Medical Indemnity Amendment (Eligible Insurers) Rules 2026

Administered by Department of Health, Disability and Ageing

Legislation au F2026L00706 Rules In force Legislative Instrument

Legislation content

EXPLANATORY STATEMENT

 

Issued by the Authority of the Minister for Health, Disability and Ageing and

Minister for Disability and the National Disability Insurance Scheme

 

Medical Indemnity Amendment (Eligible Insurers) Rules 2026

 

Authority

 

The Medical Indemnity Amendment (Eligible Insurers) Rules 2026 (Amendment Rules) are made under Section 80 of the Medical Indemnity Act 2002 (Act).

 

The Act establishes a framework for the provision of Australian Government support for medical indemnity arrangements for eligible privately practising medical practitioners and allied health professionals.

 

The Medical Indemnity Rules prescribe matters required or permitted by the Act, or necessary or convenient to give effect to the Act.

 

Under subsection 33(3) of the Acts Interpretation Act 1901, where an Act confers a power to make, grant or issue any instrument of a legislative or administrative character (including rules, regulations or by-laws), the power shall be construed as including a power exercisable in the like manner and subject to the like conditions (if any) to repeal, rescind, revoke, amend, or vary any such instrument.

 

Purpose

 

The Medical Indemnity Amendment (Eligible Insurers) Rules 2026 amends the Medical Indemnity Rules 2020 to update the list of insurers eligible for the Allied Health High Cost Claim Indemnity Scheme (AHHCCS) and Allied Health Exceptional Claims Scheme (AHECS), by adding Tego Insurance Pty Ltd to the prescribed list.

 

This is a technical administrative amendment necessary to reflect current participants in the medical indemnity insurance market. Its objective is to ensure that insurers who actively, or will in the future, underwrite allied health professionals can access government subsidies for eligible high-cost claims. This change operates prospectively. Tego Insurance will only be eligible to seek Commonwealth contributions for eligible claims made against allied health professionals that are notified to the insurer after the date of registration of these Amendment Rules.

 

Because participation in the AHHCCS and AHECS requires insurers to be explicitly prescribed under the Rules, this amendment updates the list to reflect current market participants. The AHHCCS and AHECS, authorised under the Medical Indemnity Act 2002 and described in the Medical Indemnity Rules 2020, assist medical indemnity insurers with the costs of large claims made against allied health professionals. This scheme, in conjunction with other targeted schemes under the Commonwealth medical indemnity program, maintains stability in the indemnity insurance market and indirectly works to reduce premiums for allied health professionals. This contributes to the primary objective of the Medical Indemnity Act 2002 of ensuring accessible and affordable healthcare through supporting indemnity arrangements.

 

Consultation

 

The Department of Health, Disability and Ageing consulted with Services Australia, Tego Insurance, and Berkshire Hathaway Specialty Insurance Company (BHSIC). Services Australia was consulted regarding the administrative and operational implementation of adding a new insurer to the scheme. Tego Insurance was consulted regarding their entry into the allied health market and their compliance with eligibility criteria.

 

BHSIC was consulted to clarify their ongoing status. BHSIC confirmed that they continue to actively underwrite allied health professionals. Therefore, BHSIC remains listed in the Rules as an active participant. All stakeholders support the amendment to explicitly add Tego Insurance to the Rules while maintaining BHSIC's listing.

 

Regulatory Impact

 

The Amendment Rules do not have any regulatory impact.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Details of the Medical Indemnity Amendment (Eligible Insurers) Rules 2026

 

Section 1 – Name

 

This section provides that the instrument is the Medical Indemnity Amendment (Eligible Insurers) Rules 2026.

 

Section 2 – Commencement

 

This section provides that the instrument commences on the day after it is registered.

 

Section 3 – Authority

 

This section provides that the instrument is made under Section 80 of the Medical Indemnity Act 2002.

 

Section 4 - Schedules

 

This section provides that each instrument that is specified in a Schedule to the Amendment Rules is amended or repealed as set out in the applicable items in the Schedule concerned, and that any other item in a Schedule has effect according to its terms.

SCHEDULE 1 — AMENDMENTS

Item 1 — At the end of section 11

 

This item adds a new paragraph (g) to section 11 of the Medical Indemnity Rules 2020 to include Tego Insurance Pty Ltd (ACN 608 505 960) in the list of eligible insurers. This addition ensures that Tego Insurance, as an active, or future, insurer underwriting these allied health professionals, can access government subsidies for eligible high cost and exceptional claims.


Statement of Compatibility with Human Rights

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

 

Medical Indemnity Amendment (Eligible Insurers) Rules 2026

 

This Disallowable Legislative Instrument is 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.

 

Overview of the Disallowable Legislative Instrument

The Medical Indemnity Amendment (Eligible Insurers) Rules 2026 amends the Medical Indemnity Rules 2020 to update the list of insurers eligible for the Allied Health High Cost Claim Indemnity Scheme (AHHCCS) and Allied Health Exceptional Claims Scheme (AHECS), by adding Tego Insurance Pty Ltd to the prescribed list.

 

This is a technical administrative amendment necessary to reflect current participants in the medical indemnity insurance market. Its objective is to ensure that insurers who actively, or will in the future, underwrite allied health professionals can access government subsidies for eligible high-cost claims. This change operates prospectively. Tego Insurance will only be eligible to seek Commonwealth contributions for eligible claims made against allied health professionals that are notified to the insurer after the date of registration of these Amendment Rules.

