Commonwealth Consolidated Acts

PRIVATE HEALTH INSURANCE ACT 2007 - SECT 66.1

             (1)  An insurance policy meets the community rating requirements in this Division if:

                     (a)  the policy prohibits the private health insurer that issued the policy from breaching the principle of community rating in section 55-5 in relation to a person insured under the policy; and

                     (b)  the policy has no terms or conditions that would allow the insurer to * improperly discriminate against a person insured under the policy; and

                     (c)  the only discounts (if any) available under the policy are discounts allowed under subsection 66-5(2); and

                     (d)  unless the policy is issued under a new * product (see subsection (2))--the premiums payable under the policy meet the premium requirement in section 66-5.

             (2)  For the purposes of paragraph (1)(d), an insurance policy is issued under a new * product if the amount of premiums charged under policies in the product has not changed since the first policy in the product was issued.