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- Stipulation – Summary of Contract – EMERGENCY PLAN
- About confirmation of Summary of Contract
- This “Summary of Contract” is a simplified explanation of the important clauses for understanding the content of the insurance. Please ensure to read this for confirming and understanding the content, and refer “General Insurance Terms and Conditions” when you apply for the insurance. Also, please store this stipulation together with the insurance policy certificate in a safe place. If you have any questions, please do not hesitate to contact us.
- Confirmation of Summary of Contract
- Please ensure to read this before purchasing the insurance policy.
- I. Features of our plan
- Our insurance plan is for non-Japanese visiting or residing in Japan which covers emergency costs for in case of death or grave, critical health condition due to illness or injury within Japan. Upon death, in critical condition or disappearance, the company will pay the coverage for travel and accommodation costs for family members (or representatives) to come here to Japan, expenses to bring the deceased to his/her home country and other post-death extra expenses.
- II. Coverage
- The summary of major payable benefits is as follows. Please confirm the details in the General Insurance Terms and Conditions.
- (1) Payable Benefits
- Emergency Plan
- Benefits will be paid when the insured person dies, or is in grave, critical health condition caused by unforeseen accidents or sudden illnesses occurring inside Japan, duly acknowledged by a medical institution in Japan; or if the insured person is declared missing by the police and other search and rescue authorities caused by disasters in a ship or aircraft (within Japan) in which the insured person was on board.
- The costs of travel and accommodation of up to two family members (or their representatives) to come to Japan and expenses incurred to bring the deceased to his/her home country, and to dispose things left behind by the deceased will be covered.
- In case of death, a priority amount of 200,000 yen will be paid to cover extra expenses.
- (2) Unpayable Benefits
- As for unpayable benefits, please refer clause V. in “Information Calling for Attention”.
- III. Insurance Claim Procedures
- 1. The insurance policyholder, insured or beneficiary shall fill out necessary information on the designated VIVA VIDA Co., Ltd. benefit claim form, and submit the form accompanied by one medical diagnosis report from a licensed physician, receipt of payment to medical institution (for medical coverage only, original receipts only are acceptable) and passport copy (ID and VISA page) as soon as possible.
- 2. In case the claim is reimbursable, we make payment within 30 working days from the date all the necessary documentation is obtained.
- 3. Unpaid premiums are subject to claim by VIVA VIDA Co., Ltd. upon benefit reimbursement.
- IV. Inception Date
- (1) New insurance policy applications
- When the company sent an approval notice of application, and the effective date is not designated, inception shall start at midnight of the day following that on which VIVA VIDA Co., Ltd. received premium payment. Exclusion period for non-reimbursement of Life insurance/Common death and Medical Benefits is 7 days. Medical payment reimbursement and life insurance benefit for death caused by chronic conditions etc. described in Appendix 3 of General Insurance Terms and Conditions are not eligible for benefit reimbursement within 120 days from the inception of the new insurance policy. In short-term policy, all the medical payment reimbursement and life insurance benefit for death caused by chronic conditions etc. described there are excluded.
- (2) Insurance Renewal
- When premiums are paid by the termination date, the corresponding date of the previous inception year of the previous policy inception shall be the effective date of the renewed policy.
- In short-term policy, even after renewal, medical payment reimbursement and life insurance benefit for death caused by chronic conditions etc. described in Appendix 3 are not eligible for benefit reimbursement.
- V. Insurance Term
- Annual plan is the basic insurance plan. Short-term plan for 1, 2, 3 and 6 months also can be purchased.
- VI. Undertaking Condition (Benefits and Premium)
- (1) Benefits and Premium
- EMERGENCY PLAN
- AGE
- MAXIMUM COVERAGE
- PREMIUM (ANNUAL)
- 15-34
- ¥2,000,000
- ¥2,800
- 35-55
- ¥2,000,000
- ¥8,800
- 56-65
- ¥2,000,000
- ¥24,600
- *For further information of Short-Term Plan coverage and premium, please contact VIVA VIDA!
- (2) Payment of Premiums
- 1. Premiums shall be received by VIVA VIDA Co., Ltd. for bank transfers or convenience store payments after receiving application form. Invoice for premium payment is sent for convenience store payments. Predetermined premium payments shall be completed immediately after receiving the invoice.
- 2. Premiums for annual plans can also be paid in from 2 up to 6 installments. For short-term plan, 6 month plans in up to 2 installments, other plans 1 time payment only.
- VII. Disbursement
- No disbursement to policyholders.
