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Registering for National Health Insurance

Health Insurance Registration

Reporting National Health Insurance

When registering for and/or withdrawing from the National Health Insurance Program, please submit notification within 14 days. Examples are listed below.
* Please submit notification to the Insurance & Pension Division (Hoken Nenkin-ka) or any local Reception Windows (Madoguchi-ka).

When to Register for National Health Insurance

Please register for the National Health Insurance if any of the following apply:

Moving to Koka from out of town
Required: Proof of Address Change (Tenshu Shomei-sho)
Withdrawing from separate/private insurance provider
Required: Document verifying your withdrawal
When dependents are separated from your insurance plan
Required: Document verifying your withdrawal
New childbirth
Required: Document verifying birth, insurance card (Hoken-sho)
Lose Welfare Status (Seikatsu Hogo)
Required: Document verifying termination of welfare status (Hogo-haishi Kettei Tsuchi-sho)
Alien Registration (excluding short-term residency)
Required: Alien Registration Card (Gaikoku-jin Toroku-sho)

When to Withdraw from National Health Insurance

Please withdraw from the National Health Insurance if any of the following apply:

Moving away from Koka
Required: Insurance Card (Hoken-sho)
Registering for a different health insurance provider
Required: Work and National Health Insurance Card (as well as document showing new insurance registration)
Qualified for receiving Welfare (Seikatsu Hogo)
Required: Notice verifying welfare status (Hogo-kaishi Kettei Tsuchi-sho)
In the event of Insuree Death
Required: Insurance card, proof of death
Foreigner moving away from Koka 
Required: Insurance card, Alien Registration Card

Additional Information

You are required to report any of the following additional scenarios below:

Qualify for Retiree Healthcare System
Required: Insurance card, Annuity Bond (Nenkin Shosho)
Lose Retiree Healthcare Status
Required: Insurance card
Changes in Address, Name, or Head of Household
Required: Insurance card
Family separation or unification
Required: Insurance card
Loss or damage of insurance card (to the point where it can no longer be used)
Required: Insurance card (when damaged), proof of identification (i.e. driver’s license)
Separation from Koka City due to work or long-term travel
Required: Insurance card
Child resides in a separate municipality for study purposes
Required: Insurance card, student ID

Registering for National Health Insurance

For foreign residents living in Japan for a year or longer, registering for National Health Insurance (Kokumin Kenko Hoken) is mandatory.
Individuals who are not insured by their current employer or recipients of welfare (Seikatsu Hogo) must register for National Health Insurance.
In the event of illness or injury, National Health Insurance registrants receive a number of provisions to cover medical expenses.
For additional information, please read more about in "Reporting National Health Insurance."

Contact Information

Insurance and Pension Division (Hoken Nenkin-ka)
Department of Civilian Environment (Shimin Kankyo-bu)
TEL 0748-65-0688 FAX 0748-63-4618

National Health Insurance Benefits

Nursing Care Coverage: When Moving In or Out of Koka