Regarding this issue, Vietnam Social Security responds as follows:
Point e, Clause 1, Article 7 of Decree No. 146/2018/ND-CP dated October 17, 2025 stipulates that the monthly family health insurance contribution level will be based on the basic salary level, as follows:
"Article 7. Contribution level and responsibility for paying health insurance
The health insurance contribution rate for the subjects specified in Article 5 of this Decree is as follows: The first person pays 4.5% of the basic salary; the second, third, and fourth persons pay 70%, 60%, and 50% of the first person's contribution rate, respectively; from the fifth person onwards, the contribution rate is 40% of the first person's contribution rate.
The reduction of health insurance premiums as prescribed in this point is implemented when members participating in family health insurance participate together in the same fiscal year.
Government.vn
Source: https://baochinhphu.vn/cac-muc-giam-tru-khi-dong-bhyt-theo-ho-gia-dinh-102250625153936577.htm
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