Private Health Insurance (Data Provision) Rules 2016 (No. 1) (Cth)

Private Health Insurance (Data Provision) Rules 2016 (No. 1)

I, SHANNON WHITE, delegate of the Minister for Health, make these Rules under item 9 of the table in section 333-20 of the Private Health Insurance Act 2007.

Dated 6 September 2016

____________________________________

Shannon White
Assistant Secretary
Health System Financing Branch
Department of Health

Contents

1.           Name of Rules   3

2.           Commencement   3

3.           Revocation   3

4.           Definitions   3

5.           Information to be provided   3

Part 1      Preliminary

1. Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2016 (No. 1).

1. Commencement

These Rules commence on the day after the Rules are registered.

1. Revocation

These Rules revoke the Private Health Insurance (Data Provision) Rules 2016.

1. Definitions

In these Rules:

Act means the Private Health Insurance Act 2007.

GT-Dental Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Health System Financing Branch of the Department of Health on 25 April 2015 which consists of “Data Specifications (GT-Dental)” and “Explanatory Notes (GT-Dental)”. 

HCP1 Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Health System Financing Branch of the Department of Health on 31 March 2016 which consists of “Data Specifications (HCP1)” and “Explanatory Notes (HCP1)”.

HCP2 Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Health System Financing Branch of the Department of Health on 25 April 2015 which consists of “Data Specifications (HCP2)” and “Explanatory Notes (HCP2)”. 

Note: Terms used in these Rules have the same meaning as in the Act ―see section 13 of the Legislation Act 2003.  These terms include:

health benefits fund

private health insurer

1. Information to be provided

1. For the purpose of section 172-10(1) of the Act, in relation to the treatment of insured persons under *complying health insurance products that are *referable to *health benefits funds, private health insurers must give to the Secretary of the Department the information specified in:

   (a)GT-Dental Data from Insurers to the Department;

   (b)HCP1 Data from Insurers to the Department; and

   (c)HCP2 Data from Insurers to the Department.