The Abbott Health Insurance Society ("the Society" hereinafter) conducts various health activities for the purposes of health benefits as well as health maintenance and promotion for insured persons and their dependents, and—in order to remain trustworthy during the implementation of this business—the Society has established the personal information policy below and strives to appropriately obtain, use, and protect personal information based on it.

• Basic Policy Regarding Protection of Personal Information (Privacy Policy)
• Scope of personal information possessed by the Health Insurance Society
• Purposes of using personal information
• Joint use of personal information
• Provision of personal information to third parties
• Disclosure, revision, or suspension of the use of personal information

Basic Policy Regarding Protection of Personal Information (Privacy Policy)

The Abbott Health Insurance Society takes the following measures to appropriately safeguard information concerning individual members ("personal information" hereinafter).

• The Health Insurance Society implements appropriate safety measures to safeguard the personal information it obtains on its members against leaks, loss, damage, or improper access.
• The Health Insurance Society uses the personal information provided by members solely for purposes considered beneficial for members, such as health maintenance and promotion. In addition, it uses Individual Numbers only within the scope of the purposes specified in the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures.
• Except when it has obtained advance consent from the member, the Health Insurance Society will not provide personal information on a member to any third party. Additionally, it will not provide personal information containing Individual Numbers ("identifying personal information" hereinafter), whether or not the individual has consented, except in the cases specified in the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures. However, in the following cases, it may provide personal information on members other than identifying personal information to third parties without obtaining advance consent from members:
  • As stipulated by laws or regulations
  • When necessary to protect the life, safety, or property of an individual in cases in which obtaining the consent of the member would be difficult
  • When necessary to improve public health or to promote the healthy growth of children in cases in which obtaining the consent of the member would be difficult
  • When necessary to cooperate with national governmental bodies or local governmental authorities, or parties entrusted by national government bodies or local governmental authorities to execute affairs as specified by laws or regulations in cases in which obtaining the consent of the member could impede their execution
• In addition to training and raising awareness among employees regarding personal information protection, the Health Insurance Society will strive to manage personal information appropriately by assigning persons responsible for such management at each section that handles personal information.
• When subcontracting its business operations, the Health Insurance Society will carry out reviews and implement improvements to strengthen personal information protection measures. When concluding business subcontracting agreements, it will carefully examine the competence of subcontractors and consider issues relevant to personal information protection in the content of such agreements.
• A member who wishes to review, revise, or otherwise access his or her personal information may contact the Health Insurance Society's Privacy Contact. The contact there will respond swiftly to such requests to the extent reasonable.
• In addition to complying with laws, regulations, and other standards concerning the handling of members' personal information, the Health Insurance Society continually reviews and strives to improve the content of this Privacy Policy.

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Scope of personal information possessed by the Health Insurance Society

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Purposes of using personal information

• Purposes of use necessary to provide insurance benefits to insured persons, etc.

  Examples related to internal use by the Health Insurance Society, etc.

  Confirming eligibility as insured persons, certifying dependents, and managing the issuance of health insurance cards
  Implementing insurance benefits and additional benefits
  Examples of use as stipulated by the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures

  Examples of providing information to other companies, etc.

  Automatically paying High-Cost Medical Care Benefits, Patient Cost-Sharing Reimbursements and Additional Benefits, and other amounts to accounts
  Outsourcing translations related to overseas medical care expenses
  Claims to nonlife insurance companies and other parties in relation to the acts of third parties
  Joint High-Cost Medical Care Benefit business with the National Federation of Health Insurance Societies
  Information sharing as stipulated by the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures
  Outsourcing data processing related to the eligibility and other characteristics of insured persons, etc.

• Purposes of use necessary to collect insurance premiums

  Examples related to internal use by the Health Insurance Society, etc.

  Understanding the standard monthly remuneration and standard bonus
  Collecting health insurance premiums, long-term care insurance premiums, and regulation insurance premiums

• Purposes of use necessary for health activities

  Examples related to internal use by the Health Insurance Society, etc.

  Checkups, health guidance, and health counseling for the purpose of health maintenance and promotion
  Implementing specific health checkups and health guidance
  Running health promotion centers (lodges, etc.)
  

  Examples of providing information to other companies, etc.

  Managing the implementation status of specific health checkups and health guidance, and reporting to the government
  Outsourcing work related to health guidance and health counseling to industrial physicians
  Outsourcing checkups to medical care institutions
  Outsourcing the running of health promotion centers (lodges, etc.)
  Providing checkup results to companies as part of collaborative healthcare
  Medical care cost information for insured persons, etc.
  Outsourcing work related to the distribution of child-rearing books, newsletters, etc.
• Purposes of use necessary for the examination and payment of medical fees

  Examples related to internal use by the Health Insurance Society, etc.

