WARNING:
This Digest was prepared for debate. It reflects the legislation as
introduced and does not canvass subsequent amendments. This Digest
does not have any official legal status. Other sources should be
consulted to determine the subsequent official status of the
Bill.
CONTENTS
Passage History
Purpose
Background
Main Provisions
Concluding Comments
Endnotes
Contact Officer and Copyright Details
Compensation for Non-Economic Loss (Social Security and
Veterans' Entitlements Legislation Amendment) Bill
1999
Date Introduced: 25 March 1999
House: House of Representatives
Portfolio: Family and Community Services and Veterans'
Affairs
Commencement: Amendments to the Social Security Act
1991 (Schedule 1) and to the Veterans' Entitlements Act
1986 (Schedule 2) are to be declared by Proclamation after
receipt of Royal Assent. If Schedules 1 and 2 have not commenced
within 12 months of Royal Assent, they commence one year and one
day after Royal Assent.
To make the use of periodic payments for
compensation for non-economic loss more attractive to social
security recipients than the use of lump sum payments. Non-economic
loss lump sum compensation payments, which until now have been
disregarded in setting the rate of income support payments, will be
treated in such a way as to affect the rate of those payments.
Introduction
The proposal is to no longer disregard
non-economic loss compensation as income for income support
payments paid under both the Social Security Act 1991 and
the Veterans' Entitlements Act 1986. It was announced in
the 1998-99 Budget.(1)
Estimated savings
The projected savings as outlined in the 1998-99
Budget papers are $9.080 million in 1999-2000, $19.519 million in
2000-2001 and $20.009 million in 2001-2002.
The Budget Papers project savings of about $20
million a year by 2001-2002. This will be mainly achieved by the
income testing of non-economic loss lump sum payments, but actual
savings will depend on the size of lump sum payments made and the
reaction of the compensation and insurance industry to the changes.
The savings do not factor in the cost involved for those who elect
to take the benefit of the concessions offered for periodic
payments of non-economic loss. This means the savings refer only to
that which will be achieved by treating as income non-economic loss
payments received as a lump sum.(2)
An estimated cost saving per State was provided
to a question taken on notice at Senate Estimates on 2 June
1998.
|
|
($m)
|
($m)
|
($m)
|
|
|
1999-00
|
2000-01
|
2001-02
|
NSW
|
43%
|
-6.651
|
-13.301
|
13.301
|
VIC
|
22%
|
-1.465
|
-2.931
|
-2.931
|
Others
|
35%
|
-1.693
|
-3.386
|
-3.386
|
(There was insufficient data to provide a
breakdown for the States other than for NSW and Vic)(3)
Income support payments are means tested
to target assistance to those in need
The Social Security Act 1991 (SSA) and
the Veterans' Entitlements Act 1986 (VEA) provide income
support payments for persons in need, where they are unable, or
cannot be expected to, provide for their own livelihood. This may
be due to reasons of age, illness/disability, unemployment, caring
for another person, being a sole parent and so on.
Almost all income support payments paid under
the SSA and the VEA are means tested, to ensure payment is directed
to those most in need and not to persons who can otherwise provide
for themselves. The means test comprises the income and assets
tests.
The most common form of self-support for those
of working age is income from employment, but self-support may also
be obtained from income from savings and investments, or overseas
pensions, or provided from other sources, to replace lost earnings
from employment such as compensation.
What is compensation?
Under subsection 17(2) of the SSA compensation
means:
(a) a payment of damages; or
(b) a payment under a scheme of insurance or
compensation under a Commonwealth, State or Territory law,
including a payment under a contract entered into under such a
scheme; or
(c) a payment (with or without admission of
liability) in settlement of a claim for damages or a claim under
such an insurance scheme; or
(d) any other compensation or damages
payment;
(whether the payment is in the form of a lump
sum or in the form of a series of periodic payments) that is:
(e) made wholly or partly in respect of lost
earnings or lost capacity to earn; and
(f) made either within or outside Australia.
Compensation may be received in regular payments
or as a lump sum. Compensation payments are commonly provided as
replacement wages or lost earnings, as the person is no longer able
to work due to their illness/injury. This is commonly called
economic loss compensation and is also known as pecuniary loss.
What are non-economic loss compensation
payments?
There are dangers in definitively categorising
what constitutes non-economic loss compensation, as definitions
vary between jurisdictions. Non-economic loss compensation commonly
refers to payments:
-
- under a Table of Maims Schedule, ie. a pre-set amount for a
specified loss, such as loss of limb
-
- for an impairment
-
- for pain and suffering
-
- for loss of enjoyment of life, and
-
- for medical expenses (this can be categorised as economic loss
payment in some jurisdictions).
