In five cantons a domestic worker at the minimum wage gets not a single franc of premium reduction
Same woman, same wage, same 42 hours a week: in Ticino she receives 4,267 francs of premium reduction in 2027, while in Basel-Country, Appenzell Outer Rhodes, Thurgau, Fribourg and Jura she receives nothing. If she works part-time in four households, in Bern she pays a larger share of her wage to the health insurer than her full-time colleague. Premium reduction in all 26 cantons, calculated for the same person.
Summary
On 29 September the BAG (Federal Office of Public Health) announced the 2027 premiums: +5.0% on average, CHF 487.60 a month for adults. For people on low incomes, individual premium reduction (IPV) is meant to soften the burden. Clino calculated what it brings a typical domestic worker in each canton: single, aged 35, no assets, paid the minimum wage of CHF 20.35 under the federal standard employment contract for domestic work (NAV Hauswirtschaft), living in the cantonal capital. Once with 42 hours for one employer (net wage CHF 40,484 a year), once with 22 hours in four households (CHF 21,790).
The result is a lottery. The full-time domestic worker receives 4,267 francs in Ticino and nothing in five cantons. After the reduction she pays between 4.0% (Zug) and 16.3% (Jura) of her net wage to the health insurer. For the part-time domestic worker the range runs from 0.0% in Appenzell Outer Rhodes to 24.8% in Jura.
Important for context: only Zurich, Aargau and Ticino have already published their 2027 rules; Geneva calculates according to a statutory indexation. The other 22 cantons are calculated with their 2026 rules against the 2027 premiums; they set the new values between October 2026 and February 2027. The amounts may therefore still shift. The patterns in this study (the cliffs, the paradoxes and the deadlines) depend on the laws, not on the amounts.
Same woman, 26 results
The chart shows what percentage of her net wage the domestic worker still pays for her canton's mean premium after the reduction. Blue is the full-time job, orange the part-time work in four households. Marked in red are the cantons where the part-time domestic worker, on the smaller wage, pays a larger share of it to the health insurer.
Mean adult premium 2027 (BAG) times 12, minus premium reduction, as a share of net wage. Same woman, same hourly wage (CHF 20.35), living in the cantonal capital. 2027 rules for ZH, AG, TI and GE (estimated), otherwise 2026 rules. Clino calculation.
The Bern paradox: earn less, pay more
In most cantons the rule is: the smaller the wage, the bigger the reduction and the smaller what is left to pay. In 4 cantons this flips. In Bern the part-time domestic worker, with a net wage of CHF 21,790, receives a reduction of 1,764 francs and then pays 19.1% of her wage towards the premium. Her full-time colleague, who earns almost twice as much, pays 12.7%.
The reason: Bern pays fixed amounts per income bracket, and the amounts are small relative to the premium. Anyone in the lowest bracket gets more francs, but not enough to make up for the smaller wage. The same pattern appears in Basel-Country, Geneva and Jura, most markedly in Jura, at 24.8% for the part-time domestic worker.
The Basel-Country cliff: one franc costs 2,194 francs
For single people without children, Basel-Country draws a hard line at an income of CHF 31,000, unchanged since 2014. Anyone earning exactly 31,000 receives 2,194 francs. Anyone earning one franc more receives nothing. At CHF 40,484, the full-time domestic worker is above the line and gets zero; under the formula alone it would be 1,458 francs. If she is taxed at source, the canton uses 70% of her gross wage: CHF 31,080. She misses the line by 80 francs.
Similar cliffs exist elsewhere, on a smaller scale: in Grisons, one franc of income above 30,000 costs 300 francs of reduction. In Glarus, an income above 40,000 raises the required own contribution, calculated on the entire income, from 9 to 10%. Schaffhausen pays at most 65% of its reference premium, and Solothurn does not pay out amounts below 240 francs at all.
Single person without children: up to CHF 31,000 of income the reduction is 4,596 francs minus 7.75% of income, above it nothing (Dekret SGS 362.1 § 1, limit unchanged since 2014; 2026 rules). The full-time worker earns 40,484 and would get 1,458 francs under the formula; because of the limit she gets 0.
The deadlines: Lucerne closes on 31 October
In 7 cantons the reduction usually comes automatically, in 17 the authority sends out a form or you have to register, and in 2 a separate application is required. Miss a deadline and in many cantons you lose the whole year. The main traps for 2027:
- Lucerne: apply for 2027 by 31 October 2026, even though the canton only publishes its 2027 values in mid-November. Later applications only count from the following month.
