Division Table 1: Insurance Risk Charge - Health- - Financial Sector (Collection of Data) (reporting standard) determination No. 105 of 2023 - Table 1: Insurance Risk Charge - Health-Related Insurance Business Accrued Premium

Specific instructions

Table 1: Insurance Risk Charge - Health-Related Insurance Business Accrued Premium

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report values in whole Australian dollars.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, its name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Health-Related Insurance Business Accrued Premium Amount	Whole dollars	Report the health-related insurance business accrued premium amount.

Table 2: Insurance Risk Charge - Health Insurance Business Membership

Reporting basis

This table applies to health benefits funds only.

Units of measurement

Report counts as whole numbers.

	Name	Valid values	Description
1	Private Health Insurer Fund Name	Free text	Report the name of the health benefits fund. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, its name should be the same as the insurer.
2	Health Insurance Business Membership Reporting Period	As at the current reporting dateOne year prior to the reporting dateTwo years prior to the reporting dateThree years prior to the reporting date	Report the health insurance business membership reporting period.
3	Single Equivalent Units (Fund) Count	Whole number	Report the Single Equivalent Units (fund) count.
4	Single Equivalent Units (Transferor Funds) Count	Whole number	Report the Single Equivalent Units (transferor funds) count.Single Equivalent Units (transferor funds) count is to be left blank where the health insurance business membership reporting period is ‘As at the current reporting date’.

Table 3: Insurance Liability Risk Charge - Outstanding Claims Liabilities

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report values in whole Australian dollars.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Private Health Insurer Business Type	Health insurance businessHealth-related insurance business	Report the private health insurer business type.Health insurance business does not apply where the private health insurer fund type is general fund.Report health-related insurance business where the private health insurer fund type is general fund.
4	Claims Component - OCL Amount	Whole dollars	Report the claims component - OCL amount.
5	Claims Handling Expenses - OCL Amount	Whole dollars	Report the claims handling expenses - OCL amount.
6	Risk Equalisation Component - OCL Amount	Whole dollars	Report the risk equalisation component - OCL amount.Report risk equalisation amounts payable as a positive value.Report risk equalisation amounts receivable as a negative value.
7	Settled But Not Paid Claims - OCL Amount	Whole dollars	Report the settled but not paid claims - OCL amount.
8	Reinsurance Recoverables - OCL Amount	Whole dollars	Report the reinsurance recoverables - OCL amount.
9	Non-Reinsurance Recoveries - OCL Amount	Whole dollars	Report the non-reinsurance recoveries - OCL amount.
10	Discount on Outstanding Claims Liability Amount	Whole dollars	Report the discount on OCL amount.Report any discount on OCL as a positive value.
11	Risk Margin At 75th POA - OCL Amount	Whole dollars	Report the risk margin at 75th POA - OCL amount.

Table 4: Insurance Liability Risk Charge - Premiums Liabilities

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report values in whole Australian dollars.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Private Health Insurer Business Type	Health insurance businessHealth-related insurance business	Report the private health insurer business type.Health insurance business does not apply where the private health insurer fund type is general fund.Report health-related insurance business where the private health insurer fund type is general fund.
4	Claims Component - PL Amount	Whole dollars	Report the claims component - PL amount.
5	Claims Handling Expenses - PL Amount	Whole dollars	Report the claims handling expenses - PL amount.
6	Policy Administration Expenses - PL Amount	Whole dollars	Report the policy administration expenses - PL amount.
7	Risk Equalisation Component - PL Amount	Whole dollars	Report the risk equalisation component - PL amount.Report risk equalisation amounts payable as a positive value.Report risk equalisation amounts receivable as a negative value.
8	Expected Reinsurance Recoveries - PL Amount	Whole dollars	Report the expected reinsurance recoveries - PL amount.
9	Non-reinsurance Recoveries - PL Amount	Whole dollars	Report the non-reinsurance recoveries - PL amount.
10	Discount on Premiums Liabilities Amount	Whole dollars	Report the discount on PL amount.Report any discount on PL as a positive value.
11	Risk Margin At 75th POA - PL Amount	Whole dollars	Report the risk margin at 75th POA - PL amount.

