Private Health Insurance (Complaints Levy) Rules 2007 (Cth)

Case

Private Health Insurance (Complaints Levy) Rules 2007

made under section 8 of the

Private Health Insurance (Complaints Levy) Act 1995

Compilation No. 4               

Compilation date:                              14 November, 2015

Includes amendments up to:           Private Health Insurance (Complaints Levy) Amendment Rules 2015

About this compilation

This compilation

This is a compilation of the Private Health Insurance (Complaints Levy) Rules 2007 that shows the text of the law as amended and in force on 14 November, 2015.

This compilation was prepared on 18 November, 2015.

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on ComLaw ( The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on ComLaw for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on ComLaw for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

Contents

Part 1                 Preliminary   2

1.Name of Rules   2

2.Commencement   2

3.Definitions   2

Part 2                 Complaints levy   3

4.Imposition of levy   3

5.Rate of levy   3

6.Rate for a single policy   3

7.Rate for a joint policy   4

8.Census day   4

9.           Levy imposed before the Private Health Insurance (Complaints Levy) Amendment Rules 2015   4

Endnotes               5

Part 1        Preliminary

  1. Name of Rules

These Rules are the Private Health Insurance (Complaints Levy) Rules 2007.

  1. Commencement

These Rules commence:

(a)if the Rules are registered before Schedule 1 of the amendment Act commences―at the same time as Schedule 1 of the amendment Act commences; or

(b)if the Rules are registered on or after the day on which Schedule 1 of the amendment Act commences―on the date on which the Rules are registered,

whichever occurs first.

  1. Definitions

Note: Terms used in these Rules have the same meaning as in the Act―see section 13 of the Legislative Instruments Act 2003.  The Act provides that, unless a contrary intention appears, certain words or expressions used in the Act have the same meanings as in the Private Health Insurance Act 2007.  Such words or expressions include:

complaints levy
complying health insurance policy
private health insurer

In these rules:

Act means the Private Health Insurance (Complaints Levy) Act 1995.

amendment Act means the Private Health Insurance Complaints Levy Amendment Act 2007.

complaints levy day has the meaning given by rule 4.

census day means the day specified in rule 8.

joint policy means a policy under which two or more persons are insured.

policy means a complying health insurance policy.

single policy means a policy under which only one person is insured.

Part 2        Complaints levy

  1. Imposition of levy

For the purposes of paragraph 5 (1) (a) of the Act, each of the following days is specified as a complaints levy day:

(a)      30 November 2015; and

(b)     for the financial year commencing on 1 July 2016 and every financial year thereafter, the first day of October. 

  1. Rate of levy

For item 1 of the table in subsection 6 (1) of the Act:

(a)the rate of levy for each single policy on issue from the private health insurer on the census day is the rate calculated in accordance with rule 6.

(b)the rate of levy for each joint policy on issue from the private health insurer on the census day is the rate calculated in accordance with rule 7.

Note:            Policy data held by the Australian Prudential Regulation Authority will be used to calculate the number of single coverage policies and joint coverage policies.

  1. Rate for a single policy

(1)    Subject to subrule (2), the rate for a single policy is the rate in cents calculated using the formula―

(a)for the complaints levy day specified in paragraph 4 (a) –

69,566,667
single coverage policies + (2 x joint coverage policies)

(b)for the complaints levy day specified in paragraph 4 (b) –

139,133,334
single coverage policies + (2 x joint coverage policies)

where:

single coverage policies is the aggregate number of single policies on issue from all private health insurers on the census day.

joint coverage policies is the aggregate number of all joint policies on issue from all private health insurers on the census day.

(2)    If the rate calculated for a single policy on issue from an insurer is more than 50 cents for the quarter, the rate for the policy is 50 cents.

  1. Rate for a joint policy

(3)    Subject to subrule (2), the rate for a joint policy is the rate in cents calculated using the formula:

(a)for the complaints levy day specified in paragraph 4 (a) –

2 x 69,566,667
single coverage policies + (2 x joint coverage policies)

(b)for the complaints levy day specified in paragraph 4 (b) –

2 x 139,133,334
single coverage policies + (2 x joint coverage policies)

where single coverage policies and joint coverage policies have the same meaning as in subrule 6(1).

(4)    If the rate calculated for a joint policy on issue from an insurer is more than $1 for the quarter, the rate for the policy is $1.

  1. Census day

For subparagraph 6 (2) (a) (i) of the Act, the census day is the 30 June last occurring before a day on which the levy is payable.

Note:            The levy is payable on 31st December each year - see the Private Health Insurance (Levy Administration) Rules 2015.

9.         Levy imposed before the Private Health Insurance (Complaints Levy) Amendment Rules 2015

(5)    Despite the amendments made by the amending rules, these Rules as in force immediately before the amending rules commenced continue to apply in relation to levy imposed before that time.

(6)    In this rule, amending rules means the Private Health Insurance (Complaints Levy) Amendment Rules 2015.

Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history

Endnote 4—Amendment history

Endnotes about misdescribed amendments and other matters are included in a compilation only as necessary.

Abbreviation key—Endnote 2

The abbreviation key sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.

If a misdescribed amendment cannot be given effect as intended, the amendment is set out in the endnotes.

Endnote 2—Abbreviation key

A = Act orig = original
ad = added or inserted par = paragraph(s)/subparagraph(s)
am = amended     /sub‑subparagraph(s)
amdt = amendment pres = present
c = clause(s) prev = previous
C[x] = Compilation No. x (prev…) = previously
Ch = Chapter(s) Pt = Part(s)
def = definition(s) r = regulation(s)/rule(s)
Dict = Dictionary Reg = Regulation/Regulations
disallowed = disallowed by Parliament reloc = relocated
Div = Division(s) renum = renumbered
exp = expires/expired or ceases/ceased to have rep = repealed
    effect rs = repealed and substituted
F = Federal Register of Legislative Instruments s = section(s)/subsection(s)
gaz = gazette Sch = Schedule(s)
LI = Legislative Instrument Sdiv = Subdivision(s)
LIA = Legislative Instruments Act 2003 SLI = Select Legislative Instrument
(md) = misdescribed amendment SR = Statutory Rules
mod = modified/modification Sub‑Ch = Sub‑Chapter(s)
No. = Number(s) SubPt = Subpart(s)
o = order(s) underlining = whole or part not
Ord = Ordinance     commenced or to be commenced

Endnote 3—Legislation history

Name FRLI registration Commencement Application, saving and transitional provisions
Private Health Insurance
(Complaints Levy)
Rules 2007
31 March 2007 (see
F2007L00895)
1 April 2007

Private Health Insurance
(Complaints Levy)
Amendment Rules 2008

28 November 2008 (see F2008L04531)

1 December 2008

Private Health Insurance (Complaints Levy)   Amendment Rules 2010  

Private Health Insurance (ComplaintsLevy) Amendment Rules 2012

17 December 2010 (see F2010L03301)

21 November 2012 (see F2012L02206)

18 December 2010

22 November 2012

Private Health Insurance (Complaints Levy) Amendment Rules 2015

13 November 2015

(see F2015L01789)

14 November 2015

Endnote 4—Amendment history

Provision affected How affected
Rule 4 rep F2015L01789
Rule 5 (note) am F2015L01789
Subrule 6(1) am. F2008L04531, F2010L03301, F2012L02206, F2015L01789
Subrule 7(1) am. F2008L04531, F2010L03301, F2012L02206, F2015L01789
Rule 8 (note) am F2015L01789
Rule 9 ad F2015L01789
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