Document ID: chunk:federal_register_of_legislation:F2024C00561:body:0:p10
Version: federal_register_of_legislation:F2024C00561
Segment Type: other
Provision Reference: 
Character Range: 23976–26857

policies) in which:
(i) the amount of benefit varies according to the kind of insured event that occurs; and
(ii) the insured event is defined in terms that involve the provision of hospital treatment or relevant health services;
whether or not the insurer's liability is in any way contingent on any treatment or services being provided to the insured, or on the payment of fees or charges for any treatment or services.
      (2) In this rule, relevant health services means medical, surgical, diagnostic, nursing, dental, chiropody, chiropractic, eye therapy, occupational therapy, physiotherapy, speech therapy or similar services or treatment.

     14. Health insurance business: exclusions in respect of certain goods
      (1) In this rule, relevant service means a service involving the supply, alteration, maintenance or repair of any of the following:
(a) hearing aids;
(b) spectacles;
(c) contact lenses;
(d) artificial teeth, eyes or limbs (including parts of teeth or limbs);
(e) other medical, surgical, prosthetic or dental aids, equipment or appliances.
      (2) For section 121‑30 of the Act, the business of undertaking liability, by way of insurance, or an arrangement to make payments under an employee health benefits scheme, with respect to the provision of a relevant service by way of indemnity for damage to, or loss of an item referred to in this rule is not health insurance business unless the insurance policy under which the liability is undertaken primarily covers:
(a) hospital treatment; or
(b) general treatment; or
(c) both hospital treatment and general treatment.

     15. Insurance that is not health insurance business
      (1) For section 121‑30 of the Act, the business of undertaking liability, by way of insurance, or an arrangement to make payments under an employee health benefits scheme is not health insurance business if the insurance, whether provided by a private health insurer or other person, covers:
(a) a matter referred to in subsection 121‑1 (2) of the Act; and
(b) a person referred to in any of subrules (3) to (8) in the circumstances stated in the subrule in respect of that person.
      (2) This rule does not limit the operation of a person's complying health insurance policy that covers the relevant treatment.
           Note: A complying health insurance policy must meet the coverage requirements specified in section 63‑10 of the Act.
      (3) A resident temporarily employed outside Australia―insurance for a person who is a resident of Australia and engaged in temporary employment outside Australia, or a dependant of that person, in respect of whom an insurance policy provides that liability for hospital treatment or general treatment may arise:
(a) in Australia; or
(b) outside Australia, if the absence of the person from Australia is due to the temporary employment.
      (4) A person on board