Table 5: Insurance Liability Risk Charge - Risk Equalisation Transfers

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report values in whole Australian dollars.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Unbilled Calculated Deficit Amount	Whole dollars	Report the unbilled calculated deficit amount.
4	Unbilled Gross Deficit Amount	Whole dollars	Report the unbilled gross deficit amount.
5	Billed Risk Equalisation Special Account Liability Amount	Whole dollars	Report the billed Risk Equalisation Special Account liability amount.
6	Risk Margin At 75th POA – Risk Equalisation Transfers Amount	Whole dollars	Report the risk margin at 75th POA – risk equalisation transfers amount.

Table 6: Insurance Liability Risk Charge - Other Insurance Liabilities

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report values in whole Australian dollars.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Private Health Insurer Business Type	Health insurance businessHealth-related insurance business	Report the private health insurer business type.Health insurance business does not apply where the private health insurer fund type is general fund.Report health-related insurance business where the private health insurer fund type is general fund.
4	Individual Other Insurance Liability Description	Free text	Report the individual other insurance liability description.
5	Individual Other Insurance Liability At 75th POA Amount	Whole dollars	Report the individual other insurance liability at 75th POA amount.
6	Individual Other Insurance Liability At 99.5th POA Amount	Whole dollars	Report the individual other insurance liability at 99.5th POA amount.

Table 7: Future Exposure Risk Charge - Central Estimate

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report monetary values in whole Australian dollars.

Report counts as whole numbers.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Class Of Business	Hospital treatmentGeneral treatmentHealth-related insurance business	Report the class of business.Hospital treatment and general treatment do not apply where the private health insurer fund type is general fund.Report health-related insurance business where the private health insurer fund type is general fund.
4	Future Exposure Risk Charge Period	Month 1Month 2Month 3Month 4Month 5Month 6Month 7Month 8Month 9Month 10Month 11Month 12	Report the Future Exposure Risk Charge period.
5	Single Equivalent Units (CE) Count	Whole number	Report the Single Equivalent Units (CE) count.Report this item only where the class of business is hospital treatment.
6	Accrued Premium (CE) Amount	Whole dollars	Report the accrued premium (CE) amount.Report this item net of any reinsurance.
7	Claims Incurred (CE) Amount	Whole dollars	Report the claims incurred (CE) amount.Report this item net of any reinsurance.
8	Gross Deficit (CE) Amount	Whole dollars	Report the gross deficit (CE) amount.Report this item only where the class of business is hospital treatment.
9	Calculated Deficit (CE) Amount	Whole dollars	Report the calculated deficit (CE) amount.Report this item only where the class of business is hospital treatment.
10	State Levies (CE) Amount	Whole dollars	Report the state levies (CE) amount.Report this item only where the class of business is hospital treatment.
11	Management Expenses (CE) Amount	Whole dollars	Report the management expenses (CE) amount.

Table 8: Future Exposure Risk Charge - Adverse Event Stress

Reporting basis

This table applies to health benefits funds only.

Units of measurement

Report monetary values in whole Australian dollars.

Report counts as whole numbers.

	Name	Valid values	Description
1	Private Health Insurer Fund Name	Free text	Report the name of the health benefits fund. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.
2	Class Of Business	Hospital treatmentGeneral treatment	Report the class of business.
3	Future Exposure Risk Charge Period	Month 1Month 2Month 3Month 4Month 5Month 6Month 7Month 8Month 9Month 10Month 11Month 12	Report the Future Exposure Risk Charge period.
4	Single Equivalent Units (AES) Count	Whole number	Report the Single Equivalent Units (AES) count.Report this item only where the class of business is hospital treatment.
5	Accrued Premium (AES) Amount	Whole dollars	Report the accrued premium (AES) amount.Report this item net of any reinsurance.
6	Claims Incurred (AES) Amount	Whole dollars	Report the claims incurred (AES) amount.Report this item net of any reinsurance.
7	Gross Deficit (AES) Amount	Whole dollars	Report the gross deficit (AES) amount.Report this item only where the class of business is hospital treatment.
8	State Levies (AES) Amount	Whole dollars	Report the state levies (AES) amount.Report this item only where the class of business is hospital treatment.
9	Management Expenses (AES) Amount	Whole dollars	Report the management expenses (AES) amount.

Table 9: Future Exposure Risk Charge - Adverse Event Stress and Prescribed Benefit Stress including Management Actions

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report monetary values in whole Australian dollars.

