CareShield Life and Long-Term Care (CSHL Scheme) Regulations 2020

Source: Singapore Statutes Online | Archived by Legal Wires


No. S 849
CareShield Life and Long-Term Care Act 2019
(ACT 26 OF 2019)
CareShield Life and Long-Term Care
(CSHL Scheme) Regulations 2020
In exercise of the powers conferred by section 64 of the CareShield Life and Long‑Term Care Act 2019, the Minister for Health makes the following Regulations:
PART 1
PRELIMINARY
Citation and commencement
1.  These Regulations are the CareShield Life and Long‑Term Care (CSHL Scheme) Regulations 2020 and come into operation on 1 October 2020.
Application of these Regulations
2.—(1)  Except as otherwise provided by paragraph (2), these Regulations apply to —
(a)every citizen of Singapore or permanent resident of Singapore mentioned in section 6(1)(a) of the Act;
(b)every individual mentioned in section 6(1)(b) of the Act;
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(ba)every individual mentioned in section 6(1)(c) of the Act —
(i)who is a citizen of Singapore or a permanent resident of Singapore on 1 November 2021;
(ii)whose birthday falls within the period prescribed in the CareShield Life and Long-Term Care (Prescribed Period under Section 6(1)(c)(ii)) Order 2021 (G.N. No. S 806/2021);
(iii)who is not severely disabled on 1 November 2021;
(iv)who, on 1 November 2021, is insured under the ESH Scheme but not by reason of —
(A)an insurance cover that is in force, despite the individual’s failure to pay the premium for any insurance period, because the individual has made the minimum number of premium payments; or
(B)an insurance cover under the former ElderShield Scheme issued on or after 1 November 2021 and backdated to a date before 1 November 2021; and
(v)who does not withdraw (whether on his or her own or by an authorised applicant acting on behalf of the individual) from the CSHL Scheme before 1 January 2024;
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(bb)every individual who fits the description in section 6(1)(d) of the Act; and
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(c)every individual mentioned in section 6(4) of the Act whom the Board determines may be covered, for such period as the Board thinks fit, under the CSHL Scheme.
(2)  Regulation 4 does not apply in respect of an individual mentioned in paragraph (1)(c).
Matters prescribed in relation to section 6(1)(d) of Act
2A.—(1)  An individual’s application for insurance cover mentioned in section 6(1)(d)(i) of the Act may be accepted under section 7(4) of the Act if the individual satisfies the following requirements, as applicable:
(a)the individual’s birthday is before 1 January 1980;
(b)if the date of application for insurance cover is before 1 January 2026 — the individual is not severely disabled on the relevant date;
(c)if the date of application for insurance cover is on or after 1 January 2026 — the individual is not disabled on the relevant date.
(2)  In paragraph (1), the relevant date is the following date, as applicable:
(a)if the Board does not require the individual to undergo a disability assessment under section 7(5)(c) of the Act — the date of the application for insurance cover;
(b)if the Board requires the individual to undergo such a disability assessment — the date of that disability assessment.
(3)  The prescribed period mentioned in section 6(1)(d)(ii) of the Act is 60 days.
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PART 2
INSURANCE COVER AND RELATED PROVISIONS
Insurance period
3.—(1)  Subject to paragraphs (2) and (3), each insurance period of an individual’s insurance cover under the CSHL Scheme is a period of 12 months starting on the date of commencement or renewal of such insurance cover, unless the insurance cover is cancelled or terminated on an earlier date in accordance with this Part.
(2)  Where an individual is covered under the CSHL Scheme under section 6(4) of the Act for a period (called the special cover period), any insurance period of the individual’s insurance cover pursuant to section 6(1)(a), (b), (c) or (d) of the Act that follows immediately after the special cover period, is such period (called the applicable insurance period) as may be determined by the Board after taking into account the special cover period.
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(3)  Where paragraph (2) applies —
(a)the date of renewal of the insurance cover is the date immediately after the end of the applicable insurance period; and
(b)each subsequent insurance period after the applicable insurance period is a period of 12 months.
Commencement of insurance cover
4.—(1)  An individual’s insurance cover under the CSHL Scheme commences on a date specified in the First Schedule that is applicable to the individual.
(2)  Where in accordance with the First Schedule an individual’s insurance cover under the CSHL Scheme commences on 29 February in any year, the individual’s insurance cover —
(a)commences on 1 March in that year for the first insurance period; and
(b)is renewable on 1 March for every subsequent insurance period.
(3)  Despite paragraphs (1) and (2), an individual’s insurance cover may commence on a date earlier than the date mentioned in paragraphs (1) and (2) (but not earlier than the date section 6(1)(a), (b), (c) or (d) of the Act applies to the individual) if the Board considers it appropriate.
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End of insurance cover
5.  For the purposes of section 12(3)(a) of the Act, an insured person’s insurance cover under the CSHL Scheme ends if the insurance cover is cancelled or terminated in accordance with regulation 6 or 7, as the case may be.
Cancellation of insurance cover
6.—(1)  The Board may cancel an individual’s insurance cover under the CSHL Scheme if —
(a)the Board finds that the insurance cover in respect of the individual has been issued in error (including because the individual dies on or before the date of commencement of the insurance cover, and the Board is notified of the individual’s death only after that date); and
(b)no claim has been accepted by the Administrator under section 16 of the Act in respect of the individual.
(1AA)  Without affecting paragraph (1), the Board may also cancel the insurance cover under the CSHL Scheme of an individual mentioned in regulation 2(1)(b) —
(a)to whom section 6(1)(b)(iii)(A) of the Act applies — if the individual is found to have been disabled before the commencement of the individual’s insurance cover; or
(b)to whom section 6(1)(b)(iii)(B) of the Act applies — if the individual is found to have been severely disabled before the commencement of the individual’s insurance cover.
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(1A)  Without affecting paragraph (1), the Board may also cancel the insurance cover under the CSHL Scheme of an individual mentioned in regulation 2(1)(ba) if —
(a)the individual withdraws (whether on his or her own or by an authorised applicant acting on behalf of the individual) from the CSHL Scheme before 1 January 2024 or a later date that the Board may allow;
(b)the individual fails to pay the premium for the first insurance period of the individual’s insurance cover under the CSHL Scheme; or
(c)at the expiry of 75 days after the renewal date of the individual’s insurance cover under the ESH Scheme, the individual fails to pay the premium under the ESH Scheme for the insurance period immediately before the commencement of the individual’s insurance cover under the CSHL Scheme.
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(1B)  Without affecting paragraph (1), the Board may also cancel the insurance cover under the CSHL Scheme of an individual mentioned in regulation 2(1)(bb) if —
(a)the individual is found to have been —
(i)severely disabled before the commencement of the individual’s insurance cover, if the date of the individual’s application for the insurance cover was before 1 January 2026; or
(ii)disabled before the commencement of the individual’s insurance cover, if the date of the individual’s application for the insurance cover is on or after 1 January 2026;
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(b)the individual withdraws (whether on his or her own or by an authorised applicant acting on behalf of the individual) from the CSHL Scheme within a period of 60 days after the date the application is accepted under section 7 of the Act or a longer period that the Board may allow;
(c)the individual fails to pay the premium for the first insurance period of the individual’s insurance cover under the CSHL Scheme; or
(d)at the expiry of 75 days after the renewal date of the individual’s insurance cover under the ESH Scheme, the individual fails to pay the premium under the ESH Scheme for the insurance period immediately before the commencement of the individual’s insurance cover under the CSHL Scheme.
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(2)  The cancellation under paragraph (1), (1AA), (1A) or (1B) takes effect on the date of commencement of the insurance cover issued in respect of the individual concerned, as if the insurance cover had not been issued.
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(3)  Paragraphs (1A)(a) and (b) and (1B)(b) and (c) do not apply to an individual whose claim under the CSHL Scheme has been accepted by the Administrator under section 16 of the Act.
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Termination of insurance cover
7.—(1)  The Board may terminate an individual’s insurance cover —
(a)on the date immediately after the date on which the individual dies;
(b)on the date immediately after the date on which the individual ceases to be a citizen of Singapore and does not immediately become a permanent resident of Singapore;
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(c)on the date immediately after the date on which the individual ceases to be a permanent resident of Singapore and does not immediately become a citizen of Singapore; or
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(d)if the Board, with the Minister’s approval, considers that there are exceptional circumstances for the termination of the individual’s insurance cover.
