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Supplementary Provisions, Article 4Benefits for Insured Persons Covered by Health Insurance Administered by JHIA

第四条(協会が管掌する健康保険の被保険者に係る給付の事業)

A corporation organized by an employer of insured persons (excluding employers of a place of business at which a health insurance society is organized) and those insured persons or another organization specified by Cabinet Order (referred to as a "corporation") and approved by the Minister of Health, Labour and Welfare as one that meets the requirements prescribed by Cabinet Order (hereinafter referred to as an "approved corporation" in this Article) may provide payment to an insured person for insurance benefits relating to medical treatment for the insured person up to an amount equivalent to the amount of co-payment paid by the insured person pursuant to the provisions of Article 74, paragraph (1).

被保険者を使用する事業主(健康保険組合が組織されている事業所の事業主を除く。)及び当該被保険者で組織する法人その他の政令で定めるもの(次項において「法人等」という。)であって、政令で定める要件に該当するものとして厚生労働大臣の承認を受けたもの(以下この条において「承認法人等」という。)は、当該被保険者の療養に関して保険給付があった場合において、第七十四条第一項の規定により当該被保険者が支払った一部負担金に相当する額の範囲内において、当該被保険者に対し、給付をすることができる。

When a corporation referred to in the preceding paragraph intends to receive approval, it must obtain consent from JHIA in advance.

前項の法人等が承認を受けようとするときは、あらかじめ、協会の同意を得なければならない。

An approved corporation may collect expenses to allocate for payment referred to in paragraph (1) from employers or insured persons as specified by Order of the Ministry of Health, Labour and Welfare.

承認法人等は、第一項の給付に要する費用に充てるため、厚生労働省令で定めるところにより、事業主又は被保険者から費用を徴収することができる。

Necessary matters concerning the business of approved corporations are specified by Order of the Ministry of Health, Labour and Welfare.

承認法人等の事業に関して必要な事項は、厚生労働省令で定める。

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