Financial Sector (Collection of Data) (reporting standard) determination No. 106 of 2023
In ForceCTH
Jurisdiction
Commonwealth
Collection
legislative instrument
Plain English Summary
6/10 complexity
This Reporting Standard requires all private health insurers to provide APRA with detailed electronic data on large exposures and the Asset Concentration Risk Charge, via three prescribed tables for quarterly and annual reporting from 1 July 2023. APRA says it will use the data for prudential supervision and to assess compliance with capital standards. The Standard places responsibility on insurers’ boards, mandates annual external audit and officer authorisation, and allows APRA to vary reporting frequency or grant extensions, creating governance, reporting and audit costs for insurers.
This Reporting Standard prescribes the data private health insurers must provide to the Australian Prudential Regulation Authority (APRA) about Asset Concentration Risk Charges, and sets rules about format, frequency, quality assurance and audit of that information. The Standard is expressly tied to Prudential Standard HPS 117 Capital Adequacy: Asset Concentration Risk Charge (HPS 117), and must be read alongside it (Objective; paragraph 1). APRA states the information is collected for prudential supervision and to assess compliance with capital standards (paragraph 2). The Standard applies to all private health insurers and commences for reporting periods ending on or after 1 July 2023 (paragraph 3).
Mechanically, the instrument:
requires submission of specified data sets (Tables 1-3) for each reporting period (paragraph 4; Tables 1-3 sections);
specifies the electronic submission channel(s) (paragraph 5);
prescribes reporting periods as quarterly (periods ending 30 Sep, 31 Dec, 31 Mar, 30 Jun) and annually for year ending 30 June (paragraph 6), with APRA able to vary frequency for particular insurers by written notice (paragraph 7);
sets due dates: quarterly within 28 calendar days after period end, annual by 30 September, or as specified if APRA varies (paragraph 8), and permits APRA to grant written extensions (paragraph 9);
requires internal systems, policies and Board and senior management accountability for data quality and authorisation (paragraph 10);
requires the annual submission to be externally audited for consistency with statutory accounts and correct application of capital standards, with auditor’s certification/opinion due by 30 September (paragraphs 11-12) and with specific auditor report content requirements where prior qualifications exist (paragraph 13) and as to audit program and auditor signature (paragraph 14);
Current sections
Direct links to the current provisions in Financial Sector (Collection of Data) (reporting standard) determination No. 106 of 2023.
5
Objective of this Reporting Standard
Objective of this Reporting Standard
Objective of this Reporting Standard
This Reporting Standard sets out the requirements for the provision of information to APRA relating to a private health insurer’s Asset Concentration Risk Charge.
It includes associated specific instructions and must be read in conjunction with Prudential Standard HPS 117 Capital Adequacy: Asset Concentration Risk Charge (HPS 117).
Authority
This Reporting Standard is made under section 13 of the Financial Sector (Collection of Data) Act 2001.
Purpose
The information reported to APRA under this Reporting Standard is used by APRA for the purpose of prudential supervision including assessing compliance with capital standards.
Application and commencement
This Reporting Standard applies to all private health insurers. This Reporting Standard applies for reporting periods ending on or after 1 July 2023.
Information required
A private health insurer must provide APRA with the information required by this Reporting Standard for each reporting period.
Method of submission
The information required by this Reporting Standard must be given to APRA:
(a) in electronic format using an electronic method available on APRA’s website; or
(b) by a method notified by APRA prior to submission.
Reporting periods and due dates
Subject to paragraph 7, a private health insurer must provide the information required by this Reporting Standard:
(a) in respect of each calendar quarter (i.e. the periods ending 30 September, 31 December, 31 March and 30 June); and
(b) in respect of each year ending 30 June.
If, having regard to the particular circumstances of a private health insurer, APRA considers it necessary or desirable to obtain information more or less frequently than as provided by subparagraph 6(a) or 6(b), APRA may, by notice in writing, change the reporting periods, or specify reporting periods, for the particular private health insurer.
The information required by this Reporting Standard must be provided to APRA:
(a) in the case of quarterly information, within 28 calendar days after the end of the reporting period to which the information relates;
(b) in the case of annual information, by 30 September each year; or
(c) in the case of information provided in accordance with paragraph 7, within the time specified by notice in writing.
APRA may, in writing, grant a private health insurer an extension of a due date, in which case the new due date will be the date on the notice of extension.
Note: For the avoidance of doubt, if the due date for a particular reporting period falls on a day other than a usual business day, a private health insurer is nonetheless required to submit the information required no later than the due date.
Quality control
All information provided by a private health insurer under this Reporting Standard must be subject to systems, processes and controls developed by the private health insurer for the internal review and authorisation of that information. It is the responsibility of the Board and senior management of the private health insurer to ensure that an appropriate set of policies and procedures for the authorisation of information submitted to APRA is in place.
Annual audit requirements
The information submitted for the purposes of paragraph 8(b) is to be subject to external audit to ensure consistency with the private health insurer’s statutory financial accounts and faithful application of the capital standards.
Audit certification and opinion must be provided to APRA by 30 September each year.
If a private health insurer received a qualified auditor’s report for a health benefits fund, the general fund, or the private health insurer for the year previous to the year for which the report is provided, the report for the year for which the report is provided must state whether the auditor has examined the issues identified and is satisfied that the private health insurer has taken the appropriate steps to rectify the matters raised in the previous report.
The auditor’s report must:
(a) state details of the program adopted to carry out the audit; and
(b) include the name of, and be signed by, the auditor who takes responsibility for the accuracy of the report.
Authorisation
A person who submits the information required under this Reporting Standard must be suitably authorised by an officer of the private health insurer.
Variations
APRA may, in writing, vary the reporting requirements of this Reporting Standard in relation to a private health insurer.
Interpretation
In this Reporting Standard:
(a) unless the contrary intention appears, words and expressions have the meanings given to them in Prudential Standard HPS 001 Definitions (HPS 001); and
(b) the following definitions are applicable:
APRA means the Australian Prudential Regulation Authority established under the Australian Prudential Regulation Authority Act 1998;
capital standards means the prudential standards which relate to capital adequacy as defined in HPS 001;
officer has the same meaning as in the Act;
private health insurer has the same meaning as in the Act;
reporting period means a period mentioned in paragraph 6 or, if applicable, paragraph 7; and
the Act means the Private Health Insurance (Prudential Supervision) Act 2015.
Unless the contrary intention appears, a reference to an Act, Prudential Standard, Reporting Standard, Australian Accounting or Auditing Standard is a reference to the instrument as in force from time to time.
General Instructions
General Instructions
General Instructions
Reporting tables
Tables described in this reporting form list each of the data fields required to be reported. The data fields are listed sequentially in the column order that they will appear in the reported data set. Constraints on the data that can be reported for each field have also been provided.
Any specific combination of values in the table must not appear on more than one row in that table when reported.
Definitions
Terms highlighted in bold italics indicate that the definition is provided in these instructions.
A
Adjustment for cumulative exposures amount
For reinsurance exposures only, this is the adjustment for cumulative exposures that needs to be made in line with Prudential Standard HPS 117 Capital Adequacy: Asset Concentration Risk Charge (HPS 117).
