Family membership | Procedures | JERA Health Insurance Society

Adding a spouse as a dependent

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List of Documents Required for Dependent Status Eligibility

When a spouse leaves their employer

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（spouse）
Required documents:	National Pension Category 3 Insured Person Report Form example
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Certificate of Resignation/Retirement (copy) Withholding Record (copy), etc. * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When a spouse stops receiving employment insurance benefits

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（spouse）
Required documents:	National Pension Category 3 Insured Person Report Form example
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Certificate of eligibility for employment insurance benefits (copies of both sides), etc. * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When the part-time income of a spouse decreases

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（spouse）
Required documents:	National Pension Category 3 Insured Person Report Form example
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Pay statements received from January of the given year to the most recent payment (copies)など * If no pay statement is available, please request proof of income from your employer listing the "total monthly income" from January of the given year to the most recent payment and submit it. * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

Adding a parent as a dependent

When adding a parent with only pension income as a dependent

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（mother）
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Certificate of Income (copy) Notice of revision of the pension amount or the most recent notice of pension remittance (copy) * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When adding a parent with income from agriculture or self-employment as a dependent

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（mother）
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Certificate of Income (copy) Final tax return (copy) and statement of earnings and expenses (copy) If receiving pension benefits, notice of revision of the pension amount or the most recent notice of pension remittance (copy) * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When adding a newborn baby as a dependent

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example
Documents to attach	Certificates of Residence including familial relationships for the entire household (copies) Maternal and Child Health Handbook (A copy of the page with the name of the father, mother, and child and the official seal of the government office) Notification of Birth (copies of both sides) * Please attach any one of the above documents. * If both a husband and a wife are working to support their children, in principle, the children shall become dependents of the parent with the higher income. However, in cases where the difference between the respective annual incomes of both a husband and a wife is within 10% of the higher income of the two, the children shall become dependents of the parent who is primarily responsible for their livelihood by notification. If the respective incomes of you and your spouse reverse after dependent status has been granted, please promptly complete procedures to have your children become dependents under your spouse.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When adding a child age 16 or older as a dependent

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（Children over 16 years old）
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Certificate of Income (copy) (Not required for students) Student ID (copy) or Certificate of School Attendance (copy) * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When a child leaves their employer

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（Children over 16 years old）
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Certificate of Resignation/Retirement (copy) Withholding Record (copy), etc. * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When a child stops receiving employment insurance benefits

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（Children over 16 years old）
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Certificate of eligibility for employment insurance benefits (copies of both sides), etc.など * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When the part-time income of a child decreases

Required documents:	Notification of Dependent (Change)(increas) Notification of Dependent -example Dependent Qualification Record -example（Children over 16 years old）
Documents to attach	Notification of Present Situation Certificates of Residence including familial relationships for the entire household (copies) Pay statements received from January of the given year to the most recent payment (copies)など * If no pay statement is available, please request proof of income from your employer listing the "total monthly income" from January of the given year to the most recent payment and submit it. * Additional documents may be requested to confirm the present and actual situation regarding support. * List of Documents Required for Dependent Status Eligibility
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When adding a family member who lives separately from the insured person as a dependent

When adding a family member who lives separately from the insured person as a dependent, in addition to eligibility requirements based on the reasons for adding them as a dependent, remittances to the prospective dependent of equal to or more than their annual income (or equal to or more than the standard remittance amount stipulated by the Health Insurance Society for those without income) are required. When adding them as a dependent, please submit documents (such as receipts for bank transfers) that can confirm monthly remittance amounts.

Example of remittance certificate

Standard minimum remittance to persons without income

One person	50,000 yen or more
Two persons	75,000 yen or more
Three persons	100,000 yen or more

Documents (such as receipts for bank transfers) that can confirm remittances made over the year (on a monthly basis) are required for the annual continued dependent status eligibility review. Make sure to securely store such documents in preparation for their submission. As of the January 2013 dependent status eligibility criteria review, remittances made by hand are no longer accepted.

When the income of a dependent family member increases

When a family member gets a job

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	For those who got a job on a date other than April 1, health insurance card provided by the employer (copy) or certificate of health insurance acquisition (copy) The health insurance card * If the health insurance card is lost or damaged, a separate application is required. Application Form for Reissue of Health Insurance Card/Elderly benefits card (Card loss/Damage) example
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When the income of a family member increases due to part-time employment and other similar reasons

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	Pay statements received (copies) or Employment Agreement (copy) If enrolled in a social insurance system, health insurance card provided by the employer (copy) The health insurance card * If the health insurance card is lost or damaged, a separate application is required.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When the pension benefit of a parent increases

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	Notice of revision of the pension amount or the most recent notice of pension remittance (copy) The health insurance card * If the health insurance card is lost or damaged, a separate application is required.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When employment insurance benefit payments start

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	Certificate of eligibility for employment insurance benefits (copies of both sides), etc. The health insurance card * If the health insurance card is lost or damaged, a separate application is required.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When a divorce occurs or there is a change in dependents (change in the person responsible for their livelihood)

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	The health insurance card * If the health insurance card is lost or damaged, a separate application is required.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When a family member dies

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	Application for Payment of Funeral Expenses Example The health insurance card * If the health insurance card is lost or damaged, a separate application is required.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When a dependent, who must live together with the insured person to maintain their dependent status, lives separately from the insured person

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	The health insurance card * If the health insurance card is lost or damaged, a separate application is required.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.

When a dependent lives separately from and no longer relies on the insured person for their livelihood

Required documents:	Notification of Dependent (Change)(decrease) example
Documents to attach	The health insurance card Certificate of Residence of the applicable person (copy) * If the health insurance card is lost or damaged, a separate application is required.
Address inquiries to:	Health Insurance Society
How to apply	JERA employees For address copy:jera_ml@company-sr.com Persons belonging to related companies* Submit to the person in charge of health insurance at the company Voluntarily and Continuously Insured Persons Submit to the Health Insurance Society * Any postal fees incurred shall be paid out of pocket. Where to submit By internal mail To the JERA Health Insurance Society By regular mail 103-6125　Nihonbashi Takashimaya Mitsui Building 16F, 5-1, Nihonbashi 2-chome, Chuo-ku, Tokyo * Any postal fees incurred shall be paid out of pocket.