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PRIVATE HEALTH INSURANCE (PRUDENTIAL SUPERVISION) ACT 2015 (NO. 85, 2015) - SECT 4

Interpretation

             (1)  In this Act:

"ADI " means an authorised deposit-taking institution within the meaning of the Banking Act 1959 .

"application provision " : see subsection 65(2).

"applied Corporations Act provision " : see subsection 65(3).

"appointed actuary " of a private health insurer means the person appointed as the actuary of the insurer in accordance with Division 2 of Part 5.

"approved form " : see section 172.

"APRA " means the Australian Prudential Regulation Authority.

"APRA rules " : see subsection 174(1).

"APRA staff member " has the same meaning as in the Australian Prudential Regulation Authority Act 1998 .

"assets " of a health benefits fund: see section 26.

"chief executive officer " of a private health insurer means the person who is primarily and directly responsible to the directors of the insurer for the general and overall management of the insurer.

"civil penalty order " : see subsection 156(2).

"complying health insurance policy " has the same meaning as in the Private Health Insurance Act 2007 .

"complying health insurance product " has the same meaning as in the Private Health Insurance Act 2007 .

"constitutional corporation " means a corporation to which paragraph 51(xx) of the Constitution applies.

"cover , in relation to an insurance policy, has " the same meaning as in the Private Health Insurance Act 2007 .

"declaration of contravention " means a declaration under subsection 155(1).

"dependent child " has the same meaning as in the Private Health Insurance Act 2007 .

"director " has the same meaning as in the Corporations Act 2001 .

"disqualified person " : see sections 119 and 121.

"enforceable obligation " means any of the following:

                     (a)  a provision of this Act;

                     (b)  a direction given under this Act;

                     (c)  a provision of the risk equalisation levy legislation;

                     (d)  if the registration of a private health insurer is subject to terms and conditions (see subsection 15(1))--those terms and conditions;

                     (e)  in the case of a restricted access insurer--a provision included in the insurer's constitution or rules in order to comply with subsection 15(3).

Note:          References to this Act include prudential standards and APRA rules (see the definition of this Act in this subsection).

"external administration " means administration or control (however described) by an external administrator.

"external administrator " means:

                     (a)  any of the following, within the meaning of the Corporations Act 2001 :

                              (i)  a liquidator or provisional liquidator;

                             (ii)  a receiver, manager, managing controller, receiver and manager or other controller;

                            (iii)  an administrator or a scheme manager; or

                     (b)  a person who performs a similar role to a person referred to in subparagraph (a)(i), (ii) or (iii), whether under a law of the Commonwealth, or of a State or Territory, or otherwise;

but does not include an external manager or terminating manager.

"external management " means management, by an external manager, under Divisions 6 and 8 of Part 3.

"external manager " , in relation to a health benefits fund, means a person appointed under section 51 as the external manager of the fund.

"Federal Court " means the Federal Court of Australia.

"for profit insurer " means a private health insurer that is registered under Division 3 of Part 2 as a for profit insurer.

"health benefits fund " has the same meaning as in the Private Health Insurance Act 2007 .

"Health Department " means the Department administered by the Health Minister.

"health insurance business " has the same meaning as in the Private Health Insurance Act 2007 .

"Health Minister " means the Minister administering the Private Health Insurance Act 2007 .

"health-related business " has the same meaning as in the Private Health Insurance Act 2007 .

"Health Secretary " means the Secretary of the Health Department.

"improper discrimination " has the same meaning as in the Private Health Insurance Act 2007 .

"inspector " means a person appointed under section 130 to be an inspector.

"insurance " has the same meaning as in paragraph 51(xiv) of the Constitution.

"investigation warrant " : see subsection 136(1).

"lawyer " means a duly qualified legal practitioner and, in relation to a person, means such a practitioner acting for the person.

"makes a permitted capital payment " : see subsection 27(3).

"manager " , in relation to a health benefits fund, means an external manager or terminating manager of the fund.

