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No. S 630

Central Provident Fund Act

(Chapter 36)

Central Provident Fund (Medishield Scheme) (Amendment) Regulations 2005

In exercise of the powers conferred by section 57 of the Central Provident Fund Act, the Minister for Manpower hereby makes the following Regulations:

Citation and commencement

1. These Regulations may be cited as the Central Provident Fund (MediShield Scheme) (Amendment) Regulations 2005 and shall come into operation on 1st October 2005.

Amendment of regulation 2

2. Regulation 2 of the Central Provident Fund (MediShield Scheme) Regulations 2005 (G.N. No. S 427/2005) (referred to in these Regulations as the principal Regulations) is amended by inserting, immediately after the words “each item of medical treatment received” in paragraphs (b) and (c) of the definition of “assured amount”, the words “before 1st October 2005”.

Amendment of regulation 5

3. Regulation 5 of the principal Regulations is amended —

(a)

by inserting, immediately after paragraph (1), the following paragraph:

“(1A) Any insured person insured under the Scheme in Division 3 shall be deemed to have terminated his insurance cover under the Scheme in that Division with effect from the date on which his insurance cover under the Scheme in that Division becomes an integrated medical insurance plan pursuant to regulation 11 (1), and regulation 22A shall apply to him.”; and

(b)

by deleting the words “paragraph (1)” in paragraph (3) and substituting the words “paragraph (1) or (2)”.

Amendment of regulation 6

4. Regulation 6 (1) of the principal Regulations is amended —

(a)

by deleting the word “and” at the end of sub-paragraph (c);

(b)

by deleting the comma at the end of sub-paragraph (d)(iii) and substituting the word “; and”; and

(c)

by inserting, immediately after sub-paragraph (d), the following sub-paragraph:

“(e)	any person who was insured under the Scheme in Division 3 and whose insurance cover under the Scheme in that Division became an integrated medical insurance plan pursuant to regulation 11 (1),”.

Amendment of regulation 7

5. Regulation 7 of the principal Regulations is amended by deleting paragraph (1) and substituting the following paragraph:

“(1) Any person who has not attained the age of 75 years and who is not insured under the Scheme in this Division may apply to the Board to be insured under the Scheme in this Division.”.

Amendment of regulation 8

6. Regulation 8 of the principal Regulations is amended —

(a)

by deleting the words “paragraphs (2) and (3)” in paragraph (1) and substituting the words “paragraphs (1A), (2) and (3)”; and

(b)

by inserting, immediately after paragraph (1), the following paragraphs:

“(1A) Where a person is insured under the Scheme in this Division by virtue of regulation 6 (1)(e), the first premium payable for his insurance cover under the Scheme in this Division shall be the amount of the prescribed premium pro-rated in respect of the period of his insurance cover under the Scheme in Division 3 that remains unexpired immediately before the commencement of his insurance cover under an integrated medical insurance plan (as referred to in regulation 11 (1)).

(1B) In paragraph (1A), “prescribed premium” means the premium payable by the insured person under the Table set out in Part II of the Second Schedule.”.

Amendment of regulation 9

7. Regulation 9 (1) of the principal Regulations is amended —

(a)

by deleting the word “and” at the end of sub-paragraph (c);

(b)

by deleting the full-stop at the end of sub-paragraph (d) and substituting the word “; and”; and

(c)

by inserting, immediately after sub-paragraph (d), the following sub-paragraph:

“(e)

any person who is insured under the Scheme by virtue of regulation 6 (1)(e) shall be covered under the Scheme in this Division for a period of 12 months less the period calculated from the most recent date before 1st October 2005 of the renewal of his insurance cover under the Scheme in Division 3 to 1st October 2005.”.

Deletion and substitution of regulation 11

8. Regulation 11 of the principal Regulations is deleted and the following regulation substituted therefor:

“Conversion of MediShield Plus insurance covers into integrated medical insurance plans

11.—(1) All insurance covers issued by the Board under this Division which are in force on 30th September 2005 or which the Board, in its discretion and subject to such terms and conditions it may impose, deems to have been in force on 30th September 2005, shall become integrated medical insurance plans on 1st October 2005, and the provisions of the Central Provident Fund (MediShield Scheme — Transfer of MediShield Plus Liabilities) Regulations 2005 (G.N. No. S 629/2005) shall apply accordingly.

(2) Regulation 15 shall apply only to claims made in respect of medical treatment received before 1st October 2005 by persons whose insurance cover under this Division was in force at the time when such medical treatment was received.”.

Deletion of regulations 12, 13 and 14

9. Regulations 12, 13 and 14 of the principal Regulations are deleted.

Amendment of regulation 15

10. Regulation 15 of the principal Regulations is amended —

(a)

by inserting, immediately after paragraph (8), the following paragraph:

“(9) Notwithstanding paragraphs (1) to (8), this regulation shall not apply to any claim in respect of medical treatment received on or after 1st October 2005.”; and

(b)

by inserting, immediately after the words “MediShield Plus” in the regulation heading, the words “for medical treatment received before 1st October 2005”.

Amendment of regulation 19

11. Regulation 19 of the principal Regulations is amended by inserting, immediately after paragraph (4), the following paragraph:

“(5) Any exclusion of liability imposed by the Board under an insured person’s insurance cover under the Scheme in Division 3 of Part II before 1st October 2005 may, at the Board’s discretion, also apply to his insurance cover under the Scheme in Division 2 of Part II if he joins the Scheme in Division 2 of Part II pursuant to regulation 6 (1)(e).”.

