As of January 1, 2026, amendments to the Law "On Medical Insurance" have entered into force. According to the new version, individuals falling under the definition of informal employment as specified in the Law "On Employment" will now act as insured persons themselves in the compulsory medical insurance system.
Based on the decree signed by the President, the preparation of rules for identifying such persons has been assigned to the Cabinet of Ministers within a three-month period.
In response to the question of whether informally employed persons can continue to benefit from compulsory medical insurance during this period, the State Agency for Compulsory Health Insurance (ITSDA) stated:
"Until the identification rules are approved, individuals currently using the system will continue to access medical services."
It should be recalled that, according to the Law "On Employment," informal employment refers to engaging in activities without a labor or civil-law contract, conducting entrepreneurial activities or using agricultural land without formal registration, as well as obtaining income by organizing a family farm without registering it with local self-government bodies.
Under the law, a compulsory medical insurance premium in an amount to be determined by the relevant authority will be collected from persons engaged in informal employment. In case of violation of payment deadlines, a 10% surcharge will be applied.
If the obligation arises during the calendar year, the insurance premium will be divided by 12 and calculated proportionally to the number of months remaining from the month the obligation arose until the end of the year.
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