> Private School Mutual Aid
> Documents Necessary for Each Circumstance
Documents Necessary for Each Circumstance
||Form to use
|When changing or correcting a member’s birthdate, sex, name, address, etc.
||Change of Member Information Notification.
||Describe the reasons for the changes in detail.
|When a “Membership Card” or “Membership Card for a Dependent” is lost or damaged
||Reissue request form for Membership Card/Membership Card for a Dependent/Elderly Recipient Card
||Describe the reasons in detail. Make a report to the police when the card is lost.
|When a member already has a dependent who satisfies the requirements for dependency approval or has a new dependent.
||Application form for Dependency Approval
||Attachment (refer to documents needed to apply for a dependent)
|When a dependent no longer satisfies any of the requirements for dependent approval
||Application form for Dependent Cancellation
|When changing or correcting a dependent’s birthdate, relationship, name, etc.
||Change of Dependent Information Notification
||Describe the reasons for the changes in detail. Attachment(s) may be necessary depending on the reason.
Voluntarily Continued Insurance Members
||Form to use
|When joining the Voluntarily Continued Insurance Plan
||Application form for Voluntarily Continued Insurance Plan
|When the name, address or bank account, etc. has changed
||Notification form for Voluntarily Continued Insurance Member information change
|When discontinuing Voluntarily Continued Insurance Plan
||Application form for withdrawal Voluntarily Continued Insurance Plan
|When changing the payment method of Voluntarily Continued Insurance Plan
||Payment method change request form