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Nearly Half of Japan’s Employer Health Insurers Seen in Deficit as Federation Returns to Surplus

Rising mandated transfers for elderly care drove many societies into the red.

Overview

  • Kenporen’s fiscal 2024 forecast shows 660 of 1,378 societies in deficit, or 47.9%, improving from 52.6% the prior year.
  • The combined accounts posted a ¥14.5 billion surplus, helped by higher premium income tied to wage increases, marking the first surplus in two years.
  • The average premium rate reached a record 9.31% of monthly income, up 0.04 percentage points year on year.
  • Contributions to support elderly medical care rose 5.7% to ¥3.8591 trillion, accounting for just over 40% of total expenditures.
  • Operating revenue totaled ¥9.2677 trillion, up 4.9%, versus ¥9.2531 trillion in spending, up 3.2%, while 147 societies raised premium rates and about 28 million people are enrolled.