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tw-nhi.md345 lines13.4 KB
v10Taiwan
Not yet verified by an accountantContact accountant
1---
2name: tw-nhi
3description: >
4 Use this skill whenever asked about Taiwan National Health Insurance (NHI) contributions. Trigger on phrases like "NHI Taiwan", "健保", "全民健康保險", "健保費", "supplementary premium", "補充保費", "NHI self-employed", "health insurance Taiwan", "NHIA", "衛生福利部中央健康保險署", or any question about computing, paying, or understanding NHI premiums for self-employed individuals in Taiwan. This skill covers the general premium rate, supplementary premium, insured payroll categories, and payment obligations. ALWAYS read this skill before advising on Taiwan NHI.
5version: 1.0
6jurisdiction: TW
7tax_year: 2025
8category: international
9depends_on:
10 - tw-income-tax
11verified_by: pending
12---
13 
14# Taiwan National Health Insurance (NHI) -- Skill v1.0
15 
16---
17 
18## Section 1 -- Quick Reference
19 
20| Field | Value |
21|---|---|
22| Country | Taiwan (Republic of China / 中華民國) |
23| System | National Health Insurance (全民健康保險 / NHI) |
24| Currency | TWD / NTD (New Taiwan Dollar) only |
25| Governing legislation | National Health Insurance Act (全民健康保險法) |
26| Regulator | National Health Insurance Administration (NHIA / 衛生福利部中央健康保險署) |
27| Portal | nhi.gov.tw |
28| General premium rate | 5.17% (since January 1, 2021) |
29| Supplementary premium rate | 2.11% (since January 1, 2021) |
30| Validated by | Pending — requires sign-off by a Taiwan CPA or labour law practitioner |
31| Skill version | 1.0 |
32 
33### Core Contribution Parameters (2025)
34 
35| Parameter | Value |
36|---|---|
37| General premium rate (一般保險費率) | 5.17% |
38| Supplementary premium rate (補充保險費率) | 2.11% |
39| Average number of dependants factor | 0.56 (as of 2025) |
40| Minimum insured payroll | NT$28,590 (aligned with minimum wage 2025) |
41| Maximum insured payroll | NT$219,500 (Grade 61, highest tier) |
42| Self-employed contribution ratio | 100% (insured bears full premium) |
43| Employee contribution ratio | 30% (employer 60%, government 10%) |
44 
45### Insured Categories Relevant to Self-Employed
46 
47| Category | Who | Premium Split |
48|---|---|---|
49| Category 1-2 | Employers, self-employed, professionals practising independently | Insured 100%, Government 0% |
50| Category 1-3 | Employees of ≥5 person firms | Insured 30%, Employer 60%, Gov 10% |
51| Category 2 | Members of occupational unions without specific employer | Insured 60%, Government 40% |
52| Category 3 | Farmers, fishermen | Insured 30%, Government 70% |
53| Category 6 | Veterans, low-income, others | Various (mostly government-subsidised) |
54 
55### Conservative Defaults
56 
57| Ambiguity | Default |
58|---|---|
59| Unknown insured category | Check registration status at NHIA |
60| Unknown insured payroll | Use minimum (NT$28,590) until confirmed |
61| Unknown number of dependants | Assume 0 dependants until confirmed |
62| Self-employed vs union member | Self-employed if registered business; union if no specific employer |
63| Unknown supplementary premium liability | Flag for verification |
64 
65---
66 
67## Section 2 -- General Premium (一般保險費)
68 
69### 2.1 Premium Formula
70 
71**For employees (Category 1-3):**
72```
73Monthly premium = Insured payroll × 5.17% × (1 + dependants) × contribution ratio
74 
75Where:
76- Contribution ratio for employee = 30%
77- Dependants: up to 3 can be registered under one insured person
78```
79 
80**For self-employed / employers (Category 1-2):**
81```
82Monthly premium = Insured payroll × 5.17% × (1 + dependants) × 100%
83 
84Self-employed pays the FULL premium (no employer/government share).
85```
86 
87**For union members (Category 2):**
88```
89Monthly premium = Insured payroll × 5.17% × (1 + dependants) × 60%
90Government subsidises 40%.
