Friday, February 7, 2025

Blog No. 168 - Australian Competition and Consumer Commission – Part 2: 7 February 2025

 

Margaret on board the Zaandam cruise ship on the 29th of August 2016.

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Canadian Rocky Mountains, 19th of August 2016

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Initial Contact By ACCC: 19 to 29 April 2022

Receiving the 8 April 2022 letter from the Treasurer saying that the ACCC would contact me, gave me a reason to keep writing to the ACCC.  

My first letter to the ACCC was dated 13 April 2022.

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This Table summarises my contact with the ACCC in April 2022.  Starting in December 2021, I sought help from multiple government agencies and ACCC was the only one interested in the serious issues I was raising.  

The ACCC responded to each of my contacts and every response was prompt.

Communication Details

Length of Correspondence

How Sent

Date of Response 

Length of Response

What Did Response Say?

Letter dated 13 April 2022

3 pages

Mailed to Marcus Bezzi

ACCC

GPO Box 3131
Canberra ACT 2601

19 April 2022

1 page

Investigation team to consider my complaint.  Want to arrange one hour phone call to discuss.  Provide relevant insurance documents

Email received 19 April 2022 from ACCC

1 page

Email from Sita McTavish, ACCC Sita.McTavish@accc.gov.au received 9:05 am 19 April 2022

I replied on 19 April 2022

1 page plus attached documents

I provided health insurance documents as requested

Email sent 19 April 2022

1 page

Sent by email to Sita.McTavish@accc.gov.au 12:55 pm 19 April 2022

20 April 2022

1 page 

Thanks for providing documents

HCF letter 31 December 2013 re health insurance with HCF

1 page 

Sent by email to Sita.McTavish@accc.gov.au 12:55 pm 19 April 2022

20 April 2022

1 page

Thanks for providing documents

HCF letter 22 January 2014 confirming HCF health insurance 

1 page

Sent by email to Sita.McTavish@accc.gov.au 12:55 pm 19 April 2022

20 April 2022

1 page

Thanks for providing documents

HCF letter 23 January 2014 confirming HCF health insurance

1 page

Sent by email to Sita.McTavish@accc.gov.au 12:55 pm 19 April 2022

20 April 2022

1 page 

Thanks for providing documents

Summary of Fit and Free Nil Excess HCF Insurance Policy

2 pages

Sent by email to Sita.McTavish@accc.gov.au 12:55 pm 19 April 2022

20 April 2022

1 page

Thanks for providing documents

Email received 20 April 2022 from ACCC

3 lines

Email from Sita McTavish, ACCC Sita.McTavish@accc.gov.au received 9:17 am 20 April 2022

I replied on 20 April 2022

1 line

Advised our availability for telephone interview

Email sent 20 April 2022

1 line

Sent by email to Sita.McTavish@accc.gov.au 2:14 pm 20 April 2022

21 April 2022

4 lines

Confirming arrangements for telephone interview

Email received 20 April 2022 from ACCC

4 lines

Email from Sita McTavish, ACCC Sita.McTavish@accc.gov.au received at 10:20 am 21 April 2022

21 April 2022

1 line

Confirming arrangements for telephone interview

Email sent 20 April 2022

1 line

Sent by email to Sita.McTavish@accc.gov.au 12:05 pm 21 April 2022

21 April 2022

3 lines

Confirming arrangements for telephone interview

Email received 20 April 2022 from ACCC

4 lines

Email from Sita McTavish, ACCC Sita.McTavish@accc.gov.au received 12:16 pm 21 April 2022

Reply not necessary

Reply not necessary

Reply unnecessary

Email received 20 April 2022 from ACCC

2 lines

Email from Sita McTavish, ACCC Sita.McTavish@accc.gov.au received 12:21 pm 21 April 2022

Reply not necessary

Reply not necessary

Reply unnecessary

Email received 27 April 2022 from ACCC

6 lines

Email from Sita McTavish, ACCC Sita.McTavish@accc.gov.au received 11:56 am 27 April 2022

