Default on national health insurance premium
Arrears
- If a person obligated to pay insurance premiums, etc. fails to pay insurance premiums, etc. by the payment due date, the National Health Insurance Service (hereinafter referred to as the “NHIS”) will collect the following arrears for each day from the date payment becomes overdue (Article 80 (1) of the “National Health Insurance Act”):
· If he/she fails to pay the insurance premiums under Article 69 of the “National Health Insurance Act” or collections related to insurance benefits received during the period of restricted insurance benefits under Article 53 (3): An amount equivalent to 1/1,500 of the amount in arrears. In this case, the arrears must not exceed 20/1,000 of the amount in arrears.
· If he/she fails to pay collections under the “National Health Insurance Act”: An amount equivalent to 1/1,000 of the amount in arrears. In this case, the arrears must not exceed 30/1,000 of the amount in arrears.
- If a person obligated to pay insurance premiums, etc. fails to pay insurance premiums, etc. in arrears, the NHIS will collect the following charge in addition to the above arrears for each day from the date 30 days elapse after the payment due date (Article 80 (2) of the “National Health Insurance Act”):
· If he/she fails to pay insurance premiums under Article 69 of the “National Health Insurance Act” or collections related to insurance benefits received during the period of restricted insurance benefits under Article 53 (3): An amount equivalent to 1/6,000 of the amount in arrears. In this case, the arrears must not exceed 50/1,000 of the amount in arrears.
· If he/she fails to pay collections under the “National Health Insurance Act”: An amount equivalent to 1/3,000 of the amount in arrears. In this case, the arrears must not exceed 90/1,000 of the amount in arrears.
- However, the NHIS may not collect the arrears under any of the following circumstances (Article 80 (3) of the “National Health Insurance Act” and Article 51 of the “Enforcement Rule of the National Health Insurance Act”):
· Default due to a natural disaster
· Default due to a war or other calamities
· If the amount in arrears does not exceed the amount set under the articles of incorporation of the NHIS
· If the NHIS is unable to collect the arrears due to closure, shutdown, or abolishment of a business establishment or a private school
· Default due to damage arising from fire
· Other grounds deemed by the Minister of Health and Welfare as compelling causes that render it difficult for the NHIS to collect the arrears
Urging the payment of national health insurance premiums
Urging the payment of insurance premiums
- The NHIS may send an overdue notice with a set due date if the person who is obligated to pay insurance premiums fails to pay (proviso to Article 81 (1) of the “National Health Insurance Act”).
- In this case, if the household of the self-employed insured is comprised of two members or more, the overdue notice sent to one of them will be deemed to be effective to all the self-employed insured in the household (latter part of Article 81 (1) of the “National Health Insurance Act”).
- The NHIS must issue an overdue notice with the period set as 10-15 days when urging the payment of insurance premiums, etc. (Article 81 (2) of the “National Health Insurance Act”).
Effect of the overdue notice for insurance premiums
- If the person who has received the overdue notice fails to pay the insurance premium under the given due date, the NHIS may collect the amount in arrears in the same manner as national taxes in arrears are collected, after obtaining approval from the Minister of Health and Welfare (Article 81 (3) of the “National Health Insurance Act”).