Hewlett-Packard Japan Health Insurance Society

Hewlett-Packard Japan Health Insurance Society

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Family membership

Health insurance provides insurance benefits not just to insured persons but also to their dependent family members. These family members are referred to as “dependents”. Family members must meet certain conditions related to “residency in Japan,” “the extent of the family relationship,” and “income” before they are authorized as dependents.

Adding a family member as a Dependent

Required documents:

Submit documents below
1. Notification of Health Insurance Dependent (Change)
2. Dependent Status Questionnaire (A) and/or(B)
3. Documents to attach
4. Additional documents (if applicable)
1
  • Notification of Health Insurance Dependent (Change) (for dependent certification)
    ExcelPDF
  • Example
2-1
  • Dependent Status Questionnaire (A) (for Spouse/ Children)
    ExcelPDF
  • Example
2-2
  • Dependent Status Questionnaire (B) (for Spouse/ Children)
    ExcelPDF
  • Example
3 Documents to attach for dependent certification (see Dependent Status Questionnaire abobe)
4 In cases that qualify as temporary excess of income for the support enhancement “package for overcoming annual income barriers
  • a) A certificate from the employer concerning temporary change in income (for the most recent year)
  • b) A copy of the employment contract
  • c) Copies of pay statements (for two months) for the most recent period not including the period of higher income resulting from longer hours worked due to labor shortage or other reasons

Note:You may be asked to submit additional documents, such as a shift chart or itemized statement of living costs.

Destination: To the company's HR
Deadline: Within five days after the reason for adding the family member arises
Applies to: Insured persons for whom the number of dependent family members increases due to marriage, childbirth, etc.
Address inquiries to: Health Insurance Society
Notes:

See the Description page for information on requirement for certifying dependents.

Documents to attach for dependents who qualify for exceptions to the domestic residency requirement even though they do not have addresses in Japan

Reasons for exception Certifying documentation
(1) Student studying abroad Copy of visa, student ID, certificate of school attendance, certificate of school admission
(2) Family member accompanying an insured person posted abroad Copy of visa, written appointment overseas, certificate of residence issued by a foreign public agency, etc.
(3) Person traveling abroad temporarily for sightseeing, recreation, volunteer activities, or other reasons unrelated to employment Copy of visa, certificate of agency dispatched for volunteer activities, certificate of consent to participate in volunteer activities
(4) Person recognized as equivalent to (2) above due to family relationship to an insured person arising while the insured person is posted abroad Copy of documentation certifying birth, marriage, etc.
(5) In addition to (1)-(4) above, person recognized to have a livelihood based in Japan in consideration of purposes of traveling abroad and other circumstances Subject to determination on a case-by-case basis. Please contact the Health Insurance Society.
  • Note: If documents were prepared in a foreign language, please attach a Japanese translation signed by the translator.

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When a family is not eligible to be a dependent

Required documents:
  • Notification of Health Insurance Dependent (Change) (for removal from the list of dependents)
    ExcelPDF
  • Example
Health insurance card (for the dependent to be removed)
Elderly benefits card (if issued)
If the reason for application is "unemployment insurance reception start":
The double-sided copy of the employment insurance benefits certificate
Destination: To the company's HR
Deadline: Within five days after the reason for adding the family member arises
Applies to: [Insured persons with dependents who meet the following descriptions]
  • No longer eligible as dependents due to reasons such as employment, living apart from the insured person, or death
  • No longer satisfy the conditions for certification as dependents due to increased income
  • No longer rely on the income of the insured person for their livelihood because the insured person no longer provides an allowance
  • To be Aged 75
Address inquiries to: Health Insurance Society
Notes:  

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