Change of Name

Procedures

If the insured person changes his or her name due to marriage or divorce, certain procedures must be followed.

Procedures for a Change of Name

Name change	Please notify your company immediately, attach a Health Insurance Eligibility Certificate (only if issued) to the application form and submit it. For those who have a Health Insurance Eligibility Certificate, the health insurance society will issue new Health Insurance Eligibility Certificate with your new name based on information from your employer. * A notification to the Western Digital Technologies Health Insurance Association is required even if an insured person or dependent continues to use their maiden name at their company. * There is no need to attach your Individual Number Card.

Name change

Please notify your company immediately, attach a Health Insurance Eligibility Certificate (only if issued) to the application form and submit it.
For those who have a Health Insurance Eligibility Certificate, the health insurance society will issue new Health Insurance Eligibility Certificate with your new name based on information from your employer.

* A notification to the Western Digital Technologies Health Insurance Association is required even if an insured person or dependent continues to use their maiden name at their company.

* There is no need to attach your Individual Number Card.

Required
documents

Name Change Notification for Insured Person (Dependent)
PDF Entry Sample

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