Health insurance provides insurance benefits not just to insured persons but also to their dependent family members. These family members are referred to as dependents. Family members must meet certain conditions related to “the extent of the family relationship” and “income” before they are authorized as dependents.
- Dependents must be certified by the Health Insurance Association.
- If there is any change in your dependents, submit notification of the change within five days.
Extent of family relationship
Only family members within the third degree of consanguinity may be certified as dependents. Conditions for dependent eligibility also vary depending on whether or not the family member lives with the insured person.
- ** Eliminated the provision that requires elder brothers and sisters to live with the insured person to be eligible as dependents, starting October 1, 2016.
To be certified as a dependent, a family member must live primarily off the income of the insured person.
|If the family member lives with the insured person||If the family member lives apart from the insured person||The family member's annual income must be less than 1.3 million yen (1.8 million yen if aged 60 or above, or disabled) and it must be less than one-half the income of the insured person.||The family member's annual income must be less than 1.3 million yen (1.8 million yen if aged 60 or above, or disabled) and must be less than the amount of the allowance sent to the family member from the insured person.|
If there has been a change in dependents
You must take specific steps if the number of dependents increases due to marriage or childbirth or a family member is no longer eligible as a dependent for reasons such as employment, living apart from the insured person, or death. The Health Insurance Association checks the eligibility status of dependents annually.