Private Health Insurance Complaints Levy Amendment Regulations 2000 (No. 1)

Administered by Department of Health, Disability and Ageing

Legislation au F2000B00015 Regulations Not in force Legislative Instrument

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Private Health Insurance Complaints Levy Amendment Regulations 2000 (No. 1) 2000 No. 9

EXPLANATORY STATEMENT

STATUTORY RULES 2000 No. 9

Issued by authority of the Minister for Health and Aged Care

Private Health Insurance Complaints Levy Act 1995

Private Health Insurance Complaints Levy Amendment Regulations 2000 (No. 1)

Section 9 of the Private Health Insurance Complaints Levy Act 1995 (the Act) provides that the Governor-General may make Regulations for the purposes of the Act.

The Act imposes a levy on registered organisations conducting health insurance business. The levy is used to meet the costs of the operation of the Private Health Insurance Ombudsman (PHIO).

Subsection 6(1) of the Act provides that the rate of levy is the rate prescribed by the regulations.

Subsection 6(2) of the Act provides for the rate of levy to be based on the number of contributors who contribute to a health benefits fund.

Subsection 6(3) of the Act provides that the Regulations may prescribe different rates of levy in respect of those contributors who contribute to a health benefits fund in respect of one person (single contributors) and those who contribute in respect of more than one person (family contributors).

Subsection 6(4) of the Act provides that the rate of levy must not exceed 25 cents per quarter for a single contributor and 50 cents per quarter for a family contributor.

Section 8 of the Act provides that levy is payable on the days prescribed by the regulations.

The Private Health Insurance Complaints Levy Regulations prescribe rates of levy calculated in accordance with the given formula to raise $700,000 from registered organisations for each financial year after 30 June 1996 (the old rate). Although calculated quarterly, the levy is payable twice a year, i.e.,

*       levy for the quarters commencing on 1 January and 1 April is payable on 17 March; and

*       levy for the quarters commencing on 1 July and 1 October is payable on 16 September.

A decision was made in the 1999-2000 budget to increase funding to the PHIO to $950,000 and that this increase was to be paid for by an increase in the levy. Registered organisations have paid levy at the increased rate in respect of the 1 July and 1 October quarters.

The Amending Regulations:

*       prescribe rates of levy calculated in accordance with the given formula to raise $930,000 from registered organisations for each financial year after 30 June 2000 (the new rate). The levy will be payable once a year, on 17 December, Based on the number of contributors to health benefits funds as at 30 June 1999, the levy rate payable by a registered organisation per quarter for a single contributor and a family contributor will be 4-42 cents and 8.84 cents respectively; and

*       prescribe rates of levy calculated in accordance with the given formula in respect of the second two quarters of 1999-2000. The formula covers the increased annual costs associated with the PHIO in respect of the second two quarters of 1999-2000 as well as the difference between the old rate and the new rate paid by registered organisations in respect of the first two quarters of 1999-2000. Payments made by registered organisations in respect of the first two quarters of 1999-2000 will be credited against the amount of levy payable in respect of the second two quarters of 1999-2000.

Details of the Amending Regulations are set out in the Attachment.

The Amending Regulations commenced on 10 March 2000.

ATTACHMENT

NOTES ON CLAUSES

Regulation 1 provides that the Regulations may be cited as the Private Health Insurance Complaints Levy Amendment Regulations 2000 (No. 1).

Regulation 2 provides that the Regulations commence on 10 March 2000.

Regulation 3 provides that the Private Health Insurance Complaints Regulations are amended by Schedule 1,

Item 1 substitutes a new regulation 1 renaming the Principal Regulations the Private Health Insurance Complaints Levy Regulations 1995.

Item 2 substitutes a new regulation 4 providing a formula for the imposition of levy for the quarters ending 31 March 2000 and 30 June 2000 which is payable on 17 March 2000.

The formula covers the increased annual costs associated with the PHIO in respect of the second two quarters of 1999-2000 as well as the difference between the old rate and the new rate paid by registered organisations in respect of the first two quarters of 1999-2000. Payments made by registered organisations in respect of the first two quarters of 1999-2000 will be credited against the amount of levy payable in respect of the second two quarters of 1999-2000.

