E-book보기 | 대한민국영문법령

이북보기
검색 검색	페이지이동 Article		프린트 목차 연혁

STATUTES

THE REPUBLIC OF KOREA

Volume

NATIONAL HEALTH INSURANCE ACT

Act No.5854,Feb.8,1999

Amended byAct No.6073,Dec.31,1999

Act No.6093,Dec.31,1999

Act No.6124,Jan.12,2000

Act No.6320,Dec.29,2000

Act No.6474,May24,2001

Act No.6618,Jan.19,2002

Act No.6799,Dec.18,2002

Act No.6951,Jul.29,2003

Act No.6981,Sep.29,2003

Act No.7144,Jan.29,2004

Act No.7347,Jan.27,2005

Act No.7377,Jan.27,2005

Act No.7590,Jul.13,2005

Act No.8034,Oct.4,2006

Act No.8153,Dec.30,2006

Act No.8694,Dec.14,2007

Act No.8852,Feb.29,2008

Act No.9022,Mar.28,2008

Act No.9079,Mar.28,2008

Act No. 9386, Jan. 30, 2009

Act No. 9690, May. 21, 2009

Act No. 9932, Jan. 18, 2010

Act No. 10155, Mar. 22, 2010

CHAPTER I GENERAL PROVISIONS

Addenda

Article 1 (Purpose)

The purpose of this Act is to improve citizens' health and promote social security by providing citizens with insurance benefits for the prevention, medical examination, medical treatment and rehabilitation of diseases and injury, for childbirth and death, and for improvement of health.

Article 2 (Charge)

The Minister of Health, Welfare and Family Affairs shall be in charge of the national health insurance program prescribed by this Act. <Amended by Act No. 8852, Feb. 29, 2008>

Article 3 (Definitions)

For the purpose of this Act, <Amended by Act No. 6124, Jan. 12, 2000; Act No. 8034, Oct. 4, 2006>

1. the term "worker" means a person who, regardless of the type of his occupation, lives on remunerations received as compensation for his work (including a director or other officer of a corporation), except for a public official or a school employee under subparagraphs 4 and 5, respectively;

2. the term "employer" means a person who falls under any of the following items:

(a) the

Article 1 ~ 3

owner of the workplace to which a worker in question belongs;

(b) the head of the organ to which a public official in question belongs and who is determined by Presidential Decree; and

(c) the person who establishes and operates a private school to which a school employee in question belongs (referring to a private school referred to in Article 3 of the Pension for Private School Teachers and Staff Act; hereafter the same shall apply in this Article);

3. the term "workplace" means a place of business or office;

4. the term "public official" means a person who is a regular employee of the State or a local government performing civil services; and

5. the term "school employee" means a teacher at or an employee of a private school or an organization that manages the school.

Article 4 (Health Insurance Policy Deliberative Committee)

(1) The Health Insurance Policy Deliberative Committee (hereinafter referred to as the "Deliberative Committee") mandated to deliberate and vote on the matters concerning the health insurance policy, which fall under each of the following subparagraphs, shall

Article 4

be established under the Minister of Health, Welfare and Family Affairs: <Amended by Act No. 8852, Feb. 29, 2008>

1. The standards for medical care benefits provided for in the provisions of Article 39 (2);

2. Matters concerning expenses necessary for the medical care benefits provided for in the provisions of Article 42 (3);

3. The insurance premium rates of employment provided policyholders provided for in the provisions of Article 65 (1);

4. The monetary value per contribution point of the locally provided policyholders provided for in the provisions of Article 65 (3); and

5. Other major matters concerning the health insurance, which are prescribed by Presidential Decree.

(2) The Deliberative Committee shall be composed of 25 members including one chairman and one vice chairman.

(3) The chairman of the Deliberative Committee shall be the Vice Minister of Health, Welfare and Family Affairs and the vice chairman shall be nominated by the chairman from among the members referred to in paragraph (4) 3. <Amended by Act No. 8852, Feb. 29, 2008>

Article 4

(4) The following persons shall be appointed or commissioned by the Minister of Health, Welfare and Family Affairs as the members of the Deliberative Committee: <Amended by Act No. 8852, Feb. 29, 2008>

1. Two persons who are each recommended by workers' organizations and employers' organizations and eight persons who are each recommended by civil organizations (referring to the non-profit civil organizations provided for in the provisions of Article 2 of the Assistance for Non-Profit, Non-Governmental Organizations Act; hereinafter the same shall apply), consumers' organizations, organizations of farmers and fishermen, and organization of the self-employed;

2. Eight persons who are recommended by the organization representing the medical profession and the organization representing the manufacturers of medicines; and

3. Eight persons falling under each of the following items:

(a) Two public officials who work for central administrative agencies, who are prescribed by Presidential Decree;

(b) Two persons who are each recommended by the president of the National Health Insurance Corporation and the president of the Health Insurance and Assessment Service; and

Article 4

(5) The terms of office of the members of the Deliberative Committee shall be three years: Provided, That the terms of office for the members who are public officials shall be the period during which they hold their offices and the term of office for any member filling a vacancy shall be the remainder of the term of office for his predecessor.

(6) Matters necessary for the operation, etc. of the Deliberative Committee shall be prescribed by Presidential Decree.

[This Article Wholly Amended by Act No. 8153, Dec. 30, 2006]

CHAPTER II POLICYHOLDERS

Article 5 (Eligible Persons, etc.)

(1) Korean nationals who reside within Korea, excluding those who fall under any of the following subparagraphs, shall become policyholders (hereinafter referred to as "policyholders") of the health insurance referred to in this Act (hereinafter referred to as "health insurance") or their dependents: <Amended by Act No. 6474, May 24, 2001; Act No. 8034, Oct. 4, 2006>

1. Persons who receive medical benefits under the provisions of the Medical

Article 5

Care Assistance Act (hereinafter referred to as "medical care eligible persons"); and

2. Persons who receive medical care under the provisions of the Act on the Honorable Treatment of Persons of Distinguished Services to Independence and the Act on the Honorable Treatment and Support of Persons, etc. of Distinguished Services to the State (hereinafter referred to as "medical care eligible persons for distinguished service"): Provided, That this shall not apply to the persons who fall under any of the following items:

(a) Persons, from among medical care eligible persons for distinguished service, who request the insurer that they be covered by health insurance; and

(b) Where persons who were under the coverage of the health insurance become medical care eligible persons for distinguished service, persons who do not request the insurer that they be excluded from the coverage of the health insurance.

(2) Dependents of the policyholders referred to in paragraph (1) refers to the persons, from among the persons falling under any of the following subparagraphs, who are supported mainly by employment provided policyholders and do not have other remuneration or income:

1. Spouses of employment provided policyholders;

2. Lineal ascendants

Article 5

of employment provided policyholders (including lineal ascendants of their spouses);

3. Lineal descendants (including lineal descendants of their spouses) and their spouses of employment provided policyholders; and

4. Brothers/sisters of employment provided policyholders.

(3) The standards for determination of the dependent eligibility referred to in paragraph (2), time of acquisition or loss of such eligibility, and other necessary matters shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 6 (Categories of Policyholders)

(1) Policyholders shall be divided into employment provided policyholders and locally provided policyholders.

(2) Workers and employers of all workplaces and public officials and school employees shall become employment provided policyholders: Provided, That persons who fall under any of the following subparagraphs shall be excluded herefrom: <Amended by Act No. 6320, Dec. 29, 2000; Act No. 7144, Jan. 29, 2004; Act No. 8034, Oct. 4, 2006>

1. Daily-paid workers who are employed for a period of less than one month;

2. Soldiers in the

Article 6

active service underthe Military Service Act (including staff sergeants appointed without volunteering), secondment personnel and candidates for military officers;

3. Public officials who assume their office through election, and who do not receive monthly remuneration or salary equivalent thereto;

4. Workers and employers of the workplaces prescribed by Presidential Decree, in view of the characteristics of workplace, forms of employment and kinds of business, and public officials and school employees.

(3) Locally provided policyholders shall be policyholders, other than employment provided policyholders and their dependents.

(4) Workers and employers under paragraph (2) 4 may either become employment provided policyholders or secede therefrom, as prescribed by Presidential Decree. <Newly Inserted by Act No. 6320, Dec. 29, 2000>

Article 6-2 (Reporting on Workplace)

Where an employer of a workplace falls under any of the following subparagraphs, he/she shall report such fact to an insurer, as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs within 14 days thereafter. This shall also apply where any matters reported to the insurer is changed as he/she falls under subparagraph 1:

Article 6-2

1. Where his/her workplace becomes a workplace using employees, public officials and school employees who become an employment provided policyholder pursuant to Article 6 (2) (hereinafter referred to as a "workplace of eligible persons");

2. Where a cause exists as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs, such as suspension of business and closure of business.

[This Article Newly Inserted by Act No. 9022, Mar. 28, 2008]

Article 7 (Time of Acquisition of Eligibility)

(1) A policyholder shall acquire the eligibility of an employment provided policyholder or a locally provided policyholder on the day he takes residence in the country: Provided, That a person who falls under any of the following subparagraphs shall acquire each applicable eligibility on the applicable day: <Amended by Act No. 6474, May 24, 2001>

1. For a former medical care eligible person, on the day when he becomes excluded from such eligibility;

2. The day on which a former dependent of an employment provided policyholder loses his eligibility;

3. For a former medical care eligible person for distinguished service,

Article 7

on the day when he is excluded from such eligibility; and

4. For a medical care eligible person for distinguished service who requests the insurer for coverage under the health insurance under the provisions of Article 5 (1) 2 (a), on the day when the request is made.

(2) If eligibility is acquired under the provisions of paragraph (1), the employer of the employment provided policyholder concerned or the head of the household of the locally provided policyholder concerned shall report the particulars to the insurer as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs within 14 days after the date of acquisition of the eligibility. <Amended by Act No. 8852, Feb. 29, 2008>

Article 8 (Time of Change in Eligibility)

(1) The eligibility of a policyholder shall change on the date when he falls under any of the following subparagraphs: <Newly Inserted by Act No. 9022, Mar. 28, 2008>

1. When a locally provided policyholder becomes an employer of a workplace of eligible persons or is employed as an employee, public official or school employee (hereinafter referred to as an "employee, etc.");

2. When an employment provided policyholder becomes an employer of another workplace of eligible persons or is employed as an employee, etc.;

Article 8

3. On the date immediately following the date of expiration of employment relationship of employer, etc. who is an employment provided policyholder;

4. On the date immediately following the date on which any cause under subparagraph 2 of Article 6-2 occurs at the workplace of an employer who is an employment provided policyholder; and

5. On the date on which a locally provided policyholder moves into another household.

(2) In cases where there is change in the eligibility of a policyholder, the employer or householder thereof as specified in the following subparagraphs shall report the particulars to the insurer under the conditions as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs within fourteen days from the date on which the eligibility changes: <Amended by Act No. 9022, Mar. 28, 2008>

1. Where there is a change in eligibility pursuant to subparagraphs 1 and 2 of paragraph (1): employer; and

2. Where there is a change in eligibility pursuant to subparagraphs 3 through 5 of paragraph (1): householder of a locally provided policyholder.

(3) Where the locally provided policyholders or the employment provided policyholders fall under the provisions of subparagraphs 3 and

Article 8

4 of Article 49, the Minister of National Defense and the Minister of Justice shall notify the insurer under the conditions as provided by Ordinance of the Ministry of Health, Welfare and Family Affairs within one month from the date of the change. <Newly Inserted by Act No. 7590, Jul. 13, 2005; Act No. 8852, Feb. 29, 2008>

Article 9 (Time of Loss of Eligibility)

(1) A policyholder shall lose his eligibility on the day he falls under any of the following subparagraphs: <Amended by Act No. 6474, May 24, 2001; Act No. 7144, Jan. 29, 2004>

1. Day after the day he dies;

2. Day after the day he loses his nationality;

3. Day after the day he ceases to reside within the country;

4. The day he becomes a dependent of an employment provided policyholder;

5. The day he becomes a medical care eligible person; and

6. The day a request for exclusion from coverage of the health insurance is made by a person who was formerly under the coverage of the health insurance but became a medical care eligible person for distinguished service.

(2) If eligibility

Article 9

is lost under the provisions of paragraph (1), the employer of the employment provided policyholder concerned or the head of the household of the locally provided policyholder concerned shall report the particulars to the insurer as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs within 14 days after the date of loss of the eligibility. <Amended by Act No. 8852, Feb. 29, 2008>

Article 10 (Confirmation of Acquisition or Loss of Eligibility)

(1) Acquisition, change, or loss of the eligibility of a policyholder shall take effect retrospectively from the time of acquisition, change or loss of the eligibility as referred to in Articles 7 through 9. In such cases, the insurer may confirm the fact thereof.

(2) A policyholder or a former policyholder may make a request for the confirmation referred to in paragraph (1).

Article 11 (Health Insurance Card)

(1) The National Health Insurance Corporation shall issue health insurance cards to the policyholders.

(2) When a policyholder or his dependent receives a medical care benefit, he shall present the insurance card referred to in paragraph (1) to a medical care institution referred to in Article 40 (1) (hereinafter referred to as "medical care institution"): Provided, That this shall not apply if an unavoidable circumstance such as a force majeure exists.

Article 10 ~ 11

(3) Notwithstanding the main sentence of paragraph (2), a policyholder or a dependent may not, if it is possible for a health care institution to confirm his eligibility with his resident registration certificate, driver's license, passport or other identification to confirm himself as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs, submit his health insurance card. <Newly Inserted by Act No. 9022, Mar. 28, 2008>

(4) No person is allowed to receive insurance benefits by transferring, lending and unjust use of his health insurance card or identification. <Newly Inserted by Act No. 9022, Mar. 28, 2008>

(5) Matters necessary with regard to the form of the health insurance card referred to in paragraph (1) and issuing and using it shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 9022, Mar. 28, 2008>

CHAPTER III NATIONAL HEALTH INSURANCE CORPORATION

Article 12 (Insurer)

The insurer of national health insurance shall be the National Health Insurance Corporation (hereinafter referred to as the "Corporation").

Article 12

Article 13 (Operations, etc.)

(1) The Corporation shall be in charge of the following operations: <Amended by Act No. 8852, Feb. 29, 2008; Act No. 9690, May 21, 2009; Act No. 10155, Mar. 22, 2010>

1. Supervision of the eligibility of policyholders and their dependents;

2. Imposition and collection of insurance premiums and other fees provided for in this Act;

3. Administration of insurance benefits;

4. Preventive programs necessary for maintenance and improvement of health of policyholders and their dependents;

5. Payment of the insurance benefit costs;

6. Programs for managing, employing and increasing its assets;

7. Operation of medical facilities;

8. Educational training and publicity in connection with health insurance;

9. Investigative research and international cooperation in connection with health insurance;

10. Operations

Article 13

delegated under the National Penion Act, the Act on the Collection of Insurance Premiums, etc. for Employment Insurance and Industrial Accident Compensation Insurance, the Wage Claim Guarantee Act, and the Asbestos Injury Relief Act (hereinafter referred to as "applicable law to the entrustment with collection");

11. Other operations delegated under this Act or other Acts and subordinate statutes;

12. Other operations determined by the Minister of Health, Welfare and Family Affairs as being necessary in connection with health insurance.

(2) Necessary matters concerning the kinds and the scope of the programs for managing, employing, and increasing assets under paragraph (1) 6 shall be prescribed by Presidential Decree.

(3) If a service in question is being provided for, or the use of the facilities is for, a specific person, the Corporation may collect a service charge or a use fee for the provision of the service or the use of the facilities, as prescribed by the Corporation's articles of incorporation.

(4) The Corporation shall disclose to the public the information that it maintains and manages in connection with health insurance as prescribed by the Official Information Disclosure Act. <Amended by Act No. 8034, Oct. 4, 2006>

Article 14 (Legal Personality of Corporation)

Article 14

(1) The Corporation shall be a juristic person.

