20GGrounds for complaint

#### 20G Grounds for complaint (1) The complaint may be about: (a) any matter arising out of or connected with a private health insurance arrangement; or (b) any matter arising out of or connected with Chapter 2 of the Private Health Insurance Act 2007. (2) A complaint against a health care provider must, in addition to being about a matter in subsection (1), also: (a) be about either or both of the following: (i) the application of a private health insurance arrangement to goods or a service provided, or goods manufactured or supplied, by the health care provider; (ii) a private health insurance arrangement to which the health care provider is, or was at the time of the incident to which the complaint relates, a party; and (b) satisfy at least one of the following: (i) the complaint must also be made against a private health insurer; (ii) the complainant must be a private health insurer or a person insured under a private health insurance policy; (iii) if the complainant is another health care provider or a private health insurance broker—a private health insurer or a person insured under a private health insurance policy must also be a complainant in relation to the complaint. (3) The Private Health Insurance Ombudsman Rules may prescribe matters about which complaints cannot be made.