# Slovakia healthcare insurance and systemic efficiency > Live situation record from CLSTR: https://clstr.news/situations/slovakia-healthcare-insurance-and-systemic-efficiency > Updated: 2026-09-17T08:29:25.000Z. Sources: 4. Developments: 2. In Slovakia, the deadline for citizens to switch health insurance providers for the upcoming year is September 30. Electronic applications require a digital signature by the end of that date, while postal applications must be postmarked by the same deadline. Martin Kultan, CEO of the Dôvera health insurance company, has raised concerns regarding the economic sustainability of the current hospital and department network. He criticized the practice of providing additional funds to state hospitals without addressing productivity issues, noting that many hospitals face significant financial losses due to rising personnel costs and inefficient hospitalizations. Regarding industry consolidation, Kultan indicated that the merger between Dôvera and Union is awaiting approvals from the European Commission and the Health Care Surveillance Authority, with a projected conclusion in 2027. ## Timeline ### 2026-09-17: Slovakia tax deadline: 17,000 taxpayers face September 30 cutoff Slovak taxpayers with foreign income and businesses seeking EU VAT refunds face a final September 30 deadline to file and pay, with no further extensions available. 2 sources. https://clstr.news/cluster/slovakia-tax-deadline-17000-taxpayers-face-september-30-cutoff ### 2026-09-15: Slovakia health insurance deadline approaches amid calls for systemic efficiency Slovak citizens must submit health insurance change applications by September 30. Meanwhile, Dôvera CEO Martin Kultan calls for healthcare efficiency and notes the pending 2027 merger with Union. 2 sources. https://clstr.news/cluster/slovakia-health-insurance-deadline-approaches-amid-calls-for-systemic-efficiency --- Cite as: Slovakia healthcare insurance and systemic efficiency. CLSTR, https://clstr.news/situations/slovakia-healthcare-insurance-and-systemic-efficiency