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Everything you need to know about child maintenance – including how to get extra cash

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Everything you need to know about child maintenance - including how to get extra cash

IF you’ve split up from the mother or father of your child, one thing you need to consider is child maintenance.

This is money paid from one parent to another to cover the higher costs faced by the resident parent – theone who has the children living with them most of the time.

Child maintenance is paid to the parent who cares for a child

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Child maintenance is paid to the parent who cares for a childCredit: Getty

The government says that you must have a child maintenance arrangement in place if your child (or children) is aged under 16, or under 20 if they’re still in approved education.

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It’s important to note that while the amount of child maintenance paid is influenced by how often the non-resident parent looks after their children overnight, child arrangement orders should not be influenced by who will pay what.

Victoria Furlong, family partner at Keystone Law said: “The resident parent must not stop the non-resident parent from spending time with the child if child maintenance has not yet been agreed. 

“The child arrangements and child maintenance are entirely separate matters.

“To deny the child a relationship with a parent over child maintenance can be against a child’s best interests and would be criticised heavily in the court arena.”

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How is child maintenance calculated?

Child maintenance is calculated by looking at the income of the non-resident parent. 

When making the calculation, the Child Maintenance Service (CMS) considers:

  • the gross income of the non-resident parent
  • the number of children they have
  • the number of nights each child stays overnight with the non-resident parent,
  • any pension payments the non-resident parent makes
  • any other children the non-resident parent has to support in their household. 

It will then apply one of five rates.

Amanda Bell, co-founder of SeparateSpace, an affordable divorce platform, said: “The good news is you don’t need to work through the formula yourself because there’s an easy-to-use online calculator on the government website.

“The CMS formula only applies to income under £156,000 per year, so where one person earns over this threshold it’s common for more maintenance to be paid.”

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You can find the calculator here.  

The figure generated by the CMS formula represents the minimum amount payable, and some parents agree to split additional expenses such as school trips or computer equipment.  

What happens if there is shared care, or 50/50 care?

If there is shared care, the CMS will consider the number of nights each child stays overnight with each parent. 

Me Bell said: “Guidance on the government website is confusing on this question. 

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“On the first page it states, ‘you will not have to pay through the Child Maintenance Service if you are sharing care equally with the other parent’, but if you go on to complete the online questionnaire, indicating that your child stays overnight half the time with their other parent, it will indicate a sum to be paid.”

Relationship therapist explains the rise in women wanting a divorce

This, she explains, is because the government distinguishes between situations where there is absolutely equal shared care and where the child/children spend half their time (or over 175 days a year) with the non-resident parent.  

In the latter case, the CMS has jurisdiction, and the formula will operate to apply a 50% reduction plus a further £7 deduction to the amount payable. 

Ms Bell explained: “The test is whether there is an equal sharing of day-to-day care and is not referable to the number of nights on which care is provided overnight.

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“As a rule of thumb, the CMS assumes the parent in receipt of child benefit is the person providing day to day care to a greater extent and will deem them the person who is to receive the maintenance.”

If the day-to-day care of a child is shared equally by the parents, the paying parent may not have to pay maintenance for that child.

What happens if my ex is self-employed?

The child maintenance calculation should include all the income received by the non-resident parent, even if they’re self-employed. However, sometimes there is friction because of the way that self-assessment tax returns are completed.

Ms Furlong said: “If your ex is self-employed, the CMS will assess their income based on their declared income for tax purposes. This can be more difficult to calculate, as self-employed income can vary.

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The CMS has methods for assessing self-employed income and can request further evidence if required, especially if there are concerns that not all self-employed income has been declared.”

The CMS relies on the income details filed at HMRC for the latest tax year.  But, if your ex is required to file a self-assessment return, the information can be significantly out of date because there is a time-lag between the tax year and when the tax return has to be filed.

Day added: “If you know your ex has an income but it’s not reflected in their tax return (for example they have diverted income through a director’s loan account or are retaining undrawn profits in a private company) so hasn’t been included in the child maintenance calculation, then the assessment can be varied. “

If this is a concern, you should get in touch with the CMS and ask if you can make a variation to get this income included in the child maintenance calculation.  You can call the CMS on 0800 171 2345.

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What happens if my ex has another child or moves in with someone who has another child?

The CMS will take account of another child your ex has to support in their household and this may reduce the amount of child maintenance they are required to pay.

Ms Furlong said: “This includes any children living with them and any arrangements that have been made directly for other children.”

And Ms Bell added: “The figure produced by the CMS formula is adjusted for other children living in the paying parents’ household. So, if your ex has another child who lives with them or moves in with someone who has another child, it’s likely to impact the amount of maintenance you’re entitled to.” 

When does child maintenance stop? What if my child goes to university?

Child maintenance payments through the CMS stop when a child reaches 16 or completes full time secondary education. It can continue till age 20 if the child stays in approved education.

