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STATUTES

THE REPUBLIC OF KOREA

Volume

NATIONAL HEALTH INSURANCE ACT

Act No. 5854, Feb. 8, 1999

Amended by Act No. 6073, Dec. 31, 1999

Act No. 6093, Dec. 31, 1999

Act No. 6124, Jan. 12, 2000

CHAPTER Ⅰ GENERAL PROVISIONS

Article 1 (Purpose)

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

Article 2 (Charge)

The Minister of Health and Welfare shall be in charge of the national health insurance program prescribed by this Act.

Article 3 (Definitions)

For the purpose of this Act, <Amended by Act No. 6124, Jan. 12, 2000>

Article 1 ~ 3

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 ;

2. the term “employer” means a person who falls under one of the following items:

(a) the 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 who is determined by the Presidential Decree; or

(c) the person who established and operates the private school to which a school employee in question belongs (refers to a private school referred to in Article 3 of the Pension for Private School Teachers and Staff Act; 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

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

Article 4 (Health Insurance Deliberative and Regulatory Committee)

(1) In order to deliberate on the criteria for the medical care benefits referred to in Article 39 (2), the criteria for the medical care benefit costs referred to in Article 42 (3), and other important matters concerning the health insurance, the Health Insurance Deliberative and Regulatory Committee (hereinafter referred to as the “Deliberative Regulatory Committee”) shall be established under the Ministry of Health and Welfare.

(2) The Deliberative Regulatory Committee shall consist of the following members:

1. Eight members representing the insurers, the policyholders, and the employers;

2. Six members representing the medical and pharmaceutical communities; and

3. Six members representing the public interest.

(3) The Minister of Health and Welfare shall appoint or commission the persons referred to in the following subparagraphs as the committee

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members referred to in paragraph (2):

1. As the committee members referred to in paragraph (2) 1, persons whom the organizations representing the labor unions/employer organizations and the locally provided policyholders recommend twoeach, and person whom the insurer and the director of the Health Insurance Review Board referred to in Article 55 recommend one each;

2. As the committee members referred to in paragraph (2) 2, persons recommended by the organization representing the medical community and by the organization representing the pharmaceutical industry; and

3. As the committee members referred to in paragraph (2) 3, relevant public officials and persons with extensive knowledge and experience regarding health insurance who are determined by the Presidential Decree.

(4) The Deliberative Regulatory Committee shall hold a meeting at least twice per year.

(5) The term of the office of the Deliberative Regulatory Committee members shall be two years: Provided, That the term of the office of a committee member who is selected from among public officials shall be the term of that office, and that of a committee member who is selected to fill a vacancy shall be the remaining term of his predecessor.

(6) Matters necessary with regard to the operation of the Deliberative Regulatory

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Committee shall be prescribed by the Presidential Decree.

CHAPTER Ⅱ POLICYHOLDERS

Article 5 (Eligible Persons, etc.)

(1) Korean nationals who reside within the country, excluding thosewho fall under one of the following subparagraphs shall become policyholders of the health insurance referred to in this Act (hereinafter referred as “policyholders”) (hereinafter referred to as the “health insurance”) or their dependents:

1. Persons who receive medical care under the provisions of the MedicalCare 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 one of the following items:

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

Article 5

(b) In cases 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) refer to the persons, from among the persons falling under one of the following subparagraphs, who are supported mainly by employment provided policyholders and do not have other remunerations or income:

1. Souses of employment provided policyholders;

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

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

4. Brothers/sisters of employment provided policyholders.

(3) The standards for determination of the dependent eligibility referredto in paragraph (2), time of acquisition or loss of such eligibility, and other necessary matters shall be prescribed by the Ordiance of the Ministry of Health and Welfare.

Article 6 (Categories of Policyholders)

Article 6

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

(2) Employment provided policyholders shall be the persons who fall under one of the following subparagraphs:

1. Workers who are employed at a work place that regularly employs at least five workers (excluding the day-to-day workers determined by the Presidential Decree) and their employers; and

2. Persons who are appointed or employed as public officials or school employees: Provided, That this shall not apply to the persons who fall under one of the following items:

(a) Staff sergeants or petty officers second class (limited to those in service for short-term) and candidates for combat officers or military officers;

(b) Public officials who are taking their office through election who are determined by the Presidential Decree; and

(3) Locally provided policyholders shall be the policyholders other than the

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mploymnt providd policyholdrs and thir dpndnts.

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 one ofthe following subparagraphs shall acquire each applicable eligibility on the applicable day:

1. For a formerly 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 formerly medical care eligible person for distinguished service, on the day 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 thehead of the household of the locally provided policyholder concerned shall report the particulars to the insurer as

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prescribed by the Ordinance of the Ministry of Health and Welfare within fourteen days after the date of acquisition of the eligibility.

Article 8 (Change of Eligibility)

The employer of the employment provided policyholder concerned, if there is a change of eligibility in that a locally provided policyholder becomes an employment provided policyholder, or the head of the household ofthe locally provided policyholder concerned, if there is a change of eligibility in that an employment provided policyholder or his dependent becomes a locally provided policyholder, shall each report the particulars to the insurer as prescribed by the Ordinance of the Ministry of Health and Welfare within fourteen days from the date of the change in eligibility.

Article 9 (Time of Loss of Eligibility)

(1) A policyholder shall lose his eligibility on the day he falls under one of the following subparagraphs:

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. Day after the day he becomes a dependent of an employment provided policyholder;

Article 8 ~ 9

5. The day he becomes medical care eligible; 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 is lost under the provisions of paragraph (1), the employee 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 the Ordinance of the Ministry of Health and Welfare within fourteen days after the date of loss of the eligibility.

Article 10 (Confirmation of Acquisition or Loss of Eligibility)

(1) Acquisition, change, or loss of the eligibility of a policyholder shall take effect retroactively from the time of acquisition, change or loss of the eligibility as referred to in Articles 7 thorough 9. In such a case, 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.

Article 10 ~ 11

(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.

(3) Matters necessary with regard to the form of the health insurance card referred to in paragraph (1) and issuing and using them shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

CHAPTER Ⅲ NATIONAL HEALTH INSURANCE CORPORATION

Article 12 (Insurer)

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

Article 13 (Operations, etc.)

(1) The Corporation shall be in charge of the following operations:

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

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2. Assessment and collection of insurance premiums and other fees referred to in this Act;

3. Administration of insurance benefits;

4. Prevention programs necessary for maintenance and improvement of health of the 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 the health insurance;

9. Investigative research and international cooperation in connectionwith the health insurance;

10. Operations delegated to it under the provisions of this Act or other Acts and subordinate statutes; and

11. Other operations that the Minister of Health and Welfare determines to be necessary in connection with the health insurance.

(2) Matters necessary

Article 13

with regard to the kinds and scope of the programs for managing, employing, and increasing assets as referred to in paragraph (1) 6 shall be prescribed by the 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 my 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 the health insurance as prescribed by the Act on Disclosure of Information by Public Agencies.

Article 14 (Legal Personality of Corporation)

(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) The principal office of the Corporation shall be in the Special Metropolitan City of Seoul.

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

Article 16 (Articles of Incorporation)

Article 14 ~ 16

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

1. Objectives;

2. Its name;

3. Seat of the office;

4. Matters concerning its officers and employees;

5. Matters concerning the board of directors;

6. Matters concerning its financial operation committee;

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

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obtain authorization of the Minister of Health and Welfare.

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; and

4. Name, address and resident registration number of the chairman of the board of directors.

Article 18 (Dissolution)

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

Article 19 (Officers)

(1) The Corporation shall have as its officers one chairman of the board of directors, sixteen directors and two auditors.

(2) The chairman of the board of directors shall be appointed by the President upon recommendation of the Minister of Health and Welfare.

(3) As directors,

Article 17 ~ 19

eight persons recommended, two each, by the labor union an employer organization, an agricultural and fishery organization, and a consumer organization, four persons recommended by the chairman of the board of directors of the Corporation, and four relevant public officials determined by the Presidential Decree shall be appointed by the Minister of Health and Welfare.

(4) The auditors shall be appointed by the Minister of Health and Welfare.

(5) Posts of the chairman of the board of directors, three of the directors and one of the auditors shall be permanent: Provided, That the nonpermanent members may receive reimbursements for actual expenses as prescribed by the articles of incorporation.

(6) The term of the office of an officer shall be three 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.

Article 20 (Duties of Officers)

(1) The chairman of the board of directors shall represent the Corporation and supervise its duties and affairs at large.

(2) The permanent directors shall execute the operations of the Corporation under the order of the chairman of the board of directors, and when the chairman of the board of directors is unable to perform

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his duties due to an unavoidable circumstance, a permanent director determined by the articles of incorporation shall act for the chairman.

(3) The auditors shall audit the accounting of the Corporation, the circumstances of execution of its operations, and the circumstances ofits assets.

Article 21 (Grounds for Disqualification of Officer)

A person who falls under one of the following subparagraphs may not become an officer of the Corporation:

1. A person who is incompetent or quasi-incompetent;

2. A person who has been declared bankrupt and is not yet rehabilitated;

3. A person for whom two years have not passed since his sentence was completed (including the case when the sentence is considered to have been completed), or since the remission of his sentence, after being sentenced to punishment by imprisonment or greater punishment; or

4. A person who is in the probation period after being given a suspended sentence of punishment by imprisonment without prison labor or heavier punishment.

Article 22 (Obligatory Retirement/ Dismissal of Officer)

(1) When an officer is confirmed to fall under one of the subparagraphs of

Article 21 ~ 22

Article 21, the officer in question shall be obligated to retire.

(2) When an officer falls under one of the following subparagraphs, the person with the power to appoint may dismiss the officer in question:

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

2. When he violates an official duty;

3. When he causes a 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; or

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

Article 23 (Prohibition against Officer’s Holding Concurrent Office)

The chairman of the board of directors, permanent directors, and permanent auditors of the Corporation may not engage themselves in another, for-profit business or, without permission of the person with the power to appoint, hold another office concurrently.

Article 24 (Board of Directors)

Article 23 ~ 24

(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 composed of the chairman and directors.

(3) The auditors 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 the Presidential Decree.

Article 25 (Appointment and Dismissal of Officers)

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

Article 26 (Legal Fiction of Public Official in Application of Penal Provisions)

The officers and the employees of the Corporation shall be considered to be public officials in applying the provisions of Articles 129 through 132 of the Criminal Act.

Article 27 (Rules, etc.)

Rules relevant to the organization, human resource related affairs, remunerations,

Article 25 ~ 27

and accounting of the Corporation shall be determined with approval of the Minister of Health and Welfare after being passed through a resolution of the board of directors.

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 for him in all judicial or extra-judicial acts relevant to the affairs of the Corporation.

Article 29 (Limitation on Representative Power)

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

(2) Provisions of paragraph (1) shall apply mutatis mutandis in regard 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

Article 28 ~ 30

in this Act, thse prescribed by the 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 issues of insurance premium adjustments and other important matters related with insurance finance.

(2) In making adjustments of insurance premiums as referred to in paragraph (1), when important changes occur to insurance finance due to fluctuations in the insurance benefit costs, etc., the financial operation committee shall take them into consideration as prescribed by the Presidential Decree.

(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 composed 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

Article 31 ~ 32

3. Ten members representing the public interest.

(2) As the members referred to in paragraph (1), the Minister of Health and Welfare shall appoint or commission the following persons:

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 and the citizens’ organization as prescribed by the Presidential Decree; and

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 the 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

Article 32

with regard to the operation, etc. of the financial operation committee shall be prescribed by the 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 administrate the financial affairs relevant to the employment provided policyholders in coordination with those relevant to the locally provided policyholders.

(3) The Corporation shall keep its accounting related with the health insurance program separately from other accounting.