Item 3 substitutes a new regulation 5 providing a formula for the imposition of levy for each financial year after 30 June 2000 which will be payable once a year, on 17 December each year.

The formula has been set to raise 5950,000 from registered organisations for each financial year after 30 June 2000. Based on the number of contributors to health benefits funds as at 30 June 1999, the levy rate payable by a registered organisation per quarter for a single contributor and a family contributor will be 4.42 cents and 8.84 cents respectively;

Overview

The Private Health Insurance Complaints Levy Amendment Regulations 2000 (No. 1) were enacted to amend the existing Private Health Insurance Complaints Levy Regulations 1995 in response to a budget decision to increase funding to the Private Health Insurance Ombudsman (PHIO) from $700,000 to $950,000 per financial year. This increase was to be financed by an increase in the levy imposed on registered organisations conducting health insurance business. The original Act established a levy to cover the operational costs of the PHIO, but the 1999-2000 budget necessitated adjustments to the levy rates to ensure sufficient funding. The new regulations prescribe a formula to raise the increased funding, changing the payment schedule to once a year by 17 December and setting new levy rates based on the number of contributors as at 30 June 1999. Payments made under the old rates for the first two quarters of 1999-2000 are to be credited against the new levy for the second two quarters. The enacting body for these regulations is the Governor-General, acting on the authority of the Minister for Health and Aged Care. The primary policy objective is to ensure adequate funding for the PHIO to continue its role in handling complaints and maintaining the integrity of the private health insurance system.

Scope and Application

The Private Health Insurance Complaints Levy Amendment Regulations 2000 (No. 1) amend the Private Health Insurance Complaints Levy Regulations 1995 to update the levy rates for registered organisations conducting health insurance business in Australia. These regulations apply to registered organisations, which are entities involved in the provision of private health insurance, and the levy is intended to fund the operations of the Private Health Insurance Ombudsman (PHIO). The amended regulations adjust the levy rate to meet the increased funding requirements for the PHIO, raising the total levy to $950,000 per financial year. The regulations specify that the levy is to be calculated based on the number of contributors to health benefits funds, with different rates applying for single and family contributors. Effective from 10 March 2000, the new rate for the financial year starting 1 July 2000 is payable once a year on 17 December, with a set formula to determine the levy amount based on the number of contributors as at 30 June 1999. Transitional provisions in the regulations account for the differences between the old and new rates for the financial year 1999-2000, ensuring payments made under the old regime are credited against the new levy amount.

Key Provisions

The Private Health Insurance Complaints Levy Amendment Regulations 2000 (No. 1) primarily amend the Private Health Insurance Complaints Levy Regulations 1995 (referred to as the Principal Regulations) to adjust the rates and payment schedule for the levy imposed on registered organisations conducting health insurance business (Section 9). The Act requires these organisations to pay a levy, the proceeds of which are used to cover the operational costs of the Private Health Insurance Ombudsman (PHIO). The rate of this levy is prescribed by the regulations, with a maximum of 25 cents per quarter for a single contributor and 50 cents per quarter for a family contributor (Section 6). These regulations further specify that the levy must be paid on the days prescribed by the regulations (Section 8). The obligations under the Amending Regulations require registered organisations to adjust their payment schedules and rates of levy. The new regulations stipulate that the levy will now be payable once a year, on 17 December, instead of twice a year as previously required. Additionally, the regulations set a new formula for calculating the levy rate to raise $930,000 for each financial year after 30 June 2000, based on the number of contributors as at 30 June 1999. For the quarters ending 31 March 2000 and 30 June 2000, a specific formula is provided to account for the increased costs associated with the PHIO for the second two quarters of 1999-2000 and to reconcile the difference between the old and new rates. Payments made for the first two quarters of 1999-2000 will be credited against the amount due for the second two quarters. Any failure to comply with the provisions of these regulations could result in penalties or other consequences. The Act does not explicitly detail specific penalties for non-compliance, but it can be inferred that non-payment or incorrect payment of the levy might be treated under general administrative or fiscal law provisions, potentially leading to fines, interest charges, or other enforcement actions. The severity of the penalties would depend on the nature and extent of the non-compliance.

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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.