- VIII. Cancellation Return
- (1) Policyholder has the right to cancel any forthcoming insurance policy.
- (2) If policyholder wishes to cancel an insurance policy, policyholder should submit the cancellation documentation designated by VIVA VIDA Medical Life Co., Ltd. In such case, the cancellation date shall be the date when VIVA VIDA Medical Life Co., Ltd. receives the cancellation documentation and will refund the premiums based on the percentage table below. However, the premiums paid within the month of such cancellation will not be refunded.
- Pre-term Cancellation
- Cancellation return (rounding off the sum following JPY decimal point) shall be determined by multiplying the one-time premium payment by the following percentage depending on the policy term and the lapsed months (less than one month shall be round up to one month) from the inception date and the cancellation date of the policy.
- (1) One-year policy
- Lapsed month
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- Percentage
- 66%
- 60%
- 54%
- 48%
- 42%
- 36%
- 30%
- 24%
- 18%
- 12%
- 6%
- 0%
- Additionally, if the premium is payable in installments, the one-time premium payment shall be multiplied by the above percentage and then the due premium (one-time premium payment×remaining installments÷installment count) will be deducted from the cancellation return total before reimbursement (0 (zero) if the sum is minus).
- (2) One-month policy
- 0 (zero) cancellation return.
- (3) Two-month policy
- Lapsed month
- 1
- 2
- Percentage
- 36%
- 0%
- (4) Three-month policy
- Lapsed month
- 1
- 2
- 3
- Percentage
- 48%
- 24%
- 0%
- (5) Six-month policy
- Lapsed month
- 1
- 2
- 3
- 4
- 5
- 6
- Percentage
- 60%
- 48%
- 36%
- 24%
- 12%
- 0%
- Additionally, if the premium is payable in installments, the one-time premium payment shall be multiplied by the above percentage and then the due premium (one-time premium payment×1/2) will be deducted from the cancellation return total before reimbursement (0 (zero) if the sum is minus).
- IX. Joining the Insurance Plans, Membership Requirements
- 1. Person of foreign nationality owning a passport visiting or residing in Japan can purchase the insurance policy.
- 2. This plan may be purchased only as a supplement to VIVAMED-A (LIFE+SPECIFIED DISABILITY+HEALTH) or VIVALIFE-A (LIFE+SPECIFIED DISABILITY).
- For more inquiries and clarifications please call the head office.
- VIVA VIDA! MEDICAL LIFE
- Free Dial 0120-656-684 TEL 046-265-6685
- Stipulation - Information Calling for Attention - EMERGENCY PLAN
- Confirmation of Information Calling for Attention
- This “Information Calling for Attention” is an explanation of the important clauses which especially require your attention. Please ensure to read this for confirming and understanding the content when you apply for the insurance. Also, please store this stipulation together with the insurance policy certificate in a safe place. This documentation does not cover all the necessary items for the insurance policy. For details, please confirm with “General Insurance Terms and Conditions”. If you have any questions, please do not hesitate to contact us.
- I. Cooling Off (Withdrawal of Application)
- The applicant can withdraw or cancel the application if it is within eight days of completion of processing of application. VIVA VIDA Co. Ltd. will refund the paid amount. Please send a request in writing for withdrawal or cancellation within eight days of completion of processing of application.
- II. Obligation to Disclose
- (1)Obligation to disclose means in the event when the applicant or customer makes a contract, he/she is obliged to disclose the personal information accurately without omission. It is necessary to send personal information only if there are revisions in the previous year content.
- (2)Declaration
- 1. Age
- 2. Policyholder of any life and/or health insurance
- 3. History of illness accompanied with operation and hospitalization
- 4. Requested or obtained any benefits from health insurance
- 5. Present health situation
- 6. History of chronic illness (if ever)
- 7. Occupation
- (3)When a policyholder or insured person with the intent or serious fault of negligence is found to have made a false or misleading statement within the application form, the application will be rejected and benefits will not be reimbursed; and the contract will be cancelled. In such case, the paid premium would not be refunded.
- III. Obligation to Inform
- (1)Obligation to inform means
- In case of any revisions in the application form and contract detail after making the contract, the policyholder is required to inform VIVA VIDA Co. Ltd. Premiums may not be refunded if the policyholder fails to notify.
- (2)Notification when the following occurs
- 1. Revisions of policyholder or insured person’s residential or contact address
- 2. Revisions of policyholder or insured person’s name
- 3. Revisions of insured person’s passport number
- 4. Revisions in insurance beneficiary
- 5. Occupation
- IV. Starting Period of Coverage
- 1. Inception shall start at midnight of the day following that on which VIVA VIDA Co., Ltd. received premium payment. When the effective date is designated and premium payment has been done, inception shall start at midnight on the designated commencement date.
- 2. The termination of the period covered shall be at noon on the insurance termination date described in the insurance policy.
- V. Exclusions of Coverage
- Aside from the escape clauses written below, if there is cancellation due to an obstruction of the obligations to disclose, a serious reason, or termination due to unpayable premium installments, he/she will not be eligible to receive benefits. Please verify the details of the General Insurance Terms and Conditions.
- (1)Exclusions
- 1. Dental care or treatment
- 2. Pregnancy, childbirth, and/or complications relating thereof (Sterilization operation, miscarriage, abortion, and etc.).
- 3. Emotional disorders, mental deficiency, personality abnormality, alcohol dependency, chemical dependency and any other mental disorders, brain disorders and related illness.
- 4. Injuries or injury deaths caused by incidents where insured person was under the influence of alcohol. Acute alcoholic intoxication.
- 5. Dialysis, hepatitis, cirrhosis, organ transplant, varicosity, and all treatments relating to body hair.
- 6. Traffic accidents and other accidents onboard motor vehicles including cars, motorcycles, snowmobiles, motorboats (including jet bikes), go-carts, and other vehicles of the same sort.
- 7. Accident by high-risk sports(during diving, bungee jumping, bobsled, luge, snowboarding, American football, soccer, futsal, rugby, basketball, mountain climbing, motor racing, boxing, judo, karate, martial arts and other professional sports).
- VI. Renewal
- 2 months prior to the insurance policy termination date, VIVA VIDA Co., Ltd. will dispatch the policy renewal and premium payment documentations (Notification of Renewal) to the policyholder.
- If there is no request from the policyholder receiving the Notification of Renewal, automatically this is regarded as policy renewal with the same condition of the previous inception year and the renewal is accepted after receiving the premium payment.
- If revisions are to be made, items shall be specified and informed to VIVA VIDA Co., Ltd.
- VIVA VIDA Co., Ltd. may review the undertaking condition of policy renewal and insurance premium, or reject policy renewal if the company considers the concerned insurance policy to be unprofitable.
- Policy renewal notices will not be dispatched for short-term insurance policies.
- VII. Contract Termination, Grace period, etc
- 1. Insurance policy will be terminated in the case installment payments is in arrears beyond the grace period (two months from the due date).
- 2. If the premium is paid later than eight days following the termination date, renewal application will be void and the concerned policy will be considered as a new policy.
- 3. Acceptance of policy renewal with all or part of the following conditions based on the status of insurance claim, benefit reimbursements or content of revisions upon policy renewal.
- ① Increasing deductible amount
- ② Raising premium
- ③ Deduction of benefit amount
- ④ Deduction of indemnification
- ⑤ Addition of exclusion clause(s)
- VIII. Protection Mechanism
- We are Small Amount and Short Term Insurance Company. It is not a contract to provide financial aid or coverage of the policyholders protection corporation based on the Insurance Business Law in the event of bankruptcy.
- IX. Others
- 1. The company has been registered by the Office of the Prime Minister as a Small Amount and Short Term Insurance Company intended for non-Japanese residents visiting or residing in Japan according with Insurance Business Law. The company conducts operations in accordance with all Japanese Laws and our General Insurance Terms and Conditions.
- 2. All business operations relating to insurance services shall be conducted in accordance with the insurance conditions written in Japanese. All documentations translated into other languages are for reference purpose only. These terms and conditions will be constantly reviewed and are subject to change. All Revisions are applicable upon renewal of the insurance policy.
- 3. The premium is not an object for tax deductions and allowances.
- 4. One policyholder can purchase insurance up to 100 insured persons.
- 5. Overlapping insurance policies is not permitted.
- 6. The company insurance maximum benefits limit for policy undertaking is 10 million JPY per person in total. And the insurance period of our insurance is regulated as 1 year based on the 5th clause of Article 1 of the Insurance Business Law Order for Enforcement, and maximum benefits limit of our company is determined as follows based on the 6th clause of Article 1 of the same law: 3 million JPY for the life insurance (excluding death due to injury), 800,000 JPY for the health insurance, 6 million JPY for disability insurance due to injury, and 6 million JPY for the life insurance (death due to injury). However, by use of the interim measure in additional of Article 3 and 1st clause of additional Article 16 of the amended Insurance Business Law; the maximum benefits limit of our company until March 31st, 2013 is determined as follows: 5 million JPY for the life insurance (excluding death due to injury), 2 million JPY for the health insurance, 10 million JPY for disability insurance due to injury, and 10 million JPY for the life insurance (death due to injury).
