Division Table 5: Gross Margin Targets - Financial Sector (Collection of Data) (reporting standard) determination No. 98 of 2023 - Table 5: Gross Margin Targets

Specific instructions

Table 1: HIB Policy Forecasts

Reporting basis

This table applies to health benefits funds only.

Units of measurement

Report values in whole Australian dollars (no decimal places).

	Name	Valid values	Description
1	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.
2	Future Quarter	Quarter 1Quarter 2Quarter 3Quarter 4	Report the future quarter.
3	Health Insurance Business Policy Forecasts Type	New HIB policies to PHINew HIB policy transfersHIB terminated policies	Report the health insurance business policy forecasts type.
4	Policy Forecasts Count	Whole numbers	Report the policy forecasts count.
5	Policy Forecasts Average Monthly Premium Amount	Whole dollars	Report the policy forecasts average monthly premium amount.

Table 2: HRB Non-Insurance and Capital Forecasts

Reporting basis

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

Units of measurement

Report values in whole Australian dollars (no decimal places).

	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	Future Quarter	Quarter 1Quarter 2Quarter 3Quarter 4	Report the future quarter.
4	Health-Related Business Non-Insurance Revenue Amount	Whole dollars	Report the health-related business non-insurance revenue amount.
5	Health-Related Business Non-Insurance Profit / Loss Amount	Whole dollars	Report the health-related business non-insurance profit / loss amount.Report health-related business non-insurance profits as a positive value.Report health-related business non-insurance losses as a negative value.
6	Capital Transfers In / Out Of The Fund Amount	Whole dollars	Report the capital transfers in / out of the fund amount.Report capital transfers into the health benefits fund or general fund as a positive value.Report capital transfers out of the health benefits fund or general fund as a negative value.
7	Capital Base Amount	Whole dollars	Report the capital base amount.
8	Prescribed Capital Amount	Whole dollars	Report the prescribed capital amount.

Table 3: Target Capital

Reporting basis

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

Units of measurement

Report values in whole Australian dollars (no decimal places).

	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	Future Quarter	Quarter 0Quarter 1Quarter 2Quarter 3Quarter 4	Report the future quarter.Report Quarter 0 for the target capital amount as at the reporting date.
4	Target Capital Amount	Whole dollars	Report the target capital amount.

Table 4: Hospital Category Gross Margin Forecasts

Reporting basis

This table applies to health benefits funds only.

Units of measurement

Report values in whole Australian dollars (no decimal places).

	Name	Valid values	Description
1	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.
2	Hospital Category Gross Margin Type	GoldSilver +SilverBronze +BronzeBasic +Basic	Report the hospital category gross margin type.
3	Gross Margin Forecast Percent	Percentage	Report the gross margin forecast percent.

Table 5: Gross Margin Targets

Reporting basis

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

Units of measurement

Report values to two decimal places.

	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	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	Gross Margin Target Percent	Percentage	Report the gross margin target percent.

Table 5: Gross Margin TargetsTable 5: Gross Margin Targets

Get a plain-English read of Table 5: Gross Margin Targets

Specific instructions

Table 1: HIB Policy Forecasts

Reporting basis

Units of measurement

Table 2: HRB Non-Insurance and Capital Forecasts

Reporting basis

Units of measurement

Table 3: Target Capital

Reporting basis

Units of measurement

Table 4: Hospital Category Gross Margin Forecasts

Reporting basis

Units of measurement

Table 5: Gross Margin Targets

Reporting basis

Units of measurement