(2) The Corporation shall come into existence by registering its establishment at the seat of its principal office.

Article 15 (Office)

(1) Location of the principal office of the Corporation shall be determined by the articles of incorporation. <Amended by Act No. 7144, Jan. 29, 2004>

(2) When necessary, the Corporation may establish branch offices pursuant to its articles of incorporation.

Article 16 (Articles of Incorporation)

(1) The articles of incorporation of the Corporation shall state the following matters:

1. Objectives;

2. Its name;

3. Seat of office;

4. Matters concerning its officers and employees;

5. Matters concerning the board of directors;

6. Matters concerning its financial operation committee;

Article 15 ~ 16

7. Matters concerning insurance premiums and insurance benefits;

8. Matters concerning its budget and settlement of accounts;

9. Matters concerning its assets and accounting;

10. Matters concerning modification of the articles of incorporation; and

11. Matters concerning public announcement.

(2) When the Corporation intends to modify its articles of incorporation, it shall obtain authorization of the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 17 (Registration)

The registration for establishment of the Corporation shall include the following matters:

1. Objectives;

2. Its name;

3. Seat of the principal office and branch offices;

4. Name, address and resident registration number of the president of

Article 17

the board of directors.

Article 18 (Dissolution)

Matters regarding the dissolution of the Corporation shall be prescribed by Acts.

Article 19 (Executives)

(1) The Corporation shall have, as its executives, one president of the board of directors, 17 directors and one auditor. <Amended by Act No. 7144, Jan. 29, 2004>

(2) The president of the board of directors shall be appointed or dismissed by the President of the Republic of Korea upon recommendation of the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 7144, Jan. 29, 2004; Act No. 8852, Feb. 29, 2008>

(3) As directors, eight persons recommended, two each, by labor unions, an employer organization, an agricultural and fisheries organization, and a consumer organization, five persons recommended by the president of the board of directors of the Corporation, and four relevant public officials determined by Presidential Decree shall be appointed or dismissed by the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 7144, Jan. 29, 2004; Act No. 8852, Feb. 29, 2008>

(4) The auditor shall be appointed or dismissed by the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 7144, Jan.

Article 18 ~ 19

29, 2004; Act No. 8852, Feb. 29, 2008>

(5) Posts of the president of the board of directors, five of the directors and the auditor shall be permanent: Provided, That non-permanent members may receive reimbursements for actual expenses, as prescribed by the articles of incorporation. <Amended by Act No. 7144, Jan. 29, 2004>

(6) The term of the office of an executive shall be three years: Provided, That the term of the office of an executive who is a public official shall be the term of that office. <Amended by Act No. 7144, Jan. 29, 2004>

Article 19-2 (Collection Director)

(1) Among standing directors, a director who has profound knowledge and experience in management, economy and social insurance and who meets the qualification determined by Ordinance of the Ministry of Health and Welfare shall be appointed as a director in charge of the operations under Article 13 (1) 2 and 10 (hereinafter referred to as "collection director"). <Amended by Act No. 9932, Jan. 18, 2010>

(2) The Corporation shall have a Collection Director Nominating Committee (hereinafter referred to as "Nominating Committee") in order to nominate candidates for a collection director, having the president of the board of directors as its chairperson and directors as its members.

(3) The Nominating Committee shall publish recruitment advertisement for a

Article 19-2

collection director on major daily newspapers, and in addition, may verify a candidate who is regarded as qualified, or request a specialized organization to verify such candidate.

(4) The Nominating Committee shall screen persons recruited pursuant to paragraph (3) according to the candidate screen criteria for a collection director determined by Ordinance of the Ministry of Health and Welfare, and consult on the contract terms with the collection director nominee. <Amended by Act No. 9932, Jan. 18, 2010>

(5) The president of the board of directors shall recommend a candidate for the collection director to the Minister of Health and Welfare, based on the results of screen and consultation under paragraph (4), and submit a contract draft thereto. <Amended by Act No. 9932, Jan. 18, 2010>

(6) Where the Minister of Health and Welfare approves the recommendation and contract draft for a collection director candidate submitted pursuant to paragraph (5), the president of the board of directors shall conclude a contract with the collection director candidate. <Amended by Act No. 9932, Jan. 18, 2010>

(7) Submission of the recommendation and the contract draft for a collection director candidate pursuant to paragraph (5) and approval pursuant to paragraph (6) shall be deemed recommendation and appointment of standing directors under Article 19 (3) and (5), respectively.

Article 19-2

(8) Necessary matters concerning consultation on contract terms under paragraph (4), and recommendation, contract conclusion, etc. under paragraphs (5) and (6) shall be prescribed by Ordinance of the Ministry of Health and Welfare. <Amended by Act No. 9932, Jan. 18, 2010>

[This Article Newly Inserted by Act No. 9690, May. 21, 2009]

Article 20 (Duties of Executives)

(1) The president of the board of directors shall represent the Corporation and exercise an overall control over its affairs.

(2) The permanent directors shall execute the operations of the Corporation under the order of the president of the board of directors, and where the president of the board of directors is unable to perform his/her duties due to an unavoidable circumstance, a permanent director determined by the articles of incorporation shall act for the president.

(3) The auditor shall audit the accounting of the Corporation, the execution status of its operations, and its assets status.

Article 21 (Grounds for Disqualification of Executives)

No person who falls under any of the following subparagraphs may become an executive of the Corporation: <Amended by Act No. 8034,

Article 20 ~ 21

Oct. 4 2006>

1. A person who is not a national of the Republic of Korea;

2. A person falling under any subparagraph of Article 33 of the State Public Officials Act.

[This Article Wholly Amended by Act No. 7144, Jan. 29, 2004]

Article 22 (Obligatory Retirement/Dismissal of Executives)

(1) When an executive is confirmed to fall under any of the subparagraphs of Article 21, the executive in question shall be obligated to retire.

(2) When an executive falls under any of the following subparagraphs, the person with the power to appoint or dismiss may dismiss the executive in question: <Amended by Act No. 7144, Jan. 29, 2004; Act No. 8852, Feb. 29, 2008>

1. When he is determined to be unable to perform his duties due to a physical or mental disability;

2. When he breaches an official duty;

3. When he causes loss to the Corporation, either intentionally or through gross negligence;

4. When he commits an act that is damaging to his dignity, regardless of whether while on duty or off duty;

Article 22

5. When he violates an order of the Minister of Health, Welfare and Family Affairs referred to in this Act.

Article 23 (Prohibition against Executive's Holding More than One Office)

The president of the board of directors, permanent directors, and permanent auditors of the Corporation may not engage in another, for business for profit or, hold more than one office concurrently without permission of the person with the power to appoint or dismiss. <Amended by Act No. 7144, Jan. 29, 2004>

Article 24 (Board of Directors)

(1) The Corporation shall have a board of directors in order to deliberate on and resolve important matters of the Corporation.

(2) The board of directors shall be comprised of the president and directors.

(3) The auditor may come before the board of directors and speak.

(4) Matters necessary with regard to the issues to be resolved by the board of directors and the operation of the board of directors shall be prescribed by Presidential Decree.

Article 25 (Appointment and Dismissal of Officers)

Article 23 ~ 25

The chairman of the board of directors shall appoint and dismiss employees pursuant to the articles of incorporation.

Article 26 (Presumed Public Officials in Application of Penal Provisions)

The officers and the employees of the Corporation shall be deemed be public officials in applying the provisions of Articles 129 through 132 of the Criminal Act. <Amended by Act No. 8034, Oct. 4, 2006>

Article 27 (Rules, etc.)

Rules relevant to the organization, human resource related affairs, remunerations, and accounting of the Corporation shall be determined with approval of the Minister of Health, Welfare and Family Affairs after undergoing a resolution of the board of directors. <Amended by Act No. 8852, Feb. 29, 2008>

Article 28 (Selection and Appointment of Agent)

The chairman of the board of directors may select and appoint an agent from among the officers or employees of the Corporation in order to have the agent act on behalf of him in all judicial or extra-judicial acts relevant to the affairs of the Corporation.

Article 29 (Limitation on Representative Powers)

Article 26 ~ 29

(1) In connection with the matters with regard to which the interests of the Corporation and the interests of the chairman of the board of directors are in conflict, the chairman of the board of directors may not represent the Corporation, but the permanent auditor shall represent the Corporation.

(2) The provisions of paragraph (1) shall apply mutatis mutandis to any litigation between the Corporation and the chairman of the board of directors.

Article 30 (Delegation of Powers of Chairman of Board of Directors)

From among the powers of the chairman of the board of directors referred to in this Act, those prescribed by Presidential Decree, such as restriction of benefits and notice to pay insurance premium, may be delegated to the heads of the branch offices pursuant to the articles of incorporation.

Article 31 (Financial Operation Committee)

(1) The Corporation shall have a financial operation committee in order to deliberate on and resolve the matters related to insurance finance, such as contracts of medical care benefit cost provided for in the provisions of Article 42 (5), the deficit disposal of insurance premiums provided for in the provisions of Article 72. <Amended by Act No. 8153, Dec. 30, 2006>

(2) Deleted. <by

Article 30 ~ 31

Act No. 8153, Dec. 30, 2006>

(3) The chairman of the financial operation committee shall be elected by the committee from among the committee members referred to in Article 32 (1) 3.

Article 32 (Composition, etc. of Financial Operation Committee)

(1) The financial operation committee shall be comprised of the members referred to in the following subparagraphs:

1. Ten members representing the employment provided policyholders;

2. Ten members representing the locally provided policyholders; and

3. Ten members representing the public interest.

(2) As the members referred to in paragraph (1), the Minister of Health, Welfare and Family Affairs shall appoint or commission the following persons: <Amended by Act No. 8852, Feb. 29, 2008>

1. As the committee members referred to in paragraph (1) 1, persons recommended, five each, by the labor unions' organization and the employers' organization;

2. As the committee members referred to in paragraph (1) 2, persons recommended severally by the agricultural and fishery organization, the urban self-employed persons' organization

Article 32

and the citizens' organization as prescribed by Presidential Decree;

3. As the committee members referred to in paragraph (1) 3, relevant public officials and persons with extensive knowledge on and experience in health insurance who are determined by Presidential Decree.

(3) The term of the office of the members of the financial operation committee shall be two years: Provided, That the term of the office of an officer who is a public official shall be the term of that office, and the term of the office of an officer who is filling a vacancy shall be the remaining term of his predecessor.

(4) Matters necessary with regard to the operation, etc. of the financial operation committee shall be prescribed by Presidential Decree.

Article 33 (Accounting)

(1) The fiscal year of the Corporation shall be based on the fiscal year of the Government.

(2) The Corporation shall administer the financial affairs of employment provided policyholders and locally provided policyholders in an integrated manner.

(3) The Corporation shall keep its accounting separately for the health insurance program, and the national pension program, employment insurance program, industrial accident compensation insurance

Article 33

program, and wage claim guarantee program entrusted under the applicable law to the entrustment with collection. <Amended by Act No. 9690, May. 21, 2009>

Article 34 (Budget)

The Corporation shall compile a proposed budget for each fiscal year by separating the contents thereof by their nature, and obtain approval from the Minister of Health, Welfare and Family Affairs. This shall also apply where it intends to modify the budget. <Amended by Act No. 8852, Feb. 29, 2008>

Article 35 (Loans)

The Corporation may borrow funds where there exists a shortage of cash in making disbursements: Provided, That approval from the Minister of Health, Welfare and Family Affairs is necessary for any long-term loan with a term of at least one year. <Amended by Act No. 8852, Feb. 29, 2008>

Article 36 (Reserve Funds)

(1) From the surplus funds at the settlement of accounts for each fiscal year, the Corporation shall accumulate as its reserve funds an amount equivalent to at least 5/100 of the expenses required for payment of insurance benefits for that fiscal year until the funds reach 50/100 of the expenses required for that fiscal year.

(2) The reserve funds

Article 34 ~ 36

referred to in paragraph (1) may not be used except to meet shortages in the expenses incurred in paying insurance benefits or where there exists a shortage of cash in making disbursements; where the shortage of cash in making disbursements is met out of the reserve funds, the amount shall be made up for within the fiscal year concerned.

(3) Necessary matters concerning the method of managing or operating the reserve funds referred to in paragraph (1) shall be prescribed by the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 37 (Settlement of Accounts)

(1) The Corporation shall prepare a statement of accounts and a business report for each fiscal year and report to the Minister of Health, Welfare and Family Affairs thereon by the end of February in the following year. <Amended by Act No. 8852, Feb. 29, 2008>

(2) When the Corporation reports to the Minister of Health, Welfare and Family Affairs on it statement of accounts and business report under the provisions of paragraph (1), it shall publicly announce the contents thereof as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 38 (Mutatis Mutandis Application of Civil Act)

Article 37 ~ 38

Unless otherwise prescribed by this Act, the provisions of the Civil Act that are relevant to an incorporated foundation shall apply mutatis mutandis in regard to the Corporation. <Amended by Act No. 8034, Oct. 4, 2006>

CHAPTER IV INSURANCE BENEFITS

Article 39 (Medical Care Benefits)

(1) Medical care benefits referred to in the following subparagraphs shall be provided for diseases, injuries, childbirths, etc. of the policyholders and their dependents:

1. Diagnosis, medical examinations;

2. Supply of medicine, materials for medical treatment;

3. Emergency aid, operation or other types of medical treatments;

4. Prevention, rehabilitation;

5. Hospitalization;

6. Nursing;

7. Transfers.

(2) Criteria for the medical care benefits referred to in paragraph (1) (hereinafter

Article 39

referred to as "medical care benefits"), such as the method, procedure, scope, and maximum limit of medical care benefits shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

(3) In prescribing the criteria for medical care benefits under the provisions of paragraph (2), the Minister of Health, Welfare and Family Affairs may exclude the ailments that do not cause difficulties at work or in daily life and other items determined by Ordinance of the Ministry of Health, Welfare and Family Affairs from the medical care benefit eligible items. <Amended by Act No. 8852, Feb. 29, 2008>

Article 40 (Medical Care Institution)

(1) Medical care benefits (excluding nursing and transfers) shall be provided by the medical care institutions referred to in the following subparagraphs. In such cases, the Minister of Health, Welfare and Family Affairs may exclude the medical facilities determined by Presidential Decree, such as those deemed to be unfit as medical care institutions in public interest or for national policy reasons, from medical care institutions: <Amended by Act No. 6981, Sep. 29, 2003; Act No. 8034, Oct. 4, 2006; Act No. 8852, Feb. 29, 2008>

1. Medical facilities established under the Medical Service Act;

2. Pharmacies registered under the Pharmaceutical Affairs Act;

Article 40

3. The Korea Orphan Drug Center established under Article 72-12 of the Pharmaceutical Affairs Act;

4. Public health clinics, public health and medical care centers, and branches of public health clinics referred to in the Regional Public Health Act;

5. Public health clinics established under the Act on the Special Measures for Public Health and Medical Services in Agricultural and Fishing Villages, etc.

(2) If necessary for efficiently providing medical care benefits, the Minister of Health, Welfare and Family Affairs may recognize the medical care institutions meeting the standards prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs, such as facilities, equipment, human resources, and areas of specialization, as specialized medical care institutions, as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008; Act No. 9386, Jan. 30. 2009>

(3) Medical care institutions that are recognized to be specialized medical care institutions under paragraph (2) or superior general hospitals under Article 3-4 of the Medical Service Act may set the medical care benefit procedure referred to in Article 39 (2) and medical care benefit costs referred to in Article 42 differently from other medical care institutions. <Amended

Article 40

by Act No. 9386, Jan. 30, 2009>

(4) Medical care institutions referred to in paragraphs (1) through (3) may not refuse to provide medical care benefits without any justifiable ground. <Amended by Act No. 7144, Jan. 29, 2004; Act No. 9386, Jan. 30, 2009>

Article 41 (Partial Defrayment of Expenses)

A person who receives medical care benefits referred to in Article 39 (1) shall personally defray part of such expenses (hereinafter referred to as "individual co-payment") as prescribed by Presidential Decree.