Asset Concentration Risk Charge limit amount
For reinsurance exposures this means the appropriate asset concentration limit as specified in HPS 117 for reinsurance exposures to Grade 5, 6 and 7 counterparties or Grade 4 counterparties belonging to the same group.For non-reinsurance exposures this means the appropriate Asset Concentration Risk Charge limit as specified in HPS 117.
Asset Concentration Risk Charge long term limit amount
This means the appropriate Asset Concentration Risk Charge limit amount for long-term exposures to unrelated parties that are part of an APRA-regulated group as per HPS 117.For exposures categorised as 'unrelated party (APRA-regulated group)', this is the fair value of the exposure to long-term assets, net of provision for doubtful debts and after amounts that are deducted from the capital base. Long term exposures are those assets with a residual maturity of greater than one year.
Asset Concentration Risk Charge long term net exposure amount
This means the fair value of the exposure to long-term assets, net of provision for doubtful debts and after amounts that are deducted from the capital base. Long term exposures are those assets with a residual maturity of greater than one year.
Asset Concentration Risk Charge net exposure amount
This means the fair value of the exposure, net of provision for doubtful debts and any regulatory adjustments to capital base related to this exposure, that is subject to an Asset Concentration Risk Charge. Reinsurance exposures regulatory adjustments would consist of reinsurance assets not subjected to an executed and legally binding contract.
Asset exposure category after eligible credit support
For reinsurance exposures that are covered by eligible credit support, report the counterparty grade grouping as:Grade 4; orGrade 5, 6 or 7.For non-reinsurance exposures, categorise the exposure into one of the following in accordance with HPS 117:related party (APRA-regulated group);unrelated party (APRA-regulated group); orother.
C
Counterparty grade type
This means the classification applied to the exposure as per Prudential Standard HPS 001 Definitions (HPS 001).
Counterparty group name
This is the name of the group to which the counterparty to the exposure belongs.
Counterparty name
This is the name of the counterparty to the exposure.
Counterparty grade after eligible credit support
This means the counterparty grade type related to exposures that are covered by collateral or guarantee.
E
Eligible credit support applied
The means whether the reinsurance or non-reinsurance exposure is covered by an eligible collateral, guarantee, or letter of credit, indicate whether the insurer has applied the eligible credit support to calculate the asset concentration risk charge.Possible values are:yes; andno.
Exposure subject to Asset Concentration Risk Charge
For reinsurance exposures only: This is the total exposure that is subject to the Asset Concentration Risk Charge. This item is calculated at the level of each counterparty group name as the sum of:Asset Concentration Risk Charge net exposure amount; andadjustment for cumulative exposures amount.
G
General fund(Private health insurer fund type)
General fund has the same meaning as in HPS 001.
H
Health benefits fund(Private health insurer fund type)
Health benefits fund has the same meaning as in the Act.
N
Name of provider of eligible credit support
This means the name of the entity providing the collateral or guarantee where the insurer holds collateral against the asset or if the asset has been guaranteed.
Non-reinsurance Asset Concentration Risk Charge
This represents the Asset Concentration Risk Charge for non-reinsurance exposures and is the sum of the Asset Concentration Risk Charges for each non-reinsurance exposure category.This is the excess (if any) of the net exposure amount over and above the respective Asset Concentration Risk Charge limit and is calculated as the greater of:Asset Concentration Risk Charge net exposure amount less Asset Concentration Risk Charge limit amount; andAsset Concentration Risk Charge long term net exposure amount less Asset Concentration Risk Charge long term limit amount,subject to a floor of zero.
O
Off-balance sheet large exposure amount
This represents the fair value of the exposure, net of provision for doubtful debts, recognised off-balance sheet.
On-balance sheet large exposure amount
This represents the fair value of the exposure, net of provision for doubtful debts, recognised on-balance sheet.
P
Private health insurer fund type
Means health benefits fund or general fund.
R
Reinsurance Asset Concentration Risk Charge
This represents the Asset Concentration Risk Charge for reinsurance exposures and is the sum of the Asset Concentration Risk Charges for reinsurance exposures across all counterparty grades.This is the excess (if any) of the net exposure amount over and above the respective Asset Concentration Risk Charge limit and is calculated as exposure subject to Asset Concentration Risk Charge less Asset Concentration Risk Charge limit amount, subject to a floor of zero.
Related party
This means the type of relationship of the counterparty to the insurer. This can take the values of:parent;controlled entity;associate / joint venture; orother related party.
T
Total large exposure amount
This represents the fair value of the exposure, net of provision for doubtful debts, and includes both on-balance sheet and off-balance sheet amounts.This is calculated as the sum of:on-balance sheet large exposure amount; andoff-balance sheet large exposure amount.
Table 1: Large Exposures
Table 1: Large Exposures
Table 1: Large Exposures
Reporting threshold
This section is to be completed for each exposure to an asset, a counterparty or a group of counterparties that is greater than 10 per cent of the capital base of the health benefits or general fund. Where the aggregate exposure to a group of related counterparties is over the 10 per cent threshold, report the exposure to each individual counterparty separately, even if the individual exposure is less than the threshold.
Collateral and guarantees
For exposures that are supported by collateral, guarantees or letters of credit (eligible credit support):
If the exposure is covered by more than one collateral / guarantee / letter of credit, split the original exposure into multiple rows for each eligible credit support applicable.
If the eligible credit support provided does not cover the full value of the exposure, split the original exposure into multiple rows: one for the part that is covered, and one for the part that remains uncovered.
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. 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
Counterparty Name
Free text
Report the counterparty name.
4
Counterparty Group Name
Free text
Report the counterparty group name.Where the counterparty does not belong to a group, enter the counterparty name.
5
Counterparty ACN, ABN or ARBN
9 digit valid ACN, 11 digit valid ABN or 9 digit valid ARBN
Report the counterparty ACN, ABN or ARBN.Report the ACN of the reported counterparty. In cases where a counterparty does not have an ACN but it does have an ABN or an ARBN, report the ABN or ARBN.Input the number without spaces.If a counterparty does not have an ACN, ABN, or ARBN leave the column blank.
6
Reinsurance Or Non-Reinsurance Exposure Type
ReinsuranceNon-reinsuranceCombination of multiple exposures
Report the reinsurance or non-reinsurance exposure type.
7
Reinsurance Or Non-Reinsurance Exposure Type Description
Free text
Describe the reinsurance or non-reinsurance exposure type.
8
Non-APRA Authorised Reinsurer Indicator
YesNo
Indicate whether the counterparty is a non-APRA authorised reinsurer.
9
Related Party Type
ParentControlled entityAssociate / Joint ventureOther related partyNot applicable
Report the related party.If exposure is not to a related party, report as Not applicable.
10
Counterparty Grade Type
Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7
Report the counterparty grade type.
11
Name Of Provider Of Eligible Credit Support
Free text
Report the name of provider of eligible credit support.If no eligible credit support is provided, report Not applicable.
This section is to be completed for each exposure to a group of related counterparties that will trigger an Asset Concentration Risk Charge limit amount as specified in HPS 117.
