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PART 4—WHAT WE DO<br />

Complaints about Private Health Insurers<br />

Table 5 shows the number of complaints and<br />

disputes 6 received about registered private<br />

health insurers, and compares these to their<br />

market share. A high ratio of complaints or<br />

disputes compared to market share usually<br />

indicates either a less-than-adequate internal<br />

dispute-resolution process, especially for<br />

complex issues, or an underlying systemic<br />

or policy issue.<br />

Table 5: Complaints by registered private health insurer, by market share 20<strong>15–16</strong><br />

20<strong>15–16</strong><br />

Complaints<br />

Percentage<br />

of<br />

Complaints<br />

Disputes<br />

Percentage<br />

of Disputes<br />

Market<br />

Share<br />

ACA 0 0.0% 0 0.0% 0.1%<br />

Australian Unity 195 5.1% 33 4.8% 3.1%<br />

BUPA 834 21.7% 196 28.6% 26.8%<br />

CBHS 35 0.9% 9 1.3% 1.4%<br />

CDH (Cessnock) 2 0.1% 0 0.0%

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