Private Health Insurance (Complying Product) Amendment Rules 2011 (No. 5)
I, NICOLA ROXON, Minister for Health and Ageing, make these Rules under item 3 of the table in section 333-20 of the Private Health Insurance Act 2007.
DATED  13/9/11
 
 
____________________________________
NICOLA ROXON
 
 
 
 
 
 
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 2011 (No. 5).
2.               Commencement
These Rules commence on the day after registration.
3.               Amendment of the Private Health Insurance (Complying Product) Rules 2010 (No. 2)
The Schedule amends the Private Health Insurance (Complying Product) Rules 2010 (No. 2).
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule – Amendments
[1]     At the end of section 16, insert:
 
Part 3      Pilot Projects
17.            Kinds of pilot projects
The kinds of pilot projects specified for subsection 55-15(2) of the Act are projects that enable an insurer to trial and develop, with a limited group of policy holders, new models of service delivery or health care.  The objectives of the pilot project must be for any or all of the following:
(a)        to increase the value to consumers of their health insurance products by better meeting their needs;
(b)       to prolong health, improve quality of life and reduce expenditure on hospital benefits by preventing and reducing disease and prevent the need for hospitalisation;
(c)        to produce products that better reflect advances in medical knowledge and service delivery models.
18.            Requirements of pilot projects
For the purposes of sub-section 55-15(2) of the Act, a pilot project of a kind specified in rule 17 is to be conducted in accordance with all the following requirements:
(a)        an insurer must not charge a person to participate in the project;
(b)        participation in a pilot project must be voluntary;
(c)        a pilot project may be conducted for a maximum of two years;
(d)       an insurer may only limit participation in a pilot project on the basis of where a person lives;
(e)        an insurer must develop a written plan for a pilot project, including a timeline and evaluation process;
(f)         written notice of the details of the project, including a copy of the written plan referred to in (e), must be provided to the Department at least 28 days before the pilot project commences.
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.frli.gov.au
2.                  These Rules amend the Private Health Insurance (Complying Product) Rules 2010 (No. 2) which commenced on 14 January 2011.