The information requested is as follows:
Illness benefit claims from 1 January 2014 to 31 March 2015
Claims allowed
|
Claims disallowed
|
203,155
|
76,319
|
For illness benefit statistical purposes - allowed/granted means claims awarded with a payment rate greater than zero. Claims that are disallowed/refused can come under a number of categories the most common being cases where a customer has no entitlement to payment on the basis of submitting a medical certificate for less than 7 days or insufficient PRSI contributions paid. The breakdown of illness benefit claims by county is as follows:
Illness Benefit claims Allowed (granted) between 01/01/2014 and 31/03/2015 by County
County
|
Count
|
%
|
Dublin
|
56,191
|
27.66%
|
Cork
|
24,570
|
12.09%
|
Galway
|
11,412
|
5.62%
|
Kildare
|
9,866
|
4.86%
|
Limerick
|
9,194
|
4.53%
|
Meath
|
8,544
|
4.21%
|
Tipperary
|
7,063
|
3.48%
|
Louth
|
6,367
|
3.13%
|
Kerry
|
5,871
|
2.89%
|
Mayo
|
5,705
|
2.81%
|
Wicklow
|
5,524
|
2.72%
|
Wexford
|
5,447
|
2.68%
|
Donegal
|
4,986
|
2.45%
|
Waterford
|
4,955
|
2.44%
|
Clare
|
4,519
|
2.22%
|
Westmeath
|
3,966
|
1.95%
|
Laois
|
3,438
|
1.69%
|
Offaly
|
3,395
|
1.67%
|
Kilkenny
|
3,379
|
1.66%
|
Sligo
|
3,191
|
1.57%
|
Cavan
|
3,088
|
1.52%
|
Carlow
|
3,020
|
1.49%
|
Roscommon
|
2,672
|
1.32%
|
Monaghan
|
2,324
|
1.14%
|
Longford
|
1,658
|
0.82%
|
Ex-State
|
1,425
|
0.70%
|
Leitrim
|
1,387
|
0.68%
|
Total
|
203,155
|
100.00%
|
Illness Benefit claims disallowed (refused) between 01/01/2014 and 31/03/2015 by County
-
|
Count
|
%
|
Dublin
|
23,563
|
30.87%
|
Cork
|
8,449
|
11.07%
|
Galway
|
4,200
|
5.50%
|
Kildare
|
3,750
|
4.91%
|
Limerick
|
3,216
|
4.21%
|
Meath
|
3,137
|
4.11%
|
Tipperary
|
2,659
|
3.48%
|
Louth
|
2,527
|
3.31%
|
Mayo
|
2,065
|
2.71%
|
Kerry
|
2,043
|
2.68%
|
Wexford
|
2,042
|
2.68%
|
Wicklow
|
2,016
|
2.64%
|
Donegal
|
1,845
|
2.42%
|
Clare
|
1,512
|
1.98%
|
Waterford
|
1,504
|
1.97%
|
Westmeath
|
1,365
|
1.79%
|
Laois
|
1,229
|
1.61%
|
Carlow
|
1,210
|
1.59%
|
Sligo
|
1,168
|
1.53%
|
Kilkenny
|
1,155
|
1.51%
|
Cavan
|
1,129
|
1.48%
|
Offaly
|
1,059
|
1.39%
|
Roscommon
|
979
|
1.28%
|
Monaghan
|
807
|
1.06%
|
Longford
|
631
|
0.83%
|
Leitrim
|
609
|
0.80%
|
Ex-State
|
450
|
0.59%
|
Total
|
76,319
|
100.00%
|
The average time taken to process illness benefit appeals decided by summary decision in 2014 was 29.5 weeks and 34.8 weeks for those requiring an oral hearing. The average time for 2015 to the end of March was 24.4 weeks for summary decision and 32.0 weeks for oral hearing. The number of illness benefit appeals decided by oral hearing in 2014 was 242 of which 138 ( 57%) had a successful outcome for the appellant. In 2015 to the end of March the number decided by oral hearing was 47 of which 24 ( 51.1 %) had a successful outcome.
Tabular format as follows:
Processing times for illness benefit appeals 2014-2015 Breakdown by summary decision and oral hearing
-
|
Average processing times (weeks)
Summary Decisions
|
Average processing
times (weeks)
Oral Hearings
|
2014
|
29.5
|
34.8
|
2015 to end of March
|
24.4
|
32.0
|
Oral hearings 2014-2015
-
|
Favourable
|
Unfavourable
|
Total
|
2014
|
138 (57.0%)
|
104 (43%)
|
242
|
2015 to end March
|
24 (51.1%)
|
23 (48.9%)
|
47
|