Australian Government - Private Health Insurance Administration Council

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In this section...

  • Home
    • For Industry
      • Regulatory Framework
      • Forms
      • Regulatory Activities
      • Industry Statistics
      • Discussion Papers
      • Education Programs
      • Memorandum of Understanding
      • Industry Survey

Forms

Home » For Industry » 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 or contact details (cgeoff002)

Officer and Director Listing

Application for registration as a private health insurer (appreg001)

  • Supporting documentation requirements (New Insurer) (appreg002)

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

  • Supporting documentation requirements (Existing Insurer) (appreg004)

Notification of change of registration status (cgests001)

  • Change of status - Supporting documentation requirements (cgests002)

Application for conversion to for-profit status (cgests003)

  • Conversion to for-profit status - Supporting documentation requirements (cgests004)
  • Conversion to for-profit status - Practice Notes

Notification of establishment of health benefits fund (newhbf001)

  • Health benefit fund establishment - Supporting documentation requirements (newhbf002)

Application for restructure of a health benefits fund (hbfres001)

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

  • Termination of health benefit fund - Supporting documentation requirements (hbfter002)

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

  • Merger/acquisition - Practice Notes

  • Compliance Checklist

  • Example Deed of Arrangement in Word format

Annual Survey

Protecting consumers of private health insurance by ensuring an industry which is competitive, efficient and financially sound.
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