Supplementary Provisions, Article 2Financial Coordination of Health Insurance Societies
第二条（健康保険組合の財政調整）
In order to adjust the imbalance in financial resources for the benefits relating to medical care of health insurance administered by health insurance societies, the provision of healthcare services and welfare services, or the expenses required for the payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, the long-term care payment, the contribution for securing medical care in the early phase of an epidemic, etc. or the children and child-rearing support levy pertaining to health insurance societies, the federation is to, as specified by Cabinet Order, conduct a project of granting subsidies to health insurance societies that are its members (hereinafter referred to as "societies" in this Article and the following Article).
健康保険組合が管掌する健康保険の医療に関する給付、保健事業及び福祉事業の実施又は健康保険組合に係る前期高齢者納付金等、後期高齢者支援金等、日雇拠出金、介護納付金、流行初期医療確保拠出金等若しくは子ども・子育て支援納付金の納付に要する費用の財源の不均衡を調整するため、連合会は、政令で定めるところにより、会員である健康保険組合（以下この条及び次条において「組合」という。）に対する交付金の交付の事業を行うものとする。
A society is to contribute funds to federations as specified by Cabinet Order in order to allocate the funds for expenses required for the business referred to in the previous paragraph.
A society collects adjusted insurance premiums to allocate for the expenses required for the funds contributed pursuant to the provisions of the preceding paragraph.
The adjusted insurance premium amount for an insured person is the amount obtained per month by multiplying both the person's standard monthly remuneration amount and the person's amount of standard bonus by the adjustment rate for insurance premiums.
調整保険料額は、各月につき、各被保険者の標準報酬月額及び標準賞与額にそれぞれ調整保険料率を乗じて得た額とする。
The adjustment rate for insurance premiums is specified by Cabinet Order based on expenses required for granting subsidies as well as the number of society members who are insured persons and their standard remunerations.
The provisions of Article 7-39, Article 29, paragraph (2), and Article 185, paragraph (3) apply to the business referred to in paragraph (1). In this case, "business or assets" in Article 7-39, paragraph (1) is deemed to be replaced with "business", "articles of incorporation" in the same paragraph is deemed to be replaced with "constitution", "the preceding paragraph, or if it is found that the continuation of business of a designated health insurance society which has violated the provisions of paragraph (2) of the preceding Article, of a designated health insurance society which fails to follow the request referred to in paragraph (3) of the same Article, or of another designated health insurance society as specified by Cabinet Order is difficult due to the status of services or property or other reasons" in Article 29, paragraph (2) is deemed to be replaced with "Article 2, paragraph (6) of the Supplementary Provisions", and "promoting the common welfare of insured persons who are members of a health insurance society" in Article 185, paragraph (3) is deemed to be replaced with "promoting the business referred to in Article 2, paragraph (1) of the Supplementary Provisions".
第七条の三十九、第二十九条第二項及び第百八十五条第三項の規定は、第一項の事業について準用する。この場合において、第七条の三十九第一項中「事業若しくは財産」とあるのは「事業」と、「定款」とあるのは「規約」と、第二十九条第二項中「前項」とあるのは「附則第二条第六項」と、「とき、又は前条第二項の規定に違反した指定健康保険組合、同条第三項の求めに応じない指定健康保険組合その他政令で定める指定健康保険組合の事業若しくは財産の状況によりその事業の継続が困難であると認めるとき」とあるのは「とき」と、第百八十五条第三項中「組合員である被保険者の共同の福祉を増進するため」とあるのは「附則第二条第一項の事業を推進するため」と読み替えるものとする。
The provisions of Article 158, Article 159, Article 159-3, Article 161, Article 162, Article 164, Article 165, Article 167 and Article 193 apply mutatis mutandis to the adjusted insurance premium pursuant to the provisions of paragraph (3).
Notwithstanding the provisions of Article 160, paragraph (8) as applied mutatis mutandis to paragraph (13) of the same article, the authorization referred to in Article 160, paragraph (8) is not required for the determination of a change in the general insurance rate that does not cause a change in the combined rate of the general insurance rate and adjustment rate for insurance premiums.
When a determination is made pursuant to the provisions of the preceding paragraph, the Minister of Health, Labour and Welfare must be notified of the general insurance rate after the change.
前項の規定による決定をしたときは、当該変更後の一般保険料率を厚生労働大臣に届け出なければならない。