Chapter 2
Principal issues
2.1
The bills follow consultation undertaken by Treasury with industry
stakeholders on an exposure draft bill. Submitters noted that many, or all, of
their key concerns have been addressed following this consultation.[1]
However, stakeholders advised that certain issues of concern to them have not
been addressed in the bills or have arisen following the consultation. This
chapter examines the issues raised in submissions. In this chapter, the
committee's findings and recommendations that address a specific matter
immediately follow the discussion of that matter. The committee's overall
conclusion is at the end of this chapter.
Efforts to harmonise regulation
2.2
The explanatory memorandum noted that the bills replicate elements of
the current PHI Act regime 'with some modifications'. The modifications:
...harmonise certain provisions with other legislation
administered by APRA, reduce duplication, update investigation powers to bring
them more into line with the Regulatory Powers (Standard Provisions) Act
2014...and allow the regime to operate more efficiently.[2]
2.3
The Assistant Treasurer noted that the harmonisation of the private
health insurance (PHI) industry regulatory arrangements with APRA's existing
legislative framework 'is consistent with the government's deregulation
agenda'.[3]
2.4
Submitters expressed some concern about the efforts to harmonise the
regulation of the PHI industry with other industries supervised by APRA.
In particular, submitters questioned whether the proposed legislation
takes adequate account of the difference in risk presented by the PHI industry
compared to other regulated sectors.
2.5
Private Healthcare Australia submitted that, in response to the efforts
to seek consistency between the industries APRA regulates, the PHI industry has
'[w]herever possible, and for the most part, compromised and accepted APRA's
"consistency" positions'. However, Private Healthcare Australia
considered that the drive for consistency 'is likely to result in an increase
in red tape' for the PHI industry. Private Healthcare Australia added:
PHI is a 'social' not 'financial' good, with very different
underpinnings from other industries regulated by APRA. Unlike other industries,
PHI has had NO major failures that have impacted detrimentally on consumers. In
fact, a number of consumer protections provisions are inbuilt into product
design and operation of private health insurance (eg community rating,
portability, etc.) outside of the pure prudential framework.[4]
2.6
Similarly, Bupa argued that the 'level of prudential regulation should
be proportionate to the risk'. Bupa submitted that the risk in the PHI industry
is significantly lower. Bupa stated:
...unlike the risk of a collapse of a life insurer or
superannuation fund, the risk to consumers of a collapse of a private health
insurer would be minimal due to a combination of regulatory framework including
community rating, portability, the risk equalisation pool and the existence of
a high quality universal public health system.[5]
2.7
In its submission, APRA advised that it has consulted with the PHI
industry on draft prudential standards, rules and reporting standards.[6]
APRA assured the committee that the prudential standards 'are based on the
principle of minimal change from the existing PHIAC equivalent requirements'.
APRA noted:
This means that there will be little disruption for the
private health insurance industry, as substantively the same prudential
regulatory requirements will apply following the transfer of PHIAC's prudential
supervision responsibilities to APRA.[7]
2.8
APRA added that, as a result of its consultation on the draft prudential
standards, rules and reporting standards, amendments that deal with technical
matters will be made where appropriate.[8]
Savings expected as a result of the changes
2.9
By reducing the duplication of government agencies, the bills are
expected to result in savings for industry. However, industry submitters
questioned when the industry would benefit from the expected savings. In
particular, it was noted that despite the reduction in the numbers of PHIAC
staff, the abolition of PHIAC officeholder positions and likely back-office
efficiencies, APRA has proposed that the levies will remain unchanged for the
2015–16 year.[9]
Bupa submitted that there 'appears to be no plan to deliver cost efficiencies
to the industry in the short term as a result of the merger'.[10]
2.10
The Department of Health submitted that the implementation of the bills
is expected to generate savings for the PHI industry, compared to costs that
would have otherwise been faced. These savings will arise from increased
efficiencies and reduced back-office expenses. However, the Department
emphasized that these savings will occur 'over time'. The Department provided
the following explanation:
Before these savings can be realised...a number of expenses
related to the transfer of functions to APRA must be dealt with. Once all of
these transitional expenses have been finalised any administrative savings will
be passed onto industry.[11]
2.11
Treasury added that APRA's ongoing supervisory costs for the PHI
industry 'will be transparently communicated in the Government's annual
consultation paper on the Financial Institutions Supervisory Levies'. Treasury
noted that this process:
...will provide the private health insurance industry with the opportunity
to engage with the Government on the industry's total levy payable, as well as
the distribution of the levy within the private health insurance industry.[12]
Application of the Financial Sector (Collection of Data) Act 2001
2.12
Under section 3 of the Financial Sector (Collection of Data) Act 2001
(FS(CoD) Act), APRA may collect information for the purpose of:
-
assisting the prudential regulation or monitoring of bodies in
the financial sector;
-
enabling APRA to publish information;
-
assisting another financial sector agency to perform its
functions or exercise its powers; and
-
assisting the Minister to formulate financial policy.
