You carry on the business in NSW of providing health benefits to contributors if:
- you enrol contributors or pay benefits to contributors;
- using premises in NSW;
- using the services of an agent in NSW; and
- any contributors to your health benefit fund are permanent residents in NSW.
If you provide health benefits to contributors in NSW, you must be registered. To register, submit a Health Insurance and State Ambulance Insurance Plan registration form via the website revenue.nsw.gov.au. You must lodge a return by the 15th day of the month and pay the appropriate levy.
The rates for the last 5 years are listed below:
|
Period |
Prescribed rate |
|
1 April 2018 to 31 March 2019 |
$1.53 |
|
1 April 2017 to 31 March 2018 |
$1.49 |
|
1 April 2016 to 31 March 2017 |
$1.46 |
|
1 April 2015 to 31 March 2016 |
$1.43 |
|
1 April 2014 to 31 March 2015 |
$1.38 |
The following formula is used to calculate the levy:
L = (S + 2F) x C x D x 1/7
Where:
L is the monthly levy in dollars (the number of cents is disregarded).
S is the number of single contributors at the beginning of the month.
F is the number of contributors to family membership at the beginning of the month.
C is the prescribed rate in force during the month.
D is the number of days in the month.
The following contributors are not included when calculating the levy:
- people who permanently reside outside of NSW;
- people who contribute to an organisation for the purpose of claiming benefits other than basic health benefits;
- people who hold one or more of the following cards issued to them by the Commonwealth:
- Concession Card;
- Health Benefits Card;
- Pensioner Health Benefits and Transport Concession Card;
- Pharmaceutical Benefits Concession Card;
- Social Security Card; and
- people who are in receipt of a service pension under the Commonwealth Veteran's Entitlements Act 1986.