Part 1Polices and Insured Persons

Part 1 Polices and Insured Persons

1. In sections 1 to 7, defined below, report the number of policies and the number of insured persons that are covered by the type of product. These are entered by type of cover and type of policy. It is not expected that health insurers will have to identify policy holders with more than one type of policy. New joins should be reported when the policy commences. This is the date from which the health insurer provides cover, which is not necessarily the same as when the policy becomes financial or when it is entered into the health insurer’s system.

(a) Type of cover includes single, family, single parent, couple, 2+ persons no adults, 3+ adults. These should be reported on the HRF 601.1 according to the Rules:

<table cellspacing="0" cellpadding="0" style="width:416.4pt; border:0.75pt solid #000000; border-collapse:collapse"><tbody><tr><td style="width:293.6pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="page-break-after:avoid; font-size:11pt"><span style="font-weight:bold">Description of insured groups from the Rules</span></p></td><td style="width:100.45pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Mapped to HRF 601.1</span></p></td></tr><tr><td colspan="2" style="width:404.85pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:15.9pt; text-indent:-14.2pt; text-align:justify; page-break-after:avoid; font-size:11pt"><span><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>for policies other than a non-student policy (see the Rules for the definition of a non-student policy) or a policy referred to in paragraph (c), the insured groups are:</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-19.34pt; page-break-after:avoid; font-size:11pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>only one person;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Single</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-20.87pt; page-break-after:avoid; font-size:11pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>2 adults (and no-one else);</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Couple</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-22.4pt; page-break-after:avoid; font-size:11pt"><span><span>(iii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>2 or more people, none of whom is an adult;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="font-size:11pt"><span>2+ persons no adults</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-22.09pt; page-break-after:avoid; font-size:11pt"><span><span>(iv)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>2 or more people, only one of whom is an adult;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Single parent</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-20.56pt; page-break-after:avoid; font-size:11pt"><span><span>(v)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>3 or more people, only 2 of whom are adults;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Family</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-22.09pt; text-align:justify; page-break-after:avoid; font-size:11pt"><span><span>(vi)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>3 or more people, at least 3 of whom are adults;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>3+ adults</span></p></td></tr><tr><td colspan="2" style="width:404.85pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:15.9pt; text-indent:-14.2pt; text-align:justify; page-break-after:avoid; font-size:11pt"><span><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>for policies that are a non-student policy (unless the policy is a non-student policy referred to in paragraph (c)), the insured groups are:</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-19.34pt; page-break-after:avoid; font-size:11pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>2 or more people, only one of whom is an adult;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Single parent</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-20.87pt; page-break-after:avoid; font-size:11pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>3 or more people, only 2 of whom are adults;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Family</span></p></td></tr><tr><td colspan="2" style="width:404.85pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:15.9pt; text-indent:-14.2pt; text-align:justify; page-break-after:avoid; font-size:11pt"><span><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>for non-student policies which have as conditions of the policy that the dependent child non-student is not covered for general treatment, other than hospital-substitute treatment, and must have his or her own policy with the same insurer covering general treatment (other than hospital-substitute treatment), the insured groups are:</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-19.34pt; page-break-after:avoid; font-size:11pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>2 or more people, only one of whom is an adult;</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Single parent</span></p></td></tr><tr><td style="width:293.6pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-left:30.05pt; text-indent:-20.87pt; font-size:11pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>3 or more people, only 2 of whom are adults.</span></p></td><td style="width:100.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:justify; font-size:11pt"><span>Family</span></p></td></tr></tbody></table> ```