brought into account.
(3) In determining any question referred to it under paragraph (1), the tribunal shall take into account any decision of a court relating to the same, or any similar, issue arising in connection with the accident, injury or disease in question.
(b) specify any variations which are to be made on the issue of a fresh certificate under paragraph (5).
(5) When the Department has received the decision of the tribunal on the questions referred to the tribunal under paragraph (1), the Department shall in accordance with that decision either -
(b) issue a fresh certificate.
(6) Regulations may make provision -
(b) as to the procedure to be followed where such a reference is made.
(7) Regulations under paragraph (6)(b) may (among other things) provide for the non-disclosure of medical advice or medical evidence given or submitted following a reference under paragraph (1).
(b) the person who applied for the certificate of recoverable benefits, or (c) (in a case where the amount of the compensation payment has been calculated in accordance with Article 10) the injured person or other person to whom the payment is made.
(3) Subsections (7) to (10) of section 21 of the Administration Act apply to appeals under this Article as they apply to appeals under that section.
(b) in consequence of the review or appeal, it appears that the total amount paid is more than the amount that ought to have been paid,
regulations may provide for the Department to pay the difference to that person, or to the person to whom the compensation payment is made, or partly to one and partly to the other.
(b) in consequence of the review or appeal, it appears that the total amount paid is less than the amount that ought to have been paid,
regulations may provide for that person to pay the difference to the Department.
(b) for giving credit for amounts already paid, and (c) for the payment by any person of any balance or the recovery from any person of any excess,
and may provide for any matter by modifying this Order. Court orders 17. - (1) This Article applies where a court makes an order for a compensation payment to be made in any case, unless the order is made with the consent of the injured person and the person by whom the payment is to be made. (2) The court shall, in the case of each head of compensation listed in column (1) of Schedule 2 to which any of the compensation payment is attributable, specify in the order the amount of the compensation payment which is attributable to that head. Payments into court 18. - (1) Regulations may make provision (including provision modifying this Order) for any case in which a payment into court is made. (2) The regulations may (among other things) provide -
(b) for application for, and issue of, certificates of recoverable benefits, and (c) for the relevant period to be treated as ending on a date determined in accordance with the regulations.
(3) Rules of court and county court rules may make provision governing practice and procedure in such cases. Lump sum and periodical payments 20. - (1) Regulations may make provision (including provision modifying this Order) for any case in which two or more compensation payments in the form of lump sums are made by the same person to or in respect of the injured person in consequence of the same accident, injury or disease. (2) The regulations may (among other things) provide -
(b) for giving credit for amounts already paid, and (c) for the payment by any person of any balance or the recovery from any person of any excess.
(3) For the purposes of paragraph (2), the regulations may provide for the gross amounts of the compensation, ,payments to be aggregated and for -
(b) so much of the aggregate amount as is attributable to a head of compensation listed in column (1) of Schedule 2 to be taken to be the part of the gross amount which is attributable to that head,
and for the amount of any recoverable benefit shown against any head in column (2) of that Schedule to be taken to be the amount determined in accordance with the most recent certificate of recoverable benefits.
(b) periodical compensation payments and lump sum compensation payments.
(5) Regulations made by virtue of paragraph (4) may (among other things) provide -
(b) for the person who is to make the payments under the agreement to be treated for the purposes of this Order as if he had made a single compensation payment on a prescribed date.
(6) A periodical payment may be a compensation payment for the purposes of this Article even though it is a small payment (as defined in Part II of Schedule 1).
(b) for calculating or recalculating in accordance with Article 10 the amount of any compensation payment, (c) for giving credit for amounts already paid, and (d) for the payment by any person of any balance or the recovery from any person of any excess.
Amounts overpaid under Article 8
(b) for the receipt by the Department of the amount of the overpayment to be treated as the recovery of that amount.
(3) Regulations made by virtue of paragraph (2)(b) are to have effect in spite of anything in section 69 of the Administration Act (overpayments - general).
(b) for giving credit for amounts already paid, and (c) for the payment by any person of any balance or the recovery from any person of any excess.
(5) This Article does not apply in a case where Article 16 applies.
(b) has in his possession a written acknowledgement of the receipt of his application.
(3) An application complies with this paragraph if it -
(b) specifies the name and address of the person to whom the certificate is to be sent.
(4) The second condition is that the Department has not sent the certificate to the person, at the address, specified in the application, before the end of the period allowed under Article 6.
(b) the person who made the compensation payment nevertheless makes a payment to the Department for which (but for paragraph (1)) he would be liable under Article 8,
paragraph (1) is to cease to apply in relation to the compensation payment.
(b) the Department may continue any such order in force for further periods not exceeding three months at a time.
Liability of insurers
(b) the liability is covered to any extent by a policy of insurance,
the policy is also to be treated as covering any liability of that person under Article 8.
(b) excluding or restricting any right or remedy in respect of the liability, or subjecting a person to any prejudice in consequence of his pursuing any such right or remedy, or (c) excluding or restricting rules of evidence or procedure.
(4) Regulations may in prescribed cases limit the amount of the liability imposed on the insurer by paragraph (1).
(b) anyone acting on behalf of such a person.
(2) A person who receives or claims a listed benefit which is or is likely to be paid in respect of an accident, injury or disease suffered by him, shall give the Department the prescribed information about the accident, injury or disease.
