Documents to attach for dependent certification
- 1. Spouse
- 2. Children, grandchildren, siblings
- 3. Parents, grandparents, great-grandparents (1): Living with the insured
- Parents, grandparents, great-grandparents (2): Living apart
- 4. Nieces, nephews
1. Spouse
Ⅰ Application document
Submit the following document to apply for dependent certification for your spouse:
| Common items | Required document (mandatory) | Where to obtain document |
|---|---|---|
| Common (must be submitted) | Notification of Health Insurance Dependent (Change)/Survey Form | *1 |
Ⅱ Documents to attach (1)
The following documents must be attached to verify your income:
| Confirmation that income does not exceed limits | Status | Required documents (mandatory) | Where to obtain documents | |
|---|---|---|---|---|
| No income over past year or longer | Certificate of tax exemption | *2 | ||
| Left employment within past year and currently not earning income | ||||
|
(A) Left employment |
(a) Planning to receive unemployment benefits (currently in waiting period or restricted benefits period) | Dependency notice and Separation notices (1), (2) (copies) | *3
*4 |
|
| (b) Will not receive unemployment benefits | Dependency notice and Separation notices (1), (2) (copies), or notice of ineligibility for employment insurance (copy) | *3 *4 |
||
| (c) Unemployment benefits expired | Certificate of eligibility for unemployment insurance benefits (copy) stamped “expired” | *5 | ||
| (d) Duration of unemployment benefits extended | Dependency notice, separation notices (1), (2) (copies), and notice of extension of unemployment benefits (copy), when received | *3 *5 |
||
| (e) Not covered by employment insurance | Retirement certificate indicating that the individual is not covered by unemployment insurance or most recent pay details (copy) and a certificate of income and withholding tax (copy) indicating the date of retirement, and if government employee, written appointment (copy) | *6 | ||
(B) |
Ceased self-employment | Notice of cessation of business (copy) | *7 | |
| Currently earning continuous income [Scope of income] Under age 60: less than 1.3 million yen/year Aged 60 or older or person with disability: less than 1.8 million yen/year (including pension etc.) |
||||
(A) |
Salary income (e.g., part-time employment) | Pay details for most recent three months (copy), employment contract (copy) | *6 | |
| (B) | Business income | Taxpayer’s copy of income tax return (copy)(** must show “received” stamp.) | ||
| (C) | Pension recipient | Most recent notice of pension payment (copy) for all pensions received | *8 | |
Ⅱ Documents to attach (2)
In the following cases, you must submit the documents noted below in addition to those under (1) above:
|
Confirmation of eligibility |
Status | Required documents (mandatory) | Where to obtain documents | |
|---|---|---|---|---|
| Marriage | Confirmation of marriage (*10) | Official copy of family register (original), or Certificate of Acceptance of Marriage Report (original) | *9 *10 |
|
| Non-Japanese dependent | Confirmation of non-Japanese dependent | Certificate of residence showing all household members (original) (do not omit any items) |
*10 | |
| Confirmation of marriage | Certificate of residence showing all household members (original) (do not omit any items); official copy of family register (original); or Certificate of Acceptance of Marriage Report (original) | *10 | ||
| Other | When living apart from the insured | Certificate of residence showing all household members, including spouse (original) Certificate of remittance (copy) (not required if living apart due to unaccompanied job posting) |
*10 *11 |
|
| Persons with disabilities | Physically disabled persons’ certificate (copy) | |||
Note that you can also be asked to attach separate documents as deemed necessary by the Society for confirmation purposes.
Do not omit content from official documents such as certificates of residence.
