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PRIVATE HEALTH INSURANCE (PRUDENTIAL SUPERVISION) ACT 2015 - SECT 23

Private health insurers must have health benefits funds

  (1)   A private health insurer must at all times have at least one health benefits fund in respect of:

  (a)   its health insurance business; or

  (b)   its health insurance business and some or all of its health - related businesses.

  (2)   A private health insurer may have more than one health benefits fund, but must not have more than one in respect of a particular risk equalisation jurisdiction.

  (3)   Despite subsection   (2), a private health insurer may have more than one health benefits fund in respect of a particular risk equalisation jurisdiction if:

  (a)   each of those funds is a fund (a pre - 1   April 2007 fund ):

  (i)   that existed on 1   April 2007; and

  (ii)   that, immediately before that day, was conducted by a registered organization (within the meaning of the National Health Act 1953 as in force before that day); or

  (b)   each of those funds, other than one of them, is a pre - 1   April 2007 fund and that one other fund was established in connection with a restructure of funds approved under:

  (i)   Division   4 of this Part; or

  (ii)   Division   146 of the Private Health Insurance Act 2007 as in force before the commencement of this section.

  (4)   Despite subsection   (2), a private health insurer may have more than one health benefits fund in respect of a particular risk equalisation jurisdiction in circumstances specified in Private Health Insurance (Health Benefits Fund Policy) Rules made for the purpose of subsection   131 - 20(2) of the Private Health Insurance Act 2007 .



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