Health Benefits Reinsurance (Records of Organisations) Amendment Determination 1999 (No. 1) (Cth)

Health Benefits Reinsurance (Records of Organisations) Amendment Determination 1999 (No. 1)

I, GAYLE GINNANE, Chief Executive Officer, Private Health Insurance Administration Council, make this Determination under subsection 73BB (1) of the National Health Act 1953.

Dated 21 September 1999.

G. GINNANE

Chief Executive Officer

Health Benefits Reinsurance (Records of Organisations) Amendment Determination 1999 (No. 1)

made under the

National Health Act 1953

Contents

Page

1  Name of Determination   2

2  Commencement   2

3  Amendment of Health Benefits Reinsurance (Records of Organisations) Determination 1998 2

Schedule 1       Amendment  3

1. Name of Determination

This Determination is the Health Benefits Reinsurance (Records of Organisations) Amendment Determination 1999 (No. 1).

1. Commencement

This Determination commences on gazettal.

1. Amendment of Health Benefits Reinsurance (Records of Organisations) Determination 1998

Schedule 1 amends the Health Benefits Reinsurance (Records of Organisations) Determination 1998.

Schedule 1        Amendment

(section 3)

[1]         Schedule, Part 2

substitute

Part 2                 Form PHIAC 1

PHIAC 1 Template			Page 1
Quarter
Fund ID	DE
(For Council use only)		Err.	Exp.
Name of Your Organisation
State			Phone
Contact Name			Fax
Part 1  Membership and Coverage
Total Hospital Membership
Front-end	Non Front-end
deductible	deductibles	Total
Exclusionary Tables			0	0	0
Non–Exclusionary			0	0	0
Total Contributors			0	0	0
Total persons covered			0	0	0
Age 64 & <	Age 65+	Total
Total persons covered			0	0	0
Single Membership
Front-end	Non Front-end	Total
deductible	deductibles
Exclusionary Tables			0	0	0
Non–Exclusionary			0	0	0
Total Contributors			0	0	0
Total persons covered			0	0	0
Age 64 & <	Age 65+	Total
Single members			0	0	0
Family Membership
Front-end	Non Front-end	Total
deductible	deductibles
Exclusionary Tables			0	0	0
Non–Exclusionary			0	0	0
Total Contributors			0	0	0
Total persons covered			0	0	0
Age 64 & <	Age 65+	Total
Total persons covered			0	0	0
The following Check Total must be Printed ––––>				0.00

Part 1 (Cont.)  Membership and Coverage
Page 2
Single Parent Membership
Front-end	Non Front-end
deductible	deductibles	Total
Exclusionary Tables					0	0	0
Non–Exclusionary	0	0	0
Total Contributors	0	0	0
Total persons covered					0	0	0
Age 64 & <	Age 65+	Total
Total persons covered				0	0	0
Couples Membership								Front-end	Non Front-end	Total
deductible	deductibles
Exclusionary Tables		0	0	0
Non–Exclusionary	0	0	0
Total Contributors	0	0	0
Total persons covered			0	0	0
Age 64 & <	Age 65+	Total
Total persons covered			0	0	0
Hospital Membership Changes During the Quarter
Single Members	Family Members	Single Parents	Couples
Members Joining							0	0	0	0
Members Leaving							0	0	0	0
Medical Only Membership
Single Members	Family Members	Single Parents	Couples
Medical Only Contributors							0	0	0	0
Total persons covered							0	0	0	0
Part 1 (Cont.)  Membership and Coverage
Page 3
Ancillary Insurance Tables
(a)        Ancillary Only Tables
Ambulance Only			Single Members	Family Members	Single Parents	Couples
Ambulance Only			0	0	0	0
Total persons covered			0	0	0	0
Other Ancillary Only			Single Members	Family Members	Single Parents	Couples
Other Ancillary Only Tables			0	0	0	0
Total persons covered			0	0	0	0
Total Ancillary Only Tables			Single Members	Family Members	Single Parents	Couples
Ancillary Only Tables			0	0	0	0
Total persons covered			0	0	0	0
(b)        All Ancillary Tables (includes hospital and ancillary, and total ancillary only)
Single Members	Family Members	Single Parents	Couples
Ancillary total			0	0	0	0
Total persons covered			0	0	0	0
The following Check Total must be Printed ––––>					0.00

Part 2  Hospital Benefits Paid
Page 4
All Tables – Reinsurance Account Transactions For Persons Aged 65 and Over
Acute Patients						Episodes			Days	Benefits Paid
Day Hospital Facilities						0			0	0
Recognised (Public) Hospitals    Day Only						0			0	0
Overnight						0			0	0
Private Hospitals    Day Only						0			0	0
Overnight						0			0	0
Total Acute Patients –
Reinsurance Aged 65 and Over						0			0	0
Nursing Home Type Patients						Episodes			Days	Benefits Paid
Recognised (Public) Hospitals						0			0	0
Private Hospitals						0			0	0
Total Nursing Home Type Patients						0			0	0
Medical Benefits – Reinsurance Account (65+)									Number	Benefits Paid
Up to Schedule Fee			0	0
Up to 16% Above Schedule Fee					0	0
Above 16% Above Schedule Fee					0	0
Number	Benefits Paid
Prostheses Benefits			0	0
Total Reinsurance Benefits For Persons Aged 65 and Over							0
All Tables – All Reinsurance Account Transactions
Episodes			Days	Benefits Paid
Day Hospital Facilities						0			0	0
Recognised (Public) Hospitals    Day Only						0			0	0
Overnight						0			0	0
Private Hospitals    Day Only						0			0	0
Overnight						0			0	0
Total Acute Patients –
All Reinsurance						0			0	0
Nursing Home Type Patients						Episodes			Days	Benefits Paid
Recognised (Public) Hospitals						0			0	0
Private Hospitals						0			0	0
Total Nursing Home Type Patients						0			0	0
Medical Benefits – All Reinsurance									Number	Benefits Paid
Up to Schedule Fee			0	0
Up to 16% Above Schedule Fee				0	0
Above 16% Above Schedule Fee				0	0
Number	Benefits Paid
Prostheses Benefits			0	0
All Tables Total Reinsurance		0
The following Check Total must be Printed––>							0.00

