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If you become sick or are injured due to the actions of another party

You can undergo treatment under the health insurance system for sickness or injury due to the actions of another party, as in the case of a traffic accident. However, in such cases submit the Notification of Injury or Sickness due to a Third-party Act as soon as possible.

If you have been in a traffic accident

Required documents: Notification of Injury or Sickness due to a Third-party Act
Sample
Accident Report * Voluntary submission
Sample

[Documents to attach]

  • Certificate of the Automobile Accident, etc.
Deadline: As soon as possible
Applies to: Insured persons or dependents using health insurance to treat injuries or other sickness caused by traffic accidents
Submit to: Pfizer Health Insurance Society
Notes: If you or the counterparty has voluntary insurance associated with a settlement agency service, you can receive support from the responsible casualty insurance company for preparing and submitting documents, including the Notification of Injury or Sickness due to a Third-party Act and the Accident Report. Please check with the insurer with whom you contracted your policy for more information.
  • ** This support is available only for traffic accidents away from the job for which you used health insurance.

If you become sick or are injured and another person is responsible

Required documents: Notification of Injury or Sickness due to a Third-party Act (Excluding Car Accidents)
Sample
Deadline: As soon as possible
Applies to: Insured persons or dependents using health insurance to treat injuries or other sickness attributable to a third party other than such caused by traffic accidents
Submit to: Pfizer Health Insurance Society