Application forms, Contact
Application forms
Form (A4) | Applications obtained from | Applications submitted to |
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1.accenture : HRS(HR Services) (DL from ES) 2.avanade : HR Support 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage : BPO ( for AHIS) |
1.accenture : HR-LCM-ES(MM office) 2.avanade : HR 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage :BPO ( for AHIS) |
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Certificate of Conditions of Employment Example |
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Claim for Health Insurance Payment of Funeral Expenses (Costs) Example |
1.accenture : Posted on this homepage
2.avanade : Posted on this homepage 3.UBS : Posted on this homepage 4.Voluntary Continual Coverage : Posted on this homepage |
1.accenture : 2.avanade : HR 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage :BPO ( for AHIS) |
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1.accenture : HRS(HR Services) (DL from ES) 2.avanade : HR Support 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage : AHIS |
1.accenture : HR-LCM-ES(MM office) 2.avanade : HR 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage : AHIS |
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1.accenture : HRS(HR Services) APSSC.HR.SUPPORT @accenture.com 2.avanade : HR Support 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage : AHIS |
1.accenture : HR-LCM-LoA for Sick/injured(MM office) 2.avanade : HR 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage : AHIS |
(When reissuing a certificate) Insurance Card/Senior Benefit Card Loss/Damage, Reissue Request Example |
1.accenture : HRS(HR Services) (DL from ES) 2.avanade : Posted on this homepage 3.UBS : Posted on this homepage 4.Voluntary Continual Coverage : Posted on this homepage |
1.accenture : HR-LCM-ES(MM office) 2.avanade : HR 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage : BPO ( for AHIS) |
(No need to reissue) Report loss of "Health insurance card" and "Elderly beneficiary certificate Example |
Posted on this homepage | 1.accenture : HR-LCM-ES(MM office) 2.avanade : HR 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage : BPO (for AHIS) |
(No need to reissue) Report loss of "Certificate for limit Application"and"Certificate of limit application / standard burden reduction"and"Specific illness medical treatment certificate Example |
Posted on this homepage | BPO ( for AHIS) |
You can apply for the issuance of a Certificate of loss of qualification either electronically or by paper mail. Example |
Posted on this homepage | BPO ( for AHIS) |
Written Notice for Acquisition of Qualification as a Voluntarily and Continuously Insured Person Example |
Posted on this homepage | BPO ( for AHIS) |
Written Notice for Loss of Qualification as a Voluntarily and Continuously Insured Person Example |
Posted on this homepage | BPO ( for AHIS) |
Request for Payment of Medical Expenses for Insured Person or Dependent [Advance Payment on Behalf of Third Party] Example Request for Payment of Medical Expenses for Insured Person or Dependent [for therapeutic devices, therapeutic eye glasses, etc.] Example | Posted on this homepage | BPO ( for AHIS) |
Request for Payment of Medical Expenses for Insured Person or Dependent [for massages] Example Request for Payment of Medical Expenses for Insured Person or Dependent [for acupuncture and moxibustion] Example |
Posted on this homepage | BPO ( for AHIS) |
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 | Posted on this homepage | BPO ( for AHIS) |
You can request certificate below electronically or by paper mail. Example |
Posted on this homepage | BPO ( for AHIS) |
(Those with low income, such as those who are exempt from municipal inhabitant tax) Health Insurance Application for Eligibility Certificate for Ceiling-Amount/Reduction of the Standard Amount of Patient Liability Example |
Posted on this homepage | BPO ( for AHIS) |
Application for Health Insurance Payment of Medical Care Costs for Insured Person or Dependent [for overseas medical expenses] |
BPO ( for AHIS) | |
Application for Health Insurance Payment of Transportation Expenses for Insured Person or Family Member | BPO ( for AHIS) | |
Application for In-home Care Support | AHIS | |
The Childbirth and Childcare Lump-Sum Grant additional benefits for Insured Person or Family Member [If not using the system of direct payment to medical institutions, or if childbirth took place outside of Japan] Example |
Posted on this homepage | BPO ( for AHIS) |
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BPO ( for AHIS) | |
Notice of accident involving bodily injury due to the actions of a third party | AHIS | |
Application for certificate to receive treatment for specific diseases and disorders Example |
Posted on this homepage | BPO ( for AHIS) |
Notification of Succession of Rights Example |
1.accenture : Posted on this homepage
2.avanade : Posted on this homepage 3.UBS : Posted on this homepage 4.Voluntary Continual Coverage : Posted on this homepage |
1.accenture : HR-LCM-LoA for retirement(MM office) 2.avanade : HR 3.UBS : Corporate Planning Office 4.Voluntary Continual Coverage :BPO ( for AHIS) |
Contact
accenture
HRS(HR Services) | Employee Support(ES) APSSC.HR.SUPPORT @accenture.com |
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HR Supervisor for "HR-LCM-ES" |
APSSC.HR.SUPPORT @accenture.com |
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HR Supervisor for "HR-LCM-LoA for Sick/injured" |
APSSC.HR.SUPPORT @accenture.com |
avanade
HR Support | hr.support@avanade.com | |
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HR | japanhr@avanade.com | Tel. 03-6234-0150 |
UBS SSC Corp.
Corporate Planning office | Keikyu Second Bldg.11F, 3-25-23, Takanawa, Minatoku, Tokyo 108-0074 ubs-keieikikaku@unicharm.com |
Tel. 03-3449-1664 FAX. 03-5420-3418 |
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BPO (for AHIS)
(Accenture Health Insurance Society, Health Insurance Business Center, Value HR Co.,Ltd.)
Level 2 S-FRONT Yoyogi, 5-21-12 Sendagaya, Shibuya-ku, Tokyo 151-0051
info-bpo-acc@valuehr.com |
Tel. 03-6709-8028 (Weekdays 9:30-12:00 / 13:00-18:00) *Japanese only |
AHIS (Accenture Health Insurance Society)
5-21-14 Sendagaya, Shibuya-ku, Tokyo Postcode:151-0051 kenpo@accenture-kenpo.jp |
Tel. 03-6380-1601
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