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		gwynnie86
 
 
  Joined: 27 Apr 2009 Posts: 159
 
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				 Posted: Fri Jan 22, 2010 1:57 pm    Post subject: Interac: National Health Insurance vs Inter Global | 
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				Ok, so I was sure that there was already a thread dealing with this, but I failed to find it. 
 
Today, Interac send me a lovely email including this:
 
 
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	   Insurance:
 
 
 
 
 
We will be sending out a link to download that will explain details related to obtaining health insurance while residing in Japan. 
 
 
Health insurance is compulsory for anyone working in Japan. There are basically two choices for Interac ALTs, National Health Insurance or Inter Global coverage. 
 
 
 
 
 
National Health Insurance:
 
 
National Health Insurance in Japan covers 70% of your medical bills and you are required to make up the other 30% when you visit the hospital.
 
 
It is reasonably cheap for the first year in Japan but when your income is calculated at the end of the tax year then the premium increases to around 4% of your salary.
 
 
 
 
 
The Japanese Government has a policy in that if you are intending to stay in Japan for more than one year then you are obliged to join National Health Insurance.
 
 
If you are planning on living in Japan �long-term� then you should enroll in National Health Insurance as you will have to at some point anyway. The reason is that when you go to renew your visa after your first year you will be asked to show proof of National Health coverage to support your application.
 
 
 
 
 
If you are planning to stay in Japan for less than one year, then you can enroll in Inter Global.
 
 
 If you know that you will be staying longer than one year then you are required to join the National Health scheme. 
 
 
If you are unsure then you can join either Inter Global or the National Health Scheme for your first year in Japan.  If you then decide to stay for a second year you are obliged, at that point, to join the National Health scheme.
 
 
  
 
 
Inter Global:
 
 
Inter Global is only a viable option for teachers planning on staying in Japan for less than one year, for those who are undecided as to how long they wish to stay and also for those wishing to opt for the �top-up plan� that covers the 30% out of pocket expenses incurred with the National Health scheme.
 
 
We have negotiated very reasonable corporate rates with Global Health Insurance which is an overseas based health insurance provider with an office in Osaka.  Our group rate offers our employees the advantages of the savings of a group plan.  Currently, there are three plans available:
 
 
 
 
 
GOLD PLAN             (JPY 7,300/month)
 
 
SILVER PLAN          (JPY 6,700/month)
 
 
BRONZE PLAN        (JPY 5,500/month)
 
 
 
 
 
These rates will be explained in greater detail (including coverage and
 
 
benefits) in the information link to follow.  
 
 
Unlike National Health Insurance in Japan, Inter Global premiums will not be recalculated in year two based on your previous years' income. Inter Global�s premiums will remain fixed until December the 3rd 2010, increases in premiums have historically been quite marginal, however we are unable to forecast what they will be next year.
 
 
 
 
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Now, people are saying that if you go with Inter Global but change over to NHI the next year you have to pay back-payments etc, which is obviously not ideal. However, I am only staying there for a year (or such is my plan) so would Inter Global be a better option? Or NHI just in case I ended up staying longer?
 
Sorry to bring up this question again, but it seems to pop up within other threads and not actually have an easy-to-find thread of its own (unless I'm not looking back far enough) ! x | 
			 
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		Inflames
 
 
  Joined: 02 Apr 2006 Posts: 486
 
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				 Posted: Fri Jan 22, 2010 3:27 pm    Post subject:  | 
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				There's a minimum payment (around 3,000 yen IIRC) your first year for kokumin kenko hoken. After that, your premium is based on your income (for the previous year). As your income is nothing for your first year, you just pay the minimum (which is around 3,000 yen for 10 months).
 
 
Go with NHI without a doubt. | 
			 
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		seklarwia
 
 
  Joined: 20 Jan 2009 Posts: 1546 Location: Monkey onsen, Nagano
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				 Posted: Fri Jan 22, 2010 3:49 pm    Post subject:  | 
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				Depending on where you are, your first years premium might be a whole lot less than 3000/month. I just got my receipt in the post for my first years payment proof which totalled... 13,100 yen for the entire year; just slightly less than the minimum 5,500/month you'll be paying on Interglobal.   | 
			 
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		Glenski
 
  
  Joined: 15 Jan 2003 Posts: 12844 Location: Hokkaido, JAPAN
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				 Posted: Sat Jan 23, 2010 12:10 am    Post subject:  | 
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				Think you'll be here only a year?  That could change.
 
