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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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