We are seeking approval for the Private Health Insurance Statement Data-Matching Program 2014–15 to 2027–28 to vary from one or more of the conditions detailed in Guideline 6 of the Office of the Australian Information Commissioner’s Guidelines on data matching in Australian government administration (2014) (the Guidelines). We welcome your comments.
We are seeking you exercise your discretion and allow us, in limited circumstances, to take administrative action in response to a match without immediately notifying the individual concerned.
A small number of taxpayers can misunderstand their private health insurance statement and incorrectly fill their return. When these errors are identified at lodgment, the ATO may amend the tax return with the correct PHI statement data that we hold, to help these taxpayers get their reporting obligations right.
The degree of accuracy, quality, completeness, and relevance of the PHI statement data means it is highly reliable for these corrections because:
- the Private Health Insurance Act 2007 was amended in 2018 to remove the requirement for private health insurers to provide their members a private health insurance statement
- PHI statement data provided for pre-fill is now the main and more accessible data source for individuals and their tax agents to complete current and prior year tax returns.
The data is reported to the ATO by 15 July each year, and updates are reported twice yearly in October and April for the following 2 years.
The ATO is obligated under section 166 of the Income Tax Assessment Act 1936 to use the available information to make an accurate assessment. We would not be in a position to issue an incorrect assessment ignoring our PHI statement data, or to delay processing that return and potential refund to wait for a response, when we hold high quality PHI statement data.
This deviation from the normal notification conditions in this circumstance is in the public interest, as these adjustments:
- help ensure taxpayers correctly meet their tax reporting obligations
- avoid unnecessary contact from the ATO
- avoid unfair and unreasonable delays on processing a tax return and issuing a refund
- have a very small impact on assessments compared with the detrimental impacts a delayed return can create.
The ATO values transparency, and our use of PHI statement data in pre-fill is outlined in the Private Health Insurance Statement Data-Matching Program 2014–15 to 2027–28.
This program is subject to an evaluation within 3 years consistent with the requirements of Guideline 9.
Additional information justifying this variation is included in the tables below:
Table 1: Matters considered in accordance with Guideline 10.2 in seeking this variation
Table 2: Consistency with requirements of the other guidelines issued by the Office of the Australian Information Commissioner.
Table 1: Matters considered in seeking this variation to the Guidelines
This section outlines matters considered against the requirements of Guideline 10.2 in seeking this variation.
Matter considered |
Consideration |
|
---|---|---|
10.2.a |
The effect that not abiding by the Guidelines would have on individual privacy |
|
10.2.b |
The seriousness of the administrative or enforcement action that may flow from a match obtained through the data-matching program |
|
10.2.c |
The effect that not abiding by the Guidelines would have on the fairness of the data-matching program – including its effect on the ability of individuals to determine the basis of decisions that affect them, and their ability to dispute those decisions |
|
10.2.d |
The effect that not abiding by the Guidelines would have on the transparency and accountability of agency and government operations |
|
10.2.e |
The effect that not abiding by the Guidelines would have on compliance of the proposed data-matching program with the Australian Privacy Principles in the Privacy Act 1988 and the Australian Government Privacy Code |
|
10.2.f |
The effect that complying with the Guidelines would have on the effectiveness of the proposed data-matching program |
|
10.2.g |
Whether complying fully with the Guidelines could jeopardise or endanger the life or physical safety of information providers or could compromise the source of information provided in confidence |
|
10.2.h |
The effect that complying fully with the Guidelines would have on public revenue – including tax revenue, personal benefit payments, debts to the Commonwealth and fraud against the Commonwealth |
|
10.2.i |
Whether complying fully with the Guidelines would involve the release of a document that would be an exempt document under the Freedom of Information Act 1982 |
|
10.2.j |
Any legal authority for, or any legal obligation that requires, the conduct of the proposed data-matching program in a way that is inconsistent with the Guidelines. |
|
Table 2: Matters considered in seeking this variation to the Guidelines
This section outlines where we are being consistent with the requirements of the Guidelines.