 
NHI is about 2500 / month for the first year, and then tenfold higher after that.
 
 
I don't know about InterGlobal, but it looks more expensive the first year than NHI, according to seklarwia.
 
 
I hope you get an answer about how good the coverage actually is with IG, because my personal recommendation would be to get NHI.
 
 
*Cheaper the first year, so if you really don't stay longer, you're better off.
 
*Probably better acceptance by most hospitals.
 
*You won't have to make backpayments to NHI if you change your mind and stay longer because you'll already be on the system.
 
 
Staying longer may seem like a terrible financial burden to have to pay that much more to NHI, but the Interac message was correct about the government and its policy concerning visa renewals.  Problem is, even at this late date, they have not been 100% clear whether another insurance plan would be acceptable.  They only said that having NHI is just one of the factors in determining renewal, not an overriding one.
 
 
Go with NHI. | 
			 
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		lenoreelux
 
 
  Joined: 30 Nov 2009 Posts: 44
 
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				 Posted: Sat Jan 23, 2010 12:30 am    Post subject:  | 
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				| I am planning on staying for a long time in Japan and I am opting for the NHI since it seems like the best thing to do and the least expensive. | 
			 
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		tipo
 
 
  Joined: 18 Apr 2007 Posts: 23 Location: Japan
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				 Posted: Sun Jan 24, 2010 2:20 am    Post subject: Interac: National Health Insurance vs Inter Global | 
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				To gwynnie86. The blurb from Interac is wrong. From April 1st 2010 Inter Global or any other private health insurance plan will no longer be acceptable if you wish to keep your work visa in Japan.
 
 
The Kokumen Kenko/Kokumen Nenkin or National Health and Pension Insurance plan is available ONLY to self employed people. Since you are employed by INTERAC then the only option available is the Shakai Hoken. Contributions are made by both the employer and employee. The amount paid by you and your employer is based on your salary. DO NOT allow INTERAC get out of its legal responsibility to you.
 
 
DO NOT allow INTERAC tell you that you are not entitled to join Shakai Hoken because you work less 30 hours a week. That will no loner apply from April 1st. 
 
 
Good luck | 
			 
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		tipo
 
 
  Joined: 18 Apr 2007 Posts: 23 Location: Japan
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				 Posted: Sun Jan 24, 2010 2:37 am    Post subject: Interac: National Health Insurance vs Inter Global | 
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				There seems to be some confusion as to what is acceptable and what is not so far as health and pension insurance is concerned. Firstly, the Kokumen Kenko/Kokumen Nenkin or National Health/Pension Insurance is available only to unemployed and self employed. So, that excludes most people who are employed. Also, whilst in the first year NHI contributions can be cheap but contributions will shoot up from the second year onwards. 
 
 
The only recognised health and pension plan available to most people teaching English in Japan is the Shakai Hoken. Here the employer and employee contribute to the plan you both pay 50/50. On a monthly salary of JPY250,000 that's about JPY30,000 a month contribution from both the employee and employer. To get more information about this topic consult with the General Union wbsite. http://www.generalunion.org 
 
 
DO NOT allow your employer escape its legal responsibilty to you.
 
DO NOT allow your employer BS you like Interac is attempting to do here.
 
 
I hope this has cleared up any confusion.
 
 
Tipo
  Last edited by tipo on Mon Jan 25, 2010 10:20 am; edited 1 time in total | 
			 
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		seklarwia
 
 
  Joined: 20 Jan 2009 Posts: 1546 Location: Monkey onsen, Nagano
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				 Posted: Sun Jan 24, 2010 2:47 am    Post subject: Re: Interac: National Health Insurance vs Inter Global | 
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	  | tipo wrote: | 
	 
	
	  To gwynnie86. The blurb from Interac is wrong. From April 1st 2010 Inter Global or any other private health insurance plan will no longer be acceptable if you wish to keep your work visa in Japan.
 
 
The Kokumen Kenko/Kokumen Nenkin or National Health and Pension Insurance plan is available ONLY to self employed people. Since you are employed by INTERAC then the only option available is the Shakai Hoken. Contributions are made by both the employer and employee. The amount paid by you and your employer is based on your salary. DO NOT allow INTERAC get out of its legal responsibility to you.
 