Reinsurance exposures
Reinsurance exposures must be reported in the following order for each group of related counterparties:
Combine all exposures to Grade 5 and below; and
Combine all exposures to Grade 4.
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. 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
Counterparty Group Name
Free text
Report the counterparty group name.
4
Eligible Credit Support Applied Indicator
YesNo
Report the eligible credit support applied indicator.
5
Asset Exposure Category After Eligible Credit Support
Grade 4Grade 5, 6 or 7
Report the asset exposure category after eligible credit support.
6
Asset Concentration Risk Charge Net Exposure Amount
Whole dollars
Report the asset concentration risk charge net exposure amount.
7
Asset Concentration Risk Charge Limit Amount
Whole dollars
Report the asset concentration risk charge limit amount.
8
Adjustment For Cumulative Exposures Amount
Whole dollars
Report the adjustment for cumulative exposures amount.This applies to reinsurance exposures only.
This section is to be completed for each exposure to a group of related counterparties that will trigger an Asset Concentration Risk Charge limit amount as specified in HPS 117.
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. 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
Counterparty Group Name
Free text
Report the counterparty group name.
4
Eligible Credit Support Applied Indicator
YesNo
Report the eligible credit support applied indicator.
5
Asset Exposure Category After Eligible Credit Support Type
Related party (APRA-regulated group)Unrelated party (APRA-regulated group)Other
Report the asset exposure category after eligible credit support.
6
Asset Concentration Risk Charge Net Exposure Amount
Whole dollars
Report the asset concentration risk charge net exposure amount.
7
Asset Concentration Risk Charge Long Term Net Exposure Amount
Whole dollars
Report the asset concentration risk charge long term net exposure amount.
8
Asset Concentration Risk Charge Limit Amount
Whole dollars
Report the asset concentration risk charge limit amount.
9
Asset Concentration Risk Charge Long Term Limit Amount
Whole dollars
Report the asset concentration risk charge long term limit amount.This applies to non-reinsurance exposures only.
Source text: opening excerpt
Sourced from the Federal Register of Legislation (legislation.gov.au), CC BY 4.0.
Objective of this Reporting Standard Objective of this Reporting Standard
Objective of this Reporting Standard
This Reporting Standard sets out the requirements for the provision of information to APRA relating to a private health insurer’s Asset Concentration Risk Charge.
It includes associated specific instructions and must be read in conjunction with Prudential Standard HPS 117 Capital Adequacy: Asset Concentration Risk Charge (HPS 117).
Authority
This Reporting Standard is made under section 13 of the Financial Sector (Collection of Data) Act 2001.
Purpose
The information reported to APRA under this Reporting Standard is used by APRA for the purpose of prudential supervision including assessing compliance with capital standards.
Application and commencement
This Reporting Standard applies to all private health insurers. This Reporting Standard applies for reporting periods ending on or after 1 July 2023.
Information required
A private health insurer must provide APRA with the information required by this Reporting Standard for each reporting period.
Method of submission
The information required by this Reporting Standard must be given to APRA:
(a) in electronic format using an electronic method available on APRA’s website; or
(b) by a method notified by APRA prior to submission.
Reporting periods and due dates
Subject to paragraph 7, a private health insurer must provide the information required by this Reporting Standard:
(a) in respect of each calendar quarter (i.e. the periods ending 30 September, 31 December, 31 March and 30 June); and
(b) in respect of each year ending 30 June.
If, having regard to the particular circumstances of a private health insurer, APRA considers it necessary or desirable to obtain information more or less frequently than as provided by subparagraph 6(a) or 6(b), APRA may, by notice in writing, change the reporting periods, or specify reporting periods, for the particular private health insurer.
The information required by this Reporting Standard must be provided to APRA:
(a) in the case of quarterly information, within 28 calendar days after the end of the reporting period to which the information relates;
requires that the person submitting the data be suitably authorised by an officer of the insurer (paragraph 15); and
gives APRA power to vary reporting requirements in writing for a particular insurer (paragraph 16).
The Standard includes detailed reporting forms and instructions. Table 1 sets a large-exposure reporting threshold at exposures greater than 10 per cent of the capital base of the health benefits fund or general fund and requires detailed counterparty identification and on-/off-balance breakdowns (Table 1 and its Reporting threshold section). Tables 2 and 3 set out reporting for Asset Concentration Risk Charges for reinsurance and non-reinsurance exposures respectively, including requirements to report net exposure, limits, long-term amounts (for non-reinsurance), and whether eligible credit support is applied, with units in whole Australian dollars (Tables 2-3 sections).
Authority for the Standard is section 13 of the Financial Sector (Collection of Data) Act 2001 (paragraph 1). The Standard also cross-references HPS 001 for definitions and permits references to Acts and Standards to be read as in force from time to time (paragraphs 17-18), which means the operational meaning of many fields is determined by HPS 117 and HPS 001 rather than by this form alone.
Main concepts
The Standard defines, operationalises and demands reporting of a narrow set of prudential concepts focused on concentration risk in assets and reinsurance. Key concepts defined or operationalised in the instrument are:
Asset Concentration Risk Charge and related amounts: The Standard requires reporting of Asset Concentration Risk Charge net exposure amounts, limit amounts, long-term net exposure and long-term limits for non-reinsurance exposures, and an adjustment for cumulative exposures for reinsurance (Definitions tables; Tables 2-3). The Standard sets the calculation basis for the Asset Concentration Risk Charge in the Definitions: for non-reinsurance, the charge is the excess (if any) of net exposure over the relevant limit or long-term net exposure over the long-term limit, with a floor of zero; for reinsurance, the charge is the excess of exposure subject to the charge over the relevant limit, with a floor of zero (Definitions: Non-reinsurance Asset Concentration Risk Charge; Reinsurance Asset Concentration Risk Charge).
Counterparty grading and related party classification: The reporting requires identification of counterparty grade (Grade 1-7) and counterparty group, with the possibility to report counterparty grade after eligible credit support and asset exposure category after eligible credit support (Definitions; Table 1 columns 10, 12; Tables 2-3 columns 4-5). The Standard incorporates the grading system in HPS 001 by reference (paragraph 17(a)).
Eligible credit support: The Standard requires indication of whether eligible collateral/guarantee/letter of credit has been applied to the exposure and requires splitting exposures where multiple eligible credit supports cover different parts, or where eligible support covers only part of the exposure (General Instructions: Collateral and guarantees; Definitions: Eligible credit support applied).
Large exposure threshold and grouping rules: Table 1 requires reporting of each exposure to an asset, counterparty or group of counterparties that exceeds 10 per cent of the capital base of the health benefits or general fund. Where the aggregate exposure to a group of related counterparties exceeds 10 per cent, the insurer must report the exposure to each individual counterparty separately, even if an individual exposure is below the threshold (Table 1 Reporting threshold).
On-/off-balance reporting: The Standard separates on-balance and off-balance sheet exposures and requires reporting of both and their sum (Definitions: On-balance sheet large exposure amount; Off-balance sheet large exposure amount; Total large exposure amount).
