Document ID: chunk:federal_register_of_legislation:C2015A00057:clause:1_20q
Version: federal_register_of_legislation:C2015A00057
Segment Type: clause
Provision Reference: sch 1 cl 20Q
Character Range: 22948–24231

20Q  Recommendations as a result of referral or investigation
 (1) The Private Health Insurance Ombudsman may make recommendations under this section after:
 (a) receiving a report from the subject of a complaint after referral under Subdivision C; or
 (b) investigating a complaint under Subdivision D.
 (2) The Private Health Insurance Ombudsman may recommend any or all of the following:
 (a) to a private health insurer, that the insurer take a specific course of action in relation to the complaint or make changes to its rules, or both;
 (b) to a private health insurer, that the insurer request a health care provider or private health insurance broker to take a specific course of action in relation to the complaint;
 (c) to a health care provider or private health insurance broker, that the provider or broker take a specific course of action in relation to the complaint.
 (3) The Private Health Insurance Ombudsman may, by written notice given to the person to whom the recommendation was made, or an officer of that person, require the person to report to the Private Health Insurance Ombudsman, before action is taken to give effect to the recommendation, on the action proposed to be taken. The notice must specify the period within which the report is to be given.