29 April 2022

4 lines

Providing documents requested in ACCC email received on 27 April 2022

Email sent 29 April 2022

4 lines

Sent by email to Sita.McTavish@accc.gov.au 10:45 am 29 April 2022

29 April 2022

3 lines 

Thanks for providing documents 

Letter from HCF 6 March 2020 re health insurance cover

2 pages

Sent by email to Sita.McTavish@accc.gov.au 10:45 am 29 April 2022

29 April 2022

3 lines

Thanks for providing documents

Letter from HCF 27 March 2020 re health

2 pages

Sent by email to Sita.McTavish@accc.gov.au 10:45 am 29 April 2022

29 April 2022

3 lines

Thanks for providing documents

HCF Information Statement 1 April 2021

2 pages

Sent by email to Sita.McTavish@accc.gov.au 10:45 am 29 April 2022

29 April 2022

3 lines

Thanks for providing documents

HCF Private Hospital Information Statement 1 April 2021

2 pages

Sent by email to Sita.McTavish@accc.gov.au 10:45 am 29 April 2022

29 April 2022

3 lines

Thanks for providing documents

HCF Information Statement 6 October 2020

2 pages

Sent by email to Sita.McTavish@accc.gov.au 10:45 am 29 April 2022

29 April 2022

3 lines

Thanks for providing documents

HCF Private Hospital Information Statement 6 October 2020

2 pages

Sent by email to Sita.McTavish@accc.gov.au 10:45 am 29 April 2022

29 April 2022

3 lines

Thanks for providing documents

Email received 27 April 2022 from ACCC

3 lines

Email from Sita McTavish, ACCC Sita.McTavish@accc.gov.au received 5:34 pm 27 April 2022

29 April 2022

Reply not necessary

Reply unnecessary


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I received this email from the ACCC on 19 April 2022.

OFFICIAL

Dear John

We are writing to you from the Australian Competition and Consumer Commission (ACCC) in relation to your complaint regarding HCF and other private health insurers. We are a part of the ACCC’s investigation team being tasked to consider your complaint and we have read your very helpful letter. 

We were hoping to set up a phone call with you and Margaret, if she is able to join, to discuss your complaint further. If possible, could you please let us know your availabilities for a one-hour call in the week commencing Monday 2 May. Once we have confirmed a suitable time, we will circulate a calendar invitation for the call. 

We would also appreciate it if you could provide us by reply email with a copy of Margaret’s HCF policy document, if you are comfortable doing so. This will assist us in our initial assessment of your complaint. 

We will be in touch if we require any further information at this stage. In the meantime, if you have any questions, please feel free to contact us via email. 

Kind regards

Sita


Sita McTavish

Senior Investigator | Enforcement - Southern | Consumer and Fair Trading Division 

Australian Competition & Consumer Commission

King Street Sydney NSW | GPO Box 3131 Canberra ACT 2601


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At 12:55 pm on 19 April 2022, I sent the ACCC copies of the documents it sought.  After the complete lack of interest by the Ombudsman, the ACCC was examining the issues I had been complaining about.

The ACCC confirmed it received the documents I sent and I confirmed our availability for a one hour telephone interview on Monday 2 May 2022.

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The ACCC asked for more documents on Wednesday 27 April 2022.  I sent these by email at 10:45 am on Friday 29 April.

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At last, someone was interested in investigating the appalling behaviour of the health insurers.

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I believe Sita McTavish and her colleagues were ordered by the new Australian government to stop all health insurance investigations.  The ACCC investigations stopped abruptly in July 2022.


Thursday, February 6, 2025

Blog No. 167 - Australian Competition and Consumer Commission – Part 1: 6 February 2025


The ACCC starts investigating the health insurers.

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Margaret and I on the 12th of September 2017 at the Callinish Standing Stones on the Isle of Lewis, Scotland.

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Margaret on the Isle of Lewis on the 12th of September 2017.

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I was not satisfied with simply trying to persuade the Directors of the rogue health insurers to force their companies to obey the law.  I wrote to a number of government agencies which – in theory – had the power to take legal action against them.  One agency with a reputation for actually enforcing the law was the Australian Competition and Consumer Commission (ACCC).

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Josh Frydenberg, then Australian Treasurer

The ACCC is under the control of the Australian Treasurer.  Until Saturday 21 May 2022, the Treasurer was Josh Frydenberg.  I wrote to Josh Frydenberg on the 22nd of March, 2022, asking him to order the ACCC to conduct a formal investigation into the health insurance funds.  I received a reply from the Treasurer on the 8th of April 2022.

Until the then ruling Australian government lost power in the 21st of May 2022 election, it seemed that the ACCC was determined to investigate the criminal conduct of the health insurers.

After the change of government on the 21st of May 2022, the ACCC ceased all investigations into the behaviour of the health insurers.

For reasons which will become clear in later Blogs, I think it is likely that the ACCC was ordered by new Treasurer Jim Chalmers to immediately stop all investigations into the health insurers.

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I think it is unlikely that the ACCC ceased all investigation because it found no criminal activities took place.  It is more likely new Treasurer Jim Chalmers did what he was told to do by the health insurers. Though unfortunately, I cannot confirm this.

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This Table summarises my correspondence with Josh Frydenberg in April 2022.

Communication Details

Length of Correspondence

How Sent

Date of Response 

Length of Response

What Did Response Say?

Letter dated 8 April 2022

1 page

Sent by email to me noreply@pws.gov.au at 4:35 pm on 8 April 2022

I replied to the Treasurer on 13 April 2022

2 pages

See below

Letter dated 13 April 2022

2 pages

Mailed to David Pearl

Assistant Secretary

Market Conduct Division

The Treasury

Langton Crescent

Parkes

Australian Capital Territory 2600

No response

Zero length

No response

Letter dated 18 April 2022

2 pages

(1) Sent by email to jfrydenberg@aph.gov.au at 3:49 pm on 18 April 2022

(2) Mailed to David Pearl

Assistant Secretary

Market Conduct Division

The Treasury

Langton Crescent

Parkes

Australian Capital Territory 2600

No response

Zero length

No response

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This is the 8 April 2022 letter I received from the Treasurer.

Australian Government

The Treasury

Ref: MC22-003580

Dear Mr Hankin

Thank you for your correspondence of 22 March 2022 to the Treasurer on the conduct of private health insurance funds.  The Treasurer has asked me to respond to you.

I am sorry to hear about your difficult circumstances and note your concern about the processing of claims by private health insurance funds from service providers.

I understand you have contacted the Australian Competition and Consumer Commission (ACCC).  The ACCC has confirmed your correspondence has been received and is currently considering the issues raised.  An ACCC representative will be in contact with you shortly to discuss the issues further.

I trust this information will be of assistance to you.

Your sincerely

David Pearl

Assistant Secretary

Market Conduct Division

08/04/ 2022

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I replied to the Treasurer through David Pearl on 13 April 2022.  My letter said this.

Dear Mr Pearl,

Thank you for your letter dated 8 April 2022 confirming that the Australian Competition and Consumer Commission is now investigating the matters raised in my letter to Mr Josh Frydenberg, Treasurer of the Commonwealth of Australia.

I enclose for your information, a copy of a letter dated 13 April 2022 that I have sent to Mr Marcus Bezzi at the Australian Competition and Consumer Commission.  The letter to Mr Bezzi encloses copies of individual letters I have sent to all twenty six Directors of HCF, NIB and Teachers Health Funds.  My letters to the Directors alerted them to the activities of the companies of which they are Directors and pointed out that because of the information I provided to them in my letters, they are now faced with the possibility of personal liability for the actions of their companies.

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I sent this follow up letter to the Treasurer on 18 April 2022.


Dear Mr Pearl,

Re: Likely Misconduct by at Least Some Directors of Health Insurance Funds Because of Their Failure to Stamp Out Repeated False and Misleading Conduct and Probable Cartel Behaviour by HCF and Other Private Health Insurance Funds

I refer to my letter dated 13 April 2022.  I enclose for your information, the copy of the letter dated 13 April 2022 that I have sent to Mr Marcus Bezzi at the Australian Competition and Consumer Commission.  Although my letter to you dated 13 April 2022 said that a copy of the letter to Mr Bezzini had been enclosed, I realised after mailing my letter to you, that it had been inadvertently omitted.

I understand that the Treasurer Mr Frydenberg is also the Minister with responsibility for the Australian Securities and Investment Commission.  I therefore also enclose a copy of a letter that I have written to Mr Brendan Facey, Senior Executive Leader, Misconduct and Breach Reporting and Office of the Whistleblower at ASIC.  The letter to Mr Facey requests that ASIC conduct an investigation into possible breaches of Directors duties by Directors of HCF, NIB and Teachers Health Fund.

I realise that the current Federal election campaign is likely to distract the attention of relevant Government Ministers from fulfilling their core Ministerial duties, but these matters are so important that they go to the heart of the duty of any Government – no matter what political persuasion it might have – towards the citizens of this country.  I do not accept the existence of any election campaign as an excuse for continued inactivity by the relevant Ministers.

For your information, I advise that the matters of which I complain, have been brought to the attention of Minister for Health Mr Greg Hunt over a period of several years.  I have written a personal letter to Mr Hunt to which he has regrettably not seen fit to reply or even acknowledge.  Any continuation of the complete lack of interest displayed by the Health Department – which has either explicitly or tacitly permitted these serious offences to keep occurring will not be acceptable – and will not be a “good look” for a Government seeking re-election.

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The ACCC did a formal telephone interview with Margaret and me on Monday 2 May 2022.  The ACCC officers seemed determined to unearth the truth.

In July 2022, the ACCC told us that it had ceased all investigations into the health insurers.  I believe the ACCC did this because the newly elected Labor government under Prime Minister Anthony Albanese had obeyed the demands of the health insurers.



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