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Private Health Insurance

From 1 July 2015 responsibility for the prudential supervision of private health insurers transferred from  the Private Health Insurance Administration Council (PHIAC) to the Australian Prudential Regulation Authority (APRA).   

The information on this section of APRA’s website is relevant to private health insurers and the private health insurance industry.


Consultation packages: Proposals released by APRA for consultation where submissions and responses are invited from industry. Consultation packages can include letters, discussion papers, response papers, draft guidance material and other draft information.

Prudential Framework: Information for private health insurers in order to meet APRA's prudential requirements. Includes links to legislation, prudential standards and guidance notes, prudential practice guides and other guidance.

Register of Private Health Insurers: Register of corporations that are regulated by APRA under the Private Health Insurance (Prudential Supervision) Act 2015.

Reporting Framework: Under the Financial Sector (Collection of Data) Act 2001 and its reporting standards, private health insurers are required to provide data to APRA. Includes links to reporting standards, forms and instructions.

Statistical publications: APRA publishes a suite of statistical publications across all industries. These provide regular updates on the financial performance of APRA-regulated industries and individual entities. Private health insurance publications include:

  • Quarterly Publications
    (Quarterly Statistics, Membership and coverage, Medical Gap, Medical Services, Private Health Insurance Membership and Benefits, Prostheses and Statistical Trends)
  • Annual Publications
    (Operations of Private Health Insurers Annual Report, Annual Coverage Survey and Risk equalisation Annual)

Letters, notes and advices to Private Health Insurers

Licensing: These guidelines apply to applicants seeking an authority to carry on insurance business in Australia under the Private Health Insurance (Prudential Supervision) Act 2015.

Risk assessment and supervisory response tools:

PAIRS - Probability and Impact Rating System (PDF)

SOARS - Supervisory Oversight and Response System (PDF)