Dependent Qualification Loss Report Form

Form used to notify authorities of an event within the required period.

Unofficial guide건강보험공단· National Health Insurance Service#건강보험 Legal form

Guide language:KO EN VI ID TH

Download from official government page

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Who uses this

The person or entity legally required to report.

What to prepare

Valid ID (passport or ARC), any referenced supporting documents, and a recent photo if required.

Where to apply

Local NHIS branch office; some services also on the NHIS app or nhis.or.kr.

Note: Unofficial guide by WorkPass Korea. Use the official link for the authoritative form and requirements.

Related forms (6)

NHISNHIS-1지역가입자 자격취득 신고서#건강보험 가입 자격
NHISNHIS-2지역가입자 자격상실 신고서#건강보험 가입 자격
NHISNHIS-3직장가입자 자격취득 신고서#건강보험 가입 자격
NHISNHIS-4직장가입자 자격상실 신고서#건강보험 가입 자격
NHISNHIS-5피부양자 자격취득 신고서#건강보험 가입 자격
NHISNHIS-9외국인 건강보험 가입 확인서 발급 신청서#건강보험 가입 자격

Unofficial guide by WorkPass. Check the official government page for actual forms and latest requirements.

KOGL · 개별 판정 (링크만)Dictionary ID: NHIS-6

The original forms follow the Public Nuri (KOGL) usage terms; copyright of WorkPass Korea's editorial, commentary, and multilingual summary works belongs to the Company.