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Health insurance for elderly people maintained a surplus for two consecutive years, but the burden of insurance premiums has reached a record high. The Ministry of Health, Labour and Welfare announced on August 29 that the fiscal 2025 settlement of accounts is expected to show a surplus of 540 billion yen, which is 230 billion yen more than the 310 billion yen predicted in March. The surplus was 1.63 trillion yen in fiscal 2024. The surplus is expected to be used to secure financial resources for nursing care, and to reduce premiums. However, premium rates for employees' health insurance are expected to rise to 12.3 percent from 11.86 percent, and those for health insurance associations are expected to rise to 9.98 percent from 9.57 percent. The premium rate for those 65 and older will be 7.18 percent, up from 6.98 percent.

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