(e) the date the insurer ceases to provide supplementary income protection cover in respect of the ordinary employer-sponsored member. (b) doing all things necessary to correct the records of the PSSAP Fund to reflect action taken under paragraph (a). (a) employment with an organisation or association registered or recognised under the, (b) if the person is employed in an, (c) if the person is not employed in an, provided the temporary employer agrees to reimburse the, means the day on which a regular salary payment is made by a, (b) does not receive a salary payment from a, (v) a period of leave of absence for the purposes of engaging in, means a pre-reform AWA within the meaning of clause 1 of Schedule 7 to the, means a a pre-reform certified agreement within the meaning of clause 1 of Schedule 7 to the, (a) a release authority received from a, (b) a transitional release authority received from a, means the shortfall component within the meaning of section64A or 64B of the, means a workplace agreement within the meaning of section 4 of the, means a workplace determination within the meaning of section12 of the, (a) where the circumstances referred to in Rule 2.2.3 apply the, amount that would have been the persons fortnightly contribution salary if they were a, (h) an agreement in writing between the, In addition to the amounts required to be paid by the, allows employers to make contributions for or on behalf of an employee in addition to any amounts the employer is required to pay as, - to provide superannuation contributions in circumstances where contributions would otherwise not be required to be paid. PSSap. Many families choose to add children to just one parents plan, but some choose to add them to both plans, especially if the employers cover a significant portion of the monthly premiums. 5.1.2 CSC may keep only one personal accumulation account for each PSSAP member. 4.1.2 An ordinary employer-sponsored member will be provided with basic death and invalidity cover on and subject to the terms and conditions of the policy taken out pursuant to Rule 4.1.1, unless the life insurance company does not provide cover in respect of the member under that policy. In these cases, parents may want to retain the childs coverage for the more generous policy while dropping the other, less comprehensive policy. However the PSSAP has the 'birthday rule', meaning that even if your salary increases, your super is paid at your previous rate until your birthday. Supplementary death and invalidity cover premiums. 2.4.3 CSC must pay any transfer amount into the PSSAP Fund. (e) the date the insurer ceases to provide supplementary death and invalidity cover in respect of the ordinary employer-sponsored member. As a government employee, your employer contributes at least 15.4% of your super salary into your. 2.3.1 An ordinary employer-sponsored member may pay contributions to CSC at any time and in any amount: (a) except that CSC must reject any contributions paid under this Rule if the SIS Act would prevent the PSSAP Fund from accepting the contributions or if acceptance of the contributions by CSC may jeopardise the status of the PSSAP Fund as a complying superannuation fund; and. Under the birthday rule, the health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan. replace or be interpreted as industry standards or recognized and generally accepted good engineering practices; provide a definitive, required, and/or prioritized list of site requirements; provide a detailed review of OSHA PSM requirements; or. To ensure that CSC is keeping customers at the centre of our approach to the design and distribution of our products, a Target Market Determination (TMD) has been made for ADF Super, PSSap and CSCri. Find Cheap Health Insurance Quotes in Your Area. The birthday rule does not apply. You can keep track of birthdays with free birthday templates for calendars or lists. 8.1 Subject to subclause 8.2, CSC may by an instrument under its seal delegate to: (c) a member of staff of ComSuper assisting the CEO in the performance of the CEOs function; or, (d) an APS employee in the Department referred to in subclause 1.4; or, (e) an officer or employee of the person who is responsible for investing money forming part of a superannuation fund vested in or managed by CSC; or, (f) any other person who performs duties in connection with the operation of the Deed; or, (g) a committee consisting of 2 or more persons each of whom is a person referred to in any of the above paragraphs; or. The PSSap does not have many of the attractive PSS benefits. The assessment final report will not provide written recommendations. 12 were here. Establishing Reconsideration Advisory Committees. Ranked 3rd by performance over the past 12 months out of 45 funds. 4.1.5 All premiums for basic death and invalidity cover are to be paid by CSC from the PSSAP Fund. To prevent those kinds of payment problems, when children are covered under each parents group health plan, one plan is designated as primary and the other secondary. {"backgroundColor":"ice","content":"\u003C\/p\u003E\n\n\u003Cp\u003ELet\u2019s say, for example, that a child covered under two policies has a medical bill of $1,000. Consequential amendments were also made by the Superannuation (PSSap - Ordinary Employer-Sponsored Member Exclusion) Determination 2020, including to repeal Superannuation (PSSap - Former Commonwealth Ordinary Employer-Sponsored Member) Determination 2017. 