教职员眷属参加全民健保调查表-元智大学.DOC

元智大學 教職員眷屬參加全民健保調查表 YZU Application Form for Dependents of Employees to Subscribe National Health Insurance 第 PAGE 2 頁，共 NUMPAGES 2 頁 【填表須知】【Instructions】 壹、對象與範圍 The beneficiary and qualification of National Health Insurance 1. 凡本校新進教職員均應於到職時填寫本表，作為本校辦理眷屬參加全民健保(以下稱本保險) 之依據。 All new employed faculties and staffs should fill out this form at the time of employment as a reference for the University to conduct the dependents’ subscription of National Health Insurance (will be simplified as this Insurance). 2. 本保險為強制性保險，凡具有下列第貳項情形者，應一律參加，若有應參加而未參加者，嗣後一經發現，一律追溯自取得參加本保險資格之日起補繳保費，補辦加保。 This Insurance is mandatory that all qualified citizens are required to be covered by it. If a beneficiary who is qualified but has not subscribed to this Insurance, he/she shall subscribe to this Insurance retrospectively from the date on which the beneficiary is qualified for insurance. 3. 年滿二十歲之未婚子女不得參加本保險，但若因在校就讀且無職業(簡列為S)，或受禁治產宣告尚未撤銷(簡列為P)，或領有身心障礙手冊且不能自謀生活者(簡列為A)，仍應加保。 The insured’s lineal blood descendants who are single and over twenty years of age shall not subscribe to this Insurance, except for: those who are in school without employment (entitled as S), those whose interdictions are not yet terminated (entitled as P), those holding Physically or Mentally Disability Certificates and are unable to support themselves (entitled as A). Those exceptions shall still be subscribed to this Insurance. 貳、教職員眷屬有下列情形之一者，應參加本保險。 Dependents of the insured prescribed as follows shall subscribe to this Insurance: 1. 教職員之配偶，且無職業者。 The insured’s spouse who is not employed. 2. 教職員之直系血親尊親屬，無職業且未以他人眷屬身分加保者。 The insured’s lineal blood ascendants who are not employed and not subscribed to this Insurance as the dependents of other insured. 參、教職員眷屬有下列情形之一者，不得參加本保險。 Dependents of the insured prescribed as follows shall not subscribe to this Insurance: 1. 現役軍官、士官、士兵、軍事學校學生及軍事編制內領補給證之聘僱人員。 Those who are now served as officers, sergeants, soldiers or military school students with certificates