Article 42 (Calculation, etc. of Medical Care Benefit Cost)

(1) The costs of medical care benefits shall be determined by contract between the chairman of the board of directors of the Corporation and a person determined by Presidential Decree who represents the medical and pharmaceutical communities. In such cases, the term of the contract shall be one year. <Amended by Act No. 6093, Dec. 31, 1999>

(2) If a contract is concluded under the provisions of paragraph (1), the contract shall be considered to be between the Corporation and each individual medical care institution.

(3) The contract referred to in paragraph (1) shall be concluded 75 days prior to the date on which its term expires and if no contract is concluded within that period, an amount determined by the Minister of Health, Welfare and Family Affairs after undergoing

Article 41 ~ 42

a resolution thereon by the Deliberative Committee shall be the medical care benefit costs. In such cases, the medical care benefit cost determined by the Minister of Health, Welfare and Family Affairs shall be considered to be the medical care benefit costs, determined by contract under the provisions of paragraphs (1) and (2). <Amended by Act No. 8153, Dec. 30, 2006; Act No. 8852, Feb. 29, 2008>

(4) If the costs of a medical care benefit is being determined under the provisions of paragraph (1) or (3), the Minister of Health, Welfare and Family Affairs shall issue a notice of the particulars of the medical care benefit cost without delay. <Amended by Act No. 8852, Feb. 29, 2008>

(5) When the chairman of the board of directors of the Corporation enters into a contract referred to in paragraph (1), he shall put it up for deliberation and resolution of the Financial Operation Committee referred to in Article 31.

(6) When the chairman of the board of directors of the Corporation requests for materials that are necessary in order to conclude the contract referred to in paragraph (1), the Health Insurance and Assessment Service referred to in Article 55 shall sincerely comply therewith.

(7) Details of the contract referred to in paragraph (1) and other necessary matters shall be prescribed by Presidential Decree. <Amended by Act No. 6093, Dec. 31, 1999>

Article 43 (Claims for and Payment of Medical Care Benefit Cost)

Article 43

(1) A medical care institution may claim the cost of a medical care benefit from the Corporation. In such cases, a request for review referred to in paragraph (2) shall be deemed a claim to the Corporation for the cost of a medical care benefit.

(2) A person who intends to claim the cost of a medical care benefit referred to in paragraph (1) shall request the Health Insurance and Assessment Service referred to in Article 55 for a review of the medical care benefit cost, and the Health Insurance and Assessment Service, in receipt of the request, shall review the matter and immediately notify the Corporation and the medical care institution of the details of its review.

(3) In receipt of the notification of the review details under paragraph (2), the Corporation shall immediately pay the medical care benefit cost to the medical care institution in accordance with such details. In such cases, where the individual co-payment already paid is in excess of the amount notified under paragraph (2), the difference of the excess payment shall be subtracted from the amount to be paid to the medical care institution and paid to the relevant policyholder.

(4) The Corporation may, for accounting, offset the amount to be paid to a policyholder under paragraph (3) against the insurance premiums and other collections under this Act which the relevant policyholder should pay (hereinafter referred to as "insurance premiums, etc.").

Article 43

(5) In paying the medical care benefit cost, where the Health Insurance and Assessment Service referred to in paragraph (2) evaluates the reasonableness of a medical care benefit referred to in Article 56 and notifies it to the Corporation, the Corporation shall adjust the payment by increasing or reducing the cost of the medical care benefit in accordance with the results of the evaluation. In such cases, matters relevant to the standards for increased or reduced payment of medical care benefit costs shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

(6) A medical care institution may authorize any of the following organizations to vicariously claim for review referred to in paragraph (2): <Newly Inserted by Act No. 8153, Dec. 30, 2006; Act No. 9386, Jan. 30, 2009>

1. The association of medical doctors, the association of dentists, the association of oriental medical doctors and the association of midwives provided for in Article 28 (1) of the Medical Service Act or a branch office or a branch of each of those associations, each of which files a report pursuant to paragraph (6) of the same Article;

2. The organization of medical institutions provided for in Article 52 of the Medical Service Act;

3. The association of pharmacists provided for in Article 11 of the Pharmaceutical Affairs Act or a branch office or a branch

Article 43

of the association, which files a report pursuant to Article 12-2 of the same Act.

(7) Medical supplies manufacturers, medical supplies wholesalers and other persons determined by Ordinance of the Ministry of Health, Welfare and Family Affairs may establish a medical supplies logistics cooperative association in order to improve the medical supplies distribution system and to provide storage, transportation, and other logistics services for medical supplies to medical care institutions. In such cases, matters regarding the organization and operation of the medical supplies logistics cooperative association and guidance for and supervision of the said cooperative association shall be prescribed by Presidential Decree by applying mutatis mutandis the Small and Medium Enterprise Cooperatives Act that concern cooperatives or business cooperatives. <Amended by Act No. 6799, Dec. 18, 2002; Act No. 8034, Oct. 4, 2006; Act No. 8852, Feb. 29, 2008>

(8) Necessary matters concerning the method and procedure of the claim, review, and payment of the medical care benefits costs referred to in paragraphs (1) through (6) shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 6799, Dec. 18, 2002; Act No. 8153, Dec. 30, 2006; Act No. 8852, Feb. 29, 2008>

Article 43-2 (Verification of Entitlement to Medical Care Benefits, etc.)

(1) Any policyholder or any dependent may request the Health Insurance and

Article 43-2

Assessment Service established pursuant to Article 55 to verify whether part of the medical expenses he/she has borne, other than individual co-payment is excluded from his/her entitlement to medical care benefits in accordance with Article 39 (3).

(2) The Health Insurance and Assessment Service in receipt of a request for verification under paragraph (1) shall notify the person who requested the verification of its result. In such cases, if part of the medical expenses for which the verification is requested is verification to be subject to the medical care benefits, the Health Insurance and Assessment Service shall notify the Corporation and the relevant medical care institution of such facts.

(3) A medical care institution in receipt of a notice under the latter part of paragraph (2) shall immediately refund the amount it has excessively collected to the person who requested the verification (hereinafter referred to as "excessively collected medical expenses"): Provided, That where the relevant medical care institution fails to refund the excessively collected medical expenses, the Corporation may refund such excessively collected medical expenses to the person who requested for verification after deducting them from the medical care benefits it is liable to pay such medical care institution.

[This Article Newly Inserted by Act No. 6799, Dec. 18, 2002]

Article 44 (Medical Care Costs)

Article 44

(1) Where a policyholder or his/her dependent, due to emergency or other unavoidable circumstances determined by Ordinance of the Ministry of Health, Welfare and Family Affairs, receives medical care for a disease, injury, childbirth, etc. at an institution determined by Ordinance of the Ministry of Health, Welfare and Family Affairs and performs functions similar to those of a medical care institution (including a medical care institution placed under a period of suspension of operation under Article 85 (1)) or undergoes a childbirth at a place other than a medical care institution, the Corporation shall disburse an amount equivalent to the medical care benefit concerned to the policyholder or his/her dependent as the cost of the medical care, as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

(2) An institution that has provided medical care under paragraph (1) shall issue to the person who received the medical care a detailed medical care statement or a receipt stating the particulars of the medical care, as prescribed by the Minister of Health, Welfare and Family Affairs, and the person who received the medical care shall submit this to the Corporation. <Amended by Act No. 8852, Feb. 29, 2008>

Article 45 (Additional Benefits)

In addition to the medical care benefits prescribed in this Act, the Corporation may provide funeral costs, sickness allowances, and other benefits, as prescribed by Presidential Decree.

Article 45

Article 46 (Special Case for Disabled Person)

(1) The Corporation may provide insurance benefits of supportive equipment for a disabled policyholder registered under the Welfare of Disabled Persons Act and his/her dependents. <Amended by Act No. 8034, Oct. 4, 2006>

(2) The scope, method, and procedure of the insurance benefits for supportive equipment referred to in paragraph (1) and other necessary matters shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 47 (Health Checkups)

(1) The Corporation shall provide health checkups for policyholders and their dependents in order to facilitate early detection of diseases and subsequent medical care benefits.

(2) Candidates for, frequency of, and procedure of the health checkup referred to in paragraph (1) and other necessary matters shall be prescribed by Presidential Decree.

Article 48 (Restriction of Benefits)

(1) When a person who is eligible to receive insurance benefits falls under any of the following subparagraphs, the Corporation shall not provide any insurance benefit:

1. When he has intentionally

Article 46 ~ 48

or through gross negligence, caused criminal conduct or intentionally contributed to the occurrence of an accident;

2. When he has intentionally or through gross negligence failed to follow medical care related instructions of the Corporation or the medical care institution;

3. When he has intentionally or through gross negligence refused to submit the documents referred to in Article 50 or other items or evaded questions or medical checkups; and

4. When he receives or is eligible to receive insurance benefits or compensations under other Acts and subordinate statutes due to a disease, an injury or a disaster that is related to his business or in line of duty.

(2) When a person who is eligible to receive a medical care benefit has received from the State or a local government a benefit equivalent to the medical care benefit or expenses equivalent to the cost of the medical care benefit under the provisions of other Acts and subordinate statutes, the Corporation shall withhold the insurance benefit up to the limit of such amount.

(3) The Corporation may withhold insurance benefits from a locally provided policyholder who has been delinquent in paying the per household insurance premiums referred to in Article 62 (5) for at least the time period determined by Presidential Decree until

Article 48

such a time as when the insurance premium is paid in full. <Amended by Act No. 7144, Jan. 29, 2004; Act No. 8153, Dec. 30, 2006; Act No. 9022, Mar. 28, 2008>

(4) If there is a delinquency of payment of the insurance premiums referred to in Article 68 (1), the Corporation shall apply the provisions of paragraph (3), only if there is a ground for putting the responsibility for the payment delinquency on the employment provided policyholder himself. In such a case, the provisions of paragraph (3) shall apply also to the dependents of the employment provided policyholder in question.

(5) Notwithstanding the provisions of paragraphs (3) and (4), where the approved insurance premiums is provided on not less than one occassion after obtaining approval for the installment payment from the Corporation pursuant to the provisions of Article 70-2, the insurance benefits may be paid: Provided, That the same shall not apply to a case where anyone who has obtained approval for the installment payment provided for in the provisions of Article 70-2 fails to pay the approved insurance premiums not less than two times without any justifiable grounds therefor. <Newly Inserted by Act No. 8153, Dec. 30, 2006>

(6) With respect to insurance benefits that are provided in the period during which such insurance benefits are not provided pursuant to the provisions of paragraphs (3) and (4) (hereafter referred to as the "benefit restriction period" in this paragraph), the insurance benefits shall be recognized only in cases falling

Article 48

under any of the following subparagraphs: <Newly Inserted by Act No. 8153, Dec. 30, 2006>

1. Where the insurance premiums in arrears is fully paid within the deadline for its payment in the month to which the date on which two months lapse from the date on which the Corporation serves a notice that insurance benefits are received during the benefit restriction period belongs; and

2. Where the insurance premium that is approved pursuant to the provisions of Article 70-2 is paid not less than once within the deadline for its payment in the month to which the date on which two months lapse from the date on which the Corporation serves a notice that insurance benefits are paid during the benefit restriction period belongs: Provided, That where anyone who has obtained approval for the installment payment pursuant to the provisions of Article 70-2 fails to pay the approved insurance premiums on not less than two occasions without any justifiable grounds therefor, his insurance benefits shall not be recognized.

Article 49 (Suspension of Benefits)

When a person who is eligible to receive insurance benefits falls under any of the following subparagraphs, no insurance benefit shall be provided during that period: Provided, That in the cases of subparagraphs 3 and 4, the medical care benefits under the provisions of Article 54-2 shall be provided: <Amended by Act No. 7144, Jan. 29, 2004; Act No. 7590, Jul. 13,

Article 49

2005>

1. When he is travelling abroad;

2. When he is engaged in business operations abroad;

3. When he falls under Article 6 (2) 2; and

4. When he is committed to a correctional institution or other equivalent facilities.

Article 50 (Verification of Benefits)

When it is determined to be necessary in providing insurance benefits, the Corporation may demand that a person who receives insurance benefits submit documents and other items or be subject to questioning or diagnosis by relevant personnel.

Article 51 (Disbursement of Medical Care Costs, etc.)

When there is a claim for disbursement of medical care costs or for additional benefits which the Corporation has an obligation to provide under this Act, the Corporation shall pay or provide them without delay. <Amended by Act No. 9022, Mar. 28, 2008>

Article 52 (Collection of Unjust Enrichment)

(1) The Corporation shall collect all or part of the amount equivalent to the insurance benefits or the insurance benefit costs from a person who has received insurance benefits or a medical care institution

Article 50 ~ 52

that has received insurance benefit costs by deceit or other improper means. <Amended by Act No. 6799, Dec. 18, 2002>

(2) In such cases as one referred to paragraph (1), when insurance benefits have been provided because of false reports or testimonies of the employer or the policyholder or because of false diagnosis by a medical care institution, the Corporation may require payment of the collection referred to in the same paragraph from such person/entity jointly with the person who received the insurance benefits.

(3) In such cases as one referred to paragraph (1), the Corporation may require payment of the collection referred to in the same paragraph from a policyholder who belongs to the same household as the person who received insurance benefits by deceit or other improper means (referring to an employment provided policyholder if the person who received the insurance benefits by deceit or other improper methods is a dependent) jointly with the person who received the insurance benefits by deceit or other improper methods.

(4) In such cases as one referred to in paragraph (1), when a medical care institution has received the cost of a medical care benefit from the policyholder or his dependent by deceit or other improper methods, the Corporation shall collect the amount from the medical care institution concerned and disburse it to the policyholder or his dependent without any delay.

Article 53 (Rights to Indemnity)

Article 53

(1) When the Corporation has provided an insurance benefit to a policyholder or dependent because the grounds for the insurance benefit have arisen through the act of a third party, the Corporation shall have the right to claim for compensation against the third party up to the amount of the expenses required for the benefit concerned. <Amended by Act No. 9022, Mar. 28, 2008>

(2) In such a case as one referred to in paragraph (1), when the person who receives the insurance benefit has already received compensation for the loss from the third party, the Corporation shall withhold the insurance benefit up to the amount of the compensation.

Article 54 (Protection of Right to Benefits)

The right to receive insurance benefits shall be unalienable and unseizable.

Article 54-2 (Provision of Medical Care Benefits to Soldiers etc. in Active Service)

(1) Where any person who falls under subparagraphs 3 and 4 of Article 49 has received medical care, etc. prescribed by Presidential Decree (hereafter in this Article, referred to as "medical care benefit") at the medical care institution, the Corporation may pay the expenses necessary therefor (hereafter in this Article, referred to as the "medical care benefit expenses") which are to be borne by it, after receiving a deposition from

Article 54 ~ 54-2

the Minister of Justice, Minister of National Defense, Administrator of the National Emergency Management Agency, Commissioner General of the National Police Agency or Commissioner General of the Korea Coast Guard. In such cases, the Minister of Justice, Minister of National Defense, Administrator of the National Emergency Management Agency, Commissioner General of the National Police Agency or Commissioner General of the Korea Coast Guard shall, under the conditions as prescribed by Presidential Decree, deposit in advance the medical care benefit expenses which are expected to be annually required, except for the inevitable cases in their budgets. <Amended by Act No. 7590, Jul. 13, 2005>

(2) Provisions of Articles 39 through 43, 43-2, 50 and 51 shall apply mutatis mutandis to the matters concerning the medical care benefits and medical care benefit expenses.

[This Article Newly Inserted by Act No. 7144, Jan. 29, 2004]

Article 54-3 (Settlement of Medical Care Benefit Costs)

In cases where the Korea Workers' Compensation & Welfare Service under Article 10 of the Industrial Accident Compensation Insurance Act claims medical care benefit costs for the medical care benefits already paid pursuant to Article 40 of the Industrial Accident Compensation Insurance Act to a person eligible to receive the medical care benefits pursuant to this Act because of the cancellation of the decision to pay the medical care benefits, the Corporation may make a payment in an amount equivalent to the medical care benefits on the condition that the medical care benefits are accepted to be an amount

Article 54-3

equivalen o a medical care benefi providable pursuan o this Act.

