PHI 49/14

This circular issued by the Private Health Insurance Branch contains information about Second Tier

Page last updated: 08 August 2014

Printable version of 49/14 (PDF 103 KB)

8 August 2014

Private Health Insurers' Second Tier Default Benefit Rates Annual Audit

Private health insurers are reminded that annual lists of un-audited Second Tier Default Benefit rates, from 1 September 2014 to 30 August 2015, are due to the Department of Health by 31 August 2014.

The audited rates, along with a statement from the auditor stating that the rates have been calculated in accordance with Schedule 5 of the Private Health Insurance (Benefit Requirements) Rules 2011, are due to the Department and the Private Health Insurance Administration Council (PHIAC) by 30 September 2014.

This requirement is contained in Part 6 of the Administrative Arrangements For The Second Tier Default Benefits For Overnight And Day Only Treatment (see attachment to Circular PHI 07/13) and is designed to facilitate the operation of Schedule 5 of the Private Health Insurance (Benefit Requirements) Rules 2011 made under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.

In order to reduce the amount of paper used to meet this requirement, it is preferred that both the un-audited and the audited rates (along with the statement from the auditor), be emailed to the Second Tier Inbox.

If an electronic version is not available, a hardcopy of the second tier listing should be printed, double-sided if possible, and posted to:

Private Health Insurance Branch
Department of Health
MDP 853
GPO Box 9848
Canberra ACT 2601

Please email only audited Second Tier listings to PHIAC or, if unable to email, post to:

PO Box 4549
Kingston ACT 2604

If you require further information please telephone: (02) 6289 9853/24 hr answering machine or email the enquiry to Private Health Insurance Branch.

For more information visit 2014 Private Health Insurance (PHI) Circulars.

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