Default in Payment of National Health Insurance Premium
Penalty for Default of Premium Payment
- If a person liable to pay a premium, etc. (premium and other collected fees) does not make the payment by the due date, the Service collects the following penalty (Article 80(1) of the National Health Insurance Act).
· Where the premium under Article 69 of the National Health Insurance Act or the fees for benefits received during benefit-restricted period under Article 53(3) thereof is in default: An amount equivalent to 1/1500 of the defaulted amount. The penalty may not exceed 20/1000 of the defaulted payment.
· Where the fees under the National Health Insurance Act is otherwise in default: An amount equivalent to 1/1000 of the defaulted amount. In that case, the penalty may not exceed 30/1000 of the defaulted payment.
- If a person liable to pay a premium, etc. does not make a defaulted payment, the Service collects the following penalty, in addition to the aforesaid penalty (Article 80(2) of the National Health Insurance Act).
· Where the premium under Article 69 of 「National Health Insurance Act」 or the fees for benefits received during benefit-restricted period under Article 53(3) thereof is in default: An amount equivalent to 1/6000 of the amount in default. In that case, the arrears (referring to the amount including arrears under subparagraph 1 of Article 80(1) of 「National Insurance Health Act」) may not exceed 50/1000 of the defaulted payment.
· Where the fees under 「National Health Insurance Act」 is otherwise in default: An amount equivalent to 1/3000 of the defaulted amount. In that case, the arrears (referring to the amount including arrears under subparagraph 2 of Article 80(1) of 「National Insurance Health Act」) may not exceed 90/1000 of the defaulted payment.
Exceptions in Penalty Collection
- The service may not collect a penalty in any of the following cases (Paragraph 3 of Article 80 of the National Health Insurance Act and Article 51 of the Enforcement Regulations of the National Health Insurance Act).
· Default caused by a natural disaster
· Default caused by war
· The value of the penalty is lower than the value set by the Service's articles of association
· Impossible to collect a premium amount in default due to the closure of a place of business or private school
· If payment is delayed because of fire damage
· Other cases of difficulty in collection of penalty recognized as valid by the Minister of Health and Welfare
Demand for Payment of National Health Insurance Premium
Demand for Premium Payment
- If a person liable to pay a premium, etc. does not make the payment, the Service can set a due date and demand the payment be made by the due date (the former part of Paragraph 1 of Article 81 of the National Health Insurance Act).
- If there are two or more subscribers with an employer-sponsored insurance subscriber, a demand for payment made to one subscriber is effective for the rest of the users in the place of business in question (the latter part of Paragraph 1 of Article 81 of the National Health Insurance Act).
- When demanding the payment of premium, etc., the Service shall set a due date which is 10 to 15 days away and issue a demand for payment in print (Paragraph 2 of Article 81 of the National Health Insurance Act).
Effect of a Demand for Premium Payment
- If a person to whom a demand for premium payment is made does not make the premium payment by the set due date, the Service, with the authorization of the Minister of Health and Welfare, can collect the premium in accordance with the guidelines on the disposition for failure in tax payment (Paragraph 3 of Article 81 of the National Health Insurance Act).