Private Health Insurance (Collapsed Insurer Levy) Act 2003
In ForceCTH
Jurisdiction
Commonwealth
Act Number
71 of 2003
Collection
act
Plain English Summary
4/10 complexity
When a private health insurer is formally declared collapsed, the law lets the Minister impose a temporary levy on other private health insurers to meet the collapsed insurer’s unpaid liabilities to its policyholders. APRA must advise the Minister and that advice is tabled in Parliament.
The Minister sets rate, timing and exemptions (to protect insurers’ solvency). The measure spreads the collapsed insurer’s costs across remaining insurers, who may in turn adjust premiums or business plans.
This Act establishes a statutory mechanism for imposing a levy on private health insurers when another private health insurer has “collapsed” and cannot meet its liabilities to people insured under its complying health insurance policies. The levy is imposed by the Minister by legislative instrument on each private health insurer other than any insurer exempted under the Act (s 7(1)). The Act defines a “collapsed insurer” by reference to specific supervisory actions under the Private Health Insurance (Prudential Supervision) Act 2015: approval of termination of a health benefits fund (s 37), appointment of an external manager (s 51) or appointment by the Federal Court of a terminating manager (s 67) (s 5). The Minister specifies one or more “collapsed insurer levy day(s)” and must also specify the payment day for each levy day (s 7(2)-(3)). The payment day aligns the levy’s due date with collection procedures under Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998 (s 7(3) note).
The Act gives the Minister discretion over whether to make a levy determination (a legislative instrument) and over the rate of the levy (s 7(1)(b); s 9(1)). In setting the rate the Minister must have regard to the total value of the collapsed insurer’s liabilities to people insured under its complying policies (s 9(2)). The levy rate must be based on the number of complying health insurance policies on the census day that the Minister determines (s 9(3)(a)); the Minister may set different rates for policies that insure different numbers of people (s 9(3)(b)); and the rate may be zero (s 9(3)(c)). The Minister may also exempt insurers: an insurer is exempt if it is the collapsed insurer (s 8(1)(a)) or if the Minister makes an exemption determination where satisfied that imposing the levy would have a significantly adverse effect on the insurer’s ability to comply with prudential standards relating to capital adequacy or solvency, or with a direction given under section 96 of the Prudential Supervision Act (s 8(1)(b), (2)).
Current sections
Direct links to the current provisions in Private Health Insurance (Collapsed Insurer Levy) Act 2003.
11
1
Short title
1 Short title
This Act may be cited as the Private Health Insurance (Collapsed Insurer Levy) Act 2003.
2
Commencement
2 Commencement
This Act commences on 1 July 2004.
3
Crown to be bound
3 Crown to be bound
This Act binds the Crown in each of its capacities.
4
Extension of Act to external Territories
4 Extension of Act to external Territories
This Act extends to Norfolk Island, to the Territory of Cocos (Keeling) Islands and to the Territory of Christmas Island.
5
Definitions
5 Definitions
In this Act, unless the contrary intention appears:
APRA means the Australian Prudential Regulation Authority.
collapsed insurer: a private health insurer is a collapsed insurer if at least one of the following paragraphs applies in relation to at least one of the insurer’s health benefits funds:
(a) APRA has approved the termination of the health benefits fund under section 37 of the Private Health Insurance (Prudential Supervision) Act 2015;
(b) APRA has appointed an external manager of the health benefits fund under section 51 of the Private Health Insurance (Prudential Supervision) Act 2015;
(c) the Federal Court of Australia has ordered the appointment of a terminating manager of the health benefits fund under section 67 of the Private Health Insurance (Prudential Supervision) Act 2015.
collapsed insurer levy means a collapsed insurer levy imposed under section 7.
collapsed insurer levy day means a collapsed insurer levy day specified in a determination under section 7.
complying health insurance policy has the same meaning as in the Private Health Insurance Act 2007.
health benefits fund has the same meaning as in the Private Health Insurance Act 2007.
levy determination means a determination by the Minister under paragraph 7(1)(b).
private health insurer has the same meaning as in the Private Health Insurance (Prudential Supervision) Act 2015.
6
Purpose of imposing collapsed insurer levy
6 Purpose of imposing collapsed insurer levy
The purpose of imposing a collapsed insurer levy is to help meet a collapsed insurer’s liabilities to the people insured under its complying health insurance policies that it is unable to meet itself.
7
Imposition of collapsed insurer levy
7 Imposition of collapsed insurer levy
(1) If:
(a) a private health insurer is a collapsed insurer; and
(b) the Minister determines, by legislative instrument, that this section applies to the insurer;
collapsed insurer levy is imposed on each private health insurer (other than an exempt insurer) on each collapsed insurer levy day for the levy determination.
Note: Section 8 deals with exempt insurers.
(2) The Minister may determine, by legislative instrument, the day that is, or the days that are, to be the collapsed insurer levy day or days for the levy determination.
(3) A determination specifying a collapsed insurer levy day must also specify the payment day for levy imposed on that collapsed insurer levy day.
Note: The payment day is the day on which the levy is due and payable under Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998.
8
Exempt insurers
8 Exempt insurers
(1) A private health insurer is an exempt insurer in relation to a levy determination if:
(a) it is the collapsed insurer; or
(b) the Minister determines, by legislative instrument, that the insurer is an exempt insurer.