- 7. Increase in premiums during the covered period
- If the total amount of benefit reimbursement wields significant impact on the computational foundation of the insurance, and VIVA VIDA Co., Ltd. determines that the company management will run into severe difficulties, VIVA VIDA Co., Ltd. shall require to increase premiums and/or to reduce maximum limit of benefits during the covered period.
- 8. Benefit reduction during the covered period
- If the total amount of benefit reimbursement wields significant impact on the computational foundation of the insurance, and VIVA VIDA Co., Ltd. determines that the company management will run into severe difficulties, VIVA VIDA Co., Ltd. shall require a reduction of the payable benefits during the covered period.
- 9. New service to provide solutions to product/service related problems
- On our desire to provide and offer high-quality service to our valued clients, a customer service center operated by the Small Amount and Short Term Insurance Institute of Japan will be available to accommodate complaints from the clients.
- Contact details are as follows: (Available only in Japanese)
- 〒104-0032 TOKYO-TO CHOU-KU HACHOUBORI 3-12-8 HACHOUBORI SF BLDG. 2F
- TEL 0120-82-1144 / FAX 03-3297-0755
- OPERATING HOURS: WEEKDAYS FROM MONDAYS TO FRIDAYS (EXCEPT HOLIDAYS)
- 9:00~12:00, 13:00~17:00
- Handling of Customer’s Personal Information
- Following is the handling of customer’s personal information (including minimum required customer’s personally identifying health care data collected for securing of insurance business operations).
- (1) Internal use
- 1. Insurance policy undertaking and the relating businesses
- 2. Benefits reimbursements and the relating businesses
- 3. Notification of renewal and services accompanying with the insurance contract
- 4. Introduction of our company’s services and products
- 5. Preparation of statistical documentation
- (2) External use
- We will not provide third parties with the customer’s information without their prior consent excluding the cases as follows:
- 1. When abiding by laws or ordinances.
- 2. When providing reinsurance companies with necessary information for reinsuring or receiving reinsurance reimbursement.
- 3. When exchanging information with other insurance companies, relating companies, groups, and association for preventing improper insurance undertaking or reimbursement.
- (3) Agents and Group Contract System
- Adopting agent and handling of group contract, we may provide agents and groups with customer’s personal information for the execution of the purposes described in (1) above.
- Agents and groups designated by our company are:
- 1. Policy undertaking agents
- 2. Group companies controlling our contract to which policyholders belong.
- Stipulation - Summary of Contract - MEDICAL
- About confirmation of Summary of Contract
- This “Summary of Contract” is a simplified explanation of the important clauses for understanding the content of the insurance. Please ensure to read this for confirming and understanding the content, and refer “General Insurance Terms and Conditions” when you apply for the insurance. Also, please store this stipulation together with the insurance policy certificate in a safe place. If you have any questions, please do not hesitate to contact us.
- Confirmation of Summary of Contract
- Please ensure to read this before purchasing the insurance policy.
- I.Features of our plan
- Our insurance plan is for non-Japanese visiting or residing in Japan which covers life, specified disability, and medical treatment. Upon illness or injury, specified disability or death caused by illness or injury within Japan, the company will reimburse the coverage.
- II. Coverage
- (1) Payable Benefits
- The summary of major payable benefits is as follows. Please confirm the details in the General Insurance Terms and Conditions
- 1. Life Insurance
- A) Injury Death
- Benefits will be paid when the insured person dies inside Japan within 180 days from physical injuries inflicted by cause of unforeseen accidents inside Japan, which occurred within the covered period.
- B) Common Death
- Benefits will be paid when the insured person dies inside Japan from incidents inside Japan caused by reasons other than what is mentioned in A) above, within the period covered and 8 days after the effective date of the new policy.
- 2. Specified Disability Benefits
- Benefits will be paid when the insured person is stricken with a specified disability within 180 days from the physical injury(s) inflicted by unforeseen accidents which occurred inside Japan within the period covered.
- 3. Medical Benefits
- Payments to a medical institution needed for the physician’s diagnosis or treatment of the policyholder (or the insured) will be reimbursed for the symptoms occurring inside Japan within the period covered based on the point system for the medical cost (one point of the medical service fee points will be converted to 10 (ten) JPY).
