Key Facts
• July 4, 2025: Association Health Insurance announced FY2024 surplus of ¥658.6 billion.
• Surplus increased by ¥192.3 billion from FY2023, marking the largest since 2008.
• FY2024 revenue rose by ¥242.1 billion to ¥11.85 trillion.
• Expenditures increased by ¥49.7 billion to ¥11.19 trillion.
• Medical benefit costs reached a record ¥6.53 trillion.
• Membership grew by 86,000 to 39.65 million, the first increase in three years.
• Surplus attributed to wage increases and higher membership numbers.
Summary
The Association Health Insurance, which covers employees and families of small and medium-sized enterprises, reported a record surplus of ¥658.6 billion for FY2024, a ¥192.3 billion increase from the previous year. This marks the 15th consecutive year of surplus and the largest since its establishment in 2008. Revenue grew to ¥11.85 trillion, driven by wage increases and a rise in membership, which grew by 86,000 to 39.65 million. Expenditures also increased to ¥11.19 trillion, with medical benefit costs reaching a record ¥6.53 trillion. The membership growth, the first in three years, and higher insurance premium income were key contributors to the surplus.
