Private Health Insurance Act 2007
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Ch 4 heading substituted by No 87 of 2015, s 3 and Sch 1 item 54, effective 1 July 2015. For transitional provisions, see note under s 3-15 . The heading formerly read:
CHAPTER 4 - PRIVATE HEALTH INSURERS
Div 143 repealed by No 87 of 2015, s 3 and Sch 1 item 65, effective 1 July 2015. For transitional provisions, see note under s 3-15 .
S 143-20 repealed by No 87 of 2015, s 3 and Sch 1 item 65, effective 1 July 2015. For transitional provisions, see note under s
3-15
. S 143-20 formerly read:
the Council is satisfied that there are reasonable grounds for believing that the assets of the fund will not provide adequate capital for the conduct of the business of the fund in accordance with this Act and in the interests of the *policy holders of the fund. Refusals to revoke or vary capital adequacy directions are reviewable under Part 6-9.
SECTION 143-20 CAPITAL ADEQUACY DIRECTIONS
Council may give capital adequacy directions
143-20(1)
The Council may give written directions (
capital adequacy directions
) to a private health insurer if, having regard to:
(a)
the nature and value of the *assets of a *health benefits fund conducted by the insurer; or
(b)
the nature and extent of the liabilities that are referable to the business of the fund; or
(c)
any other matters that the Council considers relevant;
143-20(2)
*Capital adequacy directions are directions that, in the Council
'
s opinion, are reasonably necessary to ensure, as far as practicable, that *assets of a *health benefits fund conducted by a private health insurer will provide adequate capital for the purposes described in subsection (1).
143-20(3)
The Council may give a *capital adequacy direction to a private health insurer even if, when the direction is given:
(a)
the insurer meets the requirements of the *capital adequacy standard applicable to that insurer in respect of the fund; and
(b)
there are reasonable grounds to believe that the insurer will meet that standard at all times while the direction is in force.
Compliance with capital adequacy directions
143-20(4)
A private health insurer must comply with a *capital adequacy direction given to it under subsection (1).
Duration of capital adequacy directions
143-20(5)
Subject to subsections (7) and (8), a *capital adequacy direction remains in force for a period specified in the direction, not exceeding 3 years, commencing on the day when the direction is given.
143-20(6)
Subsection (5) does not prevent the Council from giving a further *capital adequacy direction in the same terms to take effect immediately after the expiry of a previous direction.
Revoking or varying capital adequacy directions
143-20(7)
If the Council is satisfied that a particular *capital adequacy direction is no longer required or should be varied, the Council must, by written notice given to the private health insurer, revoke or vary the direction accordingly.
143-20(8)
If a private health insurer to which a *capital adequacy direction has been given requests the Council, in writing, to revoke or vary the direction, the Council must, within 28 days after receiving the request:
(a)
if the Council is satisfied that the direction is no longer necessary or should be varied
-
revoke or vary the direction; or
(b)
in any other case
-
refuse to revoke or vary the direction.
Note:
143-20(9)
If the Council does not, within the 28 days referred to in subsection (8), either revoke or vary or refuse to revoke or vary the *capital adequacy direction concerned, the Council is to be taken, for the purposes of this Act, to have refused to revoke or vary the direction at the end of that period.
Note:
Decisions that the Council is taken under this subsection to have made are reviewable under Part 6-9.
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