1. What is citizen's traffic accident mutual aid insurance for traffic accidents?

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1 Koriyama International Exchange Association offers subsidy to the premium of citizen s traffic accident mutual aid insurance for traffic accidents so that you can live a safe and troubled-free life. 1. What is citizen's traffic accident mutual aid insurance for traffic accidents? Citizen's traffic accident mutual aid insurance for traffic accidents is a system in which money gift as a token of sympathy shall be paid if a member is hospitalized or goes to hospital due to traffic accident by chance. Features of mutual aid insurance are as follows. The premium is low. 500 yen per year per person. (500 yen even if you apply in the middle of coverage year) Even a bicycle accident is covered by this insurance. The claim for payment of money gift can be made using copies of traffic accident certificate and medical certificate. 2. How to join citizen s traffic accident mutual aid insurance for traffic accidents Please read the following explanation of mutual aid insurance carefully and submit your application and order form and membership certificate (receipt) to Koriyama International Exchange Association. Annual membership fees are subsidized by the Association. After the procedure, order form and membership certificate (receipt) will be returned to you. As the order form and membership certification (receipt) are required to claim money gift as a token of sympathy, please keep it with care so that you may not lose it. For details, make inquiries to Koriyama International Exchange Association office Asahi, Koriyama City in Policy Implementation Division in the Koriyama City Hall Tel 024(924)3711 Fax 024(924)2822 1

2 Coverage period of mutual aid insurance The next day after application until next March 31 Qualification of application for insurance Those listed in the Basic Resident Register in Koriyama City (No age limit) Payment conditions If the member dies or is hospitalized or goes to hospital for treatment due to traffic accident which occurred within Japan during coverage period of mutual aid insurance If You Get Into An Accident! Please prepare the following( ~ ) and come to Citizens Safety Division of Koriyama City Hall or at each City Hall Branch (except Tomita and Otsuki Branch, Citizens Service Center). The claim by mail is not accepted. Traffic accident certificate This is issued at Fukushima Prefecture Office of JAPAN Safe Driving Center (Address: Aza-Ohara 1-1, Machiniwasaka, Fukushima Prefecture, telephone: ) Notification to police officials is required. Medical Certificate Submit a medical certificate that clearly shows the actual number of days of hospitalization and treatment or going to hospital for treatment due to traffic accident. You can pick up a template form at Citizens Safety Division of Koriyama City Hall or at each City Hall Branch (except Tomita and Otsuki Branch, Citizens Service Center). Receipt is not available to claim. Copies of traffic accident certificate and medical certificate are accepted. 2

3 Bank account for remittance The money gift is remitted to the bank account of the principal person claiming the amount. If the victim of traffic accident is a minor (less than 20 years old), the claimed amount is remitted to the account of the person with parental authority. If the person with parental authority didn't apply for insurance, a document that proves the parent - child relationship is required. Membership Certificate and Receipt Keep the membership certificate and receipt with care so that you may not lose it. Seal Private seal (seal of the vermilion ink pad) is accepted. Period of claim for money gift as a token of sympathy The money gift as a token of sympathy can be claimed within 2 years after an accident occurs, and the treatment period which is the calculation basis of payment of money gift shall be within one year after the accident. Date when the accident occurred The treatment period which is the calculation basis of payment of money gift (within one year after an accident occurs) The claim period (within 2 years) One year You cannot receive consolation money or money gift as a token of sympathy if the accident is intentional or due to serious error (drunken driving, driving without license or speeding) or due to natural disasters and other disasters. 2 years 3

4 The payment amounts including money gift as a token of sympathy of mutual aid insurance Grade Severity Amount 1 Death 1 million yen days or more for hospitalization/going to hospital 300,000 yen days or more for hospitalization/going to hospital 200,000 yen days or more for hospitalization/going to hospital 150,000 yen days or more for hospitalization/going to hospital 100,000 yen 6 90 days or more for hospitalization/going to hospital 80,000 yen 7 60 days or more for hospitalization/going to hospital 60,000 yen 8 30 days or more for hospitalization/going to hospital 50,000 yen 9 8 days or more for hospitalization/going to hospital 30,000 yen 10 7 days or less for hospitalization/going to hospital 20,000 yen Money gift as a token of sympathy Funeral allowance Handicap of Grade 1 or Grade 2 specified by the first and second attachments of Execution Regulation of Compulsory Automobile Liability Law If there is no receiver of funeral allowance, the allowance is paid to the executor of funeral. 300,000 yen 250,000 yen Periods of hospitalization, going to hospital indicates the actual number of days of hospitalization and treatment or going to hospital for treatment. In regard to the accidents that occurred before March 31, 2012, the amounts were decided by old grades, so please make inquiries to Koriyama International Exchange Association office. Special cases when a traffic accident certificate cannot be obtained In case of being transported by an ambulance from the site of traffic accident to a hospital due to traffic accident Emergency Transportation Certificate (issued by fire chief or hospital director) can be treated similarly as traffic accident certificate. However, self recognition certificate is required. You can pick up a 4

5 template form at Citizens Safety Division of Koriyama City Hall or at each City Hall Branch(except Tomita and Otsuki Branch, Citizens Service Center). In case of bicycle accident and when a traffic accident certificate cannot be obtained Witness (Testifier) Certificate of Traffic Accident and Medical Certificate can be used for the payment of money gift as a token of sympathy by Grade 10 (20,000 yen). In case automobile liability insurance (compulsory automobile liability insurance) is paid from an insurance company using Document stating the inability to obtain accident certificate. The money gift as a token of sympathy can be paid if Self recognition certificate and Document stating the inability to obtain accident certificate (involving physical injury or death) are submitted. When a traffic accident certificate cannot be obtained including a case of an accident in which the name of passenger is not described, please make inquiries to Citizens Safety Division of Koriyama City Hall. Questions and answers Q: What happens if I move to other prefecture during the mutual aid insurance coverage period? A: The membership qualification is not lost. For example, if you join mutual aid insurance in April and move to Tokyo in May and you encounter an accident later on, you can claim the amount to Koriyama City Hall with necessary documents. Q: When I was walking on a road I slipped on snow and got injured. Is the injury covered by the mutual aid insurance? A: No. It is not considered to be traffic accident. 5

6 Q: In case of self-incurred accident of a motorcycle, is the money gift paid by Witness Certificate? A: No. In case of motorcycle self-incurred accident, Traffic Accident Certificate is required. 6

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