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PRIVATE HEALTH INSURANCE (PRUDENTIAL SUPERVISION) ACT 2015 - SECT 27

Payments to health benefits funds

  (1)   A private health insurer must credit the following amounts to a health benefits fund:

  (a)   premiums payable under policies of insurance that are referable to the fund;

  (b)   amounts paid to the insurer in relation to a liability under Division   9 in relation to the fund;

  (c)   income from the investment of assets of the fund;

  (d)   money paid to or by the insurer under a judgment of a court relating to any matter concerning the business of the fund or any failure to comply with this Part   in relation to the fund;

  (e)   any other money received by the insurer in connection with its conduct of the business of the fund;

  (f)   any other amounts specified in APRA rules made for the purpose of this paragraph.

  (2)   This Act does not prevent a private health insurer from making a permitted capital payment to a health benefits fund.

  (3)   A private health insurer makes a permitted capital payment to a health benefits fund if it credits to the fund an amount that:

  (a)   is not required to be credited to the fund under subsection   (1); and

  (b)   either:

  (i)   does not represent any part of the assets of another health benefits fund; or

  (ii)   is credited to the fund with APRA's written approval.

Note:   Refusals to approve the crediting of an amount to a fund are reviewable under section   168.

  (4)   An approval under subparagraph   (3)(b)(ii) is not a legislative instrument.



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