No. 20324
Promulgation Date 2024-02-20
Ministry of Health and Welfare
ALL
CHAPTER I GENERAL PROVISIONS
Article 1 (Purpose)
Article 2 (Administration)
Article 3 (Definitions)
Article 3-2 (Formulation of Comprehensive National Health Insurance Plans)
Article 4 (Health Insurance Policy Deliberative Committee)
CHAPTER II THE INSURED
Article 5 (Eligible Persons)
Article 6 (Categories of the Insured)
Article 7 (Reporting on Workplace)
Article 8 (Date of Acquisition of Eligibility)
Article 9 (Date of Change in Eligibility)
Article 9-2 (Notice of Acquisition and Change of Eligibility)
Article 10 (Date of Loss of Eligibility)
Article 11 (Confirmation of Acquisition of Eligibility)
Article 12 (Health Insurance Card)
CHAPTER III NATIONAL HEALTH INSURANCE SERVICE
Article 13 (Insurer)
Article 14 (Services)
Article 15 (Legal Personality)
Article 16 (Offices)
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 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)
Article 30 (Appointment of Agent)
Article 31 (Restriction on Representative Authority)
Article 32 (Delegation of Authority of President)
Article 33 (Financial Operation Committee)
Article 34 (Composition 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 the Civil Act)
CHAPTER IV INSURANCE BENEFITS
Article 41 (Medical Care Benefits)
Article 41-2 (Reduction of Upper Limit Amount of Costs of Health Care Benefits for Medicines)
Article 41-3 (Determination and Adjustment of Eligibility for Health Care Benefits of Acts, Materials for Medical Treatment, or Medicines)
Article 41-4 (Selective Benefits)
Article 41-5 (Home Health Care Benefits)
Article 42 (Health Care Institution)
Article 42-2 (Management of Provision of Selective Benefits by Health Care Institutions)
Article 43 (Reports on Current Status of Health Care Institutions)
Article 44 (Co-Payment of Expenses)
Article 45 (Calculation of Costs of Health Care Benefits)
Article 46 (Calculation of Costs of Health Care Benefits for Medicines and Materials for Medical Treatment)
Article 47 (Claims for and Payment of Costs of Health Care Benefits)
Article 47-2 (Withholding of Payment of Costs of Health Care Benefits)
Article 47-3 (Different Payment of Costs of Health Care Benefits)
Article 47-4 (Evaluation of Appropriateness of Health Care Benefits)
Article 48 (Verification of Eligibility for Health Care Benefits)
Article 49 (Health Care Costs)
Article 50 (Additional Benefits)
Article 51 (Special Cases concerning Persons with Disabilities)
Article 52 (Health Checkups)
Article 53 (Restrictions of Benefits)
Article 54 (Suspension of Benefits)
Article 55 (Verification of Benefits)
Article 56 (Reimbursement of Health Care Costs)
Article 56-2 (Accounts for Receipt of Health Care Costs)
Article 57 (Collection of Unjust Profit)
Article 57-2 (Disclosure of Personal Details on Defaulters Who are in Arrears with Unjust Enrichment or Unjust Profit Collectible)
Article 58 (Rights to Demand Reimbursement)
Article 59 (Protection of Entitlement to Benefits)
Article 60 (Payment of Costs of Health Care Benefits to Soldiers in Active Service)
Article 61 (Settlement of Costs of Health Care Benefits)
CHAPTER V HEALTH INSURANCE REVIEW AND ASSESSMENT SERVICE
Article 62 (Establishment)
Article 63 (Services)
Article 64 (Legal Personality)
Article 65 (Executive Officers)
Article 66 (Medical Treatment Review Committee)
Article 66-2 (Dual Office Holding by Members of Medical Treatment Review Committee)
Article 67 (Fundraising)
Article 68 (Provisions Applicable Mutatis Mutandis)
CHAPTER VI INSURANCE CONTRIBUTIONS
Article 69 (Insurance Contributions)
Article 70 (Amount of Monthly Remuneration)
Article 71 (Amount of Monthly Income)
Article 72 (Contribution Points based on Property)
Article 72-2 Deleted.
