Private Health Insurance (Data Provision) Rules 2017 (Cth)

Private Health Insurance (Data Provision) Rules 2017

I, IAN CRETTENDEN, 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

9 May 2017

____________________________________

Ian Crettenden

Assistant Secretary

Health Analytics Branch

Department of Health

Contents

Part 1Preliminary

1.Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2017.

2.Commencement

These Rules commence on 1 July 2017.

3.Revocation

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

4.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 Analytics Branch of the Department of Health on 30 March 2017 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

5.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.