PRIVATE HEALTH INSURANCE (TRANSITIONAL PROVISIONS AND CONSEQUENTIAL AMENDMENTS) ACT 2007
Applicable benefits arrangements
(1)
If, immediately before the commencement time, contributors to a health benefits fund conducted by a registered organization were covered by an applicable benefits arrangement of the organization, then:
(a) at the commencement time, the arrangement is, to the extent to which it covered a particular contributor and his or her dependants (if any), taken to be a complying health insurance policy under which that contributor and those dependants (if any) are insured; and
(b) that part of the arrangement continues to be taken to be a complying health insurance policy until the earlier of:
(i) 1 July 2008; and
(ii) the day on which a relevant change (see subsection (3)) to that part of the arrangement takes effect.
Tables of ancillary benefits
(2)
If, immediately before the commencement time, contributors to a health benefits fund conducted by a registered organization were covered by a table of ancillary health benefits of the organization, then:
(a) at the commencement time, the table is, to the extent to which it covered a particular contributor and his or her dependants (if any), taken to be a complying health insurance policy under which that contributor and those dependants (if any) are insured; and
(b) that part of the table continues to be taken to be a complying health insurance policy until the earlier of:
(i) 1 July 2008; and
(ii) the day on which a relevant change (see subsection (3)) to that part of the table takes effect.
Relevant change
(3)
If, more than 15 days after the commencement time, a private health insurer makes a change to its rules, or to anything else, in a way that affects:
(a) the amount of premiums payable under an arrangement or table that is taken to be a complying health insurance policy because of subsection (1) or (2); or
(b) the treatments covered by such a policy; or
(c) a benefit for treatment covered by such a policy;
the change is a relevant change to each part of the arrangement or table.
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