From November 2025, the Korean National Health Insurance Service (“NHIS”) started to assess additional National Health Insurance (“NHI”) contributions to the employees who reported employment income through the annual income tax return in addition to the employment income reported through the local payroll withholding. It is recommended for the companies to understand the current activities of the Korean NHIS and respond to NHIS and the employees who receive the notification of the additional contributions appropriately.
Local employees and the foreign employees on an assignment to Korean entities are subject to the Korean NHI as “the Employee Insured” individuals.
The NHI contribution is calculated at 8.008% (including long-term care insurance) on the monthly average wage paid by the local employer. The monthly contribution is shared by 4.004% between employer and employee. The monthly average wage is determined by the amount reported by the employer at the registration for the first year. By March of the following year, the employer is required to report the actual wages and salaries paid to the employee in the prior year to the NHIS. Then the NHIS calculates the final NHI contribution amount for the prior year and, in April, settles any differences between the total final NHI contribution amount and the sum of monthly amount paid throughout the prior year.
In the case where an employee reports additional income such as financial income, business income, pension, and/or employment income exceeding KRW 20 million per annum through his/her individual income tax return (income other than the wages and salaries paid by the local employer, which the NHI contribution was calculated on), an additional contribution is assessed to the employee. The additional contribution is calculated at 8.008% (including long term care insurance) on all income reported excluding employment income and pension income whereas 4.004% (50%) applies on the employment income and pension income additionally reported in the individual income tax return. This additional contribution is assessed entirely to the employee.
The basis for current assessment is on the additional income reported in the immediate prior year and the additional assessment notification is being sent by the NHIS to the individual employee starting November this year, provided payable in 12 monthly installments.
This is not a legislation newly introduced in Korea. Relevant regulations have existed, but in practice, NHIS district offices have not historically charged additional contributions on employment income to those employees who are subject to monthly NHI withholdings through local employers. However, from this year, we find many cases of employees receiving the payment voucher notifying the additional assessment based on the individual income tax returns for the tax year 2024 filed in May this year.
It is expected that the number of employees who will be notified of the additional NHI contributions will increase continuously. In general, the employees who are subject to additional assessment may be as follow:
For a deeper discussion on the above, please reach out to your Vialto Partners point of contact, or alternatively:
Danielle Suh
Partner
Na Young Hwang
Director
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