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 of the Minister of Health and Welfare. The same shall apply when the budget is being modified.

Article 35 (Loans)

The Corporation may borrow funds when there is a shortage of cash in making disbursements: Provided, That approval of the Minister of Health and Welfare is necessary for any long-term loan with the term of at least one year.

Article 36 (Reserve Fund)

Article 33 ~ 36

(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 five hundredths of the expenses required for payment of insurance benefits for that fiscal year until the funds reach fifty hundredths of the expenses required for that fiscal year.

(2) The reserve funds referred to in paragraph (1) may not be used except to meet the shortage in the expenses required for payment of insurance benefits or when there is a shortage of cash in making disbursements; when 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) Matters necessary with regard to the method of managing or employing the reserve funds referred to in paragraph (1) shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

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 and Welfare thereon by the end of February in the next year.

(2) When the Corporation reports to the Minister of Health and Welfare on it statement of accounts and business report under the provisions of paragraph (1), it shall publicly announce the contents thereof as prescribed by the Ordinance of the Ministry of Health

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and Welfare.

Article 38 (Mutatis Mutandis Application of Civil Act)

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.

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; and

7. Transfers.

(2) Criteria for

Article 38 ~ 39

the medical cae benefits efeed to in paagaph (1) (hereinafter referred to as “medical care benefits”), such as the method, procedure, scope, and maximum limit of medical care benefits shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

(3) In prescribing the criteria for medical care benefits under the provisions of paragraph (2), the Minister of Health and Welfare may exclude the ailments that do not cause difficulties at work or in daily life and other items determined by the Ordinance of the Ministry of Health and Welfare from the medical care benefit eligible items.

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 this case, the Minister of Health and Welfare may exclude the medical facilities determined by the Presidential Decree, such as those deemed to be unfit as medical care institutions for public interest or national policy reasons, from medical care institutions:

1. Medical facilities that are established under the provisions of theMedical Service Act;

2. Parmacies that are registered under the provisions of the Pharmaceutical Affairs Act;

3. Public health clinics, public health and medical care centers, and branches of public health clinics referred to in the Regional

Article 40

Public Health Act; and

4. Public health clinics installed under the provisions of 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 and Welfare may recognize the medical care institutions that meet the standards prescribed by the Ordinance of the Ministry of Health and Welfare, such as facilities, equipment, manpower, and areas of specialization, as specialized general medical care institutions or specialized medical care institutions under the conditions as prescribed by the Ordinance of the Ministry of Health and Welfare.

(3) Medical care institutions that are recognized to be specialized general medical care institutions or specialized medical care institutions under the provisions of paragraph (2) 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.

(4) Medical care institutions referred to in paragraphs (1) and (2) (hereinafter referred to as “medical care institutions”) may not refuse to provide medical care benefits unless there is a proper reason therefor.

Article 41 (Partial Responsibility for Expenses)

A person who receives

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medical care benefits referred to in Article 39 (1) shall be individually responsible for a part of their costs (hereinafter referred to as “individual co-payment”) as prescribed by the 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 the Presidential Decree who represents the medical and pharmaceutical communities. In such a case, 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 within three months before the date of expiration of the contract term, and if no contract is concluded within that period, an amount determined by the Minister of Health and Welfare upon a resolution of the Deliberative Regulatory Committee shall be the medical care benefit cost. In such a case the medical care benefit cost determined by the Minister of Healthand Welfare shall be considered to be the medical care benefit cost determined by contract under the provisions of paragraphs (1) and (2).

(4) If the cost of a medical care benefit is being determined under the provisions of paragraph (1) or (3), the Minister of Health and

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Welfare shall give a notice of the particulars of the medical care benefit costwithout any delay.

(5) When the chairman of the board of directors of the Corporation enters into the 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 Review Board 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 the Presidential Decree. <Amended by Act No. 6093, Dec. 31, 1999>

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

(1) A medical care institution may claim the cost of a medical care benefit from the Corporation. In such a case a request for review referred to in paragraph (2) shall be considered to be 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 as referred to in paragraph (1) shall request the Health Insurance Review Board referred to in Article 55 for a review of the medical care benefit cost, and the Health Insurance Review Board which receives the requestshall review the matter and notify

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the Corporation and the medical care institution the details of its review without any delay.

(3) The Corporation which receives notification of the review details under the provisions of paragraph (2) shall pay the medical care benefit cost to the medical care institution in accordance with such details and without any delay. In such a case, if the individual co-payment already paid is in excess of the amount notified under the provisions of paragraph (2), the difference of the excess payment subtracted from the amount to be paid to the medical care institution and shall be paid to the policyholder concerned.

(4) The Corporation may, for accounting, offset the amount to be paid to a policyholder under the provisions of paragraph (3) against the insurance premiums and other collections referred to in this Act which the policyholder concerned should pay.

(5) In paying the cost of a medical care benefit, if the Health Insurance Review Board referred to in paragraph (2) evaluates the reasonableness of a medical care benefit as 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 this case, matters relevant to the standards for increased or reduced payment of medical care benefit costsshall be prescribed by the Ordinance of the Ministry of Health and Welfare.

(6) In paying the

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costs of medical care benefits to a medical care institution, if the medical care institution receives supplies of the component elements of the medical care benefits determined by the Ordinance ofthe Ministry of Health and Welfare, such as drugs and tests (referred to as “component elements” hereafter within this Article), from a medical supplies logistics cooperative association, medical supplies manufacturer, or medical supplies wholesaler referred to in paragraph (8), or other persons determined by the Ordinance of the Ministry of Healthand Welfare (referred to as the “supplier” hereafter within this Article),uses them in providing the medical care benefits, and makes a claim on the particulars of those component elements to the Corporation underthe provisions of paragraphs (1) and (2), the part of the medical care benefit cost to be paid to the medical care institution that corresponds to those component elements shall be paid directly to the supplier under the conditions as prescribed by the Ordinance of the Ministry of Healthand Welfare, notwithstanding the provisions of the former sentence of paragraph (3). In such a case, the obligation of the Corporation to pay the medical care benefit costs to the medical care institution and the obligation of the medical care institution to pay the bill of the supplier shall be considered to have been extinguished to the extent of the payment by the Corporation to the supplier, and if the medical care institution has already paid part of the bill, the medical care institution may request a refund for the part of the bill that the Corporation has paid the supplier directly.

