Private Health Insurance (Data Provision) Rules 2018


I, SHANE PORTER, delegate of the Minister for Health, make these Rules under item 9 of the table in subsection 333-20(1) of the Private Health Insurance Act 2007.

 

 

 

Dated 30 May 2018

 

 

 

 

____________________________________

 

Shane Porter

Assistant Secretary

Health Analytics Branch

Department of Health

 

 

 

 

 

 

 

 

 

 

 

1. Name of Rules

2. Commencement

3. Revocation

4. Definitions

5. Information to be provided

 

 

1.                      Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2018.

2.                      Commencement

These Rules commence on 1 July 2018.

3.                      Revocation

These Rules revoke the Private Health Insurance (Data Provision) Rules 2017.

4.                      Definitions

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 Health System Financing Branch of the Department of Health on 30 May 2018 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 Health Analytics Branch of the Department of Health on 30 May 2018 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 Health System Financing Branch of the Department of Health on 30 May 2018 which consists of “Data Specifications (HCP2)” and “Explanatory Notes (HCP2)”. 

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

health benefits fund

 private health insurer

 complying health insurance products

5.                      Information to be provided

(1)        For the purpose of section 172-10(1) of the Act, in relation to the treatment of insured persons under complying health insurance products that are referable to health benefits funds, private health insurers must give to the Secretary of the Department the 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.