Microsoft Health Insurance Association

Microsoft Health Insurance Association

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If you become sick or are injured due to the actions of another party

You can undergo treatment under the health insurance system for sickness or injury due to the actions of another party, as in the case of a traffic accident. However, in such cases submit the Notification of Injury or Sickness due to a Third-party Act as soon as possible.

Be sure to notify the Health Insurance Association(Outsourcing Service Provider:Gulliver International Inc.)

When an illness or injury is caused by a third-party act, the third party (the offender) is essentially responsible for the medical expenses. (Health insurance does not apply.)
The patient cannot be reimbursed because an agreement cannot be reached with the offender, the patient may receive treatment using health insurance, in such cases, the health insurance association will only temporarily pay an advance the medical expenses to be paid by the offender, and the medical expenses incurred will be charged to the offender later.
Therefore, please check with Microsoft health insurance association (Tel: 03-4535-8015/Japanese support only) if you wish to receive treatment with health insurance.
If you are approved to receive treatment with health insurance, please contact the Gulliver International Inc.(Tel:03-3527-3728). The Gulliver International Inc. will then mail the necessary documents ("Notification of Injury or Sickness due to a Third-party Act" etc) to you. Please respond as promptly as possible.
In addition, illness or injury caused by work-related or commuting disasters are covered by workers' compensation insurance, so please contact your employer.

If you have been in a traffic accident

  1. STEP1Remain calm
    In cases of shock, you may lose the ability to make calm judgments. React as calmly as possible.
  2. STEP2Check the identity of the party responsible
    Check matters such as the license plate no., driver's license, and vehicle inspection certificate.
  3. STEP3Notify the police
    Be sure to notify the police, no matter how small the accident.
  4. STEP4Be cautious about reaching a settlement
    If you waive some of your rights to claim compensation for damages by reaching a settlement with the party responsible, you may be unable to receive the corresponding health insurance benefits. To avoid cases such as inability to use health insurance when you need medical care later for residual effects or other complications, consult with the Health Insurance Association(Outsourcing Service Provider:Gulliver International Inc.) before reaching any settlement.

Injury due to the actions of another party

While most cases of injury due to the actions of another party involve auto accidents, the following cases also are due to the actions of another party:

  • Injury due to defective equipment at a school, supermarket, or other facility
  • Injury caused by another's dog or other type of pet
  • Injury due to inappropriate force or an act of violence
  • Food poisoning at a restaurant or other establishment

If the cause is a workplace accident

If you become sick or are injured due to the actions of another party in the workplace or while commuting, Worker's Accident Compensation Insurance applies instead of health insurance. Check with the person responsible at your establishment for more information.

  • *When even illnesses and injuries on-the-job are not targeted for benefits of the Worker's Accident Compensation Insurance, benefits of the health insurance are provided except the duties as the officer of the corporation (except for a corporation less than five employees).

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