When you are exempt from the long-term care insurance program

Long-term care insurance is a public social insurance program run by municipal governments to provide long-term care services. Membership is mandatory for those 40 years of age or older. Under the long-term care insurance system, Health Insurance Societies collect long-term care insurance premiums on behalf of the long-term care insurance program from category 2 insured persons who are members of the Society.

When you are exempt from the long-term care insurance program

Even if you are aged 40 through 64, you will not be an insured person under long-term care insurance if you qualify for any of the exemptions below. Since this affects collection of premiums, please notify the Health Insurance Association if you qualify.

List of Documents to Submit with the Notification of Eligibility/Ineligibility for Exemption from Long-term Care Insurance

  Reason for eligibility/ineligibility Documentation Date of eligibility/ineligibility
Eligibility Overseas resident Cancellation of certificate of residence Day after date of moving out on certificate of residence
Reached age of 40 years while overseas Cancellation of certificate of residence Day before 40th birthday
Resident of exempt facility Certificate of facility residency or hospitalization Day after admission date
Non-Japanese national with visa for less than three months Copy of landing permit stamped on reverse of passport, copy of permit for extra-status activity, etc., and copy of employment contract or other documentation of period of employment Date health insurance eligibility acquired
Ineligibility Returnee to Japan Certificate of residence Date of moving in on certificate of residence
Discharged from exempt facility Certificate of discharge Date of discharge
Non-Japanese national with visa for more than three months Certificate of residence Date of moving in on certificate of residence