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Guide to Health Insurance -- Please contribute!
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Fri Jan 29, 2010 3:19 am    Post subject: Reply with quote

Actually, I would beg to differ. It's more of a blur between the second and third. I say this because I know of people who have been here for years and not signed on to the kokumin nenkin system and never knew they had to (or just didn't do it).
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GambateBingBangBOOM



Joined: 04 Nov 2003
Posts: 2021
Location: Japan

PostPosted: Fri Jan 29, 2010 8:25 am    Post subject: Reply with quote

I think it's because I used to be on the JET program, and therefore was paying into it, that they 'caught' me (actually, the small dispatch company I was working for told me that I didn't have to pay, so long as I had private traveller's health insurance, because I was no longer a public employee... something that is totally untrue). But I know a few people around here who were never on the JET program who got letters around the same time as I did, so maybe it's sort of the type of thing where they may periodically just check... or not.
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Pitarou



Joined: 16 Nov 2009
Posts: 1116
Location: Narita, Japan

PostPosted: Fri Jan 29, 2010 12:15 pm    Post subject: Reply with quote

GambateBingBangBOOM: You're going to kick yourself. I'll quote from my chat with a HR professional:
Quote:
me: You told me that, if I am on kokumin kenko hoken, I don't need to pay for a pension. Is that right?
C: Yes.
me: Is that because the law says so, or because nobody checks?
C: Because the law says so.
Of course the worker in city hall tries you to pay them.
me: Ah!
C: They would say "The law says, if you want to get Kokuho, you have to pay pension as well."
But it's lie.
I know that.
me: I've been talking to another teacher who received such a letter.
Chisako: Yes, they tell a lie.
There is not such a law.
You can say "let me show which law says that?"
They want to make up a deficit.
That's their quota now.
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GambateBingBangBOOM



Joined: 04 Nov 2003
Posts: 2021
Location: Japan

PostPosted: Fri Jan 29, 2010 1:59 pm    Post subject: Reply with quote

Well, whatever. If that's true, it's true. It would also mean that you would basically have to go to a lawyer for every single little thing, because they could be just lying.
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Fri Jan 29, 2010 10:07 pm    Post subject: Reply with quote

Then please explain why it says this at the very beginning of the Social Insurance Agency web site:

"Under the universal coverage principle, all registered residents of Japan must enroll in one of the appropriate social health care and pension insurance systems."
http://www.sia.go.jp/e/ss.html
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tipo



Joined: 18 Apr 2007
Posts: 23
Location: Japan

PostPosted: Fri Jan 29, 2010 10:11 pm    Post subject: Guide to Health Insurance Reply with quote

In some cities they make you join the Kokumen Nenkin Hoken or National Pension Insurance(NPI). These city offices/wards say it is a legal requirement to join. However, after looking at these references I am not so sure if it's a legal requirement or not.

These references are;

http://www.sia.go.jp/e/np.html dated September 14th 2007

http://www.mhlw.go.jp/english/org/policy/dl/p36-37e.pdf

The above references appear to imply that it is a legal requirement to join the Kokumen Nenkin Hoken. If anyone out there has a Japanese friend who can access the Japanese version of the above then we might be able to shed some light on this issue.
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TokyoLiz



Joined: 16 Jan 2003
Posts: 1548
Location: Tokyo, Japan

PostPosted: Sat Jan 30, 2010 2:23 am    Post subject: FYI Immigration Reply with quote

Also, please note last year's amendment to the alien registration law -
http://www.immi-moj.go.jp/newimmiact/pdf/leaflet_english.pdf
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Sat Jan 30, 2010 12:39 pm    Post subject: Re: Guide to Health Insurance Reply with quote

tipo wrote:
In some cities they make you join the Kokumen Nenkin Hoken or National Pension Insurance(NPI). These city offices/wards say it is a legal requirement to join. However, after looking at these references I am not so sure if it's a legal requirement or not.

These references are;

http://www.sia.go.jp/e/np.html dated September 14th 2007
Looking at this reference, I can't imagine why you feel that way. To quote from it:

Quote:
Compulsory Coverage

You must be covered by the National Pension system which will provide you with Basic Pension benefit
Pretty clear to me. Have you read the link I also provided immediately above? Equally clear wording. Words like "compulsory" and "must" leave no room for misinterpretation, IMO.

Quote:
http://www.mhlw.go.jp/english/org/policy/dl/p36-37e.pdf
Where in this document does it say you are not required to join the pension plan? Perhaps a category II or II person, but do you fall into either of those?
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starteacher



Joined: 25 Feb 2009
Posts: 237

PostPosted: Sun Jan 31, 2010 2:29 pm    Post subject: Reply with quote

The question to ask oneselves is even if a company does not offer you insurance (within its legal limitations whatever that really is), would you take it ? If you don't, I am sure someone would.

If you can think of it, surely they can too. If you were to run a company (in Japan or even back in your home country), you'd find ways to cut costs. Heck, even the governments are doing it. That gets knocked onto the businesses, and that gets knocked on to to main street.

Yes, it would be great if all the companies can be angels, but the first instance, in a world that is deep in recession and cost cutting, is that having a job itself is a lifesaver, let alone having pensions, insurance and bonuses and flight fares etc .

China is booming, yes, but lots of workers there have no security at all. Same as India.

Times are changing, blowing in the wind, man.

