Privacy Policy

Specific purposes of use of personal information

1. The purposes of use of personal information acquired by the Health Insurance Society are listed below.

Payment of insurance benefits

Internal use within the Health Insurance Society, etc.

• Payment of insurance benefits and additional benefits
• Payment to the account specified for benefits
• Administration related to use as stipulated in the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures

Provision of information to other operators (including subcontracting operations)

• Subcontracting data processing related to insurance benefits and additional benefits
• Provision of insurance benefits and additional benefits via employers
• Payment to salary accounts (employers) for the automatic payment of high-cost medical care benefits, patient cost-sharing reimbursements, etc.
• Subcontracting coordinating operations related to medical assistance from municipalities
• Subcontracting translations and calculations involving overseas medical care expenses
• Filing claims with casualty insurers in connection with third party actions
• Joint efforts involving high-cost medical care benefits with the National Federation of Health Insurance Societies
• Coordinating information under the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures

Screening for membership eligibility, collecting insurance premiums, etc.

Internal use within the Health Insurance Society, etc.

• Screening for eligibility of insured persons and confirmation of standard monthly remuneration, standard bonus, etc.
• Screening for dependent eligibility and dependent certification
• Data entry related to the eligibility and remuneration of insured persons, etc.
• Management of issuance of health insurance cards
• Collection and refunding health insurance premiums, long-term care insurance premiums, and regulation insurance premiums
• Administration related to use as stipulated in the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures

Provision of information to other operators (including subcontracting operations)

• Data processing of eligibility, etc. of insured persons, etc.
• Investigation of income of insured persons aged 70 and older
• Dependent status confirmation (authorization)
• Issuing health insurance cards and responding to inquiries
• Requesting the return of health insurance cards and collecting and disposing of the cards returned
• Collecting premiums from Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons
• Subcontracting acceptance of applications for change in the payment method/payment unit of insurance premiums from Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons
• Subcontracting sending of certificates of payment of insurance premiums to Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons
• Distributing notices of insurance premiums and payment decisions to Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons and responding to inquiries
• Procedures for transfer to the Medical Care System for the Advanced Elderly
• Coordinating information under the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures

Promoting health activities

Internal use within the Health Insurance Society, etc.

• Health examinations (checkups) for health maintenance and promotion
• Follow-up guidance, health guidance, and health consultation based on examination results
• Retention of data on examination results and health guidance results
• Activities designed to prevent worsening of lifestyle-related conditions based on rezept data, examination results, etc.
• Implementing health promotion activities
• Processing applications and distributing information related to health promotion activities
• Distributing information related to health activities
• Distributing bulletins, pamphlets, etc.
• Operation of health care facilities for the elderly requiring long-term care
• Lending funds for high medical care costs and childbirth costs
• Medical care cost analysis, disease analysis

Provision of information to other operators (including subcontracting operations)

• Subcontracting health screenings (examinations) to medical care institutions (providing examination application information)
• Subcontracting subsidy payments for health examinations, specific health guidance, and infectious disease prevention
• Providing health examination results to employers as part of joint health activities
• Subcontracting digitization (data entry by punching input), data management, checking for discrepancies, etc. of results of health examinations and specified health guidance in paper and electronic media
• Subcontracting retention of data on specified health diagnosis results
• Subcontracting to establishments and external health guidance institutions for providing health guidance and health consultation
• Subcontracting activities designed to prevent lifestyle-related conditions and prevent their worsening
• Subcontracting operations involving viewing health examination results, provision of health information, etc. via the Internet
• Subcontracting individual and matching analyses of health examination results and rezept data
• Subcontracting the distribution of information on health examinations and application data entry
• Subcontracting the distribution of bulletins, medical care cost information, etc.
• Subcontracting health promotion activities
• Subcontracting the operation of health care facilities for the elderly requiring long-term care, etc.
• Distributing medical care cost information (to insured persons for their entire household)
• Subcontracting data processing, etc. related to medical care cost analysis and medical care cost information
• Distributing dental hygiene sets
• Subcontracting acceptance of subsidy application forms for flu vaccinations, their digitization (data entry by punching input), checking for discrepancies, etc.

Review and payment of medical fees, etc., normalization of medical care costs, etc.

Internal use within the Health Insurance Society, etc.

• Inspection of the contents of medical cost details (rezepts), review of eligibility, and payments
• Inquiries concerning treatment, reviews, and payment in response to invoices from judotherapists, etc.

Provision of information to other operators (including subcontracting operations)

• Subcontracting reviews of the contents of rezepts
• Subcontracting data entry and scanning for computer processing of rezepts
• Inquiries concerning treatment, reviews, and payment in response to invoices from judotherapists, etc.
• Subcontracting data entry and scanning for processing of invoices from judotherapists, etc.
• Subcontracting guidance for those receiving lengthy treatment by judotherapists, etc.
• Subcontracting tasks such as sending out notices of price differences for generic drugs to promote the use and raise awareness of generic drugs
• Subcontracting guidance for those receiving duplicate prescriptions, etc.

Providing information to the healthcare bill check and payment organization

• Providing member information for rezept-based fund transfer using the online eligibility verification system and other systems
• Inquiries for and provision of member information related to reexamination request for rezept-based fund transfer using the online eligibility verification system and other systems

Matters related to the operation of the health insurance society

Internal use within the Health Insurance Society, etc.

• Basic data for maintaining and improving the administrative operations of the Health Insurance Society
• Preparation of basic data for budgeting, settlement of accounts, etc. and records such as meeting minutes
• Execution of accounting work
• Issuing various certificates
• Accessing information on insured persons and dependents as part of tasks requiring direct contact

Provision of information to other operators (including subcontracting operations)

• Subcontracting reception and handling of requests and inquiries by telephone from members, etc.
• Responding to requests to confirm eligibility from medical care institutions and health examination institutions for purposes related to insurance benefits or health examinations
• Inquiring with employers and providing information concerning personal data of insured persons and dependents provided via employers
• Inquiries and responses for appropriate processing of operations (exchange of information among insurers)
• Consultation with or notification to insurers, medical care institutions, etc. as part of the administration of third-party claims
• Entrusting claim management, etc. to attorneys
• Subcontracting binding of documents related to accounting work
• Subcontracting issuance of various documents and certificates
• Document retention
• Disposal of confidential documents
• Subcontracting health insurance system operations and maintenance

2. Purposes of use in coordination of information with other medical insurers or administrative agencies ("other agencies" hereinafter) as prescribed by laws and regulations are described below.

Specific personal information

Receiving information from other agencies for the execution of Health Insurance Society administrative processing

• Benefit information, etc. related to reviews for insurance benefits such as injury and sickness allowance and high-cost medical care benefits
• Information on taxation/tax exemption related to matters such as determination of copayment categories of elderly recipients
• Qualification information from other agencies in connection with administration of acceptance of insured persons
• Information on taxation/tax exemption, certificates of residence, etc. in connection with administration of dependent certification

Providing information by the Health Insurance Society for the execution of administrative processing by other agencies

• Information concerning insurance benefits from the Health Insurance Society related to benefit administration by other agencies, for benefits such as high-cost medical care benefits and benefits related to childbirth and funerals
• Information related to eligibility as insured persons and dependents with the Health Insurance Society, related to administration of confirmation of eligibility by other agencies for purposes such as eligibility and dependent certification

Use of the online eligibility verification system and other systems

Receiving information from other agencies for the execution of Health Insurance Society administrative processing

• Specific health checkup data

Providing information by the Health Insurance Society for the execution of administrative processing by other agencies

• Registering information related to eligibility and specific health checkup data for insured persons, etc.