Private Health Insurance Act 2007

CHAPTER 3 - COMPLYING HEALTH INSURANCE PRODUCTS  

PART 3-3 - REQUIREMENTS FOR COMPLYING HEALTH INSURANCE PRODUCTS  

Division 66 - Community rating requirements  

SECTION 66-1   COMMUNITY RATING REQUIREMENTS  

66-1(1)    
An insurance policy meets the community rating requirements in this Division if:

(a)    the policy prohibits the private health insurer that issued the policy from breaching the principle of community rating in section 55-5 in relation to a person insured under the policy; and

(b)    the policy has no terms or conditions that would allow the insurer to ^[*]

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

improperly discriminate against a person insured under the policy; and

(c)    the only discounts (if any) available under the policy are discounts allowed under subsection 66-5(2) ; and

(d)    unless the policy is issued under a new ^[*]

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

product (see subsection (2) ) - the premiums payable under the policy meet the premium requirement in section 66-5 .

66-1(2)    
For the purposes of paragraph (1)(d) , an insurance policy is issued under a new ^[*]

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

product if the amount of premiums charged under policies in the product has not changed since the first policy in the product was issued.