Health Insurance Act 1994

F50[Provision of information.

7B

7B. (1) In this section—

"any insured person concerned" means any person who is a party to or named in the health insurance contract referred to in subsection (3) (other than the requester);

"the first-mentioned undertaking" shall be construed in accordance with subsection (2);

"the requester" shall be construed in accordance with subsection (2).

(2) The Minister may by regulations require each registered undertaking ("the first-mentioned undertaking") to furnish to another registered undertaking ("the requester"), if—

(a) the requester needs the statement for the purposes referred to in subsection (3),

(b) the requester makes a request for the statement, and

(c) the information concerned is in the possession of, or may reasonably be procured by, the first-mentioned undertaking, a statement in writing of—

(i) the period or periods during which any insured person concerned was a party to or named in a health insurance contract effected with the first-mentioned undertaking,

(ii) unless a statement of this matter would fall to be provided under subparagraph (iii), the extent to which the first-mentioned undertaking could have been required to discharge or pay fees or charges in relation to hospital accommodation under the health insurance contract lastly effected by it, being a contract to or in which any insured person concerned was a party or named,

(iii) in respect of each (if any) health insurance contract effected by the first-mentioned undertaking, being a contract to or in which any insured person concerned was a party or named and under which the undertaking required or could have required the payment of a premium of an amount referred to in section 7A(2), the extent to which the undertaking could have been required under that contract to discharge or pay fees or charges in relation to hospital accommodation, and

(iv) such other matters as may be prescribed for the purpose of facilitating compliance by the requester with section 7A.

(3) The purposes mentioned in subsection (2) are the determination by the requester of the amount of the relevant increase (within the meaning of section 7A) it proposes to require a person to pay to it under a health insurance contract to be effected or effected by it with that person.]

Annotations:

Amendments:

F50

Inserted (9.06.2009) by Health Insurance (Amendment) Act 2001 (17/2001), s. 7, S.I. No. 212 of 2009.

Editorial Notes:

E48

Power pursuant to section exercised (1.09.2018, 1.11.2018, 1.02.2019) by Health Insurance Act 1994 (Determination of Relevant Increase under section 7A and Provision of Information under section 7B) (Amendment) Regulations 2018 (S.I. No. 224 of 2018), in effect as per reg. 2(a), (b).

E49

Power pursuant to section exercised (1.08.2014) by Health Insurance Act 1994 (Determination of Relevant Increase under section 7A and Provision of Information under section 7B) Regulations 2014 (S.I. No. 312 of 2014), in effect as per reg. 2.