PHI 75/10

This circular issued by the Private Health Insurance Branch contains information regarding an invitation to comment - Standard Information Statement (SIS) Review

Page last updated: 11 November 2010

PDF Printable version of 75/10 (PDF 39 KB)

11 November 2010

Private Health Insurance Stakeholders

Invitation to Comment - Standard Information Statement (SIS) Review

Health insurers are required to provide detailed information on health insurance products in a standard format for consumers since legislative changes to the Private Health Insurance Act 2007 (the Act) came into effect on 1 April 2007. The Department has been monitoring the use and effectiveness of these statements which are known as Standard Information Statements (SISs) and is committed to further improving the SISs.

Stakeholders identified several issues concerning content and format of SISs which may impact on insurers’ legislative compliance and mislead or confuse consumers. Many of these issues can be addressed through minor changes to the Private Health Insurance (Complying Product) Rules (the Rules), whilst others can be addressed through additions to the guides for SIS use that are available on the Private Health Insurance Ombudsman’s consumer information website www.privatehealth.gov.au.

The Department is undertaking a review of existing SIS requirements and is seeking your views on the issues covered in the attached discussion paper, and other possible improvements to the SISs.

The review will consider, but is not limited to, the following:
  • Improved consumer guides to SISs;
  • Dates appearing on SISs (‘Available From’ and ‘Date of Issue’);
  • Presentation of sub limits and overall limits;
  • SISs for single-service policies;
  • SISs for ambulance only cover;
  • Use and presentation of free text boxes;
  • Presentation of business limitation periods and ‘other services’;
  • Information about co-payments; and
  • Information about network benefits.
Please forward your comments to the Department by Friday 7 January 2011, to:

Email:
pauline.dusink@health.gov.au
cc. james.samana@health.gov.au

Post:
Ms Jolana Vecerka
Department of Health and Ageing
Private Health Insurance Branch
MDP 401
GPO Box 9848
CANBERRA ACT 2601

Stakeholders are advised that, although any comments received will not be made public by the Department, they may be accessed by a third party through an FOI request.

If you have any further questions about the discussion paper, please contact Ms Pauline Dusink, Director, Quality and Communications Section, on (02) 6289 9057.

Attachments

Attachment A SIS discussion paper (PDF 141 KB)
Attachment B SIS guides (referred to as Attachments 1,2 and 3 in SIS discussion paper)
Attachment 1 (PDF 33 KB)
Attachment 2 (PDF 29 KB)
Attachment 3 (PDF 28 KB)
Attachment C Current Health Insurance (Complying Product) Rules 2010 (PDF 439 KB) (referred to as Attachment 4 in SIS discussion paper)


If you require further information please telephone: (02) 6289 9853/24 hr answering machine or email the enquiry to PrivateHealth@health.gov.au
Internet: http://www1.health.gov.au/internet/main/publishing.nsf/Content/health-phicirculars2010-index1
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