Long-term exposure definition: For non-reinsurance exposures, long-term exposures are those assets with a residual maturity greater than one year; long-term net exposure amounts and long-term limits are reported separately (Definitions: Asset Concentration Risk Charge long term net exposure amount; Asset Concentration Risk Charge long term limit amount).
Quality, audit and authorisation: The Standard insists on internal review and authorisation policies under the Board and senior management responsibility (paragraph 10), external audit for annual reporting focused on consistency with statutory accounts and the application of capital standards (paragraph 11), and specific auditor reporting requirements including details of the audit program, auditor name and signature, and statements addressing prior qualifications (paragraphs 12-14). The submitter must be suitably authorised by an officer of the insurer (paragraph 15).
Data formatting and uniqueness constraints: Reporting must be electronic via the method on APRA’s website or another notified method (paragraph 5); values reported in the tables must be whole Australian dollars, ACN/ABN/ARBN must follow valid digit formats, and any particular combination of specific table values must not appear more than once in that table when reported (General Instructions: Units of measurement; Table 1 column 5; General Instructions opening).
Many of these concepts are defined by cross-reference to HPS 117 and HPS 001 (paragraph 17(a); paragraph 1), so the Standard functions as a data specification and constraint set that operationalises the capital treatment rules located in those Prudential Standards.
Who it affects
The Standard applies to all private health insurers as defined in the Private Health Insurance (Prudential Supervision) Act 2015 (paragraph 3; Interpretation definitions; the Act). It distinguishes reporting between two fund types that a private health insurer may operate: health benefits fund and general fund (Definitions: Private health insurer fund type; Table 1 column 1).
Directly affected parties and roles:
Private health insurers: Responsible for collecting, validating and submitting the data for each reporting period (paragraph 4). They must ensure internal systems, processes and Board and senior management controls for review and authorisation are in place (paragraph 10). The insurer must also arrange external audit of annual submissions and provide the certification and opinion to APRA by 30 September (paragraphs 11-12).
Boards and senior management of private health insurers: Explicitly assigned responsibility for ensuring appropriate policies and procedures for authorisation of information submitted to APRA (paragraph 10). The Board’s governance responsibilities are thereby linked to the quality and authorisation of the reported data.
Officers who authorise submissions: The person who submits the information must be suitably authorised by an officer of the private health insurer (paragraph 15). That creates an internal chain of responsibility and legal exposure for signatories.
External auditors: Required to audit the annual submission for consistency with statutory financial accounts and the faithful application of capital standards (paragraph 11), must produce an auditor’s certification and opinion (paragraph 12), must detail the audit program and the responsible auditor (paragraph 14), and must address prior-year qualifications in the subsequent year’s report if a qualified report was received (paragraph 13).
APRA: The collecting authority; it decides the reporting format and method (paragraph 5), may vary reporting periods for particular insurers (paragraph 7), may vary reporting requirements in writing (paragraph 16), may grant extensions (paragraph 9), and is the recipient and user of the information for prudential supervision and capital compliance assessment (paragraph 2). APRA is also the party that will interpret and act on the data in assessing capital adequacy as per HPS 117.
Indirectly affected or implicated parties:
Counterparties and groups: The form requires identification of counterparties and their groupings, including ACN/ABN/ARBN where available (Table 1 columns 3-5). Insurers must therefore maintain reliable identification and corporate grouping information on counterparties.
Reinsurers and guarantors: Reinsurance exposures must be reported, including an indicator if a reinsurer is not APRA authorised (Table 1 column 8) and details of providers of eligible credit support (Table 1 column 11).
Internal control, compliance and IT functions: Insurers must develop systems to capture, transform and submit the data in APRA’s electronic formats, maintain uniqueness constraints and handle data splitting rules for collateral/guarantees (General Instructions; Table 1 collateral rules).
Who pays: The compliance costs (systems, staff time, external audit fees and possibly legal/consulting for interpretation of HPS 117/HPS 001) fall primarily on private health insurers and, ultimately, on their stakeholders (policyholders, owners). The Standard does not assign costs explicitly, but the operational requirements,quarterly and annual submission, internal controls and external audit,are concrete cost drivers (paragraphs 4, 6, 8-12).
Who decides: APRA decides the required content, timing, format and any insurer-specific variations or extensions by written notice (paragraphs 5-9, 16). The insurer’s Board and officers decide the internal policies, who signs submissions and how to structure or reprice transactions to manage reported concentration (paragraph 10; paragraph 15).
Key duties and rights
This section summarises the obligations the Standard imposes on private health insurers and the administrative rights it affords APRA. All references are to the Standard’s paragraphs and table instructions.
Duties imposed on private health insurers
Submit specified information to APRA for each reporting period (paragraph 4). This is an affirmative duty to provide the full set of fields in Tables 1-3 where applicable.
Use APRA’s electronic method or another method notified by APRA for submission (paragraph 5).
Report in respect of each calendar quarter and the financial year, subject to APRA’s power to vary the reporting period for particular insurers (paragraphs 6-7).
Meet due dates: quarterly submissions within 28 calendar days after the period end; annual submissions by 30 September; or as specified in a notice if APRA varies (paragraph 8). APRA may grant extensions in writing (paragraph 9).
Ensure data quality: maintain systems, processes and controls for internal review and authorisation, and ensure Board and senior management policies and procedures are in place for the authorisation of submissions (paragraph 10).
Provide annual submissions to external audit for consistency with statutory accounts and faithful application of capital standards, and lodge audit certification/opinion by 30 September (paragraphs 11-12).
Ensure auditor reports include specific items: audit program details and the auditor’s name and signature; and, if there was a prior qualified auditor’s report, state whether issues were examined and rectified (paragraphs 13-14).
Ensure the person submitting the information is suitably authorised by an officer of the insurer (paragraph 15).
For Table 1, report each exposure to an asset, counterparty or group that exceeds 10 per cent of the capital base; split exposures where multiple eligible credit supports or partial coverage apply; and report on-/off-balance sheet amounts (Table 1 Reporting threshold; General Instructions on collateral).
For reinsurance exposures, combine Grades 5 and below and combine Grade 4 separately when reporting (Table 2 Reinsurance exposures order).
Report in whole Australian dollars and comply with data formatting constraints (whole dollar units, ACN/ABN/ARBN formats; General Instructions and table columns).
Rights and discretions afforded to APRA
APRA may change reporting periods for a particular insurer and specify reporting periods in writing (paragraph 7).
APRA may set the electronic submission method (paragraph 5) and may notify an alternative method.
APRA may, in writing, grant extensions of due dates (paragraph 9).
APRA may, in writing, vary the reporting requirements of the Standard in relation to a private health insurer (paragraph 16).
APRA uses the information for prudential supervision and assessing compliance with capital standards (paragraph 2). The Standard does not set out enforcement actions but is made under the data-collection power in s 13 of the Financial Sector (Collection of Data) Act 2001 (paragraph 1), which implies APRA’s statutory data-collection authority is the legal basis for the Standard.
Practical duties affecting operations and governance
Board and senior management carry explicit responsibility for approval policies and procedures covering submissions (paragraph 10), meaning governance frameworks, change control and sign-off processes must be documented and maintained.
