Private Health Insurance (Data Provision) Rules 2012

as amended

made under item 9 of the table in section 333-20 of the Private Health Insurance Act 2007.

Compilation start date:  1 July 2013

Includes amendments up to: Private Health Insurance (Data Provision)                                                                        Amendment Rules 2013 (No. 1)

Prepared by the Department of Health and Ageing, Canberra.

About this compilation

The compiled instrument

This is a compilation of the Private Health Insurance (Data Provision) Rules 2012 as amended and in force on 1 July 2013. It includes any amendment affecting the compiled instrument to that date.

This compilation was prepared on 1 July 2013.

The notes at the end of this compilation (the endnotes) include information about amending Acts and instruments and the amendment history of each amended provision.

Uncommenced provisions and amendments

If a provision of the compiled instrument is affected by an uncommenced amendment, the text of the uncommenced amendment is set out in the endnotes.

Application, saving and transitional provisions for amendments

If the operation of an amendment is affected by an application, saving or transitional provision, the provision is identified in the endnotes.

Modifications

If a provision of the compiled instrument is affected by a textual modification that is in force, the text of the modifying provision is set out in the endnotes.

Provisions ceasing to have effect

If a provision of the compiled instrument has expired or otherwise ceased to have effect in accordance with a provision of the instrument, details of the provision are set out in the endnotes.

Contents

1. Name of Rules 

2. Commencement and revocation 5

3. Definitions 

4. Information to be provided 

1.                      Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2012.

2.                      Commencement and revocation

(1) These Rules commence on 1 November 2012.

(2) These Rules revoke the Private Health Insurance (Data Provision) Rules 2011.

3.                      Definitions

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

health fund

hospital

hospital treatment

policy holder

 private health insurer

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 Private Health Insurance Branch of the Department of Health and Ageing on 13 May 2012 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 Financing and Analysis Branch of the Department of Health and Ageing on 9 May 2013 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 Private Health Insurance Branch of the Department of Health and Ageing on 13 May 2012 which consists of “Data Specifications (HCP2)” and “Explanatory Notes (HCP2)”.  

4.                      Information to be provided

(1)        For section 172-10 of the Act, the kinds of information, relating to the treatment of insured persons, that private health insurers are to give to the Secretary of the Department are the kinds of 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.

(2)        For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (GT-Dental)”, reference must be made to “Explanatory Notes (GT-Dental)”.

(3)        For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP1)”, reference must be made to “Explanatory Notes (HCP1)”.

(4)        For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP2)”, reference must be made to “Explanatory Notes (HCP2)”.

Endnotes

Endnote 1—Legislation history

This endnote sets out details of the legislation history of the Private Health Insurance (Data Provision) Rules 2012.

Endnote 2—Amendment history

This endnote sets out the amendment history of the Private Health Insurance (Data Provision) Rules 2012.

Endnote 3 – Uncommencted amendments (none)

There are no uncommenced amendments.

Endnote 4—Misdescribed amendments (none)

There are no misdescribed amendments.