The estimated amount of the Young-Old Subsidy referred to in paragraph (1) of the preceding Article is the amount specified in the following items in accordance with the category of Insurer set forth in each of those items:
insurers of employee insurance, etc.: the sum of the amounts listed in (a) and (b):
被用者保険等保険者 イ及びロに掲げる額の合計額
the amount equivalent to two-thirds of the amount obtained by subtracting the amount set forth in 3. from the sum of the amounts set forth in 1. and 2. (if the amount is less than zero, it is deemed to be zero):
(1)及び(2)に掲げる額の合計額から(3)に掲げる額を控除して得た額(当該額が零を下回る場合には、零とする。)の三分の二に相当する額
the estimated amount of benefit expenses subject to adjustment pertaining to the relevant Insurer in the relevant fiscal year;
the amount obtained by multiplying the amount obtained by dividing the estimated amount of aid for the old-old under Article 119, paragraph (1) pertaining to the relevant Insurer in the relevant fiscal year by the estimated old-old aid adjustment rate set forth in the items of Article 120, paragraph (1) pertaining to the relevant Insurer in the same fiscal year, by a rate calculated for each Insurer on the basis of the ratio of the estimated number of participants who are young-old adults to the estimated number of participants pertaining to the relevant Insurer in the same fiscal year (hereinafter referred to as the "estimated amount of aid for the old-old pertaining to the young-old");
the estimated base amount subject to adjustment in the relevant fiscal year.
当該年度における概算調整対象基準額
the amount equivalent to one third of the amount obtained by deducting the estimated base amount for adjustment after adjustment of remunerations in the relevant fiscal year from the sum of the estimated amount of benefit expenses subject to adjustment pertaining to the insurer and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old in the relevant fiscal year (if the amount is less than zero, it is deemed to be zero);
当該年度における当該保険者に係る調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計額から同年度における概算報酬調整後調整対象基準額を控除して得た額(当該額が零を下回る場合には、零とする。)の三分の一に相当する額
insurers other than insurers covered by employee insurance, etc.:the amount obtained by deducting the estimated base amount for adjustment in the relevant fiscal year from the sum of the estimated amount of benefit expenses subject to adjustment pertaining to the relevant insurers and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old in the relevant fiscal year (if the amount is less than zero, it is deemed to be zero).
被用者保険等保険者以外の保険者 当該年度における当該保険者に係る調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額の合計額から同年度における概算調整対象基準額を控除して得た額(当該額が零を下回る場合には、零とする。)
The estimated amount of benefits expenses subject to adjustment referred to in the items of the preceding paragraph is the amount obtained by multiplying the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the average of the estimated average per person amount of benefits expenses subject to adjustment (meaning the amount obtained by dividing the amount obtained by deducting the amount set forth in item (ii) from the amount set forth in item (i) in each fiscal year by the estimated number of subscribers who are young-old adults pertaining to the insurer in each fiscal year calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare) pertaining to the insurer in each fiscal year of the relevant fiscal year, the fiscal year preceding the relevant fiscal year, and the fiscal year before the fiscal year preceding the relevant fiscal year by the estimated number of subscribers who are young-old adults pertaining to the insurer in the relevant fiscal year calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare:
the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount pertaining to subscribers who are young-old among the prospective amount of expenses required for benefits of the relevant insurers (in the case of national health insurance, benefits of municipalities within a prefecture) which fall under those specified by Order of the Ministry of Health, Labour and Welfare among benefits concerning medical care pursuant to the provisions of medical insurance acts (excluding other benefits prescribed in Article 53 of the Health Insurance Act and benefits equivalent thereto) (hereinafter referred to as "expenses required for benefits by insurers") (hereinafter referred to as "prospective amount of young-old benefit expenses");
当該保険者の給付(国民健康保険にあつては、都道府県内の市町村の給付)であつて医療保険各法の規定による医療に関する給付(健康保険法第五十三条に規定するその他の給付及びこれに相当する給付を除く。)のうち厚生労働省令で定めるものに該当するものに要する費用(以下「保険者の給付に要する費用」という。)の見込額のうち前期高齢者である加入者に係るものとして厚生労働省令で定めるところにより算定される額(以下「前期高齢者給付費見込額」という。)
the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the portion of the prospective Young-Old Benefit pertaining to the Insurers if the Insurers are Insurers in Excess of the Estimated Standard (meaning Insurers for which the rate obtained by dividing the amount set forth in (a) by the amount set forth in (b) exceeds the rate specified by Cabinet Order in consideration of the distribution, etc. of the prospective Young-Old Benefit per participant who is a Young-Old Person pertaining to all Insurers), which exceeds the amount obtained by multiplying the amount set forth in (b) by the rate specified by Cabinet Order:
当該保険者が概算基準超過保険者(イに掲げる額をロに掲げる額で除して得た率が、全ての保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費見込額の分布状況等を勘案して政令で定める率を超える保険者をいう。)である場合における当該保険者に係る前期高齢者給付費見込額のうち、ロに掲げる額に当該政令で定める率を乗じて得た額を超える部分として厚生労働省令で定めるところにより算定される額
the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the prospective amount of young-old benefit expenses per Participant who is a young-old pertaining to a single Insurer;
一の保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費見込額として厚生労働省令で定めるところにより算定される額
the estimated average per person of young-old benefit expenses.
