← Ireland

S.I. No. 189/1950 - National Health Insurance (Decisions and Appeals) Order, 1950.

S.I. No. 189/1950 - National Health Insurance (Decisions and Appeals) Order, 1950. Skip to content Disclaimer Feedback Helpdesk Gaeilge Léim go dtí an t-ábhar Séanadh Aiseolas Deasc chabhrach English

fice

the Attorney General Táirgthe ag Oifig an Ard-Aighne Home Legislation Acts

the Oireachtas Statutory Instruments Pre-1922 Legislation Constitution External Resources Bills (Houses

the Oireachtas) Iris Oifigiúil /

ficial Gazette Revised Acts (LRC) Classified List

Legislation (LRC) Translations (acts.ie) Translations (Houses

the Oireachtas) Government Publications for Sale EU Law (EUR-Lex) FAQ Disclaimer Feedback Helpdesk Search Baile Reachtaíocht Achtanna an Oireachtais Ionstraimí Reachtúla Reachtaíocht Réamh-1922 Bunreacht Acmhainní Seachtracha Billí (Tithe an Oireachtais) Iris Oifigiúil Achtanna Athbhreithnithe (CAD) (An Coimisiún um Athchóiriú an Dlí) Liosta Rangaithe Reachtaíochta Aistriúcháin (achtanna.

  1. ie)Aistriúcháin (Tithe an Oireachtais) Foilseacháin Rialtais ar Díol Dlí AE (EUR-Lex) CCanna (Ceisteanna Coitianta) Séanadh Aiseolas Deasc chabhrach Cuardach TitleTeideal Year(
  2. s)or rangeBliain nó blianta nó raon TypeCineál All Legislation Acts Statutory Instruments Advanced SearchCuardach Casta HomeBaile Statutory InstrumentsIonstraimí Reachtúla 1950 S.I. No. 189/1950 - National Health Insurance (Decisions and Appeals) Order, 1950. S.I. No. 189/1950 - National Health Insurance (Decisions and Appeals) Order, 1950. AmendmentsLeasuithe S.I. No. 189

  1. NATIONAL HEALTH INSURANCE (DECISIONS AND APPEALS) ORDER,
  2. The Minister for Social Welfare in exercise

the powers conferred on him by subsection

(3)

section 20

the Social Welfare Act, 1950 , and

every other power him in this behalf enabling hereby orders as follows :— PART I. GENERAL. 1 Short title.

  1. This Order may be cited as the National Health Insurance (Decisions and Appeals) Order,
  2. 2 Definitions.
  3. In this Order unless the context otherwise requires the following words and expressions shall have the meanings herein-after respectively assigned to them :— Acts. " the Acts " means the National Health Insurance Acts, 1911 to 1950 ; Appeals

ficer. " appeals

ficer " means an appeals

ficer appointed under Article 7

this Order and includes two or more appeals

ficers acting together ; Award. " award " means an award or decision

an insurance

ficer ; Claim. " claim " means a claim for benefit or any other right conferred by the Acts which before the 1st day

August, 1950, could have given rise to a dispute within the meaning

section 67

the National Insurance Act, 1911, or subsection

(1)

section 27

the National Insurance Act, 1913, and the word " claimant " shall be construed accordingly ; Hearing. " hearing " means oral hearing; Insurance

ficer. " insurance

ficer " means an insurance

ficer appointed under Article 8

this Order ; Minister. " the Minister " means the Minister for Social Welfare. 3 Commencement

Order. 3. This Order shall come into operation on the 1st day

August, 1950. PART II. MODIFIED APPLICATION TO NATIONAL HEALTH INSURANCE

CERTAIN PROVISIONS

OR MADE UNDER THE WIDOWS' AND ORPHANS' PENSIONS ACTS, 1935 TO 1948. 4 Application and modification

enactments. 4. Sections 46 , 49 , 50 , 51 and 52

the Widows' and Orphans' Pensions Act, 1935 (No. 29

1935) modified in the manner appearing in Part III

this Order, shall apply to National Health Insurance. 5 .. 5. Articles 4 to 16 and 18

the Widows' and Orphans' Pensions (References) Regulations, 1936 (S.R. & O., 1936 No. 115), modified in the manner appearing in Part IV

this Order, shall apply to National Health Insurance. 6 .. 6. The Schedules to the Widows' and Orphans' Pensions (References) Regulations, 1936 (S.R. & O., 1936, No. 115) modified in the manner appearing in the Schedule to this Order, shall apply to National Health Insurance. PART III. PROVISIONS IN RELATION TO THE APPOINTMENT

INSURANCE

FICERS AND APPEALS

FICERS AND THE FUNCTIONS AND POWERS

SUCH

FICERS. (Modified application to National Health Insurance

sections 46 , 49 , 50 , 51 and 52

the Widows' and Orphans' Pensions Act, 1935 .) 7 Appeals

ficers. 7.—

(1)The Minister may appoint such and so many persons as he thinks proper to be appeals

ficers for the purposes

the Acts, and every person so appointed shall hold

fice is appeals

ficer during the pleasure

the Minister.

(2)Appeals

ficers shall be civil servants serving in the Department

the Minister. 8 Insurance

ficers. 8.—

(1)The Minister may appoint such and so many persons as he thinks proper to be insurance

ficers for the purposes

the Acts, and every person so appointed shall hold

fice as such

ficer during the pleasure

the Minister.

(2)Insurance

ficers shall be civil servants serving in the Department

the Minister. 9 Claims and appeals. 9.—

(1)Every claim shall be made to the Minister and every question arising on such claim or in relation thereto or in respect

any award which has been previously made shall be determined by an insurance

ficer.

(2)If any claimant is dissatisfied with an award the question shall, on notice

appeal being given in accordance with the provisions

Article 12

this Order, be referred to one or more appeals

ficers selected either by the Minister or by an

ficer

the Department

Social Welfare designated for the purpose by the Minister.

(3)An insurance

ficer may, if he so thinks proper, instead

determining it himself, refer in accordance with the provisions

Article 24

this Order any question which falls to be determined by him under this article to an appeals

ficer selected in the manner provided for the selection

appeals

ficers in the immediately preceding sub-article.

(4)The decision

an appeals

ficer on any matter referred to him under this article shall be final and conclusive and, if there has been an award, such award shall, if necessary, be revised by an insurance

ficer in accordance with the decision

the appeals

ficer. 10 Revision

awards and decisions. 10.—

(1)Subject to the provisions

this article, an insurance

ficer may, at any time and from time to time, revise any award made under sub-article

(1)

the immediately preceding article, if it appears to him that the award was erroneous in the light

new evidence or

new facts brought to his notice since the date on which it was made or by reason

some mistake having been made with respect to the law or the facts, and the provisions

this Order as to appeals shall apply to such revised award in the same manner as they apply to an original award.

(2)The provisions

the immediately preceding sub-article shall not apply to an award relating to a matter which is the subject

an appeal under sub-article

(2)

Article 9

in this Order unless the revised award would be in favour

the claimant.

(3)If, in any case, in which a decision has been given by an appeals

ficer with respect to a matter referred to him under the immediately preceding article, it appears to the Minister that the appeals

ficer might properly be asked to reconsider the decision in the light

new evidence or

new facts brought to his notice since the date on which the decision was given, the Minister may direct that the matter shall be referred to the appeals

ficer for reconsideration.

(4)If, in any case in which a decision has been given by an appeals

ficer with respect to a matter referred to him under the immediately preceding article, it appears to the Minister that theappeals

ficer might properly be asked to reconsider the decision in view

any apparent inconsistency between the decision and any other decision given by an appeals

ficer, the Minister may direct that both decisions shall be referred for reconsideration to the appeals

ficer concerned or to an appeals

ficer selected in the manner provided for the selection

appeals

ficers in sub-article

(2)

Article 9

this Order.

(5)The decision

an appeals

ficer on any matter referred to him under this article shall be final and conclusive and if there has been an award, such award shall, if necessary, be revised by an insurance

ficer in accordance with the decision

the appeals

ficer.

(6)A revised award made by an insurance

ficer under sub-article

(1)

this article shall take effect as follows : (a) where by virtue

the revised award benefit will be disallowed or be reduced it shall take effect, if made owing to the original award having been made or continued by reason

any statement or representation (whether written or oral) which was to the knowledge

the person making it false or misleading in a material respect or by reason

the wilful concealment

material facts, as from the date when the original award took effect ; provided that in a case where the benefit involved is by way

periodical payment the original award may, in the discretion

the insurance

ficer, continue to apply to any period covered by such original award to which such false or misleading statement or representation or such wilful concealment

material facts does not relate : (b) in any other case it shall take effect as from the date considered appropriate by the insurance

ficer, provided that any benefit already paid at the date

revision shall not be affected.

(7)Where a decision is revised under this article by an appeals

ficer, the revised decision and any award made for the purpose

giving effect thereto shall have effect from such date as the appeals

ficer may determine. 11 Powers

appeals

ficers to take evidence on oath. 11. An appeals

ficer or

ficers shall on the hearing

any matter referred to him or them under the Acts have power to take evidence on oath, and for that purpose such appeals

ficer or, where there are two or more appeals

ficers, any one

such appeals

ficers may administer oaths to persons attending as witnesses at such hearing. PART IV. PROCEDURE ON APPEALS. (Modified application to National Health Insurance

Articles 4 to 16 and 18

the Widows' and Orphans' Pensions (References) Regulations, 1936). 12 Notice

appeal. 12.—

(1)Any claimant, who is dissatisfied with an award and desires to appeal against such award, shall give notice in that behalf, in writing, to the Minister.
(2)The time within which an appeal may be made shall be any time up to the expiration

four weeks from the date

notification

the award by the insurance

ficer ; provided that an appeal made after the end

that period may, with the consent

the Minister, be entertained.

