Private Health Insurance (Complying Product) Rules 2015
7Benefits authorised to be provided under a policy
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7 Benefits authorised to be provided under a policy
(1) In this rule, specified benefit means a benefit specified in subrule (3).
(2) If a person was entitled to a specified benefit under an applicable benefits arrangement or a table of ancillary health benefits in force at the commencement of the Act, the provision of the same specified benefit under the person's policy is authorised for the purposes of paragraph 69‑1 (1) (b) of the Act as long as the person's policy continues to cover the same specified treatments and provide the same specified benefits.
Note: Section 10 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals with the status of existing applicable benefits arrangements and tables of ancillary benefits at the commencement of the Act.
(3) The specified benefits for this rule are:
(a) benefits paid in connection with the birth of a baby;
(b) funeral benefits;
(c) disability benefits.
(4) In this rule, ancillary health benefit means ancillary health benefits within the meaning of section 67 the National Health Act 1953 as in force immediately before the commencement of the Act.