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Ms Day said: “For children doing A levels, child maintenance usually finishes on 31 August following the completion of their exams. 

Otherwise, a child might continue to qualify to age 20 provided they are in secondary education or returning to it or on certain types of government training.”

However, it is possible to agree to pay child maintenance for longer than this.  For example, some families agree that child maintenance will be paid until the child finishes full time tertiary education (e.g. until they graduate from university). 

In these circumstances, the paying parent tends to have a high income. 

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Ms Day added that where this is agreed, the payment is usually split so that the non-paying parent/parent with care receives one third to half of the maintenance (which covers a contribution to the child’s costs when they’re back at home over university holidays) and the rest of the maintenance is paid directly to the child to contribute to their day-to-day living costs, such as accommodation, food and travel.

Me Furlong said: “Sometimes parents agree child maintenance arrangements in the context of a divorce and include in a Court Order provision for one parent to pay child maintenance if the child goes to university and/or the university fees or a proportion of them.”

What happens if my ex doesn’t pay? 

Private arrangements are not legally binding, but CMS arrangements are. So, if your ex is not keeping up with the terms you’ve agreed, you will need to make an application to the CMS to get an assessment.  

If you already have a CMS assessment, you will either have agreed ‘direct pay’ (when the CMS has made a calculation but isn’t involved in the payment of the child maintenance) or ‘collect and pay’ (where the CMS collects the child maintenance for you).

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Keep a record of any payments that are missed altogether.  Then contact the CMS and let them know that the payments aren’t being made. 

If you’re in the ‘collect and pay’ scheme, they should already be aware but get in touch with them anyway. You should keep a record of every communication with the CMS.  

Ms Bell explained: “If you’re in the direct pay scheme, then the CMS may move you to the ‘collect and pay scheme’.  You can also ask to be switched into this scheme.  It does come with a fee so you’ll end up with slightly less money (your fee will be deducted from the child maintenance) – and your ex will end up paying more (their fee will be added to the amount they have to pay).”

If your ex still doesn’t pay, the CMS has powers to enforce outstanding maintenance payments.

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Me Furlong said: “The CMS can invoke its enforcement methods, which may include action against your ex to take the arrears directly from their wages or bank account.”

How do private arrangements work

Private agreements are not legally binding, but they can be very useful and allow more flexibility. They can also be varied quickly if circumstances change.

If you have a consent order (i.e. a court order finalising the finances after a divorce) and your order provides for child maintenance that is different to what the CMS would calculate, then the general rule is you’re stuck with that agreement for 12 months.  

After that point, either of you can apply to the Child Maintenance Service for an assessment.  However, Day says there are some ways to draft the final financial agreement which means that any CMS assessment doesn’t change the amount payable.

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What happens if CMS makes a mistake?

The Child Maintenance Service calculates child maintenance in accordance with a formula and set criteria. 

Most of the time, they get it right. However, there may be instances when the CMS may have made an error or missed evidence when making their decision on a child maintenance calculation.

Nusrat Siddique, associate solicitor at Family law firm, Rayden Solicitors says: “If you receive a decision from the CMS which you do not agree with, you can ask them to review their decision. This process is known as seeking a mandatory reconsideration.”

If you think an error has been made, you need to request a mandatory reconsideration within one month of the date you receive the original CMS decision letter. 

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The steps you’ll immediately need to take are:

  • Checking your original decision letter to see if the decision can be reconsidered, or whether you have to go straight to an appeal at the Social Security and Child Support Tribunal
  • Checking your original decision letter to see if you are within the one-month deadline

Siddique said: “If you act on time, as part of your request for a mandatory reconsideration, you will need to set out very clearly why you consider the decision that has been reached to be wrong, with a supporting statement and documentary evidence, such as new medical evidence, bank statements, pay slips, and tax returns, proving your position.”

Once you have requested a mandatory reconsideration, the CMS will reconsider their decision and give you a letter called a “mandatory reconsideration notice”. This notice will set out whether they have changed their original decision, the reasons for their decision and the evidence they have based their decision on. 

If the CMS changes its decision, it’ll change the amount the non-resident parent must pay and backdate it to the date of its original decision. 

If you miss the one-month deadline, you can still apply for a mandatory reconsideration but you need to provide a “good reason” for why you failed to meet the deadline.

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A good reason could include suffering from a serious illness or bereavement. It is up to the CMS to then decide whether it proceeds with your request or refuses it.

Siddique explained: “Even if the CMS refuses your application because you failed to meet the deadline, you can appeal to a tribunal so long as you apply within 13 months of the date on your original decision letter. Again, the reason for the delay will be important.”

If you still believe the outcome of your mandatory reconsideration request is wrong, you can appeal to the Social Security and Child Support Tribunal, which is an independent body.

