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Japan — Business: Payroll
For FY2026 the Japan Health Insurance Association sets Tokyo health insurance at 9.85%, the nationwide long-term care rate at 1.62% and a child-rearing support levy at 0.23%, with premiums shared between employee and employer.
VerifiedGovernment / official sourceJapan Health Insurance Association (Kyokai Kenpo) — FY2026 ratesLast reviewed: 2026-10-23
Key facts
- Tokyo branch health insurance rate for FY2026: 9.85%, down from 9.91%.
- Long-term care insurance rate: 1.62% nationwide, up from 1.59%.
- Health and long-term care changes apply from the March 2026 wage period (paid in April).
- A child-rearing support levy of 0.23% nationwide is collected from the April 2026 wage period (paid in May).
- Premiums are paid half by the insured person and half by the employer.
- The Kyoukai Kenpo FY2026 average rate is 9.90%.