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England and Wales Court of Appeal (Civil Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Harrington v Secretary of State for Work And Pensions [2023] EWCA Civ 433 (21 April 2023) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2023/433.html Cite as: [2023] WLR(D) 185, [2023] 1 WLR 3473, [2023] WLR 3473, [2023] EWCA Civ 433 |
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ON APPEAL FROM THE UPPER TRIBUNAL (ADMINISTRATIVE APPEALS CHAMBER)
UPPER TRIBUNAL JUDGE JACOBS
CDLA/0882/2017
Strand, London, WC2A 2LL |
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B e f o r e :
LADY JUSTICE ANDREWS
and
LORD JUSTICE LEWIS
____________________
AMIRRA HARRINGTON (by her litigation friend ANNE-MARIE HARRINGTON) |
Appellant |
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- and - |
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SECRETARY OF STATE FOR WORK AND PENSIONS |
Respondent |
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- and - |
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THE AIRE CENTRE |
Intervener |
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Galina Ward KC (instructed by the Government Legal Department) for the Respondent
Thomas de la Mare KC, Ravi Mehta and Eleanor Sibley instructed by (Herbert Smith Freehills LLP) for the Intervener
Hearing dates: 22 and 23 February 2023
____________________
Crown Copyright ©
LORD JUSTICE LEWIS:
INTRODUCTION
THE LEGAL FRAMEWORK
The Domestic Legislation
"(7B) A person to whom either Regulation (EC) 1408/71 or Regulation (EC) No 883/2004 applies shall not be entitled to the care component of a disability living allowance for a period unless during that period the United Kingdom is competent for payment of sickness benefits in cash to the person for the purposes of Chapter I of Title III of the Regulation in question."
The European Union Legislation
"The European Parliament and Council shall, acting in accordance with the ordinary legislative procedure, adopt such measures in the field of social security as are necessary to provide freedom of movement for workers; to this end they shall make arrangements to secure for employed and self-employed migrant workers and their dependants:
(a) aggregation, for the purposes of acquiring and retaining the right to benefit and of calculating the amount of benefit, of all periods taken into account under the laws of the several countries;
(b) payment of benefits to persons resident in the territories of Member States."
"Replacing, while modernising and simplifying, these rules is therefore essential to achieve the aim of the free movement of persons."
"(15) It is necessary to subject persons moving within the Community to the social security scheme of only one single Member State in order to avoid overlapping of the applicable provisions of national legislation and the complications which could result therefrom.
(16) Within the Community there is in principle no justification for making social security rights dependent on the place of residence of the person concerned; nevertheless, in specific cases, in particular as regards special benefits linked to the economic and social context of the person involved, the place of residence could be taken into account.
(17) With a view to guaranteeing the equality of treatment of all persons occupied in the territory of a Member State as effectively as possible, it is appropriate to determine as the legislation applicable, as a general rule, that of the Member State in which the person concerned pursues his activity as an employed or self-employed person.
…..
(18a) The principle of single applicable legislation is of great importance and should be enhanced. This should not mean, however, that the grant of a benefit alone, in accordance with this Regulation and comprising the payment of insurance contributions or insurance coverage for the beneficiary, renders the legislation of the Member State, whose institution has granted that benefit, the applicable legislation for that person.
"In order to avoid unwarranted overlapping of benefits, there is a need to lay down rules of priority in the case of overlapping of rights to family benefits under the legislation of the competent Member State and under the legislation of the Member State of residence of the members of the family."
"'insured' person in relation to the social security branches covered by Title III, Chapters 1 and 3, means any person satisfying the conditions required under the legislation of the Member State competent under Title II to have the right to benefits, taking into account the provisions of this Regulation".
"(i) the institution with which the person concerned is insured at the time of the application for benefit; or
(ii) the institution from which the person concerned is or would be entitled to benefits if he/she or a member or members of his/her family resided in the Member State in which the institution is situated; or
(iii) the institution designated by the competent authority of the Member State concerned; or
(iv) in the case of a scheme relating to an employer's obligations in respect of the benefits set out in Article 3(1), either the employer or the insurer involved or, in default thereof, the body or authority designated by the competent authority of the Member State concerned."
"Article 10 Prevention of overlapping benefits
Unless otherwise specified, this Regulation shall neither confer nor maintain the right to several benefits of the same kind for one and the same period of compulsory insurance."
