Document ID: chunk:federal_register_of_legislation:F2024L00144:reg:65:p3
Version: federal_register_of_legislation:F2024L00144
Segment Type: reg
Provision Reference: reg 65 (pt 3/38)
Character Range: 45435–51360

policy referred to in paragraph (c), the insured groups are:
    (i)      only one person;                                                                                                                                                                                                                                                                                                                        Single
    (ii)     2 adults (and no-one else);                                                                                                                                                                                                                                                                                                             Couple
    (iii)    2 or more people, none of whom is an adult;                                                                                                                                                                                                                                                                                             2+ persons no adults
    (iv)    2 or more people, only one of whom is an adult;                                                                                                                                                                                                                                                                                          Single parent
    (v)     3 or more people, only 2 of whom are adults;                                                                                                                                                                                                                                                                                             Family
    (vi)    3 or more people, at least 3 of whom are adults;                                                                                                                                                                                                                                                                                         3+ adults
  (b) for policies that are a non-student policy (unless the policy is a non-student policy referred to in paragraph (c)), the insured groups are:
    (i)      2 or more people, only one of whom is an adult;                                                                                                                                                                                                                                                                                         Single parent
    (ii)     3 or more people, only 2 of whom are adults;                                                                                                                                                                                                                                                                                            Family
  (c) for non-student policies which have as conditions of the policy that the dependent child non-student is not covered for general treatment, other than hospital-substitute treatment, and must have his or her own policy with the same insurer covering general treatment (other than hospital-substitute treatment), the insured groups are:
    (i)      2 or more people, only one of whom is an adult;                                                                                                                                                                                                                                                                                         Single parent
    (ii)     3 or more people, only 2 of whom are adults.                                                                                                                                                                                                                                                                                            Family

       (b)          Type of policy includes excess and co-payments, no excess and no co-payments, exclusionary and non-exclusionary.

       (c)          In sections 4 to 7 membership is reported under type of cover only.

    2.      Sections
              Section 1.  Total Hospital Treatment (includes Hospital Treatment Only and Hospital Treatment and General Treatment Combined)

              Section 2.  Hospital Treatment Only (do not include Hospital-linked ambulance cover)

              Section 3.  Hospital Treatment and General Treatment Combined

              Section 4.  General Treatment Ambulance Only

              Section 5.  Total General Treatment Only (includes General Treatment Ambulance Only)

              Section 6.  General Treatment excluding Hospital-Substitute, CDMP and Hospital-linked Ambulance Treatment

              Section 7.  Total General Treatment (includes Total General Treatment Only and Hospital Treatment and General Treatment Combined)

    3.      General guidance

       (a)          Section 1 is the sum of Section 2 and Section 3.

       (b)          Hospital-substitute treatment is classed as general treatment but it must be part of a hospital treatment policy. Hospital-substitute treatment is reported under Section 3.

       (c)          Products that offer CDMP do not require a hospital treatment policy. A policy covering CDMP and no hospital treatment is reported under Section 5.

       (d)          When the status of dependants (e.g. a student dependant) is temporarily unknown some restricted access funds do not take these dependants off the parent's policy, although they do not provide cover for them. Due to the restricted nature of the fund, the person may not be able to re-join the fund on a single policy under the rules of the fund if they were taken off the policy. In this