Private Health Insurance (Data Provision) Rules 2010


I, PENNY SHAKESPEARE, delegate of the Minister for Health and Ageing, make these Rules under item 9 of the table in section 333-20 of the Private Health Insurance Act 2007.

Dated 22 June 2010

 

 

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Penny Shakespeare

Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health and Ageing

 

 


 

 

 

 

 

 

 

 

 

 

 

1. Name of Rules 

2. Commencement and revocation 

3. Definitions 

4. Information to be provided 

 

 

1.                      Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2010 .

2.                      Commencement and revocation

(1)        These Rules commence on:

(a)                    1 July 2010 ; or

(b)                    if these Rules are registered after 1 July 2010 ―on the day after they are registered.

(c)                     

(2)        These Rules revoke the Private Health Insurance (Data Provision) Rules 2009 .

3.                      Definitions

Note: Terms used in these Rules have the same meaning as in the Act ―see section 13 of the Legislative Instruments Act 2003.  These terms include:

health fund

hospital

hospital treatment

policy holder

 private health insurer

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 Private Health Insurance Branch of the Department of Health and Ageing on 2 June 2010  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 Private Health Insurance Branch of the Department of Health and Ageing on 2 June 2010  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 Private Health Insurance Branch of the Department of Health and Ageing on 2 June 2010  which consists of “Data Specifications (HCP2)” and “Explanatory Notes (HCP2)”.  

4.                      Information to be provided

(1)        For section 172-10 of the Act, the kinds of information, relating to the treatment of insured persons, that private health insurers are to give to the Secretary of the Department are the kinds of 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.

(2)        For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (GT-Dental)”, reference must be made to “Explanatory Notes (GT-Dental)”.

(3)        For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP1)”, reference must be made to “Explanatory Notes (HCP1)”.

(4)        For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP2)”, reference must be made to “Explanatory Notes (HCP2)”.

 

 

Note

1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.frli.gov.au