Comply with Private Health Insurance Act 2007 + APRA rules
Private health insurers regulated by APRA + PHIO; community rating, complaints + claims rules apply.
Who must comply
Private health insurers.
What triggers it
Carrying on private health insurance business.
When due
Continuous.
Evidence required
Product disclosure statements, complaint records, APRA reporting, PHIO engagement.
Max penalty
APRA enforcement, civil penalties under PHI Act, registration consequences
Summary
The Private Health Insurance Act 2007 sets community rating, lifetime health cover loading, product disclosure + complaint-handling rules. APRA supervises prudential aspects; the Private Health Insurance Ombudsman handles individual complaints.
Enforced by
Source legislation
Industries
Topics
Source: https://apra.gov.au/private-health-insurance. Rules Mate is not a law firm. Always verify against the live regulator source before acting.