There is a duty to have the annual submission externally audited and to provide the auditor’s report and certification to APRA (paragraphs 11-12), which places the insurer under an obligation to ensure the audit scope and evidence cover the Asset Concentration Risk Charge calculations and reporting.
The person submitting must be suitably authorised (paragraph 15), creating a signature/authorisation trail and internal accountability.
Limitations and note on rights
The Standard does not itself create exemptions, but APRA may vary or exempt reporting for a particular insurer in writing (paragraphs 7, 16). The instrument does not set out how APRA will exercise that discretion or the criteria it will use.
The Standard refers to definitions in HPS 001 and limits in HPS 117 (paragraphs 1, 17), so the insurer’s rights to particular treatments or exposures depend on interpretation and application of those Prudential Standards as in force.
Penalties and enforcement
The Reporting Standard is made under section 13 of the Financial Sector (Collection of Data) Act 2001 (paragraph 1). The Standard itself describes the data required, timing, quality standards and audit rules, and APRA’s powers to vary reporting and grant extensions (paragraphs 5-9, 16). The instrument states APRA will use the information for prudential supervision and assessing compliance with capital standards (paragraph 2).
What the Standard states and does not state about enforcement and penalties
The Standard does not list specific civil or criminal penalties for non-compliance within its text. It is a data-collection instrument rather than a sanctions instrument, and the document provided does not include explicit sanctioning provisions.
Because the Standard is made under the Financial Sector (Collection of Data) Act 2001 (paragraph 1), any civil or criminal consequences for failure to comply with a data-collection notice would be determined by that Act and other relevant legislation, not by the text of this Reporting Standard itself. The Standard does not reproduce or restate those statutory enforcement provisions.
APRA’s administrative levers
APRA has administrative discretion to alter reporting frequency, reporting periods and requirements for particular insurers and to grant extensions in writing (paragraphs 7, 9, 16). These powers permit APRA to manage compliance pragmatically rather than relying solely on penalties.
APRA’s practical enforcement tools, derived from the Standard’s operational design, include the power to require audited confirmation, request additional information, and vary reporting obligations; the Standard also creates a governance trail by requiring officer authorisation and auditor certification (paragraphs 10-15). Those requirements increase the visibility of non-compliance and create records APRA can use in supervision.
Implication for insurers
Non-submission, late submission, submission of materially incorrect data or failure to provide the required audit certification may trigger supervisory follow-up by APRA under its prudential mandate because the Standard identifies the information as necessary for assessing compliance with capital requirements (paragraph 2). The Standard itself does not specify the supervisory outcomes or penalties, so insurers need to consult the Financial Sector (Collection of Data) Act 2001 and APRA’s enforcement policies for concrete sanctions.
Because annual information must be audited for consistency with statutory accounts and application of capital standards (paragraph 11), a material mismatch may be highlighted in audit opinions and could be escalated to APRA for supervisory or enforcement action.
Practical enforcement considerations
APRA’s capacity to vary requirements and request more frequent data (paragraph 7) can be used to escalate oversight of an insurer with apparent weaknesses or data quality issues.
The external audit requirement (paragraphs 11-14) creates an independent verification step; audit qualifications or adverse findings will be visible to APRA and thus are a practical enforcement channel.
The Standard’s requirement that the submitter be suitably authorised by an officer (paragraph 15) creates a compliance chain that supports APRA’s supervisory enquiries into who authorised and who reviewed the data.
For a full understanding of statutory penalties or enforcement powers available to APRA arising from non-compliance with data collection instruments, insurers should consult the Financial Sector (Collection of Data) Act 2001, and APRA’s enforcement guidance and prudential framework. The Reporting Standard itself sets procedural obligations and audit/accountability mechanisms, but does not recite penalty clauses.
How it interacts with other laws
This Reporting Standard is tightly cross-referenced to the Prudential Standards that determine substance, and it is legally based on the Financial Sector (Collection of Data) Act 2001. The instrument itself states explicit cross-references and interaction points:
HPS 117 Capital Adequacy: Asset Concentration Risk Charge: The Standard is to be read in conjunction with HPS 117 (Objective; paragraph 1). HPS 117 defines the capital treatment, concentration limits and many detailed operational rules (for example, asset concentration limit amounts, treatment of reinsurance, grading rules). The Reporting Standard operationalises those rules into data fields and reporting constraints (see Definitions and Table 2/3 descriptions).
HPS 001 Definitions: Terms and expressions in this Reporting Standard have the meanings given in HPS 001 unless the contrary intention appears (paragraph 17(a)). This means the meaning of “capital base”, “off-balance sheet”, “counterparty grade”, “related party” and other terms depends on HPS 001 and any subsequent amendments.
Private Health Insurance (Prudential Supervision) Act 2015: The Reporting Standard uses the statutory definition of “private health insurer” and other Act terms (Interpretation; the Act). The Standard does not itself change statutory definitions but applies to entities captured by that Act.
Financial Sector (Collection of Data) Act 2001: The legal authority to make the Reporting Standard is section 13 of that Act (paragraph 1). That Act governs APRA’s power to collect data and will include any enforcement, administrative penalties, and procedural protections that apply to data-collection powers. The Reporting Standard does not replicate those enforcement provisions.
Australian Accounting and Auditing Standards: The Standard requires that annual reporting be subject to external audit to ensure consistency with statutory financial accounts and faithful application of capital standards (paragraph 11). The Reporting Standard allows references to Australian Accounting or Auditing Standards “as in force from time to time” (paragraph 18), so the audit work will be performed under whatever auditing standards are current at the time of audit.
Other Prudential Standards and instruments: The Standard allows references to Prudential Standards and Reporting Standards as in force from time to time (paragraph 18), so changes to HPS 117, HPS 001 or other prudential texts will affect interpretation and compliance obligations.
Operational interaction points and implications
The Standard is a data-specification layer on top of HPS 117: it does not determine limits or capital calculations beyond the definition of how to report net exposures, limits and long-term items. Insurers will need to reconcile calculations made for HPS 117 capital purposes with the reporting fields in this Standard (paragraph 1; paragraph 11).
Definitions and grading rules in HPS 001 directly determine many drop-downs and categorisations required by the tables (paragraph 17(a); Table 1 column 10, etc.). Changes to HPS 001 or HPS 117 will therefore change reporting content because the Standard references instruments as in force from time to time (paragraph 18).
External audit procedures must cover statutory financial accounts and application of capital standards, meaning auditors will need to understand and test the insurer’s application of HPS 117 and the mappings into the Reporting Standard (paragraph 11). The auditor’s report must include program details and be signed (paragraph 14).
Limitations in the instrument’s scope vis-à-vis other laws
The Standard does not address disclosure obligations outside APRA reporting, taxation consequences, contractual obligations to counterparties, or privacy/data-protection obligations related to exchange of counterparty identity data. Those interactions are governed by other laws and are not discussed explicitly in this text.
Enforcement and sanction mechanisms for non-compliance with data collection are not specified here; insurers must consult the Financial Sector (Collection of Data) Act 2001 for those legal consequences (paragraph 1).
In short, this Reporting Standard operates as an APRA data-collection specification that depends substantively on HPS 117 and HPS 001 for definitions and capital logic, and derives its legal power from the Financial Sector (Collection of Data) Act 2001.
