PwC
Health Insurance Society

Childbirth (with additional benefits)

“A Childbirth and Childcare Lump-Sum Grant” is paid when an insured person gives birth. “A Dependents' Childbirth and Childcare Lump-Sum Grant” is paid when a dependent family member gives birth. Additionally, newly born children can be added as dependents.

Request a Childbirth and Childcare Lump-Sum Grant

When using the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions

Submit the documents on agreement to use the system to the medical care institution or other facility where you plan to give birth. (You need not take any action with respect to the Health Insurance Society. For details, check with the medical care institution or other facility where you plan to give birth.)
Even if you use this system, you must apply to the Health Insurance Society to receive additional benefits.

Required documents:

[Documents to attach]

  • Copies of documents on agreement to use the system from the medical care institution or other facility
    (documents demonstrating that you have concluded a proxy agreement with the medical care institution or other facility to use the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions and indicating the name of the Health Insurance Society as application recipient)
  • Copies of receipts for and details of childbirth expenses
    (Documents demonstrating that the details are the same as those on the special invoice submitted by the medical care institution or other facility to the Health Insurance Society and, if giving birth at an institution that is a member of the maternity medical care compensation scheme, showing printed or stamped text certifying that the childbirth took place at a member institution)
  • Should there be no evidence of gestation weeks by a doctor or mid-wife, then please attack a copy of the page with such information from your maternity passbook.
Deadline: As soon as possible
Applies to: Insured persons and dependents using the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions
Submission destination Send the application form
Notes: Even if childbirth expenses are less than the amount of the Childbirth and Childcare Lump-Sum Grant to be paid, the amount paid will not change.
  • * Do not download the form from here. Please apply on the HC web Service (Applying for Change of Personal Information) as instructed by the Human Resources Department. A complete set of required documents will then be sent to you by Otsuki Management & Labor Consulting Office. (This excludes Voluntarily and Continuously Insured Persons.)

When using the system of receipt of the Childbirth and Childcare Lump-sum Grant directly by the medical institutions on your behalf

If you would like to use the system of receipt of the Childbirth and Childcare Lump-sum Grant directly by the medical institutions on your behalf, submit the following application to the Health Insurance Society in advance.

Required documents:
Deadline: In advance
Applies to: Insured persons and dependents expecting childbirth up to two months in the future who wish to use the system of receipt of the Childbirth and Childcare Lump-sum Grant directly by the medical institutions on your behalf
Submission destination Send the application form
Notes:  

If you paid the entire amount of childbirth expenses to the medical care institution

Submit the following application to the Health Insurance Society if you have not used the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions or the system of receipt of the Childbirth and Childcare Lump-sum Grant directly by the medical institutions on your behalf or you have given birth overseas.

Required documents:

[Documents to attach]

  • Copies of agreements from the medical care institution or other facility
    (documents demonstrating that you have not concluded a proxy agreement with the medical care institution or other facility on use of the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions and indicating the name of the Health Insurance Society as application recipient)
  • Copies of receipts for and details of childbirth expenses
    (Documents demonstrating that you have concluded a proxy agreement with the medical care institution or other facility to use the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions and, if giving birth at an institution that is a member of the maternity medical care compensation scheme, showing printed or stamped text certifying that the childbirth took place at a member institution)
  • Should there be no evidence of gestation weeks by a doctor or mid-wife, then please attack a copy of the page with such information from your maternity passbook.
Deadline: As soon as possible
Applies to: Insured persons or dependents who have paid the entire amount of childbirth expense at the medical care institution without using the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions or the system of receipt of the Childbirth and Childcare Lump-sum Grant directly by the medical institutions on your behalf
Submission destination Send the application form
Notes: The following documents must be attached for a childbirth overseas:
  • Documents issued by the overseas medical care institution or other facility where the birth took place (birth certificate, receipts, etc.)
  • Japanese translations of the above
  • A copy of document(s) attesting to the fact of travel overseas (passport, etc.)
  • A letter of consent permitting inquiries with the overseas medical care institution or other facility where the birth took place regarding the fact of the birth, details, and so forth
  • * Do not download the form from here. Please apply on the HC web Service (Applying for Change of Personal Information) as instructed by the Human Resources Department. A complete set of required documents will then be sent to you by Otsuki Management & Labor Consulting Office. (This excludes Voluntarily and Continuously Insured Persons.)

Add the child

After the child is born, take the necessary steps to add him or her as a dependent.

Family membership

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