Under scheme legislation, CSS and PSS members may be eligible to claim a Partial Invalidity Pension Payment (PIP) or Pre-Assessment Payment (PAP) as a result of a medical condition that results in either:
- a likelihood of Total and Permanent incapacity (PAPs)
- a reduction in salary or allowance, a reduction in hours, or a reduction in position or level (PIPs).
NOTE: medical conditions that are subject to accepted compensation claims are not eligible for payment under these provisions.
In order to be considered for these payments, you need to notify us in the event of a specific circumstance. Notification is a key eligibility factor. If we aren't notified we may not be able to pay the amounts that the member may be eligible for.
Details of the specific circumstances are outlined below.
An employee is off work because of a serious medical condition.
Once a period of continuous 'sick' leave exceeds 28 calendar days (>28)
At the time we request information the member has been away for more than 28 days continuously with a serious medical condition.
Pre-Assessment Payment (PAP).
Employee's salary (or recognised allowances), hours, or level is permanently reduced for health reasons.
Partial Invalidity Pension Payment (PIP).
Employee was an invalidity pensioner immediately before last becoming a member.
Partial Invalidity Pension Payment (PIP).
You should note that we will determine the date that a PIP or PAP will become payable.
This notification should be sent by email to:
Additional information required
Subsequent to applying for a payment under these provisions, we will seek the following information either from you or the member to help us determine if the member qualifies for a payment.
We are authorised to seek this information under the scheme legislation to assist in determining both the member's eligibility and the amounts payable if eligible.
|Pre-Assessment Payment (PAP)||Partial Invalidity Pension Payment (PIP)|
Value of payments
The value of these payments is determined by a number of factors. We will send written advice to you confirming the approval of PAPs or PIPs, including eligibility dates, rates of payments and information about reimbursement procedures.
Where an agency has made an overpayment, it is the responsibility of the agency to recover the amounts from the member.
Our reviews will be conducted through a six monthly audit; however it should be noted that you are required to notify us immediately if a member in receipt of a PIP has a change in their situation.
During a PIP review, a member will only need to undergo a medical examination if their situation has changed.
If their situation has not changed, employers will be asked to notify us in writing to confirm.
If their situation has changed, employers will be asked to provide the following documents:
- any medical reports held on file which have been obtained since the last assessment
- a report resulting from an assessment by an Occupational Physician (OP), conforming to an attached Help Sheet
- a report from the treating doctor conforming to an attached Help Sheet
- a copy of the new part time agreement/delegate’s statement
- salary details.
What does Totally and Permanently Incapacitated mean?
For CSS members, Part 54B of the Superannuation Act 1976 (Part 54B) states:
For the purposes of this Part a person is totally and permanently incapacitated if, because of a mental or physical condition, it is unlikely that the person will ever be able to work in any employment or hold any office for which the person:
(a) is reasonably qualified by education, training or experience; or
(b) could become reasonably qualified after retraining.
For PSS members, Rule 1.2.1 of the Public Sector Superannuation Trust Deed states:
Totally and permanently incapacitated means that, because of a physical or mental condition, the person is unlikely ever to work again in a job for which he/she is:
- reasonably qualified by education, training or experience; or
- could be so qualified after retraining.
What this means is Commonwealth Superannuation Corporation (CSC) will agree to invalidity retirement and payment of invalidity retirement benefits, if satisfied that the member is suffering from a permanent medical condition which is likely to prevent the member from ever working again, and which prevents the member from being retrained for any other suitable position.
This is a strict criterion and means more than unfit to perform the full duties of the position.
CSC will, when applying the TPI criterion, assess the member's potential for employment both within and outside the Public Sector.
If you have any questions or need further information about PIPs and PAPs and the obligations of employers, please contact Casework Services:
Phone: 1300 338 240