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The Hospitals Contribution Fund of Australia, commonly referred to as HCF, is an Australian private health insurer headquartered in
Sydney Sydney is the capital city of the States and territories of Australia, state of New South Wales and the List of cities in Australia by population, most populous city in Australia. Located on Australia's east coast, the metropolis surrounds Syd ...
,
New South Wales New South Wales (commonly abbreviated as NSW) is a States and territories of Australia, state on the Eastern states of Australia, east coast of :Australia. It borders Queensland to the north, Victoria (state), Victoria to the south, and South ...
. Founded in 1932, it has grown to become one of the country's largest combined registered private health fund and
life insurance Life insurance (or life assurance, especially in the Commonwealth of Nations) is a contract A contract is an agreement that specifies certain legally enforceable rights and obligations pertaining to two or more parties. A contract typical ...
company. HCF is the third-largest health insurance company by market share, and is the largest
not-for-profit A not-for-profit or non-for-profit organization (NFPO) is a Legal Entity, legal entity that does not distribute surplus funds to its members and is formed to fulfill specific objectives. While not-for-profit organizations and Nonprofit organ ...
health fund in Australia.PHIAC Annual Report 2009-10 - Operations of the Private Health Insurer

/ref> HCF provides private health insurance policy, insurance cover for a full range of health cover including pet insurance, travel insurance and life insurance.


History

In 1893, the Hospitals Saturday Fund of NSW (HSF) was established by Frank Grimley to serve this purpose. Money was raised by conducting a one-day-a-year drive to collect funds from the public and from businesses. These collections were then distributed among participating hospitals. In 1900, HSF introduced individual subscription hospital insurance, where contributors and their families paid a regular weekly sum to the fund.


The early years 1932–1942

In 1932, following negotiations between the Hospital Saturday Fund (HSF) and a newly created Hospital Commission of
New South Wales New South Wales (commonly abbreviated as NSW) is a States and territories of Australia, state on the Eastern states of Australia, east coast of :Australia. It borders Queensland to the north, Victoria (state), Victoria to the south, and South ...
, a new fund was created to better serve the community. The new fund – called the Metropolitan Hospitals Contribution Fund (MHCF) – was launched on Thursday 16 June 1932, with the Lord Mayor (Ald. S. Walder) presiding. The fund's first office was established on the first floor of Adyar House (later the Savoy Building and now demolished) in Bligh Street. At the end of the first two years of operations, it had enrolled more than 100,000 contributors drawn from 3,290 employment groups and some 5,000 honorary agents, although its area of operations was confined to about around the City of Sydney. Contributions were 6d. a week (family) and 3d. a week (single). Benefits paid for hospitalisation in participating hospitals were £2/9/- per week. Further rapid growth in the Fund's business led to a need for more accommodation and, in December 1934, the Fund removed to offices on the fourth floor of the new Asbestos House in York Street,
Sydney Sydney is the capital city of the States and territories of Australia, state of New South Wales and the List of cities in Australia by population, most populous city in Australia. Located on Australia's east coast, the metropolis surrounds Syd ...
. By 30 June 1935, the fund had 156,230 contributors on record. The opening of additional offices on the ground floor of the same building in 1937 set the pattern for HCF's contributor services offices. In 1941, HCF moved to its first "home-of-its-own" in Hamilton Street. This building, duly named MHCF House, has now long since been demolished to make way for yet another high rise development in Sydney's booming commercial area. The purchase of its own offices was a forerunner to the conclusion of the Fund's first decade of operations during which the original staff of 10 increased to 75 and annual
revenue In accounting, revenue is the total amount of income generated by the sale of product (business), goods and services related to the primary operations of a business. Commercial revenue may also be referred to as sales or as turnover. Some compan ...
had grown from £31,757 at 30 June 1933The Sydney Morning Herald, Tuesday 10 July 1945 http://nla.gov.au/nla.news-article17946561 to £364,180 at 30 June 1942.


