Document ID: chunk:federal_register_of_legislation:C2004A00827:clause:3_1:p1
Version: federal_register_of_legislation:C2004A00827
Segment Type: clause
Provision Reference: sch 3 cl 1 (pt 1/3)
Character Range: 12944–15565

1  After section 15‑20
Insert:

15‑21  Additional payment if fund claims less than entitlement

 (1) This section applies to a *health fund in respect of a month if:
 (a) the health fund is a *participating fund in respect of the month; and
 (b) the health fund made a claim in respect of the month under section 15‑5; and
 (c) the amount claimed by the health fund was less than the sum of the amounts by which premiums in respect of the month under the appropriate health insurance policies issued by the health fund were reduced because of the operation of this Chapter.

 (2) The *health fund may apply to the *Managing Director for payment of an amount (the additional amount) not exceeding the difference between:
 (a) the sum of the amounts by which premiums in respect of the month under the *appropriate health insurance policies issued by the health fund were reduced because of the operation of this Chapter; and
 (b) the amount already paid to the health fund under section 15‑5 in respect of the month.

 (3) An application under subsection (2) may relate to more than one month.

15‑22  Additional payment if fund makes a late claim

 (1) This section applies to a *health fund in respect of a month if:
 (a) the health fund did not make a claim in respect of the month on or before the last day of the *notification period for the month; and
 (b) premiums in respect of the month under the *appropriate health insurance policies issued by the health fund were reduced because of the operation of this Chapter.

 (2) The *health fund may apply to the *Managing Director for payment of an amount (the additional amount) not exceeding the sum of the amounts by which premiums in respect of the month under the *appropriate health insurance policies issued by the health fund were reduced because of the operation of this Chapter.

 (3) An application under subsection (2) may relate to more than one month.

15‑23  Contents and timing of application

 (1) An application by a *health fund under section 15‑21 or 15‑22 for payment of an additional amount must contain the following:
 (a) the name of the health fund;
 (b) the additional amount sought;
 (c) the month, or months, in respect of which the additional amount is sought;
 (d) a certificate in writing signed by a registered company auditor that the additional amount sought is correct;
 (e) such other details as the *Managing Director determines in writing.

 (2) The application must be made:
 (a) if the application relates to only one month—within 3 years of the last day of the *notification period for that month; or
 (b) if the application