Consent for Information Disclosure and Transmission Health Insurance Premium as Tax Deductible Item of Personal Income Tax

In order to be eligible for the deduction of personal income tax burden through the use of health insurance premium as a deductible item from the tax year of 2018 onwards, the Announcement (No 315) of the Director-General of the Revenue Department that set out the rules for becoming eligible to use health insurance premium paid as a deductible item for personal income tax determination purpose, the insured must notify the insurance company of the insured’s intent to use such eligibility so that the insurance company can further file the insured’s pertinent information to the Revenue Department by the 7th day of January of the concerned succeeding year.

Full name of the insured:

Personal identification number * :

Please check the boxes and answer the questions regarding your intent to exercise your eligibility for deductible item in determining your personal income tax payable amount as per the rules that the Revenue Department prescribed.

Yes, I wish to exercise such eligibility and hereby consent for this insurer company to transmit and disclose the information about my insurance premium to the Revenue Department.

My insurance policy number:

My tax payer identification number * :

No, I do not wish to exercise such eligibility.

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