Private Health Insurance (Health Benefits Fund Administration) Rules 2007
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Private Health Insurance (Health Benefits Fund Administration) Rules 2007
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Turn the raw legal text into a practical explanation grounded in Private Health Insurance (Health Benefits Fund Administration) Rules 2007.
(1) If the Council or the Administrative Appeals Tribunal approves an application for approval of a restructure of a health benefits fund conducted by a private health insurer, then within 20 days of the restructure taking place, the insurer must provide to at least one adult insured under each policy, or, for a policy covering no adults, the person who pays the premium, which is being made, or has been made, referable to a receiving fund, a statement of the outcome of the application. (2) The notification of outcome referred to in subrule (1) may be combined with the statement provided for the purposes of subsection 93‑20(4) of the Act. (3) If the application for approval of the restructure is refused by the Council, then no later than 10 days after the time for the lodging of an application for review of the Council’s decision by the Administrative Appeals Tribunal, the insurer must provide to at least one adult insured under each policy, or, for a policy covering no adults, the person who pays the premium, which was proposed for transfer, a statement of: (a) the outcome of the application; and (b) whether the insurer has lodged or intends to lodge an application for review with the Administrative Appeals Tribunal. (4) If the application for approval of the restructure is refused on application to the Administrative Appeals Tribunal, then no later than 10 days after the Tribunal’s decision being delivered, the insurer must provide to at least one adult insured under each policy, or, for a policy covering no adults, the person who pays the premium, which was proposed for transfer, a statement of the outcome of the application.