In October 2001, we established a comprehensive Pre-Employment Medical Examination (PEME) scheme for Filipino seafarers, Japan P&I PEME Package. We have recommended that the Members use the scheme in order to reduce the crew illness claims arising from the pre-existing condition by performing extra tests in addition to the minimum standard. Please refer to our Circular No.24-005 dated 11 June 2024.

We are pleased to announce that we have updated the examination items to make the Japan P&I PEME Package more effective. Please note that there are no changes to the accredited clinics and the examination fee.

We highly recommend that the Members take this opportunity to utilise the new Japan P&I PEME to help prevent crew illness claims involving Filipino seafarers. Please contact each clinic when making an appointment.

1. Updates to Examination Items and Fees in the Japan P&I PEME Package

Based on the latest medical rationale provided by our Medical Advisor, we have revised the examination items for the pre-employment medical examination as follows. Please refer to the attached revised list of examination items and Price.

< Updates of the items >

• Discontinued Item: Hepatitis A Screening Test (IgG Test)

< Fee >

• Unchanged: USD 100.00 (No Additional Fee for Pregnancy Test)

Effective Date: 20 February 2026

2. Accredited Clinics

There are no changes to the 11 accredited clinics for the Japan P&I PEME Package. Please refer to the attached Clinic list.

If you have any questions, please contact our Claims Department II Crew Team (Email: gcrew@piclub.or.jp) or our Underwriting Team.