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(2)  Where an event referred to in paragraph (1)(a), (b) or (c) occurs, the Board may, despite paragraph (1)(a), (b) or (c) (as the case may be), determine that the individual’s insurance cover terminates and ceases on a later date (whether before or after the end of the insurance period in which the event occurs).
Reinstatement of insurance cover
8.—(1)  The Board may reinstate the insurance cover of an individual mentioned in regulation 7(1)(b) or (c) whose insurance cover was terminated in accordance with regulation 7, on the date that the individual is reinstated as a citizen of Singapore or a permanent resident of Singapore.
(1A)  The Board may reinstate the insurance cover of an individual mentioned in regulation 7(1)(d) whose insurance cover was terminated in accordance with regulation 7 if the Board, with the Minister’s approval, considers that the exceptional circumstances for the termination of the individual’s insurance cover under regulation 7(1)(d) no longer apply.
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(2)  Where the Board reinstates the insurance cover of an individual under paragraph (1) or (1A), the reinstatement does not affect the date of commencement of the individual’s insurance cover specified in the First Schedule.
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Payment of goodwill sum
9.—(1)  This regulation applies in relation to an individual —
(a)who ceases to be a citizen of Singapore and does not immediately become a permanent resident of Singapore, or who ceases to be a permanent resident of Singapore and does not immediately become a citizen of Singapore; 
(b)whose insurance cover under the CSHL Scheme was not issued in error, but was terminated under regulation 7 by virtue of sub‑paragraph (a); and
(c)who is a severely disabled individual whose claim under section 16 of the Act has been accepted by the Administrator.
(2)  The Board may pay a goodwill sum to —
(a)the individual; or
(b)an approved payee nominated by the individual, or by the authorised applicant for the individual.
(3)  The goodwill sum may consist of one or more payments to be made at such frequency as the Board may determine.
(4)  The Board may suspend the payment of the goodwill sum where —
(a)the Board is unable to make the payment because of insufficient information provided by the individual or the approved payee for such payment; or
(b)in the case of payment to an approved payee, the approved payee lacks mental capacity or has died, and no new approved payee was nominated by the individual, or by the authorised applicant for the individual, as the case may be.
(5)  If the circumstances for the suspension of payment under paragraph (4) no longer exist, the Board may resume the payment of any remaining amount of the goodwill sum even if the individual’s insurance cover is reinstated under regulation 8.
(6)  Upon reinstatement of the individual’s insurance cover under regulation 8, if the insured person is entitled to the payment of one or more insured sums on or after the date of such reinstatement —
(a)the whole amount of the goodwill sum is treated as the payment of the number of monthly insured sums that corresponds to that whole amount (called the relevant insured sums); and
(b)the payment of any other insured sum under section 18(2) of the Act resumes only after the relevant insured sums are treated as paid under sub‑paragraph (a).
PART 3
PREMIUMS
Division 1 — General
Definitions for this Part
10.   In this Part —
“dependant”, in relation to a relevant CPF member, means —
(a)the relevant CPF member’s spouse, child, parent, sibling or grandparent; or
(b)any other person whom the Board may approve as a dependant for the purposes of these Regulations;
“relevant CPF member” has the meaning given by regulation 16.
Obligation to pay premiums
11.—(1)  For the purposes of section 14(1) of the Act, the insured person’s obligation to pay the premium in respect of an insurance period (P) ends when any of the following circumstances first occurs:
(a)at the start of P if the insured person became entitled to the payment of an insured sum in any month during the insurance period immediately before P, unless paragraph (2) applies;
(b)at the end of the insurance period in the year immediately after the 67th anniversary of the insured person’s birth, or if the individual became an insured person in or after the year in which the 59th anniversary of his or her birth occurs, at the end of 10 insurance periods starting in the year that he or she became an insured person;
(c)the termination of insurance cover under regulation 7.
(2)  If the insured person ceases to be entitled to the payment of an insured sum in any month during the insurance period immediately before P (despite being earlier entitled to such payment during that same insurance period), the insured person must pay the premium in respect of P, unless —
(a)his or her obligation to pay the premium has ended because of paragraph (1)(b) or (c); or
(b)the insured person subsequently becomes entitled to the payment of an insured sum during the insurance period immediately before P.