(7) A medical care institution shall include the particulars of the component

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elemes supplied by the supplier when making a claim referred to in paragraphs (1) and (2), and the Corporation may refrain from applying the provisions of paragraph (6) with regard to a supplier who fails to notify the Corporation with the particulars of the component elements supplied to the medical care institution or other details prescribed by the Ordinance of the Ministry of Health and Welfare.

(8) Medical supplies manufacturers, medical supplies wholesalers and other persons determined by the Ordinance of the Ministry of Health and Welfare 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 as an agent of suppliers. In this case, 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 the Presidential Decree by applying mutatis mutandis the provisions of the Small and Medium Business Cooperative Act that concern cooperatives and business cooperatives.

(9) Matters necessary with regard to the method and procedure of the claim, review, and payment of the costs of medical care benefits referred to in paragraphs (1) through (7) shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

Article 44 (Medical Care Cost)

(1) When a policyholder

Article 44

or his dependent, because of emergency or other unavoidable circumstances determined by the Ordinance of the Ministry of Health and Welfare, receives medical care for disease, injury, childbirth, etc. at an institution that is determined by the Ordinance of the Ministry of Health and Welfare 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 the provisions of 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 carebenefit concerned to the policyholder or his dependent as the cost of the medical care as prescribed by the Ordinance of the Ministry of Health and Welfare.

(2) An institution that has provided medical care under the provisions of 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 Ordinance of the Ministry of Health and Welfare, and the person who received the medical care shall submit this to the Corporation.

Article 45 (Optional Benefit)

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 the Presidential Decree.

Article 46 (Special Case for Disabled Person)

Article 45 ~ 46

(1) The Corporation may provide insurance benefits of supportive equipment for a policyholder who is a disabled person registered under the provisions of the Welfare of Disabled Persons Act and his dependents.

(2) The scope, method, and procedure of the insurance benefits for supportive equipment as referred to in paragraph (1) and other necessary matters shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

Article 47 (Health Checkup)

(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 the Presidential Decree.

Article 48 (Restriction of Benefits)

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

1. When he has intentionally or through gross negligence caused a criminal conduct or intentionally contributed to the occurrence of an accident;

2. When he has intentionally

Article 47 ~ 48

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; or

4. When he receives or is eligible to receive medical care 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 an amount equivalent to the cost of the medical care benefit or become eligible to receive an amount 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 the amount.

(3) The Corporation may withhold insurance benefits from a locally provided policyholder who has been delinquent in paying the per household insurance premium referred to in Article 62 (4) for at least the time period determined by the Presidential Decree until such a time as when the insurance premium is paid in full: Provided, That this shall not apply if the policyholder who is behind payment pays the insurance premium in delinquency in full within ten days from the date on which the insurance

Article 48

benefit commences (if there is any holiday during that period, it shall not be included in the period).

(4) If there is a delinquency of payment of the insurance premium referred to in Article 68 (1), the Corporation shall apply the provisions of paragraph (1), but 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.

Article 49 (Suspension of Benefits)

When a person who is eligible to receive insurance benefits falls under one of the following subparagraphs, no insurance benefit shall be provided during that period:

1. When he is travelling abroad;

2. When he is engaged in business operations abroad;

3. When he is in the service as a staff sergeant or petty officer second class (limited to short-term service) or a candidate for combat officer or military officer; or

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

Article 50 (Verification of Benefits)

Article 49 ~ 50

When it is determined to be necessary in providing insurance benefits, the Corporation may demand that a person who receives insurance benfits 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 optional benefits which the Corporation has an obligation to provide, the Corporation shall pay or provide them without any delay.

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 that has received insurance benefit costs (including suppliers referred to in Article 43 (6)) by deceit or other improper methods.

(2) In such a case 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 a case as one referred to paragraph (1), the Corporationmay require

Article 51 ~ 52

payment of the collection referred to in the same paragraph from a policyholder who belongs to the same household as the personwho received insurance benefits by deceit or other improper methods (refers 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 bydeceit or other improper methods.

(4) In such a case 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 (Right to Indemnity)

(1) When the Corporation has provided an insurance benefit to a policyholder 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.

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

Article 53

Article 54 (Protection of Right to Benefits)

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

CHAPTER Ⅴ HEALTH INSURANCE REVIEW BOARD

Article 55 (Establishment)

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

Article 56 (Operations, etc.)

(1) The Review Board shall be in charge of the operations referred to in the following subparagraphs:

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 operations referred to in subparagraphs 1 through 3;

Article 54 ~ 56

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 under the provisions of other Acts;

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

7. Other operations prescribed by the 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 as referred to in paragraph (1) 2, 5, and 7, and other necessary matters shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

Article 57 (Legal Personality, etc.)

(1) The Review Board shall be a juristic person.

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

Article 58 (Officers)

Article 57 ~ 58

(1) The Review Board shall have as its officers the director, sixteen trustees and one auditor.

(2) The director and the auditor shall be appointed by the Minister of Health and Welfare.

(3) As trustees, five persons recommended by a medicine related organization, three persons recommended by the Corporation, three persons recommended by the director of the Review Board, five 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 the Presidential Decree shall be appointed by the Minister of Health and Welfare.

(4) Posts of the director and three of the trustees shall be permanent, and posts of the auditors shall be non-permanent: Provided, That the non-permanent officers may receive reimbursements for actual expenses under the conditions as prescribed by the articles of incorporation.

(5) The term of the office of the officers shall be three 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.

Article 59 (Medical Treatment Review Committee)

(1) In order to efficiently

Article 59

conduct the operations of the Review Board, a medical treatment review committee (hereinafter referred to as the “review committee”) shall be established under the Review Board.

