Health Insurance Act 1994
Number 16 of 1994
HEALTH INSURANCE ACT 1994
REVISED
Updated to 1 January 2025
This Revised Act is an administrative consolidation of the Health Insurance Act 1994. It is prepared by the Law Reform Commission in accordance with its function under the Law Reform Commission Act 1975 (3/1975) to keep the law under review and to undertake revision and consolidation of statute law.
All Acts up to and including the Family Courts Act 2024 (48/2024), enacted 13 November 2024, and all statutory instruments up to and including the European Union (Mercury) (Amendment) Regulations 2024 (S.I. No. 754 of 2024), made 19 December 2024, were considered in the preparation of this Revised Act.
Disclaimer: While every care has been taken in the preparation of this Revised Act, the Law Reform Commission can assume no responsibility for and give no guarantees, undertakings or warranties concerning the accuracy, completeness or up to date nature of the information provided and does not accept any liability whatsoever arising from any errors or omissions. Please notify any errors, omissions and comments by email to
revisedacts@lawreform.ie.
Number 16 of 1994
HEALTH INSURANCE ACT 1994
REVISED
Updated to 1 January 2025
ARRANGEMENT OF SECTIONS
Preliminary and General
Section |
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Principal objective of Minister and Authority in performing respective functions under Act. |
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Certain arrangements by employers to constitute health insurance contracts. |
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Health Insurance Contracts
Registration of Health Insurance Undertakings
Enforcement Notices
Application for cancellation of direction specified in enforcement notice. |
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Appointment and Powers of Authorised Officers
The Health Insurance Authority
The Health Insurance Authority
European Union Framework for State Aid in the Form of Public Service Compensation (2011) (2012/C8/03)
Amount Specified for Purposes of Definition of "Hospital Bed Utilisation Credit"
Amount of Premium to be paid from Fund in Respect of Certain Classes of Insured Person Based on Age and Sex of Insured Persons and their Type of Insurance Cover on Date Contract is Effected
Amount And Percentage Specified For Purposes Of Definitions Relating To High Cost Claims
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Number 16 of 1994
HEALTH INSURANCE ACT 1994
REVISED
Updated to 1 January 2025
AN ACT TO REGULATE FURTHER, IN THE INTERESTS OF THE COMMON GOOD, THE PROVISION OF VOLUNTARY HEALTH INSURANCE SO AS TO PROVIDE, INTER ALIA, FOR THE ESTABLISHMENT OF THE HEALTH INSURANCE AUTHORITY, FOR THE ESTABLISHMENT OF SCHEMES FOR THE EQUALISATION OF RISKS BETWEEN HEALTH BENEFITS UNDERTAKINGS, FOR A MINIMUM RANGE OF COVER UNDER SUCH INSURANCE, FOR UNIFORMITY OF THE PREMIUMS CHARGED BY EACH PARTICULAR SUCH UNDERTAKING IN RESPECT OF SPECIFIED RANGES OF SUCH COVER AND FOR THE ESTABLISHMENT OF A REGISTER OF SUCH UNDERTAKINGS AND TO PROVIDE FOR RELATED MATTERS. [30th June, 1994]
BE IT ENACTED BY THE OIREACHTAS AS FOLLOWS: