Cancellation, rejection, not effective, assessed and current zero rate codes for Parental Leave Pay (PPL) 007-09030010

The PPL benefit status is on the benefit status line and the overall claim status is displayed on the PPL Claim Details (P1CLM) screen.

If a customer has multiple open (OPN) claims (for example, if they have a newborn or newly adopted child and have not finished receiving PPL for an older child), the benefit status line will reflect the most recent claim for PPL. Both claims will display on the P1CLM screen.

A customer's PPL benefit status will be:

• Assessed (ASS), when their claim has been preliminarily assessed as eligible and payment has not commenced (for example, due to employer acceptance, or awaiting the first PPL day)
• Current (CUR), on a day they are eligible for PPL
• Current zero rate (CZR), when payment has commenced and it is not a day they are eligible for PPL

Once the customer, and any other person linked to the child has claimed and been paid their maximum entitlement to PPL:

• their PPL will cancel (CAN/EOP), and
• the claim status will update to closed (CLO). The claim can be changed to open (OPN) to allow changes in circumstances which may impact their paid PPL days, for example the customer advises they worked on a paid PPL day

The claim status will change to closed (CLO) 2 years after the child's date of birth or adoption. If the customer has not claimed all available PPL days, the claim status will change on the child's 2nd birthday/anniversary into care, to cancelled (CAN-C24). If the customer has not claimed any PPL days by the child’s 2nd birthday/anniversary into care, the claim status will change to rejected (REJ-NDC). A letter will be sent to the customer advising of the outcome.

Cancelling PPL is similar to rejecting a claim for PPL. A claim is cancelled if, after it has been granted:

• it is identified that the customer was not eligible, or
• their entitlement is reassessed and they have already been paid their full entitlement, or
• when the maximum entitlement PPL days has been paid and claimed (CAN-EOP)

A claim level cancellation will result in the cancellation of all components of PPL.

In most cases, PPL claims associated with the same approval ID will all CAN-EOP when the last PPL day (or maximum entitlement of PPL days for the child) is paid. This means when PPL has been shared with another parent, neither parent will not cancel (EOP) until the maximum entitlement has been paid and claimed for the child.

Note: If a reassessment is required on a cancelled record, complete a refresh activity (RSH coded on P1CA screen).

The system will automatically reject or NEF a customer’s claim. Where an incorrect assessment or payment outcome occurs, Service Officers may need to manually reject or NEF a customer’s claim.

Where a manual rejection or not effective decision is made, send the customer a Q999 letter advising of the decision and reason.

The overall PPL claim level status is displayed on the customer’s benefit status line.

Separate statuses for the different components of PPL are displayed on the Flexible PPL (P1FLX) screen in Process Direct and PPL Calculation Summary (P1RCS) screen in Customer First.

For children born or adopted on or after 1 July 2023

• first PPL day
• last PPL day
• individual PPL days

For children born or adopted before 1 July 2023:

• PPL period and connected Flexible PPL days
• individual Flexible PPL days

Once a claim for PPL is granted, the PPL claim benefit status can be:

• current (CUR)
• assessed (ASS)
• current at zero rate (CZR)

The PPL claim summary (P1CS) screen displays:

• the overall PPL claim status which shows whether the claim is open (OPN), a new claim (NCL) or closed (CLO) for further updates
• the PPL period level status (STS) and status reason (RSN)

PPL cannot be claimed for two children in a multiple birth or adoption. However, a customer can claim PPL for a newborn or recently adopted child while they still have an open claim for an older child.

Example: A customer claims PPL for a child that is born on 16 September 2023. Provided eligibility for PPL is maintained, and the customer has PPL days available to claim, the claim will remain open until 15 September 2025.

If a customer has more than one active PPL claim for different children, the benefit status line will display the status of the most recent PPL claim. Details and information on the earlier claim can be accessed on the PPL claim summary (P1CS) screen.

For specific day level rejection codes and descriptions, see the Resources page of Claiming and managing Paid Parental Leave (PPL) days for children born or entering care on or after 1 July 2023.