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Private Health Insurance Incentives Bill 1998

1998

 

The Parliament of the

Commonwealth of Australia

 

HOUSE OF REPRESENTATIVES

 

 

 

 

Presented and read a first time

 

 

 

 

 

 

 

 

 

Private Health Insurance Incentives Bill 1998

 

No.      , 1998

 

(Health and Aged Care)

 

 

 

A Bill for an Act to provide incentives for private health insurance, and for related purposes

   

   

   



Contents

Chapter 1—Introduction                                                                                         2

Part 1—Preliminary                                                                                                                2

Division 1—Preliminary                                                                                               2

1-5......... Short title............................................................................................ 2

1-10....... Commencement.................................................................................. 2

1-15....... Identification of defined expressions.................................................. 2

Division 2—Guide to this Act                                                                                   4

2-1......... What this Act is about........................................................................ 4

Chapter 2—The incentive payments scheme                                      5

Part 2—Entitlement to, and calculation of, payments under incentive payments scheme 5

Division 3—Introduction                                                                                             5

3-1......... What this Part is about....................................................................... 5

Division 4—Entitlement to, and calculation of, payments                          6

4-5......... Entitlement to payments.................................................................... 6

4-10....... Calculation of the amount payable..................................................... 6

4-15....... Claims................................................................................................. 9

Part 3—Claims for payments under incentive payments scheme              10

Division 5—Introduction                                                                                           10

5-1......... What this Part is about..................................................................... 10

Division 6—Claims for payments                                                                          11

6-5......... Need for a claim................................................................................ 11

6-10....... Form of claim.................................................................................... 11

6-15....... Withdrawal of claim.......................................................................... 11

6-20....... Determination of claim and payment of amount.............................. 11

Part 4—Obtaining of information                                                                                  13

Division 7—Introduction                                                                                           13

7-1......... What this Part is about..................................................................... 13

Division 8—Notification requirements                                                               14

8-5......... Notification requirements—claimants.............................................. 14

8-10....... Notification requirements—health funds......................................... 14

Chapter 3—Premiums reduction scheme                                             17

Part 5—Participation in the premiums reduction scheme                               17

Division 9—Introduction                                                                                           17

9-1......... What this Part is about..................................................................... 17

Division 10—Who is eligible to participate in the premiums reduction scheme               18

10-5....... Eligibility to participate in the premiums reduction scheme............ 18

Division 11—How people participate in the premiums reduction scheme           19

11-5....... Registration by HIC......................................................................... 19

11-10..... Eligibility to apply for registration................................................... 19

11-15..... Application for registration.............................................................. 20

11-20..... Notifying the HIC............................................................................ 21

11-25..... Refusal to register............................................................................. 21

11-30..... Notification requirements—registered person.................................. 22

11-35..... Notification requirements—health funds......................................... 23

11-40..... Revocation of registration................................................................. 23

11-45..... Variation of registration.................................................................... 23

11-50..... Retention of applications by health funds....................................... 24

Division 12—What effect the premiums reduction scheme has on insurance premiums             25

12-5....... Reduction in premiums..................................................................... 25

12-10..... Participant in the premiums reduction scheme................................. 26

Part 6—Reimbursement of health funds                                                                   28

Division 13—Introduction                                                                                         28

13-1....... What this Part is about..................................................................... 28

Division 14—How health funds become participating funds                  29

14-5....... Becoming a participating fund.......................................................... 29

14-10..... Requirements for applications.......................................................... 29

14-15..... Consideration of applications........................................................... 30

14-20..... Notice of Minister’s decision........................................................... 30

Division 15—How participating funds are reimbursed                              31

15-5....... Health funds may claim reimbursement........................................... 31

15-10..... Requirements for claims................................................................... 31

15-15..... Amounts payable to the health fund................................................ 32

15-20..... Notifying health funds if amount is not payable.............................. 32

15-25..... Reconsideration of decisions............................................................ 33

Division 16—Administrative provisions                                                           34

16-5....... Audits by HIC.................................................................................. 34

16-10..... HIC may require production of applications................................... 35

Chapter 4—Provisions applying both to incentive payments scheme and to premiums reduction scheme                                                                           36

Part 7—General                                                                                                                      36

Division 17—Introduction                                                                                         36

17-1....... What this Part is about..................................................................... 36

Division 18—When and how payments can be recovered                       37

18-5....... Recovery of payments..................................................................... 37

18-10..... Interest on amounts recoverable....................................................... 38

18-15..... Write off, waiver and payment by instalments................................ 39

Division 19—Miscellaneous                                                                                    41

19-5....... Use etc. of information relating to another person........................... 41

19-10..... Review by Administrative Appeals Tribunal.................................. 41

19-15..... Information to be provided to the Commissioner............................ 42

19-20..... Exclusion of certain State insurance.................................................. 43

19-25..... False or misleading information........................................................ 43

19-30..... Application of the Criminal Code .................................................... 43

19-35..... Appropriation.................................................................................. 43

19-40..... Regulations....................................................................................... 43

Part 8—Dictionary of defined expressions                                                              44

Division 20—Defined expressions                                                                       44

20-5....... Definitions........................................................................................ 44

20-10..... Meaning of incentive amount ............................................................ 47

 



A Bill for an Act to provide incentives for private health insurance, and for related purposes

The Parliament of Australia enacts:

Chapter 1 Introduction