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(3)  Despite the end of an obligation to pay the premium in respect of P under paragraph (1)(a), (b) or (c), the insured person must pay any amount of premium that remains unpaid in respect of one or more insurance periods before P (including any interest, cost and penalty under sections 23(1)(a), 27(3) and 29 of the Act, respectively).
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(4)  In this regulation, “P” does not include the first insurance period of the insured person’s insurance cover under the CSHL Scheme.
Amount of premium
12.  For the purposes of section 14(2) of the Act, the premium for each insurance period of an insured person’s insurance cover under the CSHL Scheme is an amount specified through the use of an electronic service known as the CareShield Life Premium Checker available at https://www.cpf.gov.sg.
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Transfer of moneys to pay shortfall in premium
13.—(1)  This regulation applies where the Board finds that —
(a)there is any shortfall in the premium in respect of an insurance period paid under section 14(4) of the Act by an insured person, or by a relevant CPF member under Division 2 of this Part; and
(b)the insured person or the relevant CPF member has paid moneys to an approved insurer in respect of the whole or any part of a supplement premium under the CareShield Life and Long-Term Care (Supplement Scheme) Regulations 2020 (G.N. No. S 850/2020).
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(2)  The Board may require the approved insurer to transfer the whole or any part of the moneys mentioned in paragraph (1)(b) to the Board for the purpose of paying the shortfall in premium.
(3)  In this regulation, “approved insurer” and “supplement premium” have the meanings given by regulation 2 of the CareShield Life and Long‑Term Care (Supplement Scheme) Regulations 2020.
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Interest on unpaid premium
14.—(1)  For the purposes of section 23(1)(a) of the Act, the interest rate that the Board may impose is 4% per annum on the whole or any part of the following amounts that remain due and payable at the time the interest is imposed:
(a)the insured person’s premium payable for an insurance period;
(b)interest previously imposed (if any) on the premium mentioned in sub‑paragraph (a).
(2)  Subject to paragraph (3), the interest —
(a)begins to run —
(i)where no interest has previously been imposed on the insured person’s premium mentioned in paragraph (1)(a), from the beginning of the insurance period mentioned in that provision;
(ii)where any interest has previously been imposed on the insured person’s premium mentioned in paragraph (1)(a), from the beginning of the first insurance period that begins after the date on which the interest previously imposed on that premium ceases to run; or
(iii)on any later date during either insurance period mentioned in sub‑paragraph (i) or (ii) (as the case may be) specified by the Board; and
(b)ceases to run —
(i)at the end of the insurance period mentioned in sub‑paragraph (a)(i) or (ii), as the case may be; or
(ii)on any earlier date during either insurance period mentioned in sub‑paragraph (i) specified by the Board.
(3)  The period during which the interest runs, as prescribed in paragraph (2), excludes any period during which interest previously imposed on the insured person’s premium mentioned in paragraph (1)(a) (if any) runs.
(4)  The Board may waive any interest imposed under this regulation.
Penalty for late payment of premium
15.—(1)  For the purposes of section 29 of the Act, the amount of penalty that may be imposed in respect of an insured person’s premium for an insurance period is —
(a)5% of the insured person’s premium for the insurance period that remains unpaid on the first penalty date; and
(b)12% of the insured person’s premium for the same insurance period that remains unpaid on the second penalty date.
(2)  In this regulation —
“first penalty date”, for an insured person’s premium for an insurance period, is a date (not earlier than one month after the beginning of the insurance period) specified for the purposes of paragraph (1)(a) in the demand note that imposes the penalty;
“second penalty date”, for an insured person’s premium for an insurance period, is a date (not earlier than the first anniversary of the first penalty date for the insured person’s premium for the insurance period) specified for the purposes of paragraph (1)(b) in the demand note that imposes the penalty.