Again, timing is key. You must submit your appeal within one month of the date of your mandatory reconsideration notice. If you miss that deadline, you might be able to ask for a “late appeal”, but you must give reasons for why your late appeal should be allowed.

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After you submit your appeal, you can manage it online and provide evidence. You will be given a date to attend a tribunal hearing, where a judge will listen to both sides of the argument before deciding on the form of a “decision notice”.

Siddique said: “You must remember that while the CMS decision is being reconsidered or appealed, it will stay in force. You must continue to make payment for the child’s maintenance following the calculation on the original decision letter until the issue is resolved.”

If you don’t pay, the CMS may force the collection of what they think you owe.  If they do so they will automatically charge an additional 20% on top of what they think you owe, so it can be very costly.  

Siddique concluded: “The process for challenging a CMS calculation can be difficult, particularly with the time limits and putting together the evidence to support your case. If you are considering challenging the CMS’s decision, early legal advice should be obtained.”

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How to contact the CMS

Here’s how to contact the CMS:

By phone: 0800 171 2345

Online: You can contact the CMS through your online account.

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By post – write to: Child Maintenance Service (England, Scotland, Wales cases) 
Child Maintenance Service 21 
Mail Handling Site A 
Wolverhampton 
WV98 2BU

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How to protect your business from lawsuits?

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Facing a lawsuit can present significant challenges for any business, potentially leading to financial ruin and reputational damage. Implementing preventative measures is the key to shielding your company from legal action. This requires an understanding of areas of vulnerability and acting proactively.

Legal documentation stands at the forefront of business protection. Well-drafted contracts ensure that all parties understand their obligations and rights, thus reducing the risk of disputes. Furthermore, regular consultations with a legal expert can keep your company policies updated and compliant with current laws.

Employees also play an essential role in maintaining a lawsuit-free environment. Adequate training and a clear understanding of company policies foster a workplace culture that respects the law and emphasizes ethical behaviour. By addressing these critical areas, businesses can significantly decrease the likelihood of facing unwanted legal challenges.

Understanding Legal Risks in Business

Businesses encounter various legal challenges that require careful navigation. Identifying potential threats and knowing common missteps can help companies mitigate risks effectively.

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Types of Lawsuits Businesses Face

Businesses can face several types of lawsuits. Breach of contract occurs when one party fails to fulfil contractual obligations, leading to legal disputes. Companies may also face employment-related lawsuits, such as wrongful termination or discrimination claims. Intellectual property infringement is another risk businesses encounter, involving the unauthorized use of trademarks or copyrights.

Negligence claims can arise if a company fails to provide a safe environment for customers or employees. Consumer protection lawsuits may occur if products are deemed defective or misleading. Each of these lawsuits can lead to significant financial and reputational damage. Consulting with a business attorney can help in preemptively addressing these legal threats.

Common Legal Mistakes Companies Make

Businesses often make legal mistakes that can result in lawsuits. Failing to document agreements properly is a frequent error that can lead to misunderstandings and disputes. Companies might neglect compliance with employment laws, including wage regulations and workplace safety standards, risking regulatory actions.

Mismanagement of intellectual property is another common mistake. Businesses sometimes use trademarks without proper authorization, inviting legal issues. Ignoring cybersecurity, with inadequate protection for customer data, can result in privacy violations. Inappropriate responses to legal actions, such as delayed engagement with legal counsel, may exacerbate the situation. Being proactive and engaging a competent business attorney can prevent many of these issues.

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Preventive Legal Strategies

Navigating legal complexities is crucial for business longevity. Identifying and mitigating potential legal risks can save time and resources. Businesses can focus on strong contracts, regulatory compliance, and intellectual property protection to avoid lawsuits.

Implementing Strong Contracts and Agreements

A robust contract serves as the backbone of any business relationship, outlining the rights and responsibilities of each party. Effective contracts should be clear, comprehensive, and drafted with the assistance of a competent business lawyer in Pittsburgh, or wherever the business operates.

Businesses must ensure contracts are tailored to specific needs, avoiding generic templates that may miss critical clauses. These documents should cover key elements such as payment terms, delivery timelines, dispute resolutions, and confidentiality agreements.

Engaging in regular reviews and revisions of contracts can prevent misunderstandings and legal vulnerabilities. A legal expert can help spot potential issues and make necessary adjustments, ensuring that the contracts remain compliant with current laws and regulations.

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Maintaining Regulatory Compliance

Staying compliant with industry regulations is essential to avoid costly lawsuits and penalties. It involves understanding and adhering to legal requirements relevant to the business sector, which may include environmental laws, labour laws, or data protection regulations.

Businesses should develop a compliance program that includes regular audits and training sessions. This keeps staff informed about legal obligations and ensures that processes align with regulatory standards.

Business lawyers can offer guidance on regulatory changes, helping businesses adjust policies and operations accordingly. They can also assist in drafting internal compliance manuals that detail every requirement, providing employees with easy access to necessary information.

