Private Health Insurance (Prudential Supervision) Amendment Rules 2016 (No. 1) (Cth)

Private Health Insurance (Prudential Supervision) Amendment Rules 2016

(No. 1)

I, Charles Littrell, a delegate of APRA, make these rules under subsection 174(1) of the Private Health Insurance (Prudential Supervision) Act 2015.

Dated: 24 February 2016

[Signed]

Charles Littrell

Executive General Manager

APRA

Contents

Part 1Preliminary 3

1. 1.

   Name of rules3

2. 2.

   Commencement3

3. 3.

   Authority3

4. 4.

   Schedule(s)3

Schedule – Amendments 4

Part 1Preliminary

1Name of Rules

These Rules are the Private Health Insurance (Prudential Supervision) Amendment Rules 2016 (No. 1) .

2Commencement

These Rules commence on the day after they are registered on the Federal Register of Legislative Instruments.

3Authority

These Rules are made under the Private Health Insurance (Prudential Supervision) Act 2015.

4Schedule(s)

1. Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1Amendments

Private Health Insurance (Prudential Supervision) Rules 2015

1Rule 3

Insert after the definition of capital adequacy standard

general treatment istreatment (including the provision of goods and services) that:

(a)

is intended to manage or prevent a disease, injury or condition; and

(b)

is not hospital treatment.

hospital treatment is treatment (including the provision of goods and services) that:

(a)

is intended to manage disease, injury or condition; and

(b)

is provided to a person:

1. (i)

   by a person who is authorised by a hospital to provide the treatment; or

2. (ii)

   under the management or controls of such a person; and

(c)

either:

1. (i)

   is provided at a hospital; or

2. (ii)

   is provided, or arranged, with the direct involvement of a hospital.

2After Part 5

Insert

Part 6- Publication of membership information

Publication of membership information

For the purposes of paragraph 167(1)(h) of the Act, APRA must publish the following information in relation to the membership of each private health insurer:

1. (a)

   The total number of policies of insurance underwritten during the financial year relating to:

   1. (i)

      hospital treatment (hospital treatment policies); and

   2. (ii)

      general treatment (general treatment policies); and

2. (b)

   The number of people insured under the hospital treatment policies and the number of people insured under the general treatment policies;

3. (c)

   The average number of hospital treatment policies and general treatment policies in force during the financial year; and

4. (d)

   The average number of people covered by the hospital treatment policies and general treatment policies in force during the financial year.