Division 2 — Payment of premium,
interest and penalty by other person
Payment of premium
16.  For the purposes of section 14(4)(b) of the Act, the Board is entitled to deduct from the amount standing to an individual’s credit in that individual’s medisave account (called the relevant CPF member), the whole or any part of any premium payable by an insured person, if —
(a)[Deleted by S 807/2021 wef 01/11/2021]
(b)the insured person is a dependant of the relevant CPF member; and
(c)subject to regulation 20(2), the Board has —
(i)approved an application by the relevant CPF member under regulation 17 to pay that amount of premium from the relevant CPF member’s medisave account, and the approval is not cancelled under this Division; or
(ii)appointed the relevant CPF member under regulation 18 to pay that amount of premium from the relevant CPF member’s medisave account, and the appointment is not cancelled under this Division.
Approval of relevant CPF member to pay premium
17.—(1)  The Board may approve a relevant CPF member for the purposes of regulation 16 on an application by the relevant CPF member.
(2)  The application must be —
(a)in any form and manner required by the Board; and
(b)supported by any document or information required by the Board.
(3)  The approval by the Board is subject to any condition that the Board considers appropriate.
Appointment of relevant CPF member to pay premium
18.—(1)  This regulation applies only if the amount standing to the credit of an insured person’s medisave account is insufficient to pay the whole or any part of the premium for an insurance period.
(2)  The Board may appoint a relevant CPF member to pay the whole or any part of the premium for the insurance period if all of the following are satisfied:
(a)the insured person is a dependant of the relevant CPF member;
(b)the relevant CPF member has sufficient amount standing to the credit of his or her medisave account to pay the whole or any part of that premium for the insurance period;
(c)an amount standing to the credit of the relevant CPF member in his or her medisave account has previously been deducted for the payment of —
(i)the whole or any part of the insured person’s premium in respect of a previous insurance period before that insurance period, or the insured person’s premium under any other insurance policy;
(ii)any withdrawal under the Central Provident Fund (Medisave Account Withdrawals) Regulations (Cap. 36, Rg 17) for any medical treatment or services received, or to be received, by the insured person; or
(iii)any withdrawal permitted under section 16B(1) of the Central Provident Fund Act (Cap. 36).
(2A)  The Board may also appoint a relevant CPF member to pay the whole or any part of the premium for the insurance period if —
(a)the insured person is an individual mentioned in regulation 2(1)(ba); and
(b)the relevant CPF member was the payer of the insured person’s premium for the insured person’s insurance cover under the ESH Scheme for the insurance period immediately before the commencement of the insured person’s insurance cover under the CSHL Scheme.
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(2B)  The Board may also appoint a relevant CPF member to pay the whole or any part of the premium for the insurance period if —
(a)the relevant CPF member is the spouse of the insured person; and
(b)the relevant CPF member has sufficient amount standing to the credit of his or her medisave account to pay the whole or any part of that premium for the insurance period.
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(3)  The appointment by the Board is subject to any condition that the Board considers appropriate.
Cancellation of approval or appointment upon written notice by relevant CPF member
19.—(1)  A relevant CPF member may give written notice to the Board to cancel the approval under regulation 17 in respect of the relevant CPF member, or to object to the appointment of the relevant CPF member under regulation 18.
(2)  The written notice must be —
(a)in any form and manner required by the Board; and
(b)supported by any document or information required by the Board.
(3)  On cancellation of the approval or appointment after the written notice under paragraph (1), the Board may —
(a)refund to the relevant CPF member’s medisave account, the whole or any part, as the Board may determine, of any amount deducted from the relevant CPF member’s medisave account to pay for any premium of an insured person;
(b)pay into the medisave account of the relevant CPF member, the whole or any part, as the Board may determine, of the interest that would have been payable on the amount of the refund under sub‑paragraph (a) if that amount had not been deducted from the relevant CPF member’s medisave account; and
(c)require payment of the resulting shortfall in the premiums under section 22(1) of the Act or in accordance with the other provisions of this Division.
Cancellation of approval or appointment by Board
20.—(1)  The Board may cancel the approval in respect of a relevant CPF member under regulation 17 or the appointment of a relevant CPF member under regulation 18, if —
(a)the deduction from the relevant CPF member’s medisave account is in contravention of these Regulations; or
(b)the insured person or the relevant CPF member made a false or an inaccurate representation to the Board, or provided the Board with any inaccurate, incorrect or misleading information, in connection with the application for payment of a premium for the insurance cover of an insured person under any of the following disability insurance schemes to be deducted from the relevant CPF member’s medisave account:
(i)the CSHL Scheme;
(ii)the ESH Scheme;
(iii)a Supplement Scheme.