91```
92 
93### 2.2 Insured Payroll Bracket Table (Selected Tiers, 2025)
94 
95| Grade | Monthly Insured Payroll (NT$) | Self-Employed Premium (0 dependants) | Self-Employed Premium (1 dependant) |
96|---|---|---|---|
97| 1 | 28,590 | 1,478 | 2,956 |
98| 6 | 33,300 | 1,722 | 3,444 |
99| 7 | 34,800 | 1,799 | 3,598 |
100| 8 | 36,300 | 1,877 | 3,754 |
101| 10 | 40,100 | 2,073 | 4,146 |
102| 15 | 50,600 | 2,616 | 5,232 |
103| 20 | 60,800 | 3,143 | 6,286 |
104| 25 | 72,800 | 3,764 | 7,528 |
105| 30 | 87,600 | 4,529 | 9,058 |
106| 40 | 115,500 | 5,971 | 11,942 |
107| 50 | 150,000 | 7,755 | 15,510 |
108| 61 | 219,500 | 11,348 | 22,696 |
109 
110*Premium = Insured Payroll × 5.17% × (1 + number of dependants). Rounded to nearest NT$.*
111 
112### 2.3 Rules for Self-Employed Payroll Declaration
113 
114| Rule | Detail |
115|---|---|
116| Minimum declaration | Must declare at least NT$28,590 (minimum wage 2025) |
117| If employer with ≥5 employees | Must declare at highest tier or prove lower income |
118| If employer with <5 employees | Must declare at least the average of Category 1-3 members (NT$38,200 from Jan 2024) |
119| Professionals (lawyers, CPAs, doctors, architects) with ≥5 employees | Must declare at maximum tier (NT$219,500) unless proven lower |
120| Professionals with <5 employees or no employees | May self-certify; minimum = average (NT$38,200) |
121| Freelancers without employees (小專技) | Minimum = Grade 6 (NT$33,300) |
122 
123---
124 
125## Section 3 -- Supplementary Premium (補充保險費)
126 
127### 3.1 What Triggers Supplementary Premium
128 
129The supplementary premium (2.11%) applies to certain types of income exceeding thresholds, paid as a separate deduction at source.
130 
131| Income Type | Trigger Threshold | Rate | Payer |
132|---|---|---|---|
133| Bonus (exceeding 4× monthly insured payroll) | >4× monthly insured payroll in single payment | 2.11% on excess | Employer deducts |
134| Part-time salary (non-primary employment) | Single payment ≥NT$28,590 | 2.11% | Employer deducts |
135| Professional practice income (執行業務收入) | Single payment ≥NT$28,590 | 2.11% | Payer deducts |
136| Dividends (股利所得) | Single payment ≥NT$28,590 | 2.11% | Payer deducts |
137| Interest income (利息所得) | Single payment ≥NT$28,590 | 2.11% | Bank deducts |
138| Rental income (租金收入) | Single payment ≥NT$28,590 | 2.11% | Tenant/payer deducts |
139 
140### 3.2 Supplementary Premium Caps
141 
142| Limit | Amount |
143|---|---|
144| Maximum per single payment | NT$10,000,000 (supplementary premium capped at this) |
145| Maximum supplementary premium per payment | NT$211,000 (2.11% × NT$10,000,000) |
146 
147### 3.3 Exemptions from Supplementary Premium
148 
149| Situation | Exempt? |
150|---|---|
151| Self-employed person's own professional income already included in insured payroll | YES |
152| Dividend income of those in government-subsidised categories (Category 5, 6) | YES |
153| Interest income below NT$28,590 per single payment | YES (below threshold) |
154| Salary from primary employer | YES (covered by general premium) |
155| Retirement pension / severance | YES |
156| Income of low/middle-income households | YES |
157 
158### 3.4 Supplementary Premium Computation Example
159 
160Freelancer receives a single payment of NT$100,000 from a client for professional services:
161 
162```
163Supplementary premium = NT$100,000 × 2.11% = NT$2,110
164Client deducts NT$2,110 and remits to NHIA.
165Freelancer receives NT$97,890.