Amendment history
The text of the Reporting Standard as provided contains only limited temporal metadata:
Application and commencement: The Standard applies for reporting periods ending on or after 1 July 2023 (paragraph 3).
References to instruments “as in force from time to time” (paragraph 18) mean that the Standard is intended to be read alongside updated Prudential Standards, Australian Accounting and Auditing Standards and Acts, and that changes to those instruments may affect the content and interpretation of the required reporting fields.
The instrument as provided does not record any prior versions, amendments, or a revision history within the text itself. There is no appended amendment schedule or chronology in the excerpt. Therefore:
No amendment entries are recorded in this supplied text. The Standard does not list earlier versions or dates of amendment in the document we have been given.
The Standard does explicitly allow referenced instruments (acts, Prudential Standards, Australian Accounting and Auditing Standards) to be read as “in force from time to time” (paragraph 18). Practically, that means an insurer must monitor changes to HPS 117 and HPS 001 and to accounting/auditing standards because those changes will alter the meaning or application of fields in this Standard.
Practical implications for tracking amendments
Because the Reporting Standard cross-references active prudential instruments, insurers should maintain a change-control register that links amendments in HPS 117 and HPS 001 to any required changes in data capture, mappings and audit evidence. The Standard itself does not contain an amendment log but anticipates that external instruments will evolve and thereby affect reporting.
APRA retains the unilateral ability to vary reporting requirements for particular insurers in writing (paragraph 16) and to change reporting periods for particular insurers by written notice (paragraph 7). Those insurer-specific variations may functionally appear as amendments to the reporting obligations for those insurers, even where the Standard’s text is unchanged.
If a reader requires a formal legislative or instrument amendment history, they should consult APRA’s instrument registry or the Federal Register of Legislation for published versions and amendment notices, because such a history is not contained in the supplied text.
Litigation history
The Reporting Standard as supplied does not include or reference any litigation history, cases or disputes. The instrument names no judicial decisions and records no prior litigation regarding its interpretation or application.
The Standard does create specific areas where disputes or supervisory disagreements could arise, grounded in the text:
Cross-references to HPS 001 and HPS 117 as definitional authorities (paragraphs 1 and 17) mean that disputes may occur over the correct application of definitions (for example, the correct grading of a counterparty, the classification of related parties, or the determination of capital base). Because substantive capital rules sit in HPS 117, any legal dispute about capital adequacy or the calculation of concentration charges would invoke that Prudential Standard as well as the Reporting Standard.
External audit and prior-year qualification requirements (paragraphs 11-14) create potential contested points between insurers and auditors: for example, whether an auditor’s previous qualification was adequately addressed by remedial steps, or whether the auditor’s scope was sufficient to provide the required assurance about faithful application of capital standards.
APRA’s exercise of discretionary powers to specify or change reporting periods, frequencies or requirements for particular insurers (paragraphs 7 and 16) could give rise to administrative-law challenges if an insurer considered APRA’s exercise of discretion beyond legal bounds; the Standard does not describe limits or procedural steps for those variations.
Data interpretation and mapping questions create potential for dispute: uniqueness constraints and rules about splitting exposures and eligible credit support (General Instructions and Table 1 collateral rules) may lead to differing reasonable approaches that APRA and an insurer could disagree on.
The instrument does not provide litigation examples or cases to illustrate these points. For a record of actual litigation or administrative review challenging APRA’s use of this Reporting Standard or associated Prudential Standards, one would need to search judicial or tribunal records and APRA’s enforcement and correspondence records; none of that material is included in this text.
Gotchas
The Standard contains several operational specifics and constraints that are likely to cause errors or compliance failures if overlooked. The following items identify concrete pitfalls drawn directly from the Standard:
Threshold arithmetic and group aggregation (Table 1 Reporting threshold)
The large-exposure reporting threshold is triggered where an exposure to an asset, counterparty or group of counterparties is greater than 10 per cent of the capital base of the health benefits or general fund. Importantly, where the aggregate exposure to a group of related counterparties exceeds the 10 per cent threshold, the insurer must report the exposure to each individual counterparty separately, even if individual exposures are below the 10 per cent threshold. Failure to report all individual counterparties in a group whose aggregate exceeds 10 per cent is non-compliant with the Table 1 rules.
Splitting exposures for multiple or partial eligible credit support (General Instructions; Table 1 Collateral and guarantees)
If an exposure is covered by multiple eligible credit support instruments, or if only part of an exposure is covered, the original exposure must be split into multiple rows. Insurers that treat the exposure as a single row or that aggregate collateral values incorrectly will fail the data uniqueness and accuracy constraints.
Uniqueness constraint (General Instructions)
The tables state that any specific combination of values in the table must not appear on more than one row. This is a technical requirement that interacts with splitting rules and data deduplication; duplicate rows with the same combination of identifying fields will violate the reporting format.
Data format and units requirements (General Instructions; Table 1 column 5)
Values must be reported in whole Australian dollars. Counterparty identifiers must be in valid ACN/ABN/ARBN digit formats where available. Inputting decimals, foreign currency amounts, or incorrectly formatted business numbers will require remediation.
Reinsurance reporting order and grouping (Table 2 Reinsurance exposures)
Reinsurance exposures must be reported in the specified order: combine all exposures to Grade 5 and below, and combine all exposures to Grade 4. Reinsurers that report these groups differently may produce an APRA query.
Long-term exposure treatment for non-reinsurance (Definitions; Table 3)
For non-reinsurance exposures, long-term exposures are those with residual maturity greater than one year and must be reported separately (long-term net exposure and long-term limit). Misclassifying maturities can materially affect calculated Asset Concentration Risk Charge values.
Timing and business-day note (paragraph 9 Note)
If the due date for a reporting period falls on a day other than a usual business day, the insurer remains required to submit by the due date. Assuming the obligation shifts to the next business day will create late submissions.
Board and senior management accountability (paragraph 10)
The Standard places explicit responsibility on the Board and senior management to ensure appropriate policies and procedures are in place. Treating data submission as an IT or operations-only task without Board-sanctioned policies, or lacking documented authorisation processes, will fail the Standard’s governance expectations.
Auditor’s report content and previous qualifications (paragraphs 12-14)
The annual submission must be externally audited and the auditor’s certification/opinion provided by 30 September (paragraphs 11-12). If a prior-year qualified auditor’s report existed for the fund, general fund or insurer, the current year’s auditor report must state whether the auditor examined the prior issues and is satisfied they have been addressed (paragraph 13). Failure to include this statement or the required program detail and auditor signature may lead APRA to treat the annual audit report as incomplete.
APRA’s discretion to vary requirements (paragraphs 7, 16)
APRA can change reporting frequency and content for a particular insurer by written notice. Insurers should not assume the Standard’s baseline applies in all cases; regular monitoring for APRA notices is required.
Reliance on external Prudential Standards (paragraphs 1, 17-18)
The Reporting Standard defers to HPS 117 and HPS 001 for substantive definitions and limits. Misunderstanding the interplay , for example, treating a field according to an old or inapplicable definition , can create inconsistent or incorrect reporting.