(3)Any person desiring to withdraw an appeal may do so by sending to the Minister a notice

withdrawal. 13 Contents

notice

appeal. 13.—

(1)The notice

appeal shall contain a concise statement

the facts and contentions upon which the claimant intends to rely.

(2)The claimant shall send to the Minister along with the notice such documentary evidence as the claimant desires to adduce in support

his appeal, and the appeal shall contain a list

any such documents. 14 Submission to appeals

ficer. 14. The Minister shall, as soon as may be, cause to be supplied to the appeals

ficer a copy

the notice

appeal, together with a statement showing to what extent are admitted or disputed the facts stated in the appeal and setting out any further facts and the contentions which will be relied upon at the hearing, and shall forward to the claimant, a copy

that statement. 15 Request for further particulars by appeals

ficer. 15. The appeals

ficer may at any time require the claimant or the Minister to furnish to him, in writing, further particulars with respect to the appeal, and may, at any stage

the proceedings, allow the amendment

any notice

appeal, statement, or particulars and may fix the time for furnishing any statement or particulars upon such terms as he may think just. 16 Summary determination

appeal. 16. If the appeals

ficer is

opinion that the case is

such a nature that it can properly be determined without a hearing, he may dispense with a hearing and may determine the appeal summarily. 17 Time and place

hearing. 17. If, in the opinion

the appeals

ficer, a hearing is required he shall, as soon as may be, fix a date and place for the hearing, and shall send to the Minister not less than twelve days' notice

the date and place fixed for the hearing and the Minister shall thereupon cause to be sent to the claimant not less than seven days' notice

the date and place fixed for the hearing. 18 Appearances at hearing, etc. 18.—

(1)The claimant may appear at the hearing in person. He may be represented at the hearing by any member

his family, or, with the consent

the appeals

ficer, by any other person.

(2)The Minister may be represented at the hearing by such

ficer

his Department as he may appoint for the purpose.

(3)The appeals

ficer may postpone or adjourn the hearing from time to time as he may think fit.

(4)The appeals

ficer may, if he thinks fit, admit any duly authenticated written statement or other material as prima facie evidence

any fact or facts in any case in which he thinks it just and proper so to do.

(5)The appeals

ficer may, if he thinks fit, call for such documents and examine such witnesses as appear to him likely to afford evidence relevant and material to the issue although not tendered on behalf

the claimant or the Minister.

(6)An appeals

ficer may, by giving notice in that behalf in writing to any person, require such person to attend at such time and place as is specified in such notice to give evidence in relation to any matter referred to such appeals

ficer under the Acts or to produce any documents in his possession, custody or control which relate to any such matter. 19 Default in appearance at hearing, etc. 19.—

(1)If after notice

a hearing has been duly given either

the parties fails to appear at the hearing, such order or decision may be made, and such proceedings may be taken with a view to the determination

, or in reference to, the appeal as the appeals

ficer may think just.

(2)The appeals

ficer may consider and decide any question duly referred to him for consideration and determination, notwithstanding the failure or neglect

any person to comply with any request or requirement

the appeals

ficer. 20 Procedure at hearing. 20. The procedure at the hearing shall be such as the appeals

ficer may determine. 21 Submission

further facts and contentions. 21. The claimant and the Minister shall not, without the leave

the appeals

ficer, be entitled to rely upon any facts or contentions other than those set out in the notice

appeal and in the statement required to be supplied under Article 14

this Order respectively. 22 Decision

appea's

ficer. 22.—

(1)The decision

the appeals

ficer shall be in writing signed by him and shall be sent, as soon as may be, to the Minister.

(2)An appeals

ficer may award such costs and expenses as he considers reasonable to any person in relation to any matter referred to him under the Acts.

(3)The Minister shall, as soon as may be after the receipt

the decision, cause a memorandum thereof to be drawn up in the form set out in the Schedule to this Order and shall send a copy

the memorandum to the claimant. 23 Mode

sending notices. 23. Any notice or other document required or authorised to be sent to a claimant for the purpose

this Part

this Order shall be deemed to be duly sent if sent by post addressed to the claimant at his ordinary address. 24 References under Article 9

(3). 24.—
(1)A reference by an insurance

ficer to an appeals

ficer under sub-article

(3)

Article 9

this Order shall be made in accordance with the Form provided for the purpose in the Schedule to this Order.

