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Operations Of The Private Health Insurers Annual Report 2006-07
Index
Index
Page(s)

A

Accommodation benefits

53

Acronyms and abbreviations

viii

Acute patients

60

Age based pool

71, 144

Ambulance only

35, 40

Approved forms

16

Assets

26, 79, 88

Audit certificate

73

Audit of HBRTF and RETF

27

Average age

25, 44

Average days per privately insured

49

B

Benefits

59, 78

Benefits by hospital type

67

Benefits paid

61, 66, 94

Benefits paid per SEU

66

Benefits per service

53

C

Capital Adequacy Standard

14

Changes in medical services and benefits reporting

2

Chronic disease management program

1, 43, 47, 50

CommissionerŐs overview

3

Community rating

10, 71

Contact details

153

D

Day hospital facilities

46, 60

Day-only days

46

Day-only episodes

43

Day-only facilities

43

Day-only stays by type of hospital

49

E

Equity

88

Excess and co-payment

33, 38

Exclusionary and non-exclusionary

34, 39

F

Financial position of insurers

88

Financial statistics

78

For-profit insurers

82

Fund benefits paid

84

Fund review program

3, 19

G

Gap cover scheme

62, 69

General treatment benefits

54, 56, 59, 64, 66, 68

General treatment coverage

29, 34, 39

General treatment episodes

47

General treatment services

51

General treatment tables

34

Glossary

144

Gross margin

84

Guidelines to managing supervision and intervention

18

H

Health Benefits Fund Enforcement Rules

12

Health Benefits Reinsurance Trust Fund

71

Health related business

27, 92

HIB contribution income

26, 78, 84, 94

HIB expenses

84

High cost claimants pool

72, 146

Hospital benefits

59, 60

Hospital benefits paid per episode

53

Hospital days, by hospital type

46

Hospital treatment cover by age

31

Hospital treatment coverage

29, 32, 37

Hospital treatment services and episodes

43, 48

Hospital treatment, days per insured person

44

hospital-substitute

1, 43, 46, 48

HRB Expenses

92

HRB revenue

84, 92

I

Industry overview

25

Industry results

5, 25

Insurer Obligations Rules

14

Investments

88

L

Legislation index

134

Length of stay

44, 45

Letter of transmittal

iii

Levies

14

Liabilities

88

Lifetime health cover

59

Listed prostheses

54, 56, 61, 63, 68

M

Management expenses

78, 110

Market share

25

Medical benefits

61, 62

Medical services

48, 54, 62

Medicare rebate

62

Membership statistics

25, 29, 36

Membership statistics by organisation

112

Membership statistics by state

114

Minister's Rules

12

N

Net margin

84

New legislation

3, 9

Not-for-profit insurers

82

Number of private health insurers

25

Nursing home type patients

60

O

Open membership insurers

25, 82

Overseas visitors health cover

27

P

Penalty units

143

PHIAC Rules

13

Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007

11

Private Health Insurance Act 2007

9

Public hospital facilities

46

R

Regulations

11

Regulatory action

25

Regulatory environment

9

Reinsurance

2, 72

Reinsurance and risk equalisation payments

73

Reinsurance benefits

73

Reinsurance hospital benefits paid

75

Re-registration

20

Reserves

88

Restricted access insurers

25, 82

Risk equalisation

2, 6, 27, 71

Risk Equalisation Administration Rules

14

Risk equalisation benefits

73, 76

S

Schedule fee

60, 62

SEUs

Solvency Standard

13

State levies

78, 84

Summary of HBRTF and RETF

126

Symbols

viii

T

Transfer between insurers

72

U

Utilisation

43

W

Website

153


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Last modified: 22 July, 2005