Product A and Product D - as a combination Field Data Entry Guidelines Example Select from the drop down list the State or Territory in which the product is Drop down list: available. This should be consistent with the risk equalisation jurisdiction for NSW APRA reporting with the exception of NSW/ACT. It is recognised that NSW and ACT ACT products must be identically priced and packaged and therefore much of NT the information provided will be identical (e.g. product code, product name, 2017 QLD monthly premium). However, some information will be different depending upon SA whether the policyholders reside in NSW or ACT (e.g. total number of people TAS covered by this product). Each State/Territory must be recorded separately (i.e. VIC if the same product is available in multiple states do not record in the same row WA as NSW/ACT/VIC but in individual rows). Product Code in full the unique product identification code for the product, exactly as AAA/H9/Z0000T generated in the Standard Information Statement by privatehealth.gov.au (i.e. do not truncate by omitting insurer identifier component of code). This includes products that are closed, or have zero policies, or zero people. Product Name Enter the product name. If the name is duplicated across products, do not leave Gold Extras Cover any rows blank, but instead enter the identical name for each product. As far as possible, this should be consistent with the information recorded in the Standard Information Statement for the product. Where the product name will be changing, enter the recent name rather than the proposed new name. Product Status Select from the drop down list whether the product is open (available for Drop down list: purchase) or closed (not available for purchase by new members) as at 30 Open September 2016. Closed Corporate Product Statement Enter the corporate product statement. This should be consistent with the Employees/Members of organisations with information recorded in the Standard Information Statement for the product with arrangements with health insurer that particular unique product identification code. If the product is not a OR corporate product then leave blank. Employees/Members of [insert company/organisation name] OR Blank Product Type Select from the drop down list the product type. Do not use values that are not Drop down list: in the drop down list. Hospital = Hospital treatment only General = General treatment only Combined = Combined Hospital and General Treatment Ambulance = AmbulanceOnly
Product A and Product D - as a combination Field Data Entry Guidelines Example Select from the drop down list the State or Territory in which the product is available. This should be consistent with the risk equalisation jurisdiction for APRA reporting with the exception of NSW/ACT. It is recognised that NSW and ACT products must be identically priced and packaged and therefore much of the information provided will be identical (e.g. product code, product name, 2017 monthly premium). However, some information will be different depending upon whether the policyholders reside in NSW or ACT (e.g. total number of people covered by this product). Each State/Territory must be recorded separately (i.e. if the same product is available in multiple states do not record in the same row as NSW/ACT/VIC but in individual rows). Drop down list: NSW ACT NT QLD SA TAS VIC WA Product Code in full the unique product identification code for the product, exactly as generated in the Standard Information Statement by privatehealth.gov.au (i.e. do not truncate by omitting insurer identifier component of code). This includes products that are closed, or have zero policies, or zero people. AAA/H9/Z0000T Product Name Enter the product name. If the name is duplicated across products, do not leave any rows blank, but instead enter the identical name for each product. As far as possible, this should be consistent with the information recorded in the Standard Information Statement for the product. Where the product name will be changing, enter the recent name rather than the proposed new name. Gold Extras Cover Product Status Select from the drop down list whether the product is open (available for purchase) or closed (not available for purchase by new members) as at 30 September 2016. Drop down list: Open Closed Corporate Product Statement Enter the corporate product statement. This should be consistent with the information recorded in the Standard Information Statement for the product with that particular unique product identification code. If the product is not a corporate product then leave blank. Employees/Members of organisations with arrangements with health insurer OR Employees/Members of [insert company/organisation name] OR Blank Product Type Select from the drop down list the product type. Do not use values that are not in the drop down list. Drop down list: Hospital = Hospital treatment only General = General treatment only Combined = Combined Hospital and General Treatment Ambulance = AmbulanceOnly
Attachment%20B%20-%202018%20Premium%20application%20Form.docx