Article 72-3 (Evaluating Appropriateness of Insurance Contribution Imposition System)
Article 73 (Insurance Contribution Rate)
Article 74 (Exemption from Insurance Contributions)
Article 75 (Reduction of Insurance Contributions)
Article 76 (Burden of Insurance Contributions)
Article 77 (Obligation for Payment of Contributions)
Article 77-2 (Secondary Payment Obligation)
Article 78 (Due Date for Payment of Insurance Contributions)
Article 78-2 (Additional Charge)
Article 79 (Billing of Insurance Contributions)
Article 79-2 (Payment of Contributions by Credit Card)
Article 80 (Arrears)
Article 81 (Overdue Notice of Insurance Contributions and Delinquency Disposition)
Article 81-2 (Seizure of Unjust Enrichment or Unjust Profit Collectible)
Article 81-3 (Provision of Data concerning Delinquency or Write-off of Deficits)
Article 81-4 (Certification of Payment of Insurance Contributions)
Article 81-5 (Service of Documents)
Article 81-6 (Billing in Electronic Form)
Article 82 (Installment Payments of Insurance Contributions in Arrears)
Article 83 (Disclosure of Personal Details of Payers in Arrears with Large Amount or in Habitual Arrears)
Article 84 (Write-off of Deficits)
Article 85 (Precedence of Collection of Insurance Contributions)
Article 86 (Appropriation for and Return of Insurance Contributions)
CHAPTER VII APPLICATIONS FOR OBJECTION AND REQUESTS FOR JUDGMENT
Article 87 (Raising Objections)
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)
Article 95 (Forwarding of Data on Reduction or Omission of Income)
Article 96 (Furnishing of Materials)
Article 96-2 (Provision of Financial Information)
Article 96-3 (Data Matching of Computerized Family Relationship Registration Information)
Article 96-4 (Preservation of Documents)
Article 97 (Report and Inspection)
Article 98 (Suspension of Operation)
Article 99 (Penalty Surcharges)
Article 100 (Publication of Fact of Violation)
Article 101 (Prohibited Acts of Manufacturers)
Article 101-2 (Collection and Payment of Amount Equivalent to Losses in Cases of Litigation involving Medicines)
Article 102 (Maintaining Information)
Article 103 (Supervision of NHIS)
Article 104 (Payment of Monetary Awards)
Article 105 (Prohibition of Use of Similar Names)
Article 106 (Disposal of Small Sums)
Article 107 (Disposal of Fractional Sum)
Article 108 Deleted.
Article 108 (Government's Subsidies for Insurance Finance)
Article 109 (Special Cases concerning Foreigners)
Article 110 (Special Cases concerning the Unemployed)
Article 111 (Delegation of Authority)
Article 112 (Entrustment of Affairs)
Article 113 (Allocation and Payment of Insurance Contributions Entrusted with Collection)
Article 114 (Purposes of Contributions)
Article 114-2 (Legal Fiction as Public Officials in Application of Penalty Provisions)
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)
ADDENDA <Act No. 11141, Dec. 31, 2011>
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>
ADDENDA <Act No. 15874, Dec. 11, 2018>
ADDENDA <Act No. 16238, Jan. 15, 2019>
ADDENDA <Act No. 16366, Apr. 23, 2019>
ADDENDA <Act No. 16652, Nov. 26, 2019>
ADDENDA <Act No. 16728, Dec. 3, 2019>
ADDENDA <Act No. 17196, Apr. 7, 2020>
ADDENDA <Act No. 17758, Dec. 29, 2020>
ADDENDA <Act No. 17772, Dec. 29, 2020>
ADDENDA <Act No. 18211, Jun. 8, 2021>
ADDENDUM <Act No. 18895, Jun. 10, 2022>
ADDENDA <Act No. 19123, Dec. 27, 2022>
ADDENDA <Act No. 19420, May 19, 2023>
ADDENDA <Act No. 19445, Jun. 13, 2023>
ADDENDA <Act No. 19527, Jul. 11, 2023>
ADDENDA <Act No. 19885, Jan. 2, 2024>
ADDENDA <Act No. 19958, Jan. 9, 2024>
ADDENDUM <Act No. 20092, Jan. 23, 2024>
ADDENDUM <Act No. 20211, Feb. 6, 2024>
ADDENDA <Act No. 20324, Feb. 20, 2024>