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Procedures for various cases of situations and Standard Processing Periods

Note:
The processing period referred to in the table is an approximate schedule.

I have a dependent family member(s)

Procedures required

Standard processing period and reminders

Apply for the Dependent certificate

Issuance of Membership Card for dependent takes two weeks.
Apply within 30 days of fulfilling the requirement to become a dependent.

Report category change or confirmation of National Pension (for the member’s dependent spouse)

Report to us (PMAC) as to category change or confirmation of Category 3 National Pension Insured Person.

I lost or damaged my Membership Card or Membership Card for adependent

Procedures required

Standard processing period and reminders

Request Membership Card reissuance

Reissuance takes two weeks.

I moved out to a new place

Procedures required

Standard processing period and reminders

Report the new address
(Member, voluntary continued insurance member)

Issuance of the Address Confirmation Notice takes two weeks; the Membership Card shall not be reissued.

Report the new address (pensioner)

A Confirmation Notice will be sent in a month. Note that if a change to an address is confirmed through the information on the Basic Resident Register Network, the new address will be automatically registered 3 to 4 months after completing the transfer of a resident card but a Confirmation Notice will not be sent. During this period before completing the registration mails will be sent to the old address. Please visit the closest post office to register for a relocation/forwarding service.

Report the new address for the Accumulated Fund Mutual Aid Annuity

Address change report is due on the 25th of each month.

Report the new address for the Mutual Aid Term Insurance

Address change report is accepted at all times.

Report the new address for the National Pension (for the member’s dependent spouse)

Address change notification should be submitted to PMAC.

One of my dependents got a job, income increased, or one of my dependents who is required to live with a member started living separately

Procedures required

Standard processing period and reminders

Request the deletion of dependent registration

Make sure to return the membership card for a dependent (including the Elderly Recipient Certificate) which is no longer valid after deletion.

I got married

Procedures required

Standard processing period and reminders

Claim for Marriage Allowance

Remittance takes one month.

Report the change of name (Member, Voluntary continued insurance member)

Membership card under the new name shall be issued in two weeks.

Report the change of name (pensioner)

Pension certificate under the new name will be sent in a month.

Change the registered seal for Installment Savings Account

Seal change request is accepted at all times.

Change the account name of Accumulated Fund Mutual Aid Annuity

When accepted on or before the 25th of the month, the change is reflected in the transfer of the month after the following month.

Change the account name of Mutual Aid Term Insurance

When accepted on or before January 25 or July 25, the change is reflected in the transfer date of March 22 or September 22, respectively.

Report the transfer of the Voluntary Continued Insurance Member

A new membership card shall be issued in two weeks.

Request for Approval of a Dependent

Issuance takes two weeks.
Apply within 30 days of fulfilling the requirement to become a dependent.

Report category change or confirmation of National Pension

Report to PMAC as to category change or confirmation of Category 3 National Pension Insured person.

A baby was born

Procedures required

Standard processing period and reminders

Claim Maternity Benefit/Dependent Maternity Benefit

Remittance takes one month.

Request the issuance of Membership Card for the baby

The baby’s Membership Card shall be issued in 2 weeks
Apply within 30 days of birth.

Claim Special Exception for Monthly Standard Salary When Caring for Children under Age 3

Issuance of the confirmation notice takes two weeks.

I got paid less due to maternity leave

Procedures required

Standard processing period and reminders

Claim Maternity Allowance

Remittance takes one month.

I took maternity or childcare leave

Procedures required

Standard processing period and reminders

Apply for the premium exemption during the leave period

Apply upon leave.

I got paid less after my maternity or childcare leave

Procedures required

Standard processing period and reminders

Request revision in the standard monthly salary after leave

Monthly Standard Salary shall be revised after three months of return to work.

I got paid less due to my absence through illness or injury

Procedures required

Standard processing period and reminders

Claim Sickness and Injury Allowance

Remittance takes one month.

I got hospitalized

Procedures required

Standard processing period and reminders

Claim hospitalization benefits covered by the Mutual Aid Term Insurance (Medical Insurance plan and Medical Expense Support plan)

Remittance takes two weeks.

I paid full amount of medical treatment expenses

Procedures required

Standard processing period and reminders

Claim reimbursement

Reimbursement takes one month.

I had medical treatment overseas

Procedures required

Standard processing period and reminders

Claim reimbursement

Reimbursement takes three months.

I got injured by a third party (e.g. in a traffic accident) and had health insurance treatment

Procedures required

Standard processing period and reminders

Contact PMAC for liability claim

We will immediately send you a set of documents for the claim.

I used a handicap transportation service to go to hospital or move to another hospital

Procedures required

Standard processing period and reminders

Claim the transportation expense benefit

Reimbursement takes one month.

I had a full medical check-up

Procedures required

Standard processing period and reminders

Claim medical check-up subsidy

Remittance usually takes one month, but it may take two months during the busy season.

I became disabled

Procedures required

Standard processing period and reminders

Claim the Disability Employees’ Pension

The pension amount shall be determined in two months.
You should apply to the implementing institution which you were with when the first medical examination was made.

I became seriously disabled

Procedures required

Standard processing period and reminders

Claim disability insurance benefits covered by the Mutual Aid Term Insurance (Survivor’s Annuity Insurance plan, Three Major Disease Coverage Insurance plan)

Determination on the lump-sum amount or the pension amount takes two weeks. (The claim shall be reviewed based on the designated checkup list prior to the determination.)

A member of the group credit life insurance policy shall submit a report on the incident to be covered by insurance

Submit the Group Credit Life Insurance Application Form with a medical certificate that states the disability in a specified format.

I became eligible for the Old-age Employees’ Pension

Procedures required

Standard processing period and reminders

Claim the Old-age Employees’ Pension

The pension amount shall be determined in two months.
The age payment started ,refer to here
When information from other implementing institutions is necessary to determine the amount of pension benefits, the number of days used to exchange information between the implementing institutions will be added to the period mentioned above.

I have turned 65 years

Procedures required

Standard processing period and reminders

Claim the Old-age Employees’ Pension (Regular Payment)

The pension amount shall be determined in two months.

Claim the Old-age Basic Pension

Note that implementing institution differs depending on your membership history . Refer to Old-age Basic Pension

Claim the benefits upon complete the savings for Accumulated Fund Mutual Aid Annuity

The savings will be completed when you reach age 65, even if you are still at work then.
The insurance company will directly send a set of documents for the claim procedure to the member’s registered address two months and half before your 65th birth month.

Submit a notice on a change to the type of national pension for a dependent spouse under age 60

Visit the local government national pension desk.

I have turned 75 years

Procedures required

Standard processing period and reminders

When a dependent’s address differs from the member’s address, the dependent’s address should be reported to the Medical System for the Old Elderly

The dependent’s address notification should be submitted to PMAC.

Request cancellation of the Installment Savings Account

The cancellation procedure is required when you reach 75 years, as you will then become a specified personnel member.
Submit the “Installment Savings Withdrawal/Cancellation Form” to PMAC by the 25th of the month of the day which is one day before your 75th birthday so that remittance is made to your school account on the 20th of the following month.

I have retired

Procedures required

Standard processing period and reminders

Submit a disqualification notice

Make sure to return the Membership Card and the Membership Card for a dependent (including the Elderly Recipient Certificate) which are no longer valid after retirement.

Apply for the Voluntary Continued Insurance Membership

Apply within 20 days of retirement
Issuance of the Membership Card takes two weeks

Become a family member’s dependent

Follow the procedures of the family member’s medical insurance policy.

Subscribe to National Health Insurance

Consult with a National Health Insurance advisor in your municipality

Request category change of National Pension

Consult with a national pension advisor in your municipality.

Request determination or revision of the pension amount

The pension amount shall be determined in two months.

Repayment of the loan balance

1. Voluntary repayment of loan balance before retirement:
If you apply on or before the 15th of the month, the Loan Repayment Advice (for voluntary repayment) will be sent within the same month. The loan balance shall be repaid according to the advice.
2. Repay the whole balance upon retirement:
The Loan Repayment Advice (for immediate repayment) will be sent upon confirmation of disqualification. The balance shall be repaid according to the advice. (An amount equal to the repayment balance must be deposited in your school beforehand.)
3. The “Loan Completion Certificate” will be issued upon confirmation of your remittance of the balance.

Request the cancellation of Installment Savings Account

When the “Installment Savings Withdrawal/Cancellation Form” reaches us on or before the 25th of the month, remittance will be made to your school account on the 20th of the following month.
Submit the “Non-Taxable Savings Discontinuation Form” when "Maruyu" (tax-exempt savings) has been applied.