The war years and beyond 1942–1952

The 1942-52
decade A decade (from , , ) is a period of 10 years. Decades may describe any 10-year period, such as those of a person's life, or refer to specific groupings of calendar years. Usage Any period of ten years is a "decade". For example, the statement ...
of the Fund's development began at the height of the
World War II World War II or the Second World War (1 September 1939 – 2 September 1945) was a World war, global conflict between two coalitions: the Allies of World War II, Allies and the Axis powers. World War II by country, Nearly all of the wo ...
. During these years MHCF House was never left unattended, day or night, in compliance with National Emergency Services regulations. An air raid shelter was built in the basement and the entire male staff of 24 was formed into a
voluntary Voluntary may refer to: * Voluntary (music) * Voluntary or volunteer, person participating via volunteering/volunteerism * Voluntary muscle contraction See also * Voluntary action * Voluntariness, in law and philosophy * Voluntaryism Volunt ...
patrol to protect the building. On the night of 7 June 1942 when Japanese submarines shelled Sydney, a contributor in Bellevue Hill was struck by a shell fragment and admitted to St Vincent's Hospital. In due course a claim (No. H711683) was paid in respect of this injury.HCF Annual Review 1982 - Page 3 'The Growing Years' Despite many difficulties of the World War II years, including the severe drain on manpower resources and the cessation of many employment groups, the Fund's
revenues In accounting, revenue is the total amount of income generated by the sale of goods and services related to the primary operations of a business. Commercial revenue may also be referred to as sales or as turnover. Some companies receive revenue ...
continued to grow, indicating the high value now placed by the community on an equitable and efficient hospital insurance system. By 30 June 1945, it had an income of £440,000. In 1945, the Fund extended its area of operations to cover the whole of New South Wales. In 1946, due approval was obtained from the State Government and the name of the Fund was changed to the Hospitals Contribution Fund of NSW. A scheme for a medical benefits fund, to provide insurance against the costs of medical services, had been envisaged by then MHCF and members of the medical profession in 1939 but had been deferred because of the war. However, in 1947, under the sponsorship of the medical profession, the Medical Benefits Fund of Australia( MBF) was formed, The well-established HCF accepted its invitation to be managing agents for the new fund. By early 1947, HCF's annual income was well past the £500,000 mark and its cover extended to more than 1,250,000 people in NSW. To accommodate continued rapid growth, HCF purchased the Catton Building at 199 Liverpool Street, in January 1950. Meanwhile, in 1952, income had risen to £671,633 – a twenty-fold increase in 20 years – and grants to public hospitals and medical charities exceeded £100,000 for the year.


The years of Commonwealth support 1952–1962

The introduction of the National Health Scheme by the
Commonwealth A commonwealth is a traditional English term for a political community founded for the common good. The noun "commonwealth", meaning "public welfare, general good or advantage", dates from the 15th century. Originally a phrase (the common-wealth ...
Minister for Health (Sir
Earle Page Sir Earle Christmas Grafton Page (8 August 188020 December 1961) was an Australian politician and surgeon who served as the 11th prime minister of Australia from 7 to 26 April 1939, in a caretaker capacity following the death of Joseph Lyons. ...
) in 1952 marked the beginning of a new era for health insurance in Australia. Previously conducted on a private basis, voluntary health insurance funds were now required to be registered under the National Health Act in order to pay the additional benefits now provided by the Commonwealth. HCF decided to seek registration under the Act, which was duly granted and the Fund's total disbursements of the Commonwealth hospital benefit of 4/- a day from 1 January 1952 (the start of the Scheme) to 30 June 1952 amount to £34,073. In 1953, following increases in hospital charges, the HCF family contribution rate was raised to 3/- a week which provided for a weekly hospital benefits of £12/12/- and the age limit on membership was abolished. In 1957, at the end of 25 years' operations, HCF celebrated its silver anniversary with benefit payments for the year amounting to £3,170,408. By 1962, after 30 years of
community service Community service is unpaid work performed by a person or group of people for the benefit and betterment of their community contributing to a noble cause. In many cases, people doing community service are compensated in other ways, such as gettin ...
, total benefits paid were £9,202,720.


