Health Insurance Act 1994

F95[Application of Risk Equalisation Scheme.

11B

11B.(1) Subject to subsection (2), the Risk Equalisation Scheme shall apply to—

(a) each registered undertaking, and

(b) each undertaking that has ceased to be a registered undertaking but was a registered undertaking at any time when the Scheme was in force.

(2) The Risk Equalisation Scheme shall not apply to a restricted membership undertaking.

(3) The Risk Equalisation Scheme shall not apply to so much of the activities of a registered undertaking as consist of effecting health insurance contracts where such a contract—

(a) either of itself or as construed with any linked or related other health insurance contract, makes no provision for the making of in-patient indemnity payments, or

(b) relates solely to the public hospital daily in-patient charges made under the Health (In-patient Charges) Regulations 1987 (S.I. No. 116 of 1987).]

Annotations:

Amendments:

F95

Inserted (26.12.2012) by Health Insurance (Amendment) Act 2012 (45/2012), s. 15, commenced on enactment.