一人平均前期高齢者給付費見込額
The estimated base amount subject to adjustment set forth in the items of paragraph (1) is the amount obtained by multiplying the sum of the estimated amount of benefit expenses subject to adjustment set forth in the items of the same paragraph pertaining to the relevant insurer and the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the young-old (in the case of an insurer of employee insurance, etc., the amount obtained by multiplying the relevant amount by the estimated amount adjustment rate) by the estimated participant adjustment rate.
第一項各号の概算調整対象基準額は、当該保険者に係る同項各号の調整対象給付費見込額及び前期高齢者に係る後期高齢者支援金の概算額(被用者保険等保険者にあつては、当該額に概算額補正率を乗じて得た額)の合計額に概算加入者調整率を乗じて得た額とする。
The estimated base amount subject to adjustment after remuneration adjustment set forth in paragraph (1), item (i), (b) is the amount obtained by multiplying by the estimated participant adjustment rate the sum total of the amount obtained by multiplying the estimated amount of benefit expenses subject to adjustment set forth in the items of that paragraph pertaining to the relevant Insurer by the rate obtained by dividing the amount set forth in item (i) for the relevant fiscal year by the amount set forth in item (ii) (referred to as the "estimated remuneration adjustment rate" in paragraph (6), item (i)) and the estimated benefit expense correction rate, and the amount obtained by multiplying the estimated amount of aid for the old-old pertaining to the young-old by the estimated amount correction rate.
the amount obtained by dividing the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the prospective amount of the total amount of standardized remunerations pertaining to the insurer (referred to as the "prospective amount of the total amount of standardized remunerations" in the following item and Article 120, paragraph (1), item (i), (a) and (b)) by the prospective number of subscribers pertaining to the insurer calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare;
当該保険者に係る標準報酬総額の見込額として厚生労働省令で定めるところにより算定される額(次号並びに第百二十条第一項第一号イ及びロにおいて「標準報酬総額の見込額」という。)を厚生労働省令で定めるところにより算定した当該保険者に係る加入者の見込数で除して得た額
the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount obtained by dividing the sum of the prospective amounts of the total amount of standardized remunerations pertaining to all Insurers of employee insurance, etc. by the prospective total number of subscribers pertaining to all Insurers of employee insurance, etc.
全ての被用者保険等保険者に係る標準報酬総額の見込額の合計額を全ての被用者保険等保険者に係る加入者の見込総数で除して得た額として厚生労働省令で定めるところにより算定した額
The estimated amount correction rate referred to in the preceding two paragraphs is the rate calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare so that the sum of the amounts obtained by subtracting the amount set forth in item (ii) from the amount set forth in item (i) pertaining to each of the Insurers of employee insurance, etc. is equal to the sum of the amounts obtained by subtracting the amount set forth in item (iv) from the amount set forth in item (iii):
the amount obtained by multiplying the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old by the estimated participant adjustment rate;
前期高齢者に係る後期高齢者支援金の概算額に概算加入者調整率を乗じて得た額
the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old;
the amount obtained by multiplying the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old, when an Insurer of employee insurance, etc. is deemed to be an Insurer other than an Insurer of employee insurance, etc., by the estimated participant adjustment rate;
被用者保険等保険者を被用者保険等保険者以外の保険者とみなした場合における前期高齢者に係る後期高齢者支援金の概算額に概算加入者調整率を乗じて得た額
the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over pertaining to the Young-Old when Insurers of employee insurance, etc. are deemed to be insurers other than Insurers of employee insurance, etc.
