Thailand's Social Security System development guidelines for insurer’s contribution for pension in place of healthcare
Keywords:
Social security, health insurance contributions, old-age pensionAbstract
The concept of developing Thailand's social security system, where insured persons are exempt from healthcare costs and their contributions are added to their old-age pension, arose to address the potential challenges of an aging society in Thailand. The objective is to amend Thailand's social security law so that insured persons do not have to pay for healthcare services, but contributed for their pension instead. This is achieved by analyzing the system of insured persons under Articles 33, 39, and 40 of the Social Security Act. The study used a comparative approach with case studies from abroad.
The study found that a practical approach to develop Thailand's social security system, by exempting from healthcare costs but contributed for their old-age pension, is feasible. This requires amendments to the social security law to accommodate this approach, as well as improvements to the National Health Security System to support insured persons who voluntarily choose this option.
Conclusion:
Section 40/1 should be added under Chapter 1, "Insured Persons under the Social Security Act," because the existing health benefits of insured persons under Section 40 already utilize the National Health Security Office (NHSO) system. Therefore, amending just this single section could resolve the issue of insured persons not having to pay for health services, but contributed to their old-age pension. Initially, it should be voluntary to avoid negatively impacting the overall social security system.
References
Central Provident Fund Board (2026). About the CPF Board. Retrieved on 1 March 2026 from https://www.cpf.gov.sg/employer/who-we-are
Department for Work & Pensions. Pensions and ageing society. Retrieved on 10 March 2569 from https://www.gov.uk/government/publications/your-new-state-pension-explained/your-state-pension-explained
Department of Older Persons. (2025). The aging society and its economy in Thailand today. Retrieved on 14 March 2026 from https://www.dop.go.th/th/know/15/926
Harnkiattiwong Th., & Chobthamsakul S. (2023). Study on Public Sector Operational Guidelines for Preparation into The Aging Society of Thailand. Journal of Academic for Public and Private management, 5(3), 1–15. Retrieved on 14 March 2569 from https://so02.tci thaijo.org/index.php/appm/article/view/263066
Frank Hobson, Steven Kennedy, Andrew Mackley. (2022). An introduction to social security in the UK. Retrieved on 10 March 2569 from https://researchbriefings.files.parliament.uk/documents/CBP-9535/CBP-9535.pdf
Institute for Population and Social Research, Mahidol University (2026). Press release on the Thai population situation in 2026: "Turning the crisis of low birth rates and an aging society into an opportunity." Retrieved on 14 March 2026 from https://ipsr.mahidol.ac.th/wp-content/uploads/2026/01/612-Thai-Pop-Situation-2569.pdf
Japan Health Policy now. (2026). Japan’s Long-Term Care Insurance System. Retrieved on 15 March 2569 from https://japanhpn.org/en/section-3-2/
Ministry of Foreign Affairs of Japan. (2026). Social Security in Japan. Toward a Japanese Model of the Welfare State. Retrieved on 1 March 2026 from https://www.mofa.go.jp/j_info/japan/socsec/maruo/maruo_1.html
Ministry of Man Power. (2025). Social Security, Retrieved on 1 March 2026 from https://stats.mom.gov.sg/SL/Pages/Social-Security-Concepts-and-Definitions.aspx
National health security office, Thailand. (2025). The Ministry of Public Health and the National Health Security Office (NHSO) collaborated to visit communities to listen to the problems faced by "Community Health Clinics" that are not issuing referral letters, and to provide additional funding based on the severity of the disease burden. Retrieved on 14 March 2026 from https://www.nhso.go.th/th/communicate-th/thnewsforperson/2025-03-21-06-51-32
National Institute of Population and Social Security Research (2014). Welfare for the Elderly. Retrieved on 14 March 2026 from https://www.ipss.go.jp/s-info/e/ssj2014/005.html
Policy watch. (2568). Keep an eye on public policies. The face of Thailand's "fully aging society": more women than men – and dependent on others. Retrieved on 14 March 2569 from https://policywatch.thaipbs.or.th/article/life-100
Thailand Consumers Council. (2025). Proposing social security reforms to adjust benefits and reduce inequality. Retrieved on 14 March 2026 from https://www.tcc.or.th/social-security-office/
TDRI. (2022). Policy and Measure: Analysis of Fiscal Burden for Aging Informal Labor’s Welfare Package Retrieved on 14 March 2569 from https://url.in.th/YhdKA
UK Parliament. (2026). 1942 Beveridge Report. Retrieved on 10 March 2569 from https://www.parliament.uk/about/living-heritage/transformingsociety/livinglearning/coll-9-health1/coll-9-health/
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