Private Health Insurance (Complying Product) Amendment Rules 2014 (No. 4) (Cth)

Private Health Insurance (Complying Product) Amendment Rules 2014 (No. 4)

I, PETER DUTTON, the Minister for Health, make these Rules under item 3 of the table in section 333-20 of the Private Health Insurance Act 2007.

Peter Dutton

Minister for Health

9 April 2014

Contents

PART 1PRELIMINARY3

1 Name of Rules 3

2. Commencement 3

3. Amendment of the Private Health Insurance (Complying Product) Rules 2010 (No. 2) 3

Schedule – Amendments4

Part 1Preliminary

1.

Name of Rules

These Rules are the Private Health Insurance (Complying Product) Amendment Rules 2014 (No. 4).

2.Commencement

These Rules commence immediately upon the commencement of the Private Health Insurance Legislation Amendment Act 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 Section 5 of the Principal Rulesand substitute with the following:

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;

(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 are adults;

(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.

1. (2)

   In this rule: non-student policy