2.13
The FS(CoD) Act covers financial sector entities, which include bodies
regulated by APRA within the meaning of subsection 3(2) of the Australian
Prudential Regulation Authority Act 1998 (APRA Act). As the bills would
amend the APRA Act to provide that a private health insurer will be a body
regulated by APRA, APRA will have the power to collect data from the insurer
under the FS(CoD) Act.[13]
2.14
Submitters questioned whether the penalties available for certain
offences under the FS(CoD) Act were appropriate for the PHI industry. Bupa
submitted that the penalties regarding the provision of data and information to
APRA under the FS(CoD) Act are 'significantly higher than those that are
currently in place' for the PHI industry. Bupa argued that some of the
penalties, such as custodial sentences of up to five years for certain
offences, 'represent a significant change to industry regulation and are
disproportionate to PHI industry risk, as compared to the other industries APRA
regulates'.[14]
2.15
A similar point was made by Private Healthcare Australia. It provided
the following statement:
We do not understand why these new custodial sentences have
been introduced to a compliant industry that has had no major failures to the detriment
of consumers. We would like to see these additional penalties removed from the
PHI industry.[15]
2.16
Bupa called for the FS(CoD) Act to be amended to ensure that the
penalties imposed on the PHI industry 'reflect those that are currently in
place'.[16]
Private Health Care added that, at a minimum, the custodial sentence imposed by
section 13B of the FS(CoD) Act for disclosing an APRA reporting standard should
not be applied to private health insurers as this offence 'reduces
transparency'.[17]
2.17
Under subsections 13(1) and (1A) of the FS(CoD) Act, the reporting
standards determined by APRA are published unless APRA considers, on reasonable
grounds, that the standard includes confidential information, the publication
of which is likely to have a detrimental effect on the stability of the
financial system or the stability of one or more financial institutions. The
information to be contained in the reporting documents must also be required
urgently by APRA for certain prescribed purposes.
2.18
The offence under section 13B of the FS(CoD) Act provides a protection
against the inappropriate disclosure of the decision to make the standard and
the confidential information it contains. The penalties associated with
unauthorised disclosure are also clearly communicated to the entity. Under
subsection 13A(2), APRA must, in writing, explain the effect of section 13B
when providing an entity with a reporting standard that is protected from
unauthorised disclosure.
2.19
Treasury submitted that the penalties in the FS(CoD) Act 'largely resemble'
the penalties in the PHI Act. Moreover, Treasury stated:
Given the Government's decision to transfer the prudential
regulation of the private health insurance industry to APRA it is appropriate
that APRA administered legislation that applies to all industries regulated by
APRA also apply to the private health industry. It would be inappropriate and
inefficient to grant exemptions to particular industries in relation to general
legislation.[18]
2.20
The offence that provides for custodial sentences of up to five years is
contained in section 17D of the FS(CoD) Act. Treasury observed that 'this
provision is applicable only where an attempt has been made to give false or
misleading information to an auditor'. Treasury submitted that the provision is
modelled on section 1309 of the Corporations Act 2001 and 'does not
apply in relation to the audit of business-as-usual reporting documents'.[19]
PHIAC reserves
2.21
Subitems 22(3) and (4) of part 2 of schedule 2 to the Consequential
Amendments Bill[20]
would provide that the Minister with responsibility for APRA may make a
determination, in writing, that specified assets or liabilities of PHIAC will
become assets of the Commonwealth before the transition occurs. Bupa advised
that this provision was not in the exposure draft and, therefore, has not been
subject to consultation. Bupa stated that this provision:
...appears to suggest that the Government can appropriate the
PHIAC reserves, made up of levies paid by the industry, in part or full. We
seek confirmation that the entire current reserves of PHIAC will be transferred
to APRA and noted against the PHI industry.[21]
2.22
The explanatory memorandum provided the following clarification of this
proposed transitional provision:
It is expected that all assets and liabilities held by
[PHIAC] immediately before the transition time will transfer to APRA and such a
determination would only be made should unforeseen circumstances arise.[22]
2.23
Treasury advised that the provision is intended to 'provide flexibility
should assets or liabilities be identified that should not transfer to APRA'.
