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Private Health Insurance Incentives Bill 1998

Part 4 Obtaining of information

Division 7 Introduction

7-1   What this Part is about

This Part is about the obtaining of information by the HIC for the purposes of this Chapter.

Table of Divisions in this Part

7           Introduction

8           Notification requirements



 

Division 8 Notification requirements

8-5   Notification requirements— claimants

             (1)  If you have made a claim under section 6-5 for a payment of an amount and:

                     (a)  a matter, event or circumstance occurs that affects your entitlement to a payment for which the claim is made; or

                     (b)  a change occurs in the premium, or in the amounts or frequency of the payments in respect of the premium, under the policy;

you must, within 30 days after the occurrence of the matter, event, circumstance or change, give written notice to the HIC containing particulars of it.

             (2)  You are guilty of an offence if:

                     (a)  you are required by subsection (1) to give a notice to the HIC containing particulars of a matter, event, circumstance or change referred to in that subsection; and

                     (b)  you fail to comply with the requirement.

Maximum penalty:    60 penalty units.

Note:          Chapter 2 of the Criminal Code sets out the general principles of criminal responsibility.

             (3)  Section 4K of the Crimes Act 1914 does not apply to the obligation to provide information pursuant to subsection (1).

8-10   Notification requirements—health funds

             (1)  The HIC may, by notice in writing, require a * health fund to provide information relevant to the operation of this Chapter about a person who:

                     (a)  is covered at any time during a financial year specified in the notice by an * appropriate private health insurance policy issued by the fund; or

                     (b)  paid premiums under such a policy.

             (2)  The information that the HIC may require the * health fund to provide includes the following:

                     (a)  the name, residential address and date of birth of each such person;

                     (b)  the fund membership number of the policy;

                     (c)  the name, residential address and date of birth of the person covered by the policy whom the health fund treats as the contributor in respect of the policy;

                     (d)  the name, residential address and date of birth of any person who is a * partner of a person covered by the policy;

                     (e)  whether the policy provides * hospital cover, * ancillary cover or * combined cover;

                      (f)  the date on which the policy was issued;

                     (g)  whether the policy has terminated or been suspended, and, if it has, the date on which it terminated or was suspended;

                     (h)  the amount of the premium under the policy;

                      (i)  the period to which the premium relates;

                      (j)  any increase or decrease in the premium;

                     (k)  whether a payment in respect of a premium that was due within a period specified by the HIC was not paid.

             (3)  The information required by a notice under subsection (1) is to be provided:

                     (a)  in a form (including an electronic form) approved by the HIC; and

                     (b)  within the period specified in the notice.

             (4)  A * health fund is guilty of an offence if:

                     (a)  the fund is required by a notice under subsection (1) to provide information within a specified period about a person or matter; and

                     (b)  the fund fails to comply with the requirement.

Maximum penalty:    20 penalty units.

Note 1:       Chapter 2 of the Criminal Code sets out the general principles of criminal responsibility.

Note 2:       The obligation to provide information pursuant to a notice under subsection (1) is a continuing obligation and a health fund is guilty of an offence for each day, after the period specified in the notice, until the information is provided (see section 4K of the Crimes Act 1914 ).



 

Chapter 3 Premiums reduction scheme