Document ID: chunk:federal_register_of_legislation:F2015L01039:body:0:p3
Version: federal_register_of_legislation:F2015L01039
Segment Type: other
Provision Reference: 
Character Range: 5493–7019

program, the type of disease for which the program was provided and whether the treatment was provided as hospital treatment or general treatment; and

           (v)          the gross benefits paid; and

           (vi)        the date of treatment; and

           (vii)     the date of payment.

5.             High cost claimants pool records
(1)          This rule applies if the insurer includes in a quarterly return a gross benefit for the high cost claimants pool.
(2)          In addition to the information to be kept in accordance with rule 4, the insurer must keep a record that contains the following information in respect of the insured person to whom the gross benefit relates:
(a)          the name and age of the person; and
(b)          the dates of the treatment; and
(c)          the gross benefits paid; and
(d)          the dates of payment; and
(e)          the amount of gross benefit included in the age based pool; and
(f)           the amount of gross benefit included in the high cost claimants pool; and
(g)          the amount of gross benefits paid for any of the preceding 3 quarters (after 1 April 2007).

Part 3 – Transition

6.             Transition
Any approval, determination or other exercise of discretion by PHIAC under Part 1 or Part 2 of the Private Health Insurance (Risk Equalisation Administration) Rules 2007 as they existed prior to 1 July 2015 will continue to have effect following 1 July 2015 as though exercised pursuant to a corresponding power under these Rules.