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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 34.5

Increased premiums for person who ceases to have hospital cover after his or her lifetime health cover base day

  (1)   A private health insurer must increase the amount of premiums payable for * hospital cover in respect of an * adult if, after the adult's * lifetime health cover base day, the adult ceases to have hospital cover.

  (2)   The amount of the increase is worked out as follows:

    Start formula Years without hospital cover times 2% times *Base rate end formula

where:

"base rate" is the * base rate for the * hospital cover.

"years without hospital cover" is the number obtained by:

  (a)   dividing by 365 the number of days (other than * permitted days without hospital cover), after the first day on which subsection   (1) applied to the * adult, on which he or she did not have * hospital cover; and

  (b)   rounding up the result to the nearest whole number.

  (3)   Any increase under this section in the amount of premiums payable for * hospital cover is in addition to any increase under section   34 - 1 in the amount of premiums payable for that hospital cover.



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