Rationale for special rules in the SSA
and the VEA for the treatment of compensation for loss of
earnings
There are special rules in the SSA and the VEA
for the treatment of compensation provided as replacement earnings.
These special provisions are to ensure that persons, who are able
to access income support from compensation, cannot at the same time
access assistance from government-provided income support. It has
been a long-standing view of successive governments that the
compensation system has the first responsibility for the provision
of income support to those with a compensable illness or injury,
not the taxpayer by way of government support.
The foremost concern of governments has been
that there should not be any double dipping, that is receiving
compensation for lost earnings from a compensation payer or insurer
while at the same time receiving government income support.
Overview of current treatment of
compensation against income support entitlements provided under the
SSA and the VEA
Periodic payments of compensation for economic
loss, such as lost earnings from employment, reduce a person's
entitlement to income support payments, paid under the SSA or VEA,
on a dollar-for-dollar basis. These payments, being payments for
lost salaries/wages, therefore provide income support.
Lump sum compensation payments are examined to
identify the component that has been paid for lost salary or wages,
being the part for lost earning capacity. Where a court or tribunal
ascribes the part for economic loss within a lump sum payment, this
is usually accepted.
Where there is no court or tribunal attribution
for economic loss (commonly in out of court settlements), the SSA
or VEA ascribes 50 per cent of the sum as being for economic loss.
The residual 50 per cent is then ascribed for other non-economic
loss items such as pain and suffering and loss of enjoyment of
life.
To then determine the impact of the 50 per cent
ascribed for lost salaries/wages, there is a statutory formula
within the SSA and the VEA. Under the formula, the 50 per cent is
divided by the single pension cut-off figure under the pensions
income test (ie. currently $833.60 per fortnight), to set a number
of weeks for which the sum provides replacement earnings. This
number of weeks is then taken to have commenced either from the
date periodic compensation payments stopped or the day the loss of
earnings began. This is often the date of injury or illness. This
period is known as the lump sum preclusion period for income
support payments. It does not apply to the entitlement of the
recipient's partner to payments. The length of the lump sum
preclusion period is largely determined by the size of the lump sum
payment, as under the statutory formula, the amount of the lump sum
is divided by the single pension cut-off figure, to arrive at a
number of weeks for the period. Therefore, the larger the amount,
the longer the preclusion period.
Payments for lost earnings, ie. for economic
loss can reduce the rate of income support otherwise payable on a
dollar-for-dollar basis, or a 50 cents in the dollar basis. A
dollar-for-dollar deduction is applied where the compensation
recipient is either single, or, if partnered, his or her partner is
not in receipt of a compensation affected payment paid under the
SSA or VEA. The 50 cents in the dollar deduction applies to each
payment, where the compensation recipient and his or her partner
are both in receipt of a compensation affected payment, paid under
the SSA or the VEA. This 50 cents in the dollar application is the
same as the normal income test rules, in which the incomes of both
members of a couple are combined and then halved, to equally affect
the rate of both payments.
Features of and problems with lump sum
compensation settlements
Lump sum payments in out-of-court settlements of
compensation claims are far more common than court or tribunal
awards and there are several reasons for this:
-
- the insurer has more control over the pay-out amount
-
- the insurer avoids the setting of legal precedents on both
decisions and award amounts by the courts
-
- the payment can be kept confidential and it avoids the
settlement becoming public information
-
- where the insured is of limited financial means, his or her
legal representative is far more likely to recover full legal costs
immediately, rather than waiting for full or part payment over
time
-
- the insurer avoids the extra cost and effort involved with
administering on-going payments and also for on-going medical
expenses that are commonly met while payments are continuing,
and
-
- there can be a significant cost saving to the insurer,
especially in cases where the insured is young, has a long period
before reaching retirement age, and therefore there is a long-term
liability for income support, eg. 20 to 40 years.
Large lump sums look attractive but invariably
do not provide the equivalent, in monetary terms, as ongoing
long-term payments. Otherwise insurers would not prefer and
encourage lump sum settlements.
Incidence of non-economic lump sum
payments compared to periodic payments
Senator Belinda Neal requested the following
information at Senate Estimates on 2 June 1998:
Provide a breakdown on a State-by-State basis of
what proportion of non-economic loss payments are paid as a lump
sum and what proportion are paid periodically.(4)
The question was taken on notice and a response
provided in August 1998(5). A summation of the main points in the
response provided by the Department of Social Security is:
-
- Victoria, through the Victorian Traffic Accident Commission
(VTAC), is the only jurisdiction that currently offers periodic
payments for non-economic loss compensation
-
- the VTAC advise that the large majority of accident survivors
elect for lump sums
-
- for all other States, 100 per cent of compensation recipients
take lump sums, and
-
- the Victorian WorkCover Authority is yet to commence periodic
payments under its new statutory scheme
Clearly, payments of non-economic loss
compensation are currently almost wholly paid in the form of lumps
sums, meaning the proposal to treat such payments as income will
have a very significant impact on those recipients also seeking
income support assistance under the SSA and the VEA.
