Document ID: chunk:federal_register_of_legislation:F2017L00670:body:0:p2
Version: federal_register_of_legislation:F2017L00670
Segment Type: other
Provision Reference: 
Character Range: 2818–5745

the rules of the applicant do not permit improper discrimination in relation to the applicant's complying health insurance policies[2];
       (f)           in relation to the health benefits fund, or each of the health benefits funds, proposed to be conducted by the applicant, APRA must be satisfied that the application includes the ratio that the likely amount of management and administrative expenses in respect of the conduct of the fund or funds bears to the likely amount of premiums to be obtained by the private health insurer in respect of each fund; and
       (g)          in relation to the health benefits fund, or each of the health benefits funds, proposed to be conducted by the applicant, APRA must be satisfied that the application includes the number of persons who will contribute, or are likely to contribute, to any of the funds proposed to be conducted by the applicant and the proposed premiums to be charged these persons.

    7.             Description of groups who can be offered insurance products by restricted access insurers
For the purposes of paragraph 15(4)(e) of the Act a restricted access group to whom a restricted access insurer may make its complying health insurance products available may comprise any or all of the following:
       (a)          persons who belong to a group of persons based on whether they are or were a member of one or more groups specified in paragraph (a), (b), (c) or (d) of subsection 15(4) of the Act and/or one or more other groups;
       (b)          persons who were already insured with the restricted access insurer immediately before the commencement of these Rules;
       (c)          persons who are, or become, officers or employees (including contractors) of the restricted access insurer;
       (d)          an employee of a contractor who is, or was, involved in supplying goods or services to the employer referred to in subsection 15(4) of the Act;
       (e)          an employee of a franchisee of a subsidiary company of the employer referred to in subsection 15(4) of the Act;
       (f)           the former partners and adult children of Principal Insureds of the restricted access insurer;
       (g)          the siblings, grandchildren and parents of Principal Insureds of the restricted access insurer;
       (h)          the partners and dependent children of persons who are the adult children of Principal Insureds of the restricted access insurer; and
       (i)            the partners and dependent children of persons who are the siblings or grandchildren of Principal Insureds of the restricted access insurer.
       Notes:
       The purpose of Rule 7 is to ensure that, on and from the commencement of these Rules, restricted access insurers are able to make complying health insurance products available to limited classes of persons who might not otherwise form part of a restricted access group for the purposes