(2) The Minister may make a determination under paragraph (1)(b) if the Minister is satisfied that imposing the collapsed insurer levy on the insurer would have a significantly adverse effect on the insurer’s ability to comply with:
(a) a prudential standard (within the meaning of the Private Health Insurance (Prudential Supervision) Act 2015) relating to capital adequacy or solvency that applies in relation to the insurer; or
(b) a direction given to the insurer under section 96 of that Act.
9
Rate of collapsed insurer levy
9 Rate of collapsed insurer levy
(1) The rate of collapsed insurer levy imposed on a collapsed insurer levy day is the rate that:
(a) is determined by the Minister by legislative instrument; and
(b) applies on that day.
(2) In determining the rate of levy, the Minister must have regard to the total value of the collapsed insurer’s liabilities to people insured under its complying health insurance policies.
(3) The rate of levy:
(a) must be based on the number of complying health insurance policies that are on issue on the day determined by the Minister, by legislative instrument, as the census day for the levy day; and
(b) may be different for complying health insurance policies under which different numbers of people are insured; and
(c) may be set at zero.
10
Minister to obtain advice from APRA
10 Minister to obtain advice from APRA
(1) Before making a determination under section 7, 8 or 9, the Minister must obtain, and take into account, advice from APRA in relation to the following matters:
(a) whether to make a levy determination;
(b) whether to make a determination under paragraph 8(1)(b);
(c) the day that is to be, or the days that are to be, specified as the collapsed insurer levy day or days;
(ca) the day that is to be specified as the payment day in relation to a collapsed insurer levy day;
(d) the rate that is to be specified as the rate of the collapsed insurer levy imposed on the collapsed insurer levy day or days;
(e) the day that is to be, or the days that are to be, specified as the census day or days for the collapsed insurer levy day or days;
(f) the total value of the collapsed insurer’s liabilities to people insured under its complying health insurance policies.
(2) An advice given to the Minister by APRA under subsection (1) must be laid before each House of the Parliament with the determination to which the advice relates.
12
Regulations
12 Regulations
(1) The Governor‑General may make regulations prescribing matters:
(a) required or permitted by this Act to be prescribed; or
(b) necessary or convenient to be prescribed for carrying out or giving effect to this Act.
(2) Before the Governor‑General makes regulations under subsection (1), the Minister must take into consideration any relevant recommendation made to the Minister by APRA.
Source text
Sourced from the Federal Register of Legislation (legislation.gov.au), CC BY 4.0.
This Act may be cited as the Private Health Insurance (Collapsed Insurer Levy) Act 2003.
2 — Commencement
2 Commencement
This Act commences on 1 July 2004.
3 — Crown to be bound
3 Crown to be bound
This Act binds the Crown in each of its capacities.
4 — Extension of Act to external Territories
4 Extension of Act to external Territories
This Act extends to Norfolk Island, to the Territory of Cocos (Keeling) Islands and to the Territory of Christmas Island.
5 — Definitions
5 Definitions
In this Act, unless the contrary intention appears:
APRA means the Australian Prudential Regulation Authority.
collapsed insurer: a private health insurer is a collapsed insurer if at least one of the following paragraphs applies in relation to at least one of the insurer’s health benefits funds:
(a) APRA has approved the termination of the health benefits fund under section 37 of the Private Health Insurance (Prudential Supervision) Act 2015;
(b) APRA has appointed an external manager of the health benefits fund under section 51 of the Private Health Insurance (Prudential Supervision) Act 2015;
(c) the Federal Court of Australia has ordered the appointment of a terminating manager of the health benefits fund under section 67 of the Private Health Insurance (Prudential Supervision) Act 2015.
collapsed insurer levy means a collapsed insurer levy imposed under section 7.
collapsed insurer levy day means a collapsed insurer levy day specified in a determination under section 7.
complying health insurance policy has the same meaning as in the Private Health Insurance Act 2007.
health benefits fund has the same meaning as in the Private Health Insurance Act 2007.
levy determination means a determination by the Minister under paragraph 7(1)(b).
private health insurer has the same meaning as in the Private Health Insurance (Prudential Supervision) Act 2015.
The Minister must obtain, and take into account, advice from APRA before making levy, exemption or rate determinations and before specifying levy days, payment days and census days; APRA advice must be laid before each House of Parliament with the relevant determination (s 10(1)-(2)). The Governor‑General may make regulations for matters required or convenient to give effect to the Act, but the Minister must take into consideration any relevant recommendation made to the Minister by APRA before regulations are made (s 12(1)-(2)). The Act binds the Crown and extends to specified external Territories (ss 3-4), and commenced on 1 July 2004 (s 2).
Main concepts
The Act concentrates on a small set of legal concepts that determine when and how a levy may be imposed, who is liable, and the institutional inputs required to trigger and set the levy. Key defined terms include:
collapsed insurer: a private health insurer becomes a collapsed insurer if any one of three supervisory or court-ordered events occurs in relation to at least one of its health benefits funds , APRA approval of termination under s 37 of the Prudential Supervision Act 2015; APRA appointment of an external manager under s 51 of that Act; or Federal Court appointment of a terminating manager under s 67 of that Act (s 5). The Act therefore ties the levy trigger directly to statutory supervisory interventions under the Prudential Supervision Act 2015 rather than to a generic insolvency test.
collapsed insurer levy and collapsed insurer levy day: the levy itself is a statutory imposition on private health insurers other than exempt insurers, and it is imposed on specified collapsed insurer levy day(s) determined by the Minister by legislative instrument (s 7(1)-(2)). The payment day for each levy day must also be specified (s 7(3)).
complying health insurance policy, health benefits fund and private health insurer: the Act adopts the meanings of these terms from the Private Health Insurance Act 2007 and from the Prudential Supervision Act 2015 where indicated (s 5). The levy’s rate is explicitly required to be based on the number of complying health insurance policies on a census day specified by the Minister (s 9(3)(a)).
exemptions: an insurer is automatically exempt where it is the collapsed insurer (s 8(1)(a)). The Minister may also declare an insurer exempt where satisfied that imposing the levy would have a significantly adverse effect on the insurer’s ability to comply with prudential standards relating to capital adequacy or solvency or with a direction under s 96 of the Prudential Supervision Act (s 8(1)(b)-(2)). That provision links exemption decisions to prudential capacity and supervisory directions.
APRA’s role: the Minister must obtain and take into account APRA advice on whether to make levy, exemption and rate determinations and on the timing and quantum inputs (s 10(1)(a)-(f)). APRA advice must be tabled in Parliament along with the Minister’s determination (s 10(2)). The Act therefore embeds APRA both as a trigger-informed adviser and as a documented source for parliamentary scrutiny.
collection framework: the Act does not itself set collection mechanics or sanctions; rather it references the Financial Institutions Supervisory Levies Collection Act 1998 for the payment day and, implicitly, for collection and enforcement procedures (s 7(3) note). Regulations may be made by the Governor‑General to carry the Act into effect, with the Minister required to consider any relevant APRA recommendations before regulations are made (s 12(1)-(2)).
These concepts create a framework in which a ministerial determination, informed by APRA, imposes a levy on a cohort of insurers in order to address liabilities stemming from a collapsed insurer, with exemptions available where levying would materially threaten another insurer’s prudential compliance.
Who it affects
Primary parties affected
Private health insurers: The statutory levy is imposed on each private health insurer other than exempt insurers (s 7(1)). As defined, “private health insurer” has the same meaning as in the Private Health Insurance (Prudential Supervision) Act 2015 (s 5). Therefore all entities captured by that definition are potentially liable to pay a collapsed insurer levy if the Minister makes a levy determination. Liability is not confined to insurers that operate health benefits funds with exposure to the collapsed insurer; the Act imposes a levy on the whole class of private health insurers subject to exemptions.
Collapsed insurer: the insurer whose inability to meet liabilities is the reason for levying other insurers is explicitly recognised and is itself excluded from being required to pay the levy (s 8(1)(a)). The definition of “collapsed insurer” depends on APRA or court actions against at least one of the insurer’s health benefits funds (s 5).
Secondary parties and indirect effects
Policyholders of the collapsed insurer: the Act’s stated purpose is to “help meet a collapsed insurer’s liabilities to the people insured under its complying health insurance policies that it is unable to meet itself” (s 6). The Act does not create a guarantee fund in the text provided, and it does not create a direct statutory benefit to policyholders; rather it empowers the Minister to impose a levy on other insurers to raise funds to meet those liabilities. The Act therefore affects those policyholders indirectly by creating a funding route that may be used to discharge the collapsed insurer’s obligations.
Policyholders of other private health insurers: because the levy imposed on insurers is calculated by reference to numbers of complying policies (s 9(3)(a)) and may be allocated different rates for policies covering different numbers of people (s 9(3)(b)), the economic incidence could fall on policyholders of non-collapsed insurers if insurers pass on the cost through premiums or other product changes. The Act does not itself prescribe how insurers must account for or recover the levy from policyholders; those are commercial decisions outside the Act.
APRA and the Minister’s offices: APRA is required to give advice on whether to make levy determinations, on the rate and timing, and on the total value of the collapsed insurer’s liabilities (s 10(1)). The Minister must take that advice into account and must table it in Parliament with the determination (s 10(2)). The Minister also has discretion to determine levy days, payment days and census days (s 7(2)-(3); s 9(1)).
Commonwealth administration and Parliament: the Act binds the Crown (s 3) and extends to specified external Territories (s 4), so the levy regime and any regulations made under the Act apply in those contexts. Determinations are legislative instruments, so they will be made publicly and placed on the legislative instruments register (the Act states the instrument type; see s 7(1)(b), s 9(1)(a)). APRA advice must be laid before each House with the relevant determination (s 10(2)), creating a record for parliamentary scrutiny.
Who does not pay under this Act
The collapsed insurer itself is an exempt insurer for the purposes of the levy (s 8(1)(a)). The Minister also has authority to exempt other insurers where the statutory test in s 8(2) is satisfied; such exemptions remove the levy obligation for those insurers.
