Číslo pojištěnce — the insurance number assigned by the health insurance company. For Ukrainians with temporary protection or special long-term residence, this is a **substitute for a birth number**: they are not assigned a birth number at all (§ 7v of Act No. 65/2022 Coll.), so the insurance number becomes the main identifier in the system.
Who pays your contributions
The state pays contributions for only **90 days** from the granting of temporary protection — and this is for persons aged 18–64. Children under 18 and persons 65+ remain covered by the state indefinitely. After 90 days, you must inform the insurance company yourself who is paying: the employer, you as an OSVČ (Czech self-employed status), a privileged category (students, registered at the Labor Office, caring for a young child, unable to work — with documents) or yourself as **OBZP (person without own income) for 3,024 CZK per month** by the 8th day of the following month.
You have **8 days** to inform the insurance company about the change of payer.
Changing insurance company
- you can change once every **12 months**, and only from January 1st or July 1st;
- submit the application no later than 3 months before: by **March 31st** (change from July 1st) or by **September 30th** (change from January 1st);
- inform your employer within 8 days and return your old card.