Procedures › Health insurance and pension
My wardsLong-term care insurance exclusion form (NHI)
Overview
Itabashi NHI members aged 40 to 64 file this form when they enter or leave a facility excluded from long-term care insurance, and in cases such as when a person living in such a facility reaches age 40. Bring the form, a certificate of entry or exit from the facility, and a document that confirms the identity of the person filing. The form and a filling example are attached. Submit it at the NHI counter at the South Annex, 2nd floor, counter 23.
- Residents only
When to file
- An NHI member aged 40 to 64 enters or leaves a facility excluded from long-term care insurance.
- A person living in such a facility reaches age 40.
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Other guides in this topic
Health insurance and pensionJoining national health insuranceGuide Health insurance and pensionLeaving national health insuranceGuide Health insurance and pensionFuneral benefit for people under 75GuideHow to apply
- Fill in the long-term care insurance exclusion form.
- Attach the certificate of entry or exit from the facility.
- Submit both at the NHI counter with an identity document.
What to bring
- Long-term care insurance exclusion form
- Certificate of entry to or exit from the facility
- Document confirming the identity of the person filing
Where
Itabashi Ward Office
South Annex, 2nd floor, counter 23
- Weekdays 8:30–17:00 (not public holidays)
- Tuesdays until 19:00 at the NHI and Pension Section (not public holidays)
- Second Sunday of the month 9:00–17:00 at the NHI and Pension Section
Contact
NHI Eligibility Unit, National Health Insurance and Pension Section
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