Check by chart! Who become your dependent?
Click the circle of your family members (where necessary, either live together or not live together) and then you can check by chart whether they are eligible or not.
Grand Children or Siblings (Not live together)
Check to see whether your case meets the following five conditions before reviewing this flowchart:
(1) You are the main source of economic support for the family member.
** If someone else has a priority obligation to support the family member (e.g., a parent, spouse, or sibling), the family member will generally be a dependent of the person who earned the higher income in the previous year.
(2) The family member’s annual income is less than one-half of your annual income.
(3) The family member’s annual income is less than 1.3 million yen (1.8 million yen if aged 60 or above, or disabled).
(4)The allowance you remit to the family member is more than his or her annual income.
(5) In some cases, if the family member is married, he or she may not be certified as a dependent, even if he or she meets the conditions under (1)-(4) above.
The final decisions on dependent certification will be made by the Health Insurance Society.
This flowchart is only a rough guide to dependent certification. The Health Insurance Society may deny dependent certification if it deems certification would be inappropriate based on the facts of a particular case, as determined through a strict and impartial review of the application documents.
Does the family member meet any of the following descriptions?
A: No income over past year or longer
B: Became unemployed within the past year and currently has no income
What type of job did the family member hold prior to loss of employment?
Does the family member meet any of the following descriptions?
A: Planning to receive unemployment benefits (currently in waiting period)
B: Will not receive unemployment benefits
C: Unemployment benefits expired
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
Students:
Certificate of school attendance (original)*3
Those other than students:
｢Certificate of tax exemption」*4
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 Obtain from school pursuant to the School Education Act (high school, technical college, junior college, college/university, graduate school, or other).
*4 Ward office or city hall for the place where you were a registered resident as of January 1 of the year for which you wish to certify that you had no income (must show income amount; a document on which figures are replaced by asterisks is not acceptable)
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
・Separation notices (1), (2) (copies)*3
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 The company you left (your previous employer)
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
・Separation notices (1), (2) (copies)*3, or notice of ineligibility for employment insurance (copy)*3
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 The company you left (your previous employer)
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
・Certificate of eligibility for unemployment insurance benefits (copy) stamped “expired”*3
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 Public Employment Security Office
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
・Notice of extension of unemployment benefits (copy)*3
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 Public Employment Security Office
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
・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)*3
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 The company or government office where you are employed currently or were employed until recently
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
・Notice of cessation of business (copy)*3
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 The tax office with jurisdiction
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
・Certificate of the income (Submit all documents in any cases as follows.)
Salary income:Income certificate or pay details for most recent three months (copy)*3
Business income:Taxpayer’s copy of income tax return (copy)
Pension recipient:Most recent notice of pension payment (copy) for all pensions including old-age employees pension, survivor's welfare pension, disability employees pension etc.*4
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance. Allowances handed to dependents in person are not acceptable because they cannot be documented.
*3 The company or government office where you are employed currently or were employed until recently
*4 The postcard notice of pension remittance mailed from the Japan Pension Service (It is published within 3 months and filled out a full name and the amount of the pension of the recipient.)
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)
Contact the Soceity for detail
Please contact the Society directly if anyone other than you is obligated to support the family member. In certain cases, depending on the priority of dependent obligations, income, or other factors, you may not be able to name the family member as a dependent.
AZSA Health Insurance Society: tel. 03-5357-7557
Your family member is not eligible for dependent
The family member’s annual income must be less than 1.3 million yen and less than one-half of your annual income.
(Includes pensions, etc.; annual income must be less than 1.8 million yen if aged 60 or above, or disabled)
Your family member is eligible for dependent
Required document (mandatory)
・Notification of Health Insurance Dependent (Change)/Survey Form
・Certificate of residence showing all household members, including the proposed dependents*1
・A passbook (copy) from bank or other financial institution showing continual remittance of allowance for 3 months in excess of the proposed dependent's annual income*2
*1 Ward office or city hall for the place where you are a registered resident
*2 You may use documentation of the remittance. Note that you must conduct the remittance through a financial institution (such as bank, credit union, or post office) and submit a document showing the relevant information, including the name of the recipient and the amount and date of the remittance.
Documents to attach
In the following cases, you must submit the documents noted below in addition to those above:
（1） Person with disability
Physically disabled persons’ certificate (copy)