If you need various certificates
- If you need a certificate for my qualification (for general insured persons only)
- If you want a certificate of loss of eligibility as an insured person
- If you want a certificate of loss of eligibility as a dependent
- If you want to undergo examination or treatment at a medical care institution or other such facility when you do not have your health insurance card
- If you want a certificate of benefits
- If you want a certificate of payment of insurance premiums (for Voluntarily and Continuously Insured Persons and Special-Case Retired Insured Persons only)
If you need a certificate for my qualification (for general insured persons only)
Eligibility to join
Please check the color and symbol of your health insurance card. |
Insured person (employee) If the symbol starts with "1". |
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Application Form | Application support system Request for Certificate of Eligibility
(Connect to Hitachi Group Intranet.) |
If you are unable to use the application support system |
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Documents to attach | none |
Deadline | none
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Submit documents to | Operations (Application) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063
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Others |
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Address inquiries to | Operations (Application) |
If you want a certificate of loss of eligibility as an insured person
Eligibility to join
Please check the color and symbol of your health insurance card. |
Insured person (employee) If the symbol starts with "1". |
Voluntarily and Continuously Insured Person If the symbol starts with "2". |
Special-Case Retired Insured Person If the symbol starts with "3". |
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Application Form | Application support system Prior Request for Issuance of Certificate of Loss of Eligibility
(Connect to Hitachi Group Intranet.) |
||
If you are unable to use the application support system |
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Documents to attach | none | none | |
Deadline | none
|
none
|
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Submit documents to | Operations (Application) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063
|
Operations (Application) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063 |
|
Others |
|
|
|
Address inquiries to | Operations (Application) |
Operations (Application) |
If you want a certificate of loss of eligibility as a dependent
Eligibility to join
Please check the color and symbol of your health insurance card. |
Insured person (employee) If the symbol starts with "1". |
Voluntarily and Continuously Insured Person If the symbol starts with "2". |
Special-Case Retired Insured Person If the symbol starts with "3". |
---|---|---|---|
Application Form | Application support system Request for Certificate of Eligibility as a Dependent
(Connect to Hitachi Group Intranet.) |
||
If you are unable to use the application support system |
|||
Documents to attach | none | none | |
Deadline | none
|
none
|
|
Submit documents to | Operations (Application) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063
|
Operations (Application) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063 |
|
Others |
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|
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Address inquiries to | Operations (Application) TEL 03-4554-3020 |
Operations (Application) |
If you want to undergo examination or treatment at a medical care institution or other such facility when you do not have your health insurance card
Eligibility to join
Please check the color and symbol of your health insurance card. |
Insured person (employee) If the symbol starts with "1". |
Voluntarily and Continuously Insured Person If the symbol starts with "2". |
Special-Case Retired Insured Person If the symbol starts with "3". |
---|---|---|---|
Application Form |
|
||
Documents to attach | none | ||
Deadline | none | ||
Submit documents to | Your employer’s health insurance contact (e.g., General Affairs, Labor Management) | ||
Others |
|
||
Address inquiries to | Your employer’s health insurance contact (e.g., General Affairs, Labor Management) |
If you want a certificate of benefits
Eligibility to join
Please check the color and symbol of your health insurance card. |
Insured person (employee) If the symbol starts with "1". |
Voluntarily and Continuously Insured Person If the symbol starts with "2". |
Special-Case Retired Insured Person If the symbol starts with "3". |
---|---|---|---|
Application Form | |||
Documents to attach | none | none | |
Deadline | none
|
none
|
|
Submit documents to | Operations (Benefits) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063 |
Operations (Benefits) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063 |
|
Others |
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|
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Address inquiries to | Operations (Benefits) TEL 03-4554-3030 |
Operations (Benefits) |
If you want a certificate of payment of insurance premiums (for Voluntarily and Continuously Insured Persons and Special-Case Retired Insured Persons only)
Eligibility to join
Please check the color and symbol of your health insurance card. |
Voluntarily and Continuously Insured Person If the symbol starts with "2". |
Special-Case Retired Insured Person If the symbol starts with "3". |
---|---|---|
Application Form | ||
Documents to attach | none | |
Deadline | none
|
|
Submit documents to | Operations (Application) Hitachi Health Insurance Society Higashi-Ochanomizu Building, 2-29, Kanda Awaji-cho, Chiyoda-ku, Tokyo, 101-0063 |
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Others | A certificate of payment of insurance premiums for those paid during the one-year period from January through December will be issued automatically by the Hitachi Health Insurance Society to all eligible persons in January of the following year. Use this application form to request a certificate as needed at other times. |
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Address inquiries to | Operations (Application) |