Protecting Intellectual Property

Safeguarding intellectual property (IP) is vital for maintaining a competitive edge and preventing misuse. Various forms of IP, such as trademarks, patents, and copyrights, require different protections and registrations.

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Businesses should conduct regular IP audits to identify and document all intellectual properties. Registering IP with the appropriate authorities ensures legal protection, making it easier to enforce rights if needed.

A knowledgeable lawyer can assist in conducting these audits and filing registrations, protecting brand identity and innovation. Businesses also need strategies for monitoring any unauthorized use of their IP, which may involve setting up alerts or subscribing to monitoring services.

Handling Lawsuits Effectively

Managing legal challenges is crucial for any business. Partnering with a skilled attorney and making informed choices about settlements are among the strategies to handle lawsuits effectively.

The Role of a Business Attorney During Litigation

A business attorney is vital in navigating the complexities of litigation. They provide expert guidance in assessing the merits of a claim and outlining potential defences.

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Their expertise helps in gathering and preserving evidence, preparing legal documents, and ensuring compliance with court procedures. They also communicate with the opposing party to explore potential resolutions. By maintaining a strong understanding of applicable laws, a business attorney can offer strategic advice that minimizes risks and potential liabilities for the business. Engaging an attorney early in the process can be instrumental in achieving a favourable outcome.

Settlement Considerations and When to Fight a Claim

Determining whether to settle or litigate depends on several factors. Settlement may be beneficial when it offers a quicker resolution and lower costs compared to prolonged litigation.

Factors such as the strength of the evidence, potential damages, and reputational impacts should be assessed. Engaging in negotiation with the other party can sometimes lead to mutually beneficial solutions. When the claim lacks merit or if a win could deter future lawsuits, opting to contest the claim may present advantages. Each case requires a tailored approach, weighing costs against benefits effectively, often with the guidance of a skilled attorney.

Financial Management and Insurance

Effective financial management and comprehensive insurance coverage are critical in safeguarding a business against lawsuits. Identifying suitable insurance policies and managing financial risks can greatly reduce potential liabilities.

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Securing Adequate Insurance Coverage

Insurance is a crucial shield against business liabilities. Businesses should invest in General Liability Insurance to cover legal fees, settlements, and medical expenses related to third-party injuries or property damage. Additionally, Professional Liability Insurance addresses errors, omissions, or malpractice claims. Business Interruption Insurance protects against revenue loss in crises.

Evaluating the specific needs of the business is essential. Depending on the industry, other policies like Product Liability Insurance or Employment Practices Liability Insurance may be worthwhile. Consulting an insurance expert ensures that coverage is comprehensive, aligning with the business’s risk profile.

Managing Litigation Costs and Financial Risks

Managing litigation costs requires a strategic approach. Establishing an emergency fund ensures immediate access to funds if legal issues arise. Analyzing financial statements helps identify trends and potential vulnerabilities.

Implementing risk management strategies reduces exposure to legal threats. Companies should regularly review contracts and compliance with relevant laws. Investing in legal counsel or risk management software aids in identifying and mitigating financial risks efficiently.

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Regular audit processes can uncover and address financial weaknesses promptly. Diversifying assets and implementing strict financial controls further bolster financial resilience. By proactively managing litigation expenses and financial obligations, companies can maintain stability amidst legal challenges.

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What advisers can learn from groundbreaking new Apple Intelligence

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Chris Davies - Illustration by Dan Murrell
Chris Davies - Illustration by Dan Murrell
Chris Davies – Illustration by Dan Murrell

Apple’s iOS 18 has just dropped and, with it, a major upgrade that could make Siri smarter than your average human — or at least better at answering questions.

Dubbed Apple Intelligence, this new suite of artificial-intelligence (AI) tools promises to turbocharge the iPhone with features powered by ChatGPT.

The iOS 18.1 update introduces advanced features, such as improved writing tools, suggested replies in Messages, email summarisation and phone-call transcription.

Apple has hinted at even more exciting updates down the road. Think custom emojis and even deeper Siri integration with your calendar, photos and messages.

Fintech isn’t magic. Establish a ‘chief AI officer’ role in your business

Imagine asking Siri when your mum’s flight is landing and it knows right away. No more hunting through emails.

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So, what can our industry learn from this new wave of smartphone generative AI?

1. Forget tech stacks; build an ecosystem

Apple Intelligence will offer more extensive and seamless integrations, data intelligence and analytics than before, with users able to access this across all the apps they employ.

Where financial services are concerned, it’s time to stand tall against legacy tech that does not deliver streamlined integration. We need integrations that facilitate accurate and high-quality data reporting across all stakeholders.

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Remember that new technology comes with its fair share of quirks

With a data-led Financial Conduct Authority armed with the Consumer Duty, tech firms are front and centre in the distribution chain and cannot be seen to be a barrier to advice firms’ assessment and reporting on client outcomes.

