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PRIVATE HEALTH INSURANCE INCENTIVES ACT 1997 No. 55, 1997 - SECT 3.2

Appropriate private health insurance cover

(1) The policy provides appropriate private health insurance cover if:

   (a)  it provides hospital cover (see subsection (2)); or

   (b)  it provides ancillary cover (see subsection (3)); or

   (c)  it provides combined cover (see subsection (6)).

(2) The policy provides hospital cover if:

   (a)  it is an applicable benefits arrangement, within the meaning of
        section 5A of the National Health Act 1953, to which paragraph
        5A(1)(a) of that Act applies; and

   (b)  the annual premium payable for the policy is not less than:

        (i)    if the policy covers only one person-$250, or such other amount
               as the Minister determines in writing; or

        (ii)   if the policy covers more than one person-$500, or such other
               amount as the Minister determines in writing.

(3) The policy provides ancillary cover if:

   (a)  persons covered by the policy are covered (wholly or partly) for
        liability to pay fees and charges in respect of ancillary health
        benefits within the meaning of section 67 of the National Health Act 
        1953 ; and

   (b)  the annual premium payable for the policy is not less than:

        (i)    if the policy covers only one person-$125, or such other amount
               as the Minister determines in writing; or

        (ii)   if the policy covers more than one person-$250, or such other
               amount as the Minister determines in writing.

(4) In subsections (2) and (3): annual premium means the amount of premium
payable if the policy were to apply for one year, whether or not the policy
applies, in the particular case in question, for that period.

(5) Determinations made for the purposes of subparagraph (2)(b)(i) or (ii) or
(3)(b)(i) or (ii) are disallowable instruments for the purposes of section 46A
of the Acts Interpretation Act 1901.

(6) The policy provides combined cover if it provides both hospital cover and
ancillary cover. 


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