a What does dependent mean?

Health insurance provides insurance benefits when the insured person (employee) becomes ill, injured, death or childbirth. For insured dependents (family) insurance benefits will be provided for illness, injuries, death or childbirth.

However, not all family members are certified as dependents of health insurance. It is necessary to meet certain conditions stipulated by law.

Health insurance standards for dependents (Family members) are different from company allowances and tax law for dependents. Dependent and Dependent's ( family members) have different standards of tax law. Also the company allowance rule is different.

b certification of dependent

To be certified as a dependent, you must meet the following requirements:
The Health Insurance Society will determine whether or not you are a dependent after rigorous examination according to the following requirements.

Certification requirements

1. Living mainly on the income of the insured person ( employee ).
2. Being within the range of dependents stipulated by the Health Insurance Law.
3. Family annual income is less than 1.3 million yen. Elderly aged 60 and over, or disabled (under 59) compensation must be less than 1.8 million yen per year.
4. The annual family income is less than half of the annual insured person income.
5. Insured person (employee) has ability to continue the financial support.
6. Dependent has reached 75th birthday and living in Japan.
7. In the case of a dependent from another household, the amount of remittance must exceed the family's income.
   • Batch remittance and money delivered by hand is not acceptable.
   • Proof of remittance such as transfer from a financial institution is required.

     ＜ Case where you live separate but exempt from remittance proof. ＞

     1. Living alone for company reasons
     2. Separation due to children going on to school
     3. Maternity leave / separation due to long-term care
     4. Long-term hospitalization
     5. Separated by entering the facility
        • Nursing care facility for the elderly (special nursing home for the elderly)
        • Long-Term Health Care Facility
        • Long-term Nursing Care Facility
        • Rehabilitation facility for the physically (intellectual) disabled
8. Have an address (resident's card) in Japan.

   ＜ Exemption case of money transfer even you are living different place　＞

   1. Studying abroad students
   2. Family members accompanying overseas assignment
   3. A child born during an overseas assignment, a married spouse
   4. Temporary travel for sightseeing, recreation, volunteer activities, or other purposes other than work

Even if the above requirements are met, certification may not be possible if the fact of support cannot be confirmed by the health insurance association.

c Scope of dependents (relatives) (as required by law)

• Relatives within the third degree
• However, there are conditions for the same household and different households

1. People who can be in the same household or in different households
   • Spouse (including common-law relationship)
   • Children (including adopted children), grandchildren, brothers and sisters
   • Direct lineage of insured person such as parents (including adoptive parents)
2. People who are required to be in the same household
   • Relatives within the third degree other than
   • Parents and children of the insured's spouse (including common-law relationships)
   • Parents and children after the death of their spouse (including common-law)

d Income of dependents (family)

■ Range of income

1. Labor income (including tax-exempt income such as commuting expenses and bonuses)
   Part-time job, part-time job, inside job, etc.
2. Various pension income
   Public old-age pension, survivor's pension, disability pension, corporate pension, etc.
3. Business income
   Income from self-employed, agriculture, forestry, fisheries, etc.
   Income from insurance agents, piano teachers, etc.
4. Employment insurance unemployment benefits, etc.
5. Compensation for leave from social insurance
   Injury and illness allowance, maternity allowance
6. Support remittance from relatives other than the insured person
7. Real estate income, interest income, dividend income, etc. that are recognized as other income

■ How to calculate annual income

• Annual income does not mean past income, but the estimated annual income at the time of being a dependent (family member) and after the date of certification.

1. Salary income
   Total amount paid for the last 3 months (including commuting expenses) x 4 + annual bonus amount
2. Self-employed income・・・・・・Total income-necessary expenses
3. Real estate income・・・・・・Total income-necessary expenses
4. Pension income・・・・・・・Payment amount before long-term care premium insurance and tax deduction
5. Interest / dividend income・・・・Total income before tax deduction
6. Health insurance injury and illness allowance, maternity allowance・・・ Daily benefit x 360 days
7. Employment insurance unemployment benefits・・・・・・・・・Daily benefits x 360 days

※The table below shows the conditions for income (expected) per year, 1 months, and daily.

	1 year	1 month	1 day
Under 60 years old	Less than 1.3 million yen	Less than 108,334 yen	Less than 3,612 yen
60 years old and over & disabled	Less than 1.8 million yen	Less than 150,000 yen	Less than 5,000 yen

e Dependent Certification Date

1. The date on which the "Notification of Dependents (Transfer)" and the required documents are submitted and accepted by the Health Insurance Society after recognizing the fact of support will be the date of certification.
2. For birth, the date of birth shall be the date of certification.
3. We will submit a document certifying the reason for the transfer within 3.1 months, and only if it is accepted by the Health Insurance Society, we will certify it retroactively to the date when that fact occurred.
   There is a period during which you can go back, so please submit the documents immediately after the event occurs.

f Dependent deletion date

1. If a dependent has a job, the date of qualification such as a copy of the insurance card of the place of employment will be the date of deletion.
2. If a dependent dies, the date of death will be confirmed and the date of deletion will be the day after the date of death.
3. If the dependents exceed the annual income standard, the date of confirmation by the union will be the date of deletion.
4. If the dependent's livelihood is changed, the date of deletion will be the date when the union confirms the facts.
   If the person falls under the category of a late-stage elderly person (75th birthday living in Japan, the day when the early-stage elderly person (65-74 years old) is certified as having a disability), the date of deletion will be the applicable date.
   If you do not make a notification even though you are no longer qualified as a dependent, you will be disqualified retroactively.
   If you use your health insurance card after the date of disqualification, you will have to return your medical expenses.

g There is no health insurance fee for dependents.

Insurance fees are determined by the monthly remuneration of the insured (employee).
It does not change even if the number of dependents (family members) increases or decreases.

h We conduct a reconfirmation survey of dependent qualifications every year.

Proof of income, proof of pledge, proof of continuous remittance, etc. will be required for the reconfirmation survey.
If you cannot submit it, you will not be able to continue your qualification, so please be ready to submit the required documents at any time.

i If you applied untruth documents

If you apply for a family member who is not dependent on you, your dependent status will be revoked retroactively and you will have to reimburse all medical benefits incurred during that period.

j About submission of my number of dependents
　c Extent of dependents (relatives ) (as required by law)

• However, if you want to add dependents after retirement, you do not need to submit it because it will be collected from the Basic Resident Network Register .

k Other

In the examination of dependent certification, if the prescribed documents are not enough, may be ask additional documents