There are a number of ways you can withdraw your super in retirement, and how you access your money will depend on your specific circumstances. The rule itself is not a law, but most insurance companies follow the birthday rule, and nearly every state has adopted the birthday rule as a common insurance practice to encourage its use. The assessment protocols include a method to score the effectiveness of the implementation of the separate components of the process safety programs. ICP provides the petroleum and petrochemical industries with an independent and unbiased way to evaluate the knowledge and experience of technical and inspection personnel. Before the child is born, its wise to compare plans and see whether its wise to keep two plans or go with the secondary plan only. PissingOutMyArse Additional comment actions. 1.1.4 There are several notes within the Rules to help readers understand the more complicated superannuation concepts or to inform them of the need to refer to another area of the Rules. (ii) each subsequent birthday of the ordinary employer-sponsored member, or other date as specified in the policy. Join the super fund for Australian Government and Defence Force employees. The secondary payer may step in and provide full coverage, partial coverage or no coverage for various services depending on whether they fall under the secondary plans coverage requirements. Subclauses 5.4 and 5.5 deleted in the 5th amending deed. Instead, the birthday rule is more of a set of guidelines many insurers follow where permitted. Inquiries regarding having your site assessed as a part of this program can be made to PSSAP@API.org. As at 30 June 2016, the PSSAP scheme had over 80,000 members who made or had contributions made to the scheme on their behalf and around 40,000 members who had money preserved in the scheme. 3.2.2 Subject to Rule 3.2.1, in the event of the death of a PSSAP member, CSC must pay or apply the deceased members total benefit to or for the benefit of one or more, as determined by CSC, of the following: (a) one or more dependants of the deceased PSSAP member; (b) the legal personal representative of the deceased PSSAP member. 2.2.2 The superannuation salary of an ordinary employer-sponsored member is: (a) where the circumstances referred to in Rule 2.2.3 apply the ordinary time earnings of the person; and. Summary. The birthday rule works for dental insurance the same way it does for other health insurance policies the insurance policy of the parent with the birthday earliest in the calendar year is considered the primary policy for children. 3.3 In exercising its functions and powers, CSC shall comply with the requirements of the Superannuation Industry (Supervision) Act 1993 and Regulations made under that Act, and have regard to the interests of PSSAP members, their employers and non-member spouses entitled to benefits. Advertiser Disclosure: Some of the offers that appear on this website are from companies which ValuePenguin receives compensation. 7.3.1 Subject to the provisions of this Division, CSC may, in creating a non-member spouse interest, determine terms and conditions for the non-member spouse interest. They dont want you, or a hospital, pocketing extra money. 4.4.2 An ordinary employer-sponsored member may apply to CSC for supplementary income protection cover at any time. This is especially true if both plans are heavily subsidized by an employer. 4.2.9 Where an ordinary employer-sponsored member with supplementary death and invalidity cover dies or an application for approval of their invalidity retirement is made under Rule 3.3.1, CSC must make a claim against the policy providing the supplementary death and invalidity cover. How do I sign up for Medicare when I turn 65? The birthday rule says the primary coverage comes from the plan of the parent whose birthday (month and day) arrives first in the year. National Womens Law Center. The birthday rule affects all members of PSSap. The birthday rule does not apply to step-parents or children who live in a blended family. means the account kept by CSC for each PSSAP member under Division 1 of Part5 of the Rules. What Is the Health Insurance Birthday Rule? Inserted "Additionally, this information may be used for insurance purposes on behalf of members of PSSap" into Rules in field 32. In this case, the court decides which parents health insurance is the primary. 2.3.6 CSC must pay any employee contributions and eligible spouse contributions into the PSSAP Fund. PSSAP Focused will help lead to better process safety performance and improved industry safety around the world. 