Geographic scope and commencement
The Act commenced on 1 July 2004 (s 2). It binds the Crown (s 3) and extends to Norfolk Island, the Territory of Cocos (Keeling) Islands and the Territory of Christmas Island (s 4). Any insurer operating in those jurisdictions would be within the Act’s geographic reach where the other definitions apply.
Key duties and rights
Ministerial duties, discretions and procedural obligations
Determination power: The Minister has the authority to make levy determinations by legislative instrument under s 7(1)(b). That power includes discretion to determine whether this section applies to a particular collapsed insurer and to specify the collapsed insurer levy day(s) (s 7(1)-(2)).
Specification duties: When a levy day is specified, the Minister must also specify the payment day for the levy imposed on that day (s 7(3)). The Minister must exercise the power to determine the rate of the levy by legislative instrument (s 9(1)(a)), and must have regard to the total value of the collapsed insurer’s liabilities when determining rate (s 9(2)). The Minister must specify the census day(s) whose complying policy numbers form the base of the levy rate (s 9(3)(a)).
Consultation/consideration duty: Before making determinations under ss 7, 8 or 9 the Minister must obtain and take into account advice from APRA on an enumerated list of matters (s 10(1)(a)-(f)). The Minister must also consider any relevant APRA recommendation before regulations are made under s 12 (s 12(2)). The requirement to “take into account” APRA advice and recommendations creates a mandatory consultative step though it does not convert APRA’s view into a veto.
Parliamentary tabling duty: APRA advice obtained under s 10 must be laid before each House of Parliament with the determination to which it relates (s 10(2)). This creates a procedural linkage between the Minister’s instrument and Parliamentary visibility of APRA’s advice.
APRA’s duties as required by the Act
Advice obligation: APRA must give advice to the Minister on a specified range of matters before the Minister makes determinations under ss 7, 8 or 9 (s 10(1)). The items include whether to make a levy determination, whether to make an exemption determination under s 8(1)(b), the levy day(s) and payment day(s), the rate, the census day(s), and the total value of the collapsed insurer’s liabilities (s 10(1)(a)-(f)). APRA’s advice therefore has an evidentiary and informational role in setting the levy.
Insurers’ rights and procedural pathways
Exemption right: A private health insurer has the right to be exempt from the levy if the Minister determines it to be an exempt insurer under s 8(1)(b). The statutory test for such a determination requires the Minister to be satisfied that imposing the collapsed insurer levy on the insurer would have a “significantly adverse effect” on the insurer’s ability to comply with prudential standards relating to capital adequacy or solvency, or with a direction given under s 96 of the Prudential Supervision Act (s 8(2)(a)-(b)). The Act does not set an administrative appeal mechanism against the Minister’s decision; it simply provides the power to make the determination.
Exclusion of collapsed insurer from levy liability: The collapsed insurer is expressly excluded from levy liability by s 8(1)(a).
Compliance duties on insurers
Payment obligation: Once a levy is imposed by legislative instrument and a payment day is specified, an insurer liable under the instrument is obliged to pay the levy on the payment day; the Act ties the payment day to collection procedures under Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998 (s 7(3) note). The Act does not itself provide a schedule or formula for payment beyond the Minister’s rate determination and census base; operational details for payment and enforcement fall to the collection legislation referenced.
Regulatory powers
Regulations: The Governor‑General may make regulations prescribing matters required or permitted by the Act or necessary or convenient to carry it into effect (s 12(1)). Before making such regulations, the Minister must take into consideration any relevant recommendation made by APRA (s 12(2)). This creates a delegated legislative avenue to flesh out technical or administrative details consistent with Ministerial and APRA inputs.
Other statutory rights and duties
Crown binding and territorial extension: The Act binds the Crown in each of its capacities (s 3) and extends to certain external Territories (s 4), which creates duties on the Commonwealth and applies the regime within those territories.
Rights and duties not provided in the Act
No internal dispute resolution or judicial review pathways are specified in the Act text. The Act establishes the Minister’s and APRA’s respective decision-making and advisory roles and requires APRA advice to be tabled, but it does not itself detail appeal rights, compliance reporting obligations for insurers apart from payment, or sanctions , collection and enforcement are left to the referenced Financial Institutions Supervisory Levies Collection Act 1998.
Penalties and enforcement
Statutory silence on penalties and enforcement specifics
The Private Health Insurance (Collapsed Insurer Levy) Act 2003 itself does not prescribe specific penalties, sanctions or enforcement mechanisms for failure to pay a collapsed insurer levy. The Act requires the Minister to specify the payment day for a levy (s 7(3)) and then places a note that the payment day is the day on which the levy is due and payable under Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998 (s 7(3) note). That cross-reference indicates that payment, collection, and enforcement mechanics are to be handled under the Financial Institutions Supervisory Levies Collection Act 1998.
Collection mechanism reference
Because the Act relies on Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998 to define when the levy is due and payable and to effect payment obligations, any practical enforcement, recovery procedures, interest on late payment, penalties or compulsion to pay will derive from the provisions of that collection Act rather than from this Act’s text. The 2003 Act leaves detailed enforcement instruments outside its own text and attaches to the well-established collection framework specified elsewhere.