Off-balance sheet valuation and fair value (Definitions: Off-balance sheet large exposure amount)
Off-balance sheet exposures must be reported at fair value, net of provision for doubtful debts. Differences in valuation approach between finance teams and prudential reporting teams can trigger reconciliation issues with auditors and APRA.
If the counterparty is a non-APRA authorised reinsurer, that must be indicated. Omitting this flag for a non-authorised reinsurer will be an explicit data omission.
Split rows for multiple counterparties in a group (Table 1 group aggregation)
When reporting group exposures, the requirement to report individual counterparties separately (even where the individual exposure is below threshold) may require insurers to collect granular counterparty data that is not otherwise maintained.
These “gotchas” are concrete compliance traps because they combine data-format constraints, governance expectations, valuation and grouping rules, and auditor and Board obligations. Failure in any of these areas can produce queries from APRA, audit qualifications, or the need for restatement.
How to comply
This section provides a practical step-by-step compliance checklist drawn from the Reporting Standard’s requirements and tables. The checklist is organised as an operational programme for an insurer to implement quarterly and annually.
Establish governance and accountability
Ensure the Board and senior management adopt and sign off on formal policies and procedures governing the production, authorisation and submission of APRA Asset Concentration Risk data (paragraph 10). Document roles, responsibilities and the authorisation chain for data submission, including the officer(s) who will suitably authorise the submitter (paragraph 15).
Map regulatory definitions and calculations
Review HPS 117 and HPS 001 to map definitions of capital base, counterparty grades, related party, long-term exposures (residual maturity >1 year) and asset concentration limit amounts into your systems (paragraphs 1, 17). Ensure that your internal calculation logic for Asset Concentration Risk Charges mirrors HPS 117 so that the figures reported to APRA match prudential capital computations.
Data collection and system configuration
Identify all exposures (on- and off-balance) to counterparties and groups and calculate fair value net of provisions for doubtful debts (Definitions: On-balance, Off-balance, Total large exposure amount; Off-balance sheet fair value note). Configure data capture to:
Classify exposure as reinsurance or non-reinsurance and indicate non-APRA-authorised reinsurer where applicable (Table 1 columns 6-8).
Flag related party type (Parent, Controlled entity, Associate/Joint venture, Other related party, Not applicable) (Table 1 column 9).
Record on-balance and off-balance amounts in whole Australian dollars (units) and ensure rounding/truncation is consistent.
Capture any eligible credit support applied, and the provider name (Table 1 columns 11 and Definitions).
Implement grouping and threshold logic
Implement logic to:
Aggregate exposures to groups of related counterparties and check whether aggregate exceeds 10% of the fund’s capital base (Table 1 Reporting threshold).
If aggregate >10%, extract and report each individual counterparty separately even if the individual exposure <10% (Table 1 Reporting threshold).
For reinsurance exposures, combine Grades 5 and below together and Grade 4 exposures separately when producing the reinsurance table (Table 2 Reinsurance exposures order).
Handle collateral/eligible credit support correctly
Where exposures are covered by multiple eligible credit support instruments, split the exposure into multiple rows for each eligible support (General Instructions: Collateral and guarantees).
Where eligible credit support covers only part of an exposure, split into rows for the covered part and the uncovered part (General Instructions).
Where applicable, compute the counterparty grade after eligible credit support and the asset exposure category after support for reporting (Definitions; Tables 2-3).
Calculate Asset Concentration Risk Charge fields
For reinsurance: compute exposure subject to charge, Asset Concentration Risk Charge net exposure amount, Asset Concentration Risk Charge limit amount and adjustment for cumulative exposures (Definitions; Table 2 fields). The reinsurance charge is exposure subject to charge less limit, floored at zero (Definitions).
For non-reinsurance: compute Asset Concentration Risk Charge net exposure amount, long-term net exposure amount (residual maturity >1 year), and limits. The non-reinsurance charge is the greater of: net exposure less limit; long-term net exposure less long-term limit; floor zero (Definitions).
Prepare the tables and enforce uniqueness constraints
Populate the reporting templates in the exact column order required (Tables 1-3 columns). Ensure any specific combination of values required by a table appears only once (General Instructions). Validate ACN/ABN/ARBN formatting and whole-dollar units.
Internal review, authorisation and controls
Route the completed submission through the internal review and authorisation workflow defined in Board/senior management policies (paragraph 10). Ensure the person submitting is suitably authorised by an officer and retain records of authorisation (paragraph 15).
External audit (annual)
Ensure the annual report (year ending 30 June) is subject to external audit for consistency with statutory financial accounts and faithful application of capital standards (paragraph 11). Arrange for the auditor to provide certification and opinion to APRA by 30 September (paragraph 12).
If a prior-year qualified auditor’s report existed, ensure the auditor’s current report addresses whether issues were examined and whether appropriate remedial steps were taken (paragraph 13).
Obtain the auditor’s report that states the audit program adopted and includes the auditor’s name and signature (paragraph 14).
Submission logistics and timing
Use the APRA electronic submission method listed on APRA’s website, or any alternative method APRA notifies in writing (paragraph 5).
Submit quarterly tables within 28 calendar days of quarter end and annual tables by 30 September. Note that due dates that fall on non-business days remain due on that date (paragraphs 6-9).
Monitor APRA notices for any insurer-specific changes in frequency, reporting periods or content (paragraphs 7, 16). Keep a process to respond to APRA requests or notices rapidly.
Monitoring, reconciliation and audit trail
Reconcile reported amounts to the general ledger, statutory financial statements and capital calculations. Keep versioned records of submissions, internal reviews, officer authorisations, auditor engagement and the auditor’s report. Document any instances where APRA grants extensions or varies requirements.
Change control and regulatory watch
Maintain a regulatory change register to capture amendments in HPS 117, HPS 001 or accounting/auditing standards, and map those to required changes in data capture, calculation and reporting. Because the Standard references those instruments as in force from time to time (paragraph 18), their evolution will change reporting outputs.
Practical checks and automation
Automate validation checks for:
Uniqueness of key combinations.
Valid ACN/ABN/ARBN patterns.
Whole-dollar rounding.
Sum checks between on-/off-balance and total exposures.
Proper splitting of collateral-covered vs uncovered portions.
Prepare for APRA follow-up and supervisory interaction
Expect APRA to request clarifications, and be prepared to provide supporting schedules, audit working papers and reconciliations. Because APRA uses the data for prudential supervision and capital assessment (paragraph 2), accurate and auditable supporting evidence will be necessary.
This compliance programme aligns directly with the Standard’s procedural and data requirements (paragraphs 4-18; Tables 1-3). It addresses governance, technical mapping to HPS 117 and HPS 001, data quality, auditor interaction and submission mechanics so an insurer can operationalise the Reporting Standard within existing prudential and finance functions.
(b) in the case of annual information, by 30 September each year; or
(c) in the case of information provided in accordance with paragraph 7, within the time specified by notice in writing.
APRA may, in writing, grant a private health insurer an extension of a due date, in which case the new due date will be the date on the notice of extension.