3.1, 4.4 and 4.8: 29 June 2007 Remainder: 1 July 2007, Cc. But if separate policies are maintained, youll want to make sure you understand how the child will be covered immediately after the birth or adoption, even if you intend to only add the child to one parents policy. The plan of the new spouse of the parent with custody pays second. 5.3 CSC must pay benefits to or in re of PSSAP members and the costs, taxes and expenses relating to PSSAP and the PSSAP Fund from the PSSAP Fund in accordance with section 34 of the Act. A child can be covered by both parents health insurance policies. CSC m not take out insurance policy for a non-member spouse. In that scenario, that parents health plan would be primary, regardless of the parents birthdays. Parents providing dual coverage should also assess the plans on a regular basis to make sure the two policies are providing coordinated and complementary care, not duplicated care, and are thus paying appropriately. If a child is covered under both parents health plans, a provision known as the birthday rule comes into play, guiding how the coordination of benefits will work. The APS Remuneration Survey (the Survey) is the source of data for the APS Remuneration Report (the Report), an annual snapshot of remuneration across the Australian Public Service. Insurers usually provide automatic coverage for a newborn for the first 30 days, and the parents are responsible for adding a newborn to their insurance immediately after the 30-day period. Requests by Minister for Information, 8. | Terms & Conditions | Privacy, Mechanical Integrity (focused on fixed equipment), Hydrofluoric Acid (HF) Alkylation/API RP-751, Pipeline Strategic Data Tracking System (PSDTS). The headings in this Deed are for the convenience of reference only and shall not affect its interpretation. National Association of Insurance Commissioners. 6.3.5 Where CSC accepts a request to reconsider one of its decisions in relation to PSSAP, CSC, unless under Rule 6.3.4 it has decided in favour of the person seeking reconsideration, must: (a) if CSC has delegated to a Reconsideration Advisory Committee CSCs power to determine the matter, refer the request to the Committee for review and to exercise that power and in that event the Committee must review the decision and determine the matter in accordance with the delegated power by: (b) itself review the decision and decide whether to affirm the decision, vary the decision, substitute another decision or set the decision aside, after considering the recommendation of a Reconsideration Advisory Committee, if any, if, at its discretion, it has referred the request to the Committee for review and to make a recommendation in relation to the decision; after first obtaining, if appropriate, the recommendation of an Assessment Panel, and the Committee or CSC, as the case requires, may, at its discretion, refund the fee paid. PSS has a good track record with sound background of professionals, who have vast experience in the field . Active employees: Your plan is primary if youre employed and have health insurance through your employer and your spouse has coverage through a former employer (such as COBRA), and your children are listed as dependents on both plans. (b) engage in any hazardous occupation or pursuit. provide a detailed review of OSHA PSM requirements; or replace sound engineering judgment of each site on the appropriate steps it should take to ensure safe operation. means an ordinary employer-sponsored member who has attained their preservation age. See Rules 3.4.3 and 3.4.4. 7.3.8 CSC shall not accept employee contributions, contributions by an employer or transfer amounts, including those referred to at Rule 2.4.1, for the purpose of them being credited to the non-member spouse interest account. Crediting of fund earnings and debiting of fund losses, Crediting of earnings and debiting of expenses and losses. 4.1.8 The basic death and invalidity cover of an ordinary employer-sponsored member ceases on the earliest of: (a) the day, or a day after the day, that the ordinary employer-sponsored member ceases to be an ordinary employer-sponsored member, that is specified in the basic death and invalidity cover policy for the purpose of this paragraph; (b) the death or invalidity retirement of the ordinary employer-sponsored member; (c) where, under Rule 4.1.7, a premium payable for basic death and invalidity cover has not been paid on the day on which the premium became payable and the terms of the basic death and invalidity cover policy provide for cover to end if the premiums cease, the day after the day on which the cover ends due to non-payment of the premiums; and. New job, same great super fund. The Parts and a general guide to each Part are set out below. She has