 
DO NOT allow INTERAC tell you that you are not entitled to join Shakai Hoken because you work less 30 hours a week. That will no loner apply from April 1st. 
 
 
Good luck | 
	 
 
 
 
She can try telling them that now but I'd wager that she'd lose her job before she even arrives if she does.
 
 
Kokumen Kenko is a government insurance plan that will be accepted come visa renewal time. So for the time being, if she wishes to stay more than a year then that is the way to go. 
 
 
Yes, Interac, like most dispatch companies and eikawa are saving money at the expense of their employees by not enrolling them on Shakai Hoken, but at the end of the day they are a money making businesses and they would be crazy if they were volunteering to foot costs that could otherwise spell more profit for them.
 
 
The government is very much to blame for dispatchers and eikawa being able to duck out of their financial responsibilities to their employees. If the government clearly stated what is meant by 29.5 hours and then enforced the rule, dispatchers and eikawa would be forced to sign up their employees for Shakai Hoken. | 
			 
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		GambateBingBangBOOM
 
 
  Joined: 04 Nov 2003 Posts: 2021 Location: Japan
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				 Posted: Sun Jan 24, 2010 4:20 am    Post subject:  | 
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				I think National Health Insurance is a requirement of public employees (although I think the way it works differs). This makes sense when you consider that Shakai Hoken is through the employer and public employees' employer is the government.
 
 
I read somewhere that visa renewal won't be tied to health insurance after all. Some lawyers got involved. Can't remember the details (it didn't really apply to me because I have acceptable health insurance).
 
 
 
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	  | The government is very much to blame for dispatchers and eikawa being able to duck out of their financial responsibilities to their employees. If the government clearly stated what is meant by 29.5 hours and then enforced the rule, dispatchers and eikawa would be forced to sign up their employees for Shakai Hoken. | 
	 
 
 
 
Yes. And if that were to happen, then a lot of dispatch companies and eikaiwa would go out of business. | 
			 
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		tipo
 
 
  Joined: 18 Apr 2007 Posts: 23 Location: Japan
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				 Posted: Sun Jan 24, 2010 4:28 am    Post subject: Interac: National Health Insurance vs Inter Global | 
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				seklarwia wrote:
 
 
'If the government clearly stated what is meant by 29.5 hours and then enforced the rule....'
 
 
Firstly, there is no such rule. All the Labor Standards Law says is that no worker shall work more than 40 hours per week.  And the Labor Standards Office was generally reluctant in recognising that such a rule existed also. Eikaiwas and dispatch companies came up with this ingenious way in order to avoid enrolling their employees onto Shakai Hoken but if challenged could be over turned if an employee took a complaint to the Labor Standards Office.
 
 
Secondly, I personally wouldn't go near Kokumen Kenko/Nenkin (National Health/Pension Inurance) especially if you have lived in Japan more than two years because the local Ward Office could and will make you back enrole which could cost you big time if you have been in Japan some time. If you are a new arrival and you enrole onto the NHI the first year is very cheap but the second year it shoots up experdentially. I was paying JPY 70,000 a month. Once you enrole onto the NHI you are locked in. Finally, as I said before the NHI is for unemployed or self employed people. 
 
 
So, the best option for most people is the Shakai Hoken where both the employer and employee contribute. 
 
 
 
[/b][/list][/quote][/list] | 
			 
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		GambateBingBangBOOM
 
 
  Joined: 04 Nov 2003 Posts: 2021 Location: Japan
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				 Posted: Sun Jan 24, 2010 4:58 am    Post subject: Re: Interac: National Health Insurance vs Inter Global | 
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	  | tipo wrote: | 
	 
	
	  
 
Secondly, I personally wouldn't go near Kokumen Kenko/Nenkin (National Health/Pension Inurance) especially if you have lived in Japan more than two years because the local Ward Office could and will make you back enrole which could cost you big time if you have been in Japan some time. If you are a new arrival and you enrole onto the NHI the first year is very cheap but the second year it shoots up experdentially. I was paying JPY 70,000 a month. Once you enrole onto the NHI you are locked in. Finally, as I said before the NHI is for unemployed or self employed people. 
 
