Private Health Insurance (Complying Product) Rules 2015
5Insured groups
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5 Insured groups
(1) In this rule a non‑classified dependent person is a person under the age of 25, that is not a dependent student or dependent non‑student by the rules of the insurer.
(2) For the purposes of paragraph 63‑5 (2A) (b) of the Act, the following insured groups are specified:
(a) only one person;
(b) only two adults;
(c) two or more dependent people and no adults;
(d) only one adult and at least one non‑classified dependent person under the age of 25, dependent child or dependent student;
(e) only one adult and any number of non‑classified dependent people under the age of 25, dependent children or dependent students and at least one dependent non‑student;
(f) only one adult and any number of non‑classified dependent people under the age of 25, dependent children or dependent students and at least one conditional dependent non‑student;
(g) only one adult and at least one dependent person with a disability and any number of non‑classified dependent people under the age of 25, dependent children, dependent students, dependent non‑students or conditional dependent non‑students;
(h) only two adults, and at least one non‑classified dependent person under the age of 25, dependent child or dependent student;
(i) only two adults and any number of non‑classified dependent people under the age of 25, dependent children or dependent students and at least one dependent non‑student;
(j) only two adults and any number of non‑classified dependent people under the age of 25, dependent children or dependent students and at least one conditional dependent non‑student;
(k) only two adults and at least one dependent person with a disability and any number of non‑classified dependent people under the age of 25, dependent children, dependent students, dependent non‑students or conditional dependent non‑students.
(3) If an insurer does not have insured groups in paragraphs 2(e), 2(f), 2(i) or 2(j) for a product, then insured groups in paragraphs 2(d) and 2(h) can include dependent non‑students or conditional dependent non‑students.
(4) In this rule a conditional dependent non‑student is required to have their own policy covering general treatment with the same insurer that is covering them for hospital treatment.