Ill-health and serious ill-health

Where a member is, and will continue to be, medically incapable of carrying on with their current occupation, because of injury, sickness, disease, or disability, then they may be able to take their pension benefits earlier than the normal minimum pension age of 55 (increasing to 57 in 2028).  

A registered medical practitioner must provide the scheme administrator with written evidence of ill-health. HMRC guidance states that the member must have stopped working in his or her own occupation to take benefits early under the ill- health option. However, scheme rules may have a stricter definition of ill-health and may insist that the client is unable to continue with ‘any’ occupation as opposed to their ‘own’ occupation before they will pay pension benefits early. In practice, for ill-health claims, a declaration that must be completed by a registered medical practitioner will normally be included as part of the retirement quote. The completed declaration will then have to be reviewed and accepted by the provider to allow the pension benefits to be paid early on ill-health.

The options on taking pension benefits early should follow what is normally allowed – for example, a tax-free lump sum combined with either drawdown, lifetime annuity or scheme pension (where allowable) or a small pots lump sum or uncrystallised funds pension lump sum (UFPLS) may be offered depending on the type of pension arrangement held and the size of the fund. The lump sum allowance and the lump sum and death benefit allowance are reduced by any pension commencement lump sum paid or by the tax-free element of any uncrystallised funds pension lump sum taken.  However, the tax-free element of a small pots lump sum does not reduce either of these allowances.

Section 9(2B) rights (held in an occupational pension scheme or a section 32 buyout) can be taken early on grounds of ill-health (with a tax-free lump sum available as normal). However, Guaranteed Minimum Pension (GMP) benefits can only be taken early if the revalued GMP liability at age 65 for men and age 60 for women is met. No tax-free lump sum can be taken from GMP benefits.

Where a member has a reduced life expectancy, they may be able to get a higher income if they purchase an impaired life annuity on a single life basis. Purchase of a joint-life annuity would be costed based on the income being paid until the second person died.

Any new drawdown arrangements set up on or after 6 April 2015 will be flexi-access drawdown, with one exception - a new capped drawdown arrangement can be set up to accept a transfer from an existing capped drawdown arrangement.

When an individual satisfies the 'ill-health condition', the benefit options that are available to them at their early retirement date are exactly the same options that would apply from normal minimum pension age (currently 55), subject to the rules of the relevant scheme.    

If a member subsequently recovers from ill-health, scheme rules may allow an ill-health scheme pension to be stopped or reduced. For more information on how this is treated please refer to the HMRC guidance here.

Note – a scheme pension is typically paid from a final salary scheme but can also be set up from a money purchase arrangement although this rarely happens in practice. 

Members suffering from serious ill-health, defined by HMRC as having less than a year to live, can take their uncrystallised pension funds (those that have not been put into payment) as a lump sum at any age. The lump sum paid is referred to as a serious ill-health lump sum.

A serious ill-health lump sum can be paid subject to the following conditions:

• before the payment is made, a registered medical practitioner must provide the scheme administrator with written evidence stating that the member’s life expectancy is less than a year. In practice, a declaration that must be completed by a registered medical practitioner will normally be included as part of the retirement quote sent to the customer. The completed declaration will then need to be reviewed and accepted by the provider to allow the serious ill-health lump sum to be paid.
• the payment must commute all of the uncrystallised funds held in an arrangement. If part of the arrangement has already been crystallised, the full amount of remaining uncrystallised funds must be commuted. If no part of the arrangement has previously been crystallised, all rights under the arrangement must be commuted to pay the serious ill-health lump sum.

Sufficient funds must be kept back to provide the required survivor’s benefits  from any GMP and section 9(2B) rights. If the GMP or section 9(2B) rights held back to provide a spouse’s or civil partner’s pension are clearly identified and held in a separate arrangement from those rights being commuted, the condition that all funds under the arrangement must be commuted will be met.

The payment of a serious ill-health lump sum before age 75 is tested against the lump sum and death benefit allowance. The lump sum is tax-free apart from any amount over the member’s remaining lump sum and death benefit allowance, which will be subject to tax at the member’s marginal rate of tax. The scheme administrator will deduct the tax due before the lump sum is paid. If the scheme administrator doesn’t have a tax code for the member, they should deduct tax using the emergency tax code on a Month 1 basis. The member will have to reclaim any overpaid tax directly from HMRC.

The payment of a serious ill-health lump sum after age 75 is taxed as pension income at the marginal rate of the member.

HMRC defines a registered medical practitioner as ‘a fully registered person within the meaning of the Medical Act 1983’. Where a member is not in the UK, the registered medical practitioner can be someone with equivalent overseas qualifications. HMRC always expects that a member in the UK would need to have evidence from a UK registered medical practitioner.

HMRC guidance on ill-health and serious ill-health benefits can be found at: