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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 before amendment pursuant to the provisions of 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.

厚生労働省令で定める要件に該当するものとして厚生労働大臣の認可を受けた健康保険組合(以下この条において「特定健康保険組合」という。)の組合員である被保険者であった者であって、の規定による改正前のに規定する退職被保険者であるべきもののうち当該特定健康保険組合の規約で定めるものは、当該特定健康保険組合に申し出て、当該特定健康保険組合の被保険者(以下この条において「特例退職被保険者」という。)となることができる。ただし、任意継続被保険者であるときは、この限りでない。

A special retired insured person may not be insured by two or more insurers (including mutual aid associations) at the same time.

特例退職被保険者は、同時に二以上の保険者(共済組合を含む。)の被保険者となることができない。

A special retired insured person acquires such eligibility on the date on which the request referred to in paragraph (1) is accepted.

特例退職被保険者は、第一項の申出が受理された日から、その資格を取得する。

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.

第百四条の規定にかかわらず、特例退職被保険者には、傷病手当金は、支給しない。

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 before amendment pursuant to the provisions of 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".

特例退職被保険者は、この法律の規定(第三十八条第二号、第四号及び第五号を除く。)の適用については、任意継続被保険者とみなす。この場合において、同条第一号中「任意継続被保険者となった日から起算して二年を経過したとき」とあるのは「の規定による改正前のに規定する退職被保険者であるべき者に該当しなくなったとき」と、同条第三号中「保険者」とあるのは「附則第三条第一項に規定する特定健康保険組合」と、同条第七号中「保険者に」とあるのは「附則第三条第一項に規定する特定健康保険組合に」とする。

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。

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