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Healthcare Levy Regulations 2012 (NI)

Reg No. 2 of 2012
Other document - Other as made
This is a regulation of the previous Norfolk Island Legislative Assembly that was continued in force under s16 and 16A of the Norfolk Island Act 1979.
Administered by: Infrastructure and Regional Development
Registered 16 Dec 2015
Date of repeal 01 Jul 2016
Repealed by Norfolk Island Continued Laws Amendment Ordinance 2015

 

NORFOLK                            ISLAND

 

HEALTHCARE LEVY REGULATIONS 2012

 

 

[Consolidated as at 24 May 2014

on the authority of the Administrator

and in accordance with

the Enactments Reprinting Act 1980]

________

TABLE OF PROVISIONS

         1.      Short title

         2.      Commencement

         3.      Principal Act

         4.      Exempt persons – prescribed amounts

         5.      Application for exemption under section 10

         6.      Application for suspension under section 11A

         7.      Time for making an application under section 10 or 11A

         8.      Time for lodging application for review

                  Schedule

 

           

Short title

      1.   These Regulations may be cited as the Healthcare Levy Regulations 2012.

Commencement

      2.   These Regulations take effect on 1 June 2012.

Principal Act

      3.   The Healthcare Levy Act 1990 is the principal Act.

Exempt persons – prescribed amount

      4.   In accordance with subsection 10(2) of the principal Act, the amount prescribed for the purposes of subsection 10(1) is $6,500 in lieu of the amount of $3,500.

Application for exemption under section 10

      5.   For the purposes of section 10 of the Healthcare Levy Act 1990, Form 1 in the Schedule is prescribed.


Application for suspension under section 11A      

      6.   For the purposes of section 11A of the Healthcare Levy Act 1990, Form 2 in the Schedule is prescribed.

Time for making an application under section 10 or 11A

      7.   An application made under section 10 or section 11A in respect of a levy period must be made and have been received by the Minister no later than 30 days after the levy day of that levy period.

Time for lodging application for review

      8.   A person intending to apply under section 17 for the review of a declaration of the Minister made under section 10 must lodge the application with the Clerk no later than 28 days following the service upon the person of the declaration of the Minister.


SCHEDULE

Form 1

(Section 10 of the Healthcare Levy Act 1990)

STATUTORY DECLARATION

Commonwealth of Australia Statutory Declarations Act 1959

 

1

Insert the name/s, address and occupation of person/s making the declaration

I  /  We, 1

 

 

make the following declaration under the Statutory Declarations Act 1959 (Commonwealth):

 

2

Set out matter declared to in number paragraphs

 

HEALTHCARE LEVY ACT 1990

INCOME DECLARATION

THIS FORM IS TO BE USED WHEN CLAIMING AN EXEMPTION FROM PAYMENT OF THE LEVY ON GROUNDS OF INCOME (UNDER SECTION 10 OF THE HEALTHCARE LEVY ACT 1990)

INCOME DETAILS

Please complete the following:  all questions should be answered stating total income received for the 6 months prior to the relevant levy day.   If NIL state NIL.

INCOME TYPE

    SELF

     SPOUSE

    TOTAL

Salaries and wages

$_________

$_________

$_________

Self employed income

$_________

$_________

$_________

Superannuation

$_________

$_________

$_________

Rents received

$_________

$_________

$_________

Dividends received

$_________

$_________

$_________

Income from primary productions  —

 

 

 

(a)         Sale of palm seed

$_________

$_________

$_________

(b)         Sale of cattle

$_________

$_________

$_________

(c)         Sale of produce

$_________

$_________

$_________

(d)         Other (specify) _______________________

$_________

$_________

$_________

Interest received from banks, building societies, credit unions etc, include all overseas source income

$_________

$_________

$_________

Other income  —   please give details

$_________

$_________

$_________

TOTAL

 

 

 

 

IMPORTANT:  THIS DECLARATION FORM MUST BE RETURNED TO THE HEALTHCARE MANAGER FOR PROVISION TO THE MINISTER WITHIN 30 DAYS AFTER LEVY DAY.  LATE DECLARATIONS WILL NOT BE ACCEPTED

 


 

 

 

I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959 (Cth), and I believe that the statements in this declaration are true in every particular.

 

 

 

 

 

3

Signature of person making the declaration

 

3

 

4

Place

Declared at 4                                                      on 5                       of6

 

5

Day

 

 

6

Month and year

 

 

 

Before me,,

 

7

Signature of person before whom the declaration is made (see over)

 

 

8

Full name, qualification and address of person before whom the declaration is made (in printed letters)

 

 

Note 1  A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years —  see section 11 of the Statutory Declarations Act 1959 (Cth).

Note 2  Chapter 2 of the Criminal Code applies to all offences against the Statutory Declarations Act 1959 (Cth) —  see section 5A of the Statutory Declarations Act 1959 (Cth).