Estimated numbers affected - by size of
lump sum payment
Estimated impact on compensation recipients - by size of
lump sum payment
(Based on 1995-96 Victorian WorkCover statistical
data)
Ranges of non-economic loss payments
(initial instalment or lump sum)
|
Average size of non-economic loss payment (ie. mid-point)
|
Amount to annualise
(ie. in excess of $10,000)
|
Income per fortnight from annualising this excess
|
Potential number of recipients affected
|
Actual numbers of clients affected by this initiative
|
|
|
|
|
|
Winners
|
Reduced
|
Cancelled
|
Total
|
$1 - $10,000
|
5,000
|
0
|
$0
|
3,611
|
1,750
|
0
|
0
|
1,750
|
$10,000 - $13,000
|
11,500
|
1,500
|
$57.69
|
1,083
|
461
|
142
|
0
|
603
|
$13,000 - $26,000
|
19,500
|
9,500
|
$365.38
|
3,132
|
0
|
2,544
|
184
|
2,728
|
$26,000 - $50,000
|
38,000
|
28,000
|
$1,076.92
|
1,235
|
0
|
246
|
950
|
1,196
|
$50,000 - $75,000
|
67,500
|
52,500
|
$2,019.23
|
287
|
0
|
0
|
279
|
279
|
$75,000+
|
100,000
|
90,000
|
$3,461.54
|
252
|
0
|
0
|
244
|
244
|
Totals
9,600
Percentage
|
2,211
(33%)
|
2,932
(43%)
|
1,657
(24%)
|
6,800
|
-
- This data is extrapolated from 1995-96 WorkCover and other
statistical data
-
- It shows Australia wide, some 60,000 non-economic loss lump
sums were paid in 1995-96, from which, only 16 per cent could
potentially be SSA customers at that time, when non-economic loss
lump sum is paid.
-
- This means for that the other 84 per cent of those who receive
their lump sum have either returned to work or are receiving
long-term periodic lump sum payments.(6)
The notes to this Table provided by the
Department of Social Security (DSS), highlights that 84 per cent of
those persons paid a non-economic loss lump sum did not approach
the DSS for income support assistance. The notes also claim that
this was for reasons that the person was either receiving long-term
economic loss payments or had returned to work. The other reasons
not mentioned as to why DSS may not have been approached would be
due to partner's income or the person approached DVA.
Misuse and misconceptions about
compensation settlements
The primary purpose of compensation is to
provide an injured person with a means of support, as the person
can no longer do so for themself (either partially or wholly),
having been injured or become ill.
However, it is a commonly held belief in the
community that lump sum compensation settlements are a 'reward' and
can be used as such. Consequently, there are problems and issues
arising from compensation settlements being provided in the form of
lump sums.
Recipients tend to spend the money on items for
which the compensation was not intended, such as paying of debts,
for example, residential mortgages, making significant
house/residential upgrading, gambling, paying other family debts,
holidays, and consumer items such as cars and boats. This is use of
the compensation monies not for the purpose of the compensation
payment, which often leaves them with little or no other means of
support.
This issue of the dissipation of awards was
noted by Harold Luntz, in an academic study on the assessment of
damages for personal injury and death. He noted that there had been
few proper studies to identify what plaintiffs actually do with
damages awarded. Such studies as there have been revealed that
lumps sums are usually quickly spent in discharging debts
accumulated between the accident and the payment, in buying
furniture, household appliances or motor vehicles and occasionally
in paying off the mortgage of the house. Given the view of
compensation in the community, this is economically rational
behaviour.
Luntz noted there had been discussions about
whether the law would be justified in adopting a paternalistic
attitude towards plaintiffs to protect them against their own
prodigality and taxpayers against their becoming burdens on social
security. However, it is arguable that since the funds for damages
are mostly made through compulsory insurance, the State has an
obligation to see that the funds are used to meet the needs for
which they were created.(7)
Payment preferences of the
insured
In discussing the payment preferences of the
insured, Luntz referred to surveys in Australia showing that
support for periodic payments is not strong and little use had been
made of the periodic payment options available in Western and South
Australia. Luntz further noted that until recently lump sum
payments could be used to pay for a house and other assets and
still allow the insured access to social security payments, whereas
periodic payments would preclude such access.(8) In short, for some
time the treatment of compensation payments under the SSA actually
encouraged lump sum payments and discouraged periodic payments.