extensive experience bringing brands to life and has built award-nominated campaigns for travel and tech. 7.1.1 Subject to this Part, where an interest in the PSSAP Fund becomes subject to a payment split under the Family Law Act 1975: (a) CSC shall have the same powers and duties in relation to the interest as a trustee has under Part 7A of the SIS Regulations in relation to a relevant accumulation interest; (b) a non-member spouse in relation to the interest has the same rights in relation to benefits connected with the interest as the non-member spouse would have in relation to benefits connected with the interest if Part 7A of the SIS Regulations applied in relation to the interest; and. Subclauses 1.3, 1.6 and 1.8 deleted in the 5th amending deed. When each parent has their own health plan, they both have the option of adding their children to their plan. Because the first spouses birthday is earlier in the calendar year, their health plan is considered primary even though their spouse is older. The Affordable Care Act requires health plans to allow young adultseven if theyre no longer tax dependentsto remain on their parents health coverage until age 26. The Report's findings will provide a breakdown of remuneration across the different classification levels as well as illustrate the changes from year to year. If divorced parents have joint custody, and a court has not specified which parent is supposed to provide insurance for dependent children, the birthday rule takes effect. For example, Rule 2.3.1 is the first Rule in Division 3 of Part 2 of the Rules. 8.3 If CSC delegates a power under subclause 8.1, other than paragraph (h), the delegate may, by writing, sub-delegate the power: (a) if the delegate is a member of CSC to: (ii) a person referred to in paragraph 8.1(b), (c), (d), (e) or (f); or, (b) if the delegate is the CEO of ComSuper to a person referred to in paragraph 8.1(c), (d), (e) or (f); or. CSC must redirect incorrectly paid amounts and correct personal accumulation accounts. To get an insurance quote over the phone, call: (855) 596-3655 | Agents available 24 hours a day, 7 days a week! 4.2.13 Where a premium payable for supplementary death and invalidity cover is more than the amount in the personal accumulation account of an ordinary employer-sponsored member, Rule 4.2.12 shall not apply. Postal Address. Payment of benefits to a PSSAP member who has ceased to be an ordinary employer-sponsored member. *At this time, the protocols are only being provided to refining and petrochemical sites. 7.2.2 Where the non-member spouse is a PSSAP member with both a personal accumulation account and a non-member spouse interest account, CSC shall, within 28days after being requested to do so by the non-member spouse: (a) increase the amount credited to the personal accumulation account of the PSSAP member by the amount credited to the non-member spouse interest account; and. Again, this birthday rule is different than birthday rules about how insurance plans coordinate for children when both parents have health insurance plans. In most divorce settlements, one parent is responsible for providing insurance coverage, and that parents policy provides primary coverage, superseding the birthday rule. 2.4.1A Subject to the SIS Act, a PSSAP member may transfer or roll-over an amount payable in respect of the person under the Superannuation (Government Cocontribution for Low Income Earners) Act 2003 to CSC as a transfer amount where the amount, in total or part, relates to a period where the person was an ordinary employer-sponsored member, provided the method of payment complies with Rule2.4.2. Note:A person becomes a PSSAP member under Part 3 of the Act, which also specifies the duration of the persons PSSAP membership. But its possible to have more than one, especially if a household has two parents whose jobs both offer employer-sponsored health coverage. However, its common in a divorce for one parent to be responsible for maintaining coverage. Certain gov orgs provide employees with a greater than 9.5% contribution, if you're with PSSAP, but if you provide another super fund for them to pay into, then they're only obligated to pay the minimum of 9.5%. , under Rule 4.1.7, a premium payable for, (a) whether it is prepared to provide the cover for that, (b) if so, the cost of the premium, including any extra cost where the, must provide the responses to the questions in paragraphs (a) and (b) from the, (d) where, under Rule 4.2.13, a premium payable for, (e) the date the insurer ceases to provide, Subject to Rule 4.2.13, the cost of the premium for, (b) in accordance with the policy between, , under Rule 4.3.6, a premium payable