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PRIVATE HEALTH INSURANCE (TRANSITIONAL PROVISIONS AND CONSEQUENTIAL AMENDMENTS) ACT 2007 (NO. 32, 2007) - SECT 10

Status of existing applicable benefits arrangements and tables of ancillary benefits

Applicable benefits arrangements

             (1)  If, immediately before the commencement time, contributors to a health benefits fund conducted by a registered organization were covered by an applicable benefits arrangement of the organization, then:

                     (a)  at the commencement time, the arrangement is, to the extent to which it covered a particular contributor and his or her dependants (if any), taken to be a complying health insurance policy under which that contributor and those dependants (if any) are insured; and

                     (b)  that part of the arrangement continues to be taken to be a complying health insurance policy until the earlier of:

                              (i)  1 July 2008; and

                             (ii)  the day on which a relevant change (see subsection (3)) to that part of the arrangement takes effect.

Tables of ancillary benefits

             (2)  If, immediately before the commencement time, contributors to a health benefits fund conducted by a registered organization were covered by a table of ancillary health benefits of the organization, then:

                     (a)  at the commencement time, the table is, to the extent to which it covered a particular contributor and his or her dependants (if any), taken to be a complying health insurance policy under which that contributor and those dependants (if any) are insured; and

                     (b)  that part of the table continues to be taken to be a complying health insurance policy until the earlier of:

                              (i)  1 July 2008; and

                             (ii)  the day on which a relevant change (see subsection (3)) to that part of the table takes effect.

Relevant change

             (3)  If, more than 15 days after the commencement time, a private health insurer makes a change to its rules, or to anything else, in a way that affects:

                     (a)  the amount of premiums payable under an arrangement or table that is taken to be a complying health insurance policy because of subsection (1) or (2); or

                     (b)  the treatments covered by such a policy; or

                     (c)  a benefit for treatment covered by such a policy;

the change is a relevant change to each part of the arrangement or table.



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