Document ID: chunk:federal_register_of_legislation:F2019C00245:body:0:p2
Version: federal_register_of_legislation:F2019C00245
Segment Type: other
Provision Reference: 
Character Range: 2658–5458

is made under item 2 of the table in section 333-20 of the Private Health Insurance Act 2007.

 4. Schedule

     Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

 5. Definitions
           Note: Terms used in these Rules have the same meaning as in the Act―see section 13 of the Legislation Act 2003. These terms include:
            adult
           hospital cover
           lifetime health cover base day
           private health insurer
In these Rules:
Act means the Private Health Insurance Act 2007.
joint policy holder means an adult who is covered under hospital cover that covers more than one adult.

      Part 2  General

 6. Adults taken to have hospital cover
An adult is taken to have hospital cover for the purposes of paragraph 34‑15 (2) (c) of the Act if, at the time, the adult is in one of the following classes:
         (a) adults whose health services are provided by or through the Australian Antarctic Division of the Department of Environment and Energy; or
         (b) adults who are members of the Australian Defence Force on continuous full-time service and whose health services are provided by or through the Australian Defence Force; or
         (c) adults who are dependants of a member mentioned in paragraph (b) and whose health services are also provided by or through the Australian Defence Force.

 7. Permitted days―suspended hospital cover
     1) For paragraph 34-20 (1) (a) of the Act, if the rules of a private health insurer provide for suspension of hospital cover for a policy holder, suspension may be granted by the insurer concerned on the request of the policy holder.
     2) If an adult obtains hospital cover from a private health insurer (the new private health insurer) at a time when the person has suspended hospital cover granted by another private health insurer, the new private health insurer must recognise, for the purposes of the Act, that the person has existing hospital cover.
     3)  Subrule (2) does not apply to hospital cover that has been suspended for a continuous period of more than 2 years.

      Part 3 Administrative matters

 8. Providing information to policy holders
     1) For the purposes of paragraph 40 (1) (a) of the Act, the following requirements are specified:
         (a) the insurer must provide information about increases under Part 2-3 in the amounts of premiums payable for the policy holder's hospital cover in respect of the policy holder, if requested by the policy holder;
         (b) the insurer must provide the following information to a policy holder affected by section 34-1 or section 34-5 of