Headnote
The UK is a Competent State for payment of the daily living component of PIP to the resident in Northern Ireland, despite the claimant also receiving an Invalidity Pension from the Republic of Ireland.
Background
The Applicant was born in Northern Ireland and was a UK national. The Applicant had severe disabilities and worked in Northern Ireland for some years and then worked in the Republic of Ireland for nine months. Thereafter, the Applicant stopped work due to her severe disabilities. The Applicant was awarded an Invalidity Pension (IP) by the Republic of Ireland as she was permanently incapable of work and met the contribution conditions.
The Applicant then returned to live in Northern Ireland and retained the entitlement to the Invalidity Pension paid by the Republic of Ireland. This was because the Invalidity Pension fell within Article 7 of EU Regulation 883/2004 – the cash benefit ‘exportability’ rules.
In Northern Ireland, the Applicant made a claim for and was awarded DLA, including the daily living and mobility component. In 2018/19 the Applicant made a claim for PIP as her DLA award was coming to an end. The Applicant met the conditions for an award of PIP – both the daily living and mobility component but the Department of Communities decided that the UK was not the competent state for payment of sickness benefits under the provision of Article 11 of EU Regulation 883/2004.
The Applicant requested a reconsideration, but the decision was not revised, and the Applicant was unsuccessful in an appeal. Sadly, the Applicant died, and her appointee applied to the Social Security Commissioner for leave to appeal.
Legal Issue
The Commissioner had to decide whether the UK is the competent state for the payment of PIP to the Applicant as a cash sickness benefit for the purposes of Chapter 1 of Title III of Regulation (EC) 883/2004, in the context of Article 11 of EU Regulation 88/2004 which requires Applicants to be subject to the legislation of a single Member State only.
Regulation 883/2004 Article 11 provides:
General rules
- Persons to whom this Regulation applies shall be subject to the legislation of a single Member State only. Such legislation shall be determined in accordance with this Title.
- For the purposes of this Title, persons receiving cash benefits because or as a consequence of their activity as an employed or self-employed person shall be considered to be pursuing the said activity. This shall not apply to invalidity, old-age or survivors’ pensions or to pensions in respect of accidents at work or occupational diseases or to sickness benefits in cash covering treatment for an unlimited period.
- Subject to Articles 12 to 16:
(a) a person pursuing an activity as an employed or self-employed person in a Member State shall be subject to the legislation of that Member State;
(b) a civil servant shall be subject to the legislation of the Member State to which the administration employing him is subject;
(c) a person receiving unemployment benefits in accordance with Article 65 under the legislation of the Member State of residence shall be subject to the legislation of that Member State;
(d) a person called up or recalled for service in the armed forces or for civilian service in a Member State shall be subject to the legislation of that Member State;
(e) any other person to whom subparagraphs (a) to (d) do not apply shall be subject to the legislation of the Member State of residence, without prejudice to other provisions of this Regulation guaranteeing him benefits under the legislation of one or more other Member States.
Decision
The Commissioner allowed the appeal, with the effect that the UK is competent for the payment of the daily living component of PIP to the Applicant. (para 3).
The Commissioner accepted:
- That the Applicant engaged the scope of Regulation 883/2004 (Article 2) as she had been subject to the legislation of one or more Member States.
- The Applicant fell within the material scope (Article 3) as the case involved distinct sickness benefits and invalidity benefits.
- The Applicant was covered by the exportability provisions of Article 7 to enable payment of IP by the Republic of Ireland after she returned to Northern Ireland.
The Commissioner then had to decide if the UK was the competent state for paying sickness benefit in the context of Article 11 which requires claimants to be subject to the legislation of a single Member State.
The Commissioner decided that the UK competence to pay sickness benefits was not prevented by the Applicant’s entitlement to an Invalidity Pension from another Member State:
53. …By Article 11(2), it is clear that the appellant does not fall to be considered as receiving cash benefits because or as a consequence of their activity as an employed or self-employed person and therefore considered to be pursing the said activity. This is because this category does not apply to invalidity, old age or survivors pensions.’
The Commissioner further considered that Article 11(3)(a) – (d) relating to groups including those who are employed or self employed persons in a Member State or receiving unemployment benefits under the legislation of the Member State of residence, do not apply:
54. …The appellant does not fall into any of those categories. It appears to me therefore that she falls into the category in 11(3)(e), namely “any other person to whom subparagraphs (a) to (d) do not apply”. Such persons “shall be subject to the legislation of the Member State of residence, without prejudice to other provisions of this Regulation guaranteeing him benefits under the legislation of one or more other Member States”.
The Commissioner determines that the expression ‘without prejudice to’ in Article 11(3)(e) means “without affecting”. Invalidity Benefit is exportable from the Republic of Ireland without any condition of residence. As the Commissioner understands it therefore, the appellant’s residence in the UK makes it the Competent State under Article 11(3)(e) and that this position is not affected by the appellant’s entitlement to IP from the Republic of Ireland (paras 55-56).
NOTE: The Department for Communities conceded the Competent State issue before the conclusion of the case and did not appeal against the judgment. Although DfC did not appeal against the judgment, it initially refused to implement it without providing an explanation. Law Centre NI represented many appellants that were disadvantaged by the failure to apply the SP judgment and have raised a maladministration complaint regarding the delay in implementing this binding judgment. As of August 2025 DfC has now started to implement the judgment.
Read the full case here