４. Membership Application/Notification of Withdrawal○About the National Health Insurance System
Please visit a Kokuho desk within 14 days from the following dates when you apply for/ withdraw
from Kokuho:

１. National Health Insurance System

５. Dates and Required Documentation to apply for/ withdraw from Kokuho
Date

Required Documentation

When quitting workplace health insurance (the dayCertification for withdrawal fromafter resignation)

workplace health insurance
Moving-out certification of the previous

Moving into a new municipality
municipality

Application
When you are no longer welfare recipient

CopaymentClinical services

Reimbursement

ClaimsThe National Health Insurance (Kokuho)
National/Prefectural Governments
which aim is that members (insuredpersons) pay premiums and support
GrantsApply for membershipeach other (the spirit of mutual aid) has
and pay premiums (tax)been operated by our local governments
Members
and Kokuho associations (insurers) and(Insured persons)Municipal Governments
Issue an insurance
contributed a lot to ensuring local／Kokuho Associations
card
healthcare services and maintaining and(Insurers)
improving the health of local people.
It also plays a key role in the universal
healthcare insurance system. Kokuho isa health insurance system which isprepared for those who become ill orClaims
get injured and requires all the people toNational Health Insurance
Medicalbecome a member (the universal
Federation
Institutions
healthcare insurance system).
（Review & Reimbursement） Reimbursement

Notification of termination of welfare
Health Insurance Card/Maternal andWhen a child is born
Child Health Handbook
Kokuho Health Insurance Card &The day after joining in workplace health insurance
workplace health insurance cardThe day after moving out to a different municipality(on the day of move-out if the same day move-outWithdrawal

Health Insurance Cardand move-in)
Health Insurance Card/Notification of
When you become a welfare recipientcommencement of welfare

２. Kokuho Members
Health Insurance Card/Death certificate.

○ Solo proprietor○ Agricultural and fisheries workers○ Those who withdrew from workplace health insurance system due to quitting job○ Part-time workers who are non-member of their workplace health insurance system○ Those who made an alien registration and have right of residence for more than three months(except the followings):
・Their status of residence is granted for “Designated Activities” with visa for medical stay・Those who are aged 18 and over and his/her accompanying spouse to stay for not more than
one year for tourism, recreation, and other similar activities※ Everyone is required to join in Kokuho except those who join in their workplace health insurance
system and welfare recipients.
※ People may join in Kokuho even if their period of stay is not more than three months.

The day after death of insured personetc.

※Your residence card is required to apply for/withdraw from Kokuho if you are Non-Japanese national.
※Delay in membership application makes you to pay all the cost of medical care, but still you have to
pay the amount of your insurance premiums (tax) calculated from the date of eligibility.
※If your notification of withdrawal is delayed and you saw a doctor with Kokuho health insurance card,
you shall reimburse later the cost of medical care borne by Kokuho.

６. Those who don’t understand JapaneseForeign language speakers may not be available at city halls or town halls.
Please try to find someone who understands Japanese and ask him/her to come with you for
consultation or application/withdrawal.

３. Members and Head of Household
In Kokuho, every household member shall be a member (insured person). However, membership
application and payment of premiums (tax) shall be made by the head of household on behalf.

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