Chapter 3
Incapacity Allowance and Loss of Earnings Allowance
3.1
The changes introduced in Schedule 3 are intended to rationalise the Temporary
Incapacity (TI) Allowance and Loss of Earnings (LOE) Allowance. In effect the
amendments will abolish the TI Allowance from 20 September 2011. This measure
is designed to continue 'the government's commitment to streamlining and
enhancing services and support to our veterans and members and their families'.[1]
3.2
Currently, both allowances are paid under the VEA for a temporary
inability to work due to a war or defence caused condition. They provide
similar compensation, though 'the loss of earnings allowance provides
compensation to a broader group but is restricted to veterans who experience an
actual loss'.[2]
The temporary incapacity allowance
3.3
The TI Allowance is payable to an eligible veteran who has undergone
hospital or other institutional treatment and has been off work for more than
28 days. The 28 days commences from the date of hospitalisation and may include
post-discharge out-patient treatment or post-discharge medically recommended
rest and recuperation.[3]
3.4
Under this provision, there is no requirement that income is actually
lost, but the veteran must have been prevented from undertaking his or her
usual remunerative work for the whole period.
3.5
Temporary incapacity allowance is paid at a rate that is the difference
between disability pension already received and the special (totally and
permanently incapacitated—T&PI) rate. Payment of loss of earnings allowance
for this period will affect the amount of temporary incapacity allowance. If
any lump sum permanent impairment compensation has been received under the Safety,
Rehabilitation and Compensation Act 1988 the payment of temporary
incapacity allowance will be reduced. This applies to lump sum compensation for
any incapacity, irrespective of whether the incapacity is included in the
assessment of the allowance.[4]
3.6
Payment of the allowance will also be affected by any entitlement to
weekly incapacity payments under the Military Rehabilitation and
Compensation Act 2004.
The loss of earnings allowance
3.7
Loss of earnings allowance compensates an eligible veteran for salary,
wages or earnings lost due to absence from work for treatment of war or defence
caused disabilities or to attend certain appointments. It may also compensate
the veteran’s authorised representative or attendant who accompanies the
veteran at the time of receiving treatment or attending the appointments.[5]
3.8
Loss of earnings allowance can be paid where a veteran:
- receives treatment for a war or defence-caused disability
(including waiting for the supply or repair of an artificial limb or other
surgical aid);
- has used part or all of employer provided sick leave for a war or
defence-caused disability, and now has no benefit to cover an absence for
another illness;
- attends an appointment arranged by the department for the
investigation of a claim for disability pension; or
- has an authorised attendant to provide assistance when obtaining
treatment or another person acting on behalf of the veteran in relation to the
veteran’s claim for disability pension, who loses salary, wages or earnings.[6]
The above situations must result in a loss of earnings.[7]
3.9
The amount of loss of earnings allowance payable is: the difference between
the special rate (T&PI) and the veteran’s present disability pension, or the
amount of salary, wages or earnings actually lost (including loadings or other
allowances that would have been payable); whichever is the lesser amount.
3.10
Applications that result in the payment of loss of earnings allowance
will be reduced if any lump sum permanent impairment compensation has been
received under the Safety, Rehabilitation and Compensation Act 1988. The
same rule applies to lump sum compensation for any incapacity, irrespective of
whether the incapacity is included in the assessment of the allowance.
3.11
The maximum amount of compensation that an eligible veteran can receive
under either one or both of these allowances is equivalent to the special rate
(T&PI) of disability pension.
3.12
From 20 September 2011 eligible veterans will have access to the LOE
Allowance only. Thus, payments of temporary incapacity allowance will cease
from this date with future payments made through the LOE Allowance. According
to the Minister:
This measure has no impact on a veteran's or member's
existing disability pension payment. From 20 September 2011, all eligible
veterans and members in this situation will be assessed consistently against
the criteria for loss-of-earnings allowance.[8]
3.13
The change in arrangements will simplify the assessment of eligibility
for payments and better target compensation expenditure. According to the
government, this 'provides greater simplicity for clients in understanding
their entitlements'.[9]
The department explained:
In order to receive the LOE Allowance, the veteran or member
must have experienced some loss of earnings, which is not a requirement for
TIA. Veterans or members who do not suffer a loss of earnings are not eligible
to receive the loss of earnings allowance.[10]
3.14
Approximately 200 veterans or members received TI Allowance in the last
12 months. Those receiving TI Allowance that are not eligible for the LOE
Allowance from 20 September 2011 will not receive any allowance as they have
not suffered a loss of earnings during their temporary incapacity. Any veteran
on TI Allowance at that time will need to apply for LOE allowance.
3.15
There are transitional provisions whereby veterans and members will be
able to claim TI Allowance within 12 months of the commencement of the
treatment, if the treatment period commenced prior to 20 September 2011. The
department explained further that:
Transitional provisions will also mean that veterans and
members may be eligible for TIA for any period of treatment that commences in
the four weeks prior to 20 September 2011, where the treatment period would
extend beyond four weeks, they would still receive TIA for the period up to and
including 19 September 2011.[11]
3.16
Although not opposed to 'this rationalisation, the opposition called on
the government to ensure the changes are appropriately and effectively
communicated to the veterans and ex-service community'.[12]
More broadly, the committee considers the importance of keeping veterans
informed about entitlements and changes to policy or procedures later in this
report.
3.17
The bill 'will remove the current overlap in the allowances paid to
veterans and members who are unable to work due to episodes of medical
treatment and recuperation for war or defence caused injuries or diseases'.[13]
3.18
No concerns were raised about this measure during the committee's
inquiry.
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