- The maximum limit for reimbursement is two million JPY (one million JPY for the short term plan and a new member age of 56 years old and above) in total for a policy year.
- ① Coverage for each illness or injury is limited up to 180 days from the first day of medical consultation or the physical injury(s) inflicted by accidents.
- ② In the event of a recurrence of an illness after treatment or a period in excess of 3 weeks between treatments, VIVA VIDA Co., Ltd. will have the right to determine whether such illness shall be covered and the extent of coverage based on the continuity of the illness based on the medical diagnosis of the physician.
- ③ Medical expenses include charges for the first and subsequent consultations and related charges for tests, treatment, prescriptions, and hospitalization (limited to items eligible to be covered by the regulation of the public medical insurance system). Price differences in bed rental expenses, meal expenses, and miscellaneous personal expenses are excluded.
- ④ One point of the medical service fee points for rehabilitation fees will be converted to 5 (five) JPY to be eligible for benefit reimbursements.
- ⑤ One point of the medical service fee points for the treatment of inguinal hernia with onset time after 120 days of inception will be converted to 5 (five) JPY to be eligible for benefit reimbursements.
- ⑥ All fees of 10,000 JPY and over in total for a particular injury or illness will be covered by our medical benefit.
- ⑦ In case the insured person joins Japanese Health Insurance or Social Insurance Schemes, personal expense public healthcare insurance deductions applied accordingly if relevant, and the balance shall be eligible for benefit reimbursements.
- (2) Unpayable Benefits
- As for unpayable benefits, please refer clause V. in “Information Calling for Attention”.
- III. Insurance Claim Procedures
- 1. The insurance policyholder, insured or beneficiary shall fill out necessary information on the designated VIVA VIDA Co., Ltd. benefit claim form, and submit the form accompanied by one medical diagnosis report from a licensed physician, receipt of payment to medical institution (for medical coverage only, original receipts only are acceptable) and passport copy (ID and VISA page) within 60 days of completion of treatment or death.
- 2. In addition to the documents mentioned in III.1.(above), other documentation may be required for the claim of benefits.
- 3. In case the claim is reimbursable, we make payment within 20 working days from the date all the necessary documentation is obtained.
- 4. Unpaid premiums are subject to claim by VIVA VIDA Co., Ltd. upon benefit reimbursement.
- 5. Up to two people may be designated as life insurance beneficiaries. However, in principle family members up to two degrees of kinship are eligible.
- IV. Inception Date
- (1) New insurance policy applications
- When the company sent an approval notice of application, and the effective date is not designated, inception shall start at midnight of the day following that on which VIVA VIDA Co., Ltd. received premium payment. Exclusion period for non-reimbursement of Life insurance/Common death and Medical Benefits is 7 days. Medical payment reimbursement and life insurance benefit for death caused by chronic conditions etc. described in Appendix 3 of General Insurance Terms and Conditions are not eligible for benefit reimbursement within 120 days from the inception of the new insurance policy. In short-term policy, all the medical payment reimbursement and life insurance benefit for death caused by chronic conditions etc. described there are excluded.
- (2) Insurance Renewal
- When premiums are paid by the termination date, the corresponding date of the previous inception year of the previous policy inception shall be the effective date of the renewed policy.
- In short-term policy, even after renewal, medical payment reimbursement and life insurance benefit for death caused by chronic conditions etc. described in Appendix 3 are not eligible for benefit reimbursement.
- V.Insurance Term
- Annual plan is the basic insurance plan. Short-term plan for 1, 2, 3 and 6 months also can be purchased.
- VI. Undertaking Condition (Benefits and Premium)
- (1) Benefits and Premium
- 1.VIVAMED-A (LIFE+SPECIFIED DISABILITY+HEALTH)
- 1~17 yrs old
- 18~55 yrs old
- 56~60 yrs old
- COVERAGE
- LIFE (ACCIDENTAL DEATH)
- ¥5,000,000
- ¥5,000,000
- ¥3,000,000
- LIFE (DEATH DUE TO ILLNESS)
- ¥3,000,000
- ¥3,000,000
- ¥1,000,000
- SPECIFIED DISABILITY
- ¥5,000,000
- ¥5,000,000
- ¥3,000,000
- HEALTH
- ¥2,000,000
- ¥2,000,000
- ¥1,000,000
- PREMIUM (1 YEAR)
- NEW MEMBER
- ¥73,300
- ¥53,500
- N/A
- RENEWAL
- ¥77,400
- ¥59,600
- ¥75,300
- The premiums for a new member and a renewal member differ based on exclusion condition applied to each membership.
