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Forms – Private Health Insurance

This page is for forms required under the Private Health Insurance (Prudential Supervision) Act 2015,  the Private Health Insurance (Prudential Supervision) Rules 2016 and the Private Health Insurance Prudential Standards in respect of APRA regulated private health insurers.

Private Healh Insurance (PHI) licensing forms

If you wish to apply for a new private health insurance licence you must apply using the following forms(s)/guidance material:

PHI Licence application

PHI Conversion to for profit status application

PHI Prudential Framework material
Applicants must also consider all relevant PHI legislation, APRA rules, Prudential Standards and Prudential Practice Guides as part of their application.


Responsible Persons

Private Health  Insurers must notify changes to the responsible persons (i.e. CEO, directors, senior managers, Appointed Actuary or Appointed Auditor) of the Insurer by submitting the following form:

Responsible Persons Information form (for notifying changes only)


Other PHI application/notification forms 

Please contact your APRA Responsible Supervisor to discuss making any private health insurance notification and application form lodgements with APRA in relation to the following.

  • Change of Registration Status
  • Establishment of Health Benefits Fund
  • Merger or acquisition arrangement
  • Conversion to for-profit status
  • Restructure of Health Benefits Fund
  • Termination of  Health Benefits Fund
  • Breach Reporting



APRA is still in the process of updating the forms and guidance required under the newly enacted legislative framework for the prudential supervision of the private health insurance industry.

Copies of the previous forms used prior to 1 July 2015 for this industry, issued by the Private Health Insurance Administration Council (PHIAC), are available for background guidance only at PHIAC Archive.