PHI 49/18 2019 Private Health Insurance Premium Round Applications

Page last updated: 12 November 2018

PHI 49/18 2019 Private Health Insurance Premium Round Applications (PDF 48 KB)

This circular provides information about the 2019 private health insurance (PHI) premium round. Arrangements for the application process requesting PHI premium rate changes have been determined in consultation with the Australian Prudential Regulation Authority (APRA).

The Department of Health coordinates the annual premium round. The Department of Health will consult with APRA throughout the process. APRA’s role in relation to the premium round is to advise the Department of Health whether premium increase requests from private health insurers would result in an adverse prudential outcome for individual insurers.


Private health insurers requesting changes to premiums must submit their PHI premium application no later than 3:00pm Friday 23 November 2018.

The timetable for the premium round
23 November 2018 Deadline for applications
Late December 2018 Deadline for revised submissions (If requested)
Late January / early February 2019 Insurers notified of outcome
1 April 2019 Premium changes take effect

Submission of Applications

Applications must be submitted via the inbox. APRA will provide the applications to the Department of Health.

Private Health Insurance Premium Application Form

This year’s application form has had a number of additional changes in order to capture the impact that the current reforms to private health insurance will have on consumers.

Each application must comply with the guidance provided for this year’s application form. The application form consists of a written report and three spreadsheet templates, as specified in Attachment A and Attachment B. Applications not consistent with these documents will not be accepted.

Attachment A - 2019 Premium Application Form Templates (Excel 1201 KB)
Attachment B - 2019 Premium Application Form (Word 117 KB)