- l Acceptance of policy renewal with all or part of the following conditions will be based on the status of insurance claim, benefit reimbursements or content of revisions upon policy renewal.
- ①Increasing deductible amount ②Raising premium ③Deduction of benefit amount ④Deduction of indemnification ⑤Addition of exclusion clause(s)
- l For further information of Short-Term Plan coverage and premium, please contact VIVA VIDA!
- (2) Payment of Premiums
- 1. Premiums shall be received by VIVA VIDA Co., Ltd. for bank transfers or convenience store payments after receiving application form. Invoice for premium payment is sent for convenience store payments. Predetermined premium payments shall be completed immediately after receiving the invoice.
- 2. Premiums for annual plans can also be paid in from 2 up to 6 installments. For short-term plan, 6 month plans in up to 2 installments, other plans 1 time payment only.
- VII.Disbursement
- No disbursement to policyholders.
- VIII. Cancellation Return
- (1) Policyholder has the right to cancel any forthcoming insurance policy.
- (2) If policyholder wishes to cancel an insurance policy, policyholder should submit the cancellation documentation designated by VIVA VIDA Medical Life Co., Ltd. In such case, the cancellation date shall be the date when VIVA VIDA Medical Life Co., Ltd. receives the cancellation documentation and will refund the premiums based on the percentage table below. However, the premiums paid within the month of such cancellation will not be refunded.
- Pre-term Cancellation
- Cancellation return (rounding off the sum following JPY decimal point) shall be determined by multiplying the one-time premium payment by the following percentage depending on the policy term and the lapsed months (less than one month shall be round up to one month) from the inception date and the cancellation date of the policy.
- (1) One-year policy
- Lapsed month
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- Percentage
- 66%
- 60%
- 54%
- 48%
- 42%
- 36%
- 30%
- 24%
- 18%
- 12%
- 6%
- 0%
- Additionally, if the premium is payable in installments, the one-time premium payment shall be multiplied by the above percentage and then the due premium (one-time premium payment×remaining installments÷installment count) will be deducted from the cancellation return total before reimbursement (0 (zero) if the sum is minus).
- (2) One-month policy
- 0 (zero) cancellation return.
- (3) Two-month policy
- Lapsed month
- 1
- 2
- Percentage
- 36%
- 0%
- (4) Three-month policy
- Lapsed month
- 1
- 2
- 3
- Percentage
- 48%
- 24%
- 0%
- (5) Six-month policy
- Lapsed month
- 1
- 2
- 3
- 4
- 5
- 6
- Percentage
- 60%
- 48%
- 36%
- 24%
- 12%
- 0%
- Additionally, if the premium is payable in installments, the one-time premium payment shall be multiplied by the above percentage and then the due premium (one-time premium payment×1/2) will be deducted from the cancellation return total before reimbursement (0 (zero) if the sum is minus).
- IX. Joining the Insurance Plans, Membership Requirements
- 1. Person of foreign nationality owning a passport visiting or residing in Japan can purchase the insurance policy.
- 2. Person age from 1 up to 55 can purchase VIVAMED-A (LIFE+SPECIFIED DISABILITY+HEALTH).
- 3. Only renewal of a plan is acceptable for person age from 56 up to 60 (for group application, please consult with VIVA VIDA!).
- For more inquiries and clarifications please call the head office.
- VIVA VIDA! MEDICAL LIFE
- Free Dial 0120-656-684 TEL 046-265-6685
- Stipulation -Information Calling for Attention- MEDICAL
- Confirmation of Information Calling for Attention
- This “Information Calling for Attention” is an explanation of the important clauses which especially require your attention. Please ensure to read this for confirming and understanding the content when you apply for the insurance. Also, please store this stipulation together with the insurance policy certificate in a safe place. This documentation does not cover all the necessary items for the insurance policy. For details, please confirm with “General Insurance Terms and Conditions”. If you have any questions, please do not hesitate to contact us.
- I. Cooling Off (withdrawal of application)
- The applicant can withdraw or cancel the application if it is within eight days of completion of processing of application. VIVA VIDA Co. Ltd. will refund the paid amount. Please send a request in writing for withdrawal or cancellation within eight days of completion of processing of application.
- II. Obligation to Disclose
- (1) Obligation to disclose means in the event when the applicant or customer makes a contract, he/she is obliged to disclose the personal information accurately without omission. It is necessary to send personal information only if there are revisions in the previous year content.
