{"id":"F2013L01450","name":"Private Health Insurance (Notifications Under the Premiums Reduction Scheme) Determination 2013","slug":"private-health-insurance-notifications-under-the-premiums-reduction-scheme-determination-2013","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":91265,"registerId":"commonwealth-F2013L01450-current","compilationNumber":null,"startDate":"2026-04-02","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Private Health Insurance (Notifications Under the Premiums Reduction Scheme) Determination 2013","content":"![](image.001.png)\n\nPrivate Health Insurance (Notifications Under the Premiums Reduction Scheme) Determination 2013\n\nI, MALISA GOLIGHTLY, Chief Executive Medicare, make this determination under subsections 23-15(2) and 23-30(2) of the Private Health Insurance Act 2007.\n\nDated this 26th day of July 2013.\n\nMalisa Golightly\n\nChief Executive Medicare\n\n\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\n\n1.  Name of Determination\n\nThis Determination is the Private Health Insurance (Notifications Under the Premiums Reduction Scheme) Determination 2013.\n\n2. Commencement\n\nThis Determination commences on the day after it is registered.\n\n3. Definitions\n\nAct means the Private Health Insurance Act 2007.\n\n4. Registration as Participant\n\nFor the purposes of subsection 23-15(2) of the Act, a private health insurer that receives an application by a person to become a participant in the premiums reductions scheme must notify the Chief Executive Medicare of the application, in the approved form, no more than 7 days after receiving the application.\n\n5. Withdrawal of Participant\n\nFor the purposes of subsection 23-30(2) of the Act, a private health insurer that receives a notice that a person no longer wishes to be registered in respect of a policy must notify the Chief Executive Medicare of the notice, in the approved form, no more than 7 days after receiving the notice.","sortOrder":0}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-batch","completionTokens":1957},"content_quality":"ok","complexity_score":2,"scope_assessment":{"changed":false,"description":"The determination operates squarely within the delegated authority provided by subsections 23-15(2) and 23-30(2) of the Private Health Insurance Act 2007, which specifically empower the Chief Executive Medicare to set notification timeframes and form requirements for the Premiums Reduction Scheme. It does not expand beyond these specific administrative procedural matters."},"complexity_factors":["Only 1 defined term ('Act') in the interpretation section","External reference to 'approved form' which is not defined within the instrument itself","Simple, unconditional obligations with a clear 7-day timeframe","Minimal cross-referencing (only to enabling provisions in sections 23-15(2) and 23-30(2) of the parent Act)","Very short length (5 sections total) with no schedules or appendices"],"plain_english_summary":"This rule requires private health insurers to notify Medicare within 7 days—using the approved form—when someone joins or leaves the Premiums Reduction Scheme. It affects insurers’ reporting duties and people with private cover by speeding and securing rebate processing. The 7‑day deadline reduces payment errors, delays, and duplicate rebates."}},"importantCases":[],"_links":{"self":"/api/acts/private-health-insurance-notifications-under-the-premiums-reduction-scheme-determination-2013","history":"/api/acts/private-health-insurance-notifications-under-the-premiums-reduction-scheme-determination-2013/history","analysis":"/api/acts/private-health-insurance-notifications-under-the-premiums-reduction-scheme-determination-2013/analysis","conflicts":"/api/acts/private-health-insurance-notifications-under-the-premiums-reduction-scheme-determination-2013/conflicts","importantCases":"/api/acts/private-health-insurance-notifications-under-the-premiums-reduction-scheme-determination-2013/important-cases","documents":"/api/acts/private-health-insurance-notifications-under-the-premiums-reduction-scheme-determination-2013/documents"}}