FAQs

12

削除手続き

Removal procedures

回答書・必要書類について

About the Response Form and the required documents

Question
質問

PLEASE READ THIS FIRSTALL MEMBERS PLEASE SUBMITAnswer
回答

I live separately from thesurvey respondent (thedependent) because I
have taken up a post
away from home oncompany orders. Do I
need to submit
remittance certiﬁcates?

If you have taken up a post away from home on company orders, you do not need to submit remittancecertiﬁcates. Please check the box Living separately (for work) at (4) Living together or separately in theResponse Form.

Q.18

The survey respondent
lives in a special nursing
home for the elderly,
separately from thepolicyholder. What
documents should Isubmit?

Please provide documents conﬁrming remittances or the costs borne.

Q.19

I am actually living
separately from thepolicyholder, but does itmean we are living
together if the move has
not been registered on
the residence certiﬁcate?

No, you are living separately. If the reason for living separately is "Other,"" please submit documents
proving any allowances.
(Proof of allowances is not required if the reason for living separately is related to school or you have taken
up a post away from home on company orders.)

Q.20

I send allowances aslump sums and cannot
submit remittancecertiﬁcates for eachmonth. What should I
do?

In principle, the Society deems that a dependent relies for their living expenses on allowances sent eachmonth. If you are sending allowances as lump sums, please submit remittance certiﬁcates conﬁrming thelast three months worth of payments. Note: If you are sending lump sums, please write in the number ofmonths the lump sums are for in a blank space on the remittance certiﬁcate (e.g. “.....months worth.”)Q.21

The Response Form has
been lost. What should Ido?

Please contact us via the call center. The Society will send you another form.

Q.22

The COVID-19 pandemic
caused a temporary
increase in my income,so it has exceeded thethreshold for certiﬁcation.
What should I do?

Please ask your workplace for a document verifying the temporary increase in income due to COVID-19
applicable to your circumstances in 2022 and submit it.
Please submit documentation verifying the insured personʼs name, the dependentsʼ names, workplace
name, address, phone number, period employed, job description, and income (for 2022).
Note: The Society will decide whether to uphold certiﬁcation or not after checking the submitted
documents.

Q.23

My employee number
has changed with SP.
What should I do?

Please cross out the old number using double lines and write in the new number before submitting.

Q.24

I have completed thesurvey respondent
removal procedures and I
have returned my healthinsurance card. Do any
documents still need tobe submitted?

Because of the time it takes for data processing, a Response Form may reach you even if you havealready completed those procedures. Please ﬁll in the applicable part(s) of the ﬁeld at "Persons notmeeting the qualiﬁcation conditions" in the Response Form for the applicable survey respondent, andsubmit the Response Form only.

A family member has
started employment and isin the middle of aprobationary period, so
he/she has not been issued
a health insurance card. Is
it all right not to complete
procedures to remove adependent during theirprobationary period?

Even during a probationary period, if monthly income is 108,334 yen (150,000 yen if 60 years or older)or more, please complete the dependent removal procedures. Please enroll in National Health Insurance(Kokumin Kenko Hoken) yourself until the workplace issues a health insurance card.

What should I do if I ﬁnd
out that a dependent
does not meet thecertiﬁcation criteria?

Please read Dependent Family Member Removal Procedures on page 10 before completing theprocedures to remove that dependent family member by the due date.
- If you need a certiﬁcate of loss of dependent status, an application is required.
- In regard to the Response Form, please ﬁll in the applicable part(s) of the ﬁeld at "Persons not meeting thequaliﬁcation conditions" and submit the Response Form only.

Q.17

Q.25

Q.26

NOTICEYou can now use your Individual Number Card as your health insurance card!
Note: To use your Individual Number Card as your health insurance card, you needto complete the application on the Mynaportal website.
Mynaportalwebsite.

October 2023
Nissan Motor Health Insurance Society

To all policyholders and dependents

2023 Health Insurance Dependent Status Conﬁrmation (Veriﬁcation)
Thank you very much for your understanding and support for the Societyʼs initiatives.
Every year Nissan Motor Health Insurance Society surveys dependent family members about
their dependent status.
We would appreciate it if you could complete the attached Response Form and submit it with
the necessary certiﬁcation documents.
Please be aware that an outside company, OACS, is conducting this survey on behalf of theSociety and that any inquiries or reminders will come from OACS directly.
Thank you for your cooperation.
Surveyrespondents(1) Dependents aged 19 or over certiﬁed by December 31, 2023 whose
annual income for 2022 as informed to the Society by local government
meets the following criteria <Criteria> If under 60 years, 1,200,000 yen ormore. If 60 years or more, or a disability pension recipient, 1,700,000 yen or more.

(2) Those living separately, regardless of income(3) Those for whom the local government could not provide information

Note: Family members whose names are not printed on the Response Form (including
those turning 75 by the end of March 2024) do not need to complete the survey this time.

Documents tobe submitted

1. Health Insurance Dependent Status Conﬁrmation Response Form(hereinafter, referred to as “Response Form”)

2. Certiﬁcation documents

Note: The documents to be submitted cannot be returned to you, so please attach copies, as necessary.

Submission
deadline

Where tosubmit
documents

NotesDocuments must arrive by November 20, 2023 (Mon.)
Outsourcee: NMF Shinjuku Minami-guchi Building 7F, 2-4-9 Yoyogi, Shibuya-ku, Tokyo 151-0053
Dependent Status Conﬁrmation Survey Oﬃcer,
Nissan Motor Health Insurance Society, OACS K.K.

Note: Please submit the documents directly by mail using the return envelope enclosed in theset of survey documents.

Anyone who has been determined to have fallen outside the certiﬁcation criteria as the result of areview will have their dependent status invalidated as of 1 December 1, 2023 or retroactively to thedate on which the reason for the invalidation occurred.
Please note that if you provide a false response, or you do not submit the Response Form or Certiﬁcate, under Article 50, Paragraph 9 of the Enforcement Regulations of the Health Insurance Act ("Inthe case of veriﬁcation or renewal, a policyholder's certiﬁcate that has not been veriﬁed or renewed
shall be invalid”), the dependent status will be invalidated retroactively. In such an event, please beaware that the bill for the health insurance portion of any expenses for medical attention received after
the date of loss of dependent status will be at your own cost.

Personalinformation
handling

The personal information we receive is only used for health insurance business purposes and is not usedfor any other purpose.

Inquiries

Nissan Motor Health Insurance Societyʼ s Dedicated Call Center for the Dependent
Status Conﬁrmation Survey

Japanese

Phone：03-4335-7096 Weekday 9：00 〜 17：00

Japanese Only
EnglishFor details, please see the1Phone：03-4335-7097 Weekday 9：00 〜 17：00
English Only

Note: For the English version of this guide, please go to the Nissan Motor Health InsuranceSociety website, then Health Insurance Card, and 8. Dependent Conﬁrmation Survey.