Four major insurance information linking centers Social insurance systems and major tasks by institution (+ insurance premiums)
4 insurance information linking centers
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4 insurance information linking centers
4 major social insurance
Institutional characteristics and major tasks of each institution 4대보험정보연계센터
National Pension Service
National Health Insurance Corporation
Health Insurance Review and Assessment Service
Ministry of Employment and Labor
Labor Welfare Corporation
Subjects for 4 major insurance subscriptions
national pension
Health Insurance
Employment Insurance
industrial accident insurance
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Reference
Social insurance is insurance for social policies and is often referred to as ‘national insurance’. If you are an employee subscriber, it is compulsory for you to sign up, so many people do not pay much attention. Since it is an item that is spent monthly in my income, you need to know exactly which item it is.
4 major social insurance
It can be defined as ‘a socioeconomic system created by introducing the principles and methods of insurance in order for the state to carry out social policies’. In other words, it is a system that protects health and income safely by coping with risks that occur in society through insurance.
Social risks include disease, disability, old age, unemployment, and death. As we live, many situations that pose threats to our families occur. By anticipating and responding to these risks in advance, it is a system that guarantees the economic life and health of individuals.
The four major insurances in Korea are industrial accident insurance (industrial accident) in preparation for work-related accidents, health insurance or disease insurance (health insurance) related to disease or injury, pension insurance in preparation for old age, disability and death, and employment insurance for unemployment. It is made up.
Institutional characteristics and major tasks of each institution
Classification National Pension Health Insurance Employment Insurance Industrial Accident Compensation Insurance
Year of implementation 1988 1977
(Elderly long-term care insurance 2008.7.1) 1995 1964
Basic Personality Income Guarantee Long-Term Insurance Medical Security Short-Term Insurance Unemployment/Employment Mid-Term Insurance Industrial Payment Compensation Short-Term Insurance
Benefit method Cash benefit In-kind benefit proportional to income Equal benefit Cash benefit In-kind equal benefit in proportion to income
/ cash income ratio
Finance and management Modified accumulation method Collective backlog management Imposition decoration Dual (workplace, region) management Modified accumulation method Net imposition method
Management Unit Individual Management Business Site Household Management Business Site
Insurance premiums Minister of Health and Welfare Minister of Health and Welfare Minister of Employment and Labor Minister of Employment and Labor
Qualification management method Integrated workplace/region management Integrated workplace/region management Business-specific management Subscriber management Business-specific management Subscriber management
Insurance premium charged unit business site, regional (individual) business site, regional (individual) business business
Source: Four Major Social Insurance Information Linking Centers
National Pension Service
As an institution related to the national pension, it was established with the goal of stabilizing livelihood and promoting welfare by providing pension benefits in the event of disability or death due to old age, disease, or injury.
☞Main tasks of the National Pension Service
Qualification management: Qualification management of workplaces or local subscribers
Collection management: Collection of return payment and additional insurance premium Settlement of overpayment and erroneous payment Imposition of pension insurance premium Management of collection ledger of workplaces and subscribers
Salary management: pension benefit claim, beneficiary management, statute of limitations management, post-employment benefit management, suspension and restriction of pension benefit payment
Management of social security agreements: foreign national pension exclusion, benefit claims
Loan Business: Retirement Emergency Fund Loan
Fund management: Fund management plan, fund management in the financial, public and welfare sectors, fund management and performance analysis
National Pension Service: www.nps.or.kr
National Pension Service Inquiries: 1355 without area code [paid]
National Health Insurance Corporation
As an institution related to health insurance, it was established with the purpose of promoting national health and social security by providing insurance benefits for prevention, diagnosis, treatment, rehabilitation, and health promotion of childbirth and death for diseases or injuries.
☞Main tasks of National Health Insurance
Qualification Management: Business change and withdrawal, loss of subscriber qualifications
Charge management: Workplace and regional insurance premium adjustment, insurance premium settlement and monthly remuneration change
Insurance benefit management: tasks such as cash benefit payment, maximum refund amount paid by the person, rental of prosthetic equipment for the disabled, notification of medical benefit details, post-inspection of insurance benefit, etc.
Health management: health checkup, health promotion and provision of health information, support for medical use
Long-term care for the elderly: recognition management use support, medical care benefit cost review, family care expense benefit management
Social insurance premium collection: Health insurance premium, etc. Social insurance premium integrated notification, collection, default payment, duties
National Health Insurance Corporation: www.nhis.or.kr
Health insurance business inquiries: 1577-1000
Health Insurance Review and Assessment Service
As an institution related to health insurance, it was established with the purpose of improving the quality of national medical care by examining the cost of medical care benefit and the adequacy of medical care benefit.
☞Main tasks of Health Insurance Review and Assessment Service
Screening: Confirmation of medical expenses in hospitals, clinics and pharmacies, guarantee of medical insurance, proper medical treatment, prevention of inappropriate medical expenses
Evaluation: Minimization of inappropriate treatment, prevention of misuse and abuse of treatment, proposal of economical treatment
Application for confirmation of medical expenses: determination of medical expenses, refund of medical expenses
Emergency Medical Expense Payment: Emergency Medical Expense Payment
Government policy support: On-site investigation of medical institutions, review of adequacy of application of health insurance for new medical practice
Health Insurance Review and Assessment Service: www.hira.or.kr
Inquiries related to review and evaluation of medical care benefits: 1644-2000
Ministry of Employment and Labor
As an organization related to employment insurance, it was established with the purpose of creating many jobs and developing labor-management relations policies by managing employment policies and occupational safety and health.