"Article 11 General rules
1. 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.
2. 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.
3.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/her 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/her benefits under the legislation of one or more other Member States.
….."
"Article 21 Cash benefits
1. An insured person and members of his/her family residing or staying in a Member State other than the competent Member State shall be entitled to cash benefits provided by the competent institution in accordance with the legislation it applies. By agreement between the competent institution and the institution of the place of residence or stay, such benefits may, however, be provided by the institution of the place of residence or stay at the expense of the competent institution in accordance with the legislation of the competent Member State.
2. The competent institution of a Member State whose legislation stipulates that the calculation of cash benefits shall be based on average income or on an average contribution basis shall determine such average income or average contribution basis exclusively by reference to the incomes confirmed as having been paid, or contribution bases applied, during the periods completed under the said legislation.
3.The competent institution of a Member State whose legislation provides that the calculation of cash benefits shall be based on standard income shall take into account exclusively the standard income or, where appropriate, the average of standard incomes for the periods completed under the said legislation.
4. Paragraphs 2 and 3 shall apply mutatis mutandis to cases where the legislation applied by the competent institution lays down a specific reference period which corresponds in the case in question either wholly or partly to the periods which the person concerned has completed under the legislation of one or more other Member States."
"Article 17 Residence in a Member State other than the competent Member State
An insured person or members of his/her family who reside in a Member State other than the competent Member State shall receive in the Member State of residence benefits in kind provided, on behalf of the competent institution, by the institution of the place of residence, in accordance with the provisions of the legislation it applies, as though they were insured under the said legislation."
And
"Article 32 Prioritising of the right to benefits in kind — special rule for the right of members of the family to benefits in the Member State of residence
1. An independent right to benefits in kind based on the legislation of a Member State or on this Chapter shall take priority over a derivative right to benefits for members of a family. A derivative right to benefits in kind shall, however, take priority over independent rights, where the independent right in the Member State of residence exists directly and solely on the basis of the residence of the person concerned in that Member State.
2. Where the members of the family of an insured person reside in a Member State under whose legislation the right to benefits in kind is not subject to conditions of insurance or activity as an employed or self-employed person, benefits in kind shall be provided at the expense of the competent institution in the Member State in which they reside, if the spouse or the person caring for the children of the insured person pursues an activity as an employed or self-employed person in the said Member State or receives a pension from that Member State on the basis of an activity as an employed or self-employed person."
THE FACTUAL BACKGROUND
The Appellant and her family
The claim for disability living allowance
The Decision of the Upper Tribunal
"33. First, there is the importance of a claimant being subject to the legislation of one State only. Article 11(1) so provides, Recital (15) refers to the need to avoid the complications of overlapping provisions, and Recital (18a) says that the principle is of great importance and should be enhanced. Second, this is especially important when a family is not habitually resident in the competent State: see Recital (20). Third, when a member of the family is pursuing employment in a State, it is possible that that State will make provision, through insurance or contributions, for sickness benefits to be payable not only to that person but also the members of their family. As I have said, I do not read Article 21 as limited to that situation, but it is fair to take account of that possibility when considering how the Article was designed to work.
34. Fourth, it is instructive to compare Article 21 with Article 19 of the Regulation 1408/71. Under Article 19, (self-) employed persons were entitled to cash sickness benefits from the competent State even if they were habitually resident in another State. The same applied to members of their families unless they were entitled to benefits in the State where they were habitually resident. The point to note is the (self-) employed and their family members were treated differently and the wording of the Article leaves no doubt about it. In other words, the competent State for the (self-) employed was their place of work, whereas the competent State for their family members was their place of residence, with the place of work as a fall-back if there was no entitlement there The structure of Article 21 and the wording of Article 19(2) provided a precedent to use if Article 21 was to allow a claimant's right under the legislation of the insured person's place of work, but it was not followed. Although this is not a decisive point, I regard it as significant that the precedent available was not followed. It is at least consistent with residence not overriding the place of (self-) employment and even suggestive that this is indeed the position."