2. Children, grandchildren, and siblings
①Application document
Submit the following document to apply for dependent certification for your spouse:
| Common items | Required document (mandatory) | Where to obtain document |
|---|---|---|
| Common (must be submitted) | Notification of Health Insurance Dependent (Change)/Survey Form | *1 |
②Documents to attach (1)
The following documents must be attached to verify your income:
| Confirmation that income does not exceed limits | Status | Required documents (mandatory) | Where to obtain documents | ||
|---|---|---|---|---|---|
| No income over past year or longer | Certificate of tax exemption | *2 | |||
| (A) | Those other than students | Certificate of tax exemption (original) | *2 | ||
| (B) | Students | Student ID (copy) or certificate of school attendance (original) | *11 | ||
| Left employment within past year and currently not earning income | |||||
| (A) Left employment | (a) Planning to receive unemployment benefits (in waiting period) | Dependency notice and Separation notices (1), (2) (copies) | *3 *4 |
||
| (b) Will not receive unemployment benefits | Dependency notice and separation notices (1), (2) (copies), or notice of ineligibility for employment insurance (copy) | *3 *4 |
|||
| (c) Unemployment benefits expired | Certificate of eligibility for unemployment insurance benefits (copy) stamped “expired” | *5 | |||
| (d) Duration of unemployment benefits extended | Dependency notice, separation notices (1), (2) (copies), and notice of extension of unemployment benefits (copy), when received | *3 *5 |
|||
| (e) Not covered by employment insurance | Retirement certificate indicating that the individual is not covered by unemployment insurance or most recent pay details (copy) and a certificate of income and withholding tax (copy) indicating the date of retirement, and if government employee, written appointment (copy) | *6 | |||
| (B) | Ceased self-employment | Notice of cessation of business (copy) | *7 | ||
| Currently earning continuous income [Scope of income] Under age 60: less than 1.3 million yen/year Aged 60 or older or person with disability: less than 1.8 million yen/year (including pension etc.) |
|||||
| (A) | Salary income (e.g., part-time employment) | Pay details for most recent three months (copy), employment contract (copy) | *6 | ||
| (B) | Business income | Taxpayer’s copy of income tax return (copy)(** must show “received” stamp.) | |||
| (C) | Pension recipient | Most recent notice of pension payment (copy) for all pensions received | *8 | ||
②Documents to attach (2)
In the following cases, you must submit the documents noted below in addition to those under (1) above:
| Confirmation of eligibility | Status | Required documents (if applicable) | Where to obtain documents | |
|---|---|---|---|---|
| Children aged 18 or older | Living apart | Certificate of residence showing all household members, including children (original) and a passbook (copy) from bank or other financial institution showing continual remittance of allowance in excess of the proposed dependent’s annual income (** must clearly show recipient of remittance) | *10 *12 |
|
| Grandchildren and younger siblings | Living with the insured | Certificate of residence showing all household members (original) | *10 | |
| Living apart | Certificate of residence showing all household members, including grandchildren or younger siblings (original) and a passbook (copy) from bank or other financial institution showing continual remittance of allowance in excess of the proposed dependent’s annual income (** must clearly show recipient of remittance) | *10 *12 *13 |
||
| ― | Person with disability | Physically disabled persons’ certificate (copy) | ||
Note that you can also be asked to attach separate documents as deemed necessary by the Society for confirmation purposes.
Do not omit content from official documents such as certificates of residence.
