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PRIVATE HEALTH INSURANCE INCENTIVES ACT 1997 No. 55, 1997 - SECT 8.5
Notifying health funds if amount is not payable
(1) The Commission must notify a health fund if it decides that an amount is
not payable in respect of a private health insurance policy included in a
claim under section 8-2.
(2) A notice under subsection (1) must include reasons for the decision.
(3) The Commission is taken, for the purposes of this Act, to have decided
that the amount is payable if the Commission does not give notice of its
decision that the amount is not payable on or before the day under subsection
8-3(4) on which, if it had been payable, it would have to have been paid.
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