Nevertheless, Treasury confirmed that the government intends 'to credit all
remaining cash reserves (as an asset of PHIAC) held by PHIAC at 30 June 2015,
to the APRA Special Account'.[23]
Interest earned on the risk equalisation pool
2.24
Item 147 of the Consequential Amendments Bill would replace the Private
Health Insurance Risk Equalisation Trust Fund with a Private Health Insurance
Risk Equalisation Special Account. The explanatory memorandum advised that the
conversion of the fund into a special account is required because PHIAC was
legally separate from the Commonwealth and could hold money on its own behalf
and separately from the consolidated revenue fund. Although APRA is also
legally separate from the Commonwealth, it holds all money on behalf of the
Commonwealth.[24]
2.25
Section 318-5 of the PHI Act currently provides that the proceeds from
any investments made using fund money would be paid into the fund. This
requirement is not included for the special account. Bupa submitted that it
understands 'interest, however modest, is in fact earned currently' by the fund.
Bupa argued that any interest earned should similarly be credited to the
special account.[25]
2.26
Although the proceeds from any investments made using fund money are
currently paid into the fund, a special account notionally sets aside amounts
within the consolidated revenue fund for expenditure on specific purposes.
According to guidance published by the Department of Finance, interest is not
generally retained in special accounts.[26]
Treasury confirmed that APRA 'does not earn interest on any money that it
collects'.[27]
Scope of APRA's directions power
2.27
Bupa advised that during the departmental consultation process, it
raised concerns regarding the scope of APRA's directions power under clause 97
of the Prudential Supervision Bill. Bupa explained that the proposed directions
power does not:
...reflect those currently held by PHIAC, but those which APRA
has in relation to Life Insurance, despite the differences between the Life
Insurance industry and PHI, including the additional regulatory requirements
set in the PHI Act.[28]
2.28
Bupa added that certain proposed directions could, in its view, 'place
an insurer at risk of breaching other obligations under the PHI Act'.[29]
The directions that Bupa highlighted were as follows:
-
Paragraph 97(1)(f), which refers to 'financial accommodation'. Bupa
noted that this term is not defined, but it considered an ordinary reading of
the term 'could extend to waiving a waiting period or agreeing to suspend a
policy'. Bupa argued that it is not necessary for APRA to give directions on
these matters 'because they are adequately dealt with by the regulatory
requirements under the PHI Act'.
-
Paragraph 97(1)(g), which would enable APRA to direct an insurer
'not to issue or renew any policy, undertake any liability under any policy or
collect any premium'. Bupa argued that 'this kind of direction may result in an
insurer being in breach of the community rating principle given we are
generally not permitted to refuse to insure or renew a policy'. Bupa added that
the concept of renewing a PHI policy may not occur in practice, as unlike
general insurance policies, PHI continues until either party terminates the
policy.
-
Paragraph 97(1)(t) would allow APRA to issue a direction to amend
the rules of an insurer. Bupa argued that this could 'result in a breach of an
obligation under the PHI Act, such as the coverage or community rating
requirements'.[30]
2.29
Further, Bupa argued that although clause 99 of the Prudential
Supervision Bill allowed APRA to revoke or vary a direction, APRA should be
required to consider requests from insurers for the revocation or variation of
a direction.[31]
2.30
The circumstances where APRA can issue a direction are limited. Under
clause 96, APRA can only give a private health insurer a direction of the kind
listed in clause 97 if APRA reasonably believes that:
-
the insurer has contravened, or is likely to contravene, an
enforceable obligation;
-
the direction is necessary in the interests of policy holders or
prospective policy holders of the private health insurer; or
-
for a range of specific reasons related to preserving the
interests of policy holders and the insurer's financial position.
2.31
Treasury noted that the scope of APRA's direction-making powers,
including the meaning of the term 'financial accommodation' in this context, is
'limited by the extrinsic materials, including the Explanatory Memorandum'.
