Get Cgeoff002

The Cgeoff002 form is essential for notifying the Private Health Insurance Administration Council (PHIAC) about changes related to directors. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the Cgeoff002 form.

1. Click the 'Get Form' button to access the Cgeoff002 form and open it in your preferred editing tool.
2. Begin by providing the contact details of the person PHIAC should reach out to in case of any queries regarding the form. This includes their name, position, name of the private health insurer, telephone number, and email address.
3. Indicate the details of the change being reported. Specify whether this pertains to the appointment of a new director, the resignation of a director, or a change of director contact details. If relevant, check the appropriate box for Non-Executive Director, Executive Director, or Independent Director.
4. Fill in the name of the new director, the date of the change, and the various contact details including telephone number, fax number, mobile number, email address, residential address, and postal address if different.
5. If applicable, include the name of the outgoing director in the designated field, indicating their position if they are a Non-Executive Director, Executive Director, or Independent Director.
6. For notifications involving a new director, provide a statement detailing the skills, knowledge, and experience of the new director as required by the Private Health Insurance (Insurer Obligations) Rules 2009.
7. The form must be signed by an authorized officer of the private health insurer. This could be a director, chief executive officer, or another key decision-maker within the organization. Ensure that the officer includes their name, position, and address.
8. Complete the declaration section by certifying that the information provided is accurate. This includes acknowledging the seriousness of providing false information and the requirement to notify PHIAC within 28 days.
9. Finally, save your changes, and choose how to submit the form. Options include uploading via the online portal, emailing, or mailing the form directly to PHIAC.

Complete your documents online for efficient processing.