***** Repealed 1 July 2000 *****


Division 8 - How are participating funds reimbursed?


8-3(1)  [Amounts payable for month]  

Subject to subsection (2), the amount payable to the health fund in respect of the month is 1/12 of the sum of the annual incentive amount (see section 5-3) for each private health insurance policy that:

(a)  was issued by the health fund; and

(b)  on the first day of that month, covers a person who is, on that day, a participant in the incentives scheme in respect of that policy (see section 5-2).

8-3(2)  [Annual incentive amounts]  

Subject to subsection (3), the annual incentive amount for a private health insurance policy in respect of which a person is a participant in the incentives scheme is taken, for the purposes of subsection (1), to be the amount that would be the annual incentive amount if:

(a)  the number of persons covered by the policy; and

(b)  the number of such persons who are dependent children;

were as stated in the most recent application under section 4-3 made by the person in respect of the policy.

8-3(3)  [Subsec (2) amount must be less than sec 5-3 amount]  

Subsection (2) only applies if the amount worked out under that subsection is less than the annual incentive amount under section 5-3.

8-3(4)  [Time for payment]  

The amount must be paid to the health fund on or before the 15th day of the month (or, if that day is not a business day, the first business day after that day).

8-3(5)  [Managing Director to determine method of payment]  

The amount must be paid in the way determined, in writing, by the Managing Director.


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