PS : Just adding a slightly different perspective to the "problem" in general. Nothing has really changed in the x years as regards to insurance, pensions, etc in the ELT business, and I doubt if anything is going to change for the next y years.
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Sun Jan 31, 2010 9:49 pm    Post subject: Reply with quote

starteacher wrote:
Nothing has really changed in the x years as regards to insurance, pensions, etc in the ELT business, and I doubt if anything is going to change for the next y years.
I think you are over-generalizing here.
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Pitarou



Joined: 16 Nov 2009
Posts: 1116
Location: Narita, Japan

PostPosted: Mon Feb 01, 2010 1:06 am    Post subject: Reply with quote

I have a dilemma. On the one hand, my knowledgeable, experienced source tells me, "Don't trust the SIA or your ward office. They're all liars." On the other, everybody else seems sure that kousei nenkin is obligatory. We need a tie-breaker:
Quote:
Public pension is mandatory for any full-time worker in Japan, including non-Japanese. Examples of public-pension are the National Pension Scheme (kokumin nenkin 国民年金), sponsored by the government, and the Welfare Pension Scheme (kousei nenkin 厚生年金), which is corporate, and partly subsidised by the government.

(Taken from the Handbook for Newcomers, Migrants and Immigrants to Japan. Emphasis mine.)

So it's obligatory only for full-time workers. And if you're working full-time, you shouldn't be on kokumin kenko hoken, right?

Anyway, thanks to tipo, Glenski and GanbateBingBangBOOM for making me check up on this. I'll add some clarifications to the original post.
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Mon Feb 01, 2010 1:11 am    Post subject: Reply with quote

Tie-breaker? Just how trustworthy is that HR official who outright claims that SIA lies?! I would hesitate to believe such a strong claim.

There are 2 pension plans, as you have shown. One is part of shakai hoken, and is obligatory.

The other is for people who are not on shakai hoken, so you can say they are PT or FT (self-employed people can be FT, you know). I'd say go with that definition instead of being so strict with FT vs. PT.

Bottom line: one is on shakai hoken and has pension payments as part of their premiums, or they are not on shakai hoken and should (must) get the other type of pension plan. There may be an exception here and there based on very low income, but let's just assume that we teachers don't fall into that category.
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Pitarou



Joined: 16 Nov 2009
Posts: 1116
Location: Narita, Japan

PostPosted: Mon Feb 01, 2010 1:52 am    Post subject: Reply with quote

Glenski wrote:
Tie-breaker? Just how trustworthy is that HR official who outright claims that SIA lies?! I would hesitate to believe such a strong claim.


I take your point: It's a surprising claim and I only have her word on this. Or maybe not so surprising. Japan's state pension system seems to be in permanent crisis, and the SIA is not above covering up the loss of millions of pension records for many years.

As a person, my source is entirely trustworthy, and she knows the system better than most. For instance, she once rescued a charity faced with a huge bill for social insurance backpayments by "convincing" the SIA that all their staff had been sacked and re-hired on the same day!

In the guide, I've compromised by marking the key statement about part-timers and pensions as uncertain. I'll be able to interrogate her properly later this week.
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Pitarou



Joined: 16 Nov 2009
Posts: 1116
Location: Narita, Japan

PostPosted: Mon Feb 01, 2010 1:57 am    Post subject: Re: FYI Immigration Reply with quote

TokyoLiz wrote:
Also, please note last year's amendment to the alien registration law -
http://www.immi-moj.go.jp/newimmiact/pdf/leaflet_english.pdf


Lots of useful information there, but I didn't spot anything about Heatlh Insurance.
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Tue Feb 02, 2010 2:22 am    Post subject: Reply with quote

This just out from The Japan Times:
http://search.japantimes.co.jp/cgi-bin/nn20100202a1.html

New visa rule on insurance to be deleted

The Immigration Bureau is planning to change a new guideline for foreign residents to ease concerns that those without social insurance will be forced to choose between losing their visa and entering the insurance system, a bureau official said Monday.

But some foreigners warn the move won't be enough to entirely free them of the risk of being forced to enter the insurance system.

The wording of the guideline, which is to be enforced April 1, currently stipulates that foreign residents must present their health insurance card when reporting changes to or renewing their residential status. It is the last of the guideline's eight items.

"The bureau will delete item No. 8 by the end of March
, and 'lightly mention' the need to present a health insurance card in the introductory passage of the guideline," Immigration Bureau spokesman Yoshikazu Iimura told The Japan Times. "The wording will be in a manner to eliminate foreign residents' concerns that their visas won't be renewed if they don't have insurance."

The bureau will try to persuade foreigners who don't have the card to enter the social insurance system by giving out brochures, but not having the insurance won't affect the bureau's decision whether to grant a visa, he said.

Ronald Kessler, who founded the Free Choice Foundation to raise awareness of the issue, hailed the bureau's plan to delete item No. 8.

"We peacefully and diplomatically explained to them our predicament," he said. "They listened, they understood, and we applaud them for taking appropriate action."

His battle, however, isn't over. Kessler wants local immigration offices not to ask foreigners to show the card and only hand out the brochure. Also, he wants to make sure the Immigration Bureau's intention is clearly delivered to immigration officers at local offices.

"Government documents are vaguely written," he said. "Immigration officers can interpret them however they want."

Foreigners and their supporters have protested the new guideline as an infringement on freedom of choice.

Foreign and Japanese residents are required to sign up for Japan's social insurance system, as stipulated in the Health Insurance Act and the National Pension Act, but there is no punishment for not doing so. Some foreigners choose not to enter the insurance system out of preference for the insurance provided by foreign companies or simply because they don't want to pay insurance premiums.

Also, some clinics that employ English-speaking doctors do not take Japanese insurance. They charge patients the full amount and give them a receipt so they can claim the medical expense later with their insurance company.
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