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Illness Benefit Payments

Dáil Éireann Debate, Wednesday - 15 April 2015

Wednesday, 15 April 2015

Ceisteanna (85)

Tom Fleming

Ceist:

85. Deputy Tom Fleming asked the Tánaiste and Minister for Social Protection if she will provide, in tabular form, by county, the number of recipients of illness benefit granted and refused from 1 January 2014 to date in 2015; the average waiting time for decisions on appeals; the number of appeals referred for independent oral appeal; and the percentage of these approved and refused. [14488/15]

Amharc ar fhreagra

Freagraí scríofa

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

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