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Health insurance system
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If you remove a family member as a dependent

You are responsible for taking the steps needed to remove family members from your list of dependents in the following cases: A family member no longer is or no longer needs to be your dependent; a family member begins work or dies; or a family member earns income beyond the standard income amount.
Additionally, please take the steps necessary to remove a family member receiving compensation for loss of income such as employment insurance (unemployment benefits), Maternity Allowance, or Injury and Sickness Allowance from your list of dependents, depending on the amount of compensation he or she receives (see the dependent certification criteria).

Removing a family member from your list of dependents

Promptly apply using the Notification of Health Insurance Dependent (Change) (Removal) from the Notification of Health Insurance Dependent (Change) (Addition/Removal) on MY HEALTH WEB <JAPANESE> when a family member is no longer eligible to be a dependent due to beginning employment, income exceeding the standard amount, or other reason. Be sure to return the dependent’s health insurance card.

Date of removal of a dependent

The date of removal will be the date on which the family member no longer meets the requirements of a dependent.
[Examples]

  • Issued a new health insurance card due to beginning employment or other reason: The date of removal will be the date on which the family member obtained eligibility under the new health insurance.
  • Death: The date of removal will be the date after the date of death.
  • Beginning to receive unemployment benefits: The date of removal will be the start date of receiving unemployment benefits.
    etc.

Required documents

  • Health insurance card (for the dependent to be removed)
  • Elderly Benefits Card, Certificate of Application of Maximum Copayment Amount, Certificates Issued for Specific Disease Treatment (if issued)
    *Prepare the following documents for the application, based on the reason for removal:
  • Beginning employment: health insurance card issued by employer (copy)
  • Income exceeding the standard amount: documentation of date on which income began to exceed the standard amount
  • Start of receiving unemployment benefits: both sides of certificate of eligibility for employment insurance benefits (copy)
  • Divorce: official documentation of the date of divorce (e.g., certificate of acceptance of divorce notification)
  • Death: documentation of the date of death
    *You may be asked to submit other documents that can be used to confirm the date of dependent removal.

Warning about late procedures

If you fail to promptly take the necessary steps when a family member is no longer eligible to be a dependent, his or her eligibility will be cancelled retroactively, and you will be required to repay the entire amount of medical care costs and other benefits paid during the period he or she was no longer eligible.

** Health insurance and National Pension notifications for a spouse

Certification of a spouse as a health insurance dependent depends on the time for which he or she is/was a Category 3 Insured Person under the National Pension System. Be sure to complete the necessary procedures with the to reflect all facts of the circumstance, no matter how brief the spouse’s period of employment is. Failure to do so will result in a blank period in your spouse’s pension record and create the obligation for complex procedures later. Complete the procedures required to remove your spouse from your list of dependents promptly when he or she begins to work.
<Where to submit documents>
Please submit documents concerning a Category 3 Insured Person under National Pension System to the employer’s section in charge of social insurance.

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