Private Health Insurance (Data Provision) Rules 2018 (Cth)

Private Health Insurance (Data Provision) Rules 2018

made under item 9 of the table in subsection 333-20(1) of the

Private Health Insurance Act 2007

Compilation No. 3

Compilation date:   1 July 2021

Includes amendments up to:            F2021L00110

Registered:   7 July 2021

About this compilation

This compilation

This is a compilation of the Private Health Insurance (Data Provision) Rules 2018 that shows the text of the law as amended and in force on 1 July 2021 (the compilation date).

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 the Legislation Register ( 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 the Legislation Register 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.

Editorial changes

For more information about any editorial changes made in this compilation, see 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 the Legislation Register 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If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.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

1.Name of Rules  1

4.Definitions  1

5.Information to be provided  1

Endnotes2

Endnote 1—About the endnotes  2

Endnote 2—Abbreviation key  3

Endnote 3—Legislation history  4

Endnote 4—Amendment history  5

Part 1   Preliminary

1. Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2018.

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 Data and Analytics Branch of the Department of Health on 4 Feb 2021 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 Data and Analytics Branch of the Department of Health on 4 Feb 2021 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 Data and Analytics Branch of the Department of Health on 4 Feb 2021 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

complying health insurance products

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.

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

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.

Editorial changes

The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.

If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.

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 abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history.

Endnote 2—Abbreviation key

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

Endnote 3—Legislation history

Name	Registration	Commencement	Application, saving and transitional provisions
Private Health Insurance (Data Provision) Rules 2018	6 June 2018 (F2018L00717)	1 July 2018 (s 2)
Private Health Insurance (Data Provision) Amendment Rules 2019	13 June 2019 (F2019L00817)	1 July 2019 (s 2)	—
Private Health Insurance (Data Provision) Amendment Rules 2020	15 May 2020 (F2020L00577)	1 July 2020 (s 2(1) item 1)	—
Private Health Insurance (Data Provision) Amendment Rules 2021	10 Feb 2021 (F2021L00110)	1 July 2021 (s 2(1) item 1)	—

Endnote 4—Amendment history

Provision affected	How affected
Part 1
s 2........................................	rep LA s 48D
s 3........................................	rep LA s 48C
s 4........................................	am F2019L00817; F2020L00577; F2021L00110