Statutes of the Republic of Korea

No. 15535
Promulgation Date 2018-03-27
Ministry of Health and Welfare

ALL

CHAPTER I GENERAL PROVISIONS

Article 1 (Purpose)

Article 2 (Charge)

Article 3 (Definitions)

Article 3-2 (Formulation, etc. of Comprehensive National Health Insurance Plans)

Article 4 (Health Insurance Policy Deliberative Committee)

CHAPTER II THE INSURED

Article 5 (Eligible Persons, etc.)

Article 6 (Categories of the Insured)

Article 7 (Reporting on Workplace)

Article 8 (Date, etc. of Acquisition of Eligibility)

Article 9 (Date, etc. of Change in Eligibility)

Article 10 (Date, etc. of Loss of Eligibility)

Article 11 (Confirmation of Acquisition, etc. of Eligibility)

Article 12 (Health Insurance Card)

CHAPTER III NATIONAL HEALTH INSURANCE SERVICE

Article 13 (Insurer)

Article 14 (Services, etc.)

Article 15 (Legal Personality, etc. of NHIS)

Article 16 (Office)

Article 17 (Articles of Incorporation)

Article 18 (Registration)

Article 19 (Dissolution)

Article 20 (Executive Officers)

Article 21 (Collection Director)

Article 22 (Duties of Executive Officer)

Article 23 (Disqualification of Executive Officers)

Article 24 (Obligatory Retirement and Dismissal of Executive Officers)

Article 25 (Prohibition, etc. of Concurrent Offices of Executive Officers)

Article 26 (Board of Directors)

Article 27 (Appointment and Dismissal of Employees)

Article 28 (Legal Fiction as Public Officials in Application of Penalty Provisions)

Article 29 (Rules, etc.)

Article 30 (Selection and Appointment of Agent)

Article 31 (Limitation on Representation)

Article 32 (Delegation of Authority of President)

Article 33 (Financial Operation Committee)

Article 34 (Composition, etc. of Financial Operation Committee)

Article 35 (Accounting)

Article 36 (Budget)

Article 37 (Loans)

Article 38 (Reserve Fund)

Article 39 (Settlement of Accounts)

Article 39-2 (Contribution to Projects for Supporting Disastrous Medical Expenses)

Article 40 (Application Mutatis Mutandis of Civil Act)

CHAPTER IV INSURANCE BENEFITS

Article 41 (Health Care Benefit)

Article 41-2 (Exclusion, etc. of Medicines from Health Care Benefit)

Article 41-2 (Reduction etc. of Upper Limit Amount for Medicines from Health Care Benefit)

Article 41-3 (Determination of Whether Acts, Materials for Medical Treatment, or Medicines Are Health Care Benefit Items)

Article 41-4 (Selective Benefit)

Article 42 (Health Care Institution)

Article 42-2 (Management of Provision of Selective Benefit by Health Care Institutions)

Article 43 (Reports on Current Status of Health Care Institutions)

Article 44 (Co-Payment of Expenses)

Article 45 (Calculation, etc. of Costs of Health Care Benefit)

Article 46 (Calculation, etc. of Costs of Health Care Benefit for Medicines and Materials for Medical Treatment)

Article 47 (Claims for and Payment, etc. of Costs of Health Care Benefit)

Article 47-2 (Withholding of Payment of Costs of Health Care Benefit)

Article 48 (Verification, etc. of Eligibility for Health Care Benefit)

Article 49 (Health Care Costs)

Article 50 (Additional Benefits)

Article 51 (Special Rules for Persons with Disabilities)

Article 52 (Health Checkups)

Article 53 (Restriction of Benefits)

Article 54 (Suspension of Benefits)

Article 55 (Verification of Benefits)

Article 56 (Reimbursement of Health Care Costs, etc.)

Article 56-2 (Accounts for Receipt of Health Care Costs, etc.)

Article 57 (Collection of Unjust Enrichment or Unjust Profit)

Article 58 (Rights to Demand Reimbursement)

Article 59 (Protection of Entitlement to Benefits)

Article 60 (Payment of Costs of Health Care Benefit to Soldiers, etc. in Active Service)

Article 61 (Settlement of Costs of Health Care Benefit)

CHAPTER V HEALTH INSURANCE REVIEW AND ASSESSMENT SERVICE

Article 62 (Establishment)

Article 63 (Services, etc.)

Article 64 (Legal Personality, etc.)

Article 65 (Executive Officers)

Article 66 (Medical Treatment Review Committee)

Article 67 (Fundraising, etc.)