  Inspecting and examining the content of medical cost details (Rezept), etc.

  Examples of providing information to other companies, etc.

  Outsourcing the inspection or examination of Rezept data details
  Outsourcing data entry and image capture processing to achieve the computerized processing of Rezept data

• Purposes of use necessary to more stably run the Health Insurance Society

  Examples related to internal use by the Health Insurance Society, etc.

  Analyzing medical care costs and sicknesses

  Examples of providing information to other companies, etc.

  Outsourcing medical care cost analysis, data processing related to medical care cost information, etc.
  Participating in medical care cost analysis business for the headquarters of the National Federation of Health Insurance Societies

• Other

  Examples related to internal use by the Health Insurance Society, etc.

  Basic materials for maintaining and improving business operations, which is part of the Health Insurance Society's operation management work

  Examples of providing information to other companies, etc.

  Consulting with, notifying, or otherwise working with insurance companies, medical care institutions, and other organizations when doing work related to third party claims

• Identifying personal information
  Purposes of use related to sharing information with other insurers or administrative organizations ("other organizations" hereinafter) as stipulated by Article 19-7 of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures

  If information is received from other organizations by the Society for business process execution

  Benefit information and other information related to insurance-benefit examination work, including the injury and sickness allowance and High-Cost Medical Care Benefits
  Tax and tax exemption information related to judgment of the elderly recipient cost burden, etc.
  Eligibility information from other organizations in relation to work to obtain eligibility as insured persons
  Information related to tax, tax exemption, and Certificates of Residence in connection with dependent certification work

  If information is provided to other organizations by the Society for business execution

  Insurance benefit information from the Society in connection with the benefit-related work of other organizations, including High-Cost Medical Care Benefits, childbirth, and funeral-related benefits
  Eligibility-acquisition and dependent eligibility information from the Society in connection with the eligibility-confirmation work of other organizations, including eligibility acquisition and dependent certification

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Joint use of personal information

• Joint use of checkup results with employers

  • Purpose of using personal information for joint business

    The Society actively implements health guidance and health education for insured persons and others through both health guidance based on various checkup results and the analysis of the sicknesses of injured persons and others as a group.
    Establishments provide aftercare based on checkup results through annual health examinations and other activities based on the Industrial Safety and Health Law.
  • Jointly used personal information items
    The "name", "date of birth", "gender", "establishment name", "checkup date", "checkup facility name", "checkup results", "findings", and other information of checkup examinees
• Joint use of personal information with the National Federation of Health Insurance Societies in relation to High-Cost Medical Care Benefits
  • Purpose of using personal information for joint business
    Based on Article 2 of the Supplementary Provisions of the Health Insurance Act, regarding business jointly conducted by the National Federation of Health Insurance Societies and Health Insurance Society, the Society receives grants to cover some of the costs in the event of high medical care costs.
  • Jointly used personal information items
    Items indicated on the target Rezept (the "name", "gender", "by insured person/family member", "by hospitalization/outpatient", "medical treatment date", "Rezept claim amount", etc.)

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Provision of personal information to third parties

In general, we do not provide personal information to third parties without the member's consent. However, in the cases below, we might provide information to a third party without the member's consent based on laws and regulations.
That said, if the information is identifying personal information, we will never provide the information to a third party regardless of whether we have obtained the member's consent, except in the cases stipulated in Article 19 of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures.

Third-party-provision exceptions

• As stipulated by laws or regulations
  When we are asked to present personal information based on laws or regulations, including on-site inspections conducted in line with Articles 29 and 188 of the Health Insurance Act
• When necessary to protect the life, safety, or property of an individual in cases in which obtaining the consent of the member would be difficult
• When necessary to improve public health or to promote the healthy growth of children in cases in which obtaining the consent of the member would be difficult
• When necessary to cooperate with national governmental bodies or local governmental authorities, or parties entrusted by national government bodies or local governmental authorities to execute affairs as specified by laws or regulations in cases in which obtaining the consent of the member could impede their execution

Note that we create medical care cost information by using household units based on overall consideration of benefits to insured persons and others, the paperwork burden of companies, and other considerations, and we plan to continue doing this. In addition, we pay High-Cost Medical Care Benefits and Additional Benefits that are not based on applications by members. If you do not consent to this approach, please contact the Society (Tel: 03-5368-2785).

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