Payment preferences of insurance
industry
Luntz provided some views about the attitudes of
the insurance industry to the lump sum versus periodic payments
debate. Objections to periodic payments feature insurance companies
anxious to 'close their books', to 'know where they stand' on
particular claims. Luntz viewed this as somewhat strange, coming
from an industry built on the twin bases of pooling of losses and
actuarial prediction.(9)
Benefits of periodic payments
The main benefit of periodic payments over lump
sum payouts is that it provides the insured person with an ongoing
means of support and certainty about their income. It also allows
them time to make any lifestyle adjustments required for their
injury/illness and any changes in the level of their income.
Purpose and aims of the proposed changes
to the treatment of non-economic loss compensation payments
The proposed changes to the treatment of
non-economic loss compensation payments are aimed at encouraging
periodic payments, and discouraging lump sum payments, for
non-economic loss. To achieve this there is a 'carrot and stick'
approach for both recipients and insurers.
The 'stick'
Currently, any lump sum amount paid for
compensation for non-economic loss is disregarded for the lump sum
preclusion provisions and also for the ordinary income test. There
are two elements to the 'stick' in the proposed provisions. First,
any lump sum amounts paid for non-economic loss that are in excess
of $10,000 will have that part in excess of $10,000, treated as
ordinary income spread over the ensuing 26 weeks. The second part
of the 'stick' is that any subsequent lump sum payments in excess
of $2,000, paid within a 28 days period, will have the whole amount
of the second and subsequent payment(s) treated as income under the
income test. This 'stick' element of the provisions is designed to
discourage large and one-off lump sum payments for non-economic
loss.
The 'carrot'
The 'carrot' element of the proposal has three
parts. The first element is the $10,000 disregard for the first
lump sum payment for non-economic loss, clearly designed to
encourage smaller payments. The second element of the 'carrot' is
the disregard of payments of up to $2,000 for second and subsequent
payments made within a 28 day period and is also clearly designed
to encourage regular small payments.
The third element to the 'carrot' refers to the
proposed insertion of concessional arrangements to be applied where
non-economic payments are paid by way of an 'income stream'
product, as defined in subsection 9(1) of the SSA:
income stream
means:
(a) an income stream arising under arrangements that are
regulated by the Superannuation Industry (Supervision) Act
1993, or
(b) an income stream arising under a public sector scheme
(within the meaning of that Act), or
(c) an income stream arising under a retirement savings account,
or
(d) an income stream provided by a life insurance business
(within the meaning of the Life Insurance Act 1995),
or
(e) an income stream provided by a friendly society (within the
meaning of the Income Tax Assessment Act), or
(f) an income stream designated in writing by the Secretary for
the purposes of this definition, having regard to the guidelines
determined under subsection (1E),
but does not include any of the following:
(g) available money,
(h) deposit money,
(i) a managed investment,
(j) a listed security,
(k) a loan that has not been repaid in full,
(l) an unlisted public security, and
- gold, silver or platinum bullion.
An income stream product is one where a regular
series of payments are made directly from an accumulated account
generated from either superannuation contributions or from
purchasing an account with a lump sum. Common examples of where an
income stream product is purchased are:
-
- a roll-over amount from another superannuation fund
-
- ordinary savings, or
-
- a superannuation payout on which lump sum tax has been
paid.
The Explanatory Memorandum attached to the Bill
does not set out or describe in what circumstances the proposed
concessional arrangements will be applied to income stream
products; with the Bill merely allowing for regulations to be
applied.
This move to applying concessions to life stream
products is somewhat at odds with the removal of the assets test
exemption for superannuation, for persons aged 55 or more and
receiving income support for nine months or more, which commenced
as of September 1997. This change was effected by the Social
Security Legislation Amendment (Further Budget and Other Measures)
Act 1996(10).
The 'carrot' and 'stick' provide only
indirect encouragement and coercion
The 'carrot' and 'stick' elements in this
proposal provide only indirect encouragement and coercion to
insurance companies and legal advisers to opt for periodic
payments, rather than lump sum payments. There is no real immediate
benefit for insurers, and as discussed in Features of and
problems with lump sum compensation settlements, above, there
are still significant incentives for insurers to shy away from
periodic payments. This especially applies in regards to the
on-going cost of administering and providing periodic payments.
Likewise, the proposal does not directly and
immediately impact on legal advisers, and there is still an
incentive for legal advisers to press for lump sum pay outs,
thereby gaining greater surety in receiving their legal fees.