Report counts as whole numbers.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Class Of Business	Hospital treatmentGeneral treatmentHealth-related insurance business	Report the class of business.Hospital treatment and general treatment do not apply where the private health insurer fund type is general fund.Report health-related insurance business where the private health insurer fund type is general fund.
4	Future Exposure Risk Charge Period	Month 10Month 11Month 12	Report the Future Exposure Risk Charge period where management action is possible. That is, only months 10, 11 and 12.
5	Single Equivalent Units (MA) Count	Whole number	Report the Single Equivalent Units (MA) count.Report this item only where the class of business is hospital treatment.
6	Accrued Premium (MA) Amount	Whole dollars	Report the accrued premium (MA) amount.Report this item net of any reinsurance.
7	Claims Incurred (MA) Amount	Whole dollars	Report the claims incurred (MA) amount.Report this item net of any reinsurance.
8	Gross Deficit (MA) Amount	Whole dollars	Report the gross deficit (MA) amount.Report this item only where the class of business is hospital treatment.
9	State Levies (MA) Amount	Whole dollars	Report the state levies (MA) amount.Report this item only where the class of business is hospital treatment.
10	Management Expenses (MA) Amount	Whole dollars	Report the management expenses (MA) amount.

Table 10: Future Exposure Risk Charge - Adjustments

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report values in whole Australian dollars.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Private Health Insurer Business Type	Health insurance businessHealth-related insurance business	Report the private health insurer business type.Health insurance business does not apply where the private health insurer fund type is general fund.Report health-related insurance business where the private health insurer fund type is general fund.
4	Insurance Profits Forecast After Management Actions Amount	Whole dollars	Report the insurance profits forecast after management actions amount.Insurance profits forecast after management actions amount is to be reported as a positive value, to reflect an addition to the Future Exposure Risk Charge.
5	Discount on Future Exposure Risk Charge Amount	Whole dollars	Report the discount on Future Exposure Risk Charge amount.Discounts on insurance losses are to be reported as a negative value, to reflect a deduction to the Future Exposure Risk Charge.

Table 11: Deferred Claims Liability Risk Charge

Reporting basis

This table applies to health benefits funds and the general fund.

Units of measurement

Report values in whole Australian dollars.

	Name	Valid values	Description
1	Private Health Insurer Fund Type	Health benefits fundGeneral fund	Report the private health insurer fund type.
2	Private Health Insurer Fund Name	Free text	Report the name of the private health insurer fund type. This is in the event an insurer has multiple health benefits funds.In the event an insurer has only one health benefits fund, the name should be the same as the insurer.For the general fund, report the same name as the insurer.
3	Private Health Insurer Business Type	Health insurance businessHealth-related insurance business	Report the private health insurer business type.Health insurance business does not apply where the private health insurer fund type is general fund.Report health-related insurance business where the private health insurer fund type is general fund.
4	DCL at 75th POA Amount	Whole dollars	Report the DCL at 75th POA amount.
5	DCL at 99.5th POA Amount	Whole dollars	Report the DCL at 99.5th POA amount.
6	DCL Aggregation Benefit	Whole dollars	Report the DCL aggregation benefit.Report a DCL aggregation benefit that would result in decrease in the DCL Risk Charge as a positive value.

Table 1: Insurance Risk Charge - Health-Table 1: Insurance Risk Charge - Health-Related Insurance Business Accrued Premium

Get a plain-English read of Table 1: Insurance Risk Charge - Health-

Specific instructions

Table 1: Insurance Risk Charge - Health-Related Insurance Business Accrued Premium

Reporting basis

Units of measurement

Table 2: Insurance Risk Charge - Health Insurance Business Membership

Reporting basis

Units of measurement

Table 3: Insurance Liability Risk Charge - Outstanding Claims Liabilities

Reporting basis

Units of measurement

Table 4: Insurance Liability Risk Charge - Premiums Liabilities

Reporting basis

Units of measurement

Table 5: Insurance Liability Risk Charge - Risk Equalisation Transfers

Reporting basis

Units of measurement

Table 6: Insurance Liability Risk Charge - Other Insurance Liabilities

Reporting basis

Units of measurement

Table 7: Future Exposure Risk Charge - Central Estimate

Reporting basis

Units of measurement

Table 8: Future Exposure Risk Charge - Adverse Event Stress

Reporting basis

Units of measurement

Table 9: Future Exposure Risk Charge - Adverse Event Stress and Prescribed Benefit Stress including Management Actions

Reporting basis

Units of measurement

Table 10: Future Exposure Risk Charge - Adjustments

Reporting basis

Units of measurement

Table 11: Deferred Claims Liability Risk Charge

Reporting basis

Units of measurement