Ministerial determinations as legislative instruments
Levy imposition, rate-setting and exemptions must be made by legislative instrument under ss 7, 8 and 9. A legislative instrument creates a statutory obligation on named entities and thus creates consequences for non-compliance, but the Act itself does not list sanctioning clauses. Instead it situates the levy within the usual framework for statutory levies, which often utilises the existing levy-collection machinery of the Commonwealth. Enforcement therefore operates through that machinery.
APRA’s role and potential supervisory measures
APRA is required to advise the Minister on whether to make a levy determination and related matters (s 10(1)). APRA’s supervisory powers under the Prudential Supervision Act 2015 (which provide the collapse triggers) operate independently. The Act does not itself expand APRA’s enforcement powers; it uses APRA’s expertise to inform Ministerial decisions. Any administrative or criminal penalties directly pertaining to prudential breaches remain within the Prudential Supervision Act and other supervisory legislation, not within this levy Act.
Implications for insurers
Insurers that do not pay the levy when it falls due will be subject to the collection and enforcement regime in the Financial Institutions Supervisory Levies Collection Act 1998, as invoked by s 7(3) note. Because this Act does not specify enforcement measures, persons and their advisers must consult the collection Act to determine the precise penalties, interest and enforcement steps that follow non-payment.
Parliamentary and transparency controls
The Act requires APRA’s advice to be laid before each House of Parliament with the Minister’s determination (s 10(2)). While this is not an enforcement mechanism per se, it is a public record requirement that creates transparency around the basis for levy imposition, which could inform Parliamentary oversight, political accountability or judicial review of the Minister’s instrument , though the Act does not specify review mechanisms.
How it interacts with other laws
The Act is designed to operate as part of a network of private health insurance and levy-collection statutes. It cross-references and depends upon several other Acts for definitions, triggers, collection, and supervisory standards.
Dependencies and cross-references in this Act
Private Health Insurance (Prudential Supervision) Act 2015: The definition of “collapsed insurer” depends explicitly on APRA actions and a Federal Court order authorised by the Prudential Supervision Act 2015 (s 5). The collapse triggers listed are APRA approval of termination of a health benefits fund under s 37 of that Act, APRA appointment of an external manager under s 51 of that Act, and Federal Court appointment of a terminating manager under s 67 of that Act (s 5). Additionally, exemption determinations under s 8(2) reference prudential standards and directions under the Prudential Supervision Act (s 8(2)(a)-(b)), and an exemption may be granted where imposing the levy would have a significantly adverse effect on an insurer’s ability to comply with those standards or directions. The Act therefore relies on the prudential regime to define both the trigger for levying and the test for preserving other insurers’ prudential capacity.
Private Health Insurance Act 2007: The Act adopts the meanings of “complying health insurance policy” and “health benefits fund” from the Private Health Insurance Act 2007 (s 5). That linkage means the scope of the levy base (the complying policies counted on census day) and the nature of the liabilities that the levy is meant to address are informed by how those terms are defined in the 2007 Act.
Financial Institutions Supervisory Levies Collection Act 1998: The payment day for a collapsed insurer levy is the day on which the levy is due and payable under Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998 (s 7(3) note). Consequently, the collection, payment procedures, enforcement steps and potential penalties for non-payment are administered under that collection Act.
Regulations and APRA recommendations: The Governor‑General may make regulations as required or convenient to give effect to this Act (s 12(1)). Before making regulations the Minister must take into consideration any relevant APRA recommendation (s 12(2)). That means the content and application of delegated instruments implementing the Act are shaped by APRA’s technical input.
Institutional interaction and allocation of roles
Triggering mechanism sits within APRA’s supervisory framework, but the funding decision is a Ministerial one. The Act separates the supervisory identification of a collapse (via APRA or court action under the Prudential Supervision Act 2015) from the fiscal remedy (a Ministerial levy supported by APRA advice) (s 5; s 7; s 10). APRA’s role is advisory and evidentiary: the Minister must obtain and take into account APRA advice, and the advice must be tabled in Parliament (s 10).
The Act does not alter APRA’s prudential powers, nor does it create a separate statutory guarantee scheme. Instead it provides the Minister with a power to raise funds from the insurer population to meet liabilities that the collapsed insurer cannot, with APRA providing the technical inputs and prudential assessments needed for the Minister’s decision.
Regulatory and legal limits
Because the Act makes determinations by legislative instrument (s 7(1)(b); s 9(1)(a)), the levy, rate-setting and exemption decisions are formal statutory instruments rather than informal administrative acts. The Act also requires the Minister to consider APRA advice and to table the advice, creating a statutory record that links action to technical justification (s 10).
The Act does not itself amend the Private Health Insurance Act 2007, the Prudential Supervision Act 2015, or the Financial Institutions Supervisory Levies Collection Act 1998. Instead it operates alongside them: definitions and triggers come from those Acts, while collection and enforcement rely on the collection Act.
Practical effect of cross-references
Practitioners and affected entities must consult the referenced Acts to determine the precise definitions, prudential standards, supervisory actions and levy-collection mechanics relevant to any particular collapse scenario. For example, to determine whether an insurer meets the “collapsed insurer” definition it will be necessary to examine APRA’s actions and court orders under the Prudential Supervision Act 2015; to calculate the levy base under s 9 practitioners must look to how “complying health insurance policy” is defined in the Private Health Insurance Act 2007; and to understand enforcement consequences they must consult the Financial Institutions Supervisory Levies Collection Act 1998.