Previous attempt to regard non-economic
loss compensation payments as income
In the 1993-94 Budget, the then government
announced a proposal to apply the compensation provisions of the
SSA to all lump sum compensation payments, regardless of whether
there was any component for economic loss (lost
wages/earnings).
At the time of the proposal, there had to be an
identifiable element of economic loss in the lump sum, for the SSA
compensation provisions to be applied.(11) Under the proposal,
where a lump sum had been given and no apportionment had been made
for economic loss, the compensation provisions of the SSA would be
applied.
The proposed amendments to the SSA for the
compensation measures were presented in the Social Security (Budget
and Other Measures) Legislation Amendment Bill 1993.(12) Due to
concerns about the potential impact of the compensation changes,
raised by the non-government parties in the Senate, the then
government agreed to the withdrawal of the compensation provisions
presented in the 1993 Bill.(13)
Social Security Act
1991
Schedule
1 amends the Social Security Act 1991 (SSA).
Item 2 of Schedule 1 repeals the
definition of 'compensation payer' and substitutes a definition
that includes a reference to a person or an authority of a State or
Territory that makes a payment solely to compensate for
non-economic loss.
Item 3 amends the definition of
compensation in the SSA, so that provisions that refer to payments
made solely to compensate for non-economic loss are not included in
the definition. It appears that as a matter of policy, certain
compensation payments, including criminal injuries compensation,
compensation for sexual harassment or racial discrimination are
disregarded under the SSA.
Item 5 amends subsection 17(6)
so that certain references to an 'insurer' include insurers who are
liable for a claim for a payment made solely to compensate for
non-economic loss.
Item 6 inserts new
section 17B, which provides that for the purposes of the
SSA, some payments will be taken to be made solely to compensate
for non-economic loss. Payments will be taken to be made for such
loss if they are a payment of damages, or a payment under a scheme
of insurance or compensation, or a payment in settlement of a claim
for damages, or are made to compensate the person for an injury or
disease, and no part of the payment is in respect of lost earnings
or lost capacity to earn (new subsection
17B(1)).
Payments of a disability pension under the VEA
are not to be taken as made solely to compensate for non-economic
loss (new subsection 17B(2)). Nor are payments to
which subsection 17(2B) applies, that is, where a person receives
more than one lump sum payment from injuries arising from the same
event, and at least one of the payments is made wholly or partly in
respect of lost earnings or lost capacity to earn.
Proposed subsection 17B(4)
provides that subsection 17B(1) will not apply to
certain payments. These are payments made to an injured or diseased
person where the payment arises out of a circumstance or event that
caused or contributed to the injury or disease, or is the result of
the injury or disease, and that payment is made to a third party
for a specific purpose that is for the benefit of the injured or
diseased person. The injured or diseased person will be taken not
to have received the payment for the purposes of determining under
new subsection 17B(1) whether the payment was made
solely to compensate for non-economic loss. The effect of this
proposed amendment is that payments made to a third party at the
direction of a compensation payer or an insurer, such as payments
to a physiotherapist, will not be treated as made solely to
compensate for non-economic loss.
Item 10 inserts new
subsection 1073(3) into section 1073. Subsection 1073(1)
currently provides that in certain circumstances, if a person
receives an amount that is not deemed income from financial assets,
or income from income streams, and is not in the form of periodic
payments, nor ordinary income from the person's work, nor an exempt
lump sum, then they are taken to receive one fifty-second of that
amount as ordinary income of the person during each week in the
twelve months commencing on the day on which the person becomes
entitled to receive that amount. New subsection
1073(3) provides that this deemed apportioning of the
amount over the fifty-two weeks of a year will not occur in
relation to an amount of a payment made solely to compensate for
non-economic loss where the payment is received after the new
subsection commences. Payments made solely to compensate for
non-economic loss after Schedule 1 commences are instead subject to
new section 1073A.
Item 11 inserts new
section 1073A, which applies to payment or payments made
solely to compensate for non-economic loss where payment is
received on or after the section commences. This is the 'carrot'
and 'stick' provision. It does not apply where the payment has
been, or will be taken into account in determining the amount of a
disability pension under the Veterans' Entitlements Act
1986 (proposed subsection 1073A(9)).
Proposed subsections 1073A(2)-(3): the
'stick'
Proposed subsections
1073A(2)-(3) contain the 'stick' aspect of the proposal,
that is, treating payments solely for non-economic loss and in
excess of $10,000 as income.