[This Article Newly inserted by Act No. 8694, Dec. 14, 2007]

CHAPTER V HEALTH INSURANCE REVIEW AND ASSESSMENT SERVICE

Article 55 (Establishment)

In order to review the costs of medical care benefits and evaluate the reasonableness of medical care benefits, the Health Insurance and Assessment Service (hereinafter referred to as the "Review and Assessment Service") shall be established.

Article 56 (Operations, etc.)

(1) The Review and Assessment Service shall be in charge of the operations referred to in the following subparagraphs: <Amended by Act No. 8852, Feb. 29, 2008>

1. Review of the costs of medical care benefits;

2. Evaluation of the reasonableness of medical care benefits;

3. Development of the criteria for review and evaluation;

4. Investigative research and international cooperation related with the

Article 55 ~ 56

operations referred to in subparagraphs 1 through 3;

5. Operations delegated to it in connection with review of the costs of benefits or evaluation of the reasonableness of medical care that are provided for under the provisions of other Acts;

6. Operations determined by the Minister of Health, Welfare and Family Affairs to be necessary in connection with the health insurance program;

7. Other operations prescribed by Presidential Decree in connection with review of the costs of insurance benefits and evaluation of the reasonableness of insurance benefits.

(2) The criteria, procedures, and methods relevant to the evaluation of the reasonableness of medical care benefits referred to in paragraph (1) 2, 5, and 7, and other necessary matters shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 57 (Legal Personality, etc.)

(1) The Review and Assessment Service shall be a juristic person.

(2) The Review and Assessment Service shall come into existence with the registration of its establishment at the seat of its principal office.

Article 57

Article 58 (Executives)

(1) The Review and Assessment Service shall have as its executives the president, sixteen trustees and one auditor.

(2) The director and the auditor shall be appointed or dismissed by the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 7144, Jan. 29, 2004; Act No. 8852, Feb. 29, 2008>

(3) As trustees, five persons recommended by a medicine related organization, three persons recommended by the Corporation, three persons recommended by the president of the Review and Assessment Service, four persons recommended, one each, by the labor unions' group, the employers' organization, the agricultural and fishing organization, and the consumer organization, and one person from among the relevant public officials determined by Presidential Decree shall be appointed or dismissed by the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 7144, Jan. 29, 2004; Act No. 8852, Feb. 29, 2008>

(4) Posts of the director, three of the trustees and the auditor shall be permanent: Provided, That the non-permanent executives may receive reimbursements for actual expenses, as prescribed by the articles of incorporation. <Amended by Act No. 7590, Jul. 13, 2005>

(5) The term of office of the executives shall be three years: Provided,

Article 58

That the term of office of an executive who is a public official shall be the term of his/her office. <Amended by Act No. 7144, Jan. 29, 2004>

Article 59 (Medical Treatment Review Committee)

(1) In order to efficiently conduct the operations of the Review and Assessment Service, a medical treatment review committee (hereinafter referred to as "review committee") shall be established under the Review and Assessment Service.

(2) The review committee shall be comprised of no more than 50 full-time review members, including the president of the committee, and no more than 100 part-time review members, and it may have a subcommittee for each area of medical specialization. <Amended by Act No. 9022, Mar. 28, 2008>

(3) Necessary matters concerning the qualification and the term of office of the members of the review committee and the operation of the committee, etc. shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 60 (Raising, etc. of Funds)

(1) The Review and Assessment Service may collect a special assessment from the Corporation in order to conduct the operations referred to in Article 56 (1) (excluding the operations referred to in subparagraph 5 of the same paragraph of the same Article).

Article 59 ~ 60

(2) Where operations related with review of the costs of benefits or evaluation of the reasonableness of medical care are delegated to the Review and Assessment Service under Article 56 (1) 5, the Review and Assessment Service may receive a fee from the delegator.

(3) The amount and collection method of the special assessment and fee referred to in paragraphs (1) and (2) and other necessary matters shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 61 (Provisions Applied Mutatis Mutandis)

Articles 13 (4), 15, 16 (excluding paragraph (1) 6 and 7), 17, 18, 20 through 22, 23, 24 through 30, 33 (1), 34, 35, 37 and 38 shall apply mutatis mutandis in regard to the Review and Assessment Service. In such cases, the "Corporation" and "president of the board of directors," shall be deemed the "Review and Assessment Service" and "president," respectively. <Amended by Act No. 7144, Jan. 29, 2004; Act No. 7590, Jul. 13, 2005>

CHAPTER VI INSURANCE PREMIUM

Article 62 (Insurance Premiums)

(1) In order to meet the expenses incurred for the health insurance program, the Corporation shall collect insurance premiums from the persons obligated to pay insurance premiums referred to in Article

Article 61 ~ 62

68.

(2) The insurance premiums referred to in paragraph (1) shall be collected from the month following that in which the date on which the eligibility of a policyholder is obtained falls until the month in which the date before the date on which the policyholder loses his/her eligibility falls: Provided, That where the eligibility of the policyholder is obtained on the first day of any month, it shall be collected from the relevant month. <Amended by Act No. 8034, Oct. 4, 2006>

(3) In collecting the insurance premiums under paragraphs (1) and (2), where the eligibility of a policyholder has been altered, the insurance premium of the month whereto belongs the altered day shall be collected on the basis of eligibility prior to such alteration: Provided, That where the eligibility of the policyholder is altered on the first day of any month, it shall be collected on the basis of the altered eligibility. <Newly Inserted by Act No. 8034, Oct. 4, 2006>

(4) The amount of the monthly insurance premium for an employment provided policyholder shall be the product of the amount of monthly remuneration calculated under Article 63 multiplied by the insurance premium rate under Article 65 (1) or (2). <Amended by Act No. 8153, Dec. 30, 2006>

(5) The amount of the monthly insurance premium per month for a locally provided policyholder shall be calculated for per unit of household,

Article 62

but the insurance premium per month for the household to which a locally provided policyholder belongs shall be the amount obtained by multiplying the monetary value per contribution point under Article 65 (3) by the contribution point calculated under Article 64. <Amended by Act No. 6093, Dec. 31, 1999; Act No. 8153, Dec. 30, 2006>

(6) Deleted. <by Act No. 8153, Dec. 30, 2006>

Article 63 (Amount of Monthly Remuneration)

(1) The amount of monthly remuneration amount provided for in Article 62 (4) shall be calculated on the basis of the amount of remuneration paid to each of the employment provided policyholders and the upper limit and the lowest limit thereof may be set according to the standards that are set by Presidential Decree. <Amended by Act No. 8153, Dec. 30, 2006>

(2) Insurance premiums for a policyholder to whom a part or all of his remuneration is not paid due to temporary retirement from office or other circumstances (hereinafter referred to as a "temporary retirer from office, etc.") shall be calculated on the basis of the monthly remuneration amount for the month before the occurrence of the circumstance in question. <Amended by Act No. 8153, Dec. 30, 2006; Act No. 9022, Mar. 28, 2008>

(3) Remunerations referred to in paragraph (1) shall mean money and other valuables (excluding anything of expense compensatory nature) that workers, etc. receive from employers, the State or local

Article 63

governments for providing their labor, which are determined by Presidential Decree. In this case, if it falls under the cases prescribed by Presidential Decree, such as there are no data relating to the remunerations or they are indistinct, the amount determined and publicly notified by the Minister of Health, Welfare and Family Affairs shall be regarded as the remunerations. <Amended by Act No. 6320, Dec. 29, 2000; Act No. 8852, Feb. 29, 2008; Act No. 9022, Mar. 28, 2008>

(4) Matters necessary with regard to the calculation of the monthly remuneration amount referred to in paragraph (1) and the calculation of the monthly remuneration amount for the employers who are not remunerated shall be prescribed by Presidential Decree. <Amended by Act No. 8153, Dec. 30, 2006>

Article 64 (Contribution Point)

(1) The contribution point provided for in the provisions of Article 62 (5) shall be set taking into account the income, the property, the living standard and the participation rate in economic activities, etc. of each of the locally provided policyholders and the upper limit and the lowest limit thereof may be set according to the standards that are set by Presidential Decree. <Amended by Act No. 8153, Dec. 30, 2006>

(2) In determining the method and criteria for calculating the contribution point under the provisions of paragraph (1), assets for which excercise of property rights is restricted under the provisions

Article 64

of Acts and subordinate statutes may be treated differently from other assets. <Amended by Act No. 8153, Dec. 30, 2006>

(3) Methods and standards for calculating the contribution point and other necessary matters shall be prescribed by Presidential Decree. <Newly Inserted by Act No. 8153, Dec. 30, 2006>

[This Article Wholly Amended by Act No. 6093, Dec. 31, 1999]

Article 65 (Insurance Premium Rate, etc.)

(1) Insurance premium rates of an employment provided policyholder shall be determined by Presidential Decree, within the limit of 80/100 after undergoing a resolution of the Deliberative Committee. <Amended by Act No. 8153, Dec. 30, 2006>

(2) Insurance premium rate of an employment provided policyholder who is engaged outside of Korea for business operations shall be 50/100 of the insurance premium rate determined under the provisions of paragraph (1).

(3) The monetary value per contribution point of each of the locally provided policyholders shall be determined by Presidential Decree after undergoing the deliberation of the Deliberative Committee. <Newly Inserted by Act No. 8153, Dec. 30, 2006>

Article 66 (Exemption from Insurance Premium)

Article 65 ~ 66

(1) When an employment provided policyholder falls under any of subparagraphs 2 through 4 of Article 49, the Corporation shall exempt the policyholder concerned from payment of insurance premiums: Provided, That when an employment provided policyholder falls under subparagraph 2 of Article 49, this shall apply only if he does not have any dependent who resides within Korea.

(2) When a locally provided policyholder falls under any of subparagraphs 2 through 4 of Article 49, contribution points referred to in Article 64 shall be excluded from calculation of the insurance premiums for the household to which that policyholder belongs: <Amended by Act No. 8852, Feb. 29, 2008; Act No. 9022, Mar. 28, 2008>

(3) For the exemption of insurance premiums under the provisions of paragraph (1) or the contribution point to be exempted from the computation of insurance premiums under the provisions of paragraph (2), it shall apply from the month next to the month whereto belongs the day on which the reasons for allowance suspension falling under any of subparagraphs 2 through 4 of Article 49 have occurred to the month whereto belongs the day on which the reasons have been settled: Provided, That where the reasons for allowance suspension have been solved on the first day of each month, the insurance premiums of relevant month shall not be exempted, or the contribution point shall not be exempted from the computation of insurance premiums. <Newly Inserted by Act No. 8034, Oct. 4, 2006; Act No. 9022, Mar. 28, 2008>

Article 66

Article 66-2 (Reduction of Insurance Premiums)

(1) With respect to the policyholders prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs from among the policyholders falling under any of the following subparagraphs, part of the insurance premiums of the policyholders or the households to which the policyholders belong may be reduced: <Amended by Act No. 8852, Feb. 29, 2008; Act No. 9079, Mar. 28, 2008>

1. Persons who reside on islands, in remote areas and agricultural and fishery communities, etc. that are prescribed by Presidential Decree;

2. Persons who are at least 65 years old;

3. Disabled persons who are registered pursuant to the Welfare of Disabled Persons Act;

4. Persons who have rendered distinguished services for the State provided for in the provisions of Article 4 (1) 4, 6, 11, 14 or 16 of the Act on the Honorable Treatment and Support of Persons, etc. of Distinguished Services to the State;

5. Temporary retirers from office; and

6. Other persons who are published by the Minister of Health, Welfare and Family Affairs as the persons whose insurance premiums need to be reduced on the grounds of the difficult lifehood

Article 66-2

and natural disaster, etc.

(2) Ways and procedures for reducing the insurance premiums referred to in the provisions of paragraph (1) and other necessary matters shall be determined and published by the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

[This Article Newly Inserted by Act No. 8153, Dec. 30, 2006]

Article 67 (Burden of Insurance Premium)

(1) The insurance premiums for an employment provided policyholder shall be borne, fifty hundredths each, by the employment provided policyholder and the person referred to in the following classifications: Provided, That where an employment provided policyholder is a school employee, 50/100, 30/100, and 20/100 of the amount of the insurance premium shall be borne by the said employment provided policyholder, the person prescribed in subparagraph 2 (c) of Article 3, and the State, respectively, but where the person prescribed in subparagraph 2 (c) of Article 3 cannot bear the whole of his/her burden, the deficient amount may be borne by the accounts of a school: <Amended by Act No. 6799, Dec. 18, 2002>

1. Where the employment provided policyholder is a worker: the person prescribed in subparagraph 2 (a) of Article 3;

2. Where the employment provided policyholder is a public official: the State or the local government to which that public official

Article 67

belongs.

(2) The insurance premiums for a locally provided policyholder shall be borne jointly by all locally provided policyholders who belong to the same household as the said policyholder.

(3) Deleted. <by Act No. 8153, Dec. 30, 2006>

Article 68 (Responsibility for Payment of Insurance Premium)

(1) Insurance premiums of an employment provided policyholder shall be paid by his/her employer. In such cases, where the workplace has more than two employers, the employers of the workplace shall jointly pay the insurance premiums of the relevant employment provided policyholder. <Amended by Act No. 9690, May. 21, 2009>

(2) Insurance premiums of a locally provided policyholder shall be paid jointly by all locally provided policyholders of a household to which the policyholder belongs: Provided, That minors who meet the criteria set by Presidential Decree in consideration of income, property, standard of living, the rate of participation in economic activities, etc. shall not be liable to pay insurance premiums. <Amended by Act No. 9022, Mar. 28, 2008>

(3) An employer shall pay the portion of the insurance premium for the month to be borne by an employment provided policyholder by deducting it from his/her remunerations. In such cases, the employer shall notify the amount of deduction to the employment provided policyholder.

Article 68

Article 69 (Deadline for Payment of Insurance Premiums)

A person who is liable to pay insurance premiums under Article 68 (1) and (2) shall pay the policyholder's insurance premiums for the applicable month by the tenth day of the following month: Provided, That insurance premiums of locally provided policyholders may be paid quarterly, as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 70 (Demands for Insurance Premiums, etc. and Dispositions on Default)

(1) Where a person who is liable to pay insurance premiums as referred to in Articles 52 and 68 fails to pay the insurance premiums, etc., the Corporation may demand payment by the specified period. In such cases, where the number of employers of an employment provided policyholder is two or more, or the household of a locally provided policyholder consists of two or more members, notice or demand to any of the employers or any of the household members shall be deemed effective to the other employers of the concerned workplace or the other locally provided policyholders who are the members of the household. <Amended by Act No. 9022, Mar. 28, 2008>

(2) Where a demand is being made under paragraph (1), a payment period of at least ten days but no more than fifteen days shall be determined and a letter of demand issued.

(3) Where a person

Article 69 ~ 70

who receives the demand referred to in paragraph (1) fails to pay the insurance premiums, etc. by the deadline for payment, the Corporation may collect it in the same manner as national taxes in arrears are collected, after obtaining approval from the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

(4) Where the Corporation determines that an asset seized in the same manner as national taxes in arrears are collected under paragraph (3) is not appropriate to be auctioned off directly by it because expert knowledge is necessary for the public auction or because of other special circumstances, the Corporation may have the Korea Asset Management Corporation established under the Act on the Efficient Disposal of Non-Performing Assets, etc. of Financial Institutions and the Establishment of Korea Asset Management Corporation (hereinafter referred to as the "Korea Asset Management Corporation") conduct the auction for the Corporation, and in which case the auction shall be deemed to have been conducted by the Corporation. <Amended by Act No. 6073, Dec. 31, 1999; Act No. 8034, Oct. 4, 2006>

(5) Where the Korea Asset Management Corporation conducts an auction for the Corporation under paragraph (4), the Corporation may pay a fee, as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 6073, Dec. 31, 1999; Act No. 8852, Feb. 29, 2008>

Article 70-2 (Installment Payments of Insurance Premiums in Arrears)

Article 70-2

(1) With respect to a person who has defaulted in the payment of insurance premiums not less than three occasions, the Corporation may approve him/her to pay his/her insurance premiums in installments, as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

(2) Where a person who is approved to pay insurance premiums in installments pursuant to paragraph (1) fails to pay the approved insurance premiums on not less than two occasions without any justifiable grounds therefor, the Corporation shall revoke its approval for pay his/her insurance premiums in installments.

