Private Health Insurance (Complying Product) Amendment Rules 2013 (No. 5)¹
I, RICHARD BARTLETT, delegate of the Minister for Health, make these Rules under item 3 of the table in section 333-20 of the Private Health Insurance Act 2007.
Dated 20 December 2013
RICHARD BARTLETT
Medical Benefits Division
Department of Health
Contents
PART 1 PRELIMINARY
1. Name of Rules 3
2. Commencement 3
3. Amendment of the Private Health Insurance (Complying Product) Rules 2010 (No. 2) 3
SCHEDULE - AMENDMENTS 4
Part 1 Preliminary
1. Name of Rules
These Rules are the Private Health Insurance (Complying Product) Amendment Rules 2013 (No. 5).
2. Commencement
These Rules commence on 1 April 2014.
3. Amendment of the Private Health Insurance (Complying Product) Rules 2010 (No. 2)
The Schedule to these Rules amends the Private Health Insurance (Complying Product) Rules 2010 (No. 2) as amended.
Schedule – Amendments
[1] Part 2, Paragraph 5
Delete paragraph 5 and substitute:
5. Insured groups
(1) For the purposes of paragraph 63-5 (2A) (b) of the Act, the following insured groups are specified:
(a) for policies other than a non-student policy or a policy referred to in paragraph (c), the insured groups are:
(i) only one person;
(ii) 2 adults (and no-one else);
(iii) 2 or more people, none of whom is an adult;
(iv) 2 or more people, only one of whom is an adult;
(v) 3 or more people, only 2 of whom are adults;
(vi) 3 or more people, at least 3 of whom are adults
where those policies were purchased on or before 1 April 2013.
(b) for policies that are a non-student policy (unless the policy is a non-student policy referred to in paragraph (c)), the insured groups are:
(i) 2 or more people, only one of whom is an adult;
(ii) 3 or more people, only 2 of whom ar9215e adults
where those policies were purchased on or before 1 April 2013.
(c) for non-student policies which have as conditions of the policy that the dependent child non-student is not covered for general treatment, other than hospital-substitute treatment, and must have his or her own policy with the same insurer covering general treatment (other than hospital-substitute treatment), the insured groups are:
(i) 2 or more people, only one of whom is an adult;
(ii) 3 or more people, only 2 of whom are adults
where those policies were purchased on or before 1 April 2013.
(d) for policies other than a non-student policy or a policy referred to in paragraph (c), the insured groups are:
(i) only one person;
(ii) 2 adults (and no-one else);
(iii) 2 or more people, none of whom is an adult;
(iv) 2 or more people, only one of whom is an adult;
(v) 3 or more people, only 2 of whom are adults;
(vi) 3 or more people, at least 3 of whom are adults
where those policies were purchased after 1 April 2013.
(e) for policies that are a non-student policy (unless the policy is a non-student policy referred to in paragraph (f)), the insured groups are:
(i) 2 or more people, only one of whom is an adult;
(ii) 3 or more people, only 2 of whom are adults
where those policies were purchased after 1 April 2013.
(f) for non-student policies which have as conditions of the policy that the dependent child non-student is not covered for general treatment, other than hospital-substitute treatment, and must have his or her own policy with the same insurer covering general treatment (other than hospital-substitute treatment), the insured groups are:
(i) 2 or more people, only one of whom is an adult;
(ii) 3 or more people, only 2 of whom are adults.
where those policies were purchased after 1 April 2013.
(2) In this rule: non-student policy is a complying health insurance policy that covers one or more dependent child non-students.
Note
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.comlaw.gov.au
