Kokuho applies to farmers, the self-employed, etc. There is also the Health Program for the Elderly, financed by joint contributions from all the above systems. The health insurance system is in principle financed by insurance premiums, but there is also a system of public support whereby benefits, operating expenses, etc, are paid by national and local government.
Public funding is supplied depending on the financial state of the system.
While little public funding is provided for the Shaho schemes for large corporations, the programs for small company employees and the Kokuho receive more government support. Kokuho premiums are also determined based on the number of family members and the level of income.