166```
167 
168---
169 
170## Section 4 -- Registration and Payment
171 
172### 4.1 Registration for Self-Employed
173 
174| Scenario | Where to Register |
175|---|---|
176| Registered business with employees | Through the business's group insurance applicant (投保單位) |
177| Sole proprietor / freelancer with business registration | Through local area office or professional association (公會) |
178| Professional practitioner (lawyer, CPA, doctor) | Through respective professional association |
179| No business registration / informal | Through occupational union (職業工會) -- Category 2 |
180| Unemployed / between jobs | Through local township office (公所) or via dependent registration |
181 
182### 4.2 Payment Methods
183 
184| Method | Detail |
185|---|---|
186| Bank auto-debit (轉帳代繳) | Monthly automatic deduction from bank account |
187| Convenience store (便利商店) | 7-Eleven, FamilyMart, Hi-Life, OK mart |
188| Post office | Over-the-counter or ATM |
189| Online banking | Through bank's bill payment system |
190| NHIA mobile app | NHI Express (全民健保快易通) |
191| Credit card | Set up periodic payment |
192| Telecom billing | Add to phone bill (limited) |
193 
194### 4.3 Payment Schedule
195 
196| Type | Frequency | Due Date |
197|---|---|---|
198| General premium (self-employed) | Monthly | By the last day of the following month |
199| General premium (employee) | Monthly | Employer remits by the last day of the following month |
200| Supplementary premium | At source | Payer remits by the last day of the month following payment |
201 
202### 4.4 Late Payment
203 
204| Item | Penalty |
205|---|---|
206| Late general premium | 0.1% per day overdue (滯納金), max 15% of premium owed |
207| Non-payment >2 months | Benefits suspended (card locked); resume upon payment of arrears |
208| After benefits suspended | May still seek emergency care; full premium arrears required for reinstatement |
209 
210---
211 
212## Section 5 -- Tax Deductibility
213 
214### 5.1 Income Tax Deduction for NHI Premiums
215 
216| Rule | Detail |
217|---|---|
218| NHI general premiums | Fully deductible under itemised deductions (NO cap) |
219| Other insurance premiums | Capped at NT$24,000 per person per year |
220| Supplementary premium paid | Deductible as business expense (if professional income) |
221| NHI premiums as business expense | NOT allowed -- personal deduction only |
222 
223### 5.2 How to Claim
224 
225- If choosing itemised deductions: NHI premiums are listed separately (no cap)
226- If choosing standard deduction: NHI premiums are NOT additionally claimed
227- eFiling system pre-fills NHI premium data from NHIA records
228- Self-employed: include in personal tax return under itemised deductions
229 
230---
231 
232## Section 6 -- Computation Examples
233 
234### Example 1 -- Self-Employed Freelancer, No Dependants
235 
236| Item | Value |
237|---|---|
238| Declared insured payroll | NT$45,800 (Grade 12) |
239| Rate | 5.17% |
240| Dependants | 0 |
241| Contribution ratio | 100% |
242| Monthly premium | NT$45,800 × 5.17% × 1 = **NT$2,368** |
243| Annual premium | NT$2,368 × 12 = **NT$28,416** |
244 
245### Example 2 -- Self-Employed with Spouse and 1 Child
246 
247| Item | Value |
248|---|---|
249| Declared insured payroll | NT$60,800 (Grade 20) |
250| Rate | 5.17% |
251| Dependants | 2 (spouse + child) |
252| Contribution ratio | 100% |
253| Monthly premium | NT$60,800 × 5.17% × 3 = **NT$9,430** |
254| Annual premium | NT$9,430 × 12 = **NT$113,160** |
255 
256### Example 3 -- Supplementary Premium on Dividends
257 
258| Item | Value |
259|---|---|
260| Dividend payment received | NT$500,000 |
261| Rate | 2.11% |
262| Supplementary premium | NT$500,000 × 2.11% = **NT$10,550** |
263| Deducted at source by company | NT$10,550 |
264| Net dividend received | NT$489,450 |
265 
266### Example 4 -- Employee (for Comparison)
267 
268| Item | Value |
269|---|---|
270| Monthly salary | NT$60,800 (Grade 20) |
271| Rate | 5.17% |
272| Dependants | 1 |
273| Employee share (30%) | NT$60,800 × 5.17% × 2 × 30% = **NT$1,886** |
274| Employer share (60%) | NT$60,800 × 5.17% × 2 × 60% = **NT$3,771** |
