Document ID: chunk:federal_register_of_legislation:C2025C00097:section:3:p12
Version: federal_register_of_legislation:C2025C00097
Segment Type: section
Provision Reference: s 3 (pt 12/18)
Character Range: 62234–64955

or failing to have regard to that matter, has the effect of the premiums payable under an insurance policy that covers a person who is:
 (i) employed by a particular person or body; or
 (ii) under contract to provide services to a particular person or body;
  being the subject of a discount or discounts (whether or not the policy also covers one or more persons who are not so employed and are not under such a contract); and
 (c) the premiums meet the premium requirement in section 66‑5.
 (5) To avoid doubt, subsection (4) does not apply if taking or failing to take the action, or having regard or failing to have regard to that matter, has the effect of an insurance policy being cancelled because a person ceases to be an employee of, or ceases to be under contract to provide services to, a particular employer.

55‑10  Closed products, and terminated products and product subgroups
  The principle of community rating in section 55‑5 does not:
 (a) prevent a private health insurer from closing a *complying health insurance product, such that the *product will not be available to anyone except those persons, who at the time of closing, are insured under a policy forming part of the product; or
 (b) prevent a private health insurer from terminating a complying health insurance product or a *product subgroup of a complying health insurance product, such that:
 (i) in the case of a product—the product will not be available to any person insured under a policy forming part of the product; and
 (ii) in the case of a product subgroup—the product subgroup will not be available to any person insured under a policy that belongs to the product subgroup.

55‑15  Pilot projects
 (1) The principle of community rating in section 55‑5 does not prevent a private health insurer from:
 (a) taking or failing to take any action; or
 (b) in making a decision, having regard or failing to have regard to any matter;
for the purposes of conducting a pilot project in accordance with the Private Health Insurance (Complying Product) Rules.
 (2) The Private Health Insurance (Complying Product) Rules may permit pilot projects of a kind specified in the Rules to be conducted by private health insurers in accordance with requirements specified in the Rules.

Part 3‑3—Requirements for complying health insurance products

Division 60—Introduction

60‑1  What this Part is about
      Complying health insurance products (which are made up of complying health insurance policies) are the only kind of insurance that private health insurers are allowed to make available as part of their health insurance business (see section 63‑1 and Division 84). This Part sets out the requirements that an insurance policy must meet