Supplementary Provisions, Article 3Specified Health Insurance Society
第三条(特定健康保険組合)
A person who was an insured person with membership in a health insurance society authorized by the Minister of Health, Labour and Welfare as meeting the requirements specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as a "specified health insurance society" in this Article) and who is specified by the specified health insurance society among those who should be persons with retirement insurance as prescribed in Article 8-2, paragraph (1) of the National Health Insurance Act before amendment pursuant to the provisions of Article 13 of the Amending Act may become an insured person of the specified health insurance society (hereinafter referred to as a "special retired insured person") by submitting a request to the specified health insurance society; provided, however, that this does not apply in cases of an insured person with optional and continued coverage.
A special retired insured person may not be insured by two or more insurers (including mutual aid associations) at the same time.
A special retired insured person acquires such eligibility on the date on which the request referred to in paragraph (1) is accepted.
With regard to the standard monthly remuneration amount of a special retired insured person, notwithstanding the provisions of Articles 41 through 44, when the amount specified by the specified health insurance society in the range of the average standard monthly remuneration amount for the same month of all insured persons other than special retired insured persons administered by the specified health insurance society on September 30 in the preceding year (for the standard monthly remuneration amount from January to March, the year prior to the preceding year) is deemed to be the monthly remuneration amount forming the basis of the standard monthly remuneration amount, that standard monthly remuneration amount is applied.
特例退職被保険者の標準報酬月額については、第四十一条から第四十四条までの規定にかかわらず、当該特定健康保険組合が管掌する前年(一月から三月までの標準報酬月額については、前々年)の九月三十日における特例退職被保険者以外の全被保険者の同月の標準報酬月額を平均した額の範囲内においてその規約で定めた額を標準報酬月額の基礎となる報酬月額とみなしたときの標準報酬月額とする。
Notwithstanding the provisions of Article 104, injury and sickness allowance is not paid to a special retired insured person.
A special retired insured person is deemed to be an insured person with optional and continued coverage for the purpose of the application of the provisions of this Act (excluding Article 38, items (ii), (iv) and (v)). In this case, the phrase "two years have elapsed since the day on which the person became an insured person with optional and continued coverage" in item (i) of that Article is deemed to be replaced with "the person ceases to fall under those who should be persons with retirement insurance as prescribed in Article 8-2, paragraph (1) of the National Health Insurance Act before amendment pursuant to the provisions of Article 13 of the Amending Act", the term "insurer" in item (iii) of that Article with "specified health insurance society prescribed in Article 3, paragraph (1) of the Supplementary Provisions", and the phrase "to the insurer" in item (vii) of that Article with "to the specified health insurance society prescribed in Article 3, paragraph (1) of the Supplementary Provisions".
Special provisions concerning insurance benefits for special retired insured persons and other necessary matters concerning special retired insured persons are specified by Cabinet Order.
特例退職被保険者に対する保険給付の特例その他特例退職被保険者に関して必要な事項は、政令で定める。