Proposed subsection 1073A(2)
provides that if a payment of more than $10,000 is made, which is a
one-off payment, or the first in a series of periodic payments,
then that part of the payment which exceeds $10,000 is taken to be
ordinary income for the purposes of the SSA. Where the payment is
up to or exactly $10,000, it is not treated as ordinary income.
Where it is more than $10,000, the first $10,000 (which is not
treated as ordinary income) is deducted and the remainder of the
payment is apportioned as ordinary income over 26 fortnights,
beginning on the day the person received payment.
If a person receives a series of two or more
periodic payments, and the amount of the only payment received in a
28 day period, or the sum of the amounts received by the person in
a 28 day period is more than $10,000, the payment will be
apportioned as ordinary income spread over 26 fortnightly payments,
beginning on the day the person received payment (proposed
subsection 1073A(3)).
Proposed subsections 1073A(4)-(5): the 'income
streams' carrot
Subsections 1073A(2) and
1073A(3) are subject to an exception set out in
proposed subsections 1073A(4) and 1073A(5).
New subsection 1073A(4)
provides that where a person who received payment for non-economic
loss exchanges part or all of the payment for an income stream, and
the payment is a one-off payment, or is the first in a series, or
is subject to subsection (3), then the SSA provisions apply in
respect of the amount exchanged for an income stream and the
payments which constitute the income stream, with any modifications
made by regulation. The SSA defines 'income stream' in subsection
9(1) to include, amongst other things, an income stream arising
under arrangements regulated by the Superannuation Industry
(Supervision) Act 1993 or an income stream provided by a life
insurance business (see above). An income stream may be one
designated in writing by the Secretary of the Department of Family
and Community Services under guidelines determined under subsection
9(1E), which provides that a determination is a disallowable
instrument.
New subsection 1073A(5)
provides that regulations made to modify the income stream
provisions may make different provisions for different
circumstances. Clearly, it is not possible to comment on this
without seeing a draft of any proposed regulations.
Proposed subsection 1073A(7): the 'carrot'
Subsection 1073A(7) contains
the 'carrot', that is, amounts of compensation for non-economic
loss of up to $2,000, paid over a 28-day period, will be
disregarded under the income test. This will apply where a series
of two or more periodic payments are received by a person, other
than the first payment and payments to which subsection (3) applies
(proposed subsection 1073A(6)). Subsection (7) is
a significant change from the current law. Under section 1168 of
the SSA, the whole amount of periodic compensation payments is
treated as ordinary income under the income test, with a consequent
reduction in certain payments affected by compensation.
The 'carrot' will not apply if the amount of the
only payment, or the sum of the amounts of the payments received in
a 28 days period is more than $2,000. In that case,
proposed subsection 1073A(8) provides that the
amount or each of the amounts is treated as ordinary income under
the SSA.
Veterans' Entitlements Act
1986
Schedule 2 amends the
Veterans' Entitlements Act 1986.
Item 2 of Schedule 2 inserts
proposed subsections 5H(12)-(15). Proposed
subsection 5H(12) provides that for the purposes of the
Veterans' Entitlements Act 1986 (VEA), certain payments
are taken to be made solely to compensate for non-economic loss.
Payments will be taken to be made for such loss if they are a
payment of damages, or a payment under a scheme of insurance or
compensation, or a payment in settlement of a claim for damages or
a claim under a scheme of insurance or compensation, or are made to
compensate the person for an injury or disease, and no part of the
payment is in respect of lost earnings or lost capacity to
earn.
Subsection 5H(13) provides that
payments will not be taken as solely to compensate for non-economic
loss where proposed subsection 5NB(6A) applies.
That is, where a person receives more than one lump sum payment for
injuries arising from the same event and at least one of those
payments is made wholly or partly in respect of lost earnings or
lost capacity to earn. In those circumstances, the person is taken
to receive one lump sum compensation payment of an amount equal to
the sum of those lump sum payments.
Proposed subsection 5H(15)
provides that subsection 5H(12) will not apply to
certain payments. These are payments made to an injured or diseased
person where the payment arises out of a circumstance or event that
caused or contributed to the injury or disease, or is the result of
the injury or disease, and that payment is made to a third party
for a specific purpose that is for the benefit of the injured or
diseased person. The injured or diseased person will be taken not
to have received the payment for the purposes of determining under
new subsection 5H(12) whether the payment was made
solely to compensate for non-economic loss. The effect of this
proposed amendment is that payments made to a third party at the
direction of a compensation payer or an insurer, such as payments
to a physiotherapist, will not be treated as made solely to
compensate for non-economic loss.
Item 3 repeals the definition
of 'compensation payer' and substitutes it with a definition that
includes a reference to a person or an authority of a State or
Territory that is liable to make a payment solely to compensate for
non-economic loss.