Synthetic data lakes must be made available by tech providers so firms can gain access to pooled client data. Without this, we are stuck with Band-Aid solutions not fit for purpose and are in for a rude awakening with blockchain, tokenisation, smart contracts and Web3 expansion just around the corner.

2. Privacy matters

Apple has been banging the privacy drum for years and, with Apple Intelligence, it’s sticking to its guns.

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The good news? Most of the AI processing will happen directly on the device, keeping data safe — or so Apple says. If Siri can’t answer a question, it may reach out to Apple’s servers or ChatGPT, but not before anonymising and encrypting data.

It’s time to stand tall against legacy tech that does not deliver streamlined integration

It’s not all sunshine and rainbows, though. Some features, such as enhanced Siri capabilities, require more data access. Apple could be reading your messages, tracking your calendar and even recording your calls (with permission, of course).

On this, advice firms need to ensure they have a robust due-diligence, governance and oversight process. Enforce a strong AI code of conduct and make sure AI ethics is front and centre of all implementation and ongoing services.

3. Roll with the glitches

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Remember that new technology comes with its fair share of quirks. Apple chief executive Tim Cook even admitted that Apple Intelligence might have a few hiccups — or “hallucinations”.

We all know that fintech isn’t magic, so we need to ensure we have the right people, in the right roles, with the right skillsets. Establish a ‘chief AI officer’ role in your business — even if that’s outsourced — as well as an AI champion and/or data scientist who knows how to deploy and monitor AI.

4. The showdown

One of the most exciting aspects of Apple Intelligence is its ChatGPT integration. Siri will be your first stop for questions but ChatGPT will swoop in to save the day if it’s out of its depth.

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Enforce a strong AI code of conduct and make sure AI ethics is front and centre of all implementation and ongoing services

The approach at many fintech firms works in reverse. We engage generative AI first to automate a response for our compliance chatbot, client file review or client document audit. But, given the potential for “hallucinations”, rules are built in by our compliance team to ensure they are caught, eliminated and replaced by accurate regulatory information.

Final thoughts

Apple Intelligence will revolutionise the way we use our iPhones, making them more helpful and intuitive.

We need to ensure we have the right people, in the right roles, with the right skillsets

For the planning profession, AI should be considered a great leveller, increasing efficiency across key activities such as client engagement, servicing, reporting and compliance, as well as providing significant cost and time savings.

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Chris Davies is founder and chief executive of Model Office


This article featured in the October 2024 edition of Money Marketing

If you would like to subscribe to the monthly magazine, please click here.

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Major supermarket opens Christmas delivery slots TODAY – how to get one

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Major supermarket opens Christmas delivery slots TODAY - how to get one

A MAJOR supermarket has opened its Christmas delivery slots today, as the countdown to the big day begins.

Asda is now allowing customers to secure a spot for when they want their festive grocery shopping dropped off ahead of the holidays.

Asda has opened its delivery slots for some customers.

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Asda has opened its delivery slots for some customers.Credit: Alamy

As of October 15, shoppers who pay for its “Delivery Pass” service can book their slot for December.

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A delivery pass is a payment plan which lets you make multiple orders without paying for delivery each time.

They can be paid monthly or yearly, with prices for Asda’s pass starting at £3.95 per month.

The service gives you priority access to slots alongside next-day delivery.

The minimum online spend at Asda is £40 for delivery and £25 for click and collect.

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The UK’s third-largest supermarket said that over one million home delivery and click-and-collect slots will be available in the week leading up to Christmas.

Shoppers can also make changes or additions to their basket up until 11 pm the night before their delivery or collection.

But if you are not paying for a delivery pass you are going to have to wait a bit longer to book your spot.

Asda said regular shoppers will have to wait until Tuesday, October 22 to secure their space.

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Inside new upgraded Asda stores

How to secure your spot early

If you want to book a spot early you must already be a Delivery Pass customer.

You can sign up for the pass by visiting Asda’s online website at, https://groceries.asda.com/delivery-pass.

You will need to have an Asda grocery account to sign up for a pass and once you have paid it will be immediately available to use.

There is a minimum order of £40 and you can only use the service once a day.

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At the moment an anytime 12-month pass is £6.95 per month, or for a midweek pass, it is £3.95.

If you would prefer to make a one-off payment an anytime 12-month pass costs £69.50 and a midweek 12-month pass costs £39.50.

Perks to signing up include next-day delivery, recurring booking slots, priority access to slots and free next-day collection on click and collect.

When do other retailers’ slots open?

It’s not just Asda which has opened slots ahead of Christmas.

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Tesco said this month that its annual delivery pass customers can book their slots from 6am on Tuesday, November 5.

This gives customers a one-week head start on regular shoppers, who will have to wait until November 12 to nab a slot.

But if you also want to get ahead of the game, you can still sign up to the delivery plan by Monday, November 4.

