Document ID: chunk:federal_register_of_legislation:F2016C00820:body:0:p8
Version: federal_register_of_legislation:F2016C00820
Segment Type: other
Provision Reference: 
Character Range: 18381–21217

the amount to be notionally allocated to the HCCP will be $39,500.
(10)    For the purposes of these Rules, the designated threshold for an insured person is $50,000.

8.                      Payments by former insurer
Where:
(a)                    an insurer (former insurer) has paid an amount of eligible benefit in respect of an insured person; and
(b)                    the insured person ceases to be covered by a policy of the former insurer and becomes covered by another insurer,
the amount of eligible benefit paid is to continue to be treated as a payment by the former insurer.

9.                      Payments where a health benefits fund is transferred
(1)        Where:
(a)                    an insurer has paid an eligible benefit; and
(b)                    the health benefits fund of that insurer is transferred to another fund, whether of that insurer or another insurer (receiving fund), resulting in the policy under which the benefit was paid becoming referable to another fund,
the eligible benefit paid is to be treated as a benefit paid in respect of the receiving fund.
(2)        Where:
(a)                    an insurer has paid an amount of levy on the basis of the eligible benefit paid by a health benefits fund of that insurer; and
(b)                    that health benefits fund is transferred to another fund, whether of that insurer or another insurer (receiving fund), resulting in the policy under which the benefit was paid becoming referable to another fund,
the levy paid is to be treated as a levy in respect of the receiving fund.

10.                  Effect of unpaid premiums
(1)        If the premiums for a policy have not been paid for a period longer than:
(a)                    2 months after the end of the period for which premiums were last paid or, if the rules of the insurer allow a longer period—that longer period; and
(b)                    the insurer has given written notice to the person in whose name the policy is held that the policy is no longer in operation (terminated policy),
a single equivalent unit is not to be taken into account for that terminated policy in determining the mean number referred to in paragraph 7 (2) (b) for the insurer's health benefits fund.

11.                  Method of working out
(1)        The following method is to be applied in working out the amount (if any) of levy for each health benefits fund of an insurer (Insurer Z) for a particular quarter in respect of a State:
(a)                    calculate, for each fund, the amount that is the sum of:
(i)                     the total amount of the eligible benefits notionally allocated for the quarter in that State to the ABP, as mentioned in subrule 7 (4); and
(ii)                   the total amount of the eligible benefits notionally allocated for the quarter in that