275| Government share (10%) | NT$60,800 × 5.17% × 2 × 10% = **NT$629** |
276 
277---
278 
279## Section 7 -- Edge Cases
280 
281### 7.1 Dual Status (Employee + Self-Employed)
282 
283- Must register under primary status (usually higher-income activity)
284- Cannot be double-insured
285- If employed AND running a business: insured through employment (Category 1-3)
286- Supplementary premium still applies on non-primary income (e.g., side business, dividends)
287 
288### 7.2 New Business Registration
289 
290- Must register with NHIA within 30 days of starting business
291- If previously insured via employer, transfer is automatic upon employer reporting cessation
292- Gap in coverage: premiums still owed (mandatory universal coverage, no opt-out)
293 
294### 7.3 Overseas Residence
295 
296| Rule | Detail |
297|---|---|
298| Leaving Taiwan >6 months | May apply to suspend NHI (停保) |
299| Returning from suspension | 3-month waiting period before reinstatement (or pay arrears for gap) |
300| Re-entry within 6 months of suspension | Must resume NHI from re-entry date |
301| Permanent departure | Cancel NHI registration; rejoin upon return to Taiwan |
302 
303### 7.4 Dependant Registration
304 
305- Up to 3 dependants can be registered under one insured person
306- If >3 dependants, the 4th+ must register under another insured family member
307- Dependants include: spouse, lineal ascendants/descendants, siblings under certain conditions
308- Each additional dependant multiplies the premium (dependant factor)
309 
310### 7.5 Maximum Premium Cap
311 
312For self-employed at highest tier with 3 dependants:
313- NT$219,500 × 5.17% × 4 = NT$45,393/month
314- Annual: NT$544,716
315 
316This represents the absolute maximum NHI premium obligation.
317 
318---
319 
320## Section 8 -- Reference Material
321 
322| Topic | Reference |
323|---|---|
324| NHI Act | 全民健康保險法 (National Health Insurance Act) |
325| Premium rate (5.17%) | NHI Act Art. 18; Executive Yuan announcement (effective 2021.01.01) |
326| Supplementary premium (2.11%) | NHI Act Art. 31 |
327| Insured payroll brackets | 全民健康保險投保金額分級表 (NHIA announcement) |
328| Category definitions | NHI Act Art. 10 |
329| Contribution ratios | NHI Act Art. 27 |
330| Supplementary premium items | NHI Act Art. 31, Supplementary Premium Regulations |
331| Tax deductibility | Income Tax Act Art. 17 (itemised deductions) |
332| Late payment | NHI Act Art. 35 |
333| Suspension (停保) | NHI Act Art. 22 |
334| NHIA official site | nhi.gov.tw |
335| NHI Express app | Available on iOS/Android |
336| Premium calculator | nhi.gov.tw premium calculator tool |
337 
338---
339 
340## Disclaimer
341 
342This skill and its outputs are provided for informational and computational purposes only and do not constitute tax, legal, or financial advice. Open Accountants and its contributors accept no liability for any errors, omissions, or outcomes arising from the use of this skill. All outputs must be reviewed and signed off by a qualified professional (such as a Taiwan CPA (會計師), labour law practitioner, or equivalent licensed practitioner in your jurisdiction) before filing or acting upon.
343 
344The most up-to-date, verified version of this skill is maintained at [openaccountants.com](https://openaccountants.com). Log in to access the latest version, request a professional review from a licensed accountant, and track updates as tax law changes.
345 

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Use this skill whenever asked about Taiwan National Health Insurance (NHI) contributions. Trigger on phrases like "NHI Taiwan", "健保", "全民健康保險", "健保費", "supplementary premium", "補充保費", "NHI self-employed", "health insurance Taiwan", "NHIA", "衛生福利部中央健康保險署", or any question about computing, paying, or understanding NHI premiums for self-employed individuals in Taiwan. This skill covers the general premium rate, supplementary premium, insured payroll categories, and payment obligations. ALWAYS read this skill before advising on Taiwan NHI.

TWty-2025

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