for, may make a claim against a policy providing, insurer in response to a claim are paid to the, it is prepared to provide the cover for that, , the cost of the premium, including any extra cost where the, , under Rule 4.4.11, a premium payable for, Subject to Rule 4.4.11, the cost of the premium for, (e) the interest credited (if any) in respect of fund earnings on the persons, (h) any amount credited to the persons, (i) amount of any tax offset as determined by, If any or all of the following amounts are paid from the, payable under Rule 4.1.6, 4.2.12, 4.3.5 and 4.4.10 paid from the persons, in respect of fund losses on the persons, (d) any benefit paid to or in respect of the, In determining the amount referred to in Rule 5.2.1, (a) the charges, costs and expenses incurred in the investment of amounts in all, is subject to provisions relating to financial management of funds (including solvency and winding up of accumulation, possible surcharge assessments received in respect of surchargeable contributions made on or after 1 July 2005 (legislation has been introduced in Parliament to abolish the surcharge from 1 July 2005), Rule 5.3.1 will cover surcharge assessments received in relation to surchargeable contributions made before 1 July 2005 and transferred by, If any moneys paid to or withdrawn from the, (a) in the case of moneys paid by mistake refunding those moneys to the person who paid them to the, (b) in the case of moneys withdrawn by, taking all reasonable steps to recover the moneys and doing all things necessary to correct the records of the, all things necessary to correct the records of the. 2.2.10 If the percentage reported under Rule 2.2.9(b) is less than 9%, the designated employer is required to notify in writing the ordinary employer-sponsored member and CSC of an employer contribution shortfall. 5.2.1 CSC may determine the amounts to be credited or debited to a persons personal accumulation account under Rule 5.1.5(e) and 5.1.6(c) that reasonably reflects the after tax earnings or losses derived from the investment of the amount in the account. For example, if your birthday is December 28, and you already have a Medigap plan, you would be eligible to purchase and enroll in a new plan effective March 1, 2022 because that is within 63-days of your birthday. The PSSap does not have many of the attractive PSS benefits. (a) a release authority received from a PSSAP member or the Commissioner of Taxation under section292-410 of the Income Tax Assessment Act1997; or. The notification is to include a statement of reasons for the decision. (a) an ordinary employer-sponsored member to CSC under Rule 2.4.1; or (b) a PSSAP member to CSC under Rule 2.4.1A; less income tax payable by the PSSAP Fund in relation to that amount. 4.4.8 The supplementary income protection cover of an ordinary employer-sponsored member ceases on the earliest of: (a) the day, or a day after the day, that the ordinary employer-sponsored member ceases to be an ordinary employer-sponsored member, that is specified in the supplementary income protection cover policy for the purpose of this paragraph; (b) the date the ordinary employer-sponsored member notifies CSC that they no longer wish to have supplementary income protection cover; (d) where, under Rule 4.4.11, a premium payable for supplementary income protection cover has not been paid on the day on which the premium became payable and the terms of the supplementary income protection cover policy provide for cover to end if the premiums cease, the day after the day on which the cover ends due to non-payment of premiums; and. Under Divisions 6.4 and 6.5 of the SIS Regulations, a member of a regulated superannuation fund may, in writing, ask the trustee of the fund to roll over or transfer an amount that is the whole or part of the members withdrawal benefit, and the trustee of the fund must roll over or transfer, as permitted by SIS, the amount in accordance with the request. After the newborn came home safely, the couple was surprised to get hit by a $200,000 bill for the NICU stay. Unfortunately, the husbands policy covered far less and was based in a different state. 3.1.14 Subject to the SIS Act, a roll-over application must be made in a form acceptable to CSC and must include any supporting evidence of entitlement to the benefit required by CSC. 6.4 CSC must determine an investment strategy and policy of the PSSAP Fund as soon as possible after 1July 2005 and thereafter regularly review such a strategy and policy, and, where it considers it necessary or desirable, change its existing investment strategy or policy. The birthday rule is especially important when the newborn experiences medical complications, and it becomes necessary to determine primary and secondary payers. In 1984, the National Association of Insurance Commissioners (NAIC) developed the current version of the birthday rule as part of its coordination of benefits model, which establishes a process for determining primary and secondary payers. Applications for roll-over or transfer of benefits. Learn more about MySuper funds and the different types of super funds. 