Document ID: chunk:federal_register_of_legislation:F2024L00146:front:0:p9
Version: federal_register_of_legislation:F2024L00146
Segment Type: other
Provision Reference: 
Character Range: 35129–40002

Risk Equalisation Jurisdiction                                                              Means the risk equalisation jurisdiction as defined in the Private Health Insurance (Prudential Supervision) Act 2015.

                                                                                            The jurisdictions are:

                                                                                                   * New South Wales (NSW);
                                                                                                   * Victoria (VIC);
                                                                                                   * Queensland (QLD);
                                                                                                   * South Australia (SA);
                                                                                                   * Western Australia (WA);
                                                                                                   * Tasmania (TAS);
                                                                                                   * Australian Capital Territory (ACT); and
                                                                                                   * Northern Territory (NT).

Silver (private hospital insurance product tier type)                                       Means a policy that:
                                                                                            a)      covers hospital treatment;
                                                                                            b)     covers at least the treatments in all of the clinical categories indicated for a silver policy in Schedule 4 of the Private Health Insurance (Complying Product) Rules 2015; and
                                                                                            c)      is not a Gold policy.

Sex                                                                                         Means the distinction between male, female, and others who do not have biological characteristics typically associated with either the male or female sex.

Single (policy cover type)                                                                  Means a policy under which only one person is insured.

Single Parent (policy cover type)                                                           Means a policy under which two or more people are insured, only one of whom is an adult.

Three Plus Adults (policy cover type)                                                       Means a policy under which three or more people are insured, at least three of whom are adults.

Transfer From Another Fund (policy or person movement)                                      Means the policy or insured person has transferred from another fund but is not joining as a new fund member to private health insurance.

Transfer From Another Policy (policy or person movement)                                    Means the policy or insured person has transferred from another policy treatment type with the same insurer.

                                                                                            Transfer from another policy refers to transfers between the treatment types of hospital treatment only, hospital treatment and general treatment combined and general treatment only. Note that a change in the policy cover type (e.g. single to couple) does not constitute a change in treatment policy.

Transfer From Another State (policy or person movement)                                     Means the policy or insured person has transferred from another state within the same fund.

Transfer To Another Policy (policy or person movement)                                      Means the policy or insured person has transferred to another policy treatment type with the same insurer.

                                                                                            Transfer to another policy refers to transfers between the treatment types of hospital treatment only, hospital treatment and general treatment combined and general treatment only. Note that a change in the policy cover type (e.g. single to couple) does not constitute a change in treatment policy.

Transfer To Another State (policy or person movement)                                       Means the policy or insured person has transferred to another state within the same fund.

Two Plus Persons No Adults (policy cover type)                                              Means a policy under which two or more people are insured, none of whom is an adult.

Waiting Period                                                                              The waiting period for a benefit under an insurance policy is the period: