Commonwealth Consolidated Acts

PRIVATE HEALTH INSURANCE ACT 2007 - SECT 63.5

  (1)   A complying health insurance product is a * product made up of * complying health insurance policies.

  (2)   A product is all the insurance policies issued by a private health insurer:

  (a)   that * cover the same treatments; and

  (b)   that provide benefits that are worked out in the same way; and

  (c)   whose other terms and conditions are the same as each other.

  (2A)   A product subgroup , of a * product, is all the insurance policies in the product:

  (a)   under which the addresses of the people insured, as known to the private health insurer, are located in the same * risk equalisation jurisdiction; and

  (b)   under which the same kind of insured group (within the meaning of the Private Health Insurance (Complying Product) Rules) is insured.

  (2B)   The Private Health Insurance (Complying Product) Rules may specify insured groups for the purposes of paragraph   (2A)(b). An insured group may be specified by reference to any or all of the number of people in the group, the kind of people in the group, or any other matter. A group may consist of only one person.

  (3)   Different premiums may be payable under policies in the same * product.

  (4)   A premium payable for a policy that covers an insured group of 2 or more people that includes a * dependent non - student or * dependent person with a disability may be higher than a premium payable for a policy in the same * product that covers an insured group of 2 or more people that includes one or more * dependent children or * dependent students but no dependent non - student or dependent person with a disability.