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(2)  Despite the cancellation under paragraph (1), if the Board considers it appropriate in the circumstances of the case, the Board may —
(a)deduct from the relevant CPF member’s medisave account an amount not exceeding the amount standing to the credit of the relevant CPF member in the medisave account to pay any part of the premium; and
(b)permit any deficiency to be paid in any manner that the Board thinks fit, subject to any condition that the Board may impose.
(3)  Upon cancellation by the Board under paragraph (1) —
(a)the relevant CPF member must, if required by the Board, refund to the relevant CPF member’s medisave account the amount withdrawn from that account, which would not have been withdrawn without the earlier approval or appointment (called the affected amount); or
(b)the Board may —
(i)refund from the Fund to the relevant CPF member’s medisave account the affected amount paid as premiums for the insured person’s insurance cover under the CSHL Scheme; and
(ii)require payment of the resulting shortfall in the premiums under section 22(1) of the Act or in accordance with the other provisions of this Division.
Application to interest or penalty payable under Act
21.  This Division also applies in relation to the payment of any interest under section 23 of the Act, or any penalty under section 29 of the Act, in respect of the premium for an insurance period, in the same way that it applies in relation to payment of that premium.
Division 3 — Refund of premium, interest and penalty
Refund on cancellation of insurance cover
22.  Where an individual’s insurance cover is cancelled under regulation 6, all premiums paid for the cancelled insurance cover are to be refunded from the Fund.
Refund on termination of insurance cover
23.—(1)  The Board may refund (without interest) from the Fund all premiums paid by or on behalf of the individual immediately before the date of termination referred to in regulation 7(1) or (2) (as the case may be) if —
(a)no claim was accepted by the Administrator under section 16 of the Act before the date of termination; and
(b)the insurance cover was terminated because of the death of the individual concerned, or the cessation of citizenship or permanent residency of Singapore, which occurred within a period of 60 days starting on the commencement date of the insurance cover, if the whole or any part of the premium for the first insurance period has been paid.
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(2)  Despite paragraph (1), where the insurance cover was terminated because of the death of the individual concerned, or the cessation of citizenship or permanent residency of Singapore but the conditions referred to paragraph (1)(b) are not satisfied, the Board may, with the Minister’s approval, refund (without interest) from the Fund the premiums mentioned in that paragraph in a particular case if —
(a)no claim was accepted by the Administrator under section 16 of the Act before the date of termination; and
(b)the Board is satisfied that there are extenuating circumstances for making such refund.
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Refund of excess premium
23A.  The Board may refund (without interest) from the Fund all or any part of the premiums paid by or on behalf of the individual if the Board finds that the premiums have been paid in excess of the amount that ought to have been paid.
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Administration of refund by Board
24.—(1)  The Board may pay the whole or any part, as the Board may determine, of any refunded premium, interest under section 23 or penalty under section 29 —
(a)into the medisave account of the individual who paid the premium, interest or penalty, or in cash or any cash equivalent to that individual, as the Board considers fit; or
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(b)into the medisave account of the insured person or in cash or any cash equivalent to the insured person, as the Board considers fit.
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(2)  Where the refunded premium, interest or penalty mentioned in paragraph (1) was paid by deduction from an individual’s medisave account, the Board may also pay into the individual’s medisave account, the whole or any part (as the Board may determine) of the interest that would have been payable on the amount of the refunded premium, interest or penalty if that amount had not been deducted from the relevant medisave account.
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(3)  The Board may deduct, from any premium, interest under section 23 or penalty under section 29 to be refunded, any payment that the insured person is liable to make under the Act.
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(4)  In this regulation, “cash equivalent”, in relation to any payment, includes the payment by a cheque, a credit or debit card or any electronic funds transfer.
 
Made on 30 September 2020.
CHAN YENG KIT
Permanent Secretary,
Ministry of Health,
Singapore.
[MH 111:08/11-6; AG/LEGIS/SL/31C/2020/1 Vol. 1]
(To be presented to Parliament under section 64(4) of the CareShield Life and Long‑Term Care Act 2019).

Archived for legal research. Authoritative version at sso.agc.gov.sg.