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Fine for Uninsured Health Insurance Amsterdam

Fine for uninsured health insurance in Amsterdam: €452/month max 4 months. Procedure, objection at Amsterdam District Court & assistance from Municipality. Tips for expats.

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Fine for Uninsured Health Insurance Amsterdam

The fine for uninsured health insurance in Amsterdam is a sanction imposed by the Central Administration Office (CAK) on residents who lack basic health insurance, which is mandatory. In 2024, this is €452 per uninsured month, up to a maximum of four months. This is in addition to any outstanding premiums. For Amsterdam residents, it enforces the Health Insurance Act (Zvw), with special focus on expats and students in this vibrant city.

Why this fine for Amsterdam residents?

In Amsterdam, as elsewhere in the Netherlands, all residents aged 18 and over must have basic health insurance. This ensures access to healthcare for everyone, from Zaanse expats to students in the Jordaan. Being uninsured undermines the collective system and leads to exorbitant bills. The CAK checks via the Personal Records Database (BRP) of the Municipality of Amsterdam and sends warnings. The fine prompts swift action.

Legal basis

The fine for uninsured health insurance is governed by the Health Insurance Act (Zvw):

  • Article 2.2 Zvw: Insurance obligation from age 18 for residents.
  • Article 6 Zvw: CAK handles registration and collection.
  • Article 66 Zvw: Maximum €452 per month, up to four months (€1,808 total in 2024), set by ministerial decree from the Ministry of Health, Welfare and Sport (VWS).
Expats in Amsterdam have three months after registering with the Municipality of Amsterdam to arrange coverage.

How much do you pay in Amsterdam?

The fine scales with the duration of being uninsured, plus the nominal premium (€145/month in 2024). Overview for Amsterdam residents:

Number of uninsured monthsFine (2024)Additional info
1 month€452Plus premium
2 months€904Cumulative
3 months€1,356Common for newcomers
4+ months€1,808 (max)Plus all premiums

Source: CAK 2024. Amounts change annually.

When and how do you receive the fine in Amsterdam?

The CAK scans BRP data monthly, including from the Municipality of Amsterdam. You receive:

  1. First reminder: Insure within 6 weeks.
  2. Second: Fine warning.
  3. Collection decision: Pay within 8 weeks.
Healthcare is reimbursed, but the CAK claims it from you later.

Examples from Amsterdam practice

Example 1: Lisa, an expat, moves to Oost in January 2024 and insures in April. CAK: 3 months premium (€435) + €1,356 fine = €1,791.
Example 2: Tom from De Pijp forgets to renew in 2023. After reminders: 1 month premium + €452 = €597.
Example 3: A UvA student on minimum income gets remission via special assistance from the Municipality of Amsterdam.

Rights and obligations in Amsterdam

Rights:

  • Objection to CAK within 6 weeks (online/post).
  • Appeal to Amsterdam District Court (Administrative Law) if rejected.
  • Special assistance via Municipality of Amsterdam.
  • Deferral from CAK in case of financial hardship.
Obligations:
  • Insure after reminder.
  • Pay within 8 weeks.
  • Update BRP with Municipality of Amsterdam.

Tips for Amsterdam residents

Avoid the fine:

  • Insure immediately upon moving to Amsterdam or turning 18. Check via tool.
  • Check status at Zorgverzekeringslijn.nl.
  • Financial help: healthcare allowance from the Tax Authorities, social assistance from Municipality of Amsterdam.
  • Help with objections: Amsterdam Legal Aid Office or Arslan Advocaten.
Also read: Uninsured health insurance, Healthcare allowance Amsterdam.

Frequently asked questions

Received a fine, what to do?

File objection with CAK within 6 weeks (reason + evidence). Decision within 6 weeks.

Remission possible?

Yes, special assistance from Municipality of Amsterdam for low income. CAK takes this into account.

Applies to children?

No, covered under parents until age 18.

Is employer coverage sufficient?

No, you always need your own basic insurance.

Approx. 1,200 words, 2024 update. Personal advice: contact or Amsterdam Legal Aid Office.