Document ID: chunk:federal_register_of_legislation:C2025C00097:section:5:p11
Version: federal_register_of_legislation:C2025C00097
Segment Type: section
Provision Reference: s 5 (pt 11/56)
Character Range: 109374–112241

health insurance business.

Division 93—Giving information to consumers

93‑1  Maintaining up to date private health information statements
 (1) A private health insurer must ensure that it maintains at all times an *up to date *private health information statement:
 (a) for each *product subgroup of each *complying health insurance product that it makes available; and
 (b) for each product subgroup of each complying health insurance product under which it insures people.
 (1A) A single *private health information statement may be the private health information statement for more than one *product subgroup of a *complying health insurance product if the premiums payable under policies in the subgroups the statement covers are the same.
 (2) The *private health information statement for a *product subgroup of a *complying health insurance product is up to date at a particular time, if, at that time, the information in the statement is accurate.
 (3) A private health insurer commits an offence if there is no *private health information statement for a *product subgroup of a *complying health insurance product of the insurer.
Penalty: 60 penalty units.
 (4) A private health insurer commits an offence if:
 (a) there is a *private health information statement for a *product subgroup of a *complying health insurance product of the insurer; and
 (b) the private health information statement is not *up to date.
Penalty: 60 penalty units.
 (5) Strict liability applies to subsections (3) and (4).
Note: For strict liability, see section 6.1 of the Criminal Code.

93‑5  Meaning of private health information statement
 (1) A private health information statement for a *product subgroup of a *complying health insurance product is a statement about the product subgroup that contains the information, and is in the form, set out in the Private Health Insurance (Complying Product) Rules.
 (2) The Private Health Insurance (Complying Product) Rules may set out methods by which *private health information statements are to be made available to people who ask for information about *complying health insurance products.

93‑10  Making private health information statements available
  A private health insurer must ensure that, if a person asks an *officer, employee or agent of the insurer for information about a *complying health insurance product of the insurer:
 (a) the person is told about the *private health information statement for the *product subgroup that is likely to apply to the person and how to obtain a copy of the statement; and
 (b) if the person asks for a copy—the person is given an *up to date copy of the statement for that subgroup.

93‑15  Giving information to newly insured people
 (1) A private health insurer must ensure that, when an *adult first becomes insured under a *complying health insurance policy of the insurer,