 
So, the best option for most people is the Shakai Hoken where both the employer and employee contribute. 
 
 | 
	 
 
 
 
 
Actually, the idea that you cannot get out of National Health once you are in it is false. You can. You are automatically out of it the instant you are entered onto Shakai Hoken. Once you are on it, you cannot then go to a form of insurance not accepted by the government. By law, you have to be on one of the two systems. You can switch from one to the other, though. Otherwise Japanese people who work for a company and then lose their jobs would be screwed. They would have to enter into National Health, and then they would likely have to enter into their next job's Shakai Hoken as well. And if they didn't, then with all the job changing going on nowadays, eventually Shakai Hoken would be a rarity and the majority of the population would be on National Health (thereby causing major problems for the pension plan of the company).
 
 
If you've been in Japan two years and apply for National Health, then you would have to pay back the first year (which was very little) and the second year, $3000. If you have been in Japan five years and sign up, you would have to pay back two years ($6000). Both of these are in addition to the current year you sign up (add $3000). If you have Shakai Hoken, and then lose you job (they do not recontract you, for example) then you have to sign up for National Health, and there is a very high likelihood that you will start getting letters demanding you pay it after the first couple of months out of Shakai Hoken. The only real way out of paying back payments on National Health is to get on a Shakai Hoken system, and never leave it, and just hope that the government doesn't notice that you haven't paid up all your national health (but usually they do, and for a few months, or possibly a couple of years, you will be paying both Shakai Hoken directly from your pay AND going to the post office to pay your back-payments to National Health). | 
			 
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		Apsara
 
 
  Joined: 20 Sep 2005 Posts: 2142 Location: Tokyo, Japan
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				 Posted: Sun Jan 24, 2010 9:33 am    Post subject: Re: Interac: National Health Insurance vs Inter Global | 
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	  | tipo wrote: | 
	 
	
	  | Firstly, the Kokumen Kenko/Kokumen Nenkin or National Health/Pension Insurance is available only to unemployed and self employed.  | 
	 
 
 
 
You seem very sure of this, but what about people who work part time or at a number of part time jobs? This is what I do, and I am on kokumin kenko hoken. I also only joined KKH last year, in my 11th year in Japan. I joined after moving to a different city in Tokyo, and I have not been asked to pay a yen in back payments. Previously I had private health insurance, leftover from my eikaiwa days. | 
			 
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		tipo
 
 
  Joined: 18 Apr 2007 Posts: 23 Location: Japan
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				 Posted: Sun Jan 24, 2010 1:42 pm    Post subject: Interac: National Health Insurance vs Inter Global | 
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				Apsara, I was referring to full-time employees because technically the Kokumen Kenko/Nenkin(NHI) is for the self-employed and unemployed. Full -time employees should either be on Shakai Hoken or Shigaku Kyousai not the NHI.
 
 
Now, you raised the issue concerning part-time workers unfortunately for these folk they were shoved onto the NHI because employers refused to enrole them onto the Shakai Hoken or Shigaku Kyousai. For a number of years the General Union lobbied the Social Insurance Agency to clarify the rules regarding PT employees and their health/pension insurance rights. But, never really made any headway until now of course. | 
			 
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		Glenski
 
  
  Joined: 15 Jan 2003 Posts: 12844 Location: Hokkaido, JAPAN
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				 Posted: Sun Jan 24, 2010 2:34 pm    Post subject:  | 
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				tipo,
 
The labor laws say far more than just that people shall not work more than 40 hours per week.  Perhaps what you meant was that the labor laws say nothing about who should get health insurance.  If so, you're right.  That's the business of the Social Insurance Agency, which says:
 
 
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	  You must be covered by the Employees� Health Insurance [shakai hoken] if you work for a company or factory which employs 5 workers or more, or if you work for a HOJIN corporation, irrespective of your age or nationality. Specifically, a company or a factory here means one in business specified by law, such as manufacture or health and medical services.
 
You must be also covered if you are a part-time worker and if both your work days and your work hours are more than 3/4 of the regular workers in your workplace.
 
http://www.sia.go.jp/e/ehi.html
 
 | 
	 
 
Note that last sentence, which clearly says that 40 x 3/4 = 30 hours is the cutoff hours per week, so when you wrote "there is no such rule", I beg to differ.  There is.
 