(3) Necessary matters concerning procedures, methods and standards, etc. for the approval and the revocation of approval to pay the insurance premium in installments shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

[This Article Newly Inserted by Act No. 8153, Dec. 30, 2006]

Article 71 (Arrears)

(1) Where a person who has a responsibility to pay an insurance premium, etc. fails to make the payment by the payment deadline, the Corporation shall collect arrears equivalent to 3/100 of the insurance premium, etc. in arrears since the date of expiration

Article 71

of the deadline of payment. <Amended by Act No. 9022, Mar. 28, 2008: Act No. 9690, May. 21, 2009>

(2) Where a person liable to pay insurance premiums, etc. fails to pay an insurance premium, etc. in arrears, the Corporation shall collect another additional charge equivalent to 1/100 of the insurance premium, etc. in arrears in addition to the arrears under paragraph (1) at the lapse of every month from the date of expiration of the deadline of payment. In such cases, the arrears shall not exceed 9/100 of the insurance premium, etc. in arrears. <Amended by Act No. 9022, Mar. 28, 2008; Act No. 9690, May. 21, 2009>

(3) Where there has been a force majeure or another unavoidable circumstance determined by Ordinance of the Ministry of Health, Welfare and Family Affairs, collection of arrears referred to paragraphs (1) and (2) may be forgone, notwithstanding paragraphs (1) and (2). <Amended by Act No. 8852, Feb. 29, 2008; Act No. 9022, Mar. 28, 2008; Act No. 9690, May. 21, 2009>

Article 72 (Dispositions as Losses)

(1) Where any of the following grounds occur, the Corporation may dispose of insurance premiums, etc. as loss after obtaining a resolution of the financial operation committee:

1. Where the disposition on default is concluded and the portion to be appropriated for the amount in arrears is insufficient for meeting the amount in arrears;

Article 72

2. Where the extinctive prescription for the claim concerned has run out;

3. Cases determined by Presidential Decree where the possibility of collection is recognized nonexistent.

(2) Where the Corporation discovers the existence of other seizable assets after the disposition on loss under paragraph (1) 3, it shall immediately cancel the disposition and effect a default disposition.

Article 73 (Precedence of Collection of Insurance Premium, etc.)

Insurance premiums, etc. shall be collected before other claims except for national taxes and local taxes: Provided, That this shall not apply to the claims secured by a lease on a deposit basis, the right of pledge or a mortgage where the insurance premium is assessed against the proceeds from the sale of an asset for which the fact of establishment of a lease on a deposit basis, the right of pledge or a mortgage having been registered prior to the payment period for the insurance premiums, etc. is proved.

Article 74 (Notices to Pay Insurance Premiums, etc.)

(1) Where the Corporation intends to collect insurance premiums, etc., it shall notify in writing a person liable to pay insurance premiums, etc. of the following matters: <Amended by Act No. 9022, Mar. 28, 2008>

1. Category of the

Article 73 ~ 74

insurance premium, etc. to be collected;

2. Amount to be paid;

3. Deadline for and place of payment.

(2) In provide a public notice on payment under paragraph (1), the Corporation may provide a public notice by an electronic document under the exchange mode, etc. of electronic documents where the person who has a responsibility to pay has applied. <Newly Inserted by Act No. 8034, Oct. 4, 2006>

(3) Where the Corporation has provided a public notice by electronic documents under paragraph (2), it shall be deemed to have arrived to the person liable to pay when it has been stored to the information and communication networks provided by Ordinance of the Ministry of Health, Welfare and Family Affairs, or input in the electronic mail address designated by the person liable to pay. <Newly Inserted by Act No. 8034, Oct. 4, 2006; Act No. 8852, Feb. 29, 2008>

(4) Where the number of employers of an employment provided policyholder is two or more, or the household of a locally provided policyholder consists of two or more members, any notice made to any of the employers or any of the household members shall be deemed effective to the other employers of the concerned workplace or other locally provided policyholders who are members of the household. <Newly Inserted by Act No. 9022, Mar. 28, 2008>

Article 74

(5) With respect to the insurance premiums of a temporary retirer from office, etc., the notice on payment may be suspended, as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs until the reason for temporary retirement from office, etc. ceases to exist. <Newly Inserted by Act No. 9022, Mar. 28, 2008>

(6) The application method for the notice using electronic document under paragraph (2), procedures therefor, and other necessary matters shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Newly Inserted by Act No. 8034, Oct. 4, 2006; Act No. 8852, Feb. 29, 2008>

Article 75 (Appropriation for and Return of Insurance Premium, etc.)

(1) Where any payment is erroneously made among the insurance premiums, etc., arrears or default disposition charges paid by a person liable to make such payment, the Corporation shall immediately determine the excess payment or erroneous payment as a refund. <Newly Inserted by Act No. 9022, Mar. 28, 2008; Act No. 9690, May. 21, 2009>

(2) The refund referred to in paragraph (1) shall be appropriated for any insurance premiums, etc. yet to be paid as prescribed by Presidential Decree or default disposition charges, and any balance remaining after the appropriation shall be disbursed to the payer within 30 days after the date of the determination referred

Article 75

to in paragraph (1). In such cases, where the Corporation appropriates or disburses the refund, it shall add interest prescribed by Presidential Decree to the refund. <Amended by Act No. 9022, Mar. 28, 2008; Act No. 9690, May. 21, 2009>

CHAPTER VII FORMAL OBJECTIONS AND REQUESTS FOR REVIEW, ETC.

Article 76 (Applications for Objection)

(1) A person who has an objection to the decisions of the Corporation on the qualification, insurance premium, etc., insurance benefits, and insurance benefit costs for a policyholder or his/her dependents may formally raise such objection to the Corporation.

(2) The Corporation, a medical care institution, or other entity that has an objection to the decisions of the Review and Assessment Service on evaluation, etc. of the reasonableness of the medical care benefit costs and medical care benefits may formally raise the objection to the Review and Assessment Service.

(3) Formal objections referred to in paragraphs (1) and (2) shall be made in writing within 90 days after the date of becoming aware of such decision and shall not be made after the lapse of 180 days from the date on which the decision is made: Provided, That this shall not apply where an explanation is made that

Article 76

he formal objecion wihin he relevan period could no be raised due to a legitimate reason. <Amended by Act No. 9022, Mar. 28, 2008>

(4) Notwithstanding the main sentence of paragraph (3), where a medical care institution intends to apply for an objection to the verification of the Health Insurance Review and Assessment Service referred to in Article 43-2, it shall do so within 30 days from the date on which it receives a notice referred to in paragraph (2) of the same Article. <Newly Inserted by Act No. 9022, Mar. 28, 2008>

(5) Necessary matters concerning the method of and decision on a formal objection, and notice of the decision, etc. shall be prescribed by Presidential Decree. <Amended by Act No. 9022, Mar. 28, 2008>

Article 77 (Requests for Trial)

(1) A person who protests against the decision on a formal objection referred to in Article 76 may request the Health Insurance Dispute Mediation Committee for a trial pursuant to Article 77-2. In such cases, Article 76 (3) shall apply mutatis mutandis to a request for trial. <Amended by Act No. 9022, Mar. 28, 2008>

(2) A person who intends to request a trial pursuant to paragraph (1) shall submit a request for trial prescribed by Presidential Decree to the Corporation or the Review and Assessment Service which made a decision pursuant to paragraph (1) or (2) of Article 76 or with the Health Insurance Dispute Mediation Committee

Article 77

under Article 77-2. <Amended by Act No. 8852, Feb. 29 2008; Act No. 9022, Mar. 28, 2008>

(3) Necessary matters concerning the procedure and method of a request for trial, decision, notification of such decision, etc. shall be prescribed by Presidential Decree. <Amended by Act No. 9022, Mar. 28, 2008>

Article 77-2 (Health Insurance Dispute Mediation Committee)

(1) The Health Insurance Dispute Mediation Committee (hereinafter referred to as the "Dispute Mediation Committee") shall be established in the Ministry of Health, Welfare and Family Affairs to deliberate and resolve on requests for trial pursuant to Article 77.

(2) The Dispute Mediation Committee shall be comprised of 35 or fewer committee members including a chairperson, from which one committee member excluding the chairperson shall be an ex officio member.

(3) The meeting of the Dispute Mediation Committee shall have a total of nine members consisting of the chairperson, one ex officio member and seven committee members as designated by the chairperson each time a meeting is held.

(4) Resolutions of the Dispute Mediation Committee shall be passed by the attendance of the majority of committee members under paragraph (3) and affirmative voting of the majority of those present.

(5) Necessary matters

Article 77-2

concerning the organization, operation, etc. of the Dispute Mediation Committee shall be prescribed by Presidential Decree.

[This Article Newly Inserted by Act No. 9022, Mar. 28, 2008]

Article 78 (Administrative Litigation)

A person who has an objection to a decision of the Corporation or the Review and Assessment Service or a person who protests against a decision on a formal objection referred to in Article 76 or a request for trial referred to in Article 77 may institute an administrative litigation pursuant to the Administrative Litigation Act. <Amended by Act No. 8034, Oct. 4, 2006; Act No. 9022, Mar. 28, 2008>

CHAPTER VIII SUPPLEMENTARY PROVISIONS

Article 79 (Prescription)

(1) The following rights shall be barred by prescription if not exercised within three years: <Amended by Act No. 9022, Mar. 28, 2008; Act No. 9690, May. 21, 2009>

1. A right to collect insurance premiums and arrears;

1-2. A right to be refunded any excessive or mistaken amount paid as an insurance premium and arrears;

2. A right to receive an insurance benefit;

3. A right to

Article 78 ~ 79

receive the cost of an insurance benefit;

4. A right to receive a refund of excess individual co-payment under Article 43 (3).

(2) The prescription referred to in paragraph (1) shall be interrupted by an occurrence of any of the following events:

1. A notice of or demand for insurance premiums;

2. A claim for insurance benefit or insurance benefit costs.

(3) The extinctive prescription of the right to collect the insurance premiums of a temporary retirer from office, etc. shall not, if notification is suspended pursuant to Article 74 (5), proceed until the reason for temporary retirement from office, etc. ceases to exist. <Newly Inserted by Act No. 9022, Mar. 28, 2008>

(4) Except for the matters prescribed in this Act, the term of extinctive prescription pursuant to paragraph (1), interruption of prescription pursuant to paragraph (2) and suspension of prescription pursuant to paragraph (3) shall be in accordance with the Civil Act. <Amended by Act No. 8034, Oct. 4, 2006; Act No. 9022, Mar. 28, 2008>

Article 80 (Calculation of Periods)

Except as otherwise provided for in this Act, the Civil Act that are relevant to periods shall apply mutatis mutandis to the calculation

Article 80

of the periods prescribed by this Act or by the orders referred to in this Act. <Amended by Act No. 8034, Oct. 4, 2006>

Article 81 (Protection of Rights and Interests of Workers)

An employer who employs the workers of all places of business who do not fall under any subparagraph of Article 6 (2) shall not prevent those employed workers from becoming employment provided policyholders under this Act or take a measure that is injurious to the workers, such as denial of a worker's promotion or wage increase or the dismissal of a worker, for the purpose of evading an increase of the employer's share to be borne by the employer in question and without any justifiable ground therefor. <Amended by Act No. 7144, Jan. 29, 2004>

Article 82 (Reporting, etc.)

(1) The Corporation may require an employer or the head of a household to report a policyholder's change of residence, remunerations, income, and other matters necessary for the health insurance program or to submit relevant documents.

(2) Where the Corporation recognizes a necessity for factual verification of the materials reported or submitted under paragraph (1), the Corporation may require employees under its charge to investigate the matters in question.

(3) In cases under paragraph (2), the Corporation's employees shall be in possession of certificates indicating their authority and produce

Article 81 ~ 82

them to related persons.

Article 82-2 (Forwarding, etc. of Data on Reduction and Omission of Income)

(1) Where the Corporation recognizes that there exists a reduction or omission in the remuneration, income, etc. reported under Article 82 (1), it may forward in writing the matters on income reduction or omission to the Commissioner of the National Tax Service through the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

(2) Where the Commissioner of the National Tax Service conducts any tax investigation under related Acts, such as the Framework Act on National Taxes, on the matters forwarded under paragraph (1), he/she shall forward the matters on the remuneration or income from among the results of relevant investigation to the Corporation. <Amended by Act No. 8034, Oct. 4, 2006>

(3) Forwarding procedures under paragraphs (1) and (2) and other necessary matters shall be prescribed by Presidential Decree.

[This Article Newly Inserted by Act No. 7377, Jan. 27, 2005]

Article 83 (Furnishing of Materials)

(1) The Corporation

Article 82-2 ~ 83

and the Review and Assessment Service may request the State, local governments, medical care institutions, insurance business operators and insurance rate computing organizations under the Insurance Business Act, and other public organizations to furnish the materials necessary for the health insurance program. <Amended by Act No. 6951, Jul. 29, 2003; Act No. 8034, Oct. 4, 2006>

(2) The Corporation may request the State, local governments, and other public institutions and public organizations to furnish the materials necessary to conduct operations under Article 13 (1) 10. <Newly Inserted by Act No. 9690, May. 21, 2009>

(3) Those that have received the request to furnish materials under paragraphs (1) and (2) shall sincerely comply therewith. <Amended by Act No. 6951, Jul. 29, 2003; Act No. 9690, May. 21, 2009>

(4) Fees, commissions, etc. shall be exempted for the materials furnished to the Corporation or the Review and Assessment Service by the State, local governments, medical care institutions, insurance rate computing organizations under the Insurance Business Act and other public institutions and public organizations under paragraphs (1) and (2). <Newly Inserted by Act No. 6951, Jul. 29, 2003; Act No. 8034, Oct. 4, 2006; Act No. 9690, May. 21, 2009>

Article 84 (Reports and Inspections)

(1) The Minister of Health, Welfare and Family Affairs may order an employer

Article 84

o the head of a household to epot o submit mateials on a policyholder's moving, remuneration, income and other necessary matters or require public officials under his/her charge to question relevant persons or inspect relevant documents. <Amended by Act No. 8852, Feb. 29, 2008>

(2) The Minister of Health, Welfare and Family Affairs may require a medical care institution (including any institution that has provided medical care under Article 44) to report on the matters relevant to insurance benefits, such as the provision of a medical care and medicine, or submit relevant documents or require public officials under his/her charge to question relevant persons or inspect relevant documents. <Amended by Act No. 8852, Feb. 29, 2008>

(3) The Minister of Health, Welfare and Family Affairs may require a person who has received an insurance benefit to report on the details of the insurance benefit concerned or require public officials under his/her charge to question the person. <Amended by Act No. 8852, Feb. 29, 2008>

(4) The Minister of Health, Welfare and Family Affairs may order an organization that is assigned to vicariously file claims for examining medical care benefit cost pursuant to Article 43 (6) (hereinafter referred to as "vicarious claim organization") to submit necessary materials or require public officials under his/her charge to investigate and verify the materials, etc. pertaining to the vicarious claims. <Newly Inserted by Act No. 8153, Dec. 30, 2006; Act No. 8852, Feb. 29, 2008>▷

Article 84

(5) In cases under paragraphs (1) through (4), the public officials shall be in possession of certificates indicating their authority and produce them to related persons. <Amended by Act No. 8153, Dec. 30, 2006>

Article 85 (Suspension of Operation)

(1) Where a medical care institution falls under any of the following subparagraphs, the Minister of Health, Welfare and Family Affairs may order the medical care institution to suspend its operation by specifying a period of time within the limit of one year:

1. Where it places the burden of medical care benefit cost on an insurer, policyholder, or dependent by deceit or other illegitimate means;

2. Where it violates the order referred to in Article 84 (2), files a false report, or rejects, interferes with or evades an inspection or questioning by a public official belonging to competent authorities.

