Document ID: chunk:federal_register_of_legislation:F2023L00576:front:0:p3
Version: federal_register_of_legislation:F2023L00576
Segment Type: other
Provision Reference: 
Character Range: 5544–8379

state details of the program adopted to carry out the audit; and

(b)          include the name of, and be signed by, the auditor who takes responsibility for the accuracy of the report.

Authorisation

15.         A person who submits the information required under this Reporting Standard must be suitably authorised  by an officer of the private health insurer.

Variations

16.         APRA may, in writing, vary the reporting requirements of this Reporting Standard in relation to a private health insurer.

Interpretation

17.         In this Reporting Standard:

       (a)          unless the contrary intention appears, words and expressions have the meanings given to them in Prudential Standard HPS 001 Definitions (HPS 001); and

       (b)          the following definitions are applicable:

APRA means the Australian Prudential Regulation Authority established under the Australian Prudential Regulation Authority Act 1998;

capital standards means the prudential standards which relate to capital adequacy, as defined in HPS 001;

       officer has the same meaning as in the Act;

       private health insurer has the same meaning as in the Act;

       reporting period means a period mentioned in paragraph 6 or, if applicable, paragraph 7; and

the Act means the Private Health Insurance (Prudential Supervision) Act 2015.

18.         Unless the contrary intention appears, a reference to an Act, Prudential Standard, Reporting Standard, Australian Accounting or Auditing Standard is a reference to the instrument as in force from time to time.

Reporting Standard HRS 109.0

Claims

General instructions

Reporting tables

Tables described in this reporting standard list each of the data fields required to be reported. The data fields are listed sequentially in the column order that they will appear in the reported data set. Constraints on the data that can be reported for each field have also been provided.

Any specific combination of values in a table must not appear on more than one row in that table when reported.

Definitions

Terms highlighted in bold italics indicate that the definition is provided in these instructions.

C

Claim payment  Means the benefit paid to the policy holder (gross of risk equalisation trust fund payments/receipts).

H

Health benefits fund  Has the same meaning as in the Act.

Specific instructions

Table 1: HIB Claim Payments

Reporting basis

Report values on a cash flow basis.

This table applies to health benefits funds only.

This table applies to claim payments for health insurance business only, where health insurance business has the same meaning as in the Act.

Units of measurement
Report values in whole Australian dollars (no decimal places).
   Name                              Valid values            Description