(2) The review committee shall be composed of no more than thirty fulltime review members, including the chairman of the committee, and no more than six hundred part-time review members, and it may have a subcommittee for each area of medical specializations.

(3) Matters necessary with regard to the qualification and term of the members of the review committee and the operation of the committee, etc. shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

Article 60 (Raising, etc. of Funds)

(1) The Review Board 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).

(2) When operations related with review of the costs of benefits or evaluation of the reasonableness of medical treatment are delegated to the Review Board under the provisions of Article 56 (1) 5, the Review Board may receive a fee from the delegator.

(3) The amount and collection method of the special assessment andfee referred to in paragraphs (1) and (2) and other necessary matters shallbe

Article 60

prescribed by the Ordinance of the Ministry of Health and Welfare.

Article 61 (Provisions Applied Mutatis Mutandis)

Provisions of Articles 13 (4), 15, 16 (excluding paragraph (1) 6 and 7), 17, 18, 20 through 30, 33 (1), 34, 35, 37 and 38 shall apply mutatis mutandis in regard to the Review Board. In such cases, the “Corporation,” “chairman of the board of directors,” and “permanent auditor” shall be considered the “Review Board,” “director,” and “non-permanent auditor,” respectively.

CHAPTER Ⅵ INSURANCE PREMIUM

Article 62 (Insurance Premium)

(1) In order to meet the expenses required for the health insurance program, the Corporation shall collect insurance premiums from the persons obligated to pay insurance premium referred to in Article 68.

(2) The insurance premium referred to in paragraph (1) shall be collected from the month that includes the day on which a policyholder obtains his eligibility until the month which includes the day before the day on which the policyholder loses his eligibility: Provided, That if the eligibility of a policyholder changes on or after the second of any month, insurance premium for the month that includes the day of change shall be collected on the basis of the eligibility before the change.

Article 61 ~ 62

(3) The amount of the insurance premium per month for an employment provided policyholder shall be the product of the standard monthly wage calculated under the provisions of Article 63 multiplied by the insurance premium rate referred to in Article 65.

(4) The amount of insurance premium per month for a locally provided policyholder shall be calculated for per unit of household, but the insurance premium per month for the household to which a locally provided policyholder belongs shall be the amount determined by the articles of incorporation of the Corporation, upon a resolution of the financial operation committee, on the basis of the class divisions which are determined by the Presidential Decree in accordance with the assessment standard income calculated under the provisions of Article 64. <Amended by Act No. 6093, Dec. 31, 1999>

(5) If a policyholder falls under one of the following subparagraphs, insurance premium for the policyholder or the household to which the policyholder belongs may be reduced partly in accordance with the articles of incorporation of the Corporation:

1. Persons who reside in the areas prescribed by the Presidential Decree, such as islands, remote places, agricultural and fishing villages, etc.: Provided, That the persons residing in agricultural and fishing villages shall be limited to the persons prescribed by the Ordinance of the Ministry of Health and Welfare, such as persons who are engaged

Article 62

in agricultural or fishing activities;

2. Persons who are at least sixty five years of age;

3. Disabled persons who are registered under the provisions of the Welfare of Disabled Persons Act; and

4. Persons of distinguished services to the state who are determined in Article 4 (1) 4, 6, 10, 12, or 14 of the Act on the Honorable Treatment and Support of Persons, etc. of Distinguished Services to the State.

Article 63 (Standard Monthly Wage)

(1) The standard monthly wage referred to in Article 62 (3) shall be calculated for each different class on the basis of the remunerations that an employment provided policyholder receives during a specified period of time. <Amended by Act No. 6093, Dec. 31, 1999>

(2) Insurance premium for a policyholder to whom a part or all of his remuneration is not being paid due to temporary retirement from office or other circumstances shall be calculated on the basis of the standard monthly wage for the month before the occurrence of the circumstance in question.

(3) Remunerations referred to in paragraph (1) shall mean money and other valuables (excluding anything of expense compensatory nature)that workers, public officers and school employees receive from employers, the state or local governments for providing their labor which are determined by the Presidential Decree.

Article 63

(4) Matters necessary with regard to the calculation of the standard monthly wages for different classes as referred to in paragraph (1) and the calculation of the standard monthly wage for un-salaried employersshall be prescribed by the Presidential Decree.

Article 64 (Assessment Standard Income)

(1) The assessment standard income referred to in Article 62 (4) shall be determined in consideration of the income, assets, living standard, occupation, and economic activities participation rate, etc. of a locally provided policyholder, and the method and criteria for calculating the assessment standard income and other necessary matters shall be prescribed by the Presidential Decree.

(2) In determining the method and criteria for calculating the assessment standard income under the provisions of paragraph (1), assets for which excercise of property rights is restricted under the provisions of other Acts and subordinate statutes may be treated differently fromother assets.

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

Article 65 (Insurance Premium Rate)

(1) Insurance premium rate of a policyholder shall be determined underthe conditions as prescribed by the Presidential Decree, within the

Article 64 ~ 65

limit of eighty thousandths, and making allowance for t details of the resolution of the financial operation committee referred to in Article 31.

(2) Insurance premium rate of an employment provided policyholder whois engaged outside of Korea for business operations shall be fifty hundredths of the insurance premium rate that is determined under the provisions of paragraph (1).

Article 66 (Exemption from Insurance Premium)

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

(2) When a locally provided policyholder falls under one of the following subparagraphs, income of that policyholder shall be excluded from calculation of the insurance premium for the household to which that policyholder belongs:

1. When he falls under one of subparagraphs 2 through 4 of Article 49;

2. When it is clearly recognized that he is enrolled in any level of school of below college level or otherwise not engaged in any income producing activity; or

3. When he meets

Article 66

the criteria prescribed by the Ordinance of the Ministry of Health and Welfare which are comparable to subparagraphs 1 and 2.

