Customer compensation and act of grace payments 109-07040000
Case studies - Child Support Program
Table 1
Program |
Scenario |
Child Support Program |
Mr AA considered the agency incorrectly assessed the amount of child support he was required to pay the other parent. Mr AA claimed he was advised a system glitch was responsible for his child support case incorrectly ending and that the agency had failed to investigate the facts of his case for several years. The compensation investigation determined Mr AA was advised the child support assessment had ended when the child left the care of both parents. The agency later identified Mr AA’s child support assessment ended in error due to the agency incorrectly reflecting the child was no longer in the care of the other parent. The agency corrected the child’s care record to reflect the child was in the other parent’s 100 percent care at the time when the child support case had been incorrectly ended. Mr AA’s child support assessment was reinstated, and arrears were added to Mr AA’s account. The compensation investigation determined defective administration occurred when the agency failed to comply with Operational Blueprint procedure, Eligibility Cuba Process Help, and incorrectly ended the child support assessment. The agency considered there was an unreasonable lapse in complying with existing administrative procedures, but an administrative remedy for the agency's error was provided when the care was corrected and child support assessment reinstated. There was no financial loss, as the entitlement was correctly calculated based on the income and care levels of both parents. No compensation was payable under the Compensation for Detriment Caused by Defective Administration (CDDA) Scheme. |
Case studies - Disabilities (DSP)
Table 2
Case studies - Families (CCS, DOP, FTB, PPL and PPS)
Table 3
Payment |
Scenario |
Child Care Subsidy (CCS) |
Ms O lodged a claim for CCS and Additional Child Care Subsidy (ACCS) for 2 children, claiming she was in temporary hardship. She provided a protection order application, and a supporting letter from her psychologist advising of her experience with domestic violence. It was considered Ms O was eligible for CCS at 85% and 95% for her children respectively. Her claim for ACCS was rejected as the event was more than 6 months in the past. A few weeks later, Ms O was advised incorrectly by a Service Officer that her ACCS had been approved. Ms O received an invoice from her childcare centre, as they had not received confirmation of the grant of ACCS. Ms O contacted the agency and was advised that the ACCS claim had been rejected. Agency Operational Blueprint procedure, Processing Additional Child Care Subsidy (ACCS) (Temporary Financial Hardship) applications, confirms where a claim has a rejected outcome, a Service Officer must make 1 genuine attempt to contact a customer to advise them about the adverse decision. Ms O’s customer record confirms she was not advised of the rejection of her claim and a letter was not sent. The compensation investigation determined there had been a specific and unreasonable lapse in complying with existing administrative procedures that would normally have applied to Ms O’s circumstances. However, the decision to reject Ms O’s ACCS claim was not defective as she did not meet the qualifying criteria for the payment. There were no additional losses suffered by Ms O because of being incorrectly advised she would receive the payment. No compensation was offered under the Compensation for Detriment Caused by Defective Administration (CDDA) Scheme, as Ms O had suffered a financial disappointment rather than an actual financial loss in the circumstances. |
Child Care Subsidy (CCS) – immunisation requirement |
The agency sent Ms P a letter confirming her child needed to be up to date with their immunisations by a confirmed date to remain eligible for CCS. The agency then sent Ms P a reminder letter approximately one month before the deadline. The letter advised that Ms P would need to reclaim CCS if her child was not immunised by the confirmed date. The immunisation requirements were not met by the required date, and the agency sent Ms P a letter confirming the child was no longer eligible for CCS. Ms P’s child was immunised a few days later. Ms P did not contact the agency to advise of the updated immunisation status, nor did she lodge a new CCS claim. A few weeks later, the agency sent Ms P a letter advising CCS was only being paid for her second child. A month later, Ms P lodged a new CCS claim for her first child, which was granted. Ms P claimed CDDA for the loss of CCS for her first child on the basis she was not aware of the cancellation of CCS for the child or of the need to reclaim the payment after it had been cancelled. The compensation investigation determined no defective administration occurred as the agency had notified Ms P of CCS immunisation requirements before the payment was cancelled. In addition, the agency had also advised Ms P she would need to lodge a new CCS claim if her first child’s immunisation was not up to date by the identified deadline. Ms P’s CDDA claim was refused. |
Double Orphan Pension (DOP) |
