Hewlett-Packard Japan Health Insurance Society

Hewlett-Packard Japan Health Insurance Society

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After you leave your employer

You will lose your eligibility for membership in the Health Insurance Society after you leave your employer. Join the appropriate medical care insurance system based on your needs and circumstances.

Return your health insurance card from during your employment when you leave your employer

Required documents:
  • Health insurance cards (for the insured person and all dependents)
  • Elderly benefits card (if issued)
Destination: To the company’s HR/retirement representative
Deadline: Within five days after the date of loss of eligibility
Applies to: Insured persons leaving employment and their dependents
Address inquiries to: Health Insurance Society
Notes:  

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If you continue to enroll in The Society (voluntary and continuous enrollment)

Required documents: (1)
  • Application for Eligibility for Coverage as a Voluntarily and Continuously Insured Person (and Dependent Notice)
    Excel ・ PDF
  • Example
  • Submit only (1) if there is no enrollment application for dependent family members (i.e., if only the person in question applies)
(2)-1
  • Dependent Status Questionnaire (A) (for Spouse/ Children)
    Excel ・ PDF
  • Example
(2)-2
  • Dependent Status Questionnaire (B) (for Spouse/ Children)
    Excel ・ PDF
  • Example
(3) Attachment for certification (Please check within the support situation survey above)
Destination:
  • Postal service
    2-2-1 Ojima, Koto-ku, Tokyo 136-8711
    To Hewlett-Packard Japan Health Insurance Society
  • e-mail
    jpn_kenpo_shinsei@hpe.com
Deadline: Within 20 days after the date of loss of eligibility of the insured person
Applies to: Insured persons who have been insured continuously for at least two months prior to leaving employment
Address inquiries to: Health Insurance Society
Notes:
  • Application and notification forms for voluntarily and continuously insured person are also accepted by e-mail.
    Please fill in the required fields and send to the designated E-mail address.
  • The enrollment procedure for voluntary and continuous insurance cannot be carried out before the day of disqualification (the day after leaving employment), so The Society will send information on voluntary and continuous health insurance premiums after you complete the procedure for leaving employment. If you do not receive information on insurance premiums one week after leaving employment, please contact The Society.
    Please note that it is not possible to enroll for voluntary and continuous insurance after the submission deadline has passed, except in cases of unavoidable circumstances such as natural disasters.

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Voluntary and continuous insurance: procedure during enrollment

Notification is necessary when it corresponds to the following.

Reason Documents to be submitted
Qualifying for health insurance (becoming employed, etc.)
  • 1) Notice of Disqualification as a Voluntarily Continuously Insured Person
    Excel ・ PDF
  • 2) Voluntary and Continuous Health Insurance Card
  • 3) Copy of the new health insurance card (for the insured person only)
  • 4) Health Insurance Voluntary and Continuous Insurance Premium Refund Application and Invoice (only if an insurance premium has been paid from the month of employment)
    Excel ・ PDF
Death of an insured person
  • 1) Notice of Disqualification as a Voluntarily Continuously Insured Person
    Excel ・ PDF
  • 2) Voluntary and Continuous Health Insurance Card
  • 3) Copy of Death Certificate, etc.
  • 4) Health Insurance Voluntary and Continuous Insurance Premium Refund Application and Invoice (only if an insurance premium has been paid from the month of employment)
    Excel ・ PDF
If you have been disqualified for not paying insurance premiums
  • 1) Notice of Disqualification as a Voluntarily Continuously Insured Person
    Excel ・ PDF
  • 2) Voluntary and Continuous Health Insurance Card
If you applied to have your status as a Voluntarily and Continuously Insured Person cleared
  • 1)  Notice of Disqualification as a Voluntarily Continuously Insured Person (via E-mail)
    Excel ・ PDF
  • 2) Voluntary and Continuous Health Insurance Card
Change of address
  • 1) Address Change Notice
    Excel ・ PDF
  • 2) Document that shows your new address such as a driver's license (double-sided copy), certificate of residence, etc. (copies are acceptable)
  • * Full-time employees are not required to give a notification to the Health Insurance Society directly. Change the address information in the personnel system.
Name change Refer to If your name has changed
Change in the situation of dependent family members

(Employment, increase or decrease in income related to the range of dependency, childbirth, etc.)		 Refer to Family membership
Destination
  • Postal service
    2-2-1 Ojima, Koto-ku, Tokyo 136-8711
    To Hewlett-Packard Japan Health Insurance Society
  • e-mail
    jpn_kenpo_shinsei@hpe.com
Notes
  • Application and notification forms for voluntarily and continuously insured person are also accepted by e-mail.
    Please fill in the required fields and send to the designated E-mail address.
  • You must return your insurance card by standard mail upon disqualification.

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