被用者保険等保険者を被用者保険等保険者以外の保険者とみなした場合における前期高齢者に係る後期高齢者支援金の概算額
The estimated benefit expense adjustment rate referred to in paragraph (4) is the rate calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare so that the total of the amounts set forth in item (i) pertaining to each of the Insurers of employee insurance, etc. is equal to the total of the amounts set forth in item (ii):
the amount arrived at when the estimated amount of the covered benefit expenses referred to in the items of paragraph (1) is multiplied by the estimated remuneration adjustment rate and the estimated participant adjustment rate;
the amount arrived at when the estimated amount of the covered benefit expenses referred to in the items of paragraph (1) is multiplied by the estimated participant adjustment rate.
第一項各号の調整対象給付費見込額に概算加入者調整率を乗じて得た額
The estimated participant adjustment rate referred to in paragraph (3), paragraph (4), paragraph (5), items (i) and (iii), and the items of the preceding paragraph is the rate calculated for each insurer based on the rate arrived at when the prospective total number of subscribers who are young-old adults accounts for the prospective total number of subscribers for all insurers in the relevant fiscal year is divided by the prospective total number of subscribers who are young-old adults accounts for the prospective total number of subscribers for the relevant insurers in the same fiscal year (or, if that rate is less than the minimum rate in the same fiscal year (meaning the rate specified by Cabinet Order in consideration of trends in the rate of the prospective total number of subscribers who are young-old adults accounts for the prospective total number of subscribers for all insurers in the same fiscal year; hereinafter the same applies in this paragraph and paragraph (7) of the following Article), the minimum rate), pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.
The total standardized amount of remuneration referred to in paragraph (4), item (i) is the amount obtained by correcting, pursuant to the provisions of Cabinet Order, the total sum of the amounts specified in the following items for each fiscal year in accordance with the category of insurer set forth in each of those items:
a Japan Health Insurance Association or health insurance society:the standard remuneration (meaning the standard monthly remuneration amount and the Bonus Amount) prescribed in the Health Insurance Act or the Mariners Insurance Act for each insured;
全国健康保険協会及び健康保険組合 被保険者ごとの健康保険法又は船員保険法に規定する標準報酬(標準報酬月額及び標準賞与額をいう。)
Mutual aid association: the standard monthly remuneration amount and the standard amount of end-of-term allowances, etc. prescribed in the National Public Officers Mutual Aid Association Act or the Local Public Officers, etc. Mutual Aid Association Act for each member;
共済組合 組合員ごとの国家公務員共済組合法又は地方公務員等共済組合法に規定する標準報酬の月額及び標準期末手当等の額
the standard monthly remuneration amount and the Bonus Amount prescribed in the Private School Teachers Mutual Aid Act for each member of the Promotion and Mutual Aid Corporation for Private Schools of Japan;
日本私立学校振興・共済事業団 加入者ごとの私立学校教職員共済法に規定する標準報酬月額及び標準賞与額
national health insurance societies (limited to those who are insurers of employee insurance, etc.):the amount specified by Order of the Ministry of Health, Labour and Welfare as equivalent to the amounts specified in the preceding three items for each member.
The per capita average estimated amount of young-old benefit expenses referred to in paragraph (2), item (ii), (b) is the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the average of the estimated amount of young-old benefit expenses per Participant who is a young-old pertaining to all Insurers.
第二項第二号ロの一人平均前期高齢者給付費見込額は、全ての保険者に係る前期高齢者である加入者一人当たりの前期高齢者給付費見込額の平均額として厚生労働省令で定めるところにより算定される額とする。
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