(b) which is referable to any costs incurred by reason of,
any accident, injury or disease, or any damage to property, shall, if the Department requests him in writing to do so, give the Department such particulars relating to the size and composition of the payment as are specified in the request. The Crown 27. This Order binds the Crown to the full extent authorised by the constitutional laws of Northern Ireland. Regulations and orders 28. - (1) Regulations or orders made under this Order other than orders made under Article l(2) or regulations made under Article 26(1) shall be subject to negative resolution. (2) Regulations under Article 22, under Article 26 amending the list of benefits in column (2) of Schedule 2 or under paragraph 9 of Schedule 1 may not be made without the consent of the Department of Finance and Personnel. (3) Subsections (4), (5), (6) and (10) of section 165 of the Administration Act (regulations and orders - general) apply for the purposes of this Order as they apply for the purposes of that Act. Financial arrangements 29. - (1) There shall be paid out of the National Insurance Fund any expenses of the Department in making payments under Article 16 or 22 to the extent that the Department estimates that those payments relate to sums paid out of that Fund. (2) Any sums paid to the Department under Article 8 or 16 shall be paid -
(b) into the National Insurance Fund, to the extent that the Department estimates that they relate to payments out of that Fund.
Power to make transitional, consequential etc. provisions
(b) the operation of any statutory provision repealed or amended by a provision of this Order during any period when the repeal or amendment is not wholly in operation.
(2) Regulations under this Article may (among other things) provide -
(b) for compensation payments in relation to which, by virtue of Article 4, this Order applies to be treated as payments in relation to which this Order does not apply, and (c) for the modification of any statutory provision contained in this Order or referred to in paragraph (1)(b) in its application to any compensation payment.
Consequential amendments and repeals 1. Any small payment (defined in Part II of this Schedule). 2. Any payment made to or for the injured person under Article 14 of the Criminal Justice (Northern Ireland) Order 1994 (compensation orders against convicted persons). 3. Any payment made in the exercise of a discretion out of property held subject to a trust in a case where no more than 50 per cent. by value of the capital contributed to the trust was directly or indirectly provided by persons who are, or are alleged to be, liable in respect of -
(b) the same or any connected accident, injury or disease suffered by another.
4.
Any payment made out of property held for the purposes of any prescribed trust (whether the payment also falls within paragraph 3 or not).
(b) the occurrence of the accident or injury in question.
6.
Any redundancy payment falling to be taken into account in the assessment of damages in respect of an accident, injury or disease. 9. - (1) Regulations may make provision for compensation payments to be disregarded for the purposes of Articles 8 and 10 in prescribed cases where the amount of the compensation payment, or the aggregate amount of two or more connected compensation payments, does not exceed the prescribed sum. (2) A compensation payment disregarded by virtue of this paragraph is referred to in paragraph 1 as a "small payment". (3) For the purposes of this paragraph -
(b) any reference to a compensation payment is a reference to a payment which would be such a payment apart from paragraph 1.
NOTES 1. - (1) The reference to unemployment benefit also includes any income support paid with that benefit on the same instrument of payment or paid concurrently with that benefit by means of an instrument for benefit payment. (2) For the purpose of this Note, income support includes personal expenses addition, special transitional addition and transitional addition as defined in the Income Support (Transitional) Regulations (Northern 2. Any reference to statutory sick pay -
(b) does not include payments made on or after 6th April 1994.
1. In section 3 (measure of damages, etc.), subsections (1), (1 A) and (3) are omitted. 2. Part IV is omitted. 3. - (1) Section 104 (appointment and powers of inspectors) is amended as follows. (2) In subsection (2)(b)(ii), for "relevant" there is substituted "listed". (3) In subsections (2)(c)(iii), (6)(a)(iii) and (7)(e)(ii), for "relevant payment" there is substituted "payment to the Department under Article 8 of the Social Security (Recovery of Benefits) (Northern Ireland) Order 1997". (4) In subsection (3)(d) -
(b) in sub-paragraph (ii), for the words from "any" to the end there is substituted "such a compensation payment has been, may have been, or may be, made".
(5) In subsection (8), the word "and" immediately preceding paragraph (e) is omitted and after that paragraph there is inserted -
(6) For subsection (9) there is substituted -
4.
In section 118(1) (regulations as to notification of deaths) -
(b) after the words "'those Parts" there is inserted "or to that Order".
5.
In section 143 (general financial arrangements), subsections (1)(e) and (2)(d) are omitted.
8.
In section 156 (payment of travelling expenses by the Department), after "1995" (in both places) there is inserted ", the Social Security (Recovery of Benefits) (Northern Ireland) Order 1997".
(b) in paragraph (b), the words "81 or" are omitted.
10.
In section 166(2) (Assembly control of orders and regulations), in paragraph (a) "97(2)," is omitted. 12. At the end of Article 17(2) (social security: amendments following certain orders) there is added "the Social Security (Recovery of Benefits) Act 1997.".
(This note is not part of the Order) This Order is made only for purposes corresponding to those of the Social Security (Recovery of Benefits) Act 1997. It replaces Part IV of the Social Security Administration (Northern Ireland) Act 1992. The principal changes are -
(b) benefits ate deductible by the compensator only from damages awarded for analogous reasons (Article 10); (c) damages for pain and suffering are to be protected from benefit recovery (Article 10).
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