Private Health Insurance Act 2007

CHAPTER 2 - INCENTIVES  

PART 2-3 - LIFETIME HEALTH COVER  

Division 34 - General rules about lifetime health cover  

SECTION 34-10   INCREASED PREMIUMS STOP AFTER 10 YEARS ' CONTINUOUS COVER  

34-10(1)    
A private health insurer must stop increasing the amount of premiums payable for ^[*]

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

hospital cover in respect of an ^[*]

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

adult under this Part if the adult has had hospital cover (including under an ^[*]

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

applicable benefits arrangement), the premiums for which have been increased under this Part or ^[*]

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

old Schedule 2 :

(a)    for a continuous period of 10 years; or

(b)    for a period of 10 years that has been interrupted only by ^[*]

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

permitted days without hospital cover or periods during which the adult was taken to have had hospital cover otherwise than because of paragraph 34-15(2)(a) (none of which count towards the 10 years).

34-10(2)    
The amount must stop being increased on the day after the last day of the 10 year period.

34-10(3)    
The amount of premiums payable for ^[*]

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

hospital cover in respect of the ^[*]

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

adult must start to be increased under this Part again if:

(a)    after the end of the 10 year period, the adult ceases to have hospital cover; and

(b)    the adult later takes out hospital cover again; and

(c)    the days in the period between ceasing to have the cover and taking it out again are not all ^[*]

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

permitted days without hospital cover in respect of the adult.

34-10(4)    
Subsection (3) does not prevent this section applying again in respect of any later 10 year period.

34-10(5)    
In subsection (1) :

old Schedule 2
means Schedule 2 to the National Health Act 1953 as in force before 1 April 2007.