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Private Health Insurance (Prudential Supervision) Act 2015
4Interpretation
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#### 4 Interpretation
(1) In this Act:
> ADI means an authorised deposit‑taking institution within the meaning of the Banking Act 1959.
> application provision: see subsection 65(2).
> applied Corporations Act provision: see subsection 65(3).
> appointed actuary of a private health insurer means the person appointed as the actuary of the insurer in accordance with Division 2 of Part 5.
> approved form: see section 172.
> APRA means the Australian Prudential Regulation Authority.
> APRA rules: see subsection 174(1).
> APRA staff member has the same meaning as in the Australian Prudential Regulation Authority Act 1998.
> assets of a health benefits fund: see section 26.
> chief executive officer of a private health insurer means the person who is primarily and directly responsible to the directors of the insurer for the general and overall management of the insurer.
> civil penalty order: see subsection 156(2).
> complying health insurance policy has the same meaning as in the Private Health Insurance Act 2007.
> complying health insurance product has the same meaning as in the Private Health Insurance Act 2007.
> constitutional corporation means a corporation to which paragraph 51(xx) of the Constitution applies.
> cover, in relation to an insurance policy, has the same meaning as in the Private Health Insurance Act 2007.
> declaration of contravention means a declaration under subsection 155(1).
> dependent person has the same meaning as in the Private Health Insurance Act 2007.
> director has the same meaning as in the Corporations Act 2001.
> disqualified person: see sections 119 and 121.
> enforceable obligation means any of the following:
(a) a provision of this Act;
(b) a direction given under this Act;
(c) a provision of the risk equalisation levy legislation;
(d) if the registration of a private health insurer is subject to terms and conditions (see subsection 15(1))—those terms and conditions;
(e) in the case of a restricted access insurer—a provision included in the insurer’s constitution or rules in order to comply with subsection 15(3).
> Note: References to this Act include prudential standards and APRA rules (see the definition of this Act in this subsection).
> external administration means administration or control (however described) by an external administrator.
> external administrator means:
(a) any of the following, within the meaning of the Corporations Act 2001:
(i) a liquidator or provisional liquidator;
(ii) a receiver, manager, managing controller, receiver and manager or other controller;
(iii) an administrator or a scheme manager; or
(b) a person who performs a similar role to a person referred to in subparagraph (a)(i), (ii) or (iii), whether under a law of the Commonwealth, or of a State or Territory, or otherwise;
but does not include an external manager or terminating manager.
> external management means management, by an external manager, under Divisions 6 and 8 of Part 3.
> external manager, in relation to a health benefits fund, means a person appointed under section 51 as the external manager of the fund.
> Federal Court means the Federal Court of Australia.
> for profit insurer means a private health insurer that is registered under Division 3 of Part 2 as a for profit insurer.
> health benefits fund has the same meaning as in the Private Health Insurance Act 2007.
> Health Department means the Department administered by the Health Minister.
> health insurance business has the same meaning as in the Private Health Insurance Act 2007.
> Health Minister means the Minister administering the Private Health Insurance Act 2007.
> health‑related business has the same meaning as in the Private Health Insurance Act 2007.
> Health Secretary means the Secretary of the Health Department.
> improper discrimination has the same meaning as in the Private Health Insurance Act 2007.
> inspector means a person appointed under section 130 to be an inspector.
> insurance has the same meaning as in paragraph 51(xiv) of the Constitution.
> investigation warrant: see subsection 136(1).
> lawyer means a duly qualified legal practitioner and, in relation to a person, means such a practitioner acting for the person.
> makes a permitted capital payment: see subsection 27(3).
> manager, in relation to a health benefits fund, means an external manager or terminating manager of the fund.
> net asset position of a health benefits fund means the difference between:
(a) the assets of the fund; and
(b) the policy liabilities and other liabilities of the fund that the private health insurer conducting the fund has incurred for the purposes of the fund.
> officer of a private health insurer means:
(a) a director of the insurer; or
(b) a chief executive officer of the insurer; or
(c) any other person who has or exercises senior management responsibilities (within the meaning of prudential standards) for the insurer.
> penalty includes forfeiture or punishment.
> personal information has the same meaning as in the Privacy Act 1988.
> policy group of a health benefits fund: see subsection 32(7).
> policy holder of a health benefits fund has the same meaning as in the Private Health Insurance Act 2007.
> policy liability of a private health insurer means:
(a) a liability that has arisen under an insurance policy; or
(b) a liability that, subject to the terms and conditions of an insurance policy, will arise on the happening of an event, or at a time, specified in the policy.
> premises includes the following:
(a) a structure, building, vehicle, vessel or aircraft;
(b) a place (whether or not enclosed or built on);
(c) a part of a thing referred to in paragraph (a) or (b).
> Private Health Insurance Ombudsman has the same meaning as in the Private Health Insurance Act 2007.
> private health insurer means a body that is registered under Division 3 of Part 2.
> proceeding means:
(a) a proceeding in a court; or
(b) a proceeding or hearing before, or an examination by or before, a tribunal;
whether the proceeding, hearing or examination is of a civil, administrative, criminal, disciplinary or other nature.
> prudential matters: see subsection 92(2).
> prudential standards: see subsection 92(1).
> referable has the same meaning as in the Private Health Insurance Act 2007.
> responsible insurer means:
(a) for a health benefits fund that is under external management—the private health insurer that was conducting the fund prior to the appointment of the external manager of the fund; or
(b) for a health benefits fund that is under terminating management—the private health insurer that was conducting the fund prior to the appointment of the terminating manager of the fund.
> restricted access group: see subsection 15(4).
> restricted access insurer means a private health insurer that is registered under Division 3 of Part 2 as a restricted access insurer.
> risk equalisation jurisdiction has the same meaning as in the Private Health Insurance Act 2007.
> risk equalisation levy legislation means any of the following:
(a) the Private Health Insurance (Risk Equalisation Levy) Act 2003;
(b) the provisions of the Private Health Insurance Act 2007, as they apply in relation to:
(i) levy imposed under the Private Health Insurance (Risk Equalisation Levy) Act 2003; or
(ii) the Risk Equalisation Special Account.
> Risk Equalisation Special Account has the same meaning as in the Private Health Insurance Act 2007.
> rules of a private health insurer has the same meaning as in the Private Health Insurance Act 2007.
> search powers means powers to search for, inspect, take extracts from, and make copies of, documents.
> State insurance has the same meaning as in paragraph 51(xiv) of the Constitution.
> statutory functions and duties of an actuary of a private health insurer: see subsection 107(2).
> terminating management means management, by a terminating manager, under Divisions 5 and 8 of Part 3.
> terminating manager, in relation to the health benefits funds of a private health insurer, means a person appointed under Division 5 or 7 of Part 3 as the terminating manager of the funds.
> termination day, in relation to the health benefits funds of a private health insurer: see subsection 40(2).
> this Act includes prudential standards and APRA rules.
> voluntary deed of arrangement means:
(a) a deed of arrangement agreed on at a meeting of a kind referred to in section 58; or
(b) such a deed as varied in accordance with APRA rules made for the purpose of this paragraph.
(2) To avoid doubt, a reference in this Act to another Act includes a reference to any regulations, rules, standards or other instruments made, and to any conditions imposed, under that other Act.
> Note: For example:
(a) a reference to the Private Health Insurance Act 2007 includes a reference to rules made under that Act; and
(b) a reference to the Financial Sector (Collection of Data) Act 2001 includes a reference to reporting standards made under that Act.