Health Insurance Act

A person who divulges a secret in violation of the provisions of Article 7-37, paragraph (1) (including when applied mutatis mutandis pursuant to paragraph (2) of the same Article and Article 22-2) is subject to imprisonment for not more than one year or a fine of not more than 1,000,000 yen.

In the case where any of the following items applies, the person who committed the violation is subject to imprisonment for not more than one year or a fine of not more than 500,000 yen, or both:

where a person, in violation of the provisions of Article 150-6, makes known to another person without good reason, or uses for an unjust purpose, the content of anonymized medical care-related information that the person came to know in connection with the use of anonymized medical care-related information; or

where a person violates an order pursuant to the provisions of Article 150-8.

When an order pursuant to the provisions of Article 194-2, paragraph (6) is violated, the person who committed the violation is subject to imprisonment for not more than one year or a fine of not more than 500,000 yen.

If an employer falls under any of the following items without justifiable grounds, the employer is subject to imprisonment for not more than six months or a fine of not more than 500,000 yen:

the employer fails to submit a notification, in violation of the provisions of Article 48 (including when applied mutatis mutandis to Article 168, paragraph (2)), or submits a false notification;

the employer fails to give notice, in violation of the provisions of Article 49, paragraph (2) (including when applied mutatis mutandis in Article 50, paragraph (2)), or submits a false notice;

the employer does not pay an insurance premium by the due date prescribed by a demand notice in violation of the provisions of Article 161, paragraph (2) or Article 169, paragraph (7);

the employer fails to pay an insurance premium in violation of the provisions of Article 169, paragraph (2), fails to keep record books in violation of the provisions of Article 171, paragraph (1), or fails to make a report or makes a false report in violation of the provisions of the same paragraph or paragraph (2) of the same Article; or

the employer fails to submit or present reports or materials pursuant to Article 198, paragraph (1) (including officials of JPS prescribed in Article 198, paragraph (1) applied by replacing terms pursuant to the provisions of Article 204-5, paragraph (2), and the staff of JHIA prescribed in Article 198, paragraph (1) by replacing terms pursuant to the provisions of Article 204-8, paragraph (2); the same applies in the following Article), fails to answer a question asked by the relevant official pursuant to the same paragraph, or answers the question untruthfully thereto, or refuses, obstructs, or evades an inspection conducted pursuant to the same paragraph.

When a person other than an employer, without justifiable grounds, fails to answer a question asked by the relevant official pursuant to the provisions of Article 198, paragraph (1) or answers the question untruthfully, or refuses, obstructs, or evades an inspection conducted pursuant to the same paragraph, the person is subject to imprisonment for not more than six months or a fine of not more than 300,000 yen.

When a person who is or was an insured person is ordered to make a report pursuant to the provisions of Article 60, paragraph (2) (including when applied mutatis mutandis pursuant to Article 149), but fails to follow the order without justifiable grounds, or without justifiable grounds fails to answer a question asked by the relevant official pursuant to the provisions of the same paragraph or answers the question untruthfully, the person is subject to a fine of not more than 300,000 yen.

A person who provides false statements in relation to an application pursuant to the provisions of Article 126, paragraph (1) is subject to imprisonment for not more than six months or a fine of not more than 300,000 yen.

A person who fails to make an application in violation of Article 126, paragraph (1) or fails to submit a specially-insured day laborer's insurance book in violation of the provisions of Article 169, paragraph (4) is subject to a fine of not more than 300,000 yen.

If an officer or employee of JHIA who fails to make a report in violation of the provision of Article 7-38, paragraph (1) or makes a false report, fails to answer a question asked by the relevant official pursuant to the same paragraph or answers the question untruthfully, refuses, obstructs, or interferes with an inspection, or violates an order pursuant to the provisions of Article 7-39, paragraph (1) is subject to a fine of not more than 300,000 yen.

A health insurance society or an officer, liquidator or employee of a national health insurance society that is an insurer providing national health insurance as prescribed in Article 154, paragraph (1) who fails to make a report or makes a false report in violation of the provisions of Article 171, paragraph (3) is subject to a fine of not more than 500,000 yen.

In the case where any of the following items applies, the person who committed the violation is subject to a fine of not more than 500,000 yen:

where a person fails to make a report or to submit or present record books or documents pursuant to the provisions of Article 150-7, paragraph (1), makes a false report or submits or presents false record books or documents, fails to answer a question asked by the relevant official pursuant to the same paragraph or answers the question untruthfully, or refuses, obstructs, or evades an inspection pursuant to the same paragraph;

where a person fails to answer a question (excluding those given by an employee of JHIA or a health insurance society) asked by an employee responsible for collection pursuant to the provisions of Article 141 of the National Tax Collection Act as governed by the provisions of Article 183, or answers the question untruthfully;

where a person refuses, obstructs or evades an inspection (excluding those conducted by employees of JHIA or a health insurance society) conducted pursuant to the provisions of Article 141 of the National Tax Collection Act as governed by the provisions of Article 183; or

where a person, without justifiable grounds, fails to comply with a request to present or submit articles pursuant to the provisions of Article 141 of the National Tax Collection Act as governed by the provisions of Article 183 (excluding those made by an employee of JHIA or a health insurance society), or presents or submits record books, documents or other objects containing false statements or records.