 

Because participation in the AHHCCS and AHECS requires insurers to be explicitly prescribed under the Rules, this amendment updates the list to reflect current market participants. The AHHCCS and AHECS, authorised under the Medical Indemnity Act 2002 and described in the Medical Indemnity Rules 2020, assist medical indemnity insurers with the costs of large claims made against allied health professionals. This scheme, in conjunction with other targeted schemes under the Commonwealth medical indemnity program, maintains stability in the indemnity insurance market and indirectly works to reduce premiums for allied health professionals. This contributes to the primary objective of the Medical Indemnity Act 2002 of ensuring accessible and affordable healthcare through supporting indemnity arrangements.

 

Human rights implications

This Disallowable Legislative Instrument does not engage any of the applicable rights or freedoms.

 

Conclusion

This Disallowable Legislative Instrument is compatible with human rights as it does not raise any human rights issues.

 

Overview

The Medical Indemnity Amendment (Eligible Insurers) Rules 2026, made under Section 80 of the Medical Indemnity Act 2002, address the need to update the list of insurers eligible for the Allied Health High Cost Claim Indemnity Scheme (AHHCCS) and Allied Health Exceptional Claims Scheme (AHECS). This amendment incorporates Tego Insurance Pty Ltd into the prescribed list of eligible insurers, ensuring that those insurers actively underwriting allied health professionals can access government subsidies for eligible high-cost claims. This update is essential to reflect the current participants in the medical indemnity insurance market, thereby maintaining stability in the indemnity insurance market and indirectly working to reduce premiums for allied health professionals. The amendment operates prospectively, meaning Tego Insurance will only be eligible for Commonwealth contributions for claims notified to the insurer after the date of registration of these Amendment Rules. The policy objective of the Medical Indemnity Act 2002 is to ensure accessible and affordable healthcare through supporting indemnity arrangements, and these rules contribute to this objective by updating the list of eligible insurers. The Department of Health, Disability and Ageing consulted with relevant parties, including Tego Insurance, to ensure the amendment aligns with market realities and eligibility criteria. The amendment has no regulatory impact, and the Statement of Compatibility with Human Rights confirms that it does not engage any applicable rights or freedoms.

Scope and Application

The Medical Indemnity Amendment (Eligible Insurers) Rules 2026 is an amendment to the Medical Indemnity Rules 2020, made under the authority of the Medical Indemnity Act 2002. This Act establishes a framework for providing Australian Government support for medical indemnity arrangements for eligible privately practising medical practitioners and allied health professionals. The Amendment Rules specifically update the list of insurers eligible for the Allied Health High Cost Claim Indemnity Scheme (AHHCCS) and Allied Health Exceptional Claims Scheme (AHECS) by adding Tego Insurance Pty Ltd to the prescribed list. This change aims to reflect current participants in the medical indemnity insurance market, ensuring that active or future insurers underwriting allied health professionals can access government subsidies for eligible high-cost claims. The amendment operates prospectively, with Tego Insurance becoming eligible to seek Commonwealth contributions for claims notified to the insurer after the date of registration of these Amendment Rules. The rules do not extend to any other insurers or schemes, and there are no stated exclusions or exemptions. The rules are compatible with human rights as they do not engage any applicable rights or freedoms.

Key Provisions

The Medical Indemnity Amendment (Eligible Insurers) Rules 2026 (Amendment Rules) amends the Medical Indemnity Rules 2020 to include Tego Insurance Pty Ltd in the list of insurers eligible for the Allied Health High Cost Claim Indemnity Scheme (AHHCCS) and Allied Health Exceptional Claims Scheme (AHECS) (section 4). This addition, which operates prospectively, ensures that Tego Insurance can access government subsidies for eligible high-cost claims made against allied health professionals (section 4). This change updates the list of eligible insurers to reflect current market participants, allowing Tego Insurance to seek Commonwealth contributions for claims notified to the insurer after the Amendment Rules are registered (section 4). The Amendment Rules impose specific obligations on insurers who wish to participate in the AHHCCS and AHECS. Insurers must meet the eligibility criteria set out in the Medical Indemnity Rules 2020 and must be explicitly prescribed under the Rules (section 11). Tego Insurance, as a newly added eligible insurer, must now comply with these criteria to be eligible for government subsidies under the AHHCCS and AHECS. Additionally, insurers must ensure that any claims made against allied health professionals after the commencement of the Amendment Rules are notified to the insurer within the stipulated timeframe to be eligible for subsidy (section 4). There are no specific offences or penalties outlined in the Amendment Rules themselves. However, failure to comply with the eligibility criteria or the requirements for participating in the AHHCCS and AHECS could result in the insurer losing their eligibility to seek government subsidies for high-cost claims. The primary consequence of non-compliance would be the inability to access financial support for large claims against allied health professionals, potentially impacting the insurer’s financial stability and their ability to offer competitive premiums. Additionally, the overarching Medical Indemnity Act 2002 may include provisions for penalties and enforcement actions for non-compliance with the Act’s requirements.

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Sourced from the Federal Register of Legislation at 26 August 2026. For the latest information on Australian Government law please go to https://www.legislation.gov.au.