Accenture Health
Insurance Society

• Notice of dependent transfer

• Example

• accenture, IMJ
  • Regular Employees :
    AEE Dalian HR (DL from ES)
  • SP Employees :
    AEE Dalian HR (Request by e-mail)
  • Fixed-Term Employees :
    AEE Dalian HR (Request by e-mail)
• avanade : HR
• Voluntary Continual Coverage : AHIS

• accenture, IMJ
  • Regular Employees :
    HR Operations
  • SP Employees :
    HR Supervisor for "SP Employees"
  • Fixed-Term Employees :
    HR Supervisor for "Fixed-Term Employees"
• avanade : HR
• Voluntary Continual Coverage : AHIS

• Dependent charge sheet

• Example

• Insured Person (Family Member) Name Change Notice

• Example

• Maternity Lump Sum Allowance/ Additional Maternity Lump Sum Allowance Application
• Example

• Request for Payment of Maternity Allowance
• Example

• Request for Payment of Burial Fees (Costs)
• Example

• Injury and Sickness Benefits Application
• Example

• accenture, IMJ
  • AEE Dalian HR
    APSSC.HR.SUPPORT@accenture.com
• avanade : HR
• Voluntary Continual Coverage : AHIS

• Insurance Card/Senior Benefit Card Loss/Damage, Reissue Request
• Example

• Request for Voluntary Continued Caverage Status
• Example

• Notice of Forfeiture of Voluntary Continuation of Coverage
• Example

• Request for Payment of Medical Expenses
• Example

• Request for Payment of Medical Expenses (Acupuncture, Moxibustion, Massage)
• Example

• A letter stating that you agree to the health insurance society making detailed inquiries to the overseas medical care institution or other organization about your treatment

We’re sorry, but the electronic application service is only available in Japanese. To apply in English, please mail a paper application form to Accenture Health Insurance Society.

• Request for Certificate of Application of Health Insurance Limit Amount
• Example

045-330-8333（Ext.8333）

APSSC.HR.SUPPORT@accenture.com

045-330-8333（Ext.8333）

APSSC.HR.SUPPORT@accenture.com

045-330-8333（Ext.8333）