City News Shinagawa



National Health Insurance Premiums for FY2010 Have Been Determined
Inquiries: National Health Insurance and Pension Section, Tel: 5742-6676

National Health Insurance premiums for April 2010 through March 2011 are the sum of the basic portion (for medical treatment), latter-term elderly support portion, and Nursing Care Insurance premiums (for those between 40 and 64 years of age) and are to be paid by the head of the household. The per capita amount and insurance premium rates for income-based amounts are determined based on the amount of medical benefits covering medical expenses, the support portion for latter-term elderly medical insurance, premiums paid by Type 2 members of Nursing Care Insurance, and other factors.

Annual Insurance Premium for a Household = (1) Basic Portion (for Medical Treatment) + (2) Latter-Term Elderly Support Portion + (3) Nursing Care Insurance Premiums

●Calculation Procedures
(1) Basic portion (for medical treatment)
Maximum ceiling:¥500,000
= Income-based amount Annual resident’s tax of all household insurance members × 0.80 + Per-capita amount ¥31,200 × No. of insurance members in the household
(2)Latter-term elderly support portion
Maximum ceiling: ¥130,000
= Income-based amount Annual resident’s tax of all household insurance members × 0.23 + Per-capita amount ¥8,700 × No. of insurance members in the household
(3) Nursing Care Insurance premiums
Maximum ceiling: ¥100,000
= Income-based amount Annual resident’s tax of all household insurance members between 40 and 64 years of age × 0.21 + Per-capita amount ¥12,000 × No. of insurance members in the household between 40 and 64 years of age


FY2010 Payment Months and Calculation Period

The premiums for the year will be divided into 10 installments to be paid from June through March. No payments are to be made in April or May.

Mailed in mid-June (already sent): Notification of the amount of premiums and five invoices (for June through October payments)
Mailed in mid-November: Five invoices (for November through March payments)
Note: The number of invoices enclosed with the notification varies, depending on the amount of premiums and the payment status. Those who pay by automatic debit from their financial accounts will be sent notifications of the amount of premiums only.
  • If you have not completed a Resident’s Tax Report, please do so for the municipality in which you resided as of January 1. Insurance premiums cannot be reduced even if the incomes of all household members are low, unless each and every member of the household files a Resident’s Tax Report.
  • If you moved into Shinagawa City on or after January 2, the City Office will contact the government of the municipality where you lived previously about your resident’s tax. At first, you will be notified of the per capita amount only. Once your resident’s tax has been determined, you will then be sent a notification of adjusted premiums.
  • If the head of the household is between 65 and 74 years of age and all of the following conditions apply, then insurance premiums will be collected by special collection, i.e., by being deducted from his/her pension, except for those who pay by automatic debit from their financial accounts.
    (1) If the head of the household is a National Health Insurance member
    (2) If all the National Health Insurance members in the household are between 65 and 74 years of age
    (3) If the annual pension amount that is eligible for special collection is ¥180,000 or more and the sum of National Health Insurance premiums and Nursing Care Insurance premiums does not exceed half of the pension amount



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Shinagawa City Office. 2-1-36, Hiromachi, Shinagawa-ku, Tokyo 140-8715
Tel. 03-3777-1111