Article 68 (Provisions Applicable Mutatis Mutandis)

CHAPTER VI INSURANCE CONTRIBUTION

Article 69 (Insurance Contribution)

Article 70 (Amount of Monthly Remuneration)

Article 71 (Amount of Monthly Income)

Article 72 (Contribution Point)

Article 72-2 (Committee on Improvement of Insurance Contribution Imposition System)

Article 72-3 (Evaluating Appropriateness of Insurance Contribution Imposition System)

Article 73 (Insurance Contribution Rate, etc.)

Article 74 (Exemption from Insurance Contribution)

Article 75 (Reduction, etc. of Insurance Contribution)

Article 76 (Burden of Insurance Contribution)

Article 77 (Obligation for Payment of Contribution)

Article 77-2 (Secondary Payment Obligation)

Article 78 (Due Date for Payment of Insurance Contribution)

Article 78-2 (Additional Charge)

Article 79 (Billing of Contribution, etc.)

Article 79-2 (Payment of Contribution, etc. by Credit Cards, etc.)

Article 80 (Arrears)

Article 81 (Overdue Notice of Insurance Contribution, etc. and Disposition on Default)

Article 81 (Overdue Notice of Insurance Contribution, etc. and Disposition on Default)

Article 81-2 (Provision of Data concerning Disposition on Default or Deficits)

Article 81-3 (Certification of Payment of Insurance Contribution)

Article 82 (Installment Payments of Insurance Contribution in Arrears)

Article 82 (Installment Payments of Insurance Contribution in Arrears)

Article 83 (Disclosure of Personal Information of Payers in Arrear with Large Amount or in Habitual Arrears)

Article 84 (Dispositions on Deficit)

Article 85 (Precedence of Collection of Insurance Contribution, etc.)

Article 86 (Appropriation for and Return of Insurance Contribution, etc.)

CHAPTER VII FILING OF OBJECTIONS AND REQUESTS FOR TRIAL, ETC.

Article 87 (Raising an Objection)

Article 88 (Requests for Trial)

Article 89 (Health Insurance Dispute Mediation Committee)

Article 90 (Administrative Litigation)

CHAPTER VIII SUPPLEMENTARY PROVISIONS

Article 91 (Prescription)

Article 92 (Calculation of Periods)

Article 93 (Protection of Rights and Interests of Workers)

Article 94 (Reporting, etc.)

Article 95 (Forwarding, etc. of Data on Reduction or Omission of Income)

Article 96 (Furnishing of Materials)

Article 96 (Furnishing of Materials)

Article 96-2 (Preservation of Documents)

Article 97 (Reports and Inspections)

Article 97 (Reports and Inspections)

Article 98 (Suspension of Operation)

Article 99 (Penalty Surcharges)

Article 99 (Penalty Surcharges)

Article 100 (Publication of Fact of Violation)

Article 101 (Prohibited Acts of Manufacturers, etc.)

Article 102 (Maintaining Information, etc.)

Article 103 (Supervision of NHIS, etc.)

Article 104 (Payment of Monetary Rewards, etc.)

Article 105 (Prohibition from Use of Similar Names)

Article 106 (Disposal of Small Sums)

Article 107 (Disposal of Fractional Sum)

Article 108 (Government's Subsidies for Insurance Finance)

Article 109 (Special Cases concerning Foreigners, etc.)

Article 110 (Special Rules for the Unemployed)

Article 111 (Assignment and Entrustment of Authority)

Article 112 (Entrustment of Services)

Article 113 (Allocation, Payment, etc. of Insurance Contribution, etc. Entrusted with Collection)

Article 114 (Purpose, etc. of Contributions)

CHAPTER IX PENALTY PROVISIONS

Article 115 (Penalty Provisions)

Article 116 (Penalty Provisions)

Article 117 (Penalty Provisions)

Article 118 (Joint Penalty Provisions)

Article 119 (Administrative Fines)

Article 119 (Administrative Fines)

ADDENDA

ADDENDA <Act No. 11787, May 22, 2013>

ADDENDA <Act No. 12176, Jan. 1, 2014>

ADDENDA <Act No. 12615, May 20, 2014>

ADDENDA <Act No. 12844, Nov. 20, 2014>

ADDENDA <Act No. 13985, Feb. 3, 2016>

ADDENDA <Act No. 14084, Mar. 22, 2016>

ADDENDA <Act No. 14183, May 29, 2016>

ADDENDUM <Act No. 14557, Feb. 8, 2017>

ADDENDA <Act No. 14776, Apr. 18, 2017>

ADDENDA <Act No. 14839, Jul. 26, 2017>

ADDENDA <Act No. 15348, Jan. 16, 2018>

ADDENDA <Act No. 15535, Mar. 27, 2018>