For English speakers


No.1) Insurance card reissuance  ← Click Here         保険証再交付

Form
Sample

No.2)  When applying for a member of your family or relatives as your additional dependent ← Click Here       扶養家族追加

■Notification of Change of Health Insurance Dependents
(健康保険被扶養者異動届 Kenko Hoken Hifuyosha Ido Todoke)
【NML/Nissan Motor Kyushu】 Form Sample
【Other company】 Form Sample

■Declaration of Dependent Status (扶養状況申告書 Fuyo Jokyo Sinkoku Sho)
 *in case of upper 18 years old
Form
Sample

No.3)  When removing a family member or relatives from your dependents     ↑ Click Here                       扶養家族削除

【NML/Nissan Motor Kyushu】 Form -
【Other company】 Form -

No.4)  Childbirth Lump-Sum Allowance(Shussan Ichiji Kin) ← Click Here 出産育児一時金

Form
Sample

No.5)  Childbirth allowance(Shussan-Teatekin)  ← Click Here      出産手当金

Form
Sample

No.6)  If you forget to bring your insurance card to medical institution        ↑ Click Here                 医療費立替払い

Form
Sample


*Sorry but please note that the application form in Japanese only at this time. 
We will upload here once it’s prepared.

FAQ← Click Here



Nissan Motor Health Insurance Society does not have staff who can answer the phone call in English.
Please note that we will only respond to inquiries in English by e-mail.

【Inquiries】 No.1 ~ No.3 Qualification application(適用関係)✉E-mail
        No.4 ~ No.6 Payment(給付関係)✉E-mail