4.3.5 Subject to Rule 4.3.6, the premium for basic income protection cover provided in respect of an ordinary employer-sponsored member is the amount determined by CSC, being the same amount as the amount of premium specified in the basic income protection cover policy, and must be deducted from the personal accumulation account of the ordinary employer-sponsored member. has the same meaning as in the Income Tax (Transitional Provisions) Act1997. has the same meaning as in the Governance of Australian Government Superannuation Schemes Act 2011. means contributions paid by an ordinary employer-sponsored member under Rule2.3.1. means the amount, if any, reported under Rule 2.2.10. means a enterprise agreement within the meaning of section 12 of the Fair Work Act 2009. means benefits payable under Division 4 of Part 3. means insurance cover provided in respect of an ordinary employer-sponsored member under Division 3 and Division 4 of Part 4 of the Rules. But if the coverage under both plans took effect on the same day, the birthday rule would apply. (b) if so, the cost of the premium, including any extra cost where the ordinary employer-sponsored member was assessed as not being a standard risk, on: (i) the date the cover commenced; and. If a claim needs to be filed for the child, which policy covers it? National Association of Insurance Commissioners. (h) an agreement in writing between the ordinary employer-sponsored member and their designated employer in the case of an ordinary employer-sponsored member not covered by a workplace agreement, a pre-reform certified agreement, a pre-reform AWA, an AWA, a remuneration determination, an enterprise agreement, or a workplace determination. 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. 7.3.2 Subject to the SIS Act, the rights of a non-member spouse or their legal personal representative applying for benefits or the roll-over of benefits in relation to their non-member spouse interest are the same as those of a PSSAP member who has ceased to be an ordinary employer-sponsored member or their legal personal representative applying for benefits or the roll-over of benefits in relation to an interest in the PSSAP Fund of the PSSAP member. (b) any other evidence CSC considers relevant; it is satisfied there is no reasonable doubt it should decide in favour of the person. 4.2.6 An ordinary employer-sponsored member may vary the amount of supplementary death and invalidity cover at any time before the cover ceases to be applicable, provided the relevant life insurance company is prepared to provide the varied cover. Subclauses 5.4 and 5.5 deleted in the 5th amending deed. 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. WHEREAS section 10 of the Superannuation Act 2005 (in this Deed called the Act) provides that before 1 July 2005, the Minister must, for and on behalf of the Commonwealth, by deed: (a) establish a superannuation scheme that: (i) is to be known as the Public Sector Superannuation Accumulation Plan; (ii) may also be known as PSSAP; and, (iii) is for the benefit of persons who will be members of PSSAP; and, (b) establish and vest in the Australian Reward Investment Alliance (formerly known at the PSS Board) established under section 20 of the Superannuation Act 1990 (the Board), a fund for the purposes of the PSSAP; and. *At this time, the protocols are only being provided to refining and petrochemical sites. So in 1582, Pope Gregory XIII established the Gregorian calendar and introduced the century rule, Levine . Note:As well as covering 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 PSSAP members to the PSSAP Fund. 4.1.3 Where an ordinary employer-sponsored member 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 basic death and invalidity cover, unless the life insurance company does not provide cover in respect of the member under that policy. All contributions to your account are invested, so the value of your super depends on the amount of those contributions and the net returns from their investment over time, minus fees and costs. To get an insurance quote over the phone, call: (855) 596-3655 | Agents available 24 hours a day, 7 days a week! The parent whose birthday (month and day only) falls first in a calendar year is the parent with the primary coverage for the . 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. (See Rule5.1.1.). The birthday policy does not refer to age. This double coverage approach can be a money-saver, as the second plan can be used to cover expenses that would otherwise be out-of-pocket costs under the first plan. By working in tandem, the two insurance companies are more likely to provide coordinated, not duplicated care. However, if this health insurance coverage is not decided in the settlement, the birthday rule remains in place and the parent with the birthday earlier in the year has the primary policy. means a pay-slip or other document advising an employee about the amount of salary or wages paid for a period of time and includes a document in electronic form. Application for approval of invalidity retirement. Note:The PSSAP is subject to provisions relating to financial management of funds (including solvency and winding up of accumulation funds) set out at Part 9 of the SIS Regulations. 5.4.1 CSC may offer PSSAP members the opportunity to elect to have amounts held in their personal accumulation account invested in accordance with a particular investment strategy. How Many Jobs Has the Oil and Natural Gas Industry Created? Note:Where part of a benefit is paid to a person under Rule 3.1.3 or Rule 3.1.4, the remainder of the benefit must be retained in the personal accumulation account of the PSSAP member or rolled-over or transferred to another superannuation entity. (b) the PSSAP member is entitled to the payment of a benefit under the Rules. The intent of the birthday rule is to prevent the double billing and overpayment of claims while ensuring that the child with dual coverage receives coordinated and . Applying for supplementary death and invalidity cover. 5 Things to Know About Student Health Insurance, Factors to Consider When Choosing Health Insurance. A TMDdescribes the types of customers a financial product is appropriate for, based on their likely needs, objectives and financial situation (target market), and it establishes the conditions and restrictions in relation to how the product can be distributed to customers. 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%. However, its common in a divorce for one parent to be responsible for maintaining coverage. 2.3.5 CSC may determine the way in which employee contributions and eligible spouse contributions must be paid to CSC. The birthday rule is a part of a set of rules called the coordination of benefits (COB) which collectively resolves questions about which health insurance policy provides coverage. 