Article 67 (Burden of Insurance Premium)

(1) The insurance premium for an employment provided policyholdershall be born, fifty hundredths each, by the employment provided policyholder and the person referred to in the following classifications: Provided, That if an employment provided policyholder is a school employee, fifty hundredths, thirty hundredths, and twenty hundredths of the amount of the insurance premium shall be borne by the said employmentprovided policyholder, the person prescribed in subparagraph 2 (1) of Article 3, and the state, respectively:

1. If the employment provided policyholder is a worker, then the person prescribed in subparagraph 2 (a) of Article 3; and

2. If the employment provided policyholder is a public official, then the State or the local government to which that public official belongs.

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

(3) Within its budgetary limitations and pursuant to the provisions of the Presidential Decree, the state may bear a part of the insurance premium that a locally provided policyholder shall bear.

Article 67

Article 68 (Responsibility for Payment of Insurance Premium)

(1) Insurance premium of an employment provided policyholder shall be paid by his employer.

(2) Insurance premium of a locally provided policyholder shall be paid jointly by all locally provided policyholders who belong to the same household as the said policyholder. In such cases, notice or demand to one policyholder shall be considered to be effective against all locally provided policyholders who belong to the said household.

(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 remunerations. In such cases, the employer shall notify the amount of deduction to the employment provided policyholder.

Article 69 (Deadline for Payment of Insurance Premium)

A person who has responsibility for payment of insurance premium under the provisions of Article 68 (1) and (2) shall pay the policyholder’s insurance premium for the applicable month by the tenth day of the next month: Provided, That insurance premiums of locally provided policyholders may be paid quarterly pursuant to the provisions of the Ordinance of the Ministry of Health and Welfare.

Article 70 (Demand for Insurance Premium, etc. and Disposition on

Article 68 ~ 70

Default)

(1) When a person who has responsibility for payment of insurance premium as referred to in Article 68 fails to pay the insurance premium, etc., the Corporation may determine a time period and demand payment.

(2) When a demand is being made under the provisions of 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) When a person who receives the demand referred to in paragraph (1) fails to pay the insurance premium, etc. by the deadline for payment, the Corporation may collect it in accordance with the examples of disposition of the national tax in arrears, after obtaining approval of the Minister of Health and Welfare

(4) When the Corporation determines that an asset that is seized in accordance with the example of disposition on the national tax in arrears as referred to in paragraph (3) is not appropriate to be auctioned off directly by it because expert knowledge is necessary for the auction or because of other special circumstances, the Corporation may have the Korea Assets Management Corporation which was established under the provisions of the Act on the Efficient Disposal of Insolvent Assets, etc. of Financial Institutions and the Establishment of Korea Assets Management Corporation conduct the auction for the Corporation, and the auction in such a case shall be considered

Article 70

to have been conducted by the Corporation. <Amended by Act No. 6073, Dec. 31, 1999>

(5) If the Korea Assets Management Corporation conducts an auctionfor the Corporation under the provisions of paragraph (4), the Corporation may pay a fee pursuant to the provisions of the Ordinance of the Ministry of Health and Welfare. <Amended by Act No. 6073, Dec. 31, 1999>

Article 71 (Additional Charge)

(1) When 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 an additional charge equivalent to five hundredths of the insurance premium, etc. in arrears since the date of expiration of the payment period.

(2) When a person who has a responsibility to pay an insurance premium, etc. fails to make payment of the insurance premium, etc. in arrears within three months after the expiration of the payment period, the Corporation shall add another additional charge equivalent to five hundredths of the insurance premium, etc. in arrears since expiration of the three monthsto the additional charge referred to in paragraph (1) and collect both.

(3) When a person who has a responsibility to pay an insurance premium, etc. fails to make payment of the insurance premium, etc. in arrears within six months after the expiration of the payment period, the Corporation shall add another additional charge equivalent to five hundredths of the insurance premium, etc. in

Article 71

arrears since expiration of the six monthsto the additional charges referred to in paragraphs (1) and (2) and collect all of them.

(4) If there has been a force majeure or another unavoidable circumstance determined by the Ordinance of the Ministry Health and Welfare, collection of the additional charges referred to paragraphs (1) through (3) may be forgone, notwithstanding the provisions of paragraphs (1) through (3).

Article 72 (Disposition as Loss)

(1) When there is a circumstance that falls under one of the following subparagraphs, the Corporation may dispose of insurance premiums, etc. as loss after obtaining a resolution of the financial operation committee:

1. A case 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;

2. A case where the statute of limitations for the claim concerned has run out; or

3. A case determined by the Presidential Decree where the possibility of collection is recognized to not exist.

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

Article 72

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

Insurance premium, etc. shall be collected before other claims except for national taxes and local taxes: Provided, That this shall not apply tothe claims that are secured by a lease on a deposit basis, the right of pledge or a mortgage if 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 premium, etc. is proved.

Article 74 (Notice to Pay Insurance Premium, etc.)

When the Corporation intends to collect an insurance premium, it shall determine the amount thereof and give to the person who has a responsibility to pay a notice to pay by a writing that states the details referred to in the following subparagraphs:

1. Category of the insurance premium, etc. to be collected;

2. Amount to be paid; and

3. Deadline for and place of payment.

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

(1) When a part of

Article 73 ~ 75

the amount paid as insurance premium, additional charge or default disposition charge by a person who has a responsibility to pay is paid in mistake, the Corporation shall immediately determine the excess payment or the mistaken payment to be an insurance premium refund.

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

CHAPTER Ⅶ FORMAL OBJECTION AND REQUEST FOR REVIEW, ETC.

Article 76 (Application of 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 dependent may formally raise the objection to the Corporation.

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

Article 76

(3) The formal objections referred to in paragraphs (1) and (2) shall be made in writing within ninety days after the date of the decision: Provided, That this shall not apply when an explanation is made that the formal objection could not be raised due to a legitimate reason.

(4) Matters necessary with regard to the decision on a formal objection, notice of the decision, etc. shall be prescribed by the Presidential Decree.

