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MEDICAL INDEMNITY ACT 2002 NO. 132, 2002
TABLE OF PROVISIONS
Long Title
PART 1--PRELIMINARY
1. Short title
2. Commencement
3. Objects of this Act and the medical indemnity contribution legislation
4. Definitions
5. Medical defence organisation (MDO)
6. Member of an MDO
7. Incident-occurring based cover
8. IBNR exposure of an MDO
9. External Territories
PART 2--COMMONWEALTH PAYMENTS
Division 1--IBNR (incurred but not reported) indemnity scheme
Subdivision A--Introduction
10. Guide to the IBNR indemnity provisions
Subdivision B--Participating MDOs
11. Participating MDO
12. Minister may determine that MDO not a participating MDO
13. Process for determining whether a determination should be made under section 12
Subdivision C--Incidents covered by the IBNR indemnity scheme
14. Incidents covered by the IBNR indemnity scheme
Subdivision D--IBNR indemnity
15. IBNR indemnity may be payable under either section 16 or 17
16. IBNR indemnity for payment made by MDO or insurer
17. IBNR indemnity for MDO or insurer in external administration
18. Clarification of circumstances in which IBNR indemnity payable
19. Exceptions
20. Payment partly related to treatment of public patient in public hospital
21. Amount of the IBNR indemnity
22. Minister to determine unfunded IBNR factor for a participating MDO
23. Process for determining unfunded IBNR factor under section 22
Subdivision E--Recovery of amount paid to MDO or insurer after IBNR indemnity paid
24. Recovery if certain amounts paid to MDO or insurer after IBNR indemnity paid
25. MDO or insurer to inform HIC of certain amounts
26. HIC to notify MDO or insurer of repayable amount
27. Penalty imposed if an amount is repaid late
Division 2--High cost claim indemnity scheme
Subdivision A--Introduction
28. Guide to the high cost claim indemnity provisions
29. High cost claim threshold
Subdivision B--High cost claim indemnity
30. Circumstances in which high cost claim indemnity payable
31. Aggregating amounts paid or payable by an MDO and insurer
32. Exceptions
33. Payment partly related to treatment of public patient in public hospital
34. Amount of high cost claim indemnity
Division 3--Administration of the indemnity schemes
Subdivision A--Introduction
35. Guide to this Division
Subdivision B--Applications for, and payment of, indemnity scheme payments
36. Application for indemnity scheme payment
37. Payment date for indemnity scheme payment
Subdivision C--Information gathering and record keeping
38. HIC may request information
39. MDOs and insurers to keep relevant records
40. Participating MDOs to keep additional records
Subdivision D--Overpayments of the indemnities
41. Recovery of overpayments
Subdivision E--Recovery of repayment or overpayment debt
42. HIC may collect money from a person who owes money to a person
Division 4--Medical indemnity premium subsidy scheme
43. Minister may formulate subsidy scheme
44. HIC may request information
Division 5--Offences
45. Failing to give information
46. Failing to notify
47. Failing to keep and retain records
Division 6--Finance
48. Appropriation
Division 7--Reinsurance contracts
49. Indemnity scheme payments disregarded for purposes of reinsurance contracts
PART 3--CONTRIBUTIONS TOWARDS THE COST OF PROVIDING INDEMNITIES
Division 1--IBNR (incurred but not reported) indemnity contribution
Subdivision A--Introduction
50. Guide to the IBNR indemnity contribution provisions
Subdivision B--Who pays IBNR indemnity contribution
51. Who is liable to pay the IBNR indemnity contribution
52. Exemptions
53. Comprehensive insurance cover determination
Subdivision C--Determining amount of IBNR indemnity contribution
54. Annual subscription for base year
Subdivision D--Annual reassessment of participating MDO's IBNR exposure
55. Object of this Subdivision
56. Process for annually reassessing IBNR exposure
Division 2--Enhanced UMP indemnity contribution
Subdivision A--Introduction
57. Guide to the enhanced UMP indemnity contribution provisions
Subdivision B--Who pays enhanced UMP indemnity contribution
58. Who is liable to pay the enhanced UMP indemnity contribution
59. Exemptions
Division 3--Administration of the medical indemnity contributions
Subdivision A--Introduction
60. Guide to this Division
Subdivision B--Payment and collection of medical indemnity contributions
61. When medical indemnity contribution must be paid
62. Deferral of payment day for medical indemnity contribution
63. Medical indemnity contribution may be paid by instalments
64. Discount for lump sum payment of medical indemnity contribution
65. Late payment penalty
66. Method of paying certain amounts
Subdivision C--Refunds
67. Refund of overpaid amounts
Subdivision D--Recovery of contribution debt
68. Recovery of contribution debt
69. HIC may collect money from a person who owes money to a person
70. Evidentiary certificates
Subdivision E--Information gathering processes
71. HIC may request information
72. HIC must be notified of a change in circumstances etc.
Division 4--Offences
73. Failing to give information
74. Failing to notify
PART 4--MISCELLANEOUS
75. General administration of this Act and medical indemnity contribution legislation
76. Additional functions of the HIC
77. Officers to observe secrecy
78. Act not to apply in relation to State insurance within a State
79. Regulations
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