Change of name

Apply to the Health Insurance Association if the name of the insured person or a dependent changes due to marriage, divorce, etc.
Even those using My Number Cards as Health Insurance Certificates must submit a Notification of Name Change.

Change of name

Required documents

Notification of Name Change (Correction) of Insured Person/Dependent

Sample completed form

  • Health Insurance Eligibility Certificate (if issued)
Deadline Within five days of change in first or last name
Applies to Insured persons or dependents whose names have changed
Submit to Please check here.
Notes