Amendment history
What the Act text records
The text supplied includes only the Act’s short title (s 1), commencement provision (s 2) and operative provisions; it states the commencement date as 1 July 2004 (s 2). No amending provisions, schedules of amendment, or subsequent amendment dates are contained within the supplied text.
The Act’s provisions repeatedly refer to other statutes enacted or entitled “Private Health Insurance (Prudential Supervision) Act 2015” and “Private Health Insurance Act 2007”. Those cross-references reflect legislative architecture but do not, in the text provided, indicate that this Act has itself been amended. The supplied text should be read as the operative scheme and as currently in force as presented.
Consequences for readers seeking legislative history
Because the supplied text does not include a list of amendments or a compilation note, users who require the formal amendment history, versions or the text as it read at any earlier date must consult the official legislative history resources or consolidated legislative instruments outside the provided text. The Act as presented here contains the operative provisions and their interplay with other statutes but does not chronicle any amendment chronology.
The Act includes legislative instrument-making powers (e.g. the Minister’s determinations required by ss 7, 8 and 9 and the regulations under s 12). Determinations are legislative instruments and therefore subject to the general legislative instruments regime applicable to Commonwealth instruments (the Act labels Minister’s instruments as legislative instruments). Those instruments may be amended or repealed separately; none are reproduced in the Act text provided.
Limitations of this section
This subsection confines itself to the contents of the Act as supplied. It does not assert whether the Act has been amended since commencement or whether specific determinations have been made under ss 7-9 or regulations under s 12. To obtain those operational instruments, the practitioner must search the legislative instrument registers and APRA or Ministerial records. The Act requires APRA advice to be laid before Parliament with any relevant determination (s 10(2)), so those materials will accompany any past determinations in parliamentary records.
Litigation history
No cases or judicial decisions are cited in the Act text provided. The Act’s provisions reference the Federal Court’s power to order appointment of a terminating manager under s 67 of the Private Health Insurance (Prudential Supervision) Act 2015 as one of the collapse triggers (s 5), but the supplied text does not record any litigation concerning the operation, validity or interpretation of this Act itself.
What is and is not in the supplied material
The Act text does not include a schedule of cases, judicial interpretations, or references to litigation about the Minister’s determinations, APRA advice, exemption decisions, levy calculation methods, or enforcement under the linked collection Act. The absence of recorded litigation in the supplied text should not be taken as evidence that no litigation exists; it simply reflects that the statute as provided does not catalogue case law.
Practical approach for researchers
To identify any litigation arising from the operation of the collapsed insurer levy power, practitioners should search court databases and the Federal Register of Legislation for judicial review proceedings, challenges to legislative instruments made under ss 7-9, or disputes related to levy collection under the Financial Institutions Supervisory Levies Collection Act 1998. The Act does create a number of decision points potentially amenable to judicial review (for example, the Minister’s satisfaction in an exemption decision under s 8(2)), but the Act text itself does not record outcomes of any such proceedings.
The Act expressly links the collapsed-insurer concept to APRA actions under the Prudential Supervision Act 2015 which themselves can entail court proceedings (for example, applications to the Federal Court). Any judicial determinations about the existence of a collapse or the lawfulness of supervisory steps under the Prudential Supervision Act 2015 could, in practice, affect the application of the levy, but no such cases are recorded in the statute text provided.
Gotchas
Areas where routine assumptions can mislead, and practical risks that arise from the Act’s structure
The collapsed insurer trigger is supervisory or court action, not a generic insolvency finding. The Act defines “collapsed insurer” by reference to particular APRA powers and a Federal Court appointment in the Prudential Supervision Act 2015 (s 5). That means a private health insurer that is insolvent in a general commercial sense may not be a “collapsed insurer” for the purposes of this Act unless one of those statutory supervisory or court actions has occurred in relation to one of its health benefits funds. Practitioners must not equate ordinary insolvency filings with the statutory collapse triggers.
Levy imposition is discretionary and instrument-based. The Minister must make a legislative instrument to impose the levy (s 7(1)(b)). There is no automatic or mandatory levy triggered simply by the existence of a collapsed insurer; the Minister decides whether the section applies to the insurer (s 7(1)(b)). That discretion affects timing and quantum and creates a political and administrative decision point.
APRA advice must be obtained and tabled, but it is not decisive. The Minister must obtain and take APRA advice into account before making determinations under ss 7, 8 and 9, and APRA advice must be laid before Parliament with the determination (s 10(1)-(2)). However, the Minister retains statutory discretion and is not bound to follow APRA’s advice; APRA’s role is advisory and documentary rather than determinative under the Act.
The Act does not itself set collection mechanics or penalties. The payment day is to be specified by the Minister and is tied to the collection framework in the Financial Institutions Supervisory Levies Collection Act 1998 (s 7(3) note). Practitioners must consult the collection Act to determine enforcement measures, interest on late payments and recovery steps, because this Act does not provide them.