(2) A person who has been ordered to suspend its operation under the provisions of paragraph (1) shall not provide medical care benefits during the period of suspension of the operations in question.

(3) The effect of the disposition of suspension of operation under paragraph (1) shall be succeeded by a person who takes over the medical

Article 85

care institution for which such disposition has been determined or by a corporation which survives after a merger, and in cases where any procedure of the disposition of suspension of operation is under way, it may proceed with respect to the transferee or the corporation which continues to exist after a merger: Provided, That the same shall not apply to a transferee or corporation which continues to exist after a merger in cases where he or it proves that he or it was unaware of such disposition or the fact of violation.

(4) A person who is subject to the disposition of the suspension of operation under paragraph (1) or a person for whom the procedure of the disposition of suspension of operation is under way shall notify, without delay, a transferee or a corporation which continues to exist after a merger of the fact that it is subject to an administrative disposition or the fact that the procedure of an administrative disposition is under way under the conditions as prescribed by Presidential Decree as prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs.

(5) The standards of administrative disposition by the kind, degree, etc. of violating acts which are subject to the suspension of operation under paragraph (1) and other necessary matters shall be prescribed by Presidential Decree.

[This Article Wholly Amended by Act No. 9022, Mar. 28, 2008]

Article 85-2 (Penalty Surcharge)

Article 85-2

(1) In cases where a medical care institution subject to the disposition of suspension of operation by falling under Article 85 (1) 1 causes a serious inconvenience to persons who use a medical care institution or other special causes exist as prescribed by the Minister of Health, Welfare and Family Affairs, the Minister of Health, Welfare and Family Affairs may impose and collect a penalty surcharge in the amount not exceeding five times of the amount to be imposed on conducts by deceit or other illegitimate methods in lieu of the disposition of suspension of operation. In such cases, the Minister of Health, Welfare and Family Affairs may permit such payment to be made in installments within the limit of 12 months.

(2) In cases where a person responsible for the payment of a penalty surcharge under paragraph (1) fails to make such payment by the deadline thereof, it shall be collected in accordance with the examples of disposition on national taxes in arrears.

(3) The penalty surcharges collected pursuant to paragraph (1) shall not be used for purposes other than those referred to in the following subparagraphs:

1. Funds the Corporation provides as medical care benefit costs pursuant to Article 43 (3); and

2. Support for the emergency medical service fund referred to in the Emergency Medical Service Act.

Article 85-2

(4) The amount of penalty surchage according to number of days for business suspention pursuant to paragraph (1), necessary matters for the payment thereof, the size of support from penalty surcharges referred to in paragraph (3) by uses, procedure of use, and other necessary matters shall be prescribed by Presidential Decree.

[This Article Newly Inserted by Act No. 9022, Mar. 28, 2008]

Article 85-3 (Publication of Fact of Violation)

(1) The Minister of Health, Welfare and Family Affairs may, if a medical care institution which claims for medical care benefit costs in falsehood by falsifying or forging relevant documents falls under any of the following subparagraphs from among medical care institutions subject to the administrative disposition referred to in Article 85 or 85-2, publish the act of violation, details of disposition, the name, address and name of a representative of the relevant medical care institution, and other matters necessary to distinguish it from other medical care institutions as prescribed by Presidential Decree. In such cases, the motive, degree, frequency, results, etc. of the act of violation shall be taken into consideration in deciding whether make such publication:

1. Where the amount claimed in falsehood exceeds fifteen million won;

2. The rate of amount claimed in falsehood exceeds 20/100 of the total amount

Article 85-3

of medical care benefit costs.

(2) The Minister of Health, Welfare and Family Affairs shall establish and operate the Health Insurance Publication Deliberation Committee (hereafter referred to as the "Publication Deliberation Committee" in this Article) to deliberate on whether to make the publication, etc. referred to in paragraph (1).

(3) The Minister of Health, Welfare and Family Affairs shall notify a medical care institution which becomes subject to publication, undergoing the deliberation by the Publication Deliberation Committee of the fact that it is subject to publication in order to provide it with an opportunity to submit explanatory materials or be present to make a statement of opinion.

(4) The Minister of Health, Welfare and Family Affairs shall select medical care institutions to become subject to publication after the Publication Deliberation Committee redeliberates medical care institutions to be subject to publication, taking into account explanatory materials or statements of opinion referred to in paragraph (3).

(5) The procedure and method of publication, organization and operation of the Publication Deliberation Committee and other necessary matters shall be prescribed by Presidential Decree.

[This Article Newly Inserted by Act No. 9022, Mar. 28, 2008]

Article 85-3

Article 86 (Keeping Confidentiality)

A person who has been engaged in the operations of the Corporation or the Review and Assessment Service, the vicarious claim organization or a person who is so engaged presently shall not disclose any confidential information that he/she has acquired ex officio. <Amended by Act No. 8153, Dec. 30, 2006>

Article 87 (Supervision of Corporation, etc.)

The Minister of Health, Welfare and Family Affairs may take necessary measures for the supervision of the Corporation and the Review and Assessment Service, such as an order to report on their programs or an order to amend the articles of incorporation or regulations or to take other necessary actions after inspecting the conditions of their programs and assets. <Amended by Act No. 8852, Feb. 29, 2008>

Article 87-2 (Payment of Rewards)

With respect to any person who reports a medical care institution which is paid medical care benefit costs by deceit or other illegitimate means, the Corporation may pay him/her a reward in accordance with the criteria prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs.

[This Article Newly Inserted by Act No. 9022, Mar. 28, 2008]

Article 88 (Assignment and Entrustment of Authority)

Article 86 ~ 88

(1) The authority of the Minister of Health, Welfare and Family Affairs under this Act may be partially delegated to the Special Metropolitan City Mayor, Metropolitan City Mayors, or Do Governors, as prescribed by Presidential Decree. <Amended by Act No. 8852, Feb. 29, 2008>

(2) The authority of the Minister of Health, Welfare and Family Affairs under Article 84 (2) may be entrusted to the Corporation or the Review and Assessment Service, as prescribed by Presidential Decree. <Amended by Act No. 8852, Feb. 29, 2008>

Article 88-2 (Prohibition from Use of Similar Names)

(1) No person other than the Corporation or the Review and Assessment Service shall use such names as the National Health Insurance Corporation, Health Insurance Review and Assessment Service or other names similar thereto.

(2) A person other than the one who carries out a health insurance business prescribed by this Act shall be prohibited from using the term, "national health insurance" in an insurance contract or in the name of an insurance contract.

[This Article Newly Inserted by Act No. 9022, Mar. 28, 2008]

Article 89 (Delegation of Operations)

(1) The Corporation may delegate its operations to postal service agencies, financial

Article 88-2 ~ 89

institutions or other persons prescribed by Presidential Decree: <Amended by Act No. 9690, May. 21, 2009; Act No. 10155, Mar. 22, 2010>

1. Receipt of insurance premiums and verification of payment for insurance premiums;

2. Payment of insurance benefit costs;

3. Receipt of pension insurance premiums, employment insurance premiums, employment insurance and industrial accident compensation insurance premiums, contributions and other charges (hereinafter referred to as "insurance premiums, etc. entrusted with collection") collected according to the entrustment of the applicable law to the entrustment with collection, or verification of payment of insurance premiums.

(2) The Corporation may delegate part of its operations to state agencies, local governments, corporations that conduct social insurance operations under other Acts and subordinate statutes, or other persons.

(3) The scope of the operations the Corporation may delegate under paragraph (2) and of the persons to whom they may be delegated shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

Article 90 (Disposal of Small Sums)

Where an amount

Article 90

o be colleced or an amoun o be reurned is less han 2,000 won per case (excluding individual co-payment refunds which may be disposed of by offsetting under Article 43 (4)), the Corporation shall not collect or return it.

Article 91 (Disposal of Fractional Sum)

In calculating the expenses related to insurance premiums, etc. and insurance benefits, fractional sums under Article 47 of the Management of the National Funds Act shall not be included in the calculation. <Amended by Act No. 7347, Jan. 27, 2005>

Article 92 (Government's Subsidies for Insurance Finance)

(1) The State shall subsidize an amount equivalent to 14/100 of the amount of anticipated revenues from insurance premiums for the relevant year to the Corporation from the National Treasury each year within budgetary limits.

(2) The Corporation may be provided with funds from the National Health Promotion Fund provided for in the National Health Promotion Act, as prescribed by the same Act.

(3) The Corporation shall spend financial resources raised pursuant to paragraph (1) for the following businesses:

1. Insurance benefits for policyholders and their dependents;

2. Operational expenses for the health insurance business;

Article 91 ~ 92

3. Subsidies needed to reduce insurance premiums pursuant to Articles 66-2 and 93-2 (3).

(4) The Corporation shall use the funds provided pursuant to paragraph (2) for the following businesses:

1. Projects undertaken to enhance health, such as health checkup;

2. Insurance benefits paid to treat the diseases of policyholders and their dependents that are caused by smoking;

3. Insurance benefits paid to the aged who are at least 65 years old, from among policyholders and their dependents.

[This Article Wholly Amended by Act No. 8153, Dec. 30, 2006]

<<By Article 2 of the Addenda No. 8153 on December 30, 2006, the provisions of this Article shall lose their effect from January 1, 2012. >>

Article 93 (Special Cases for Foreigners, etc.)

(1) The Government may arrange for a separate health insurance for the workers at a workplace where a foreign government is the employer in consultation with the foreign government.

(2) Overseas Korean nationals or foreigners who live in the Republic of Korea and who are prescribed by Presidential Decree shall become

Article 93

policyholdrs or dpndnts who ar subjct to th application of this Act, notwithstanding Article 5. <Amended by Act No. 7590, Jul. 13, 2005>

Article 93-2 (Special Cases for Unemployed Persons)

(1) Where any person prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs from among the employment provided policyholders whose employment relationship has expired files an application with the Corporation for retaining his/her qualification as an employment provided policyholder within the deadline for the payments of insurance premiums of the locally provided policyholders who are first notified pursuant to Article 74, he/she shall retain his/her entitlement as an employment provided policyholder for a period set by Presidential Decree, notwithstanding Article 8: Provided, That this shall not apply where the applicant fails to pay his/her insurance premiums he/she has to pay for the first time after he/she files an application on or before the deadline for its payment. <Amended by Act No. 8852, Feb. 29, 2008>

(2) A policyholder who files the application with the Corporation pursuant to paragraph (1) (hereinafter referred to as "voluntarily and continuously insured person") shall calculate his/her monthly wage amount based on the average amount of his/her wages paid for immediately preceding three months with the exception of the month in which the date on which the employment relationship expires falls, notwithstanding Article 63.

(3) Part of the insurance

Article 93-2

premiums of the voluntarily and continuously insured persons may be reduced, as published by the Minister of Health, Welfare and Family Affairs. <Amended by Act No. 8852, Feb. 29, 2008>

(4) Total amount of the insurance premiums of voluntarily and continuously insured persons shall be borne and paid by them notwithstanding Articles 67 (1) and 68 (1).

(5) Article 48 (3), (5) and (6) of shall apply mutatis mutandis to voluntarily and continuously insured persons. In such cases, the terms, "per household insurance premiums referred to in Article 62 (5)" and "locally provided policyholder" shall be deemed "insurance premiums pursuant to Article 93-2 (4)" and "voluntarily and continuously insured person," respectively. <Newly Inserted by Act No. 9022, Mar. 28, 2008>

(6) Methods and procedures for fling applications for voluntarily and continuously insured persons and other necessary matters shall be prescribed by Ordinance of the Ministry of Health, Welfare and Family Affairs. <Amended by Act No. 8852, 2008>

[This Article Newly Inserted by Act No. 8153, Dec. 30, 2006]

Article 93-3 (Allocation, Payment, etc. of Insurance Premiums, etc. Entrusted with Collection)

(1) Where the amount of insurance premiums collected by the Corporation, subsequent

Article 93-3

fees or insurance premiums, etc. entrusted with collection is smaller than the amount the Corporation has to collect, it shall collect the payment in installments according to the criteria and means prescribed by Presidential Decree: Provided, That where a person liable to make such payment states otherwise, the Corporation shall comply therewith.

(2) Where the Corporation has collected insurance premiums, etc. entrusted with collection, it shall immediately pay in such to the relevant funds by insurance.

[This Article Newly Inserted by Act No. 9690, May. 21, 2009]

Article 93-4 (Purpose, etc. of Endowments)

(1) For the expenses to conduct operations under Article 13 (1) 10, the Corporation shall use endowments contributed from the National Pension Fund, Industrial Accident Compensation Insurance Fund, Employment Insurance Fund, Wage Claim Guarantee Fund, and Asbestos Injury Relief Fund under the National Pension Act, Industrial Accident Compensation Insurance Act, Employment Insurance Act, Wage Claim Guarantee Act, and Asbestos Injury Relief Act, respectively. <Amended by Act No. 10155, Mar. 22, 2010>

(2) Matters necessary for management, operation, etc. of endowments contributed pursuant to paragraph (1) shall be prescribed by Presidential Decree.

[This Article Newly

Article 93-4

Inserted by Act No. 9690, May. 21, 2009]

CHAPTER IX PENAL PROVISIONS

Article 94 (Penal Provisions)

(1) A person who works for a vicarious claim organization and files a claim for the medical care benefit costs by false and illegal means shall be punished by imprisonment with prison labor for not more than three years, or by a fine not exceeding 30 million won.

(2) A person who falls under any of the following subparagraphs shall be punished by imprisonment with prison labor for not more than one year, or by a fine not exceeding ten million won:

1. A person who permits any other person who is not a vicarious claim organization to vicariously examine such claims, in violation of Article 43 (6);

2. An employer who violates Article 81;

3. A founder of any medical care institution, who violates Article 85 (3);

4. A person who violates Article 86.

[This Article Wholly Amended by Act No. 8153, Dec. 30, 2006]

Article 95 (Penal Provisions)

Article 94 ~ 95

A person who fails to report or submit documents, a person who files a false report or submits false documents, or a person who rejects, interferes with or evades inspections or questioning in violation of Article 84 (2) shall be punished by a fine not exceeding ten million won.

Article 96 (Penal Provisions)

A person who violates Article 40 (4) or the former part of Article 44 (2) shall be punished by a fine exceeding five million won.

Article 97 (Joint Penal Provisions)

Where a representative of a corporation or an agent, employee or other servant of the corporation or an individual commits an offense under Articles 94 through 96 in connection with the business of the corporation or the individual, in addition to the punishment of such offender, the corporation or the individual shall be punished by a fine under each relevant Article.

Article 98 (Fines for Negligence)

(1) Where a policyholder or his/her dependent, or a person who was formerly a policyholder or his/her dependent receives an insurance benefit by using a document that proved his/her previous eligibility after losing that eligibility, he/she shall be punished by a fine for negligence of not more than the amount equivalent to the said benefit.

Article 96 ~ 98

(2) With respect to a person who receives insurance benefits by transferring or lending a health insurance card or identification in violation of Article 11 (4) or by other illegitimate means, a fine for negligence in the amount equivalent to or less than such insurance benefits shall be imposed. This shall also apply to any person who has other person receive an insurance benefit by transferring or lending a health insurance card or identification. <Amended by Act No. 9022, Mar. 28, 2008>

Article 99 (Fines for Negligence)

(1) A fine for negligence in the amount of five million won or less shall be imposed on a person who violates Article 85 (4).