3. Parents, grandparents, great-grandparents (1): Living with the insured
(Parents, adoptive parents, grandparents, great-grandparents, in-laws, aunts and uncles, living in same household)
①Application documents
The following documents (two types) must be submitted when applying:
| Common items | Required documents (mandatory) | Where to obtain documents |
|---|---|---|
| Common (must be submitted) | Notification of Health Insurance Dependent (Change)/Survey Form | *1 |
| Certificate of residence showing all household members, including the proposed dependent (original) | *10 |
②Documents to attach (1)
The following documents must be attached to verify your income:
| Confirmation that income does not exceed limits | Status | Required documents (mandatory) | Where to obtain documents | |
|---|---|---|---|---|
| No income over past year or longer | Certificate of tax exemption (original) | *2 | ||
| Left employment within past year and currently not earning income | ||||
| (A) Left employment |
(a) Planning to receive unemployment benefits (in waiting period) | Dependency notice and Separation notices (1), (2) (copies) | *3 *4 |
|
| (b) Will not receive unemployment benefits | Dependency notice and Separation notices (1), (2) (copies), or notice of ineligibility for employment insurance (copy) | *3 *4 |
||
| (c) Unemployment benefits expired | Certificate of eligibility for unemployment insurance benefits (copy) stamped “expired” | *5 | ||
| (d) Duration of unemployment benefits extended | Dependency notice, separation notices (1), (2) (copies), and notice of extension of unemployment benefits (copy), when received | *3 *5 |
||
| (e) Not covered by employment insurance | Retirement certificate indicating that the individual is not covered by unemployment insurance or most recent pay details (copy) and a certificate of income and withholding tax (copy) indicating the date of retirement, and if government employee, written appointment (copy) | *6 | ||
| (B) | Ceased self-employment | Notice of cessation of business (copy) | *7 | |
| Currently earning continuous income [Scope of income] Under age 60: less than 1.3 million yen/year Aged 60 or older or person with disability: less than 1.8 million yen/year (including pension etc.) |
||||
| (A) | Salary income (e.g., part-time employment) | Pay details for most recent three months (copy), employment contract (copy) | *6 | |
| (B) | Business income | Taxpayer’s copy of income tax return (copy)(** must show “received” stamp.) | ||
| (C) | Pension recipient | Most recent notice of pension payment (copy) for all pensions received | *8 | |
②Documents to attach (2)
In the following cases, you must submit the documents noted below in addition to those under (1) above:
| Confirmation of eligibility | Status | Required documents (if applicable) | Where to obtain documents | |
|---|---|---|---|---|
| Person with disability | Physically disabled persons’ certificate (copy) | |||
Note that you can also be asked to attach separate documents as deemed necessary by the Society for confirmation purposes.
Do not omit content from official documents such as certificates of residence.
3. Parents, grandparents, great-grandparents (2): Living apart
(In-laws, and aunts and uncles are not eligible to become dependents)
①Application documents
The following documents (three types) must be submitted when applying:
| Common items | Required documents (mandatory) | Where to obtain documents |
|---|---|---|
| Common (must be submitted) | Notification of Health Insurance Dependent (Change)/Survey Form | *1 |
| Certificate of residence showing all household members, including the proposed dependent (original) | *10 | |
| Passbook (copy) from bank or other financial institution showing continual remittance of allowance in excess of the proposed dependent’s annual income (** must clearly show recipient of remittance) | *13 |
The following documents must be attached to verify your income:
| Confirmation that income does not exceed limits | Status | Required documents (mandatory) | Where to obtain documents | ||
|---|---|---|---|---|---|
| No income over past year or longer | Certificate of tax exemption (original) | *2 | |||
| Left employment within past year and currently not earning income | |||||
| (A) Left employment |
(a) Planning to receive unemployment benefits (in waiting period) | Dependency notice and Separation notices (1), (2) (copies) | *3 *4 |
||
| (b) Will not receive unemployment benefits | Dependency notice and separation notices (1), (2) (copies), or notice of ineligibility for employment insurance (copy) | *3 *4 |
|||
| (c) Unemployment benefits expired | Certificate of eligibility for unemployment insurance benefits (copy) stamped “expired” | *5 | |||
| (d) Duration of unemployment benefits extended | Dependency notice, separation notices (1), (2) (copies), and notice of extension of unemployment benefits (copy), when received | *3 *5 |
|||
| (e) Not covered by employment insurance | Retirement certificate indicating that the individual is not covered by unemployment insurance or most recent pay details (copy) and a certificate of income and withholding tax (copy) indicating the date of retirement, and if government employee, written appointment (copy) | *6 | |||
| (B) | Ceased self-employment | Notice of cessation of business (copy) | *7 | ||
| Currently earning continuous income [Scope of income] Under age 60: less than 1.3 million yen/year Aged 60 or older or person with disability: less than 1.8 million yen/year (including pension etc.) |
|||||
| (A) | Salary income (e.g., part-time employment) | Pay details for most recent three months (copy), employment contract (copy) | *6 | ||
| (B) | Business income | Taxpayer’s copy of income tax return (copy) (** must show “received” stamp.) | |||
| (C) | Pension recipient | Most recent notice of pension payment (copy) for all pensions received | *8 | ||
②Documents to attach (2)
In the following cases, you must submit the documents noted below in addition to those under (1) above:
| Confirmation of eligibility | Status | Required documents (if applicable) | Where to obtain documents | |
|---|---|---|---|---|
| Person with disability | Physically disabled persons’ certificate (copy) | |||
Note that you can also be asked to attach separate documents as deemed necessary by the Society for confirmation purposes.
