Private Health Insurance Act 2007

CHAPTER 3 - COMPLYING HEALTH INSURANCE PRODUCTS  

PART 3-3 - REQUIREMENTS FOR COMPLYING HEALTH INSURANCE PRODUCTS  

Division 63 - Basic rules about complying health insurance products  

SECTION 63-5   MEANING OF COMPLYING HEALTH INSURANCE PRODUCT  

63-5(1)    
A complying health insurance product is a ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

product made up of ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

complying health insurance policies.

63-5(2)    
A product is all the insurance policies issued by a private health insurer:

(a)    that ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

cover the same treatments; and

(b)    that provide benefits that are worked out in the same way; and

(c)    whose other terms and conditions are the same as each other.

63-5(2A)    
A product subgroup , of a ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

product, is all the insurance policies in the product:

(a)    under which the addresses of the people insured, as known to the private health insurer, are located in the same ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

risk equalisation jurisdiction; and

(b)    under which the same kind of insured group (within the meaning of the Private Health Insurance (Complying Product) Rules) is insured.

63-5(2B)    
The Private Health Insurance (Complying Product) Rules may specify insured groups for the purposes of paragraph (2A)(b) . An insured group may be specified by reference to any or all of the number of people in the group, the kind of people in the group, or any other matter. A group may consist of only one person.

63-5(3)    
Different premiums may be payable under policies in the same ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

product.

63-5(4)    
A premium payable for a policy that covers an insured group of 2 or more people that includes a ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

dependent non-student or ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

dependent person with a disability may be higher than a premium payable for a policy in the same ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

product that covers an insured group of 2 or more people that includes one or more ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

dependent children or ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

dependent students but no dependent non-student or dependent person with a disability.

63-5(5)    
(Repealed by No 60 of 2021)