Compensation recovery

If you have had an injury or a disease and someone else is to blame, you may claim compensation. If you are getting a social security benefit it may affect your compensation. The following information tells you which benefits affect compensation and how it is affected.

Compensation and social security benefits

If you claim compensation, the person or company you are claiming from (the compensator) must tell the Compensation Recovery Scheme. The compensator is the person or organisation likely to be paying the compensation.

If you have claimed or received compensation and received a social security benefit because of your accident, injury or disease, the compensator has to pay back the amount of social security benefit you have received to the Department for Communities.

The amount the compensator has to pay equals the total benefit you are paid from the day after the accident or injury to the date of the final compensation payment or for up to five years – whichever is earlier.

If you have claimed benefit because of a disease, the amount the compensator has to pay is worked out from the day you first claimed a benefit because of the disease.

Reducing your compensation payment

Your compensation award may consist of four separate elements:

loss of earnings
cost of care
loss of mobility
pain and suffering

If you are awarded compensation under the first three elements, the compensator may reduce your compensation if you have had benefit to meet the same need. The benefits that might affect your compensation are:

Disability Working Allowance
Incapacity Benefit
Income Support
Industrial Injuries Disablement Benefit
Invalidity Pension
Invalidity Allowance
Jobseeker’s Allowance
Reduced Earnings Allowance
Severe Disablement Allowance
Sickness Benefit
Unemployability Supplement
Universal Credit

An example is if you were awarded compensation for loss of earnings and you were also paid Jobseeker’s Allowance as a result of the incident.

The compensator can reduce the loss of earnings element of your compensation by the amount of Jobseeker’s Allowance you were paid.

If the compensator reduces your compensation payment in this way you must be sent a breakdown of the calculation. Compensation for pain and suffering cannot be reduced in any circumstances.

Effect of compensation on Retirement Pension

Retirement Pension does not have to be paid back from compensation but if you get any of the benefits shown above after retirement age, they may have to be paid back.

Effect of compensation on War Pensions

If you get a pension from the Service Personnel and Veterans Agency, this may go down because of your compensation.

Check the facts when you are awarded compensation

The Compensation Recovery Scheme sends a certificate of recoverable benefit to the compensator and a copy of the certificate to you or your representative. The certificate shows how much benefit, if any, the compensator has to pay back to the Department for Communities.

If you do not agree with the information on the certificate, you, or someone who has the authority to act for you, can ask the Department for Communities to look at the decision again.

It can only change the certificate if:

the Compensation Recovery Scheme has made a mistake in preparing the certificate
the Compensation Recovery Scheme has recovered an amount more than the amount due
the amount of benefit/lump sum(s) written on the Certificate is less than it should be because the Compensation Recovery Scheme was not supplied with the right information
the Department for Communities is satisfied that one of the grounds for appeal listed in Article 13 of the Social Security (Recovery of Benefits) (Northern Ireland) Order 1997 is met
Recovery of Benefits and Health Service (HS) charges - Leaflet Z1
Compensation Recovery Scheme

If you are receiving benefit

You must tell the office that pays your benefit as soon as you get your compensation if you receive:

Employment and Support Allowance
Income Support
Working Tax Credit
Jobseeker’s Allowance
Housing Benefit
Rates Relief
Pension Credit
Universal Credit

If you get a pension from the Service Personnel and Veterans Agency, you must let them know.

Contacting 08 and 03 numbers

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