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Independent Auditor's Report

General PHIAC Circulars

Circular No 87

INDEPENDENT AUDITOR'S REPORT

To the Private Health Insurance Administration Council

Scope

We have audited the attached quarterly statistical returns (Form PHIAC 1) of ______________________________________________________("the Fund") for the four quarters ending 30 June 19____. The management of the Fund is responsible for the preparation and presentation of the PHIAC 1 returns and the information contained therein. We have conducted an independent audit of the PHIAC 1 returns in order to express an opinion on them to the Private Health Insurance Administration Council ("Council").

The PHIAC 1 returns have been prepared so that Council may record the Fund's membership and benefits information for reinsurance and statistical purposes. We disclaim any assumption of responsibility for any reliance on this report or on the PHIAC 1 returns to which it relates to any person other than Council, or for any purpose other than that for which it was prepared.

Our audit has been conducted in accordance with Australian Auditing Standards. Our procedures included examination, on a test basis, of evidence supporting the amounts and other disclosures in the PHIAC 1 returns including the systems and procedures used by the Fund to process and maintain membership records and benefits paid. These procedures have been undertaken to form an opinion as to whether, in all material respects, the PHIAC 1 returns are presented fairly in accordance with the provisions of the National Health Act and the reinsurance principles approved by the Minister for Health and Aged Care.

The detailed program adopted to carry out the audit is:

1. that provided by Council with PHIAC Circular No. 87, or

2. specifically approved by the Commissioner as an acceptable alternative to the program provided with PHIAC Circular 87.

(Include relevant statement)

The audit opinion expressed in this report has been formed on the above basis.

Audit Opinion

In our opinion:

1. the information contained in the PHIAC 1 returns accurately reflect the data contained in the books and records of the Fund, and

2. the books and records of the Fund have been accurately compiled so as to fairly state:

   1. the number of single, family, couples, and single parent family contributors to the tables of the Fund;

   2. the number of persons covered by policies held by contributors to the tables of the Fund; and

   3. the Fund's Reinsurance Benefits and Total Benefits paid during the quarterly periods;

in accordance with the provisions of Sections 73BB and 73BC of the National Health Act 1953 and the reinsurance principles approved by the Minister for Health and Aged Care.

3. Where the organisation received a qualified audit report in relation to the previous financial year we have examined the issues identified and are satisfied that the organisation has taken the appropriate steps to rectify the matters raised in that report.

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