Item 4 inserts new
subsection 5NB(6A) into section 5NB of the VEA, which
defines compensation. The new subsection provides that where a
person receives more than one lump sum payment from injuries
arising from the same event and at least one of those payments is
made wholly or partly in respect of lost earnings or lost capacity
to earn, the person is taken to receive one lump sum compensation
payment of an amount equal to the sum of those lump sum
payments.
Item 7 inserts new
subsection 46A(2) into section 46A. Proposed subsection
46A(2) may be problematic as it refers to subsection (1), which at
present does not appear to exist. Presumably an amendment will be
made inserting it. Subsection 46A currently provides that if a
person receives an amount that is not income within the meaning of
Division 3 or 4 of Part IIIB of the VEA (that is, income from
deemed financial assets, or from income streams), and is not in the
form of periodic payments, nor ordinary income from the person's
work, then they are taken to receive one fifty-second of that
amount as ordinary income of the person during each week in the
twelve months commencing on the day on which the person becomes
entitled to receive that amount.
New subsection 46A(2) provides
that this deemed apportioning of the amount over the fifty-two
weeks of a year will not occur in relation to an amount of a
payment made solely to compensate for non-economic loss where the
payment is received after the new subsection commences. Payments
made solely to compensate for non-economic loss after Schedule 2
commences are instead subject to proposed
Division 8 of Part IIIB of the Act (Item
8). Proposed section 49 provides that the
new Division will only apply to payment or payments made solely to
compensate for non-economic loss where payment is received on or
after the Division commences.
Proposed section 49A is the
'carrot and stick' provision. Proposed paragraph
49A(1)(a) provides that payments of less than $10,000,
which are not one of a series of two or more periodic payments, or
are the first in a series of periodic payments, are not ordinary
income for the purposes of the VEA.
Proposed subsections 49A(1)-(2): the 'stick'
Proposed subsection 49A(1)
provides that if a payment of more than $10,000 which is a one-off
payment, or the first in a series of periodic payments, then that
part of the payment which exceeds $10,000 is taken to be ordinary
income for the purposes of the VEA. Where the payment is up to or
exactly $10,000, it is not treated as ordinary income and so does
not affect social security payments. Where it is more than $10,000,
the first $10,000 (which is not treated as ordinary income) is
deducted and the remainder of the payment is apportioned as
ordinary income over 26 fortnights, beginning on the day the person
received payment.
If a person receives a series of two or more
periodic payments, and the amount of the only payment received in a
28 day period, or the sum of the amounts received by the person in
a 28 day period is more than $10,000, the payment will be
apportioned as ordinary income spread over 26 fortnightly payments,
beginning on the day the person received payment (proposed
subsection 49A(2)).
Proposed subsections 49A(3)-(4): the 'income streams' carrot
Proposed subsection 49A(3)
provides that where a person who received payment for non-economic
loss exchanges part or all of the payment for an income stream, and
the payment is a one-off payment, or is the first in a series, or a
payment that is subject to subsection (2), and the person exchanges
the whole or part of the payment for an income stream, then the VEA
provisions apply in respect of the amount exchanged for an income
stream and the payments which constitute the income stream, with
any modifications made by regulations. Section 5J of the VEA
defines 'income stream' to include, amongst other things, an income
stream arising under arrangements regulated by the
Superannuation Industry (Supervision) Act 1993 or an
income stream provided by a life insurance business. The definition
of 'income stream' is the same in substance as under the SSA. An
income stream may be one designated in writing by the Repatriation
Commission under guidelines determined under subsection 5J(1F),
which provides that a determination is a disallowable
instrument.
Proposed subsection 49A(4)
provides that regulations made to modify the income stream
provisions may make different provisions for different
circumstances. It is not possible to comment on the proposed
amendments in relation to income streams without seeing a draft of
the regulations.
Proposed subsection 49A(6): the 'carrot'
Proposed subsection 49A(6)
contains the 'carrot', that is, amounts of compensation for
non-economic loss of up to $2,000, paid over a 28-day period, will
be disregarded under the income test. This will apply where a
series of two or more periodic payments are received by a person,
other than the first payment and payments to which subsection (2)
applies (proposed subsection 49A(5)).
Proposed subsection (6) is a significant change
from the current law. Under section 59T of the VEA, the whole
amount of periodic compensation payments is treated as ordinary
income under the income test, with a consequent reduction in the
rate of certain pensions.
The 'carrot' will not apply if the amount of the
only payment, or the sum of the amounts of the payments received in
a 28 day period is more than $2,000. In that case, proposed
subsection 49A(7) provides that the amount or each of the
amounts is treated as ordinary income under the SSA.