Apply for withdrawal from the Accumulated Fund Mutual Aid Annuity, and claim benefits (by choosing the type of benefit)

If you apply for withdrawal, and claim benefits on or before the 25th of the month, you may withdraw from the pension scheme as of the end of the following month and the lump-sum remittance shall be made on the same day. When you have opted for the pension scheme, the pension shall be paid on the 20th of February, May, August and November.
To save up lump-sum premiums at retirement, the notification is due on the 25th of the month, two months before the month of retirement.
Voluntary Continued Insurance Members may maintain their membership.

Apply for withdrawal from the Mutual Aid Term Insurance (Personal membership plan) due to retirement

When you plan to retire on or before the end of March or the end of September and withdraw from the insurance scheme, submit the withdrawal notice before the start of insurance coverage.
Note:
A resignee is eligible to remain insured under the policy of Mutual Aid Term Insurance (1) if the resignee is insurance age of 50 or older as of the restart date of the policy following the discontinuation of the policy due to retirement and (2) if the resignee has subscribed to the policy for a year or longer.
Voluntary Continued Insurance Members may maintain their membership.

A member passed away

Procedures required

Standard processing period and reminders

Submit the disqualification notice (this is also applicable to Voluntary Continued Insurance Members’ death)

Return the Membership Card and Membership Card for a dependent (including the Elderly Recipient Certificate) which are no longer valid.

Claim the burial expenses

Reimbursement takes one month.

Claim Survivors’ Employees’ Pension

The pension amount shall be determined in two months.

Report category change of National Pension (for dependent spouse of less than 60 years of age)

Consult with a national pension advisor in your district.

Members of the Group Credit Life Insurance system with a loan plan must contact PMAC and submit an insurance accident report

After contact, a Group Credit Life Insurance application form and related documents will be sent to you. Please submit the form and documents along with the attached documents.

Apply for withdrawal from the Accumulated Fund Mutual Aid Annuity, and claim Survivor’s Lump-sum payment or Pension payment for survivors

The request is accepted at all times. The date of the member’s death is the date of the member’s withdrawal from the Annuity. The Lump-sum payment shall be remitted upon completion of necessary procedures. (the pension is paid on the 20th of February, May, August and November)

Claim the death benefit of Mutual Aid Term Insurance (Survivor’s Annuity Insurance, Medical Expense Insurance, Three Major Disease Coverage Insurance)

In case of lump-sum payment, remittance takes two weeks. In case of pension payment, the pension amount shall be determined in 2 weeks. (The pension shall be paid on the 15th of February, May, August and November)

A dependent passed away

Procedures required

Standard processing period and reminders

Apply for cancellation of the dependent

Issuance of confirmation notice on the cancellation takes two weeks.
Make sure to return the Membership Card for the dependent (including the Elderly Recipient Certificate) which is no longer valid.

Claim the Dependent Burial Benefit

Payment takes one month.

Report the death to the National Pension Fund

Send the Category 3 National Pension Insured person’s death report to PMAC.

Claim the death benefit of Mutual Aid Term Insurance (Survivor’s Annuity Insurance, Medical Expense Insurance, Three Major Disease Coverage Insurance )

Remittance of the lump-sum amount takes two weeks.

My properties were damaged due to a disaster

Procedures required

Standard processing period and reminders

Claim Disaster Relief benefit and Supplementary Disaster Relief benefit

Remittance takes one month.

The member or his/her dependent passed away due to a disaster

Procedures required

Standard processing period and reminders

Claim Condolence benefit or Dependent Condolence benefit

Remittance takes one month.

I need a Certificate

Procedures required

Standard processing period and reminders

Request issuance of a qualification certificate (for the procedures of subscription to National Pension System or other health insurance schemes)

Issuance takes one week; however, the certificate will be reissued on the spot if you take the procedure at our headquarters or at Mutual Aid Administration Division of Garden Palace.

Request issuance of certificates related to the payment of Short-term benefits

Certificates related to the payment of Short-term benefits shall be issued after confirmation of payment.

Request issuance of Deposit Balance Statement

Issuance takes one week.

I need financial support

Procedures required

Standard processing period and reminders

Apply for a loan (e.g. general purposes, education, marriage, home, disaster, and medical treatment)

When your application is accepted between the16th of the previous month and the 15th of the current month, the loan will be remitted to your school account on the 2nd of the following month.
Note:
When your application is accepted between 16th and the end of the current month, the loan could be remitted to your school account on 22th of the following month if you so request.

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