Financial Sector (Collection of Data) (reporting standard) determination No. 33 of 2015

Administered by Department of the Treasury

Legislation au F2015L01050 Not in force Legislative Instrument

Legislation content

Financial Sector (Collection of Data) (reporting standard) determination Nos. 31 to 34 of 2015

EXPLANATORY STATEMENT

Prepared by the Australian Prudential Regulation Authority (APRA)

Financial Sector (Collection of Data) Act 2001, subsection 13(1).

From 1 July 2015, under subsection 13(1) of the Financial Sector (Collection of Data) Act 2001 (the Act), APRA will have the power to determine reporting standards, in writing, with which financial sector entities must comply. Such standards relate to reporting financial or accounting data and other information regarding the business or activities of the entities. 

On 26 June 2015, APRA made the following determinations (the instruments):

(1)          Financial Sector (Collection of Data) (reporting standard) determination No. 31 of 2015 which determines Reporting Standard HRS 601.0 Statistical Data by State (HRS 601.0);

(2)          Financial Sector (Collection of Data) (reporting standard) determination No. 32 of 2015 which determines Reporting Standard HRS 602.0 Financial and Capital Data (HRS 602.0);

(3)          Financial Sector (Collection of Data) (reporting standard) determination No. 33 of 2015 which determines Reporting Standard HRS 603.0 Statistical Data on Prosthetic Benefits (HRS 603.0); and

(4)          Financial Sector (Collection of Data) (reporting standard) determination No. 34 of 2015 which determines Reporting Standard HRS 604.0 Medical Specialty Block Grouping Information (HRS 604.0).

The instruments take effect on the day the Private Health Insurance (Prudential Supervision) Act 2015 commences, namely 1 July 2015.               

  1.    Background

As part of the Smaller Government – additional reductions in the number of Australian Government bodies initiative announced in the 2014-2015 Budget, the prudential regulation functions of the Private Health Insurance Administration Council (PHIAC) will be transferred to APRA. From 1 July 2015, APRA will take on all prudential regulation functions for private health insurers. 

2.      Purpose and operation of the instruments

As part of the reforms, the Government has amended the Australian Prudential Regulation Authority Act 1998 (APRA Act) such that private health insurers will be included as ‘a body regulated by APRA’ within the meaning of subsection 3(2) of the APRA Act. As a result, APRA is empowered to make reporting standards applicable to private health insurers under the Act. The instruments, made under the Act, determine reporting standards applying to private health insurers that replicate the current reporting obligations administered by PHIAC. The objectives of APRA’s reporting standards are to ensure the reporting obligations of private health insurers continue to operate as intended following the transfer of responsibilities to APRA. This will minimise the disturbance to the private health industry. APRA’s reporting standards replicate the existing reporting requirements, with some minor and technical changes that are necessary to continue the existing reporting arrangements as intended under the revised legislation and administrative arrangements.

Each reporting standard specifies the information that must be provided, and attaches the related instructions specifying how the form is to be completed. They set out:

  • the purpose for which data is being collected;
  • the legal authority under which it is collected;
  • that specified data in an attached form is to be provided according to prescribed instructions;
  • the method and timing for submission;
  • the required approach to auditing and quality control; and
  • who can authorise the submission of data on behalf of a private health insurer.

HRS 601.0 replicates the existing PHIAC 1 form. Information collected under this reporting standard will be used for the purposes of prudential supervision and collection of data for the calculation of the risk equalisation fund and various levies. Parts of the data are also included in publications.

HRS 602.0 replicates the existing PHIAC 2 form. Information collected under this reporting standard will be used for purposes of prudential supervision, and parts of the data are also included in publications.

HRS 603.0 replicates the existing PHIAC 3 form. Information collected under this reporting standard will be used for purposes of assisting the Department of Health in performing its functions. Parts of the data are also included in publications.

HRS 604.0 replicates the existing PHIAC 4 form. Information collected under this reporting standard will be used for purposes of assisting the Department of Health in performing its functions. Parts of the data are also included in publications.

Under the reporting standards, the reporting obligations and methods of reporting will remain unchanged for private health insurers. As the reporting standards maintain the status quo for the regulation of the private health industry, there are no regulatory impacts or costs incurred through the transition to APRA. Private health insurers are able to continue their practices with minimal disruption.

3.      Consultation

APRA undertook extensive consultations on the proposed prudential and reporting framework for APRA’s supervision of private health insurers. The consultation was undertaken from March to May 2015. APRA received input from private health insurers, industry bodies, and other interested parties.

The following consultation papers were released:

  • March 2015: Discussion paper on the proposed prudential and reporting framework for APRA’s supervision of private health insurers in Australia, together with draft prudential standards, Rules and reporting standards; and
  • June 2015: Response to submissions on the proposed prudential and reporting framework for APRA’s supervision of private health insurers in Australia, together with final prudential standards, Rules and reporting standards.

APRA has considered both formal and informal feedback from stakeholders throughout the consultation process. 12 submissions were received in response to the discussion paper. In addition to the formal consultation, APRA held a number of consultation sessions and meetings with industry stakeholders.  