Mr Q contacted the agency about payment options for his orphaned nephew who had come into his care. Mr Q was told to apply for DOP but was advised he needed verification that he had legal guardianship. Mr Q was yet to receive approval from the courts so did not lodge a DOP claim. Mr Q contacted the agency’s Kinship Team after contacting his Member of Parliament and was advised of his eligibility to DOP and that legal paperwork was not required. Mr Q’s claim was granted approximately 7 months after he first made contact about available payments. Agency Operational Blueprint procedure, Initial contact by customers claiming Double Orphan Pension (DOP), provides information about claiming DOP and does not advise of the need for any legal documentation. The compensation investigation determined defective administration occurred when the agency failed to follow existing administrative procedures that would normally have applied to Mr Q’s circumstances and had provided incorrect advice. Compensation was paid to Mr Q under the CDDA Scheme for the missed DOP in the relevant period. |
Family Tax Benefit (FTB) |
The agency sent Mr N a letter confirming his FTB had been cancelled as his combined family income was too high. Mr N was advised to check his entitlement at the end of the income year. Mr N contacted by mail advising he was awaiting clarification from the ATO about his income for the relevant financial year. A few months later, Mr N sent a letter to the agency requesting an appointment to discuss his FTB entitlement. Mr N’s FTB reconciled 6 months later. Approximately 12 months later, Mr N sent correspondence to the agency about unpaid FTB for the previous financial year. Mr N called the agency approximately 18 months later and asked if his FTB entitlement could be backdated to the date of cancellation. Mr N referred to the letters he had previously sent to the agency asking for assistance in relation to his FTB entitlement. A request for a review of the original decision to cancel Mr N’s FTB was made. The compensation investigation determined there was an unreasonable failure by agency officers to take action in response to Mr N’s enquiries and provide correct advice for his circumstances (such as advising him to lodge a new claim). The agency accepted Mr N has suffered a loss of FTB because of defective administration and compensation was paid for the loss of FTB in the relevant period. |
Paid Parental Leave (PPL) |
Miss R is the birth mother and initial claimant of PPL who has made a claim for compensation on the basis they were given incorrect information by the agency about the time limit for claiming and being paid PPL days. The compensation investigation identified 2 contacts with Miss R about PPL during which she was advised that it could be claimed and paid if claimed prior to the child turning 2. The customer claimed several days before the child’s second birthday and PPL is not payable. Claim requirements for the initial claimant includes that PPL must be claimed before the child’s first birthday. The compensation investigation determined defective administration occurred when the agency failed to provide Miss R with full and correct advice that was tailored to her circumstances. The provision of incorrect information led to the loss of eligibility to PPL for Miss R. Compensation was offered under the CDDA Scheme for the loss of PPL caused by the agency’s defective administration. |
Parenting Payment Single (PPS) |
Miss U became a full-time carer to 2 children. She attended a service centre to apply for Family Tax Benefit (FTB). Miss U was not aware of what other payments she may be eligible for. Miss U started her FTB claim online and had to return with documentation. A few months later, Miss U attended the service centre to get an interim pension card and was advised that she was not on PPS and the agency should have informed her to make a claim. Prior to applying for PPS, she was receiving JobSeeker Payment (JSP) and had difficulty participating in job seeking activities due to having care of 2 children. Miss U had missed several appointments with her job provider due to having 2 children in her care. The job provider informed Miss U they could not understand why she was still in their system when she had 2 children in her care. Each time Miss U could not attend an appointment her JSP payment was suspended. The agency’s administrative procedures for assessing FTB claims require a Service Officer to contact a customer where a potential entitlement to another Centrelink payment is identified (e.g., based on a customer’s level of income). This did not occur in Miss U’s circumstances. When Miss U’s FTB claim was processed it was not identified that she may have been entitled to an income support payment other than JSP. The compensation investigation determined there was a failure to follow existing administrative procedures that would normally have applied to Miss U’s circumstances when her FTB claim was assessed. Miss U was offered compensation under the CDDA Scheme for the difference between PPS and the JSP she was paid from the date her FTB claim was assessed. |
Case studies - General (Portability and RA)
Table 4
Case studies - Medicare
Table 5
Case studies - Participation (CrP, JSP, PPP, SA and SpB)
Table 6
Case studies - Seniors/Carers (Age Pension, Aged care, CA and CP)
Table 7
Case studies - Sundry expenses (due to identity document damage and loss of concession entitlement)
Table 8
Case studies - Youth and Students (AIC and YA)
Table 9