Why the NHIS Premium Settlement in April?
Every April, NHIS recalculates premiums based on your actual income from the previous year. If your 2025 earnings (including bonuses) were higher than the estimate used for monthly deductions, you pay the difference in April.
This is often called the "April Health Insurance Bomb" if the payout is significant, but it's simply a true-up mechanism.
- Reflects Salary Increases
- Includes Bonuses & Allowances
- Adjusts for Job Changes
Eligibility
Active workplace-insured employees as of Dec 31st.
Timing
Adjustment reflected in April salary payment.
Help
Large amounts split into 10 months automatically.