Industry feedback did not raise any significant concerns with APRA’s proposals on the reporting standards.  Submissions focused on the technical changes that were necessary to align with the new legislation. As a result, APRA made a number of minor amendments to the consultation documents. These amendments sought to address some minor errors and omissions, and maintain the current requirements applying to private health insurers.

4.  Regulation Impact Statement

The Office of Best Practice Regulation has advised that a Regulation Impact Statement is not required for the instruments.

5. Statement of compatibility prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011

A Statement of compatibility prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011 is provided at Attachment A to this Explanatory Statement.


Attachment A

Statement of Compatibility with Human Rights

Prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011

Financial Sector (Collection of Data) (reporting standard) determination Nos. 31 to 34 of 2015

The Legislative Instruments are compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011 (HRPS Act).

Overview of the Legislative Instrument

The Legislative Instruments prescribe requirements applicable to private health insurers, to give effect to the transfer of relevant PHIAC functions to APRA. The instruments continue the current reporting requirements applying to private health insurers administered by PHIAC.

Human rights implications

APRA has assessed these Legislative Instruments and is of the view that they do not engage any of the applicable rights or freedoms recognised or declared in the international instruments listed in section 3 of the HRPS Act. Accordingly, in APRA’s assessment, the instruments are compatible with human rights.

Conclusion

These Legislative Instruments are compatible with human rights because they do not raise any human rights issues.

 

Overview

The Financial Sector (Collection of Data) (reporting standard) determination Nos. 31 to 34 of 2015 were made under subsection 13(1) of the Financial Sector (Collection of Data) Act 2001 by the Australian Prudential Regulation Authority (APRA) to establish new reporting standards applicable to private health insurers. These determinations, which took effect on 1 July 2015, aim to ensure continuity in the reporting obligations of private health insurers as their prudential regulation functions are transferred from the Private Health Insurance Administration Council (PHIAC) to APRA. This transition, part of the Smaller Government initiative, seeks to minimise disruption to the private health industry while maintaining the existing reporting requirements with some technical adjustments to align with the new legislative framework. APRA consulted extensively with private health insurers, industry bodies, and other stakeholders from March to May 2015, incorporating feedback to refine the proposed reporting standards. The determinations are compatible with human rights as assessed by APRA, with no significant concerns raised by stakeholders regarding the proposed standards.

Scope and Application

The Financial Sector (Collection of Data) (reporting standard) determination Nos. 31 to 34 of 2015, issued by the Australian Prudential Regulation Authority (APRA), apply to private health insurers, which are now regulated by APRA following the transfer of prudential regulation functions from the Private Health Insurance Administration Council (PHIAC). These determinations, which came into effect on 1 July 2015, establish specific reporting standards that private health insurers must comply with when submitting financial and accounting data, as well as other relevant information regarding their business activities. The instruments are designed to ensure that the reporting obligations of private health insurers remain consistent with the previous requirements administered by PHIAC, thereby facilitating a smooth transition under the new regulatory framework. Each determination specifies the type of data to be reported, the method and timing for submission, the legal authority for data collection, and the purpose of such data collection, ensuring that the reporting process remains unchanged for private health insurers. APRA has considered stakeholder feedback through consultations held between March and June 2015 and has made minor adjustments to the reporting standards to address technical changes required by the revised legislation. The instruments are compatible with human rights as assessed by APRA, as they do not engage any of the rights or freedoms recognised in the international instruments listed under the Human Rights (Parliamentary Scrutiny) Act 2011.

Key Provisions

The Financial Sector (Collection of Data) (reporting standard) determination Nos. 31 to 34 of 2015 (the instruments) establish specific reporting standards for private health insurers, as determined by the Australian Prudential Regulation Authority (APRA). These instruments (sections 1 to 4) determine the reporting standards HRS 601.0, HRS 602.0, HRS 603.0, and HRS 604.0, which replicate existing reporting requirements previously administered by the Private Health Insurance Administration Council (PHIAC). The instruments specify the data to be collected and how it must be submitted, including the purpose of data collection, the legal authority, the method and timing of submission, and the quality control approach. These reporting standards ensure that private health insurers continue to meet their obligations following the transfer of responsibilities to APRA. Under the Financial Sector (Collection of Data) Act 2001, private health insurers are required to comply with the reporting standards set forth in these instruments. The obligations include submitting specified data according to the prescribed instructions and maintaining the current reporting practices with minimal disruption. Private health insurers must ensure that the data provided is accurate, complete, and submitted on time to meet the prudential supervision and data collection needs of APRA and other relevant authorities. The reporting standards also detail the authorisation process for submitting data on behalf of a private health insurer. Breaches of the reporting standards may have legal consequences for private health insurers. While the instruments do not explicitly outline specific offences or penalties, non-compliance with APRA’s reporting standards could lead to enforcement actions under the Financial Sector (Collection of Data) Act 2001. APRA may take measures such as issuing directions, imposing fines, or other regulatory actions against private health insurers that fail to comply with the reporting requirements. The severity of penalties can vary based on the nature and extent of the non-compliance.

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