Part 2 (Cont.)  Hospital Benefits Paid
Page 5
All Tables – Total Benefits
All Claims (Ordinary and Reinsurance)
Acute Patients							Episodes			Days	Benefits Paid
Day Hospital Facilities							0			0	0
Recognised (Public) Hospitals    Day Only							0			0	0
Overnight							0			0	0
Private Hospitals    Day Only							0			0	0
Overnight							0			0	0
Episodes			Days	Benefits Paid
Total Acute Patients – All Claims							0			0	0
Nursing Home Type Patients							Episodes			Days	Benefits Paid
Recognised (Public) Hospitals							0			0	0
Private Hospitals							0			0	0
Total Nursing Home Type Patients							0			0	0
Medical Benefits							Number	Benefits Paid
Up to Schedule Fee					0	0
Up to 16% Above Schedule Fee					0	0
Above 16% Above Schedule Fee					0	0
Number	Benefits Paid
Prostheses Benefits				0	0
Ineligible Benefits			0
Total  Benefits
Ordinary and Reinsurance Accounts Combined							0
The following Check Total must be Printed ––––>										0.00
The following Check Total must be Printed ––––>										0.00

Part 3  Hospital Benefits by Age Category
All Tables – Benefits Paid by Age Category					Page 6
Males
Age Group			Persons Covered	Episodes	Days	Benefits
0–4			0	0	0	0
5–9			0	0	0	0
10–14			0	0	0	0
15–19			0	0	0	0
20–24			0	0	0	0
25–29			0	0	0	0
30–34			0	0	0	0
35–39			0	0	0	0
40–44			0	0	0	0
45–49			0	0	0	0
50–54			0	0	0	0
55–59			0	0	0	0
60–64			0	0	0	0
65–69			0	0	0	0
70–74			0	0	0	0
75–79			0	0	0	0
80–84			0	0	0	0
85–89			0	0	0	0
90–94			0	0	0	0
95+			0	0	0	0
Total			0	0	0	0
The following Check Total must be Printed ––––>			0.00

Part 3 (Cont.)  Hospital Benefits by Age Category
All Tables – Benefits Paid by Age Category					Page 7
Females
Age Group			Persons Covered	Episodes	Days	Benefits
0–4			0	0	0	0
5–9			0	0	0	0
10–14			0	0	0	0
15–19			0	0	0	0
20–24			0	0	0	0
25–29			0	0	0	0
30–34			0	0	0	0
35–39			0	0	0	0
40–44			0	0	0	0
45–49			0	0	0	0
50–54			0	0	0	0
55–59			0	0	0	0
60–64			0	0	0	0
65–69			0	0	0	0
70–74			0	0	0	0
75–79			0	0	0	0
80–84			0	0	0	0
85–89			0	0	0	0
90–94			0	0	0	0
95+			0	0	0	0
Total			0	0	0	0
The following Check Total must be Printed ––––>			0.00

Part 4  Benefits Paid From All Tables
BENEFITS PAID FROM INDIVIDUAL HOSPITAL TABLES						Page 8
(ORDINARY AND REINSURANCE COMBINED)
Table identification				Total
(please specify)				Contributors	Benefits Paid
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
Total				0	0
Part 5  Benefits Paid From Ancillary Tables
BENEFITS PAID FROM INDIVIDUAL ANCILLARY TABLES
Table identification				Total
(please specify)				Contributors	Benefits Paid
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
0	0
Total				0	0
CONTRACTUAL ARRANGEMENTS PAID OUT OF ANCILLARY TABLES
Type of Ancillary				Benefits Paid
0
0
0
Total Contractual Arrangements		0
Total Benefits Paid From Ancillary Tables		0
The following Check Total must be Printed ––––>				0.00

Part 5 (Cont.)  Benefits Paid From Ancillary Tables
Page 9
Benefits paid from Ancillary Tables
TYPE OF ANCILLARY (NON CONTRACTUAL)			SERVICES		COST	BENEFITS
Accidental Death / Funeral Expenses			0		0	0
Acupuncture / Acupressure			0		0	0
Ambulance			0		0	0
Chiropractic			0		0	0
Community, Home, District Nursing			0		0	0
Dental			0		0	0
Dietetics			0		0	0
Domestic Assistance			0		0	0
Ex gratia Payments			0		0	0
Fitness and Lifestyle Courses / Equipment			0		0	0
Hearing Aids and Audiology			0		0	0
Hypnotherapy			0		0	0
Maternity Services			0		0	0
Natural Therapies			0		0	0
Occupational Therapy			0		0	0
Optical			0		0	0
Orthoptics (Eye Therapy)			0		0	0
Osteopathic Services			0		0	0
Overseas			0		0	0
Pharmacy			0		0	0
Physiotherapy			0		0	0
Podiatry (Chiropody)			0		0	0
Prostheses, Aids and Appliances			0		0	0
Psych / Group Therapy			0		0	0
School			0		0	0
Sickness and Accident			0		0	0
Speech Therapy			0		0	0
Theatre Fees			0		0	0
Travel and Accommodation			0		0	0
Other (please specify)
0		0	0
0		0	0
0		0	0
0		0	0
0		0	0
0		0	0
0		0	0
Total Non-Contractual Ancillaries			0		0	0
The following Check Total must be Printed ––––>				0.00