(2)Where a reference is made under the provisions

sub-article

(3)

Article 9

this Order, the procedure for dealing with the reference shall, with the necessary modifications, be the same as if the reference were an appeal made under sub-article

(2)

Article 9

this Order. 25 Forms in Schedule 25. The forms set out in the Schedule to this Order or forms to the like effect, may be used in all cases to which these forms are applicable. GIVEN under the

ficial Seal

the Minister for Social Welfare this 24th day

July, 1950. WILLIAM NORTON, Minister for Social Welfare. SCHEDULE. (Modified application to National Health Insurance

the Schedules to the Widows' and Orphans' Pensions (References) Regulations, 1936.) Form A.

  1. Articles 12 and
  2. NATIONAL HEALTH INSURANCE ACTS, 1911 TO
  3. NOTICE

APPEAL. To the Minister for Social Welfare: I...............................................

.................................................being dissatisfied with the award give on the............day

..........................., 19....... in connection with my claim for...................................................do hereby appeal against the said award and apply that the matter be referred to an appeals

ficer for determination. The facts and contentions upon which I rely in support

my appeal are set forth in the Particulars hereto attached. Dated this........day

....................................... 19...... (Signature)............................................................ . Claimant's Particulars. (Here set out a concise statement

the facts and contentions upon which the claimant relies and insert lists

all documents sent with this appeal.) Form A.

  1. Article
  2. NATIONAL HEALTH INSURANCE ACTS, 1911 TO
  3. NOTIFICATION

APPEAL. To the Appeals

ficer: ...................................................

.................................................being dissatisfied with the award on.........day

........................................ 19......, in connection with his (her) claim for.............................................has appealed against the said award and has applied that the appeal be referred to an appeals

ficer for determination. A copy

the appeal is enclosed. A statement

the facts and

the contentions which will be relied upon at the hearing is set out hereunder. Dated this.........day

....................................... 19...... (Signature)............................................................ .. (Here set out a concise statement

the facts and contentions which will be relied upon at the hearing.) Form A.

  1. Article
  2. NATIONAL HEALTH INSURANCE ACTS, 1911 TO
  3. To............................................................ ............................................................ .......................................................... ............................................................ ............................................................ ........................................................ Your appeal in the matter

the award on your claim for..............................has been referred to an appeals

ficer for determination. A copy

statement which has been sent to the appeals

ficer showing to what extent are admitted or disputed the facts stated in your appeal and the further facts and contentions which will be relied upon in support

the award is attached hereto. (Signature)............................................................ .. Form A. 4. Article 17. NATIONAL HEALTH INSURANCE ACTS, 1911 TO 1950. NOTICE

HEARING

APPEAL UNDER ARTICLE 9

THE NATIONAL HEALTH INSURANCE (DECISIONS AND APPEALS) ORDER, 1950. In the matter

an appeal by............................................................ ............................................................ ...... ............................................................ ............................................................ ......................................................... Take notice that............................................................ ...................the Appeals

ficer selected for the purpose will proceed with the hearing

the above appeal at.....................................................on.................day, the.........day

.......................................... 19.........at the hour

..................o'clock in the..................noon; and that if you do not attend either in person or by your duly authorised representative at the time and place above mentioned, such order or award will be made and proceedings taken as the Appeals

ficer may think just and expedient. Dated this.........day

....................................... 19...... (Signature)............................................................ .. To........................................... ........................................ ........................................ Form A. 5. Article 22

(2)NATIONAL HEALTH INSURANCE ACTS, 1911 TO 1950. MEMORANDUM

DECISION

APPEALS

FICER UNDER ARTICLE 9

(2)OR 9
(3)

THE NATIONAL HEALTH INSURANCE (DECISIONS AND APPEALS) ORDER, 1950. In the matter

............................................................ ............................................................ ................ ............................................................ ............................................................ ........................................... The decision

the Appeals

ficer in the above matter is as follows :— Form A.

  1. Article
  2. NATIONAL HEALTH INSURANCE ACTS, 1911 TO
  3. To the Minister for Social Welfare : Pursuant to Article 9

(3)

the National Health Insurance (Decisions and Appeals) Order, 1950, I hereby refer the following question for determination by an appeals

ficer. ............................................................ ........ Insurance

ficer. Date............................................................ .................. Privacy Statement Accessibility European Legislation Identifier (PDF) Open Data License Ráiteas Príobháideachais Inrochtaineacht Aitheantóir Eorpach Reachtaíochta (ELI) Ceadúnas Sonraí Oscailte Liosta Fianán © Government

Ireland. Oireachtas Copyright Material is reproduced with the permission

the Houses

the Oireachtas © Rialtas na hÉireann. Atáirgtear ábhar faoi Chóipcheart le cead ó Thithe an Oireachtais

🔗 To official source

AI explanation based on the official legal text. Indicative, not a substitute for legal advice.