Document ID: chunk:federal_register_of_legislation:F2023L00636:front:0:p5
Version: federal_register_of_legislation:F2023L00636
Segment Type: other
Provision Reference: 
Character Range: 11760–15328

* policies in force at end of quarter.

                                                            Where possible, actuals are to be used as a start point when calculating terminated policies for the next quarter in the future. For subsequent quarters, forecasts for the start and end of that quarter are to be used.

Hospital category gross margin type                         Hospital category gross margin types are:
                                                                 * Gold;
                                                                 * Silver +;
                                                                 * Silver;
                                                                 * Bronze +;
                                                                 * Bronze;
                                                                 * Basic +; and
                                                                 * Basic.

N
New HIB policies to PHI                            A new HIB policy which is not a new HIB policy transfer.

(Health Insurance Business Policy Forecasts Type)
New HIB policy                                     Means a new HIB policy, in force at the end of the quarter, where none of the policy holders held a policy with the health insurer at the start of the quarter.
New HIB policy transfer                            Means a new HIB policy where at least one policy holder of a policy would be expected to have a transfer certificate.

(Health Insurance Business Policy Forecasts Type)

P
Policy forecasts average monthly premium amount  For new HIB policies to PHI, this is the average monthly premium rate for those policies at the points in the forecast quarter where they first become in force.

                                                 For new HIB policy transfers, this is the average monthly premium rate for those policies where at least one policy holder of a policy would be expected to have a transfer certificate in the forecast quarter where they first become in force.

                                                 For HIB terminated policies, this is the average monthly premium rate for those policies immediately before the points in the forecast quarter where they first stop being in force.
Policy forecasts count                           For new HIB polices to PHI, this is the count of those policies to become in force in the forecast quarter.

                                                 For new HIB policy transfers, this is the count of those policies where at least one policy holder of a policy would be expected to have a transfer certificate in the forecast quarter.

                                                 For HIB terminated policies, this is the count of those policies stop being in force in the forecast quarter.
Prescribed Capital Amount                        Prudential Capital Amount means the minimum amount of capital that an insurer must hold as defined in HPS 110.

Private health insurer business type             This is either health insurance business or health-related insurance business.
Private health insurer fund                      This is either health benefits fund or general fund.

T
Target capital amount  The target capital amount is determined in accordance with the Internal Capital Adequacy Assessment Process. This is to be expressed as a target for the capital base of the health benefits fund or general fund.

                       Insurers that use a range for its target capital should report the