(2) A fine for negligence in the amount of one million won or less shall be imposed on a person who falls under any of the following subparagraphs:

1. An employer who fails to report in violation of Article 6-2 or makes a false report;

2. A person who fails to submit a document, make a statement of opinion or make a report pursuant to Article 82 (1) or (2) or Article 84 (1), (3) or (4), or makes a false statement or report, or refuses, obstructs or evades investigation or inspection without any justifiable ground therefor;

3. A person who

Article 99

vilates an rder referred t in Article 87;

4. A person who violates the provisions of Article 88-2.

[This Article Wholly Amended by Act No. 9022, Mar. 28, 2008]

Article 100 (Procedures for Assessment and Collection of Fine for Negligence)

(1) The fine for negligence referred to in Articles 98 and 99 shall be assessed and collected by the Minister of Health, Welfare and Family Affairs under the conditions as prescribed by Presidential Decree. <Amended by Act No. 8852, 2008>

(2) A person who protests against a disposition by fine for negligence referred to in paragraph (1) may raise a formal objection to the Minister of Health, Welfare and Family Affairs within thirty days after he receives the notice of such disposition. <Amended by Act No. 8852, Feb. 29, 2008>

(3) When a person who is subject to a disposition by fine for negligence as referred to in paragraph (1) raises a formal objection under the provisions of paragraph (2), the Minister of Health, Welfare and Family Affairs shall, without any delay, notify the competent court of this fact, and the competent court so notified shall hold a trial of fine for negligence as referred to in the Non-Contentious Case Litigation Procedure Act. <Amended by Act No. 8034, Oct. 4, 2006; Act No. 8852, Feb.

Article 100

29, 2008>

(4) When a fine for negligence is not paid without any objection being raised within the time period referred to in paragraph (2), it shall be collected in accordance with the same manners as dispositions on the national tax in arrears.

ADDENDA

Article 1 (Enforcement Date)

This Act shall enter into force on July 1, 2000: Provided, That Articles 4 and 5 of the Addenda shall enter into force on the date of its promulgation. <Amended by Act No. 6093, Dec. 31, 1999>

Article 2 (Repeal of Other Acts)

The Medical Insurance Act and the National Medical Insurance Act shall be repealed.

Article 3 (Establishment of Corporation)

The National Health Insurance Corporation in existence at the time when this Act enters into force which was established under the National Medical Insurance Act shall be considered as the Corporation which is established under the provisions of this Act: Provided, That the officers of the Corporation shall be appointed in accordance with the provisions of Article 19, and in this case, the term of the office of the officers of the previous National Health Insurance Corporation shall be considered

Addenda

to have terminated.

Article 4 (Preparation for Establishment of Review Board)

(1) The Minister of Health and Welfare shall commission six establishment committeemen within thirty days from the date on which this Act is promulgated and have them take charge of the affairs related with the establishment of the Review Board.

(2) The establishment committeemen shall prepare the Articles of Incorporation, obtain approval therefor from the Minister of Health and Welfare, and then register the establishment of the Review Board.

(3) When the director of the Review Board is appointed, the establishment committeemen shall hand over the affairs, and, when handing over of the affairs is completed, they shall be considered dismissed.

(4) Expenses, etc. that are necessary for the preparation for establishment of the Review Board shall be born by the state.

Article 5 (Act of Preparation for Enforcement of This Act)

(1) The Minister of Health and Welfare and the chairman of the board of directors or establishment committeemen of the National Health Insurance Corporation may request the Medical Insurance Federation, the Medical Insurance Association, the National Health Insurance and other relevant persons to submit the materials that are necessary for preparations for enforcement of this

Addenda

Act.

(2) A person who receives the request for submission of materials referred to in paragraph (1) shall sincerely comply therewith.

Article 6 (Dissolution of Incorporated Bodies)

The Medical Insurance Association and the Medical Insurance Federation in existence at the time when this Act enters into force which were established under the provisions of the previous Medical Insurance Act shall each be dissolved at the same time as when this Act enters into force.

Article 7 (Succession of Rights by Universal Title, etc.)

(1) The Corporation shall succeed, by a universal title, to the rights and duties of the Medical Insurance Association and Medical Insurance Federation referred to in the previous Medical Insurance Act existing at the time when this Act enters into force: Provided, That the Review Board shall succeed, by a universal title, to the rights and duties of the Medical Insurance Federation related with its review operations.

(2) Assets of the Medical Insurance Association referred to in the previous Medical Insurance Act at the time when this Act enters into force shall be considered as assets of the Corporation, and the assets of the Medical Insurance Federation shall be considered as assets of the Review Board.

Article 8 (Employment, etc. of Employees)

Addenda

Employees of the previous Medical Insurance Association and Medical Insurance Federation at the time when this Act enters into force shall be considered to have been employed by the Corporation: Provided, That the employees, from among the employees of the Medical Insurance Federation, who are engaged in the review operations as determined by the Minister of Health and Welfare shall be considered to have been employed by the Review Board.

Article 9 (Transition Measures regarding Acquisition, etc. of Eligibility of Policyholder and Dependent)

(1) A person who becomes a policyholder or his dependent under the provisions of the previous Medical Insurance Act or National Medical Insurance Act at the time when this Act enters into force shall be considered to have acquired the eligibility of a policyholder or dependent referred to in this Act.

(2) A request for medical insurance review that is presented and being examined under the provisions of the previous Medical Insurance Act or National Medical Insurance Act at the time when this Act enters into force shall be considered the formal objection referred to in this Act, and a request for reexamination of medical insurance shall be considered to have been made to, and being examined by, the Dispute Mediation Committee.

(3) Matters concerning collection of insurance premiums, etc. for which the payment period has expired at the time when this Act enters into

Addenda

force under the provisions of the previous Medical Insurance Act or National Medical Insurance Act shall be in accordance with the previous provisions.

(4) A medical care institution for which the term of suspension of operation has not yet terminated at the time when this Act enters into force, from among the medical care institutions that were subject to suspension of operation under the provisions of the previous Medical Insurance Act or National Medical Insurance Act, shall be considered to have been subject to suspension of operation for the remaining term (referring to the shorter term of the two if the remaining term of suspension of operation referred to in the Medical Insurance Act and the one referred to in the National Medical Insurance Act overlap each other) under the provisions of this Act.

(5) Requests for and hearings on insurance benefits or insurance benefit costs that are made or conducted under the provisions of the previous Medical Insurance Act or National Medical Insurance Act at the time when this Act enters into force shall be considered to be requests for and hearings on insurance benefits or insurance benefit costs referred to in this Act.

Article 10 (Transitional Measures regarding Coordination of Financial Affairs)

(1) Notwithstanding the provisions of Article 33 (2), the Corporation shall keep the accounting for the financial affairs related with the employment provided policyholders and those related with the

Addenda

locally provided policyholders (excluding financial affairs necessary for the management and operation of the Corporation) separately from each other until June 30, 2003. <Amended by Act No. 6618, Jan. 19, 2002>

(2) As for the employment provided policyholders as referred to in paragraph (1), accounting for the financial affairs related with employment provided policyholders who are workers at work-places referred to in Article 6 (2) 1 and their employers and accounting for the financial affairs related with the employment provided policyholders who are public officials or school employees as referred to in Article 6 (2) 2 shall be kept separately from each other until December 31, 2000.

[This Article Wholly Amended by Act No. 6093, Dec. 31, 1999]

Article 10-2 Deleted.

Article 10-3 (Special Case for Insurance Rate Following Separate Accounting of Financial Affairs)

(1) Notwithstanding the provisions of Article 65 (1), insurance premium rates for employment provided policyholders may be set differently for different employment provided policyholder classes referred to in Article 6 (2) 1 and 2 under the conditions as provided by the Presidential Decree during the separate financial accounting period referred to in Article 10 (2) of the Addenda.

Addenda

In such a case, the different insurance premium rates shall each be determined within the limit of eighty thousandths.

(2) Notwithstanding the provisions of Article 65 (2), insurance premium rates for employment provided policyholders engaged in operations outside of Korea shall be fifty hundredths of the applicable insurance premium rate referred to in paragraph (1) during the separate financial accounting period referred to in Article 10 (2).

[This Article Newly Inserted by Act No. 6093, Dec. 31, 1999]

Article 10-4 (Special Case for Adjustment of Insurance Rate for Employment Provided Policyholder)

Insurance rate of a person whose rate has increased by at least the ratio determined by the Presidential Decree, from among the employment provided policyholders whose insurance premium has increased due to the enforcement of this Act at least twenty hundredths of the insurance premium for the month to which the day before the enforcement date of this Act belongs, may be adjusted under the conditions as prescribed by the Presidential Decree within the limit of the separate financial accounting period referred to in Article 10 (1) of the Addenda.

[This Article Newly Inserted by Act No. 6093, Dec. 31, 1999]

Article 11 (Medical Care Benefit Cost)

Addenda

The criteria for calculation of the costs of medical care benefits determined by the Minister of Health and Welfare under the provisions of the previous Medical Insurance Act and National Medical Insurance Act at the time when this Act enters into force shall be considered to have been determined by contract with the chairman of the board of directors of the Corporation and the person representing the medical and pharmaceutical communities under the provisions of Article 42 (1) for the duration of six months commencing on the date of the promulgation of this Act.

Article 12 (Transitional Measures regarding Penal Provisions, etc.)

Application of penal provisions or fine for negligence for an offense in violation of the previous Medical Insurance Act or National Medical Insurance Act that is committed before this Act enters into force shall be subject to the provisions of the previous Medical Insurance Act or National Medical Insurance Act.

Article 13 (Relation to Other Acts and Subordinate Statutes)

(1) In cases where the provisions of the previous Medical Insurance Act or National Medical Insurance Act are cited in other Acts and subordinate statutes at the time when this Act enters into force, if there are corresponding provisions in this Act, this Act or the corresponding provisions of this Act shall be considered to have been cited in lieu of the previous provisions.

Addenda

(2) In cases where the Medical Insurance Association or the Medical Insurance Federation referred to in the previous Medical Insurance Act or the National Health Insurance Corporation referred to in the National Medical Insurance Act is cited in other Acts and subordinate statutes at the time when this Act enters into force, the Corporation referred to in this Act shall be considered to have been cited.

Article 14 (Transitional Measures regarding Extinctive Prescription)

Right to collect or receive refund of insurance premium, right to receive an insurance benefit, or right to receive refund of excess payment of individual co-payment for which extinctive prescription has occurred before this Act enters into force shall be pursuant to the previous provisions.

Article 15 (Transitional Measures regarding Prior Conduct, etc.)

(1) Punishment for an offense in violation of the Medical Insurance Act or National Medical Insurance Act that is committed before this Act enters into force shall be pursuant to the previous provisions.

(2) Various actions, such measures, taken by the insurer, insurer organization, or an administrative agency under the provisions of the previous Medical Insurance Act or National Medical Insurance Act at the time when this Act enters into force shall be considered

Addenda

to be their corresponding actions of the Corporation, Review Board or an administrative agency referred to in this Act, and if actions, such as measures, taken by the insurer or the insurer organization overlap each other, minor measures therefrom shall be considered to be actions of the Corporation or Review Board referred to in this Act.

(3) A specialized general medical care institution or a specialized medical care institution that is recognized by the Minister of Health and Welfare at the time when this Act enters into force under the provisions of the previous Medical Insurance Act or National Medical Insurance Act shall be considered to be a specialized general medical care institution or a specialized medical care institution referred to in this Act.

ADDENDA <Act No. 6073, Dec. 31, 1999>

Article 1 (Enforcement Date)

This Act shall enter into force on the date of its promulgation.

Articles 2 and 3 Omitted.

ADDENDUM <Act No. 6093, Dec. 31, 1999>

This Act shall enter into force on the date of its promulgation.

ADDENDA <Act No. 6124, Jan. 12, 2000>

Addenda

Article 1 (Enforcement Date)

This Act shall enter into force on the date of its promulgation.

Article 2 Omitted.

ADDENDA <Act No. 6320, Dec. 29, 2000>

Article 1 (Enforcement Date)

This Act shall enter into force on July 1, 2001.

Article 2 (Preparatory Acts for Enforcement of this Act)

(1) The Minister of Heath and Welfare or the president of the National Health Insurance Corporation may request the State, local governments, corporations and public organizations dealing with the social insurance affairs under other Acts and subordinate statutes, workers and employers of the workplaces and other relevant persons to submit the data necessary for the preparation for enforcement of this Act.

(2) Persons in receipt of the request for submission of data under paragraph (1) shall faithfully comply with it.

ADDENDA <Act No. 6474, May 24, 2001>

Article 1 (Enforcement Date)

This Act shall enter

Addenda

into force on October 1, 2001.

Articles 2 through 13 Omitted.

ADDENDA <Act No. 6618, Jan. 19, 2002>

(1) (Enforcement Date) This Act shall enter into force on the date of its promulgation.

(2) (Transitional Measures following Amendment of Article 10 (1) of Addenda of National Health Insurance Act; Act No. 5854) The Corporation shall take the measures to restore the financial affairs of employment provided policyholders and locally provided policyholders accounted comprehensively at the time of enforcement of this Act, to the financial affairs status of employment provided policyholders and locally provided policyholders accounted separately at the time of December 31, 2001.

ADDENDUM <Act No. 6799, Dec. 18, 2002>

This Act shall enter into force on the date of its promulgation.

ADDENDUM <Act No. 6951, Jul. 29, 2003>

This Act shall enter into force on the date of its promulgation.

ADDENDA <Act No. 6981, Sep. 29, 2003>

(1) (Enforcemen

Addenda

t Date) This Act shall enter into force six months after the date of its promulgation.

(2) (Applicable Cases) Medical care benefits provided by the Korea Orphan Drug Center under the amended provisions of Article 40 (1) 3 shall apply with respect to the medicines which are offered to patients on or after the enforcement date of this Act.

ADDENDA <Act No. 7144, Jan. 29, 2004>

(1) (Enforcement Date) This Act shall enter into force on the date of its promulgation: Provided, That the amended provisions of Article 54-2 shall enter into force three months after the date of its promulgation.

(2) (Applicable Cases concerning Term of Office, etc. of Officers) The amended provisions of Articles 19 (6), 21 and 58 (5) shall apply to the officers first appointed after the enforcement of this Act.

(3) (Applicable Cases concerning Exceptions from Restriction on Benefits following Delinquency of Insurance Premiums) The amended provisions of Article 48 (3) may be applicable to the persons who have already received insurance benefits in the status of delinquency of insurance premiums during the period under the previous provisions.

ADDENDA <Act No. 7347, Jan. 27, 2005>

Article 1 (Enforcement Date)

Addenda

This Act shall enter into force on July 1, 2005.

Articles 2 through 4 Omitted.

ADDENDUM <Act No. 7377, Jan. 27, 2005>

This Act shall enter into force six months after the date of its promulgation.

ADDENDUM <Act No. 7590, Jul. 13, 2005>

This Act shall enter into force on January 1, 2006.

ADDENDA <Act No. 8034, Oct. 4, 2006>

(1) (Enforcement Date) This Act shall enter into force on the first day of the month next to that whereto belongs the date of promulgation: Provided, That the amended provisions of Article 74 (2) and (3) shall enter into force six months after the date of its promulgation.

(2) (Application Example concerning Collection and Exemption of Insurance Premiums) The amended provisions of Articles 62 (2) and 66 (3) shall apply to the person who acquires or loses the eligibility of insurance policyholder first after the enforcement of this Act, or the portion of occurrence or termination of reasons for the allowance suspension.

ADDENDA <Act No. 8153, Dec. 30, 2006>

Article 1 (Enforcement Date)

Addenda

This Act shall enter into force on January 1, 2007: Provided, That the amended provisions of Articles 62 (6), 66-2 and 93-2 shall enter into force on July 1, 2007.

Article 2 (Valid Period)

The amended provisions of Article 92 shall have their validity on or before December 31, 2011.

