1. Fundamental policy on protecting personal information
The SUNTORY HEALTH INSURANCE ASSOCIATION takes the following measures to appropriately safeguard information concerning individual members (“personal information” hereinafter).
The Health Insurance Association implements appropriate safety measures to safeguard the personal information it obtains on its members against leaks, loss, damage, or improper access to personal information on members.
The Health Insurance Association uses the personal information provided by members solely for purposes considered beneficial for members, such as health maintenance and promotion.
Except when it has obtained advance consent from the member, the Health Insurance Association will not provide personal information on a member to any third party. However, in the following cases, it may provide personal information on members to third parties without obtaining advance consent from members:
(1) As stipulated by laws or regulations
(2) When necessary to protect the life, safety, or property of an individual in cases in which obtaining the consent of the member would be difficult
(3) When necessary to improve public health or to promote the healthy growth of children in cases in which obtaining the consent of the member would be difficult
(4) When necessary to cooperate with national governmental bodies or local governmental authorities or parties entrusted by national government bodies or local governmental authorities to execute affairs as specified by laws or regulations in cases in which obtaining the consent of the member could impede their execution
In addition to training and raising awareness among employees regarding personal information protection, the Health Insurance Association will strive to manage personal information appropriately by assigning persons responsible for such management.
When subcontracting its business operations, the Health Insurance Association will carry out review and implement improvements to strengthen personal information protection measures. When concluding business subcontracting agreements, it will carefully examine the competence of subcontractors and consider issues relevant to personal information protection in the content of such agreements as well.
A member who wishes to review, revise, or otherwise access his or her personal information may contact the Health Insurance Association’s Privacy Contact. The contact there will respond swiftly to such requests to the extent reasonable.
In addition to complying with laws, regulations, and other standards concerning the handling of members’ personal information, the Health Insurance Association continually reviews and strives to improve the content of this Privacy Policy.
２. Purposes of use of personal information provided
Purposes and methods of use of the personal information on insured persons and their family members (dependents) handled by the Health Insurance Association in its ordinary business operations are listed below.
Purposes related to providing insurance benefits to insured persons and others
To provide insurance benefits and additional benefits and to pay them through employers
Automatic payment of High-Cost Medical Care Benefits and Additional Benefits and other benefits and payment through employers
Submitting claims and making inquiries to casualty insurance companies or other parties if health insurance was used to pay for examination or treatment for injury due to the actions of a third party, such as traffic accidents
Making inquiries to and responding to inquiries from medical care institutions and other insurers (including municipal governments and pension offices)
Subcontracting data processing of insurance benefits and other matters
Purposes related to certifying eligibility as insured persons or other members and collection of insurance premiums, etc.
Confirming eligibility as insured persons and ascertaining standard monthly remuneration and standard bonuses
Collecting health insurance premiums and long-term care insurance premiums
Certifying dependents
Issuing health insurance cards
Subcontracting data processing of eligibility and other matters
Purposes related to health activities
Conducting and subcontracting operations related to health screening, health guidance, health consultations, and other activities for health maintenance and promotion
Providing subsidies for activities conducted by employers
Notifying insured persons and others of household medical care costs
Distributing and subcontracting distribution of publications (e.g., Society bulletins and health-guidance pamphlets) to insured persons and others
Handling, and subcontracting handling, of statistics, analysis, and other activities regarding health activity performance
Purposes related to reviewing and payment of medical fees
Checking and reviewing the content of medical cost details, Application Form for Judotherapist Expenses, Application Form for Medical Care Expenses (Acupuncture, Moxicautery), etc. (“Rezepts, etc.” hereinafter), making payments based thereon, and subcontracting related operations
Making and responding to inquiries concerning benefits paid by public expenditure and municipal subsidies for medical care costs
Data processing and image processing of Rezepts, etc. and subcontracting of related operations
Purposes related to ensuring the stability of Health Insurance Association operations
Analysis of medical care costs and sicknesses, and subcontracting of related operations
Preparation of basic materials for study, planning, and proposal of administrative and management operations and business plans
Other purposes of use
Disclosure to authorized persons in accordance with disclosure request procedures for disclosure of Rezepts, etc.
３. Joint use of personal information provided
the Health Insurance Association uses information jointly with other parties as described below:
Joint use with establishments whose employees are covered by the SUNTORY HEALTH INSURANCE ASSOCIATION
(1) Name of party involved in joint use
Establishments whose employees are covered by the SUNTORY HEALTH INSURANCE ASSOCIATION
(2) Items of personal data involved in joint use
①. Insured persons’ code/number (employee nos.), names, sections, seconding destinations, work locations, positions, addresses, telephone nos., retirement dates, dependents, and other basic information on insured persons
②. Information shown on the Claim for Injury and Sickness Allowance/Additional Sum, other than the information under ① above
③. Information shown on the Claim for Maternity Allowance/Additional Sum, other than the information under ① above
④. Information on periodic health examinations and other examinations conducted by the Company
⑤. Other information as needed to perform duties pursuant to laws and regulations
(3) Purposes of use
①. Conducting health insurance operations (e.g., insurance benefits and health activities) for employees who are insured persons in the Health Insurance Association and dependent family members, pursuant to the Health Insurance Act
②. Activities such as analysis of sicknesses for purposes of formulating, maintaining, and improving Health Insurance Association business plans (by section, seconding destination, work location, position, etc.)
Provision of grants related to high-cost medical care benefits
(1) Name of party involved in joint use
National Federation of Health Insurance Societies (“NFHIS” hereinafter)
(2) Items of personal data involved in joint use
①. All items shown on medical cost details (including the statement, “Rezept” hereinafter), in digital or paper form
②. All items shown on applications for payment of a subsidy with summary of the details, in digital or paper form
(3) Purposes of use
Under Article 2 of the Supplementary Provisions of the Health Insurance Act, when the Society encounters high medical care costs, it uses this data to apply to receive grants from the NFHIS to defray certain medical care costs. The NFHIS uses this data to check the content of the application and provide appropriate grants. It also uses Rezepts involving particularly high costs of 10 million yen or more per month as data to address growing medical care costs by releasing information (after removing any personal information) such as amounts and names of main diseases.
４. Personal information contact point
Contact point : SUNTORY HEALTH INSURANCE ASSOCIATION Office Tel. 06-6301-6191
Hours:9:00 am–4:00 pm (on days the Society is open for business)
1. Fundamental policy on protecting personal information
The SUNTORY HEALTH INSURANCE ASSOCIATION takes the following measures to appropriately safeguard information concerning individual members (“personal information” hereinafter).
２. Purposes of use of personal information provided
Purposes and methods of use of the personal information on insured persons and their family members (dependents) handled by the Health Insurance Association in its ordinary business operations are listed below.
３. Joint use of personal information provided
the Health Insurance Association uses information jointly with other parties as described below:
Establishments whose employees are covered by the SUNTORY HEALTH INSURANCE ASSOCIATION
National Federation of Health Insurance Societies (“NFHIS” hereinafter)
Under Article 2 of the Supplementary Provisions of the Health Insurance Act, when the Society encounters high medical care costs, it uses this data to apply to receive grants from the NFHIS to defray certain medical care costs. The NFHIS uses this data to check the content of the application and provide appropriate grants. It also uses Rezepts involving particularly high costs of 10 million yen or more per month as data to address growing medical care costs by releasing information (after removing any personal information) such as amounts and names of main diseases.
４. Personal information contact point