Exemptions can be granted on prudential grounds that require a satisfaction test about “significantly adverse effect”. The Minister may exempt insurers where satisfied that imposing the levy would have “a significantly adverse effect” on the insurer’s ability to comply with prudential standards relating to capital adequacy or solvency, or with a direction under s 96 of the Prudential Supervision Act (s 8(2)). The meaning of “significantly adverse effect” is not defined in this Act, so a Ministerial exemption decision would likely rely on APRA inputs and defensible evidence. The absence of a statutory definition creates potential uncertainty over the threshold for exemption.
Levy base depends on census day determination by the Minister. The rate must be based on the number of complying health insurance policies on the census day or days determined by the Minister (s 9(3)(a)). The Minister decides the census day by legislative instrument (s 10(1)(e) - APRA must advise on this). Insurers must be able to provide accurate policy counts on whichever census day is specified. Discrepancies or record-keeping issues on the census day can materially affect levy liability.
Rates may vary by policy composition and may be set at zero. The Minister may set different rates for policies insuring different numbers of people (s 9(3)(b)). That allows the Minister to calibrate the levy by policy type (for example, single-person versus family policies), but it imposes an administrative requirement on insurers to categorise and report policies accordingly. Also, the rate may be set at zero (s 9(3)(c)), which leaves open that a levy determination instrument could, in theory, create a framework without imposing a financial obligation.
The Act ties into multiple Acts for definition and enforcement. To understand liabilities, scope and enforcement mechanics, advisers must consult the Private Health Insurance Act 2007 for the definition of “complying health insurance policy” and health benefits fund; the Prudential Supervision Act 2015 for collapse triggers, prudential standards and directions; and the Financial Institutions Supervisory Levies Collection Act 1998 for collection and enforcement. Misreading or omitting one of those cross-references will produce incorrect conclusions about liability and recourse.
Collateral consequences for insurers’ commercial decisions. Because the levy is calculated per-policy and may vary by the number of persons insured under a policy (s 9(3)(a)-(b)), insurers with a larger ratio of multi-person policies could face proportionally greater levies. While the Act does not mandate cost pass-through, insurers may respond commercially by adjusting product design or pricing, which could affect competition and premiums in the market.
No internal appeal or review mechanism specified in the Act. The Act does not provide an internal administrative review route for Ministerial determinations or an internal process for seeking reversal of levy impositions. Challenges would therefore fall into the general administrative law or legislative instruments regime, but this Act itself does not prescribe remedies or appeal routes.
How to comply
Operational checklist for private health insurers and advisers based on the Act’s provisions
Maintain accurate policy records and reporting capability linked to census days (s 9(3)(a))
Ensure systems can report the number of “complying health insurance policies” on short notice and on discrete census days specified by the Minister by legislative instrument. The levy rate is expressly required to be based on the policy counts on the census day or days the Minister determines (s 9(3)(a)). Because the Minister may set different rates for policies insuring different numbers of people (s 9(3)(b)), record systems must distinguish policy types by number of people insured.
Monitor supervisory action and APRA communications (s 5; s 10)
Track APRA notifications, actions under the Private Health Insurance (Prudential Supervision) Act 2015, and Federal Court orders concerning health benefits funds. A “collapsed insurer” is defined by reference to APRA’s approval of fund termination (s 5), APRA’s appointment of an external manager (s 5), or court-ordered appointment of a terminating manager (s 5). Early awareness is essential because the Minister’s power to impose the levy arises when a private health insurer becomes a collapsed insurer and the Minister makes a determination under s 7(1).
Prepare for payment procedures aligned with the Financial Institutions Supervisory Levies Collection Act 1998 (s 7(3) note)
The Act requires the Minister to specify a payment day (s 7(3)) and references Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998 for levy due dates and collection. Insurers should ensure they have procedures, banking arrangements and compliance contacts to meet payment-day obligations under that collection framework.
Anticipate Ministerial instruments and APRA advice tabling (s 7; s 9; s 10(2))
Because the levy, rate, census day(s), and exemptions are set by legislative instrument (s 7(1)(b); s 9(1)(a)), insurers should monitor the Federal Register of Legislative Instruments and Ministerial publications. APRA advice must be laid before each House with the determination (s 10(2)); insurers should watch parliamentary tabled documents for the underlying APRA assessment and any published reasoning.
Consider exemption pathways and evidentiary requirements (s 8(1)(b); s 8(2))
If an insurer expects that levying would have a significantly adverse effect on its ability to comply with prudential standards relating to capital adequacy or solvency, or with a direction under s 96 of the Prudential Supervision Act, it should prepare evidence to support that position for the Minister’s consideration under s 8(2). The Minister may determine the insurer to be exempt under s 8(1)(b) if satisfied of the test in s 8(2). Because the Act requires APRA advice before the Minister makes such determinations (s 10(1)(b)), an insurer may need to coordinate with APRA to ensure relevant prudential data and assessments are available.
Model financial exposure and potential pass-through effects (s 6; s 9(2)-(3))
The Minister must have regard to the total value of the collapsed insurer’s liabilities to insured persons when determining the rate (s 9(2)). Insurers should model possible levy quantum implications given the potential base (number of complying policies on census day(s)) and rate structures that may differentiate by policy composition (s 9(3)). Consideration should also be given to whether and how the insurer might pass a levy cost to policyholders; the Act does not mandate pass-through but commercial responses may occur.
