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Read the text in force →健康保険法
Chapter IX Appeals
The law as Act Partially Amending the Health Insurance Act, etc. (Act No. 31 of 2026) leaves it, with the words it changes marked.
The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.
A person who has an objection to a disposition relating to eligibility as an insured person, standard remuneration, or insurance benefits may request a social insurance examiner to conduct an examination, and if the person has any objection to the examiner's determination, the person may request the Social Insurance Examination Committee to conduct a re-examination.
被保険者の資格、標準報酬又は保険給付に関する処分に不服がある者は、社会保険審査官に対して審査請求をし、その決定に不服がある者は、社会保険審査会に対して再審査請求をすることができる。
If a determination has not been made within two months from the date on which a request for examination was made, the applicant may deem that the social insurance examiner has dismissed the request.
審査請求をした日から二月以内に決定がないときは、審査請求人は、社会保険審査官が審査請求を棄却したものとみなすことができる。
The request for examination and the request for re-examination referred to in paragraph (1) are deemed to be a judicial claim with regard to the postponement of the completion of prescription and the renewal of prescription.
第一項の審査請求及び再審査請求は、時効の完成猶予及び更新に関しては、裁判上の請求とみなす。
When a disposition for eligibility or standard remuneration of an insured person becomes final and binding, an objection to the disposition may not be permitted as a reason for an objection to a disposition for the payment of insurance benefits based on the final and binding disposition.
被保険者の資格又は標準報酬に関する処分が確定したときは、その処分についての不服を当該処分に基づく保険給付に関する処分についての不服の理由とすることができない。
A person who has an objection to an imposition of insurance premiums, etc., a disposition of collection, or a disposition pursuant to the provisions of Article 180 may request the Social Insurance Examination Committee to conduct an examination.
保険料等の賦課若しくは徴収の処分又は第百八十条の規定による処分に不服がある者は、社会保険審査会に対して審査請求をすることができる。
Chapter II (excluding Article 22) and Chapter IV of the Administrative Complaint Review Act (Act No. 68 of 2014) do not apply to the provisions pertaining to application for examination referred to in the preceding two Articles or application for re-examination referred to in Article 189, paragraph (1).
前二条の審査請求及び第百八十九条第一項の再審査請求については、行政不服審査法（平成二十六年法律第六十八号）第二章（第二十二条を除く。）及び第四章の規定は、適用しない。
An action for rescission of a disposition prescribed in Article 189, paragraph (1) may not be filed until a ruling with regard to the application for examination pertaining to the disposition has been determined by a social insurance examiner.
第百八十九条第一項に規定する処分の取消しの訴えは、当該処分についての審査請求に対する社会保険審査官の決定を経た後でなければ、提起することができない。