すぐわかる
Back to list
2026-09-10Health

💴 Kenpo Voluntary Coverage: Pay by Sept 10

Due Thursday, September 10, 2026 — slips mailed August 27; non-payment ends coverage the next day

What's happening?

On August 27, 2026, the Japan Health Insurance Association (Kyokai Kenpo) reminded people enrolled as "voluntary continuation" (nini keizoku) insured persons that the premium for September is due on Thursday, September 10. Payment slips were mailed on August 27, and anyone who has not yet paid is asked to do so by the deadline. Voluntary continuation lets you keep the health insurance you had at your company for up to two years after you leave the job and lose your insured status. The big difference from being employed is how the premium is paid: while working, the cost is split with your employer and deducted from your salary automatically. Under voluntary continuation you pay the full amount yourself, and there is no payroll deduction — you must pay it every month on your own. The deadline is the 10th of each month in principle (the next business day if the 10th falls on a weekend or holiday), which is September 10 this month. The critical part: if payment is not made by the deadline, you lose your voluntary continuation status the following day. Treatment received after that is paid entirely out of pocket in principle, and you must take separate steps such as joining National Health Insurance. Because a simple oversight can leave you uninsured, the Association issues this reminder every month.

👥 Who is affected?

  • Anyone currently enrolled in Kyokai Kenpo voluntary continuation coverage after leaving a job
  • People who received the September payment slip mailed on August 27, 2026
  • Those job-hunting or preparing to start a business who are not yet on a new employer's health insurance
  • Spouses and children covered as dependents under a voluntary continuation enrollee

🌏 Impact on foreign residents

When a foreign resident leaves a job in Japan because of a career move or the end of a contract, they must decide what to do about health insurance. If you choose voluntary continuation, your former company's coverage continues for up to two years on the same terms as for Japanese nationals. However, the payment slip arrives in Japanese, and the payment instructions at banks and convenience stores are in Japanese too. If you set aside the envelope as "mail I don't understand," you lose your status the day after September 10, and any treatment after that must be paid in full at the counter. Even if you hold a My Number health insurance card, no valid coverage will show once your status is gone. Be especially careful if a trip home or a business trip overlaps with the due date — that is when payments get missed. Setting up direct debit from a bank account keeps payments running while you are abroad. Also, whether you have properly met public obligations such as insurance premiums is something immigration checks when you renew or change your status of residence. Keep on top of the deadline so a short lapse does not affect later procedures.

💡 Key points to know

1The September premium is due Thursday, September 10, 2026. Slips were mailed on Thursday, August 27 — check your mail
2Where and how to pay (bank counters, direct debit, etc.) is explained on the Kyokai Kenpo website; contact your prefectural branch with questions
3If you use direct debit, make sure your account has enough balance before the withdrawal date — insufficient funds also count as non-payment
4If you miss the deadline, you lose voluntary continuation status the next day, and medical costs after that are paid in full out of pocket
5Once you lose that status, you must enroll in National Health Insurance at your city or ward office (within 14 days as a rule) so you are never uninsured
6If you will be out of Japan around the due date for a home visit or long business trip, switch to direct debit in advance or ask your branch about paying ahead
7Voluntary continuation lasts up to two years. If you join a new employer's health insurance, check with your branch how premiums are handled from the new enrollment date

🔗 Related Issues