"net asset position " of a health benefits fund means the difference between:

                     (a)  the assets of the fund; and

                     (b)  the policy liabilities and other liabilities of the fund that the private health insurer conducting the fund has incurred for the purposes of the fund.

"officer " of a private health insurer means:

                     (a)  a director of the insurer; or

                     (b)  a chief executive officer of the insurer; or

                     (c)  any other person who has or exercises senior management responsibilities (within the meaning of prudential standards) for the insurer.

"penalty " includes forfeiture or punishment.

"personal information " has the same meaning as in the Privacy Act 1988.

"policy group " of a health benefits fund: see subsection 32(7).

"policy holder " of a health benefits fund has the same meaning as in the Private Health Insurance Act 2007 .

"policy liability " of a private health insurer means:

                     (a)  a liability that has arisen under an insurance policy; or

                     (b)  a liability that, subject to the terms and conditions of an insurance policy, will arise on the happening of an event, or at a time, specified in the policy.

"premises " includes the following:

                     (a)  a structure, building, vehicle, vessel or aircraft;

                     (b)  a place (whether or not enclosed or built on);

                     (c)  a part of a thing referred to in paragraph (a) or (b).

"Private Health Insurance Ombudsman " has the same meaning as in the Private Health Insurance Act 2007 .

"private health insurer " means a body that is registered under Division 3 of Part 2.

"proceeding " means:

                     (a)  a proceeding in a court; or

                     (b)  a proceeding or hearing before, or an examination by or before, a tribunal;

whether the proceeding, hearing or examination is of a civil, administrative, criminal, disciplinary or other nature.

"prudential matters " : see subsection  92(2) .

"prudential standards " : see subsection 92(1).

"referable " has the same meaning as in the Private Health Insurance Act 2007 .

"responsible insurer " means:

                     (a)  for a health benefits fund that is under external management--the private health insurer that was conducting the fund prior to the appointment of the external manager of the fund; or

                     (b)  for a health benefits fund that is under terminating management--the private health insurer that was conducting the fund prior to the appointment of the terminating manager of the fund.

"restricted access group " : see subsection 15(4).

"restricted access insurer " means a private health insurer that is registered under Division 3 of Part 2 as a restricted access insurer.

"risk equalisation jurisdiction " has the same meaning as in the Private Health Insurance Act 2007 .

"risk equalisation levy legislation " means any of the following:

                     (a)  the Private Health Insurance (Risk Equalisation Levy) Act 2003 ;

                     (b)  the provisions of the Private Health Insurance Act 2007 , as they apply in relation to:

                              (i)  levy imposed under the Private Health Insurance (Risk Equalisation Levy) Act 2003 ; or

                             (ii)  the Risk Equalisation Special Account.

"Risk Equalisation Special Account " has the same meaning as in the Private Health Insurance Act 2007 .

"rules " of a private health insurer has the same meaning as in the Private Health Insurance Act 2007 .

"search powers " means powers to search for, inspect, take extracts from, and make copies of, documents.

"State insurance " has the same meaning as in paragraph 51(xiv) of the Constitution.

"statutory functions and duties " of an actuary of a private health insurer: see subsection 107(2).

"terminating management " means management, by a terminating manager, under Divisions 5 and 8 of Part 3.

"terminating manager " , in relation to the health benefits funds of a private health insurer, means a person appointed under Division 5 or 7 of Part 3 as the terminating manager of the funds.

"termination day " , in relation to the health benefits funds of a private health insurer: see subsection 40(2).

"this Act " includes prudential standards and APRA rules.

"voluntary deed of arrangement " means:

                     (a)  a deed of arrangement agreed on at a meeting of a kind referred to in section 58; or

                     (b)  such a deed as varied in accordance with APRA rules made for the purpose of this paragraph.

             (2)  To avoid doubt, a reference in this Act to another Act includes a reference to any regulations, rules, standards or other instruments made, and to any conditions imposed, under that other Act.

Note:          For example:

(a)    a reference to the Private Health Insurance Act 2007 includes a reference to rules made under that Act; and

(b)    a reference to the Financial Sector (Collection of Data) Act 2001 includes a reference to reporting standards made under that Act.



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