Do not omit content from official documents such as certificates of residence.
4. Nieces and nephews
(must live with the insured)
①Application documents
The following documents (two types) must be submitted when applying:
| Common items | Required documents (mandatory) | Where to obtain documents | |||
|---|---|---|---|---|---|
| Common (must be submitted) | Notification of Health Insurance Dependent (Change)/Survey Form | *1 | |||
| Certificate of residence for all members of the household (original) | *10 | ||||
②Documents to attach (1)
The following documents must be attached to verify your income:
| Confirmation that income does not exceed limits | Status | Required documents (mandatory) | Where to obtain documents | ||
|---|---|---|---|---|---|
| No income over past year or longer | |||||
| (A) | Those other than students | Certificate of tax exemption (original) | *2 | ||
| (B) | Students | Student ID (copy) or certificate of school attendance (original) | *11 | ||
| Left employment within past year and currently not earning income | |||||
| (A) Left employment |
(a) Planning to receive unemployment benefits (in waiting period) | Dependency notice and Separation notices (1), (2) (copies) | *3 *4 |
||
| (b) Will not receive unemployment benefits | Dependency notice and separation notices (1), (2) (copies), or notice of ineligibility for employment insurance (copy) | *3 *4 |
|||
| (c) Unemployment benefits expired | Certificate of eligibility for unemployment insurance benefits (copy) stamped “expired” | *5 | |||
| (d) Duration of unemployment benefits extended | Dependency notice, separation notices (1), (2) (copies), and notice of extension of unemployment benefits (copy), when received | *3 *5 |
|||
| (e) Not covered by employment insurance | Retirement certificate indicating that the individual is not covered by unemployment insurance or most recent pay details (copy) and a certificate of income and withholding tax (copy) indicating the date of retirement, and if government employee, written appointment (copy) | *6 | |||
| (B) | Ceased self-employment | Notice of cessation of business (copy) | *7 | ||
| Currently earning continuous income [Scope of income] Under age 60: less than 1.3 million yen/year Aged 60 or older or person with disability: less than 1.8 million yen/year (including pension etc.) |
|||||
| (A) | Salary income (e.g., part-time employment) | Pay details for most recent three months (copy), employment contract (copy) | *6 | ||
| (B) | Business income | Taxpayer’s copy of income tax return (copy)(** must show “received” stamp.) | |||
| (C) | Pension recipient | Most recent notice of pension payment (copy) for all pensions received | *8 | ||
②Documents to attach (2)
In the following cases, you must submit the documents noted below in addition to those under (1) above:
| Confirmation of eligibility | Status | Required documents (if applicable) | Where to obtain documents | |
|---|---|---|---|---|
| Person with disability | Physically disabled persons’ certificate (copy) | |||
Note that you can also be asked to attach separate documents as deemed necessary by the Society for confirmation purposes.
Do not omit content from official documents such as certificates of residence.