4.4.5 If an ordinary employer-sponsored member applies to CSC for supplementary income protection cover, or applies to vary existing cover, CSC must ask the relevant life insurance company: Variation of supplementary income protection cover. Establishment of the Public Sector Superannuation Accumulation Plan (PSSAP) and the PSSAP Fund. (short for Commonwealth Superannuation Corporation) has the same meaning as in the Governance of Australian Government Superannuation Schemes Act 2011. means the superannuation scheme established by the Superannuation Act 1976, known as the Commonwealth Superannuation Scheme. Each Part is further divided into Divisions addressing unique groupings within the Part and each Division is made up of Rules containing specific provisions. PSSap can be your super fund wherever your career takes you, even if you leave the APS. The birthday rule often determines which insurance policy is primary and which is secondary for infants covered by both parents policies. The Superannuation (PSSAP) Trust Deed (in force under section10 of the Superannuation Act 2005) as shown in this compilation is amended as indicated in the Tables below. Assessment of applications for income protection benefits. A TMD describes the types of customers a financial product is appropriate for based on their likely needs, objectives . 1.2 In this Deed, where the context requires or admits, words and expressions defined in the Act have the same meanings when used in the Deed. has the same meaning as in the Income Tax Assessment Act 1997. in relation to an ordinary employer-sponsored member means leave of absence taken: (a) in relation to the birth of a child of the person; or, (b) because the persons pregnancy ended for reasons other than birth; or. But it's also important to understand how the birthday rule works and to be aware of which plan will be primary and which will be secondary. A secondary plan wont reimburse you for services it doesnt cover. ad. 7.3.6 CSC may determine the administration fees to be paid from a persons non-member spouse interest account for changing elections about choice of investment strategy. 2.2.3 The superannuation salary of an ordinary employer-sponsored member will be the persons ordinary time earnings if this is specified in: (a) a workplace agreement that applies to the ordinary employer-sponsored member; (b) a pre-reform certified agreement that applies to the ordinary employer sponsored member; (c) a pre-reform AWA that applies to the ordinary employer-sponsored member; (d) an AWA that applies to the ordinary employer-sponsored member; (e) a remuneration determination that applies to the ordinary employer-sponsored member; or, (f) an enterprise agreement that applies to the ordinary employer-sponsored member; or, (g) a workplace determination that applies to the ordinary employer-sponsored member; or. While the parent whose birthday comes first is still the primary insurance plan, the birthday rule doesnt apply to children whose parents have divorced or are members of a blended family. This can affect the benefits the child receives and your out-of-pocket costs for copayments and deductibles. You may wish to consult a licensed financial advisor. 4.4.2 An ordinary employer-sponsored member may apply to CSC for supplementary income protection cover at any time. (c) a member spouse in relation to the interest has the same rights in relation to reduction of benefits connected with the interest as the member spouse would have in relation to such reduction if Part 7A of the SIS Regulations applied in relation to the interest. In most divorce settlements, one parent is responsible for providing insurance coverage, and that parents policy provides primary coverage, superseding the birthday rule. All Rights Reserved. 3.1.2 A benefit application must be made in a form acceptable to CSC and must include any supporting evidence of entitlement to the benefit required by CSC. 4.4.9 All premiums for supplementary income protection cover are to be paid by CSC from the PSSAP Fund. The birthday rule says primary coverage comes from the plan of the parent whose birthday falls first in the year. The site does not review or include all companies or all available products. The specifics vary in how much the secondary insurer will payit depends on the plan and the medical claim. Lets say, for example, that a child covered under two policies has a medical bill of $1,000. As part of the industrys ongoing commitment to continuous process safety improvements, API, in collaboration with industry partners, has developed a Process Safety Site Assessment Program (PSSAP). may provide that, when a splitting agreement or splitting order is received by CSC in respect of a superannuation interest under the Act; may include any other provision that is related to, or consequential on, provisions referred to in paragraph (a) concerning a splitting agreement or splitting order; Minister of State for Finance and Administration; onwealth Ministers administer Departments which have functions in relation to the administration of matters to which the Deed relates, the Minister who administers the Department which has the function in relation to each of those matters; or, 1.5 In this Deed, APS employee has the same meaning as in the, Subclauses 1.3, 1.6 and 1.8 deleted in the 5, (a) in relation to the period from 1 July 2005 to immediately before the commencement of the, (b) in relation to the period immediately following the commencement of the, (h) establish a Reconsideration Advisory Committee or Committees to examine and report on decisions of CSC and its delegates under the Rules relating to e, ntitlements to benefits of PSSAP members and non-member spouses entitled to benefits, (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, 3.3 In exercising its functions and powers, CSC shall comply with the requirements of the, 8.4 Section 34AA and paragraphs 34AB(a), (b) and (d) of the, 8.5 Section 34A and paragraphs 34AB(c) and (d) of the, RULES FOR THE ADMINISTRATION OF THE PUBLIC SECTOR, Division 2 Crediting of fund earnings and debiting, Division 2 CSC to establish a non-member spouse, Division 3 Rights and restrictions applying to a, These Rules are divided into 7 Parts, each dealing with a major aspect of the operation of, How you become a member of PSSAP. 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