Commissioner may require private health insurers to provide information
264BB Commissioner may require private health insurers to provide information
The Commissioner may, by notice in writing, require a private health insurer to provide information relevant to the operation of this Act about each person who is covered at any time during a financial year specified in the notice by a complying health insurance policy issued by the insurer or who paid premiums under such a policy.
The information that the Commissioner may require the private health insurer to provide includes the following:
the name, address and date of birth of each person mentioned in subsection (1);
the membership number of the policy;
the name, address and date of birth of any spouse of a person covered by the policy (other than a spouse permanently living separately and apart from the person);
whether the policy covers hospital treatment, general treatment or both;
the date on which the policy was issued;
whether the policy has terminated or been suspended, and, if it has, the date on which it terminated or was suspended;
the amount of the premium payable under the policy;
whether the premium has been reduced under section 23‑1 of the Private Health Insurance Act 2007, and if so, the amount of the reduction;
the name, address and date of birth of a participant (within the meaning of the Private Health Insurance Act 2007) in the premiums reduction scheme (within the meaning of that Act) in respect of the policy;
whether the premium has been increased in accordance with Division 34 of the Private Health Insurance Act 2007, and if so, the amount of the increase;
the period to which the premium relates;
any increase or decrease in the premium;
whether a payment in respect of a premium that was due within a period specified by the Commissioner was not paid.
The information required by a notice under subsection (1) is to be provided:
in a form (including an electronic form) approved by the Commissioner; and
within the period specified in the notice.
In this section, the following terms have the same meanings as in the Private Health Insurance Act 2007:
complying health insurance policy
general treatment
hospital treatment
private health insurer
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