Saisnbury’s said Christmas delivery slots open on October 16 for Delivery Pass customers and 23rd October for others.

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Waitrose has also already allowed its customers to start booking slots for Christmas.

Meanwhile, Morrisons has already started taking bookings with slots open now.

The same goes for Ocado with the pure-play online retailers offering customers the chance to book slots from as early as September.

M&S also launched its food-to-order service and the end of September, with slots filling up immediately.

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The service lets you book and pay for your Christmas dinner and other snacks ahead of time and then collect them closer to the big day.

Orders this year can be collected on December 22, 23 or 24 in your local M&S Food Hall.

For Iceland, shoppers will be able to book delivery slots from around the middle of December.

You can read more about how this works by clicking the link here.

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What is a grocey delivery pass?

DELIVERY passes allow customers to pay a flat fee either monthly, yearly or six monthly, and then get their deliveries for free.

In some instances, you can also get first dips on booking your Christmas delivery slot.

You should only consider taking out a delivery pass if you order groceries online regularly and if you think it will save you money in the long term.

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All major grocery stores offer the service but the price varies.

For example, Tesco’s anytime delivery plan costs £7.99 per month for 12 months or £47.88 if you don’t want to pay monthly.

You can also pay £47.88 if you don’t want to pay monthly.

Meanwhile, Sainsbury’s charges £7.50 per month for the service or £80.00 for a 12-month upfront payment.

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Asda has passes starting from £3.95 per month or a 12-month payment of £69.50

Morrisons also offer the service with prices starting from £5

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Can an Insurance Claims Lawyer Help Me Appeal a Denied Insurance Claim?

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When an individual’s insurance claim is denied, it can be a frustrating and often confusing experience. The process of appealing a denied insurance claim can be intricate and may require a clear understanding of insurance law and policy language. In such circumstances, consulting an insurance claims lawyer can be a critical step. These legal professionals specialize in analyzing the policy details, identifying grounds for appeal, and formulating a strategic approach to challenge the denial.

An insurance claims lawyer typically has expertise in navigating the complex appeal process. They employ their knowledge to scrutinize the reasons for denial and gather evidence that supports the policyholder’s case. The lawyer’s involvement can help ensure that the appeal is constructed professionally and presented cogently, increasing the chances of overturning the insurer’s decision.

Furthermore, these lawyers are adept at negotiating with insurance companies and advocating for their clients’ rights. If the appeal is not successful, an insurance claims lawyer in Fort Myers may also advise on the feasibility of taking further legal action. Through their guidance, policyholders gain the advantage of an informed ally committed to protecting their interests and securing a fair outcome.

Understanding Insurance Claim Denials

Common Reasons for Denial

  • Policy Exclusions: Most insurance policies have specific exclusions. If the claim falls under these exclusions, the insurance company will likely deny it.
  • Lapsed Policy: If premium payments are not up to date, an insurance policy may lapse, resulting in denied claims.
  • Insufficient Documentation: Insurance companies require adequate documentation to process claims. Claims may be denied if the documentation is incomplete or insufficient.
  • Filing Deadlines: Insurance policies often impose deadlines for filing claims. Failure to adhere to these can lead to denial.

The Appeals Process

After a claim is denied, policyholders have the right to an appeal. This process typically involves:

  1. Reviewing the Denial Letter: It is essential to understand the reasons for denial as outlined in the correspondence from the insurer.
  2. Gathering Documentation: This may include additional evidence or information to contest the denial.
  3. Submitting a Formal Appeal: This includes a written statement and any additional documents to support the appeal, directed to the insurer.

In Fort Myers, an insurance claim attorney can assist at various stages of the appeals process, ensuring that policyholders understand their rights and the available legal pathways to challenge a denied insurance claim.

How an Insurance Claims Lawyer Can Assist

When an insurance claim is denied, a specialized lawyer can provide crucial guidance and representation to challenge the decision. Their expertise is invaluable in understanding the intricacies of insurance law and advocating for your rightful compensation.

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Assessing Your Denied Claim

An insurance claim attorney will meticulously review the facts of your denied insurance claim to ascertain the validity of the insurer’s decision. They will scrutinize the policy details and the reasons provided for denial. This rigorous examination helps them determine if the denial was unjust and whether there are grounds for an appeal.

Navigating Legal Complexities

Insurance law can be a labyrinth of statutes, regulations, and case law that laypersons find challenging to navigate. A seasoned attorney in Fort Myers excels in interpreting these complexities and crafting a strategy to counter the denial. They can manage necessary paperwork, meet critical deadlines, and engage with insurance company lawyers on your behalf.

Representing Your Appeal

Should your case proceed to appeal, an insurance claims lawyer will serve as your advocate. They will present your argument, fortified with evidence, to the appropriate appeals board or court. They assert your position and seek to overturn the denial, aiming to secure the insurance benefits due to you. The lawyer’s presentation can include witness testimony, expert opinions, and other persuasive documentation.