Item 9 repeals subsection
59Q(5), which provides that where a person receives a first lump
sum of compensation in relation to an injury, disease or condition,
then receives a further lump sum as compensation in relation to the
same injury, disease or condition, the lump sum preclusion period
for the second lump sum begins on the day after the last day of the
lump sum preclusion period for the first lump sum and ends after a
number of weeks calculated by a formula. This provision has been
replaced by new subsection 5NB(6A), which is
discussed above.
The Bill as proposed will, for the first time,
treat as income non-economic loss compensation payments paid as a
lump sum. While this proposal will provide for unprecedented
arrangements, the proposal itself is not unique, having been
previously proposed by the then government in the 1993-94 Budget.
The proposal was then to apply the compensation provisions of the
SSA to all lump sum compensation payments, regardless of whether
there was any component for economic loss, ie. lost wages/earnings.
See above: Previous attempt to regard non-economic loss
compensation payments as income.
The proposal does have the potential to
encourage more prudent use of compensation payments by recipients.
However, the approach adopted is somewhat indirect and its effect
on the main and most powerful stakeholders in the compensation
industry, that is, the insurance companies and legal advisers, is
unknown. This may be the rationale for the introductory process for
the legislation, being one of legislating first and then spending
some period undertaking consultations with these stakeholders.
As presented, by offering 'carrots' and 'sticks'
to the least powerful stakeholder in the compensation insurance
area, that is the insured, this appears to be a somewhat blunt
instrument. There is no direct reward or requirement for the two
other major and most powerful stakeholders to change their methods
and behaviour, in an industry that has developed a very strong
culture of lump sum pay outs.
Finally, there is the disincentive for insurance
companies of the potential additional administrative costs
associated with periodic payments. This may lead to increased costs
for State and Territory compensation schemes, which currently rely
very heavily on lump sum payments. Any additional costs would,
presumably, be passed on in the form of increased insurance
premiums.
-
- Portfolio Budget Statements 1998-99 Budget, Social
Security Portfolio, Budget Related Paper No. 1.14, pp. 65-66.
- Community Affairs Legislation Committee, Examination of Budget
Estimates 1998-99, Social Security Portfolio, Additional
Information Received, August 1998, Volume 1 (Cross Program,
Programs 1 - 6), Program 1 Question No. 6, pp. 93-94.
- Ibid.
- Community Affairs Legislation Committee, Examination of Budget
Estimates 1998-99, Social Security Portfolio, 2 June 1998, pp.
87-11.
- Community Affairs Legislation Committee, Examination of Budget
Estimates 1998-99, Social Security Portfolio, Additional
Information Received, August 1998, op. cit., Question No. 5, p. 92.
- Community Affairs Legislation Committee, Examination of Budget
Estimates 1998-99, Social Security Portfolio, Additional
Information Received, August 1998, op. cit., p. 25.
- Harold Luntz, Assessment of Damages for Personal Injury and
Death, Third Edition, Butterworths, 1990, pp. 20-21.
- Ibid., pp. 24-25.
- Ibid., p. 26.
- Bills Digest No. 52, Social Security Legislation
Amendment (Further Budget and Other Measures) Bill 1996.
- Portfolio Budget Statements 1993-94 Budget, Social
Security Portfolio, Budget Related Paper No. 7.14, pp. 13 and 105.
- Social Security (Budget and Other Measures) Legislation
Amendment Bill 1993, Division 8 - Compensation.
- Senate Committee Hansard, 17 December 1993, p.
4995.
Peter Yeend and Fiona Walker
24 June 1999
Bills Digest Service
Information and Research Services
This paper has been prepared for general distribution to
Senators and Members of the Australian Parliament. While great care
is taken to ensure that the paper is accurate and balanced, the
paper is written using information publicly available at the time
of production. The views expressed are those of the author and
should not be attributed to the Information and Research Services
(IRS). Advice on legislation or legal policy issues contained in
this paper is provided for use in parliamentary debate and for
related parliamentary purposes. This paper is not professional
legal opinion. Readers are reminded that the paper is not an
official parliamentary or Australian government document.
IRS staff are available to discuss the paper's contents with
Senators and Members
and their staff but not with members of the public.
ISSN 1328-8091
© Commonwealth of Australia 1999
Except to the extent of the uses permitted under the
Copyright Act 1968, no part of this publication may be
reproduced or transmitted in any form or by any means, including
information storage and retrieval systems, without the prior
written consent of the Parliamentary Library, other than by Members
of the Australian Parliament in the course of their official
duties.
Published by the Department of the Parliamentary Library,
1999.
Back to top