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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 or other officer (cgeoff002)

Officer and Director Listing

Application for registration as a private health insurer (appreg001)

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

Notification of change of registration status (cgests001)

Application for conversion to for-profit status (cgests003)

Notification of establishment of health benefits fund (newhbf001)

Application for restructure of a health benefits fund (hbfres001)

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

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

Annual Survey

 

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Private Health Insurance Administration Council

Suite 16, Level 1, 71 Leichhardt Street, KINGSTON ACT 2604
Telephone 02 6215 7900 | Facsimile 02 6215 7977 | Email phiac@phiac.gov.au

 

Last modified: 15 January, 2008