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The Morning Briefing: Lowest wage growth in over two years; ‘Polluter pays’ proposals forces due diligence

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The Morning Briefing: Phoenix Group scraps plans to sell protection business; advisers tweak processes

Good morning and welcome to your Morning Briefing for Tuesday 15 October 2024. To get this in your inbox every morning click here.


Lowest wage growth in over two years fuels interest-rate speculation

Wage growth in the UK has slowed significantly, with pay excluding bonuses rising by just 4.9% between June and August compared to a year ago.

This marks the slowest rate of wage growth in over two years – only 3.8% when bonuses are factored in.

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These figures, released today (15 October) by the Office for National Statistics (ONS), have fuelled expectations that the Bank of England may cut interest rates in November.


‘Polluter pays’ proposals forcing buyers to do more due diligence

The Financial Conduct Authority’s “polluter pays” proposals are forcing consolidators to carry out more due diligence when buying advice firms, Gunner & Co managing director Louise Jeffreys has suggested.

The FCA set out its “polluter pays” proposals in November last year. They require personal investment firms to set aside capital to cover compensation costs.

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In a Dear CEO letter sent to advice and investment firm owners last week, the regulator said it has seen “significant liabilities” fall to the Financial Services Compensation Scheme (FSCS).


What advisers can learn from groundbreaking new Apple Intelligence

Apple’s iOS 18 has just dropped and, with it, a major upgrade that could make Siri smarter than your average human — or at least better at answering questions.

Apple has hinted at even more exciting updates down the road. Think custom emojis and even deeper Siri integration with your calendar, photos and messages.

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Imagine asking Siri when your mum’s flight is landing and it knows right away. No more hunting through emails.

So, asks Chris Davies, founder and chief executive of Model Office, what can our industry learn from this new wave of smartphone generative AI?



Quote Of The Day

A slightly higher rate of increase is welcome for pensioners, though will be an unwelcome £100m extra cost for the Chancellor as she prepares her Budget

– Steve Webb, partner at LCP, comments on the revised figures from the ONS for average earnings growth in the three months to July this year – a number used for the ‘triple lock’ calculation

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Stat Attack

A new report, The Women and Wealth Report 2024, titled The Real Cost of Inequality, reveals financial gaps between men and women that span investments, pensions and inheritances.

29%

of women save less than £100 each month, versus 15% of men.

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17%

of women feel very confident about achieving their long-term financial goals, compared to 29% of men.

53%

of women cite a lack of extra cash as their main barrier to investing.

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26%

of women have a stocks and shares ISA, compared to 45% of men.

13%

of women are very confident they’ll be able to leave an inheritance, compared to 22% of men.

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Source: Schroders Personal Wealth 



In Other News

A survey by ARK Invest Europe found that 80% of European professional investors are indifferent to the active versus passive ETF debate, focusing instead on selecting the best product.

The survey of 180 investors revealed that only 10% favoured active or index ETFs exclusively.

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The most popular investment themes were AI and Robotics, attracting 83% of respondents, followed by Cybersecurity (61%) and Innovation (57%).

Sustainable Infrastructure (41%) and Sustainable Food (40%) also ranked highly, highlighting investor interest in technology and sustainability.

Rahul Bhushan, managing director at ARK Invest Europe, said: “This survey, despite its small sample size, challenges the often-simplistic narrative of active versus index investing.

“It’s not a binary choice. Instead, professional investors emphasise the importance of well-constructed ETF products and the quality and clarity of the investment process, irrespective of whether it is active or index.”

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PM does not rule out NI rise for employers (BBC News)

UK pledges regulatory overhaul to try to win over investors (Reuters)

The sick man of Europe is… Europe (Bloomberg)


Did You See?

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Investors’ ‘love affair’ with environmental, social, and governance (ESG) is “continuing to cool” according to research from the Association of Investment Companies (AIC).

AIC’s ESG Attitudes Tracker revealed the number of private investors who said they consider ESG when it comes to investing has dropped for the third year in a row.

According to the Tracker, less than half (48%) now think about ESG, compared to 66% in 2021.

Over two fifths (43%) of investors said they consider themselves “fans” of ESG investing, down from 60% in 2021, 51% in 2022 and 50% in 2023.

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Only 17% of respondents felt ESG investing is likely to improve performance, down from 22% last year.

Read the full story here.

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Money

Universal Credit and benefits could rise by up to £163 a year – how much better off will you be?

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Universal Credit and benefits could rise by up to £163 a year - how much better off will you be?

MILLIONS of households will this week find out how much their Universal Credit or benefits will rise by next year.

Payments usually rise every April in order to keep up with the cost of things such as food, fuel or household bills.