 
You also wrote:
 
Eikaiwas and dispatch companies came up with this ingenious way in order to avoid enrolling their employees onto Shakai Hoken but if challenged could be over turned if an employee took a complaint to the Labor Standards Office. 
 
"If challenged"?  The union has challenged companies for a while now, and the only time they won was a half-hearted victory.  ECC, I believe, as agreed to give shakai hoken to employees, but they must work more than 29.5 hours/week.
 
 
The issue with these loophole users is, as has been stated, that there is no clear definition of what "work hours" means (or should mean).  For teachers, prep time is not included, nor is time spent doing mandatory work such as paper shuffling, chatting up students or prospective students, or giving interviews and level checks.  Put those in as official work hours, and most people would truly be over that 30-hour hump.
 
 
 
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	  | Secondly, I personally wouldn't go near Kokumen Kenko/Nenkin (National Health/Pension Inurance) especially if you have lived in Japan more than two years because the local Ward Office could and will make you back enrole which could cost you big time if you have been in Japan some time.  | 
	 
 
But if you "go near" it from the very beginning, you won't have backpayments to make.  What other option do you have except to try fighting your employer for shakai hoken?  Answer: take kokumin at first, then work with the union to get the employer to change.  Just don't make it a frontal assault, or your contract may not be renewed next year.  The benefits of kokumin and shakai hoken are essentially the same, are they not?  Yeah, you have to pay it all yourself for kokumin, but if you don't have it and can't get shakai hoken, you are left with nothing except foreign insurance.
 
 
You paid 70,000 yen/month for kokumin?  That's unrealistic.  What was your situation? (dependents, location, and most importantly previous year's income)
 
 
 
	  | GambateBingBangBOOM wrote: | 
	 
	
	  | I think National Health Insurance is a requirement of public employees (although I think the way it works differs). | 
	 
 
No, I think public employees get shakai hoken, too.  See the following quote. "Government-managed" seems to fit them.
 
The main social insurance systems for salaried workers in companies and factories in Japan are the Employees� Health Insurance (KENKO HOKEN) (Government-managed type and the Society-managed type) as the health care insurance and the Employees� Pension Insurance (KOSEI NENKIN HOKEN) as the pension insurance.
 
 
As for the self-employed workers and non-employed people, there are the National Health Insurance (KOKUMIN KENKO HOKEN) and the National Pension (KOKUMIN NENKIN).
 
 
 
http://www.sia.go.jp/e/ss.html
 
 
 
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	  | I read somewhere that visa renewal won't be tied to health insurance after all. | 
	 
 
This is new news.  I have only heard that health insurance will be just one of several factors, and not an overriding one, but not that it won't be tied to renewals at all.
 
 
 
	  | Apsara wrote: | 
	 
	
	  | what about people who work part time or at a number of part time jobs? This is what I do, and I am on kokumin kenko hoken. I also only joined KKH last year, in my 11th year in Japan. I joined after moving to a different city in Tokyo, and I have not been asked to pay a yen in back payments. Previously I had private health insurance, leftover from my eikaiwa days. | 
	 
 
I think you got out of backpayments by simply moving and registering with a different ward office, something most people are unable and unwilling to do. | 
			 
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		tipo
 
 
  Joined: 18 Apr 2007 Posts: 23 Location: Japan
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				 Posted: Sun Jan 24, 2010 10:46 pm    Post subject: Interac: National Health Insurance vs Inter Global | 
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				Glenski, thank you for the quote from the SIA's website. It is the last sentence that has caused the greatest amount of confusion i.e "entitlement to SH is based on the number of hours and the number of days they work at the workplace that are generally at least 3/4 of those of ordinary employees of that workplace". I consulted a Union in Osaka seeking a clarification of the above ruling. The Chairman Mr Neo Yamashita told me that the 3/4 rule depended on the number of hours worked per week by the FT employees of that company or industry. Some industries worked more than 40 hours and some worked less than 40 hours a week. As for the education sector Mr Yamashita believed that lesson prep and other duties outside of the classroom constituted time worked. For that reason he believed that the imposition of the 29.5 rule by ECC was pure fiction which later led to the General Union challenging ECC. And ECC backed down followed by the other large eikaiwas such as GEOS and Berlitz.
 
 
I believe with the recent change in government that it will be easier for most employees now to be enrolled onto SH. | 
			 
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