Submit to

Health Insurance Card Code Number Submit to
【Insured persons who work for IBM】
456, 460, 463

〒261-8522
1-1, Nakase Mihama-ku,
Chiba-City, Chiba Prefecture
Internal Mail Code: MK-DA0-K

The individual in charge of Health Insurance matters for IBMers

【Insured persons who work under IBM Group companies】
519, 525, 555, 559, 563, 571, 572, 594

〒261-8522
1-1, Nakase Mihama-ku,
Chiba-City, Chiba Prefecture
Internal Mail Code: MK-X19-K

The individual in charge of Health Insurance matters for ○○○*
(*Please fill in your company's name.)

【Insured persons who work under Kyndryl Group companies】
530, 531, 532

〒261-8522
1-1, Nakase Mihama-ku,
Chiba-City, Chiba Prefecture
Internal Mail Code: K-MK-DA0-S

The individual in charge of Health Insurance matters for ○○○*
(*Please fill in your company's name.)

【Insured persons who work for the companies excl. the above】
512, 513, 515, 517, 534, 544, 562, 568, 574, 576, 579, 580, 583, 585, 586, 587, 592
The individual in charge of Health Insurance matters in your company
As for the following forms, please submit to IBM Japan Health Insurance Association directly
  • Request for Issuance of Maximum Co-payment Certificate for Health Insurance
  • Notification of Loss of Certificate of Application of Maximum Copayment Amount
  • Health Insurance Application Form for Certificate Issued for Specific Disease Treatment
  • Application form for Payment of High Aggregate Cost for Long-Term Care Service
  • Application form for Loans of High-Cost Medical Expenses
  • Application form for Medical Care Expenses
  • Application form for Transportation Expenses
  • Claim for Funeral Expenses
【The Voluntarily and Continuously Insured Persons & Special-Case Retirees System Insured Persons】
457, 459

〒103-0015
10F, Daiwa River Gate South Wing,
36-2, Nihonbashi, Hakozaki-cho,
Chuo-ku, Tokyo

IBM Japan Health Insurance Association