Article 77 (Request for Review)

(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 (hereinafter referred to as the “Dispute Mediation Committee”) for a review. In such a case, provisions of Article 76 (3) shall apply mutatis mutandis with regard to the request for review.

(2) The Dispute Mediation Committee shall be under the command ofthe Minister of Health and Welfare.

(3) The Dispute Mediation Committee shall be composed of no more than twenty members who are appointed or commissioned by the Minister of Health and Welfare from among persons with extensive knowledge onand experience in the health-insurance-related legal or medical fields.

(4) Matters necessary with regard to the decision on a request for review, notice of the decision, and organization and operation of the

Article 77

Disput Mdiation Committ shall b prscribd by th Prsidential Decree.

Article 78 (Administrative Litigation)

A person who has an objection to a decision of the Corporation or the Review Board or a person who protests against the decision on a formal objection referred to in Article 76 or a request for review referred to in Article 77 may institute an administrative litigation pursuant to the provisions of the Administrative Litigation Act.

CHAPTER Ⅷ SUPPLEMENTARY PROVISIONS

Article 79 (Prescription)

(1) The rights referred to in the following subparagraphs shall be barred by prescription if not exercised for three years:

1. The right to collect an insurance premium (including additional charge on an insurance premium) or to receive an insurance premium refund;

2. The right to receive an insurance benefit;

3. The right to receive the cost of an insurance benefit; and

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

(2) The prescription

Article 78 ~ 79

referred to in paragraph (1) shall be interruptedby the occurrence of one of the events referred to in the following subparagraphs:

1. Notice of or demand for insurance premium; or

2. Claim for insurance benefit or insurance benefit cost.

(3) Except for the matters prescribed in this Act, the extinctive prescription and interruption of prescription referred to in paragraphs (1) and (2) shall be in accordance with the provisions of the Civil Act.

Article 80 (Calculation of Time Period)

Except as otherwise provided by this Act, provisions of the Civil Act that are relevant to time periods shall apply mutatis mutandis for calculation of the time periods prescribed by this Act or by the orders referred to in this Act.

Article 81 (Protection of Rights and Interests of Workers)

An employer who employs the workers referred to in Article 6 (2) 1 may not prevent those employed workers from becoming employment provided policyholders as referred to in 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 born by the employer in question and without any reasonable ground therefor.

Article 82 (Reporting, etc.)

Article 80 ~ 82

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

(3) In such a case as one referred to in paragraph (2), the Corporation employees shall be in possession of a certificate that indicates their authority and show it to relevant persons.

Article 83 (Furnishing of Materials)

(1) The Corporation and the Review Board may request the state, local governments, medical care institutions, and other public organizations to furnish the materials that are necessary for the health insurance program.

(2) The state, a local government, medical care institution, or other public organization that receives the request to furnish materials under the provisions of paragraph (1) shall sincerely comply therewith.

Article 84 (Report and Inspection)

(1) The Minister

Article 83 ~ 84

of Health and Welfae may ode an employe o the head of a household to report or submit materials on an policyholder’s moving, remunerations, incomes and other necessary matters or require public officials under his charge to question relevant persons or inspect relevant documents.

(2) The Minister of Health and Welfare may require a medical care institution (including any medical care institution that has provided medicalcare under the provisions of 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 charge to question the relevant personnel or inspect the relevant documents.

(3) The Minister of Health and Welfare 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 charge to question the person.

(4) In such cases as those referred to in paragraphs (1) through (3), the public officials under the Ministry of Health and Welfare shall be in possession of a certificate that shows their authority and show it to relevant persons.

Article 85 (Penalty Surcharge, etc.)

(1) When a medical care institution falls under one of the following subparagraphs, the Minister of Health and Welfare may determine a time period within the limit of one year and order the medical care institution to suspend its operation:

Article 85

1. When it places the burden of the cost of a medical care benefit on the insurer, a policyholder, or a dependent by deceit or other illegitimate methods; or

2. When it violates the order referred to in Article 84 (2), makes a false report, or refuses, obstructs or evades an inspection or questioning by the public officials under the charge of the Ministry of Health and Welfare.

(2) In a case where a medical care institution is subject to the order of suspension of operation by falling under paragraph (1) 1, when the Minister of Health and Welfare determines that the order of suspension of operation causes serious inconvenience to the persons whouse the medical care institution in question, or that there exist other special circumstances, the Minister of Health and Welfare may assessand collect a penalty surcharge in the amount not exceeding five times of the amount that was born due to deceit or other illegitimate methods in lieu of the order of suspension of operation. In such a case, the amount of penalty surcharge on the basis of the category and degree of the violating conduct that is subject to assessment of a penalty surcharge and other necessary matters shall be prescribed by the Presidential Decree.

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

Article 85

(4) Penalty surcharges collected under the provisions of paragraph (2) shall not be put to uses other than those referred to in the following subparagraphs:

1. Support for funds necessary for medical care benefit costs paid bythe insurer under the provisions of the main sentence of Article 43 (3);

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

(5) Sizes of support from penalty surcharges referred to in paragraph (4) for different uses, procedure of their use, and other necessary matters shall be prescribed by the Presidential Decree.

(6) When a person who shall pay a penalty surcharge as referred to in paragraph (2) fails to make the payment by the payment deadline, itshall be collected in accordance with the examples of disposition on the national tax in arrears.

Article 86 (Keeping Secret)

A person who had been engaged in the operations of the Corporation or the Review Board or a person who is so engaged presently shall not disclose any secrets that he has acquired ex officio.

Article 87 (Supervision of Corporation, etc.)

The Minister of

Article 86 ~ 87

Health and Welare may take measures that are necessary or supervision of the Corporation and the Review Board, such as an order to report on their programs or an order to modify the articles of incorporation or regulations or to take other necessary actions after inspecting the conditions of their programs and assets.

Article 88 (Assignment and Entrustment of Authority)

(1) The authority of the Minister of Health and Welfare referred to in this Act may be assigned in part to the Special Metropolitan City Mayor, Metropolitan City Mayors, or Do governors under the conditions as prescribed by the Presidential Decree.

