National Pension Insurance:
Systems and Finance
- National Pension Act implementation and related legal systems
- National Pension Insurance actuarial review and approval
- Review and approve the budget (financial statement) of the National Pension Insurance insurers’ wages and administrative expenses
- Financial planning on National Pension Insurance raising financial resources, and adjusting the premium rate
- Utilize and manage the National Pension Insurance Fund; supervise and administer trusted agencies
- Supervise and manage public lottery proceeds allocated to the National Pension fund
- Implement and manage the establishment of National Pension Supervisory Committee (NPSC)
- Related affairs concerning NPSC
Underwriting and Payments
- Supervise and oversee underwriting; calculate and collect National Pension premium; and National Pension payment
- Supervise and manage combine payments of National Pension and Old-Age Benefits of Labor Insurance; dun overdue premium and over payment and transfer bad debts; penalty execution
- Adjust monthly National Pension Insurance amount; supervise and manage payments in installments or postponements of payments; applications of deductible insurance benefits
- Guidelines for mentally/physically disability pension payment and the supervision and management of the payments
- Collect excessive old-age citizens' welfare allowances; supervise and administer citizens’ rights of claiming benefits
- Premium subsidy for the National Pension insured persons whose income fails to reach certain standards
- Promotion and orientation for National Pension Insurance
National Health Insurance (NHI):
Organization and Laws
- Overall planning and investigation of the National Health Insurance (NHI) system and laws
- Commonality of health insurance related rules with the National Health Insurance Act
- NHI underwriting and related affairs
- NHI organizational planning and operation
- Related to the National Health Insurance Committee (NHIC) and the National Health Insurance Dispute Mediation Committee; general administrative supervision of Insurer
- NHI subrogation related affairs
- Legal matters and legal assistance for each division
Insurance Financial Business
- NHI financial system planning and promotion
- Promulgate NHI premium adjustments
- Draft and amend NHI monthly insured amount and Payroll Bracket Table
- NHI premium contribution ratios and premium relating to dependents
- Financial assistance to the underprivileged for NHI premium and financial resources related matters
- Matters concerning NHI premiums borne by government
- Public welfare lottery, the health and welfare surcharge on tobacco and alcoholic products, and reserve fund relating to NHI.
- Study, draft and amend NHI supplementary premium
Benefits and Payments
- NHI benefits and related business
- Plan the NHI payment system
- NHI payment standards for medical care and related business
- Self-payment for NHI special medical supply and related business
- NHI annual global budget and related business
- NHI pharmaceutical benefits and payments related affairs
- NHI pharmaceutical procurement contracts and related business
- NHI medical expense claims and reviews
- Business relating to NHI resource allocation and health technology assessment
Service system and Quality
- Regulations governing the National Health Insurance medical care and related affairs.
- Regulations governing contracting and management of National Health Insurance medical care institutions and related affairs.
- Regulations governing the production and issuance of the National Health Insurance IC card and data storage and related affairs.
- Regulations for National Health Insurance reimbursement of the self-advanced medical expenses and related affairs
- Regulations governing the exemption of the National Health Insurance beneficiaries from the co-payment and related affairs
- Regulations for providing medical benefits for occupational injury insurance (which is tasked by the insurer of the Labor Insurance) and related affairs
- Improvement proposals for controlling inappropriate use of medical resources and related affairs
- Regulations governing the public information related to financial status and health care
Other Social Insurance:
Social Insurance Research and Planning
- Study and plan social insurance systems
- Investigate social insurance strategies, long-term care services and medical service cooperation
- Social insurance related surveys, research, estimation and data maintenance
- Development and validation of social insurance assessment tools
- Distinction between payments on social insurance services and NHI
- Study medical technology applications on social insurance