Document ID: chunk:federal_register_of_legislation:C2025C00014:section:264bb
Version: federal_register_of_legislation:C2025C00014
Segment Type: section
Provision Reference: s 264BB
Character Range: 1812924–1815200

264BB  Commissioner may require private health insurers to provide information
 (1) The Commissioner may, by notice in writing, require a private health insurer to provide information relevant to the operation of this Act about each person who is covered at any time during a financial year specified in the notice by a complying health insurance policy issued by the insurer or who paid premiums under such a policy.
 (2) The information that the Commissioner may require the private health insurer to provide includes the following:
 (a) the name, address and date of birth of each person mentioned in subsection (1);
 (b) the membership number of the policy;
 (c) the name, address and date of birth of any spouse of a person covered by the policy (other than a spouse permanently living separately and apart from the person);
 (d) whether the policy covers hospital treatment, general treatment or both;
 (e) the date on which the policy was issued;
 (f) whether the policy has terminated or been suspended, and, if it has, the date on which it terminated or was suspended;
 (g) the amount of the premium payable under the policy;
 (ga) whether the premium has been reduced under section 23‑1 of the Private Health Insurance Act 2007, and if so, the amount of the reduction;
 (gb) the name, address and date of birth of a participant (within the meaning of the Private Health Insurance Act 2007) in the premiums reduction scheme (within the meaning of that Act) in respect of the policy;
 (gc) whether the premium has been increased in accordance with Division 34 of the Private Health Insurance Act 2007, and if so, the amount of the increase;
 (h) the period to which the premium relates;
 (i) any increase or decrease in the premium;
 (j) whether a payment in respect of a premium that was due within a period specified by the Commissioner was not paid.
 (3) The information required by a notice under subsection (1) is to be provided:
 (a) in a form (including an electronic form) approved by the Commissioner; and
 (b) within the period specified in the notice.
 (4) In this section, the following terms have the same meanings as in the Private Health Insurance Act 2007:
complying health insurance policy
general treatment
hospital treatment
private health insurer