Amendment of regulation 21

12. Regulation 21 (1) of the principal Regulations is amended by inserting, immediately after the words “under the Scheme”, the words “or, in the case of a person insured under the Scheme in Division 2 of Part II pursuant to regulation 6 (1) (e), on the anniversary of the renewal date of his insurance cover under the Scheme in Division 3 of Part II immediately before 1st October 2005”.

New regulation 22A

13. The principal Regulations are amended by inserting, immediately after regulation 22, the following regulation:

“Termination of insurance cover under Scheme in Division 3 of Part II pursuant to conversion into integrated medical insurance plan

22A.—(1) Where the insurance cover of a person under the Scheme in Division 3 of Part II is deemed to have terminated with effect from the date on which his insurance cover under the Scheme in that Division becomes an integrated medical insurance plan pursuant to regulation 11(1), the Board shall —

(a)

transfer to the appointed insurer the pro-rated premium in respect of the unexpired period of his insurance cover required to commence his integrated medical insurance plan; and

(b)

refund, in the manner set out in paragraph (2), the balance of the premium paid in respect of his insurance cover under the Scheme in that Division after deducting —

(i)	the pro-rated premium transferred to the appointed insurer under sub-paragraph (a); and
(ii)	the premium payable for the MediShield Component of his integrated medical insurance plan.

(2) Any refund under paragraph (1) shall be paid into the insured person’s medisave account or, in the case of an insured person who is insured as a dependant of a member, into the member’s medisave account.

(3) In this regulation, “appointed insurer” has the same meaning as in section 52 of the Act.”.

Amendment of regulation 25

14. Regulation 25 of the principal Regulations is amended by deleting the words “or 15 (1), as the case may be” in paragraphs (1) and (2).

Amendment of First Schedule

15. Item (1) in the First Schedule to the principal Regulations is amended —

(a)

by deleting sub-paragraph (i) of paragraph (c) and substituting the following sub-paragraph:

“(i)

for which the person insured under regulation 6 (1), (2) or (3) received medical treatment within 12 months before the date of the commencement of his insurance cover under the Scheme, except where —

(A)	the person was insured under a private medical insurance plan before 30th June 2005 without any break in insurance cover until an integrated medical insurance plan was purchased for him before 1st July 2007; or
(B)	the person had been insured under the Scheme in Division 3 of Part II before 1st October 2005 without any break in insurance cover until his insurance cover under the Scheme in Division 2 of Part II commenced on 1st October 2005, unless the medical treatment was received within 12 months before the date of commencement of his cover under the Scheme in Division 3 of Part II; or”; and

(b)

by deleting the words “or 11 (6)” in paragraph (c)(ii).

Amendment of Second Schedule

16. The Second Schedule to the principal Regulations is amended —

(a)

by deleting the Schedule reference and substituting the following Schedule reference:

“Regulations 8(1) and (2), 9 (1) and 21(1)”; and

(b)

by deleting the words “(For policy year commencing on or after 1st July 2005)” in the heading of Part II and substituting the words “(For MediShield policies with policy year commencing on or after 1st July 2005 and for MediShield Plus policies with policy year commencing before 1st October 2005)”.

Amendment of Third Schedule

17. The Third Schedule to the principal Regulations is amended by deleting the heading of Part III and substituting the following heading:

“ASSURED AMOUNTS

(MEDISHIELD: APPLICABLE FOR ADMISSIONS AS
IN-PATIENT OR FOR OUT-PATIENT TREATMENTS
ON OR AFTER 1ST July 2005

MEDISHIELD PLUS: APPLICABLE FOR ADMISSIONS
AS IN-PATIENT OR FOR OUT-PATIENT TREATMENTS
ON OR AFTER 1ST JULY 2005 BUT BEFORE
1ST OCTOBER 2005)”.

Amendment of Fourth Schedule

18. The Fourth Schedule to the principal Regulations is amended by deleting the heading of Part II and substituting the following heading:

“(MEDISHIELD: APPLICABLE FOR ADMISSIONS AS
IN-PATIENT ON OR AFTER 1ST July 2005

MEDISHIELD PLUS: APPLICABLE FOR ADMISSIONS
AS IN-PATIENT ON OR AFTER 1ST JULY 2005
BUT BEFORE 1ST OCTOBER 2005)”.

Amendment of Fifth Schedule

19. Part II of the Fifth Schedule to the principal Regulations is amended —

(a)

by inserting, immediately below the sub-heading “PREMIUM REBATE UNDER DIVISION 3 PLAN A SCHEME (THE MEDISHIELD PLUS PLAN A SCHEME)”, the following sub-heading:

“(For policy year commencing before 1st October 2005)”; and

(b)

by inserting, immediately below the sub-heading “PREMIUM REBATE UNDER DIVISION 3 PLAN B SCHEME (THE MEDISHIELD PLUS PLAN B SCHEME)”, the following sub-heading:

“(For policy year commencing before 1st October 2005)”.

Made this 27th day of September 2005.

LEO YIP

Permanent Secretary,
Ministry of Manpower,
Singapore.

[MMS 7/68 V49; AG/LEG/SL/36/2005/3 Vol. 2 ]

(To be presented to Parliament under section 78(2) of the Central Provident Fund Act).