National Health Insurance Premiums and National Pension Contributions Before and After Delivery

From January 2024 onward, if a household enrolled in National Health Insurance has an insured person who is expected to give birth or has given birth, the per-income and per-capita portions of the premium attributable to that insured person will be fully reduced, thereby lowering the household’s insurance premiums.
Eligibility: Those enrolled in National Health Insurance whose expected delivery date (or actual delivery date) is November 2023 or later.
Reduction period: 4 months from the month before the expected/actual date of delivery
(for multiple births, it will be 6 months from 3 months before the month of expected/actual date of delivery).
Necessary documents: Documents that show the National Health Insurance code and number, documents that can confirm the applicant’s personal identity*2, and a document that can confirm the expected/actual date of delivery, such as the Maternal and Child Health Handbook.
Notification*3:From six months before the expected delivery date, apply in person at the Health Insurance and Pension Division of the ward office or via the Sakai City e-application system.

*1 Any pregnancy lasting 85 days or more (approx. 4 months), including cases such as premature delivery, stillbirth, or miscarriage.
*2 Passport, driver’s license, or My Number Card, as well as other licenses issued by government agencies (limited to those with the holder’s photo attached).
*3 A power of attorney is needed if a person outside of the household comes to the ward office.

Payment of contributions to the National Pension before and after giving birth will be exempted upon notification. The exemption period will be counted toward your basic pension benefits, and you can still make additional contributions if you wish.　
Eligibility: Primary insured person whose date of delivery is February 1st, 2019 or later.
Exemption period: 4 months from the month before the expected/actual date of delivery
(for multiple births, it will be 6 months from 3 months before the month of expected/actual date of delivery). However, it is limited to the period of April 2019 and after.
Necessary documents: Documents that can confirm the applicant’s personal identity*2, and a document that can confirm the expected/actual date of delivery, such as the Maternal and Child Health Handbook.
Notification*3: From 6 months before the expected delivery date, submit directly to the Health Insurance and Pension Division at the ward office, by mail, or via online application through the Mynaportal application system.

*1 Any pregnancy lasting 85 days or more (approx. 4 months), including cases such as premature delivery, stillbirth, or miscarriage.
*2 Passport, driver’s license, or My Number Card, as well as other licenses issued by government agencies (limited to those with the holder’s photo attached).
*3 A power of attorney is needed if a person outside of the household comes to the ward office.