The new medical insurance system in which all the elderly from 75 years up (or above 65 if he/she has a certain disability) are enrolled is operated by the municipalities union of Saitama-ken Kouki koureissha. All enrollees of the system are required to pay the premiums.
Ang bagong sistemang pangkalusugan para sa mga may edad 75 taong gulang pataas(o mahigit 65, kung siya ay may kapansanan) ay pinamamahalaan ng union ng mga munisipalidad – Union of Saitama-ken Kouki Koureisha. Lahat ng kasapi ay may obligasyong magbayad ng premium.