☞Main tasks of the Ministry of Employment and Labor
Management of fraudulent recipients: Prevention of fraudulent payments, detection of fraudulent recipients, suspension of unemployment benefits
Employment security projects: Improving the employment environment, creating part-time jobs, hiring promising start-ups and professionals, maintaining and promoting employment, wage peak system for the elderly, employment security for pregnant women, and employment security for construction workers
Unemployment benefit: job search benefit, early re-employment benefit, training extension, individual extension, sickness benefit
Vocational competency development project: employer vocational competency development training, employee course subsidy, employee competency development card, job seeker job training, vocational competency development account system
Fund management: parental leave benefits, maternity leave benefits
Ministry of Employment and Labor: www.moel.go.kr
Labor Welfare Corporation
As an institution related to industrial accident insurance, it improves the health and welfare of industrial accident workers through industrial accident compensation insurance, insurance application collection, welfare business, unemployment countermeasures, wage claim guarantee, start-up promotion support, and occupational health business such as pneumoconiosis work. It was established with the purpose of promoting
☞Major duties of Korea Labor Welfare Corporation
Insured person management: Loss of insured qualification, confirmation of job turnover, report of day labor worker work details, construction site subcontractor details
Subscription: Industrial accident/employment insurance subscription and change, employment information, management of special type workers
Industrial Accident Compensation: Medical Care Benefits, Disability and Nursing Benefits, Survivors Benefits and Funeral Fees, Medical Care Benefit Loan Business
Support for workers: living expenses for workers, cultural leisure, start-ups, daycare centers, credit guarantees, guarantees of wage claims, welfare for industrial accident workers, introduction of advanced corporate welfare, promotion of female employment
Occupational accident medical care: operation of medical institutions, treatment of industrial accident patients, protection of pneumoconiosis workers, rehabilitation engineering and occupational lung disease research
Rehabilitation support: rehabilitation counseling, management of aftereffects, vocational rehabilitation, social and psychological rehabilitation
Labor Welfare Corporation: http://www.kcomwel.or.kr
Employment Industrial Compensation Insurance Inquiries: 1588-0075
Subjects for 4 major insurance subscriptions
In order to sign up for the 4 insurances, you need to figure out where you are and find out. It is largely classified into business establishments, workplace subscribers, and individual subscribers.
The information below only informs you of the compulsory subscription for each system, so please check the related website for details on who is subject to voluntary subscription or exclusion from application.
▼Check the subject of voluntary subscription and exclusion of application
www.4insure.or.kr/ins4/ptl/guid/clnt/EntrObjLayout1.do
national pension
place of business
All workplaces employing one or more workers
Businesses that are foreign organizations in Korea, such as embassies, employing one or more Korean nationals.
Business Subscriber
Workers and employers between the ages of 18 and 60 who are engaged in workplaces covered by the national pension
※ Workers under the age of 18 are naturally applied as workplace subscribers from July 29, 2015, but can report exemption from application upon application.
individual subscriber
A person between the ages of 18 and 60 residing in Korea who is not a business subscriber
Health Insurance
place of business
All workplaces with at least one full-time worker
Businesses that have appointed or hired public officials and faculty
Business Subscriber
Workers employed in workplaces that employ at least one worker on a regular basis (no age limit)
user
public official
staff
part-time worker
individual subscriber
Citizens residing in Korea
A foreigner who meets the acquisition requirements and a person who has applied for health insurance coverage to the NHIS among Koreans residing abroad who have completed the domestic residence report
Employment Insurance
place of business
General workplace: Any business or workplace that uses workers ※ However, if it is not a corporation among agriculture, forestry, and fishery, 5 or more workers)
Construction work: Construction work or building (major repair) with a total construction value of 20 million won or more performed by a person other than a housing construction company, construction company, electrical contractor, information and communication contractor, firefighting facility contractor, or cultural heritage repair business, with a total floor area of 100 square meters (200 square meters) square meters) and the total construction amount is more than 20 million won
Business Subscriber
Workers under the Labor Standards Act
individual subscriber
Not applicable
industrial accident insurance
place of business
General workplace: All businesses or workplaces that use workers ※ Provided, however, that 5 or more employees are employed in non-corporate businesses such as agriculture, forestry (excluding logging), fishery, and hunting.
Construction work: All construction sites regardless of scale and amount
Business Subscriber
Workers under the Labor Standards Act
individual subscriber
Not applicable
▼Curious about how insurance premiums are paid?
finish writing
As an office worker, I did not know in detail what type of insurance premiums were the 4 major insurance costs that went out every month. I thought of it as a matter of course that the country pays for it, but with this article, I learned about the four types of insurance and what the representative institutions of each system do. It is undoubtedly a system for the health and welfare of me and my family, and I hope you will check the work of each institution and enjoy the benefits that suit your situation.
1. Four major insurance information linking centers
2. NPS National Pension
3. National Health Insurance
4. Health Insurance EDI Service