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Forms

Current version of PHIAC forms

PHIAC 1 , PHIAC 1 Field Names , PHIAC 1 Validation, PHIAC 1 Mapping

PHIAC 2

PHIAC 3

PHIAC 4

Notification of change of CEO (cgeoff001)

Notification of change of Director  (cgeoff002)

Officer and Director Listing

Application for registration as a private health insurer (appreg001)

• Supporting documentation requirements (appreg002)

Application by existing insurer for registration as a private health insurer (appreg003)

• Supporting documentation requirements (appreg004)

Notification of change of registration status (cgests001)

• Supporting documentation requirements (cgests002)

Application for conversion to for-profit status (cgests003)

• Supporting documentation requirements (cgests004)
• Practice Notes

Notification of establishment of health benefits fund (newhbf001)

• Supporting documentation requirements (newhbf002)

Application for restructure of a health benefits fund (hbfres001)

Application for approval of termination of a health benefits fund (hbfter001)

• Supporting documentation requirements (hbfter002)

Application for the approval of a merger or acquisition arrangement (meracq001)

• Practice Notes

• Compliance Checklist

• Example Deed of Arrangement in Word format

Annual Survey