- Aargau: by 31 December 2026, strictly, with an access code. Under the 2027 rules the full-time domestic worker receives 953 francs; without an application, nothing.
- Ticino: by 31 December 2026 for the reduction from January; later applications only count from the following month.
- Solothurn and Neuchâtel: the pre-filled form must be returned within 30 days, otherwise the entitlement is lost.
- Fribourg: money only from the month of the application. Basel-City and Vaud: never retroactive; in Vaud the application must be filed by the end of November for the reduction to start in January.
- Zurich: pays 80% provisionally; the final amount follows the 2027 tax assessment, so in 2028 or 2029, and may be reclaimed.
Domestic workers face a second hurdle: many are taxed at source and fall outside the automatic procedure, which relies on the ordinary tax return. A study by the Bern University of Applied Sciences for Basel-City found that 39.5% of eligible people taxed at source did not claim a reduction, compared with 19.3% of other eligible people (data 2015/16).
Vaud and the 70% rule
Vaud is generous to the full-time domestic worker: 2,894 francs. Since 1 October 2025, however, a rule there hits part-time workers: anyone who lives alone and works less than 70% without a recognized reason is treated as someone who is forgoing income, and receives no reduction. Our part-time domestic worker works about 52%. Recognized reasons include on-call work, the situation in the sector, health, training or care duties. If her reason is not recognized, she pays 29.9% of her net wage to the health insurer instead of 8.1%.
Tax at source and the simplified procedure: every canton counts differently
Many domestic workers are paid under the simplified settlement procedure, with 5% tax at source as final taxation. This wage does not appear in any ordinary tax assessment. How the cantons count it for the reduction varies widely. Glarus and Zug use 100% of the gross wage, Lucerne, Uri and Obwalden 75%, Valais and Fribourg 80%. It is explicitly added in Appenzell Outer Rhodes, Appenzell Inner Rhodes, St. Gallen, Aargau, Grisons, Geneva, Lucerne, Nidwalden, Schwyz and Glarus.
In the remaining cantons we found no rule. A domestic worker paid entirely under the simplified procedure could be treated there as having no income for the purposes of the reduction. This is Clino's inference, not information from the cantons. In Grisons, where the rule is known, going through the simplified procedure costs the part-time domestic worker about 884 francs of reduction a year, because all tax deductions fall away.
Surprising findings
The most generous canton is the one with the second-highest premium
At CHF 603.60, Ticino has the second-highest mean premium in Switzerland in 2027, but also the highest reduction for the full-time domestic worker. After the deduction she pays 7.4% of her wage there, less than in 22 other cantons.
In Grisons the part-time domestic worker pays 49 francs a year
Grisons calculates with a reference premium that is above the mean premium. The part-time domestic worker receives 4,938 francs and pays just 49 francs for the mean premium over the whole year. In Appenzell Outer Rhodes the reduction covers the mean premium in full.
The correction only comes in 2028
The counter-proposal to the premium relief initiative only obliges the cantons to make minimum contributions from 2028. Until then, each canton alone decides how much it spends on premium reduction. For 2027 nothing changes for the domestic worker in this example.
What domestic workers and employers can do now
For domestic workers: check your entitlement even if no form has arrived, and note your own canton's deadline. If you have several employers and are taxed at source, ask how the canton counts your wage. Your rights as an employee in a private household are set out in our guide for domestic workers.
For employers: a correct salary certificate is the basis of every application. Registering your domestic worker and giving her a salary certificate at the end of the year makes the application possible for her. Clino produces payslips and salary certificates for private households; what employing someone costs is shown by the wage calculator. How many hours a domestic worker at the minimum wage works for her premium is shown in our sister study Premium Hours 2027.
“A cleaner on the minimum wage is exactly the person premium reduction was invented for. Whether she gets 4,000 francs or nothing depends on where she lives.”
