Article 104Insurance Premiums

②The insurance premiums referred to in the preceding paragraph are imposed by the Association of Medical Care Systems for the Elderly Aged 75 and older on an insured in the amount of insurance premiums calculated using the insurance premium rate calculated as provided by Ordinance of the Association of Medical Care Systems for the Elderly Aged 75 and older in accordance with the standards specified by Cabinet Order, such as the insurance premium rate being uniform throughout the entire area of the Association of Medical Care Systems for the Elderly Aged 75 and older; provided, however, that the insurance premiums of an insured who has an address in an area, within the area of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older, such as a remote island, where securing medical care is extremely difficult and which falls under the standards specified by the Minister of Health, Labour and Welfare, may be imposed in the amount of insurance premiums calculated using an insurance premium rate separately calculated as provided by Ordinance of the Association of Medical Care Systems for the Elderly Aged 75 and older in accordance with the standards specified by Cabinet Order.

③The insurance premiums rate referred to in the preceding paragraph must be able to maintain a balanced budget in general throughout two years in light of the estimated amount of expenses incurred in providing benefits for medical treatment, etc., the estimated amount of expenses required for payment of the Fiscal Stability Fund contributions, the contributions and childbirth and childcare support benefits pursuant to the provisions of Article 117, paragraph (2), the contribution for securing medical care in the early phase of an epidemic, etc., and the children and child-rearing support levy, the estimated amount of expenses required for redemption of borrowings from the prefecture pursuant to the provisions of Article 116, paragraph (1), item (ii), the estimated amount of expenses required for health services for the elderly provided for in Article 125, paragraph (1) and for the services provided for in paragraph (5) of the same Article, the status of distribution of income of insured and its prospects, the national treasury burden, and the amount of the Old-Old Subsidy, etc. in Article 100, paragraph (1).