Special circumstances provisions for customers receiving compensation payments 117-04020010
This document outlines how to decide whether the special circumstance provisions apply when a customer feels disadvantaged by normal compensation provisions.
Special circumstances
Applying the normal compensation provisions to a particular customer's situation may:
- have an unintended effect
- lead to extreme hardship or
- create an inequitable or unjust situation
Where special circumstances exist, Section 1184k of the Social Security Act 1991 allows the Compensation Recovery Team (CRT) to treat all or part of a compensation payment as:
- not having been made, or
- not liable to be paid
A combination of factors usually apply to a customer.
Apply the provisions in situations that are unusual, unforeseen, or exceptional.
Consider each customer’s situation as a whole. Judge each case on its merits.
Reducing preclusion periods and debts
The CRT must decide whether special circumstances can be applied if a customer:
- provides new information or has a change in circumstances, and
- requests consideration to reduce a compensation preclusion period or waive recovery of a debt due to special circumstances
The decision to apply special circumstances under s1184K must be made by an APS 5 or above when reducing part or all of a preclusion period and/or debt.
When special circumstances provisions do not apply
Do not apply special circumstances if the:
- person or their partner's only reason for receiving a Compensation Affected Payment (CAP) was different from the reason the compensation was paid
- person does not agree with the legislation. For example, they consider direct deductions for partners to be harsh. This is contrary to the intention of Parliament and is illegal
The Compensation Recovery Team (CRT) must decide whether special circumstances can be applied if a customer:
- provides new information or has a change in circumstances, and
- requests consideration to reduce a compensation preclusion period or waive recovery of a debt due to special circumstances
This is a new decision based on the customer’s current circumstances and will be subject to normal review and appeal processes.
Reviews and appeals
If a person does not understand or does not agree with a compensation or special circumstances decision, they can request an explanation or apply for a formal review of the decision. See Initial contact about a decision and the review of decision process.
The Resources page contains links to the Compensation Recovery Statement of Financial Circumstances Form, Request advice from Review of Decision Helpdesk webform, and the AustLII database.
Related links
Initial contact about a decision and the review of decision process
Special circumstance reviews of compensation payments under Section 1184K (CLK)
Changing compensation debt details for customers in special circumstances
Changing compensation preclusion period details for customers in special circumstances
Compensation lump sum preclusion periods (CLK)