5.5.1 If any moneys paid to or withdrawn from the PSSAP Fund, in the opinion of CSC, have been paid to or withdrawn from the PSSAP Fund by mistake (whether of law or of fact), CSC must take steps to correct the mistake, including: (a) in the case of moneys paid by mistake refunding those moneys to the person who paid them to the PSSAP Fund and doing all things necessary to correct the records of the PSSAP Fund to reflect such refunding; (b) in the case of moneys withdrawn by mistake taking all reasonable steps to recover the moneys and doing all things necessary to correct the records of the PSSAP Fund to reflect such recovery. What is birthday rule? Most people tend to have just one health insurance policy. (a) any determination made under the Remuneration Tribunal Act 1973: or, (b) any determination made under another Act or a law of a Territory in respect of remuneration for a person holding a statutory office or appointed under an Act or law of a Territory, not being a determination of remuneration made under section 24 of the Public Service Act 1999 or section 24 of the Parliamentary Service Act 1999; or. 4.4.6 The ordinary employer-sponsored member may vary the amount of supplementary income protection cover at any time before the cover ceases to be applicable, provided the relevant life insurance company is prepared to provide the varied cover. 4.1.5 All premiums for basic death and invalidity cover are to be paid by CSC from the PSSAP Fund. 2.3.4 Eligible spouse contributions may be made on behalf of an ordinary employer-sponsored member at any time and in any amount: Method of payment of employee contributions and eligible spouse contributions. for the purposes of reconsidering decisions of CSC under Part6 of the Rules, includes: (a) making, suspending, revoking or refusing to make an order or determination; (b) giving, suspending, revoking or refusing to give a certificate, direction, approval, consent or permission; (c) issuing, suspending, revoking or refusing to issue an authority or other instrument; (d) imposing a condition or restriction; (e) making a declaration, demand or requirement; (f) retaining, or refusing to deliver up, an article; and. Further details are available from HR Services. (m) charge reasonable fees in relation to the administration of the PSSAP Fund, including arrangements connected with PSSAP members and non-member spouses choosing particular investment strategies and arrangements connected with splitting of superannuation interests under the Family Law Act 1975. This can help ensure the best coverage possible and avoid any unforeseen costs and lapses in care and coverage for the newborn. 7.3.4 CSC may offer a non-member spouse the opportunity to elect to have amounts held in his or her non-member spouse interest account invested in accordance with a particular investment strategy. (b) in accordance with the policy between CSC and the life insurance company, the company refuses to provide cover in respect of the ordinary employer-sponsored member. 3.1 The functions of CSC in relation to PSSAP and the PSSAP Fund are to administer PSSAP and to manage and invest the PSSAP Fund in accordance with the provisions of the Act and this Deed including, without limiting the generality of the foregoing, the following functions: (a) to receive payments from designated employers as provided for in the Act and other superannuation entities in accordance with this Deed; (b) to pay benefits to the persons entitled to receive benefits from PSSAP in accordance with the Act and this Deed; (c) to provide information about benefits or potential benefits, and available options, to: (d) to provide advice to the Minister on proposed changes to the Act and the Deed; and. (d) a person, as defined in clause 9, to whom the Minister for Finance and Administration has delegated his powers. The site does not review or include all companies or all available products. The other parents health plan then provides secondary coverage. The PSSAP Fund shall be managed and invested by CSC in accordance with the Act and the Deed. 3.2.3 If, after making reasonable enquiries, CSC upon the death of a PSSAP member has not found either a legal personal representative or a dependant of the deceased PSSAP member, CSC