- (2) Declaration
- 1. Age
- 2. Policyholder of any life and/or health insurance
- 3. History of illness accompanied with operation and hospitalization
- 4. Requested or obtained any benefits from health insurance
- 5. Present health situation
- 6. History of chronic illness (if ever)
- 7. Occupation
- (3) When a policyholder or insured person with the intent or serious fault of negligence is found to have made a false or misleading statement within the application form, the application will be rejected and benefits will not be reimbursed; and the contract will be cancelled. In such case, the paid premium would not be refunded.
- III. Obligation to Inform
- (1) Obligation to inform means
- In case of any revisions in the application form and contract detail after making the contract, the policyholder is required to inform VIVA VIDA Co. Ltd. Premiums may not be refunded if the policyholder fails to notify.
- (2) Notification when the following occurs
- 1. Revisions of policyholder or insured person’s residential or contact address
- 2. Revisions of policyholder or insured person’s name
- 3. Revisions of insured person’s passport number
- 4. Revisions in insurance beneficiary
- 5. Occupation (in case corresponding occupation is specified in No.8 of the Statement of Health Condition)
- IV. Starting Period of Coverage
- 1. Inception shall start at midnight of the day following that on which VIVA VIDA Co., Ltd. received premium payment. When the effective date is designated and premium payment has been done, inception shall start at midnight on the designated commencement date.
- 2. The termination of the period covered shall be at noon on the insurance termination date described in the insurance policy.
- V. Exclusions of Coverage
- Aside from the escape clauses written below, if there is cancellation due to an obstruction of the obligations to disclose, a serious reason, or termination due to unpayable premium installments, he/she will not be eligible to receive benefits. Please verify the details of the General Insurance Terms and Conditions.
- (1) Medical Benefit Exclusions
- 1. Traffic accidents, accidents during commuting or work, and accidents or illness caused by work.
- 2. Treatment of expresses subjective symptoms with no objective observations.
- (2) General Exclusions
- 1. Dental care or treatment
- 2. Pregnancy, childbirth, and/or complications relating thereof (Sterilization operation, miscarriage, abortion, and etc.).
- 3. Emotional disorders, mental deficiency, personality abnormality, alcohol dependency, chemical dependency and any other mental disorders, brain disorders and related illness.
- 4. Injuries or injury deaths caused by incidents where insured person was under the influence of alcohol. Acute alcoholic intoxication.
- 5. All plastic surgeries, dialysis, hepatitis, cirrhosis, organ transplant, varicosity, and all treatments relating to body hair.
- 6. Astigmatism, nearsightedness, farsightedness, other vision correction treatments, and illness, injury, or death caused by such treatments.
- 7. Poor circulation, menstrual pains, irregular menstruation, constipation, anemia, allergies and pollen allergies.
- 8. Menopausal disorders, presbyopia, cataracts, glaucoma, hypacusia, tinnitus, incontinence, osteoporosis, muscular fragility, osteoarthritis, geroderma conditions, and any other ailments diagnosed by the physician as related to advanced age for 40 years old and above.
- 9. Traffic accidents and other accidents onboard motor vehicles including snowmobiles, motorboats (including jet bikes), go-carts, and other vehicles of the same sort.
- 10. Accident by high-risk sports(during diving, bungee jumping, bobsled, luge, snowboarding, American football, soccer, futsal, rugby, basketball, mountain climbing, motor racing, boxing, judo, karate, martial arts and other professional sports).
- VI. Renewal
- 2 months prior to the insurance policy termination date, VIVA VIDA Co., Ltd. will dispatch the policy renewal and premium payment documentations (Notification of Renewal) to the policyholder.
- If there is no request from the policyholder receiving the Notification of Renewal, automatically this is regarded as policy renewal with the same condition of the previous inception year and the renewal is accepted after receiving the premium payment.
- If revisions are to be made, items shall be specified and informed to VIVA VIDA Co., Ltd.
- VIVA VIDA Co., Ltd. may review the undertaking condition of policy renewal and insurance premium, or reject policy renewal if the company considers the concerned insurance policy to be unprofitable.
- Policy renewal notices will not be dispatched for short-term insurance policies.
- VII. Contract Termination, Grace period, etc
- 1. Insurance policy will be terminated in the case installment payment is in arrears beyond the grace period (two months from the due date).
- 2. If the premium is paid later than eight days following the termination date, renewal application will be void and the concerned policy will be considered as a new policy.
