Regulations Governing the Exemption of the National Health Insurance Beneficiaries from the Co-Payment Article 5

The certificate of major illness and injury shall become effective as of the date when a beneficiary submits his or her application. However, when a major illness or injury is a rare disease, the effective date of a certificate of major illness and injury will retroactively be the date that medical personnel reported the detection of a patient who had contracted a rare disease to the central competent authority in accordance with Article 7 of the Rare Disease and Orphan Drug Act.The applicant may re-apply for the certificate of major illness and injury within the following period according to Article 2 if his or her certificate of illness and injury expires:1. The valid period is more than two years: three months before the certificate expires;2. The valid period is one year or six months: one month before the certificate expires; or3. The valid period is less than three months: fourteen days before the certificate expires.Where an applicant re-applies for the certificate within the period stipulated in the preceding paragraph, and the Insurer approves the applicant to continuously hold the certificate of majorillness and injury, the valid period of the certificate may immediately follow the expiry date of the previous certificate. Where an applicant re-applies for the certificate after the stipulated time in the preceding paragraph and the Insurer approves the applicant to continuously hold the certificate of major illness and injury, the effective date of the certificate of major illness and injury held by the said applicant shall be the date when a beneficiary (the said applicant) submits his or her application. Where the original illness is confirmed as non-compliance with the requirement of major illness and injury after review, the certificate of major illness and injury will no longer be issued.If a written certificate of major illness and injury (including notice of approval) is lost, damaged, or used for another purpose during its valid period, the beneficiary may fill out an application form together with his or her identification document to apply to the Insurer for a replacement or additional certificate.In the event that the Insurer verifies that an issued certificate of major illness and injury fails to conform to the requirement, it shall immediately notify the applicant and revoke or terminate the certificate of major illness and injury.After receiving a certificate of major illness and injury issued by the Insurer during the valid period of the certificate, the beneficiary may apply to the Insurer in writing to terminate the certificate.