Treasury referred to paragraphs 5.33 of the Explanatory Memorandum, which
specifies that APRA:
...would generally only give a direction where there is a
serious prudential concern. For example, a direction not to issue a policy or
to refrain from providing financial accommodation would normally only be given
to prevent the insurer from increasing its exposures where there is a serious
financial concern that affects the interests of policy holders.[32]
2.32
Further, directions given that relate to contraventions or likely
contraventions of relevant legislation, or the direction being necessary in the
interests of policy holders or prospective policy holders of the insurer, are
reviewable decisions under clause 168.[33]
Investigations by APRA
2.33
Clause 130 of the Prudential Supervision Bill provides that APRA may appoint
an APRA staff member to be an inspector to investigate the affairs of a private
health insurer. APRA would be permitted to do this only if APRA reasonably
suspects that:
-
the affairs of the insurer are being, or are about to be, carried
on in a way that is not in the interests of the policy holders of a health
benefits fund conducted by the insurer; or
-
the insurer has contravened an enforceable obligation.[34]
2.34
Bupa argued that the wording of this clause 'is significantly wider than
the circumstances set out in section 194-1 of the PHI Act' and 'represents a
change to the current prudential regulation of the PHI industry'. Bupa observed
that an insurer 'may take a large number of actions which it is legally
entitled to do, but which could be viewed as not being in the interests of
individual policy holders'.[35]
2.35
Similarly, Medibank Private argued that the implication 'that an
insurer's business must always be conducted in a way that gives primacy to the
interests of policy holders of its health benefits funds' is not appropriate.
Medibank Private suggested that this provision could conflict with common law
and the Corporations Act 2001 with respect 'to how companies that are
private health insurers are to be conducted'.[36]
2.36
Medibank Private suggested that clause 130 should be qualified by a
requirement that for the powers to be invoked, there must be a 'suspicion of
acts or omissions that would comprise breaches of the Private Health
Insurance (Prudential Supervision) Act 2015 [i.e. the Prudential
Supervision Bill] or of the Private Health Insurance Act 2007'.[37]
2.37
The explanatory memorandum stated that the provisions in subclause
130(1) reflect subsection 194-1(2) and paragraph 214-1(1)(a) of the PHI Act.
Treasury submitted that the proposed investigation powers for APRA:
...do not depart from the Private Health Insurance Act 2007.
The new provisions combine the powers in Divisions 194 and 214 of the Private
Health Insurance Act 2007 (which will be repealed under the Consequential
Amendments and Transitional Provisions Bill) as explained in paragraphs 7.7,
7.18 and 7.19 of the Explanatory Memorandum.[38]
Committee comment
2.38
The committee notes that paragraph 214-1(1)(a) of the PHI Act, on which subclause
130(1) is modelled, is contained in part 5-3 of the PHI Act. Part 5-3 of the
PHI Act deals with the enforcement of health benefits fund requirements and has
a stated purpose that covers the part, which is outlined in section 211-5. The
committee also notes that other divisions in the Prudential Supervision Bill
contain clauses that specify the purposes for which powers may be exercised.[39]
2.39
The committee does not expect that APRA would be able to exercise its
powers for purposes other than for its functions provided by the bills. However,
it may assist the PHI industry and other readers of the legislation, if a
clause were inserted into division 3 of part 6 of the Prudential Supervision
Bill that explained the purpose of the division.
