❓ What's changing
With unpaid public health-insurance and pension premiums rising among foreign residents, the government is pushing a reform coordinated with the Immigration Services Agency. From June 2027, the Ministry of Health, Labour and Welfare plans that mid-to-long-term residents who chronically default on national health insurance or national pension premiums—and ignore municipal payment guidance—will, in principle, be refused residence status renewal or change. During FY2026, municipal and immigration systems will be linked via the Digital Agency's data infrastructure so arrears are reflected in screening automatically. Note that tax payment (e.g., resident tax) has long been weighed in residence screening and remains important. A single missed payment does not mean automatic denial; it is deliberate, persistent neglect that is judged strictly.
🌏 Impact on foreign nationals
National health insurance and pension premiums are due even when your income is low. Arrears that previously had little direct effect on residence screening will, from June 2027, translate into denied renewals or changes—directly threatening your ability to keep living in Japan. Non-payment is especially likely during unstable periods such as changing jobs, going independent, or preparing to leave the country. Even if paying is hard, don't ignore it: consulting your municipality may qualify you for reductions or installment plans.
💡 What you can do
1Pay premiums on time via bank auto-debit or convenience store; never let them lapse
2If paying is hard, don't ignore it—ask your municipal office about reductions or installments
3When leaving or changing jobs, promptly switch health insurance (e.g., employer plan to national)
4After moving, file your change-of-address notice within 14 days so premium notices reach you
5If you have past arrears, clear them or set a payment plan before renewing your status
6When in doubt, consult a specialist such as an administrative scrivener (gyoseishoshi) early