will pay or apply the deceased members total benefit to or for the benefit of such one or more individuals as determined by CSC. 2.1.2 Where an ordinary employer-sponsored member, who is employed by two or more designated employers at the same time, ceases to be an employee of one or more but not all of those designated employers, the person will not cease to be an ordinary employer-sponsored member. Rather, theyre common claims practice and not all plans follow these customs. Supplementary death and invalidity cover premiums. The amendments broadened PSSap's member eligibility rules with effect from March 7 2021. Functions and Powers of CSC in relation to PSSAP, 5. But if the coverage under both plans took effect on the same day, the birthday rule would apply. In situations where a child is covered by different health plans due to each parent having a separate policy, insurers use the birthday rule to decide which parents policy is primary and which parents policy is secondary. PSSAP Focused is API's new addition to the Process Safety Site Assessment Program. \n","padding":"double"}. Regulations 6.33 and 6.34 of the SIS Regulations set out that a trustee must roll-over or transfer an amount as soon as possible or within a timeframe allowed under the SIS Regulations, in response to a request from a scheme member. National Public Radio. The Process Safety Site Assessment Program (PSSAP) will be implemented and managed by the API Global Industry Services (GIS) Department. It has not been previewed, commissioned or otherwise endorsed by any of our network partners. 1.2.1 Because some words and phrases have a special meaning when used in the Rules they have been explained below or in the Trust Deed. A member of a Reconsideration Advisory Committee may also be a director of CSC. You should obtain a copy of the relevant Product Disclosure Statement and consider its contents before making any decision regarding your super. So in the example above, if Abigail and Armando both had an August 20 birthday, but Armando had been covered under his plan since 2006 while Abigail had only been covered under her plan since 2014, Armandos plan would be primary. (a) Clause 1 of the Fourth Amending Trust Deed of 2009 provides as follows: (a) clause 3.1: immediately after Schedule 22 to the Fair Work (Transitional Provisions and Consequential Amendments) Act 2009 commences; (b) clauses 3.2 to 3.9: immediately after Part 2-4 of the Fair Work Act 2009 commences. and, at its discretion, refunding any fee paid. 9.1 The Minister may by signed instrument delegate all or any of his or her powers under the Deed, other than this power of delegation, to: (b) an APS employee in the Department referred to in subclause 1.4; or. Divorce or separation: When two or more plans cover your children as dependents if youre divorced or separated, the plan of the parent who has custody pays first. Lets say Abigail and Armando each have their own employer-sponsored health insurance, and theyve opted to add their children to both plans. means, in respect of an ordinary employer-sponsored member, contributions paid by the designated employer of that member under Rule 2.2.1. means insurance cover provided in respect of an ordinary employer-sponsored member under Division 3 of Part 4 of the Rules. 4.2.11 All premiums for supplementary death and invalidity cover are to be paid by CSC from the PSSAP Fund. However, the infants delivery and standard newborn services are covered by the mothers insurance. In these cases, parents may want to drop one plan and keep another more generous plan, for example, to avoid the birthday rule altogether and provide the best coverage possible. They appear throughout the Rules in, means an Agency within the meaning of the, means an AWA within the meaning of clause 1 of Schedule 7A to the, means insurance coverage provided in respect of an, means insurance cover provided in respect of an, means a notice in such form and manner as, means any period during which a person is absent full-time from his/her employment due to an incapacity for work resulting from an injury in respect of which compensation is payable under section 19 or 22 of the, (short for Commonwealth Superannuation Corporation), means the superannuation scheme established by the, for the purposes of reconsidering decisions of, means a enterprise agreement within the meaning of section 12 of the, means any amounts payable in respect of an, means the termination of the employment of an, in relation to a superannuation interest in the. You can add extra money to your super by making before-tax and after-tax contributions, or by transferring in money from other super funds to help grow your savings.