5. High cost claimants pool records5. High cost claimants pool records

5. High cost claimants pool records

1. This rule applies if the insurer includes in a quarterly return a gross benefit for the high cost claimants pool.
2. In addition to the information to be kept in accordance with rule 4, the insurer must keep a record that contains the following information in respect of the insured person to whom the gross benefit relates:
   1. the name and age of the person; and
   2. the dates of the treatment; and
   3. the gross benefits paid; and
   4. the dates of payment; and
   5. the amount of gross benefit included in the age based pool; and
   6. the amount of gross benefit included in the high cost claimants pool; and
   7. the amount of gross benefits paid for any of the preceding 3 quarters (after 1 April 2007).