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staff-030: How does IIDB relate to PIP?

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source-c040: DMG Vol 11 Ch 69: Disablement benefits — PDF page 3

Official source · Exact excerpt and hashes

IIDB conditions and historical claim-date distinctions; not a whole interoperability rule set.

69010 To become entitled to IIDB an employed earner must establish that


1. as a result of an IA, a loss of physical or mental faculty occurs for which disablement is assessed at not

less than 14%1or


2. as a result of more than one accident, losses of physical or mental faculty occur, for each of which

disablement is assessed at less than 14% but which in total amount to 14% or more 2or


3. in pneumoconiosis and byssinosis cases, disablement is assessed, or treated as assessed, at not less

than 1%3or


4. in the case of claims for occupational deafness, disablement is assessed at not less than 20% 4.


                            1 SS CB Act 92, s 103(1); 2 s 103(2)(a)(b); 3 SS (II) (PD) Regs, reg 20; 4 reg 34(6)



Provision of NINO

69011 For IIDB there is a specific requirement1 for a claimant to provide sufficient information or
evidence to establish their NINO. See DMG 02172 et seq for full guidance.


                                                                                   1 SS A Act 92, s 1(1A) & (1B)

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source-c041: DMG Vol 11 Ch 69: Disablement benefits — PDF page 42

Official source · Exact excerpt and hashes

Industrial Injuries CAA candidate; must not be silently equated with a war-pension allowance.

69310 Entitlement to CAA may arise where


1. Dis P is paid in respect of 100% disablement1


2. there is entitlement to weekly payments under the relevant legislation2 or any certified contracting-

out scheme and the disablement would be assessed at 100% 3


3. certain former constables and fire-fighters are entitled to injury pension and the disablement would be

assessed at 100%4.


          1 SS CB Act 92, 104(1); 2 Workmen’s Compensation Acts; 3 SS (Gen Ben) Regs, reg 43; 4 reg 44


69311 The medical adviser will advise on the need for constant attendance when they are considering an
IIDB referral and their recommended level of disablement is 95% or greater. In addition to the usual
medical reports on the claim for IIDB, the medical adviser will give specific medical advice about CAA on
form BI118D.


69312 While decisions on CAA can be reconsidered by the DM, there is no right of appeal against a

decision on CAA1 so it is important to consider all the relevant facts fully before making a decision.


                                                                      1 SS CS (D&A) Regs, Sch 2, para 14(a)


69313 - 69319


Primary conditions
69320 The primary conditions for a grant of CAA 1 are


1. the claimant’s disablement resulting from the relevant accident or disease must total at least 95% as
that percentage


      1.1 is rounded to 100% and


      1.2 is paid at the 100% rate and


      1.3 may be made up by

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source-c034: DMG Vol 3 Ch 17: Overlapping benefits — PDF page 11

Official source · Exact excerpt and hashes

Overlapping-benefit table continuation includes PIP daily living and attendance-related benefits; preceding definitions and exact scheme must be retained.

17086 The II and non-Act benefits referred to in Column 2 of DMG 17085 are


1. US and age related increases


2. CAA awarded under the II scheme1


3. any personal injuries scheme2 payment made under certain legislation3


4. any service pensions instrument (see DMG 17092)


5. the PB and MDB (see Benefit Specific Guidance)


6. the WC (Supp) (see Benefit Specific Guidance) the general benefit rules for former constables and

firefighters4


7. IDB5


8. war pension death benefit (see DMG 17095)


9. training allowances (see DMG 17101)

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