Inactive PBPU participants as of July 2021 reached 16.6 million, 3.3 million more than in December 2019. Data for the 2020 Program Management Reports shows that in 2019 BPJS Kesehatan had 224,149,019 registered JKN participants, while in 2020 it was reduced by 1,687,113 participants. This study identifies the factors that affect the compliance of independent participants in paying JKN contributions during the COVID-19 pandemic. This research is in the form of a narrative systematic review with a qualitative approach. Search for articles using a narrative databases based on GARUDA Kemdikbud database and Google Scholar. The search results found 7 selected articles based on inclusion and exclusion criteria. In this study, it was found that the compliance level of participants ranged from 25.9–69%. From the seven articles, it was found that participants who obeyed paying JKN contributions are participants who have a higher education, a high income, a positive perception of health services, who have a job, sufficient knowledge, are willing to pay high, and have a high tendency to imitate referral groups. Knowledge is a significant factor related to compliance with paying JKN contributions. BPJS Kesehatan is expected to be able to be more massively various educational efforts through social media by involving influencers as brand ambassadors to increase the knowledge of JKN participants about the importance of compliance with paying JKN contributions.