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ESA contributory and PHI

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2 years 3 months ago #274030 by BigG
ESA contributory and PHI was created by BigG
Hi All,

I am looking for some advice if posssible.

I am still employed, received ESA contribution in support group, I applied when employer told me to, 9 months later my employer said I had been put on o a group income protection scheme, which I believe now DWP call an PHI (didnt even know what this meant till recently).

I called and informed them, which they saw no knowledge off. They contacted me just before lockdown, beginning 2020, asking why I claim both, they asked for permission to contact my employer, submitted full written permission. Heard nothing till recently, when they contacted me again, saying matter is still outstanding. Was told my responsibility to give information, eventually after 3 letters I gave them emails from work, that they pay 100% of premium, all my payslips for period. I received a call saying it was with a decision maker and would contact me in a few days. I got a letter saying following a change I was still entitled to Christmas bonus. Nothing about any decisions etc.

Today after no payment I eventually found out they had decided to suspend payments until decision maker has made a decision, which there is no timescale.

Apart from the terrible timing and no advance notice, I am totally freaking out.

Although I have no decision as to if going to end claim or look for repayments etc, the call centre said I just have to wait until they decide. My question this is should I ask for a mandatory reconsideration now or waiti until I receive a decision letter.

Any further help or advice is appreciated.

Thank you
G

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2 years 3 months ago #274045 by Gordon
Replied by Gordon on topic ESA contributory and PHI
BigG

You cannot ask for an MR until a Decision is made.

Health Insurance payments are usually treated in the same way as pensions unless the claimant has paid more than 50% of the premium.

I would expect a £1/week charge for every £2/week of the insurance, so as an example; someone receiving £100/week will have a deduction of £7.50 (£100 - £85 = £15 /2 = £7.50).

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems

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