10.—(1) If a person insured under a private medical insurance plan ceases, under regulation 8 or 9(1), to be insured under that plan within 2 months from the date of the commencement of the insurance plan, the insurer with whom the plan is taken out shall refund, in the manner set out in paragraph (5), the full amount of the premium paid for that policy year.(2) If a person insured under an integrated medical insurance plan ceases, under regulation 8 or 9(1), to be insured under that plan within 2 months from the date of the commencement of the insurance plan, the insurer with whom the plan is taken out shall refund, in the manner set out in paragraph (6), the full amount of the premium paid for the plan. |
(3) If a person insured under a private medical insurance plan ceases, under regulation 8 or 9(1), to be insured under that plan at any time after the second month of the commencement of the insurance plan and has not, before the effective date of termination of his insurance plan, made any claim under the insurance plan, the insurer with whom the plan is taken out shall refund, in the manner set out in paragraph (5), a pro-rated amount of the premium for the unexpired period of the plan. |
(4) If a person insured under an integrated medical insurance plan ceases, under regulation 8 or 9(1), to be insured under that plan at any time after the second month of the commencement of the insurance plan, the insurer with whom the plan is taken out shall refund, in the manner set out in paragraph (6), a pro-rated amount of the premium paid for the plan less a pro-rated amount of the premium paid for the MediShield Component for the unexpired period of the plan. |
(5) Any refund of any premium under paragraph (1) or (3) shall be paid in the following manner: (a) | where the premium for the policy year was deducted entirely from the member’s medisave account, the refund shall be paid into the member’s medisave account; | (b) | where the premium for the policy year was paid entirely using the Government premium rebate, the refund shall be paid to the Government in cash; and | (c) | where the premium for the policy year was paid using the Government premium rebate, by deducting from the member’s medisave account, by cash or by any combination of such modes of payment, such amount of the refund that represents the proportion of the premium paid using the Government premium rebate, if any, shall be paid to the Government in cash, and —(i) | where the balance remaining, after the refund of the proportionate amount of the Government premium rebate, is less than the amount of premium paid in cash, such balance shall be paid to the member in cash; and | (ii) | where the balance remaining, after the refund of the proportionate amount of the Government premium rebate, is more than the amount of premium paid in cash, such balance shall be paid to the member in cash in respect of any amount of premium paid in cash, and any amount remaining thereafter shall be paid to his medisave account. |
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(6) Any refund of any premium under paragraph (2) or (4) shall be paid —(a) | to the member’s medisave account; and | (b) | where applicable, to the member in cash, |
in the proportions in which the premium had been paid from the member’s medisave account and, where applicable, by the member in cash. |
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(7) Where the cash premium to be refunded for the MediShield Component has been forwarded by the Board to the insurer, the insurer shall pay out the premium refunded to the member. |
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