All 26 cantons in detail
| Canton | Rules | Premium/month | Reduction full-time | Left full-time | Reduction part-time | Left part-time | Access | Deadline |
|---|---|---|---|---|---|---|---|---|
| Jura | 2026 | 551.00 | 0 | 16.3 % | 1,200* | 24.8 % | automatic | none |
| Basel-Country | 2026 | 544.50 | 0 | 16.1 % | 2,907 | 16.6 % | form | 31.12.2027 |
| Basel-City | 2026 | 570.60 | 516 | 15.6 % | 5,328* | 7.0 % | application | none |
| Fribourg | 2026 | 465.50 | 0 | 13.8 % | 3,401 | 10.0 % | form | 31.08.2027 |
| Neuchâtel | 2026 | 558.80 | 1,147* | 13.7 % | 6,370* | 1.5 % | automatic | none |
| Solothurn | 2026 | 493.50 | 432* | 13.6 % | 3,270* | 12.2 % | form | 31.07.2027 |
| Thurgau | 2026 | 433.20 | 0 | 12.8 % | 3,408 | 8.2 % | form | 31.12.2027 |
| Valais | 2026 | 460.90 | 337 | 12.8 % | 4,712 | 3.8 % | automatic | none |
| Bern | 2026 | 494.40 | 804 | 12.7 % | 1,764 | 19.1 % | automatic | 31.12.2027 |
| Appenzell Outer Rhodes | 2026 | 422.30 | 0 | 12.5 % | 5,068* | 0.0 % | form | 31.03.2027 |
| Geneva | 2027 | 610.60 | 2,460* | 12.0 % | 4,356* | 13.6 % | automatic | none |
| Aargau | 2027 | 464.70 | 953 | 11.4 % | 4,551 | 4.7 % | form | 31.12.2026 |
| Schaffhausen | 2026 | 470.60 | 1,434 | 10.4 % | 3,866 | 8.2 % | form | 30.04.2027 |
| St. Gallen | 2026 | 427.40 | 959 | 10.3 % | 4,402* | 3.3 % | form | 31.03.2027 |
| Lucerne | 2026 | 422.20 | 1,267 | 9.4 % | 3,816 | 5.7 % | form | 31.10.2026 |
| Glarus | 2026 | 426.50 | 1,399 | 9.2 % | 3,486 | 7.5 % | application | 31.01.2027 |
| Vaud | 2026 | 543.50 | 2,894 | 9.0 % | 4,763 | 8.1 % | form | none |
| Zurich | 2027 | 477.00 | 2,241* | 8.6 % | 4,134* | 7.3 % | form | 31.03.2028 |
| Schwyz | 2026 | 418.50 | 1,548 | 8.6 % | 3,704 | 6.0 % | form | 31.12.2027 |
| Uri | 2026 | 377.70 | 1,097 | 8.5 % | 2,686 | 8.5 % | automatic | none |
| Obwalden | 2026 | 386.70 | 1,458 | 7.9 % | 3,381 | 5.8 % | form | 31.05.2027 |
| Nidwalden | 2026 | 397.20 | 1,734 | 7.5 % | 3,600 | 5.4 % | form | 30.04.2027 |
| Ticino | 2027 | 603.60 | 4,267 | 7.4 % | 6,081 | 5.3 % | form | 31.12.2026 |
| Grisons | 2026 | 415.60 | 2,980 | 5.0 % | 4,938 | 0.2 % | form | 31.12.2027 |
| Appenzell Inner Rhodes | 2026 | 340.50 | 2,221 | 4.6 % | 3,499* | 2.7 % | automatic | none |
| Zug | 2026 | 324.90 | 2,271 | 4.0 % | 3,766 | 0.6 % | form | 30.04.2027 |
Reduction in francs per year. Left = premium after reduction as a share of net wage (full-time 40,484, part-time 21,790). * estimated. 2026 rules = the canton has not yet published its 2027 values. Deadline = last day to apply for the 2027 reduction; none = automatic or no deadline, but then not retroactive.
Quellen
- BAG, mean premiums 2027 by canton (2026)
- Cantonal laws, ordinances and calculators on premium reduction (2026/2027)
- GDK, premium reduction synopsis (2026)
- Bern University of Applied Sciences / SKOS, non-take-up of means-tested benefits in the canton of Basel-City (2021)
- SECO, NAV Hauswirtschaft (2026)
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About Clino
Clino is a Swiss SaaS platform enabling households to legally employ domestic workers: payroll, contract and AHV registration; Clino guides the household, insurance stays with the household. CHF 19.90/month. All 26 cantons. Founded 2026 in Zurich. clino.ch