The growing years 1962–1972

The commencement of HCF's fourth decade saw a major expansion of the Fund's activities. The decision was taken to end the joint management arrangements with the MBF which had begun in 1960, when HCF staff had moved to the MBF premises in George Street. As a consequence of increased competition, the fund extended its operations to include medical benefits after the
Government A government is the system or group of people governing an organized community, generally a State (polity), state. In the case of its broad associative definition, government normally consists of legislature, executive (government), execu ...
approval. On 1 November 1963, HCF resumed independent operations from 199 Liverpool Street and launched its combined medical and hospital benefits plan. In 1964 HCF upgraded its administrative procedures by installation of its own
computer A computer is a machine that can be Computer programming, programmed to automatically Execution (computing), carry out sequences of arithmetic or logical operations (''computation''). Modern digital electronic computers can perform generic set ...
and introduced
electronic data processing Electronic data processing (EDP) or business information processing can refer to the use of automated methods to process commercial data. Typically, this uses relatively simple, repetitive activities to process large volumes of similar information ...
as an integral part of its operations. The Fund continued to expand its
branch A branch, also called a ramus in botany, is a stem that grows off from another stem, or when structures like veins in leaves are divided into smaller veins. History and etymology In Old English, there are numerous words for branch, includ ...
network throughout metropolitan and country areas. It waived, at its own expense, transfer conditions when higher hospital tables were introduced. In 1965, HCF extended its operations to Victoria as part of a plan to assist Fund contributors throughout Australia. New hospital tables were introduced. Branch transactions became a larger part of HCF's business, with three out of every five claims being presented over the counter at metropolitan and country branches. By 1967, HCF had changed its name to the Hospitals Contribution Fund of Australia and started advertising under the new name. It had established branch offices in
Melbourne Melbourne ( , ; Boonwurrung language, Boonwurrung/ or ) is the List of Australian capital cities, capital and List of cities in Australia by population, most populous city of the States and territories of Australia, Australian state of Victori ...
,
Brisbane Brisbane ( ; ) is the List of Australian capital cities, capital and largest city of the States and territories of Australia, state of Queensland and the list of cities in Australia by population, third-most populous city in Australia, with a ...
and
Hobart Hobart ( ) is the capital and most populous city of the island state of Tasmania, Australia. Located in Tasmania's south-east on the estuary of the River Derwent, it is the southernmost capital city in Australia. Despite containing nearly hal ...
. These were the first links in the chain of
interstate The Dwight D. Eisenhower National System of Interstate and Defense Highways, commonly known as the Interstate Highway System, or the Eisenhower Interstate System, is a network of controlled-access highways that forms part of the National H ...
contributor service offices, which was completed in 1969 with branches in all States of the Commonwealth. Interstate operations were maintained until changes in the National Health Act in 1970, when the Fund decided to limit its activities and service to NSW, the ACT and
Northern Territory The Northern Territory (abbreviated as NT; known formally as the Northern Territory of Australia and informally as the Territory) is an states and territories of Australia, Australian internal territory in the central and central-northern regi ...
.


The expanding years 1972–1982

In October 1974, HCF, in association with MBF, challenged the refusal by the then Commonwealth Minister for Social Security to approve increases in contribution rates which the funds required to meet benefit payments on higher public hospital charges. The case was heard in the NSW Supreme Court, the fund's challenge was successful and the new rates were introduced in accordance with the original submissions. The Commonwealth Government's
Medibank Medibank is an Australian private health insurance provider headquartered in Melbourne, Victoria (state), Victoria. It is Australia's largest private health insurance provider, covering around 4.2 million customers in 2024. Medibank initially ...
(now Medicare) fund was established in 1975, and provided medical benefits of 85% of the Schedule Fee for everyone in the community under an income tax levy system. (
Medical services Health care, or healthcare, is the improvement or maintenance of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is deliver ...
coverage from 1 July 1975, followed by hospital coverage from 1 October 1975). This provided HCF and all other Australian health funds with a government run competitor whose services were compulsory. To maintain its community service role in this new environment, HCF introduced its Multicover plan from 1 July 1975, providing cover for the medical "gap" (the difference between the Medibank benefit and the Schedule Fee) and for a wide range of other health care services, such as dental,
optical Optics is the branch of physics that studies the behaviour and properties of light, including its interactions with matter and the construction of instruments that use or detect it. Optics usually describes the behaviour of visible, ultravio ...
,
physiotherapy Physical therapy (PT), also known as physiotherapy, is a healthcare profession, as well as the care provided by physical therapists who promote, maintain, or restore health through patient education, physical intervention, disease preventio ...
, home nursing and overseas health care, which were not covered by Medibank. In November 1975, the head office staff completed their occupation of HCF's new premises at 403 George Street Sydney, which have since been extended to accommodate additional staff and facilities needed to provide the Fund's expanding services. Towards the end of 1977, HCF took court action to appeal to the
Administrative Appeals Tribunal The Administrative Appeals Tribunal (AAT) was an Australian tribunal that conducted independent merits review of administrative decisions made under Commonwealth laws of the Australian Government. The AAT reviewed decisions made by Australian G ...
against the refusal by the then
Minister for Health A health minister is the member of a country's government typically responsible for protecting and promoting public health and providing welfare spending and other social security services. Some governments have separate ministers for mental heal ...
to approve a contribution increase required to meet higher provider charges. Once again the Fund was successful. HCF Life Insurance Pty Ltd., a wholly owned subsidiary company, was established in January 1980.


