Health Insurance Act

When a person, without justifiable grounds, fails to make a report pursuant to the provisions of Article 194-3, paragraph (1) or makes a false report, or, without justifiable grounds, fails to answer a question asked by the relevant official pursuant to the same paragraph or answers the question untruthfully, or, without justifiable grounds, refuses, obstructs, or evades an inspection pursuant to the same paragraph, the person who committed the violation is subject to a fine of not more than 300,000 yen.

The offense referred to in Article 207-3 also applies to a person who commits the offense referred to in that Article outside Japan.

If a representative of a corporation (including an association or foundation that is not a corporation and has a provision on a representative or administrator (hereinafter in this Article referred to as an "association or foundation without legal personality"); the same applies hereinafter in this paragraph) (including an administrator of an association or foundation without legal personality), or an agent, employee or other worker of a corporation or individual, commits a violation of Articles 207-3 through 208, Article 213-2 or Article 213-3 with regard to the business or property of that corporation or individual, not only the offender but also that corporation or individual is subject to the fine referred to in the applicable article.

When the provisions of the preceding paragraph are applied to an unincorporated association or foundation, its representative or administrator represents an unincorporated association or foundation in a procedural act, and legal provisions concerning criminal procedure apply mutatis mutandis when a corporation is the accused or suspect.

An employer who fails to submit a report or submits a false report in violation of the provisions of Article 197, paragraph (1), fails to present documents, or fails to administer affairs necessary for enforcement of this Act without justifiable grounds, is subject to a civil fine of not more than 100,000 yen.

An insured person or person to be granted insurance benefits who fails to give a notification or gives a false notification in violation of the provisions of Article 197, paragraph (2), or fails to submit documents without justifiable grounds, is subject to a civil fine of not more than 100,000 yen.

An officer of JHIA who falls under any of the following items is subject to a civil fine of not more than 200,000 yen:

the person fails to make a registration in violation of Cabinet Order prescribed in Article 7-7, paragraph (1);

the person fails to receive authorization when authorization must be obtained from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 7-27, Article 7-31, paragraphs (1) or (2), or Article 7-34;

the person fails to obtain approval when approval must be obtained from the Minister of Health, Labour, and Welfare pursuant to the provisions of Article 7-28, paragraph (2);

the person fails to maintain the financial statements and business reports or written statements by the auditor or accounting auditor, or to provide public access to them in violation of the provisions of Article 7-28, paragraph (4);

the person invests surplus funds that accrue in the course of JHIA's operations, in violation of the provisions of Article 7-33;

the person fails to give a notification pursuant to the provisions of Article 7-35, paragraph (2) or Article 7-36, paragraph (2), or gives false notification;

the person fails to make an announcement pursuant to the provisions of Article 7-35, paragraph (2) or Article 7-36, paragraph (2) or makes a false announcement; or

the person engages in any operations other than those prescribed by this Act or those specified by other laws as JHIA's operations.

When an employer is ordered to establish a health insurance society and fails to apply for authorization of establishment by the due date specified by the Minister of Health, Labor and Welfare without justifiable grounds, the employer is subject to a civil fine in an amount equivalent to twice the amount of insurance premiums to be borne for the period in which the procedure is delayed.

When a health insurance society or federation fails to give a notification or gives a false notification in violation of the provisions of Article 16, paragraph (3) (including when applied mutatis mutandis to Article 188), fails to submit a report or submits a false report in violation of the provisions of Article 7-38 as applied mutatis mutandis to Article 29, paragraph (1) or Article 188, fails to answer a question asked by an official pursuant to the provisions of Article 7-38 as applied mutatis mutandis to Article 29, paragraph (1) or Article 188 or answers the question untruthfully, refuses, obstructs or evades an inspection conducted pursuant to the provisions of Article 7-38, or violates an order pursuant to the provisions of Article 7-39, paragraph (1) as applied mutatis mutandis to Article 29, paragraph (1) or Article 188, the relevant officer is subject to a civil fine of not more than 200,000 yen.

A person who uses the name全国健康保険協会 (meaning "Japan Health Insurance Association), 健康保険組合 (meaning "health insurance society"), or健康保険組合連合会 (meaning "federation of health insurance societies") in violation of the provisions of Article 7-8, Article 10, paragraph (2), or Article 184, paragraph (4) is subject to a civil fine of not more than 100,000 yen.

An officer of JPS who falls under any of the following items is subject to a non-criminal fine of not more than 200,000 yen:

the officer fails to obtain authorization when authorization must be obtained from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 204-3, paragraph (1), Article 100-6, paragraph (2) of the Employees' Pension Insurance Act as applied mutatis mutandis pursuant to Article 204-3, paragraph (2), Article 204-4, paragraph (1), Article 204-5, paragraph (1), or Article 100-11, paragraph (2) of the Employees' Pension Insurance Act as applied mutatis mutandis pursuant to Article 204-6, paragraph (2); or

the officer violates an order pursuant to the provisions of Article 100-7, paragraph (3) of the Employee's Pension Insurance Act as applied mutatis mutandis to Article 204-4, paragraph (2).

If an officer of JHIA fails to obtain authorization when approval must be obtained from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 204-8, paragraph (1), the officer is subject to a civil fine of not more than 200,000 yen.