(2) The authority of the Minister of Health and Welfare referred to in Article 84 (2) may be entrusted to the Corporation or the Review Board under the conditions as prescribed by the Presidential Decree.

Article 89 (Delegation of Operations)

(1) The Corporation may delegate its operations relevant to receipt of insurance premiums, payment of insurance benefit costs or verification of payment of insurance premiums to postal service agencies or financial institutions under the conditions as prescribed by the Presidential Decree.

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

Article 88 ~ 89

psons.

(3) The scope of the operations that the Corporation may delegate under the provisions of paragraph (2) and of the persons to whom they may be delegated shall be prescribed by the Ordinance of the Ministry of Health and Welfare.

Article 90 (Disposal of Small Sum)

If an amount to be collected or an amount to be returned is less than two thousand won per case (excluding the individual co-payment refunds which may be disposed by offsetting under the provisions of 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 as referred to in the National Treasury Fractional Calculation Act shall not be included in the calculation.

Article 92 (State’s Share)

Out of its annual budget, the state my bear expenses needed by the Corporation for the operation of the national health insurance program.

Article 93 (Special Case for Foreigner, etc.)

(1) The government may arrange for a separate health insurance for the workers

Article 90 ~ 93

at a work place where a foreign government is the employer in consultation with the foreign government.

(2) Under the conditions as prescribed by the Ordinance of the Ministry of Health and Welfare, foreigners and overseas Korean nationals determined by the Presidential Decree may become policyholders who are subject to the application of this Act upon their personal request.

CHAPTER Ⅸ PENAL PROVISIONS

Article 94 (Penal Provisions)

An employer who violates the provisions of Article 81 or a person who violates the provisions of Article 86 shall be punished by imprisonment for no more than one year or a fine of no more than ten million won.

Article 95 (Penal Provisions)

A person who fails to report or submit documents, a person who makes a false report or submits false documents, or a person who refuses, obstructs or evades inspection or questioning in violation of the provisionsof Article 84 (2) shall be punished by a fine of no more than ten million won.

Article 96 (Penal Provisions)

A person who violates the provisions of Article 40 (4) or the former sentence of Article 44 (2) shall be punished by a fine of no more than five million won.

Article 94 ~ 96

Article 97 (Joint Penal Provisions)

When the representative of a corporation or an agent, employee or other employed person of a corporation or an individual commits an offense referred to in Articles 94 through 96 in connection with the duties of the said corporation or individual, in addition to punishing the offender, the said corporation or individual shall also be subject to the punishmentby fine as referred to in each applicable Article.

Article 98 (Fine for Negligence)

(1) When a policyholder or his dependent, or a person who was formerly a policyholder or his dependent, receives an insurance benefit by using a document that proves his eligibility after losing that eligibility, he shall be punished by a fine for negligence of no more than the amount equivalent to the said benefit.

(2) When a person who is eligible to receive insurance benefits effects another person’s receipt of an insurance benefit by deceit or other illegitimate methods, he shall be punished by a fine for negligence of no more than the amount equivalent to the said insurance benefit. The same shall apply to a person who receives an insurance benefit by same method.

Article 99 (Fine for Negligence)

A person who falls under one of the following subparagraphs shall bepunished by a fine for negligence of no more than one million won:

Article 97 ~ 99

1. A person who violates an order referred to in Article 87; or

2. A person who fails to submit documents, state his opinions, or make a declaration or report or a person who makes false statements, declaration or report or refuses, obstructs or evades investigation or inspection without a justifiable ground therefor and in violation ofthe provisions of Article 82 (1) and (2) or 84 (1) and (3).

Article 100 (Procedure 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 and Welfare under the conditions as prescribed by the Presidential Decree.

(2) A person who protests against the disposition by fine for negligence referred to in paragraph (1) may raise a formal objection to the Minister of Health and Welfare within thirty days after he receives the notice of such disposition.

(3) When a person who is subject to the disposition by a fine for negligence as referred to in paragraph (1) raises a formal objection under the provisions of paragraph (2), the Minister of Health and Welfare shall without any delay notify the competent court of this fact, and the competent court so notified shall hold

Article 100

a trial of negligence fine as referred to in the Non-Contentious Case Litigation Procedure Act.

(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 examples of disposition on the national tax in arrears

ADDENDA

Article 1 (Enforcement Date)

This Act shall enter into force on July 1, 2000: Provided, That Article 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 timewhen 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

Addenda

prvious National Halth Insuranc Corporation shall b considered 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

Addenda

that are necessary for preparations for enforcement of this 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 Actor National Medical Insurance Act at the time when this Act entersinto 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 consideredto 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 theone 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 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 Corporationshall keep the accounting for the financial affairs related with the employment provided policyholders and those related with

Addenda

the locally provided policyholders (excluding the financial affairs necessitated by management and operation of the Corporation) separately from each other until December 31, 2001.

(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 affairsrelated 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 (Special Case for Insurance Premiums for Locally Provided Policyholders)

Notwithstanding the provisions of Article 62 (4), Article 64, Article 66 (2) and Article 2 of the addenda, insurance premiums for locally provided policyholders shall be calculated under the provisions of Article 4 subparagraph 8, Article 47 (3) and Article 51 of the previous National Medical Insurance Act for the length of the time period during which accounting of financial affairs for different groups of policyholders is kept separately under the provisions of Article 10 (1) of the addenda. In this case, “locally insured person” and “insured person” shall be considered as “locally provided policyholder”

Addenda

and “policyholder,” respectively.

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

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

(1) Notwithstanding the provisions of Article 65 (1), insurance premiumrates 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. 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 premiumrates 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)

Addenda

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 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)

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 ofthe 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

Addenda

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 provisionsof this Act shall be considered to have been cited in lieu of the previous provisions.

(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 statutesat 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

Addenda

of individual co-p for which extinctive prescription has occurredbefore 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 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>

Addenda

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>

Article 1 (Enforcement Date)

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

Articles 2 through 6 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