Residence assessment for customers claiming Pensioner Education Supplement (PES) 106-06020150
This document outlines the procedure to assess whether a claimant for Pensioner Education Supplement (PES) satisfies the residence requirements necessary to qualify for payment. The assessment includes whether the customer is residentially qualified to lodge a legal claim for payment as well as whether they are required to serve the Newly Arrived Resident's Waiting Period (NARWP).
On this Page:
Residence requirements for PES claims
Assessing if NARWP already served or there is an exemption
Residence requirements for PES claims
Table 1
Step |
Action |
1 |
Residence requirements for PES + Read more ... A customer has lodged a claim for Pensioner Education Supplement (PES). To qualify for PES as an Australian resident, the customer must meet all of the following:
The length of the NARWP changed from 1 January 2019 and is determined by the visa subclass and grant date of the customer's first permanent residence visa.
Note: there are exceptions to these requirements. The new claim workflow will present the Immigration Enquiry (RSIMME) screen. Ensure the customer's country of birth and any travel documents are recorded. The system will automatically link to the Department of Home Affairs information and update the customer's residence and movement information. |
2 |
Check residence details provided by the Department of Home Affairs + Read more ... Check the Immigration Advised Movements (RSIM) screen if necessary to check if the customer was in Australia at the time the claim was lodged. Check the Legal Residence Details (RSLEG) screen for citizenship and/or visa details for the customer. If the customer is:
|
3 |
Customer is not in Australia + Read more ... The customer can only lodge a legal claim for PES while they are outside Australia if they meet an exception to the lodgement inside Australia rule. Note: a claim for PES can be lodged early (up to 13 weeks prior to qualifying) if the student is leaving to study overseas as part of the approved course. Does the customer meet an exception to the lodgement inside Australia rule?
|
4 |
Customer cannot lodge a claim outside Australia + Read more ... Advise the customer to lodge a claim if they return to Australia in the future. Continue to assess the claim. The claim will reject for a residence related reason. Procedure ends here. |
5 |
Check if the customer is a non-protected Special Category Visa (SCV) holder + Read more ... Only New Zealand citizens can be the holder of an SCV. The RSLEG screen in Customer First/Record or the RSLEG task in Process Direct will indicate whether someone is a protected (GRF or TRA) or non-protected (NOT) SCV holder. For more information on SCVs, see Australian Residence Rules for New Zealand citizens. Is the customer a non-protected SCV holder?
|
6 |
Non-protected SCV holder + Read more ... Continue to assess the claim. The claim will reject for a residence related reason. Non-protected SCV holder must obtain permanent residence status before they have entitlement to most payments and concessions. If a non-protected SCV holder is granted:
Exception: the NARWP for a Low Income Health Care Card (LIC) and Commonwealth Seniors Health Card (CSHC) can be served by claimants who arrived in Australia on a New Zealand passport. To qualify for an ex-Carer Allowance Health Care Card (ECH) and serve the NARWP, an SCV must be protected. The following payments and services can be received by a non-protected SCV holder and may be offered to the customer if appropriate:
Procedure ends here. |
7 |
Customer is not an Australian resident + Read more ...
The customer may be entitled to some of the following. Offer to the customer if appropriate:
Procedure ends here. |
Assessing if NARWP already served or there is an exemption
Table 2
Step |
Action |
1 |
Check if the customer has already served the NARWP + Read more ... Check the Periods of Australian Presence (RSPAP) screen. This screen displays the periods the customer has been physically in Australia while an Australian resident. Has the customer been an Australian resident in Australia for at least 2 years (104 weeks) or 4 years (208 weeks)? If the customer was granted their first permanent residence visa:
|
2 |
Check citizenship + Read more ... An automatic exemption from the NARWP applies to a customer who is an Australian citizen. Citizenship must be verified. To determine if the customer is an Australian citizen, see Proof of Australian citizenship. Is the customer an Australian citizen?
|
3 |
Check if a refugee visa is or was held + Read more ... An automatic exemption from the NARWP applies to a customer who is a refugee or former refugee. To determine if the customer is a refugee or former refugee, go the RSLEG screen. If the customer's visa subclass (either now or previously) was a refugee visa, it should be automatically recorded on this screen from the immigration datalink. Refugee visas can be determined using: If the customer advises they are, or were a refugee, and this is not evident on the RSLEG screen or from their passport, contact Centrelink International Services (CIS) or refer to CIS via the Immigration Match Questionnaire (IMQ). Is the customer a refugee or former refugee?
|
4 |
Check Visa subclass + Read more ... Is the customer the holder of visa subclass 852? This information can generally be found in the customer's passport or on the RSLEG screen once the datalink with the Department of Home Affairs has been successful.
|
5 |
Family member of a refugee or former refugee + Read more ... For the purpose of the NARWP and Qualifying Residence exemptions, family members include the following:
Was the customer a family member of a refugee or former refugee at the time that the refugee or former refugee arrived in Australia?
|
6 |
Check if the customer is currently the family member of a refugee or former refugee + Read more ... Note: the customer must have been the family member of that person at the time the refugee first arrived in Australia. However, if the family member is now an Australian citizen, they are no longer considered to be a refugee (they are a former refugee) and the customer can be covered by this exemption provision. Is the customer currently the family member of a refugee or former refugee?
|
7 |
Check if the customer was the family member of a refugee or former refugee when the refugee or former refugee died + Read more ... Note: the customer must have been the family member of that person at the time the refugee first arrived in Australia. Was the customer the family member of a refugee or former refugee when the refugee or former refugee died?
|
8 |
Assessment of the NARWP + Read more ... Continue to assess the claim. The end date of the NARWP (assuming that the customer remains in Australia) is calculated and displayed on the Periods of Australian Presence (RSPAP) screen. This can be useful when advising the customer of future entitlement. If the NARWP end date is more than 13 weeks in the future, the claim will automatically:
Note: where the customer's NARWP end date is within 13 weeks, the claim will grant with a status of assessed (ASS). This may mean that the customer will have an assessed claim for up to 13 weeks as they will not be payable until the end of the NARWP. If the claim is rejecting NW2, NWA or shows as assessed and the customer has been in Australia for the period of the NARWP as an Australian resident, check the Immigration Limiting Date (ILD) is set correctly to count sufficient periods. If the system calculates that the NARWP has not yet been served and the customer was an Australian resident prior to 1 September 1994, past periods of residence should be recorded on the Country of Residence (CRES) screen. If the claim is incorrectly granting when the customer has not served or is not exempt from the NARWP, check the Family Member/Refugee Code on the Residence Savings (RSS) screen. If FMC, FME or PRE is coded, refer case to CIS for exemption coding to be ended. |
9 |
Options for customers who are not residentially qualified for PES + Read more ... The customer may still be entitled to some of the following. Offer to the customer where appropriate:
|