After you leave your employer
After leaving your employer, you will lose your eligibility for membership in the Health Insurance Society and must join the appropriate medical care insurance program based on your individual circumstances.
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- You can remain a member of the Health Insurance Society if you meet certain conditions.
- In some cases, you may continue to receive benefits even after losing your eligibility as an insured person.
You must return any valid documents issued by the Health Insurance Society (e.g., health insurance card [until December 1, 2025], Eligibility Verification Certificate) within five days of your loss of eligibility as an insured person after leaving your employer. Thereafter, you must join the appropriate medical care insurance program based on your individual circumstances.
If you have registered to use a Myna health insurance card, you do not need to register once again upon changing jobs or retirement. However, you must still notify the insurer (health insurance society, mutual aid association, etc.; notify your municipality if you join National Health Insurance).
* Check with your current insurer if the latest eligibility information is not shown when your Myna health insurance card is scanned.
Medical care insurance available after leaving your employer
System for Voluntarily and Continuously Insured Persons (remaining a member of the Society)
While you will lose your eligibility as an insured person under the health insurance system the day after you leave your employer, a system is available whereby you can remain an insured person under the Health Insurance Society if you meet certain conditions. This is known as the system for Voluntarily and Continuously Insured Persons.
Who can become a Voluntarily and Continuously Insured Person
To become a Voluntarily and Continuously Insured Person, you must meet all of the following conditions:
- You must have lost your eligibility as an insured person under the health insurance system for specific reasons: for example, you left your employer.
- You must have been an insured person for at least two consecutive months prior to the date you lost your eligibility.
- You must apply to become a Voluntarily and Continuously Insured Person within 20 days after the date on which you lost your eligibility.
How long you can be a Voluntarily and Continuously Insured Person?
You can be a Voluntarily and Continuously Insured Person for up to two years.
* Since you must join the Medical Care System for the Advanced Elderly when you reach the age of 75, you will lose your eligibility as a Voluntarily and Continuously Insured Person at that point, even if two years have yet to pass.
Benefits paid to Voluntarily and Continuously Insured Persons
Insurance premiums for Voluntarily and Continuously Insured Persons
You must pay the full amount of the applicable insurance premiums yourself, including the amount previously paid by your employer
* In principle, your insurance premiums will remain the same during your two-year period as a Voluntarily and Continuously Insured Person.
Fluctuating income will not affect this amount. The figure may be revised if you become eligible (because you turn 40) or ineligible (because you turn 65) for long-term care insurance or if annual revisions affect the insurance premium rate or the cap on standard monthly remuneration.
Loss of eligibility as a Voluntarily and Continuously Insured Person
You will lose your eligibility as a Voluntarily and Continuously Insured Person on the following day (the same day in cases 4 and 5) in any of the following cases:
- Two years have passed since the date you became an insured person.
- Upon your death
- You do not pay your insurance premiums by the date due.
- You begin employment and become an insured person under another health insurance or similar program.
- You join the Medical Care System for the Advanced Elderly as an insured person, etc.
- If you applied to have your status as a Voluntarily and Continuously Insured Person cleared, the last day of the month including the date on which the application was received
If you will not reside in Japan (i.e., you will be a nonresident)
You may be eligible to be a voluntarily and continuously insured person even if you will be a nonresident living overseas after you leave employment.
However, note that the following restrictions will apply:
- Health insurance cards and other related documents cannot be sent overseas. You must provide a contact address in Japan.
- Unless you pay your insurance premiums in advance, you must remit payment to the bank account in Japan of the Microsoft Health Insurance Association on the specified date of each month.
You may be able to receive benefits even after leaving your employer.
In some cases, those who were insured persons continuously for at least one year before leaving employment may be eligible to receive Injury and Sickness Allowance, the Childbirth and Childcare Lump-Sum Grant, Maternity Allowance, and funeral expenses even after losing their eligibility, whether or not they become Voluntarily and Continuously Insured Persons.
However, in such cases, additional benefits will not be paid.
Benefits paid after leaving employment (benefits paid to the insured person only, not to dependents)
Conditions for payment: | You must have been receiving, or satisfied the requirements to receive, Injury and Sickness Allowance at the time you left employment and remain unable to work due to treatment of the sickness or injury |
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Payment period: | For a total of 18 months counted from the payment start date of Injury and Sickness Allowance through the payment period
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Conditions for payment: | You must have been receiving, or satisfied the requirements to receive, Maternity Allowance at the time you left employment |
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Payment period: | Until the end of the period for receipt of Maternity Allowance |
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Conditions for payment: | The childbirth must have taken place within six months after loss of eligibility |
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Conditions for payment: | (1) Within three months after loss of eligibility (there is no requirement to have been an insured person for a period of one year or longer) (2) While receiving Injury and Sickness Allowance or Maternity Allowance (3) In the event of death taking place within three months after receipt of these benefits ended |
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