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For English speakers

No.1 When applying for a member of your family or relatives as your additional dependent
(扶養家族追加)
Notification of Change of Health Insurance Dependents
(Kenko Hoken Hifuyosha Ido Todoke 健康保険被扶養者異動届)
Form (NML / Nissan Motor Kyushu) Sample
Form (Other company) Sample
Declaration of Dependent Status
(Fuyo Jokyo Sinkoku Sho 扶養状況申告書)
* in case of upper 18 years old
Form Sample
No.2 When removing a family member or relatives from your dependents
(扶養家族削除)
Form (NML / Nissan Motor Kyushu)
Form (Other company)
No.3 Regarding the issuance (reissuance) of eligibility confirmation letter for health insurance
(資格確認書(再)交付)
Form
No.4 Childbirth Lump-Sum Allowance
(Shussan Ikuji Ichijikin 出産育児一時金)
Form Sample
No.5 Childbirth Allowance
(Shussan Teatekin 出産手当金)
Form Sample
No.6 If you forget to bring your insurance card to medical institution
(医療費立て替え払い)
Form Sample
Reference link
  • * Sorry but please note that the application form in Japanese only at this time.
    We will upload here once it’s prepared.
  • * 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

Let's Try Using the My Number Insurance Card !

This English text is machine translated and we cannot guarantee its quality.

The health insurance card you currently have will no longer be available from December 2025.
Please switch to "My Number Card" as soon as possible.

Click here to watch a video explaining how to use My Number Card as a health insurance card.

字幕言語(Subtitle Language) YouTube URL
English(英語) https://youtu.be/och-HnAZ1p4
简体中文(中国語 簡体字) https://youtu.be/OREjacfKtkY
繁體中文(中国語 繁体字) https://youtu.be/3ZNdyBR40ew
한국어(韓国語) https://youtu.be/8SvTpr3ylG8
Tiếng Việt(ベトナム語) https://youtu.be/60J-Jqu5fX4
Português(ポルトガル語) https://youtu.be/QSnpst79_G4

If you do not have a MyNumber Card, please click here .
For inquiries regarding the My Number System, please call the "Toll-free number for My Number System (available in foreign languages)".

Inquiries about My Number System

Toll-free number for My Number system (available in foreign languages)

  • My Number System, My Potal Public Money Receipt Account Registration System
    Languages: English, Chinese, Korean, Spanish, Portuguese, Vietnamese, Thai, lndonesian, Tagalog,Nepalese
    Reception hours: Weekdays 9:30 a.m. to 8:00 p.m.
    Saturdayst Sundays, and holidays 9:30 a.m. to 5:30 p.m. (except year-end and New Year holidays)
    Toll free: 0120-0178-26
  • Temporary suspension of use of my number card, electronic certificate, personal number notification card, notification card or my number card due to loss or theft
    Languages available: EngIish, Chinese, Korean, Spanish, Portuguese
    Reception hours: 8:30 a.m. to 8:00 p.m.
    Temporary suspension is available 24 hours a day.
    Languages available: Thai, Nepalese, lndonesian, Vietnamese, Tagalog
    Reception hours: 9:00 to 18:00
    Toll free: 0120-0178-27