Data provision and confidentiality
2.40
Some concerns were expressed by submitters about the proposed
arrangements for the provision of data. Private Healthcare Australia submitted
that the legislation should include:
...a simple legislative provision to ensure that the regulator
continues to provide detailed quarterly data provided for over 25 years to the
individual health funds and Private Healthcare Australia, while ensuring this
data remains confidential and unable to be the subject of any Freedom of
Information requests.[40]
2.41
APRA advised that the FS(CoD) Act will enable APRA to collect 'all the
data currently collected by PHIAC'.[41]
APRA noted that its reporting standards (of which drafts were issued on 31
March 2015) would 're-make the existing reporting obligations of private health
insurers as a series of reporting standards that replicate the reporting by
private health insurers that is currently required by PHIAC'. APRA provided the
following statement on this matter:
Importantly, while the format of the relevant legal
instruments would be different to the current PHIAC arrangements, the reporting
obligations and methods of reporting would remain unchanged as a result of the
proposals. APRA does not intend that these technical changes will cause private
health insurers to change any substantive aspect of their current approach to
reporting. The forms to be completed, and the instructions thereto, are
substantively unchanged.[42]
2.42
The Department of Health noted that the Prudential Supervision Bill
would require APRA to continue the annual publication of information relating
to health benefits funds.[43]
Further, APRA will continue to provide the data that PHIAC made available to
insurers. The Department stated:
This includes the reports known as 'PHIAC 1' and 'PHIAC 2'
which were provided to insurers on a quarterly basis. It is acknowledged that
this data helps to build industry knowledge of market shares and activity
levels, age and gender profiles of membership, and claims experience which have
an important impact on market performance.[44]
2.43
APRA advised that it intends to 'continue to disseminate and publish
data on a similar basis to that currently undertaken by PHIAC'. The discussion
paper issued by APRA on 31 March 2015 outlined proposals for certain data to be
made non‑confidential by APRA. According to APRA, this would allow for
the continued publication and dissemination within the confidentiality of data
obligations imposed by section 56 of the APRA Act.[45]
However, APRA noted that it had initially proposed to continue to share insurer-specific
industry data 'using a mechanism that would not require consent from each
insurer by determining the data to be non-confidential'. Following consultation
with the industry, APRA 'now proposes to adopt a similar process to the current
one', which will involve seeking explicit consent from each insurer. APRA
submitted that it considered 'this will largely allay residual industry
concerns regarding potentially commercially sensitive information being made
public'. APRA added:
To provide clarity and certainty for the industry, APRA
intends to release a public response to submissions and our proposed final
requirements in the week commencing 15 June 2015. These proposed final
requirements will necessarily be subject to any changes necessary to comply
with the final form of the legislation.[46]
Guidance published by APRA
2.44
PHIAC has published a series of documents known as Standard Operating
Procedures (SOPs) to assist the PHI industry in understanding the obligations
under the PHI Act and PHIAC's options for monitoring and, where necessary,
intervening in the affairs of an insurer. PHIAC has published five SOPs, which
address the following topics:
-
SOP1—accepting a written undertaking given by a private health
insurer;
-
SOP2—giving a PHIAC direction;
-
SOP3—information acquisition powers;
-
SOP4—appointing an inspector to a private health insurer; and
-
SOP5—appointment of an external manager.[47]
2.45
Private Health Australia advised that the SOPs, which were drafted by
PHIAC in consultation with the industry, both reduced confusion and increased
goodwill between the regulator and the industry. Private Health Australia
submitted that APRA has stated that the SOPs align with its enforcement
approach. Therefore, Private Health Australia considered 'it should be a simple
process for APRA to update the SOPs and/or map them to its proposed approach'.
Private Health Australia advised that it has:
...asked APRA to provide the proposed new process for dealing
with regulatory issues and a map of how the SOPs align with APRA's proposed
approach and await a response.[48]
2.46
However, Private Health Australia is concerned that the SOPs will not be
updated. It claimed that:
Any attempt to remove/not update the SOPs introduces
unnecessary confusion. The industry has a strong preference to continue using
the SOPs, as they have been a useful and successful regulatory tool.[49]
2.47
In its submission, APRA responded to industry concern about the SOPs. In outlining
its general supervisory and enforcement approach, APRA emphasised that it 'is
conscious of the impact of its supervisory interventions can have on the
operations of a supervised institution and these are generally well discussed
with the institution before APRA takes action'. APRA also noted that 'it is critical
that APRA's interventions are proportionate to the prudential outcome desired'.[50]
2.48
On the specific SOPs, APRA submitted that it has considered the documents
and compared them to its enforcement approach. APRA considered that the SOPs
'are broadly consistent with APRA's current practices and approach to taking
enforcement action'. However, APRA stated that it 'does not see a need to
update the SOPs following the changes in legislation'. Rather, APRA intends to
keep the SOPs available on APRA's website and will have regard to them when
considering enforcement action 'to the extent that they remain relevant under
the revised legislation'.[51]
Committee comment
2.49
Although the committee has no concerns with APRA's overall approach to
its new functions and its ability to perform these functions effectively, the
committee has taken note of the evidence received about PHIAC's Standard
Operating Procedures. The committee understands that the continuation of
particular series of documents may not be necessary under the new regulatory
arrangements. However, having PHIAC's guidance published on APRA's website and
considered by APRA 'to the extent that they remain relevant under the revised
legislation',[52]
does not appear to be an adequate outcome. The committee considers that it would
assist industry to adjust to the new regulatory arrangements if APRA developed
clear guidance that either updated or replaced PHIAC's Standard Operating
Procedures.
