Private Health Insurance Act 2007

CHAPTER 6 - ADMINISTRATION  

PART 6-4 - ADMINISTRATION OF PREMIUMS REDUCTION SCHEME  

Division 279 - Reimbursement of participating insurers and powers of Chief Executive Medicare  

Subdivision 279-A - Reimbursement of private health insurers for premiums reduced under scheme  

SECTION 279-25   ADDITIONAL PAYMENT IF INSURER CLAIMS LESS THAN ENTITLEMENT  

279-25(1)    
This section applies to a private health insurer in respect of a month if:

(a)    the private health insurer is a ^[*]

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

participating insurer in respect of the month; and

(b)    the private health insurer made a claim in respect of the month under section 279-1 ; and

(c)    the amount claimed by the private health insurer was less than the sum of the amounts by which premiums in respect of the month under the ^[*]

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

complying health insurance policies issued by the private health insurer were reduced because of the operation of this Division.

279-25(2)    
The private health insurer may apply to the Chief Executive Medicare for payment of an amount (the additional amount ) not exceeding the difference between:

(a)    the sum of the amounts by which premiums in respect of the month under the ^[*]

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

complying health insurance policies issued by the private health insurer were reduced because of the operation of this Division; and

(b)    the amount already paid to the private health insurer under section 279-1 in respect of the month.

279-25(3)    
An application under subsection (2) may relate to more than one month.