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Health insurance system
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Health insurance membership

Employees of employers who are members of the Health Insurance Association are Society insured persons. Family members are known as “dependents”.

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  • FAQ
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  • When you are employed you become an insured person under the health insurance program.
  • Family members must meet certain conditions to be covered under health insurance.

The employee is covered as an insured person

An employee insured under health insurance is known as “an insured person”. Everyone working at an employer to whom health insurance requirements apply must be insured, irrespective of personal preference (excluding those who do not meet certain work-related standards, such as part-time employees).

Period of eligibility

Eligibility for health insurance begins on the first day of employment and ends the day after the employee dies or leaves the employer. If a person becomes an insured person under the Medical Care System for the Advanced Elderly—for example, upon reaching age 75—he or she will lose eligibility as an insured person under the health insurance program, even if still employed.

In some cases, you may be able to remain in the Society as “a Voluntarily and Continuously Insured Person”, even after leaving the employer.

While you will lose eligibility upon leaving the employer, if you want to remain a Society member, you can join as “a Voluntarily and Continuously Insured Person” if you meet certain conditions.

Family members are covered as "dependents"

Health insurance also provides insurance benefits to family members dependent on the insured person. These family members are known as “dependents”. The Health Insurance Association requires that a dependent must meet certain conditions and certification.

Period of eligibility

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