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Ill-health retirement

Most defined benefit schemes have ill health early retirement provision.

Often the pension scheme rules will only allow a pension to be paid if you are not able to do any job anywhere.

However, some schemes will pay a limited or partial ill-health pension to those who cannot carry out their current job but could, perhaps, work elsewhere in future.

Medical evidence of incapacity/ill health will be required and usually the trustees will want proof that your condition is permanent.

Often the company’s consent is needed as well as the trustees.

When deciding whether or not to pay an ill-health pension, the trustees will often ask for a report from another medical adviser chosen by them.

Very often the payment of an ill health pension is entirely a decision for the trustees and, unless they have clearly acted in an unreasonable way in arriving at their decision, it is not usually possible to challenge them.

As an alternative, some companies have arrangements with insurance companies which are separate from the pension scheme.  These are often called Permanent Health Insurance (PHI) schemes. 

Access to Medical Reports Act 1988

Under the Access to Medical Reports Act, an employer, pension scheme or insurance company may not apply to your doctor for a medical report about you without first notifying you and informing you of your rights under the Act.

You have a right to see the report before it is sent and no charge may be made for this.  If you want a photocopy of the report, the charge must be reasonable.  If you believe the report is inaccurate or misleading, you can ask the doctor to amend it.  If he or she refuses, you can ask for a statement of your views to be attached to the report.

The Act only applies to reports commissioned from a doctor who is treating you and not to reports obtained from an independent doctor or company doctor.

We advise members to use their right under the Act to obtain a copy of medical reports.