Recommendation 1
2.50
Following the commencement of the regime for the prudential regulation
of private health insurers by the Australian Prudential Regulation Authority
(APRA), APRA should develop and publish guidelines that seek to assist the private
health insurance industry to understand their obligations and the regulatory
options available to APRA.
Review of APRA's decisions
2.51
An area that attracted comment from industry stakeholders is the ability
to seek reviews of APRA's decisions. These stakeholders are concerned that the
changes would result in reduced transparency of prudential decisions, as fewer
decisions will be reviewable by the Administrative Appeals Tribunal (AAT).
Private Healthcare Australia wrote:
The number of decisions that are AAT reviewable has decreased
while regulatory powers have increased...[W]e believe that all existing decisions
that are AAT reviewable should remain so and new regulatory powers should be
AAT reviewable.[53]
2.52
Clause 168 of the Prudential Supervision Bill lists decisions that are
reviewable.[54]
Under this clause, a person may request APRA to reconsider the decision and, if
the decision is confirmed or varied following that process, an application can
be made to the AAT for the AAT to review the decision.
2.53
Bupa advised that a decision by APRA under clause 152 to refuse to
consent to a private health insurer withdrawing or varying an enforceable undertaking
would not be reviewable under the new regulatory arrangements, although a
similar decision under the PHI Act currently is reviewable.[55]
Bupa submitted that it:
...wishes to emphasise that any change to appeal rights for the
industry is a substantial change to the current regime. Instead, we believe
that all appeal rights must remain in place following the merger of PHIAC into
APRA.[56]
2.54
Private Healthcare Australia also called for decisions made by APRA
under Prudential Standards HPS 100 (Solvency Standard), HPS 110 (Capital
Adequacy) and HPS 510 (Governance) to be reviewable decisions.[57]
2.55
APRA addressed the issue of reviewable decisions in its submission. First, APRA
noted that an insurer can apply to APRA for internal reconsideration of any
decision. APRA noted that this is 'a streamlined, low cost and less legalistic
review mechanism than AAT or judicial review'. Second, APRA noted that many
decisions are reviewable by the AAT and, in certain circumstances, rights to
judicial review of decisions are also available.[58]
2.56
On the decisions reviewable by the AAT, APRA noted that applications to
the AAT for reviews of APRA decisions 'are extremely rare'. APRA stated that
this outcome demonstrates the effectiveness of the consultative supervisory
approach it takes when carrying out its functions.[59]
However, APRA acknowledged that the Prudential Supervision Bill does not permit
AAT review of certain types of decisions, such as supervisory decisions made
under APRA prudential standards. APRA submitted that this is consistent with
the relevant legislation applied to other industries regulated by APRA.
Further, APRA argued that, based on its experience supervising other industries:
...it is critical that APRA can act with certainty and in a
timely manner to address identified prudential concerns, particularly where
they relate to financial safety and stability concerns. Thus, as a matter of
principle, APRA does not agree that supervisory decisions of this type should
be subject to AAT review. In APRA's view, the review rights specified in the
[Prudential Supervision] Bill, together with APRA's internal review processes
and the availability of judicial review, provide an appropriate set of checks
and balances on APRA decision making.[60]
2.57
Treasury responded to Bupa's specific concern that a decision by APRA to
refuse to consent to a private health insurer withdrawing or varying an enforceable
undertaking would not be reviewable under the new regulatory arrangements.
Treasury provided the following observations:
Enforceable undertakings are a remedy that APRA can use as an
alternative to pursuing legal action in court. Insurers can decide not to enter
into an enforceable undertaking.
APRA requires certainty when entering into enforceable
undertakings to ensure that APRA can use enforceable undertakings to finalise
issues and to avoid ongoing litigation.[61]
Court power of disqualification
2.58
Clause 120 of the bill would provide that, following an application by
APRA, the Federal Court may disqualify a person from being an officer or
appointed actuary of an insurer, if the court is satisfied that the person is:
-
not a fit and proper person; and
-
the disqualification is justified.