Note: For the avoidance of doubt, if the due date for a particular reporting period falls on a day other than a usual business day, a private health insurer is nonetheless required to submit the information required no later than the due date.
Quality control
All information provided by a private health insurer under this Reporting Standard must be subject to systems, processes and controls developed by the private health insurer for the internal review and authorisation of that information. It is the responsibility of the Board and senior management of the private health insurer to ensure that an appropriate set of policies and procedures for the authorisation of information submitted to APRA is in place.
Annual audit requirements
The information submitted for the purposes of paragraph 8(b) is to be subject to external audit to ensure consistency with the private health insurer’s statutory financial accounts and faithful application of the capital standards.
Audit certification and opinion must be provided to APRA by 30 September each year.
If a private health insurer received a qualified auditor’s report for a health benefits fund, the general fund, or the private health insurer for the year previous to the year for which the report is provided, the report for the year for which the report is provided must state whether the auditor has examined the issues identified and is satisfied that the private health insurer has taken the appropriate steps to rectify the matters raised in the previous report.
The auditor’s report must:
(a) state details of the program adopted to carry out the audit; and
(b) include the name of, and be signed by, the auditor who takes responsibility for the accuracy of the report.
Authorisation
A person who submits the information required under this Reporting Standard must be suitably authorised by an officer of the private health insurer.
Variations
APRA may, in writing, vary the reporting requirements of this Reporting Standard in relation to a private health insurer.
Interpretation
In this Reporting Standard:
(a) unless the contrary intention appears, words and expressions have the meanings given to them in Prudential Standard HPS 001 Definitions (HPS 001); and
(b) the following definitions are applicable:
APRA means the Australian Prudential Regulation Authority established under the Australian Prudential Regulation Authority Act 1998;
capital standards means the prudential standards which relate to capital adequacy as defined in HPS 001;
officer has the same meaning as in the Act;
private health insurer has the same meaning as in the Act;
reporting period means a period mentioned in paragraph 6 or, if applicable, paragraph 7; and
the Act means the Private Health Insurance (Prudential Supervision) Act 2015.
Unless the contrary intention appears, a reference to an Act, Prudential Standard, Reporting Standard, Australian Accounting or Auditing Standard is a reference to the instrument as in force from time to time.
General Instructions General Instructions
General Instructions
Reporting tables
Tables described in this reporting form list each of the data fields required to be reported. The data fields are listed sequentially in the column order that they will appear in the reported data set. Constraints on the data that can be reported for each field have also been provided.
Any specific combination of values in the table must not appear on more than one row in that table when reported.
Definitions
Terms highlighted in bold italics indicate that the definition is provided in these instructions.
A
Adjustment for cumulative exposures amount
For reinsurance exposures only, this is the adjustment for cumulative exposures that needs to be made in line with Prudential Standard HPS 117 Capital Adequacy: Asset Concentration Risk Charge (HPS 117).
Asset Concentration Risk Charge limit amount
For reinsurance exposures this means the appropriate asset concentration limit as specified in HPS 117 for reinsurance exposures to Grade 5, 6 and 7 counterparties or Grade 4 counterparties belonging to the same group.For non-reinsurance exposures this means the appropriate Asset Concentration Risk Charge limit as specified in HPS 117.
Asset Concentration Risk Charge long term limit amount
This means the appropriate Asset Concentration Risk Charge limit amount for long-term exposures to unrelated parties that are part of an APRA-regulated group as per HPS 117.For exposures categorised as 'unrelated party (APRA-regulated group)', this is the fair value of the exposure to long-term assets, net of provision for doubtful debts and after amounts that are deducted from the capital base. Long term exposures are those assets with a residual maturity of greater than one year.
Asset Concentration Risk Charge long term net exposure amount
This means the fair value of the exposure to long-term assets, net of provision for doubtful debts and after amounts that are deducted from the capital base. Long term exposures are those assets with a residual maturity of greater than one year.
Asset Concentration Risk Charge net exposure amount
This means the fair value of the exposure, net of provision for doubtful debts and any regulatory adjustments to capital base related to this exposure, that is subject to an Asset Concentration Risk Charge. Reinsurance exposures regulatory adjustments would consist of reinsurance assets not subjected to an executed and legally binding contract.
Asset exposure category after eligible credit support
For reinsurance exposures that are covered by eligible credit support, report the counterparty grade grouping as:Grade 4; orGrade 5, 6 or 7.For non-reinsurance exposures, categorise the exposure into one of the following in accordance with HPS 117:related party (APRA-regulated group);unrelated party (APRA-regulated group); orother.
C
Counterparty grade type
This means the classification applied to the exposure as per Prudential Standard HPS 001 Definitions (HPS 001).
Counterparty group name
This is the name of the group to which the counterparty to the exposure belongs.
Counterparty name
This is the name of the counterparty to the exposure.
Counterparty grade after eligible credit support
This means the counterparty grade type related to exposures that are covered by collateral or guarantee.
E
Eligible credit support applied
The means whether the reinsurance or non-reinsurance exposure is covered by an eligible collateral, guarantee, or letter of credit, indicate whether the insurer has applied the eligible credit support to calculate the asset concentration risk charge.Possible values are:yes; andno.
Exposure subject to Asset Concentration Risk Charge
For reinsurance exposures only: This is the total exposure that is subject to the Asset Concentration Risk Charge. This item is calculated at the level of each counterparty group name as the sum of:Asset Concentration Risk Charge net exposure amount; andadjustment for cumulative exposures amount.
G
General fund(Private health insurer fund type)
General fund has the same meaning as in HPS 001.
H
Health benefits fund(Private health insurer fund type)
Health benefits fund has the same meaning as in the Act.
N
Name of provider of eligible credit support
This means the name of the entity providing the collateral or guarantee where the insurer holds collateral against the asset or if the asset has been guaranteed.
Non-reinsurance Asset Concentration Risk Charge
This represents the Asset Concentration Risk Charge for non-reinsurance exposures and is the sum of the Asset Concentration Risk Charges for each non-reinsurance exposure category.This is the excess (if any) of the net exposure amount over and above the respective Asset Concentration Risk Charge limit and is calculated as the greater of:Asset Concentration Risk Charge net exposure amount less Asset Concentration Risk Charge limit amount; andAsset Concentration Risk Charge long term net exposure amount less Asset Concentration Risk Charge long term limit amount,subject to a floor of zero.
O
Off-balance sheet large exposure amount
This represents the fair value of the exposure, net of provision for doubtful debts, recognised off-balance sheet.
On-balance sheet large exposure amount
This represents the fair value of the exposure, net of provision for doubtful debts, recognised on-balance sheet.
P
Private health insurer fund type
Means health benefits fund or general fund.
R
Reinsurance Asset Concentration Risk Charge
This represents the Asset Concentration Risk Charge for reinsurance exposures and is the sum of the Asset Concentration Risk Charges for reinsurance exposures across all counterparty grades.This is the excess (if any) of the net exposure amount over and above the respective Asset Concentration Risk Charge limit and is calculated as exposure subject to Asset Concentration Risk Charge less Asset Concentration Risk Charge limit amount, subject to a floor of zero.
This is an opening excerpt, not the complete document.