The Guides to Social Policy Law is a collection of publications designed to assist decision makers administering social policy law. The information contained in this publication is intended only as a guide to relevant legislation/policy. The information is accurate as at the date listed at the bottom of the page, but may be subject to change. To discuss individual circumstances please contact Services Australia.

6.7.1.120 Debts arising from a multiple payment

Summary

Where a person has claimed and/or received multiple income support payments or supplements, it is necessary to determine which one of the several payments, if any, should be retained and which may be raised as a debt.

SSAct section 1223 specifies that a debt to the Commonwealth is incurred where a payment 'was made as a result of a contravention of the social security law, a false statement or a misrepresentation'. If a person receives a payment under these circumstances, that person is not eligible for the payment and a debt to the Commonwealth may be incurred.

Where a legally recoverable debt can be raised, it shall be, and prosecution sought where appropriate. Payments affected by the provision of misleading, false or fraudulent information may be raised as a debt.

It is important to note that multiple payments may also arise in circumstances other than the provision of misleading, false or fraudulent information.

It is also important to note that people may provide a name that is different from their birth-name and that there may not be a deliberate intention to defraud or to misrepresent through the use of the alternate name.

SS(Admin)Act section 80 provides authorisation for the Secretary (or delegate) to suspend or cancel payment if they are satisfied that the payment has been made to a person who is not qualified for that payment. Subsequent to this decision, a debt can then be raised under the SSAct section 1223 where appropriate.

Social security law is beneficial law

Social security law is beneficial legislation. It is designed to assist disadvantaged Australians. Court rulings have stipulated that social security law should be construed in order to give the fullest relief to recipients where the meaning of its language allows.

In practical terms, this means that it is to provide a benefit for a person who has made a legitimate claim for assistance for which they have a legal entitlement. An underlying principle therefore is that a person should be able to claim the most beneficial payment available to them, provided they meet all eligibility criteria.

In the situation of a multiple payment, where the payment does not arise from the provision of misleading, false, fraudulent information or misrepresentation, the least beneficial eligible payment should be ceased and the amount that has been paid to the person for this type of payment may be raised as a debt.

Example: A person has simultaneously received JSP and DSP through an error where fraudulent activity has not occurred. The least beneficial payment, JSP, will be ceased, and a debt may be raised for the amounts of JSP received simultaneously with the payment of DSP.

Multiple payments due to misleading, false, or fraudulent information

In the case of a multiple payment arising from the provision of misleading, false, fraudulent information, or misrepresentation, any payment received under these circumstances may constitute a debt to the Commonwealth and prosecution may be sought.

In some circumstances, provision of a false name may not impact on the recipient's eligible receipt of a payment (6.7.1.130) where their name would not affect their eligibility for the payment had they provided their birth-name instead.

These cases outline where an individual had provided an alternate name, however the alternate name could not be considered to be a false statement, or a false representation and that the individual was perfectly entitled to provide the alternate name. A person may assume and use any name, provided its use is not calculated to deceive or to cause pecuniary loss and that there is no intention to defraud.

If the initial payment claim is legitimate and eligibility upheld, then any further or additional payment sought through the provision of misleading, false, or fraudulent information is deemed to be ineligible. In this case the additional payment will cease, a debt may be raised and prosecution may be sought.

Example: A person has received JSP and later simultaneously receives DSP due to claiming through a false identity. The additional payment (DSP) will cease, a debt may be raised for DSP and prosecution may be sought.

Once the use of an incorrect or false identity is discovered, the person's correct and legitimate identity must be recorded.

General criteria for raising a debt under multiple payments

  • Where a person has received multiple payments of the same payment type (for example, JSP), no false information was provided and that person has and continues to meet the eligibility criteria, a debt may be raised for all but one of the payments.
  • Where a person has received multiple payments and is not entitled to retain any payment, such as where the level of assets and/or income or other criteria would have prevented a payment, all payments will cease, debts may be raised and a prosecution may be sought.
  • Where a false statement was provided in order to qualify for a payment, for example, if false records or another person's medical records were used to obtain DSP, any and all payments may be raised as a debt and recovered accordingly. A prosecution may be sought.
  • For activity or participation tested payments (for example, JSP, YA (job seeker), PPS) and participation or activity requirements have not been met, all payments made may be raised as a debt and recovered accordingly.
  • Where a false name has been provided for a payment and there is no intention to defraud, and that person has and continues to meet the eligibility criteria, a debt will not be raised.
  • Where a false name has been provided for a payment and the person applies for another payment where there is an intention to defraud, and that person has and continues to meet the eligibility criteria for the first payment, a debt may be raised for the second payment and prosecution may be sought.
  • Where a false identity has been provided for one or more payments and that person has not met the eligibility criteria, a debt may be raised for all payments. If there is evidence that the false identity was created in order to defraud, prosecution may be sought.

Act reference: SSAct section 1223 Debts arising from lack of qualification, overpayment etc.

SS(Admin)Act section 80 Cancellation or suspension determination

Policy reference: SS Guide 1.3.1 Beneficial administration of the Act, 3.1.6.10 General payability provisions, Part 3 Qualification & payability

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