Millions of households on benefits are set to get a payment rise next year

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Millions of households on benefits are set to get a payment rise next yearCredit: Alamy

The process is called “uprating” and payments usually increase in line with the previous September’s inflation figure, which will be published on Wednesday.

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Inflation is the measure of how much the prices of goods and services have changed over the past year.

Figures tracking the rate of inflation are published every month but September’s figure is the only one used to increase benefits payments.

Once the figures are released it is expected that the Department for Work and Pensions (DWP) will later confirm how much benefits will be increased – usually before the end of the year.

This year the majority of benefits increased by 6.7% although a few rose by as much as 8.5%.

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Meanwhile, in 2023 inflation-linked benefits and tax credits were hiked by 10.1%.

But Universal Credit and other benefits are expected to rise by far less next year.

Inflation was at 2.2% in August and experts expect that this will remain the case for September.

At this rate a single person aged over 25 who is claiming Universal Credit would receive £402.11 a month from April.

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This is £8.66 per month more than the £393.45 they currently get.

Three key benefits that YOU could be missing out on, and one even gives you a free TV Licence

In comparison, last year monthly Universal Credit payments were hiked by £24.71.

Joint applicants who are aged over 25 may receive around £631.19 per month from April, £13.59 more than they currently get.

This would add up to a £163.08 difference over the course of a year.

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But it is still substantially less than the £38.78 a month, or £465.36 a year, uptick they received this year.

Meanwhile, those who are single and aged under 25 could see their currently monthly benefit climb by £6.86.

Everything you need to know about Universal Credit

This would mean their payments rise from £311.68 per month to £318.54 next spring.

The uptick is equivalent to around a third of the boost this year, which was about £19.58 per month.

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In comparison, couples who are under 25 could see their payments climb from £489.23 to £500 per month, a difference of just £10.77.

By contrast, this year they saw a £30.72 increase to their payments.

The exact amount more you will get will depend on how much you get now, which can vary depending on your circumstances.

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Sarah Coles, head of personal finance at Hargreaves Lansdown, said these increases are “tiny” compared to the amount benefits were boosted during times of higher inflation.

She said: “When you spend a larger proportion of your income on the essentials, and things like energy prices remain so high, making ends meet will still be an enormous struggle for an awful lot of people.”

The amount that benefits payments will go up by could still be slightly higher or lower depending on what inflation actually is.

The Office for National Statistics will release the data on Wednesday morning at 7am.

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The following benefits are also legally required to increase each April in line with the previous September’s rate of inflation: 

  • Personal independence payment (PIP)
  • Disability living allowance
  • Attendance allowance
  • Incapacity benefit
  • Severe disablement allowance
  • Industrial injuries benefit
  • Carer’s allowance
  • Additional state pension
  • Guardian’s allowance

This could mean those who currently receive the lower rate of Attendance Allowance could see their payments rise from £72.65 to £75.56 a week.

Meanwhile people on the higher rate could see their weekly payment boosted from £108.55 to £122.89 a week.

In comparison, people who get Carer’s Allowance could get £85.18 each week from April, £3.28 more than they currently do.

But it is important to bear in mind that the government could choose to increase benefit rates by a different amount.

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Danni Hewson, head of financial analysis at AJ Bell, said budgets could be especially tight this year as some additional support is no longer available.

“People are still feeling the pinch, especially since additional cost of living payments ended last February,” he said.

“The hike will once again be considerably smaller than the increase for pensioners, who will see their payments increase by 4% thanks to the triple lock.”

How much will the state pension increase by?

State pension payments also increase every April.

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Under an arrangement called the “triple lock” the state pension rises each year by either 2.5%, inflation or earnings growth, depending on which one is higher.

Earnings figures for the three months to July are used to calculate the yearly increase.

This year they indicated that total pay rose at a rate of 4% annually, which is much higher than the rate of inflation.

If this figure is used then the full state pension would rise by £460 next April.

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This would mean a typical pensioner who receives the full new state pension would get £230.05 a week, up from £221.20 this year.

Over the space of a year this would give them an income of £11,962.50.

Although this is much higher than the amount benefits are set to rise, it is still well below the boost seen last year.

Pensioners were handed an extra £900 a year when the state pension rose by 8.5% last April.

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How to get help now

If you’re struggling to make ends meet then there is help available to you.

For example, you could get hundreds of pounds from your local council through its Household Support Fund.

The scheme aims to provide cash to households struggling to pay for essentials such as water, energy and household items.

For example, families in Birmingham can get £200 to help with winter costs.

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What you can get will depend where you live and what support is on offer.

Contact your local council for more information and to apply.

If you are struggling to pay your water, broadband or energy bills then contact your supplier.

They may be able to give you a discount on your bill or set up a payment plan to get you back on track.

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Do you have a money problem that needs sorting? Get in touch by emailing money-sm@news.co.uk.

Plus, you can join our Sun Money Chats and Tips Facebook group to share your tips and stories

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