The challenging years 1982–1992

In 1982 HCF celebrated its 50th anniversary. Its Annual Report reviewed its development since 1932. In 1983 the
Federal Government A federation (also called a federal state) is an entity characterized by a political union, union of partially federated state, self-governing provinces, states, or other regions under a #Federal governments, federal government (federalism) ...
introduced Medicare (Medibank's replacement) to cover medical and public hospital treatment. Health insurers were prevented from paying medical benefits. Like other registered health funds, HCF ceased to pay medical benefits on 1 February 1984 and its health insurance products started to focus on benefits outside the Medicare scope. HCF extended and was able to offer more than just hospital, ambulance and ancillary cover. It also offered a wide range of
life insurance Life insurance (or life assurance, especially in the Commonwealth of Nations) is a contract A contract is an agreement that specifies certain legally enforceable rights and obligations pertaining to two or more parties. A contract typical ...
products and, as agents,
travel insurance Travel insurance is an insurance product for covering unexpected losses incurred while travelling, either internationally or domestically. Basic policies generally only cover emergency medical expenses while overseas, while comprehensive policies ...
. By the end of 1986 the HCF
computer network A computer network is a collection of communicating computers and other devices, such as printers and smart phones. In order to communicate, the computers and devices must be connected by wired media like copper cables, optical fibers, or b ...
linked every branch office with operational departments. The benefits for the member and staff are speedier membership and claim transactions. Full service agents operate at outlets in country areas where membership and claims may be lodged and processed. HCF's first Dental Centre was opened in HCF House to provide members with dental treatment for most routine services on 3 November 1986.


The changing years 1992–2002

The first HCF Eyecare Centre was opened in July 1992 in George Street, Sydney. This was soon followed by more centres around metropolitan Sydney. In June 2000, HCF established The HCF Health and Medical Research Foundation. The Foundation is a not for profit charitable trust established to encourage medical research of all kinds and research and enquiry into the provision, administration and delivery of health services in Australia for the benefit of HCF contributors and the public generally. On 1 July 2000, the
Australian Government The Australian Government, also known as the Commonwealth Government or simply as the federal government, is the national executive government of Australia, a federal parliamentary constitutional monarchy. The executive consists of the pr ...
introduced Lifetime Health Cover initiative, encouraging younger people to take out health insurance. HCF's membership increased by 35% to 336,499 members by the end of 30 June 2001 In 2001 the HCF Regional & Rural Oral Health Program was launched in order to provide its members in the regional and rural areas of NSW quality dental service on a low-cost basis. By the end of 2007, it had expanded to include
Queensland Queensland ( , commonly abbreviated as Qld) is a States and territories of Australia, state in northeastern Australia, and is the second-largest and third-most populous state in Australia. It is bordered by the Northern Territory, South Austr ...
and Victoria members with over 1,500 participating dentists across these states. By 2010 there were over 3,000 providers registered on the HCF Oral Health program across Victoria, Queensland, ACT,
South Australia South Australia (commonly abbreviated as SA) is a States and territories of Australia, state in the southern central part of Australia. With a total land area of , it is the fourth-largest of Australia's states and territories by area, which in ...
and regional NSW. It has been treating over 65,000 HCF members each year.HCF Annual Report 2010


2002 and beyond

In November 2002 HCF acquired IOR Australia Pty Ltd, a registered health benefit organisation previously owned by IOR Friendly Society Limited. IOR had most of its policy holders in Victoria, Queensland and South Australia. In early 2007 HCF was caught providing personal information of its clients to McKesson Asia Pacific to use for promotional purposes. While many clients and the general public were not satisfied with the decision, ultimately the New South Wales Privacy Commissioner judged that HCF had not breached the
Privacy Act 1988 The ''Privacy Act 1988'' is an Australian law dealing with privacy. Section 14 of the Act stipulates a number of privacy rights known as the Australian Privacy Principles (APPs). These principles apply to Australian Government and Australian C ...
. In June 2007 HCF celebrated its 75-year anniversary. On 28 August 2008, the Board of Manchester Unity Australia Limited announced it had signed a Merger Implementation Deed (MID) in relation to a proposal for a $256 million merger with HCF. Manchester Unity members agreed to HCF merger on 15 December 2008. Manchester Unity became a wholly owned subsidiary of HCF on 24 December 2008. Manchester Unity ceased to be a registered health insurer under the Act immediately prior to 30 June 2011.


Social responsibility

HCF supports and contributes back into the community through a number of charities: Jeans for Genes Day,
Motor Neurone Disease Amyotrophic lateral sclerosis (ALS), also known as motor neuron disease (MND) or—in the United States—Lou Gehrig's disease (LGD), is a rare, terminal neurodegenerative disorder that results in the progressive loss of both upper and low ...
, World Retina Day, Pink Ribbon Day and the National Breast Cancer Foundation.


References


External links


Official website
{{DEFAULTSORT:Hcf Health Insurance Insurance companies of Australia Medical and health organisations based in Australia Financial services companies established in 1932 Health care companies established in 1932 Organizations established in 1932 Health insurance in Australia Privately held companies of Australia