A statutory declaration under the Statutory Declarations Act 1959  may be made before –

 

(1)      a person who is currently licensed or registered under a law to practise in one of the following occupations:

Chiropractor                                               Dentist                                                           Legal practitioner

Medical practitioner                                 Nurse                                                              Optometrist

Patent attorney                                           Pharmacist                                                    Physiotherapist

Psychologist                                               Trade marks attorney                                 Veterinary surgeon

(2)      a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or

(3)      a person who is in the following list:

Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public

Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955 (Cth))

Bailiff

Bank officer with 5 or more continuous years of service

Building society officer with 5 or more years of continuous service

Chief executive officer of a Commonwealth court

Clerk of a court

Commissioner for Affidavits

Commissioner for Declarations

Credit union officer with 5 or more years of continuous service

Employee of the Australian Trade Commission who is:

(a)      in a country or place outside Australia; and

(b)      authorised under paragraph 3(d) of the Consular Fees Act 1955 (Cth); and

(c)      exercising his or her function in that place

Employee of the Commonwealth who is:

(a)      in a country or place outside Australia; and

(b)      authorised under paragraph 3(c) of the Consular Fees Act 1955; and

(c)      exercising his or her function in that place

Fellow of the National Tax Accountants’ Association

Finance company officer with 5 or more years of continuous service

Holder of a statutory office not specified in another item in this list

Judge of a court

Justice of the Peace

Magistrate

Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961 (Cth)

Master of a court

Member of Chartered Secretaries Australia

Member of Engineers Australia, other than at the grade of student

Member of the Association of Taxation and Management Accountants

Member of the Australasian Institute of Mining and Metallurgy

Member of the Australian Defence Force who is:

(a)      an officer; or

(b)      a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 (Cth)  with 5 or more years of     continuous service; or

(c)      a warrant officer within the meaning of that Act

Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practising Accountants or the National Institute of

Accountants

Member of:

(a)      the Parliament of the Commonwealth; or

(b)      the Parliament of a State; or

(c)      a Territory legislature; or

(d)      a local government authority of a State or Territory

Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961 (Cth)

Notary public

Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office supplying postal

services to the public

Permanent employee of:

(a)      the Commonwealth or a Commonwealth authority; or

(b)      a State or Territory or a State or Territory authority; or

(c)      a local government authority;

with 5 or more years of continuous service who is not specified in another item in this list

Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made

Police officer

Registrar, or Deputy Registrar, of a court

Senior Executive Service employee of:

(a)      the Commonwealth or a Commonwealth authority; or

(b)      a State or Territory or a State or Territory authority

Sheriff

Sheriff’s officer

Teacher employed on a full-time basis at a school or tertiary education institution.

 

 


Form 2

(Section 11A of the Healthcare Levy Act 1990 “the Act”)

 

HEALTHCARE LEVY ACT 1990

APPLICATION FOR SUSPENSION TO PAY HEALTHCARE LEVY AND MEDICAL EVACUATION (MEDIVAC) LEVY

This Form is to be used when claiming a suspension of liability to pay the above Levies (under Section 11a of the Act) due to alternative Health cover

Text Box: NAME OF APPLICANT:		TELEPHONE:	
POSTAL ADDRESS:	


 

 

 

 

 


to the minister,

 

I/We  ____________________________________________________________ hereby apply for a suspension of liability to pay the Healthcare Levy and Medivac Levy, as I/We have adequate alternative health cover.

 

detail of alternative health cover

Name of Health Cover:

 

Date joined the Health Cover:

 

Level of Cover (Plan/Table):

 

Contributions paid up to-date:

 

Attach a photocopy of your latest receipt to this Form as proof of Membership.

1.       Please provide full details of what your Cover provides in regards to medical costs that may be incurred on Norfolk Island. These details may be provided by way of a copy of your Policy document or by written confirmation from your Health Cover Insurer. (Attach confirmation to this form).

2.       Please provide written confirmation from your Health Cover Insurer that your policy covers medical evacuation costs.

3.       I confirm that I do not suffer from any pre-existing illness, injury or other health conditions that I have not disclosed to my health insurer.

 

I hereby declare that the above information is true and correct.

 


                Signature of Applicant                                                                                             Date of Application

Text Box: IMPORTANT: 	THIS DECLARATION FORM MUST BE RETURNED TO THE HEALTHCARE MANAGER FOR PROVISION TO THE MINISTER WITHIN 30 DAYS AFTER LEVY DAY.  LATE DECLARATIONS WILL NOT BE ACCEPTED.
	PLEASE NOTE THAT THE GRANTING OF A SUSPENSION TO PAY THE LEVY IS ONLY VIABLE FOR THE PERIOD UP TO THE NEXT LEVY DAY.  APPLICATIONS MUST BE MADE FOR EACH LEVY PERIOD.
 

 

 

 

 

 


_______________________________________________________________________

NOTES

The Healthcare Levy Regulations 2012 as shown in this consolidation comprises Regulations No. 2 of 2012 and amendments as indicated in the Tables below.

Enactment

Number and year

Date of commencement

Application saving or transitional provision

Healthcare Levy Regulations 2012

2, 2012

27.4.12

 

 

 

 

 

 

 

Healthcare Levy (Amendment) Regulations 2014

3, 2014

23.5.14

 

 

______

 

Table of Amendments

 

ad =    added or inserted

am = amended

rep = repealed

rs =      repealed and substituted

 

Provisions affected

How affected

5

ad

3, 2014

 

6

ad

3, 2014

 

7

ad

3, 2014

 

8

ad

3, 2014

 

Schedule

ad

3, 2014

 

 

 

© Norfolk Island Government 2014

The Copyright Act 1968 of the Commonwealth of Australia permits certain reproduction and publication of this legislation.  For reproduction or publication beyond that permitted by the Act, written permission must be sought from the Legislative Counsel, Administration of Norfolk Island, Norfolk Island, South Pacific 2899.