The Administrative Commission
"The dispute therefore concerns the questions
(a) whether Belgium is competent by priority for the provision of cash sickness benefits in accordance with Article 21 of Regulation (EC) No 883/2004 because the father is the only economically active family member and,
(b) in the affirmative. whether the principle that persons falling within the scope ratione personae of Regulation (EC) no 883/2004 shall be subject to the social security scheme of only one single Member State precludes a concurrent right to cash sickness benefits under the legislation of another Member State, to which the child may otherwise be entitled."
"However, the principle of application of the legislation of only one single Member State does not preclude that a person may be simultaneously entitled to benefits under the legislation of more than one Member State. A person may, for instance, be insured under the social security scheme of one Member State while receiving, from another Member State, in which he/she is not insured, a benefit determined on the basis of the rights which he/she has previously acquired in that Member State. Likewise, it may occur that a person is entitled to individual benefits on his or her own right and to the same kind of benefits derived from the social security scheme of another member of the family. Any ambiguity in that respect has now been removed by Article 11(3)(e) Regulation (EC) No 883/2004 which expressly provides that the conflict rule which it lays down is to apply 'without prejudice to other provisions of this Regulation guaranteeing [the persons concerned] benefits under the legislation of one or more other Member States'. Accordingly, as stated in Recital 18a of Regulation (EC) No 883/2004, the principle of a single applicable legislation does not mean that the grant of a benefit alone … renders the legislation of the Member State, whose institution has granted that benefit, the [only] applicable legislation for that person."
"Article 21 of Regulation (EC) No 883/2004 providing inter alia for the grant of cash sickness benefits by the competent institution to members of the family of the insured person residing in another Member State, must be interpreted in the light of Article 45 TFEU and does not deprive the members of the family of the person concerned from entitlement to a sickness benefit such as the care component of the Disability Living Allowance, where such an entitlement exists under the legislation of the Member State of residence.
In order to clarify which legislation shall apply by priority in situations, where members of the same family are entitled to benefits under the legislation of different Member States, and in view of the fact that Article 32 of Regulation (EC) No 883/2004 explicitly deals solely with benefits in kind, the Conciliation Board suggests to establish in Regulation (EC) No 883/2004 also appropriate priority rules for cash sickness benefits to which a person may be entitled under the legislations of more than one Member State. The Administrative Commission could also consider adopting an interpretative decision, taking into account the wording of the relevant provisions in Regulations (EEC) No 1408/71 and (EC) No 883/2004."
THE APPEAL AND THE SUBMISSIONS
(1) misdirected itself in considering that any derivative rights the appellant obtained through her father under Article 21 of the Regulation took priority over the derivative rights she had through her mother who was resident in the United Kingdom;
(2) misdirected itself in considering that any derivative right the appellant had through her father under Article 21 took priority over her own independent right to benefit under domestic law;
(3) erred in relying on Article 19 of Regulation 1408/71.
DISCUSSION
The Proper Interpretation of the Regulation
The Position of the Appellant
The Wording and Purpose of Article 21
The History of the Legislative Provisions
"Section 2
Employed or self-employed persons and members of their families.
Article 19
Residence in a Member State other than the competent State – General rules
An employed or self-employed person residing in the territory of a Member State other than the competent State, who satisfies the conditions of the legislation of the competent State for entitlement to benefits, taking account where appropriate of the provisions of Article 18, shall receive in the State in which he is resident:
(a) benefits in kind provided on behalf of the competent institution by the institution of the place of residence in accordance with the provisions of the legislation administered by that institution as though he were insured with it;
(b) cash benefits provided by the competent institution in accordance with the legislation which it administers. However by agreement between the competent institution and the institutions of the place of residence, such benefits may be provided by the latter institution on behalf of the former, in accordance with the legislation of the competent State.
2. The provisions of paragraph 1 shall apply by analogy to members of the family who reside in the territory of a Member State other than the competent State in so far as they are not entitled to such benefits under the legislation of the State in whose territory they reside.
Where the members of the family reside in the territory of a Member State under whose legislation the right to receive benefits in kind is not subject to conditions of insurance or employment, benefits in kind which they receive shall be considered as being paid on behalf of the institution with which the employed or self-employed person is insured, unless the spouse or the person looking after the children pursue a professional or trade activity in the territory of the said Member State."
Additional Considerations
The Importance of the Single Legislative System
Ancillary Matters
Ground 1
CONCLUSION
LADY JUSTICE ANDREWS
LORD JUSTICE BAKER