- 3. Acceptance of policy renewal with all or part of the following conditions based on the status of insurance claim, benefit reimbursements or content of revisions upon policy renewal.
- ①Increasing deductible amount ②Raising premium ③Deduction of benefit amount ④Deduction of indemnification ⑤Addition of exclusion clause(s)
- VIII. Protection Mechanism
- We are Small Amount and Short Term Insurance Company. It is not a contract to provide financial aid or coverage of the policyholders protection corporation based on the Insurance Business Law in the event of bankruptcy.
- IX. Others
- 1. The company has been registered by the Office of the Prime Minister as a Small Amount and Short Term Insurance Company intended for non-Japanese residents visiting or residing in Japan according with Insurance Business Law. The company conducts operations in accordance with all Japanese Laws and our General Insurance Terms and Conditions.
- 2. All business operations relating to insurance services shall be conducted in accordance with the insurance conditions written in Japanese. All documentations translated into other languages are for reference purpose only. These terms and conditions will be constantly reviewed and are subject to change. All Revisions are applicable upon renewal of the insurance policy.
- 3. The premium is not an object for tax deductions and allowances.
- 4. One policyholder can purchase insurance up to 100 insured persons.
- 5. Overlapping insurance policies is not permitted.
- 6. The company insurance maximum benefits limit for policy undertaking is 10 million JPY per person in total. And the insurance period of our insurance is regulated as 1 year based on the 5th clause of Article 1 of the Insurance Business Law Order for Enforcement, and maximum benefits limit of our company is determined as follows based on the 6th clause of Article 1 of the same law: 3 million JPY for the life insurance (excluding death due to injury), 800,000 JPY for the health insurance, 6 million JPY for disability insurance due to injury, and 6 million JPY for the life insurance (death due to injury). However, by use of the interim measure in additional of Article 3 and 1st clause of additional Article 16 of the amended Insurance Business Law; the maximum benefits limit of our company until March 31st, 2013 is determined as follows: 5 million JPY for the life insurance (excluding death due to injury), 2 million JPY for the health insurance, 10 million JPY for disability insurance due to injury, and 10 million JPY for the life insurance (death due to injury).
- 7. Increase in premiums during the covered period
- If the total amount of benefit reimbursement wields significant impact on the computational foundation of the insurance, and VIVA VIDA Co., Ltd. determines that the company management will run into severe difficulties, VIVA VIDA Co., Ltd. shall require to increase premiums and/or to reduce maximum limit of benefits during the covered period.
- 8. Benefit reduction during the covered period
- If the total amount of benefit reimbursement wields significant impact on the computational foundation of the insurance, and VIVA VIDA Co., Ltd. determines that the company management will run into severe difficulties, VIVA VIDA Co., Ltd. shall require a reduction of the payable benefits during the covered period.
- 9. New service to provide solutions to product/service related problems
- On our desire to provide and offer high-quality service to our valued clients, a customer service center operated by the Small Amount and Short Term Insurance Institute of Japan will be available to accommodate complaints from the clients.
- Contact details are as follows: (Available only in Japanese)
- 〒104-0032 TOKYO-TO CHOU-KU HACHOUBORI 3-12-8 HACHOUBORI SF BLDG. 2F
- TEL 0120-82-1144 / FAX 03-3297-0755
- OPERATING HOURS: WEEKDAYS FROM MONDAYS TO FRIDAYS (EXCEPT HOLIDAYS)
- 9:00~12:00, 13:00~17:00
- Handling of Customer’s Personal Information
- Following is the handling of customer’s personal information (including minimum required customer’s personally identifying health care data collected for securing of insurance business operations).
- (1) Internal use
- 1. Insurance policy undertaking and the relating businesses
- 2. Benefits reimbursements and the relating businesses
- 3. Notification of renewal and services accompanying with the insurance contract
- 4. Introduction of our company’s services and products
- 5. Preparation of statistical documentation
- (2) External use
- We will not provide third parties with the customer’s information without their prior consent excluding the cases as follows:
- 1. When abiding by laws or ordinances.
- 2. When providing reinsurance companies with necessary information for reinsuring or receiving reinsurance reimbursement.
- 3. When exchanging information with other insurance companies, relating companies, groups, and association for preventing improper insurance undertaking or reimbursement.
- (3) Agents and Group Contract System
- Adopting agent and handling of group contract, we may provide agents and groups with customer’s personal information for the execution of the purposes described in (1) above.
- Agents and groups designated by our company are:
- 1. Policy undertaking agents
- 2. Group companies controlling our contract to which policyholders belong.
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