Coordinate with counsel on administrative law exposures and review options
The Act confers discretion on the Minister to make determinations by legislative instrument (s 7(1)(b); s 9(1)(a)). If a ministerial determination adversely affects an insurer, seek advice on the availability of merits or judicial review remedies under general administrative law and legislative instruments regimes. The Act does not itself outline appeal routes.
Keep regulatory liaison channels open with APRA and the Department
The Minister must take APRA advice into account and must consider APRA recommendations before making regulations (s 10(1); s 12(2)). Insurers should maintain accessible channels with APRA and the Department to ensure that their prudential position and any material impacts of a proposed levy are understood by the adviser and decision-maker.
Track regulatory instruments and regulations made under the Act (s 12)
The Governor‑General may make regulations to prescribe matters required or convenient to give effect to the Act (s 12(1)). The Minister must consider any relevant APRA recommendation prior to regulations being made (s 12(2)). Monitoring the regulations will show any operative detail imposed under delegated authority.
Verify territorial applicability and Crown-binding provisions (ss 3-4)
Confirm whether the insurer operates in the specified external Territories (Norfolk Island, Cocos (Keeling) Islands, Christmas Island) as the Act extends to those territories (s 4), and note that the Act binds the Crown in each of its capacities (s 3).
In short, compliance under this Act requires readiness to produce accurate census data, readiness to pay on a specified payment day under the collection Act, preparedness to seek an exemption where levying would imperil prudential compliance, and active monitoring of APRA actions, Ministerial legislative instruments and any related regulations. The Act places the levy design and timing largely in Ministerial hands, subject to APRA advice and the statutory cross-references identified.
Section 6Purpose of imposing collapsed insurer levy
The purpose of imposing a collapsed insurer levy is to help meet a collapsed insurer’s liabilities to the people insured under its complying health insurance policies that it is unable to meet itself.
7 — Imposition of collapsed insurer levy
7 Imposition of collapsed insurer levy
(1) If:
(a) a private health insurer is a collapsed insurer; and
(b) the Minister determines, by legislative instrument, that this section applies to the insurer;
collapsed insurer levy is imposed on each private health insurer (other than an exempt insurer) on each collapsed insurer levy day for the levy determination.
Note: Section 8 deals with exempt insurers.
(2) The Minister may determine, by legislative instrument, the day that is, or the days that are, to be the collapsed insurer levy day or days for the levy determination.
(3) A determination specifying a collapsed insurer levy day must also specify the payment day for levy imposed on that collapsed insurer levy day.
Note: The payment day is the day on which the levy is due and payable under Part 3B of the Financial Institutions Supervisory Levies Collection Act 1998.
8 — Exempt insurers
8 Exempt insurers
(1) A private health insurer is an exempt insurer in relation to a levy determination if:
(a) it is the collapsed insurer; or
(b) the Minister determines, by legislative instrument, that the insurer is an exempt insurer.
(2) The Minister may make a determination under paragraph (1)(b) if the Minister is satisfied that imposing the collapsed insurer levy on the insurer would have a significantly adverse effect on the insurer’s ability to comply with:
(a) a prudential standard (within the meaning of the Private Health Insurance (Prudential Supervision) Act 2015) relating to capital adequacy or solvency that applies in relation to the insurer; or
(b) a direction given to the insurer under section 96 of that Act.
9 — Rate of collapsed insurer levy
9 Rate of collapsed insurer levy
(1) The rate of collapsed insurer levy imposed on a collapsed insurer levy day is the rate that:
(a) is determined by the Minister by legislative instrument; and
(b) applies on that day.
(2) In determining the rate of levy, the Minister must have regard to the total value of the collapsed insurer’s liabilities to people insured under its complying health insurance policies.
(3) The rate of levy:
(a) must be based on the number of complying health insurance policies that are on issue on the day determined by the Minister, by legislative instrument, as the census day for the levy day; and
(b) may be different for complying health insurance policies under which different numbers of people are insured; and
(c) may be set at zero.
10 — Minister to obtain advice from APRA
10 Minister to obtain advice from APRA
(1) Before making a determination under section 7, 8 or 9, the Minister must obtain, and take into account, advice from APRA in relation to the following matters:
(a) whether to make a levy determination;
(b) whether to make a determination under paragraph 8(1)(b);
(c) the day that is to be, or the days that are to be, specified as the collapsed insurer levy day or days;
(ca) the day that is to be specified as the payment day in relation to a collapsed insurer levy day;
(d) the rate that is to be specified as the rate of the collapsed insurer levy imposed on the collapsed insurer levy day or days;
(e) the day that is to be, or the days that are to be, specified as the census day or days for the collapsed insurer levy day or days;
(f) the total value of the collapsed insurer’s liabilities to people insured under its complying health insurance policies.
(2) An advice given to the Minister by APRA under subsection (1) must be laid before each House of the Parliament with the determination to which the advice relates.
12 — Regulations
12 Regulations
(1) The Governor‑General may make regulations prescribing matters:
(a) required or permitted by this Act to be prescribed; or
(b) necessary or convenient to be prescribed for carrying out or giving effect to this Act.
(2) Before the Governor‑General makes regulations under subsection (1), the Minister must take into consideration any relevant recommendation made to the Minister by APRA.