Paragraph / Guideline |
Action taken / To be taken |
|
---|---|---|
Paragraph 6 |
Status of the Guidelines |
Our commitment to complying with the Guidelines is embedded in our data management policies and principles and clearly stated in the chief executive instruction. |
Guideline 1 |
Application of the Guidelines |
We apply the guidelines for all data matching programs where it is anticipated the program will include records of 5,000 or more individuals. We recognise that programs where there are multiple data sources but with common objectives and algorithms are treated as a single data matching program. |
Guideline 2 |
Deciding to carry out or participate in a data-matching program |
Cost-benefit analysis considers alternate methods against the conduct a data matching program. Further, we have rigorous governance arrangements, processes and system controls in place to protect the privacy of individuals. |
Guideline 3 |
Prepare a program protocol |
Prior to conducting a data matching program, we prepare a data matching program protocol, submit this to the Office of the Australian Information Commissioner and make a copy publicly available on the ATO website. When elements of a data matching program change, the protocol is amended, a copy of the amended protocol is provided to the Office of the Australian Information Commissioner and updated on our website. |
Guideline 4 |
Prepare a technical standards report |
Documentation is prepared and maintained to satisfy the requirements of a technical standards report. |
Guideline 5 |
Notify the public |
We publish notification of our intention to undertake a data matching program in the Federal Register of Legislation – Gazettes prior to the commencement of the program. This notice will include the following information as required by the Guidelines:
Notification of the program is also published on our website and data providers are advised they can advertise their participation in the data matching program. |
Guideline 6 |
Notify individuals of proposed administrative action |
In limited circumstances, where we take administrative action to correct private health insurance information in a taxpayer’s income tax return based on the data we hold, we are seeking to notify individuals in the notice of assessment. This notification occurs after the administrative action. When considering administrative action, we take a differentiated approach between those that try to do the right thing and those that set out to deliberately avoid their obligations. Documented procedures, including the Taxpayers’ Charter and compliance model, will be followed to maintain taxpayer rights and obligations. When we identify a discrepancy that requires verification, taxpayers will be contacted by phone, data matching letter or email. Taxpayers will be given up to 28 days to verify the accuracy of the information that has been derived from this data-matching program before administrative action is undertaken. If a taxpayer does not agree with an assessment, they retain the right to dispute the decision. They also have the legal right to appeal against those decisions through the courts and tribunals. |
Guideline 7 |
Destroy information that is no longer required |
We regularly review our requirement to retain data and destroy those datasets no longer reasonably required. |
Guideline 8 |
Do not create new registers, data sets or databases |
We do not create new registers or databases using data obtained during a data matching program. |
Guideline 9 |
Regularly evaluate data-matching programs |
Programs are evaluated within three years of the commencement of the data matching program. These evaluations are provided to the Office of the Australian Information Commissioner on request. |
Guideline 10 |
Seeking exemptions from Guideline requirements |
When we intend to vary from the requirements of the Guidelines, we seek the approval of the Office of the Australian Information Commissioner and provide documentation to support the variance. |
Guideline 11 |
Data matching with entities other than agencies |
We undertake our own data matching programs. This function is not outsourced. Where data is obtained from an entity other than an individual, we usually do so by using our formal information gathering powers. In these instances, the entities are advised they may notify their clients of their participation in the data matching program. |
Guideline 12 |
Data matching with exempt agencies |
We do not usually undertake data matching with agencies that are exempt from the operations of the Privacy Act 1988 under section 7 of that Act and that are subject to the operation of the Guidelines (i.e. any data matching undertaken with an exempt agency would usually be for fewer than 5,000 individuals). In the event a data matching activity would otherwise be subject to these Guidelines except for the exemption status, we still adhere to the principles of the Guidelines and prepare a program protocol, seeking to vary from the Guidelines by not publicly notifying of the program and publishing the protocol. We would still lodge a copy of the protocol with the Office of the Australian Information Commissioner. |
Guideline 13 |
Enable review by the Office of the Australian Information Commissioner |
We would not prevent the Office of the Australian Information Commissioner from reviewing our data matching activities and processes. These activities and processes have been reviewed by the Australian National Audit Office and Inspector-General of Taxation. |