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NHIMA Contributions Calculator National Health Insurance

Calculate employee and employer NHIMA contributions with our easy-to-use calculator. Updated for 2025 with 1% contribution rates.

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Salary Details

Your total monthly earnings before deductions

Results Summary

Individual Contribution (1%)
K0
Amount paid by both employer and employee
Total Deductions (2%)
K0
Combined employer and employee contributions
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Detailed Breakdown

Total Earnings (Gross + Allowances) K 0.00
Employee Share (1% employee share) K 0.00
Employer (1% employer share) K 0.00
Total Deductions (Full 2%) K 0.00
Wages After Deductions (1%) K 0.00

Legal Framework & Compliance (National Health Insurance Act, 2018)

NHIMA Contribution System

1. Contribution Rate
  • Total Rate: 2% of gross salary
  • Employee Share: 1% (deducted from salary)
  • Employer Share: 1% (paid by employer)
  • No Ceiling: Unlike NAPSA, NHIMA has no contribution ceiling
2. Coverage & Benefits
  • Comprehensive health insurance coverage
  • Access to public and accredited private healthcare facilities
  • Coverage for dependents (spouse and children)
  • Inpatient and outpatient services
  • Prescription medications
  • Emergency medical services
3. Who Must Contribute?
  • All employees in formal employment
  • Casual workers (if employed regularly)
  • Contract workers
  • Temporary staff
4. Exemptions
  • Expatriates with comprehensive private health insurance
  • Employees already covered under other approved health schemes
  • Diplomatic staff (may be exempt based on agreements)
5. Important for Payroll

Note: Unlike NAPSA, NHIMA contributions do not reduce taxable income for PAYE purposes.

Calculation order: Calculate PAYE first, then deduct NHIMA from net pay.

NHIMA Legal Framework (National Health Insurance Act 2018)

Governing Law

NHIMA contributions are governed by the National Health Insurance Act No. 2 of 2018, particularly Section 15 which establishes contribution and payment mechanisms.

Important Note: Like NAPSA, the Act specifies "prescribed percentage" and "prescribed rates" (Section 15(5)). The current 1% employee + 1% employer rates are set by regulations, not the Act itself.

Official Documents:
πŸ“„ Download National Health Insurance Act (PDF)

NHIMA - Frequently Asked Questions

Yes, NHIMA is compulsory for all workers in Zambia, including casual, temporary, and contract employees. Only expatriates with comprehensive private health insurance may be exempt.

NHIMA is calculated on gross earnings - this includes basic salary plus all allowances, overtime, bonuses, and other cash emoluments. Both employee and employer contribute 1% each.

Very few people are exempt. Expatriates with comprehensive private health insurance may be exempt if approved by NHIMA. Most Zambians and resident foreign workers must contribute.

No, NHIMA contributions do not reduce taxable income for PAYE purposes. Only NAPSA contributions are deductible before calculating income tax.

NHIMA provides comprehensive health insurance including inpatient/outpatient care, prescription drugs, emergency services, and coverage for your dependents (spouse and children) at accredited facilities.

No, unlike NAPSA, NHIMA has no contribution ceiling. You contribute 1% of your total gross earnings regardless of how much you earn.

Generally no. NHIMA is mandatory regardless of private insurance. Only expatriates with comprehensive private health insurance specifically approved by NHIMA may be exempt.