Exemption of National Health Insurance Tax for the Prenatal and Postnatal Period

If a National Health Insurance insured person gives birth, the National Health Insurance Tax for the period before and after childbirth will be exempted.

Eligible Individuals

National Health Insurance beneficiaries whose date of childbirth is on or after November 1, 2023

Application Method

• Notification of Insurance Tax Reduction for the Prenatal and Postnatal Period (PDF 128.1KB)
• Notification of Insurance Tax Reduction Related to the Prenatal and Postnatal Period (Excel 55.5KB)

Please fill out the above Application Form and send it to the National Health Insurance Section.
You can submit your notification from six months before the expected date of delivery. Notifications after childbirth are also possible.
Note: If you are submitting the notification before childbirth, please enclose a copy of a document that indicates the expected date of delivery (such as the Maternal and Child Health Handbook).

Destination

Postal Code 206-8601
2111 Higashi-Naganuma, Inagi City, Tokyo
To: National Health Insurance Section, Insurance and Pension Division, Department of Citizen Affairs, Inagi City Hall

Methods for Exemption from National Health Insurance Tax

The amount of the income portion and the flat-rate portion of the insurance tax to be paid for that fiscal year will be reduced by the equivalent amount for the period from the month before the expected month of childbirth (or the month of childbirth) to the month after the expected month of childbirth (or the month of childbirth) (hereinafter referred to as the "pre- and post-natal period").

Eligible Individuals	3 months ago	2 months ago	1 month ago	Expected Month of Birth	1 month later	2 months later	3 months later
Single Birth	-	-	O	O	O	O	-
Multiple Births	O	O	O	O	O	O	-

• Note: The income-based insurance tax and the flat-rate insurance tax for the period equivalent to the maternity leave will be reduced from the annual amount.
• Note: In the case of a single pregnancy, the amount will be reduced by the equivalent of 4 months starting from the month before the expected delivery month (or the month of delivery). In the case of a multiple pregnancy, the amount will be reduced by the equivalent of 6 months starting from 3 months before the expected delivery month (or the month of delivery).

In the fiscal year 2023, the insurance tax will be reduced for the period after January 2024 during the prenatal and postnatal period.

August 2023	September	October	November: Birth Month	December	January 2024	February
-	-	-	-	-	O	-

Note: If you give birth in November of the 5th year of Reiwa, the insurance tax for January of the 6th year of Reiwa will be reduced. Periods prior to January of the 6th year of Reiwa are not eligible for reduction. (This is because the relevant laws and ordinances will be enforced from January 1st of the 6th year of Reiwa.)

If the insurance tax is reduced, any overpaid insurance tax will be refunded.