Document ID: chunk:federal_register_of_legislation:C2004A00827:clause:3_1:p2
Version: federal_register_of_legislation:C2004A00827
Segment Type: clause
Provision Reference: sch 3 cl 1 (pt 2/3)
Character Range: 15329–17966

as the *Managing Director determines in writing.

 (2) The application must be made:
 (a) if the application relates to only one month—within 3 years of the last day of the *notification period for that month; or
 (b) if the application relates to more than one month—within 3 years of the last day of the notification period for the first of those months.

 (3) An application under section 15‑21 must also contain, in respect of each month to which the application relates, an explanation of why the amount claimed under section 15‑5 was less than the sum of the amounts by which premiums in respect of the month under the *appropriate health insurance policies issued by the *health fund were reduced because of the operation of this Chapter.

 (4) An application under section 15‑22 must also contain, in respect of each month to which the application relates, an explanation of why the *health fund did not make a claim on or before the last day of the *notification period for the month.

15‑24  Decision on application

 (1) If a *health fund makes an application under section 15‑21 or 15‑22 for payment of an additional amount, the *Managing Director must pay the additional amount sought if the Managing Director is satisfied:
 (a) that the additional amount sought is correct; and
 (b) that it would be reasonable to grant the application, having regard to the explanation mentioned in subsection 15‑23(3) or (4).

 (2) The *Managing Director may refuse the application, or decide to pay only part of the additional amount sought, if the Managing Director is satisfied:
 (a) that the additional amount sought is incorrect; or
 (b) that it would not be reasonable to grant the application, having regard to the explanation mentioned in subsection 15‑23(3) or (4).

 (3) The *Managing Director must notify the *health fund of the Managing Director's decision on the application.

 (4) A notice under subsection (3) must include reasons for the decision.

 (5) The *Managing Director is taken, for the purposes of this Act, to have decided that:
 (a) the additional amount sought is correct; and
 (b) that it would be reasonable to grant the application;
if the Managing Director does not give notice of his or her decision that the additional amount sought is incorrect, or that it would not be reasonable to grant the application, within the period of 3 months after the application was received by the Managing Director.

 (6) If the *Managing Director is taken to have made a decision under subsection (5) in respect of a *health fund, the Managing Director is taken to have given notice of that decision to the health fund.