Private Health Insurance Act 2007

CHAPTER 2 - INCENTIVES  

PART 2-2 - PREMIUMS REDUCTION SCHEME  

Division 22 - PHIIB, PHII benefit and related concepts  

Subdivision 22-A - PHIIB, PHII benefit and related concepts  

SECTION 22-25   APPLICATION OF SUBSECTION 22-15(1) AFTER A PERSON 65 YEARS OR OVER CEASES TO BE COVERED BY POLICY  

22-25(1)    
If:

(a)    the ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

PHIIB mentioned in subsection 22-15(1) was insured under a ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

complying health insurance policy (the original policy ) (whether or not the policy mentioned in section 22-1 ) at a time before the start of the premium period mentioned in that section; and

(b)    the PHIIB was not a ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

dependent person at that time; and

(c)    at that time, another person (the entitling person ) was:

(i) insured under the original policy; and

(ii) aged 65 years or over; and

(d)    the entitling person subsequently ceased to be insured under the original policy;

subsection 22-15(1) applies in relation to the complying health insurance policy mentioned in section 22-1 as if:

(e)    the entitling person were also insured under that policy; and

(f)    the entitling person were the same age as the age at which he or she ceased to be insured under the original policy.

22-25(2)    
Subsection (1) ceases to apply if a person (other than a ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

dependent person) who was not insured under the original policy at the time the entitling person ceased to be insured under it becomes insured under the ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

complying health insurance policy mentioned in section 22-1 .

22-25(3)    
Subsection (1) does not apply if its application would result in the ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

PHIIB ' s ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

share of the PHII benefit being less than it would otherwise have been.