2.59
Clause 122 of the bill would provide that a person cannot refuse to give
evidence in proceedings arising under the Prudential Supervision Bill or refuse
to do something that is a requirement under the Prudential Supervision Bill on
the grounds that doing so would lead to a disqualification order being made
against the person under clause 120. The explanatory memorandum advised:
This means that a person does not receive the benefit of 'use
immunity' in subsections 112(6) and 149(2) in relation to a disqualification
order. Accordingly, the evidence given may be used in disqualification
proceedings. This is reasonable because a disqualification order is not a
criminal penalty, and is it important to ensure that the policy holders'
interests are not risked by an insurer employing an inappropriate officer or
actuary.[62]
2.60
Medibank Private submitted that the drafting should be amended to ensure
that any evidence from a disclosure that was compelled by subclauses 122(1) and
(3) could only be used against the person who was being compelled to disclose
it for disqualification proceedings under clause 120.[63]
Committee comment
2.61
The assessment of legislative proposals against a set of accountability
standards that focus on the effect of proposed legislation on individual rights,
liberties and obligations, and on parliamentary propriety, is a task undertaken
by the Senate Standing Committee for the Scrutiny of Bills. When examining
bills or draft bills, this committee takes into account any comments on the
bills published by the Scrutiny of Bills Committee.[64]
However, given the short timeframe for this inquiry, the Scrutiny of Bills
Committee's comments on these bills were not available when this report was
being prepared.
2.62
The committee notes that clause 122 is similar in form to other statutes
that remove penalty privilege, such as section 1349 of the Corporations Act. In
2007, the Scrutiny of Bills Committee considered a bill that introduced section
1349 of the Corporations Act—the Scrutiny of Bills Committee concluded that the
section 'strikes a reasonable balance between the competing interests of
obtaining information and protecting individuals' rights'.[65]
References to subsection 4B(3) of the Crimes Act 1914
2.63
In its submission, Medibank Private referred to the notes inserted beneath
every offence provision that state:
If a body corporate is
convicted of an offence against this subsection, subsection 4B(3) of the Crimes
Act 1914 allows a court to impose a fine of up to 5 times the penalty
stated above.
2.64
Medibank Private pointed out that subsection 4B(3) of the Crimes Act
1914 appears to be capable of application 'only if an offence is described
in such terms as to be capable of being committed by both an individual legal
person or a body corporate'. Medibank Private suggested that:
If the offence is written in such terms that it can only be
committed by a body corporate, then there is no possible application of the
provision. Likewise, if the offence is written in such terms that it can be
committed only by an individual legal person, there is no possible application
of the provision. In each of those two circumstances, the penalty expressed in
the provision is the penalty that applies, without any 'multiplying out' as
provided for by that provision of the Crimes Act.[66]
2.65
The explanatory memorandum stated that the note 'has been inserted for
every offence provision to assist the reader'. However, the explanatory memorandum
also addressed the issue referred to by Medibank Private. It stated that:
Whilst it may appear that some offences only apply to body
corporates or natural persons, the operation of Part 2.4 of the Criminal
Code Act 1995 (Criminal Code) applies where a person aids, abets, counsels
or procures the commission of an offence, the offence provision can apply to
that person whether they are a natural person or a body corporate.[67]
2.66
Similar explanatory notes exist in other legislation. For example, subsection 8(1)
of the Banking Act 1959 provides that a body corporate (other than the
Reserve Bank of Australia or an authorised deposit-taking institution) is
guilty of an offence if it carries on any banking business in Australia. The
second explanatory note that follows the offence contains the same text
regarding the application of subsection 4B(3) of the Crimes Act to body
corporates as the notes contained in the Prudential Supervision Bill.
Committee view
2.67
The transfer of PHIAC's prudential regulation functions to APRA is a
sensible measure that will, over time, result in lower costs for the PHI
industry without weakening regulatory oversight. The committee considers that
the bills should be passed.
2.68
The committee notes that submitters have expressed various minor
concerns about particular provisions in the bills and the guidance available at
this time. It is not unusual that upcoming changes to regulatory arrangements
will lead to some apprehension among regulated entities that are familiar with
the existing framework. The committee is hopeful that this report and the
submissions received from APRA, the Department of Health and Treasury will
allay the majority of the PHI industry's concerns. Further, the committee is
confident that APRA will constructively engage with industry and take a common-sense
approach to performing its new regulatory functions so that, over time, any
remaining concerns will be mitigated.
Recommendation 2
2.69
The committee recommends that the bills be passed.
Senator Sean Edwards
Chair
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