Better health and ageing for all Australians

Private health insurance circulars

PHI 44/11

This circular issued by the Private Health Insurance Branch contains information on Private Health Insurers' Second Tier Default Benefit Rates Annual Audit

In this section:

Printable version of 44/11 (PDF 20 KB)

27 June 2011

Private Health Insurers' Second Tier Default Benefit Rates Annual Audit

Private health insurers are reminded that annual lists of un-audited Second Tier Default Benefit rates, from 1 September 2011 to 30 August 2012, are due to the Department of Health and Ageing by 31 August 2011.

The audited rates, along with a statement from the auditor stating that the rates have been calculated in accordance with Schedule 5 of the Private Health Insurance (Benefit Requirements) Rules 2010, are due to the Department and the Private Health Insurance Administration Council (PHIAC) by 30 September 2011.

This requirement is contained in Part 7 of the Administrative Arrangements for the Second Tier Default Benefits for Overnight and Day Only Treatment (see attachment to Circular PHI 30/10) and is designed to facilitate the operation of Schedule 5 of the Private Health Insurance (Benefit Requirements) Rules 2010 made under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.

In order to reduce the amount of paper used to meet this requirement, it is preferred that both the un-audited and the audited rates (along with the statement from the auditor), be emailed to Ann Mulholland

If an electronic version is not available, a hardcopy of the second tier listing should be printed, double-sided if possible, and posted to:

Ms Ann Mulholland
Quality and Communications Section
Private Health Insurance Branch
Department of Health and Ageing
MDP 954
GPO Box 9848
CANBERRA ACT 2601
    Please email only audited second tier listings to PHIAC or, if unable to email, post to:

    PHIAC
    Suite 16, 1st Floor
    71 Leichhardt Street
    KINGSTON ACT 2601

    For further information on any of these matters please contact Ms Ann Mulholland on 02 6289 9833.

    If you require further information please telephone: (02) 6289 9853/24 hr answering machine or email the enquiry to Private Health Insurance Branch

    For more information visit 2011 Private Health Insurance (PHI) Circulars.

    Changing your e-mail address? No longer want circulars? Please email Private Health Insurance Branch

    Help with accessing large documents

    When accessing large documents (over 500 KB in size), it is recommended that the following procedure be used:

    1. Click the link with the RIGHT mouse button
    2. Choose "Save Target As.../Save Link As..." depending on your browser
    3. Select an appropriate folder on a local drive to place the downloaded file

    Attempting to open large documents within the browser window (by left-clicking) may inhibit your ability to continue browsing while the document is opening and/or lead to system problems.

    Help with accessing PDF documents

    To view PDF (Portable Document Format) documents, you will need to have a PDF reader installed on your computer. A number of PDF readers are available through the Australian Government Information Management Office (AGIMO) Web Guide website.