Article 3 (Application Example concerning Insurance Premiums)

The amended provisions of Article 62 (4) and (5) shall apply to the insurance premiums for which a publication of notice is first made after the enforcement of this Act.

Article 4 (Transitional Measures concerning Health Insurance Policy Deliberative Committee)

(1) The Health Insurance Policy Deliberative Committee provided for in the previous Special Act on Sound Finance of National Health Insurance shall be deemed the Health Insurance Policy Deliberative Committee provided for in the amended provisions of Article 4.

(2) The matters that go through the deliberation and the resolution of the Health Insurance Policy Deliberative Committee provided for in the previous Special Act on Sound Fiance of National Health Insurance shall be deemed the matters that go through the deliberation and the resolution of the Health Insurance Policy

Addenda

Deliberative Committee provided for in the amended provisions of Article 4.

Article 5 (Transitional Measures concerning Vicarious Claim for Medical Care Benefit Cost)

The medical care benefit cost for which a claim is vicariously filed pursuant to the provisions of Article 10 of the previous Special Act on Sound Finance of National Health Insurance at the time of enforcement of this Act shall be deemed the medical care benefit cost for which a claim is vicariously filed pursuant to the provisions of Article 43 (6).

Article 6 (Transitional Measures concerning Approval for Installment Payment of Insurance Premium in Arrears)

The approval or the revocation of the approval for the installment payment of the insurance premium in arrears provided for in the provisions of Article 11 of the previous Special Act on Sound Finance of National Health Insurance at the time of enforcement of this Act shall be deemed the approval or the revocation of the approval provided for in the amended provisons of Article 70-2.

Article 7 Omitted.

ADDENDA <Act No. 8694, Dec. 14, 2007>

Article 1 (Enforcement Date)

This Act shall enter

Addenda

into enforcement on July 1, 2008. (Proviso Omitted.)

Articles 2 through 26 Omitted.

ADDENDA <Act No. 8852, Feb. 29, 2008>

Article 1 (Enforcement Date)

This Act shall enter into force on the date of its promulgation. (Proviso Omitted.)

Articles 2 through 7 Omitted.

ADDENDA <Act No. 9022, Mar. 28, 2008>

Article 1 (Enforcement Date)

This Act shall enter into force on the date of its promulgation: Provided, That the amended provisions of Article 71 shall enter into force on July 1, 2008, and the amended provisions of Articles 6-2, 8, 11 (3), 68 (2), 74 (5), 75 (2) (latter part), 77, 77-2, 78, 79 (3), 85, 85-2, 85-3, 87-2 and 99 (1) and (2) 1 shall enter into force six months after the date of promulgation of this Act.

Article 2 (Applicable Cases concerning Exemption of Minors from Obligation of Joint Payment of Locally Provided Policyholder's Insurance Premium and Collection of Additional Amount Added to Additional Charges)

Addenda

The amended provisions of Articles 68 (2) and 71 shall be applied, starting from the first insurance premium, etc. notified of after this Act enters into force.

Article 3 (Applicable Cases concerning Addition of Interests to Refunds)

The amended provision of Article 75 (2) shall apply, starting from a refund first decided after this Act enters into force.

Article 4 (Applicable Cases concerning Period for Raising Objections)

(1) The amended provision of Article 76 (3) shall apply starting from the first disposition taken after this Act enters into force.

(2) The amended provision of Article 76 (4) shall apply starting from the first notice received after this Act enters into force.

Article 5 (Applicable Cases concerning Publication of Fact of Violation)

The amended provision of Article 85-3 shall apply starting from the first violation committed after this Act enters into force.

Article 6 (Transitional Measure concerning Reporting on Workplace)

Addenda

A report on workplace filed in accordance with Ordinance of the Ministry of Health, Welfare and Family Affairs as at the time this Act enters into force shall be deemed to have been filed in accordance with the amended provisions of Article 6-2.

Article 7 (Transitional Measure concerning Requests for Review)

A request for review made pursuant to the former provisions as at the time this Act enters into force shall be deemed a request for review under the amended provisions of Article 77.

ADDENDA <Act No. 9079, Mar. 28, 2008>

Article 1 (Enforcement Date)

This Act shall enter into force three months after the date of its promulgation. (Proviso Omitted.)

Articles 2 through 4 Omitted.

ADDENDA <Act No. 9386, Jan. 30, 2009>

Article 1 (Enforcement Date)

This Act shall enter into force one year after the date of its promulgation. (Proviso Omitted.)

Articles 2 through 7 Omitted.

Addenda

ADDENDA <Act No. 9690, May. 21, 2009>

Article 1 (Enforcement Date)

This Act shall enter into force on January 1, 2011.

Article 2 (Establishment of Preparation Committee for Integration of Social Insurance Collection)

(1) To review major policies on and support for the integration of social insurance collection, the Minister of Health and Welfare shall establish the Preparation Committee for Integration of Social Insurance Collection (hereinafter referred to as "Preparation Committee") under the Ministry of Health and Welfare within one month after this Act enters into force. <Amended by Act No. 9932, Jan. 18, 2010>

(2) The Preparation Committee shall be comprised of less than 15 members including one chairperson, who are appointed or commissioned by the Minister of Health and Welfare. <Amended by Act No. 9932, Jan. 18, 2010>

(3) The Vice Minister of Health and Welfare shall be the chairperson thereof. <Amended by Act No. 9932, Jan. 18, 2010>

Article 3 (Preparation for Enforcement of this Act)

(1) The Minister of Health and Welfare and the Corporation may prepare for

Addenda

the enforcement of this Act on or after this Act enters into force. <Amended by Act No. 9932, Jan. 18, 2010>

(2) The Minister of Health and Welfare or the Corporation may request the State, local governments, National Pension Service, and Korea Workers'' Compensation and Welfare Service to submit materials or dispatch a personnel necessary to prepare for the enforcement of this Act. <Amended by Act No. 9932, Jan. 18, 2010>

(3) A person requested to submit materials or dispatch a personnel pursuant to paragraph (2) shall faithfully comply therewith.

Article 4 (Burden, etc. of Budget)

Expenses incurred in implementing institutions, such as the establishment of an information system to collect insurance premiums, etc. entrusted with collection shall be shared according to the consultation with relevant agencies.

Article 5 (Special Cases concerning Appointment of Employees)

(1) The chairperson of the board of directors of the Corporation shall designate a person who is to be transferred from the National Pension Service, and Korea Workers'' Compensation and Welfare Service (hereinafter referred to as "Insurance Service") in consultation with the chairperson of the board of directors of the Insurance Service for collection of insurance premiums, etc. entrusted with collection.

Addenda

(2) A person who is decided to be transferred to the Corporation pursuant to paragraph (1) shall be deemed appointed as an employee of the Corporation.

(3) Where a person who used to be an employee of Insurance Service is appointed as an employee of the Corporation under paragraphs (1) and (2), his/her retirement age shall be the one applied to the relevant Insurance Service as of the date the person is transferred to the Corporation: Provided, That this shall not apply where the retirement age of employees for the Corporation is bigger than that of employees for Insurance Service.

Article 6 (Test Operation of Affairs Entrusted with Collection)

The Corporation shall conduct test operations of the affairs entrusted with collection pursuant to the amended provisions of Article 13 (1) 10 for more than six months before this Act enters into force.

ADDENDA <Act No. 9932, Jan. 18, 2010>

Article 1 (Enforcement Date)

This Act shall enter into force two months after the date of its promulgation: Provided That Article 4 (24) of this Addenda shall enter into force on April 2, 2010, Article 4 (11) and (107) on December 30, 2010, and Article 4 (26) and (31) on January 1, 2011, respectively.

Articles 2 through 5 Omitted.

Addenda

ADDENDA <Act No. 10155, Mar. 22, 2010>

Article 1 (Enforcement Date)

This Act shall enter into force on January 1, 2011.

Article 2 Omitted.

Addenda

NATIONAL HEALTH INSURANCE ACT
- Articles
- Addenda

1. 국민건강보험법

2025-10-01 / 제21065호 / 시행 2026-01-02
NATIONAL HEALTH INSURANCE ACT

2. 국민건강보험법

2024-10-22 / 제20505호 / 시행 2025-04-23
NATIONAL HEALTH INSURANCE ACT

3. 국민건강보험법

2024-02-20 / 제20324호 / 시행 2024-08-21
NATIONAL HEALTH INSURANCE ACT

4. 국민건강보험법

2024-02-06 / 제20211호 / 시행 2024-05-07
NATIONAL HEALTH INSURANCE ACT

5. 국민건강보험법

2024-01-23 / 제20092호 / 시행 2024-01-23
NATIONAL HEALTH INSURANCE ACT

6. 국민건강보험법

2023-07-11 / 제19527호 / 시행 2024-01-12
NATIONAL HEALTH INSURANCE ACT

7. 국민건강보험법

2022-12-27 / 제19123호 / 시행 2023-06-28
NATIONAL HEALTH INSURANCE ACT

8. 국민건강보험법

2022-06-10 / 제18895호 / 시행 2022-12-11
NATIONAL HEALTH INSURANCE ACT

9. 국민건강보험법

2021-06-08 / 제18211호 / 시행 2021-12-09
NATIONAL HEALTH INSURANCE ACT

10. 국민건강보험법

2020-12-29 / 제17772호 / 시행 2021-06-30
NATIONAL HEALTH INSURANCE ACT

11. 국민건강보험법

2020-12-29 / 제17758호 / 시행 2021-01-01
NATIONAL HEALTH INSURANCE ACT

12. 국민건강보험법

2020-04-07 / 제17196호 / 시행 2020-07-08
NATIONAL HEALTH INSURANCE ACT

13. 국민건강보험법

2019-12-03 / 제16728호 / 시행 2020-06-04
NATIONAL HEALTH INSURANCE ACT

14. 국민건강보험법

2019-11-26 / 제16652호 / 시행 2019-11-26
NATIONAL HEALTH INSURANCE ACT

15. 국민건강보험법

2019-04-23 / 제16366호 / 시행 2019-04-23
NATIONAL HEALTH INSURANCE ACT

16. 국민건강보험법

2019-01-15 / 제16238호 / 시행 2019-04-16
NATIONAL HEALTH INSURANCE ACT

17. 국민건강보험법

2018-12-11 / 제15874호 / 시행 2018-12-11
NATIONAL HEALTH INSURANCE ACT

18. 국민건강보험법

2018-03-27 / 제15535호 / 시행 2018-03-27
NATIONAL HEALTH INSURANCE ACT

19. 국민건강보험법

2018-01-16 / 제15348호 / 시행 2018-01-16
NATIONAL HEALTH INSURANCE ACT

20. 국민건강보험법

2017-07-26 / 제14839호 / 시행 2017-07-26
NATIONAL HEALTH INSURANCE ACT

21. 국민건강보험법

2017-04-18 / 제14776호 / 시행 2017-04-18
NATIONAL HEALTH INSURANCE ACT

22. 국민건강보험법

2017-02-08 / 제14557호 / 시행 2017-02-08
NATIONAL HEALTH INSURANCE ACT

23. 국민건강보험법

2016-05-29 / 제14183호 / 시행 2016-11-30
NATIONAL HEALTH INSURANCE ACT

24. 국민건강보험법

2016-03-22 / 제14084호 / 시행 2016-09-23
NATIONAL HEALTH INSURANCE ACT

25. 국민건강보험법

2016-02-03 / 제13985호 / 시행 2016-08-04
NATIONAL HEALTH INSURANCE ACT

26. 국민건강보험법

2014-11-19 / 제12844호 / 시행 2014-11-19
NATIONAL HEALTH INSURANCE ACT

27. 국민건강보험법

2014-05-20 / 제12615호 / 시행 2014-09-25
NATIONAL HEALTH INSURANCE ACT

28. 국민건강보험법

2014-01-01 / 제12176호 / 시행 2014-02-21
NATIONAL HEALTH INSURANCE ACT

29. 국민건강보험법

2013-05-22 / 제11787호 / 시행 2013-06-25
NATIONAL HEALTH INSURANCE ACT

30. 국민건강보험법

2011-12-31 / 제11141호 / 시행 2012-09-01
NATIONAL HEALTH INSURANCE ACT

31. 국민건강보험법

2011-09-15 / 제11041호 / 시행 2012-07-01
NATIONAL HEALTH INSURANCE ACT

32. 국민건강보험법

2011-05-19 / 제10682호 / 시행 2011-05-19
NATIONAL HEALTH INSURANCE ACT

33. 국민건강보험법

2010-06-10 / 제10366호 / 시행 2012-06-11
NATIONAL HEALTH INSURANCE ACT

34. 국민건강보험법

2010-03-22 / 제10155호 / 시행 2011-01-01
NATIONAL HEALTH INSURANCE ACT

35. 국민건강보험법

2010-01-18 / 제9932호 / 시행 2011-01-01
NATIONAL HEALTH INSURANCE ACT

36. 국민건강보험법

2009-05-21 / 제9690호 / 시행 2011-01-01
NATIONAL HEALTH INSURANCE ACT

37. 국민건강보험법

2009-01-30 / 제9386호 / 시행 2010-01-31
NATIONAL HEALTH INSURANCE ACT

38. 국민건강보험법

2008-03-28 / 제9079호 / 시행 2008-06-29
NATIONAL HEALTH INSURANCE ACT

39. 국민건강보험법

2008-03-28 / 제9022호 / 시행 2008-03-28
NATIONAL HEALTH INSURANCE ACT

40. 국민건강보험법

2008-02-29 / 제8852호 / 시행 2008-02-29
NATIONAL HEALTH INSURANCE ACT

41. 국민건강보험법

2007-12-14 / 제8694호 / 시행 2008-07-01
NATIONAL HEALTH INSURANCE ACT

42. 국민건강보험법

2006-12-30 / 제8153호 / 시행 2007-01-01
NATIONAL HEALTH INSURANCE ACT

43. 국민건강보험법

2006-10-04 / 제8034호 / 시행 2006-11-01
NATIONAL HEALTH INSURANCE ACT

44. 국민건강보험법

2005-07-13 / 제7590호 / 시행 2006-01-01
NATIONAL HEALTH INSURANCE ACT

45. 국민건강보험법

2005-01-27 / 제7377호 / 시행 2005-07-28
NATIONAL HEALTH INSURANCE ACT

46. 국민건강보험법

2005-01-27 / 제7347호 / 시행 2005-07-01
NATIONAL HEALTH INSURANCE ACT

47. 국민건강보험법

2004-01-29 / 제7144호 / 시행 2004-01-29
NATIONAL HEALTH INSURANCE ACT

48. 국민건강보험법

2003-09-29 / 제6981호 / 시행 2004-03-30
NATIONAL HEALTH INSURANCE ACT

49. 국민건강보험법

2003-07-29 / 제6951호 / 시행 2003-07-29
NATIONAL HEALTH INSURANCE ACT

50. 국민건강보험법

2002-12-18 / 제6799호 / 시행 2002-12-18
NATIONAL HEALTH INSURANCE ACT

51. 국민건강보험법

2002-01-19 / 제6618호 / 시행 2002-01-19
NATIONAL HEALTH INSURANCE ACT

52. 국민건강보험법

2001-05-24 / 제6474호 / 시행 2001-10-01
NATIONAL HEALTH INSURANCE ACT

53. 국민건강보험법

2000-12-29 / 제6320호 / 시행 2001-07-01
NATIONAL HEALTH INSURANCE ACT

54. 국민건강보험법

2000-01-12 / 제6124호 / 시행 2000-01-12
NATIONAL HEALTH INSURANCE ACT

55. 국민건강보험법

1999-12-31 / 제6093호 / 시행 1999-12-31
NATIONAL HEALTH INSURANCE ACT

56. 국민건강보험법

1999-12-31 / 제6073호 / 시행 1999-12-31
NATIONAL HEALTH INSURANCE ACT

57. 국민건강보험법

1999-02-08 / 제5854호 / 시행 2000-07-01
NATIONAL HEALTH INSURANCE ACT