Metadata: Report of the Royal Commission on National Health Insurance

DAE 
MAJORITY REPORT. 
of Health, and the Government Actuary, in pursuance of which 
the valuers, in addition to certifying the disposable surpluses, 
informed the Societies of the amounts to which it would be 
prudent to limit expenditure under schemes with a currency of 
five years. The assent of the Minister, or the Board, as the case 
may be, has accordingly been given to schemes framed on these 
lower amounts, leaving the balances of the disposable surpluses 
to be carried forward to assist in the maintenance of additional 
benefits in the future. 
573. Tt is evident that if the currency of schemes of additional 
benefits is to be definitely limited to a fixed period, a Society, in 
preparing its scheme, will primarily require to be informed of the 
amount of surplus which it can safely spend in that period, and 
it has been suggested that in arriving at this amount regard should 
always be had to the considerations advanced in the last para- 
graph. From this point of view the disposable surplus would 
be the amount which in the opinion of the valuer could properly 
be expended during the currency of the scheme. To enable the 
valuer to give a certificate carrying this meaning it would be 
necessary for the Act to indicate the conditions to which he was 
to have regard in giving his certificate. In this respect the Act 
is at present silent, and the valuer must certify the full amount 
of the surplus which he considers disposable, even though it 
would be the height of imprudence for the Society to frame a 
scheme under which the whole of the surplus would be distributed 
in the years immediately following the valuation. 
574. We are satisfied that it is desirable to make provision in 
the manner suggested, and we recommend that Section 75 of the 
Act should be amplified so as to provide that the Treasury valuer, 
in certifying what part of a realised surplus is disposable, shall 
have regard to the probability of the continued maintenance of 
any additional benefits to be provided in the scheme next to be 
made. 
REVISION OF SCHEMES OF ADDITIONAL BENEFITS 
575. There is no provision in the Act itself which enables the 
Minister, once he has given approval to a scheme of additional 
benefits, to 1equire a Society to review that scheme even though 
such a review may become highly desirable in the light of 
experience gained during the period of the five years for which 
the scheme operates. We are informed that in so far as schemes 
arising under the second valuation are concerned a clause to the 
following effect has been inserted in every scheme :— 
“ Tf at any time during the currency of this scheme the 
Minister declares that he is satisfied in the light of experience 
of the administration of additional benefits by Approved 
Societies generally that it would be to the advantage of 
inanred persons participating in those benefits that further
	        
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