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Eligibility change form (mail application to leave National Health Insurance)

Overview

How to leave National Health Insurance by mail in Itabashi Ward. Send the eligibility change form with copies of the new eligibility certificate or notice, the originals if you still have them, and a copy of a government-issued photo ID to the NHI eligibility section. Write your address, the household head's name, your My Number and a daytime phone number on the copies. Registered mail is recommended; the ward processes the leaving once the documents arrive.

Leaving by mail

Everyone who leaves National Health Insurance needs a copy of the new eligibility certificate or eligibility notice, and the original if they still have it.

A person cannot leave National Health Insurance at their own choice.

My Number insurance card holders

Holders of a My Number insurance card may print the health insurance screen from Mynaportal and submit it instead of a copy of the certificate.

Documents that cannot be used

Employment insurance qualification notices, employment insurance cards, and health insurance and pension qualification and standard remuneration notices cannot be used for this procedure.

After the documents are sent

The documents contain personal information, so simple registered mail or specified-record mail is recommended; they must be taken to a post office. The leaving is processed as soon as the documents reach the ward office. If the premium changes, a recalculated premium is announced from mid-month of the month after the procedure is complete.

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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 75Guide

How to apply

  1. Make a copy of the new eligibility certificate or eligibility notice for everyone leaving.
  2. On the copy, write your address, the household head's name, the name and My Number of each person leaving, and a daytime phone number.
  3. Include the original eligibility certificate for everyone leaving; not needed if it is lost.
  4. Include a copy of a government-issued photo ID.
  5. Send the documents by registered mail to the NHI eligibility section.

What to bring

  • Copy of the new eligibility certificate or eligibility notice (everyone leaving)
  • Original eligibility certificate or notice (everyone leaving; not needed if lost)
  • Copy of a government-issued photo ID, such as a My Number card, driver's licence or passport
  • Printout of the health insurance screen from Mynaportal, for My Number insurance card holders, instead of the copy

Where

Itabashi Ward Office

National Health Insurance Eligibility Section

Contact

National Health Insurance Eligibility Section

Help in your language: Itabashi desk

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