Concept Guidance: |
This is the percentage, during the relevant period, for the private health insurer's estimate of its health benefits fund's xth percentile net margin percentage for the health insurance business for 12 months after the relevant day calculated: (a) applying the same premium increases as those assumed in calculating the premium income estimate; and (b) excluding any possible changes in the unexpired risk liability or constructive obligation during that period.
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Form-Specifc Guidance: |
In calculating NM% the following must be taken into account:
(a) historical variability in net margins; and
(b) changes in the fund's policy holder growth rate; and
(c) expansion into new complying health insurance product(s); and
(d) expansion into new markets.
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