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Supplementary Provisions, Article 5-7

第五条の七

In fiscal year 2030, notwithstanding the provisions of Articles 153 and 154, Articles 4-2, 5 and 5-2 of the Supplementary Provisions, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and Article 5-2 of the Supplementary Provisions as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).

令和十二年度においては、第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の二の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される附則第五条の二の規定により算定される額から、第一号に掲げる額(第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額)から第二号に掲げる額を控除して得た額(当該額が零を下回る場合には、零とする。)に千分の百六十四を乗じて得た額を控除して得た額を補助する。

the amount of JHIA's reserves at the end of fiscal year 2029 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of of the Supplementary Provisions prior to the amendment by were not applied and the provisions of Article 5-3 through the preceding Article of the Supplementary Provisions were not applied;

平成二十七年度から令和七年度までの間においての規定による改正前のの規定を適用せず、かつ、附則第五条の三から前条までの規定を適用しないとしたならば積み立てられることとなる令和十一年度末における協会の準備金の額

the higher of the following amounts:

次に掲げる額のうちいずれか高い額

the amount listed in Article 5-3, item (ii), (a) of the Supplementary Provisions; or

附則第五条の三第二号イに掲げる額

the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through fiscal year 2028 that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of of the Supplementary Provisions prior to the amendment by were not applied and the provisions of Articles 5-3 through 5-5 of the Supplementary Provisions (where there is an amount granted to JHIA using the amount paid in as its source between fiscal year 2015 and each such business year, the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and

平成二十七年度から令和七年度までの間においての規定による改正前のの規定を適用せず、かつ、附則第五条の三から第五条の五までの規定を適用しないとしたならば積み立てられることとなる平成二十七年度から令和十年度までの間の各事業年度の事業年度末における協会の準備金の額(平成二十七年度から当該各事業年度までの間において納付額を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額)のうち最も高い額

the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and fiscal year 2029 using the amount paid in as its source.

平成二十七年度から令和十一年度までの間における納付額を原資として、協会に対して交付された額の累計額

Supplementary Provisions, Article 5-8

第五条の八

In any one business year in or after fiscal year 2031, notwithstanding the provisions of Articles 153 and 154, Articles 4-2, 5 and 5-2 of the Supplementary Provisions, the national treasury subsidizes the amount obtained by deducting, from the amount calculated pursuant to the provisions of Article 153 and Article 154, paragraph (1) as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, Article 154, paragraph (2) as replaced pursuant to the provisions of Article 5 of the Supplementary Provisions and applied with replacement of terms pursuant to the provisions of Article 4-2 of the Supplementary Provisions, and Article 5-2 of the Supplementary Provisions as applied with replacement of terms pursuant to the provisions of Article 5 of the Supplementary Provisions, the amount obtained by the amount obtained by multiplying by 0.164 the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) (if there is a cumulative amount listed in item (iii), the amount obtained by deducting that cumulative amount from the amount listed in item (i)) (if that amount is less than zero, zero).

令和十三年度以降の一の事業年度においては、第百五十三条及び第百五十四条並びに附則第四条の二、第五条及び第五条の二の規定にかかわらず、国庫は、附則第五条の規定により読み替えて適用される第百五十三条及び第百五十四条第一項、附則第四条の二の規定により読み替えて適用される附則第五条の規定により読み替えられた第百五十四条第二項並びに附則第五条の規定により読み替えて適用される附則第五条の二の規定により算定される額から、第一号に掲げる額(第三号に掲げる累計額がある場合には、第一号に掲げる額から当該累計額を控除して得た額)から第二号に掲げる額を控除して得た額(当該額が零を下回る場合には、零とする。)に千分の百六十四を乗じて得た額を控除して得た額を補助する。

the amount of JHIA's reserves at the end of the business year preceding that one business year that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of of the Supplementary Provisions prior to the amendment by were not applied and the provisions of Article 5-3 through this Article of the Supplementary Provisions were not applied;

平成二十七年度から令和七年度までの間においての規定による改正前のの規定を適用せず、かつ、附則第五条の三からこの条までの規定を適用しないとしたならば積み立てられることとなる当該一の事業年度の前事業年度末における協会の準備金の額

the higher of the following amounts:

次に掲げる額のうちいずれか高い額

the amount listed in Article 5-3, item (ii), (a) of the Supplementary Provisions; or

附則第五条の三第二号イに掲げる額

the highest of the amounts of JHIA's reserves at the end of each business year from fiscal year 2015 through the business year before last of that one business year that would be accumulated if, between fiscal year 2015 and fiscal year 2025, the provisions of of the Supplementary Provisions prior to the amendment by were not applied and the provisions of Article 5-3 through this Article of the Supplementary Provisions were not applied (where there is an amount granted to JHIA using the amount paid in as its source between fiscal year 2015 and each such business year, the amount obtained by deducting the cumulative amount of the amounts so granted between fiscal year 2015 and each such business year from the amount of JHIA's reserves at the end of each such business year); and

平成二十七年度から令和七年度までの間においての規定による改正前のの規定を適用せず、かつ、附則第五条の三からこの条までの規定を適用しないとしたならば積み立てられることとなる平成二十七年度から当該一の事業年度の前々事業年度までの間の各事業年度の事業年度末における協会の準備金の額(平成二十七年度から当該各事業年度までの間において納付額を原資として、協会に対して交付された額がある場合には、当該各事業年度の事業年度末における協会の準備金の額から、平成二十七年度から当該各事業年度までの間における当該交付された額の累計額を控除して得た額)のうち最も高い額

the cumulative amount of the amounts granted to JHIA between fiscal year 2015 and the business year preceding that one business year using the amount paid in as its source.

平成二十七年度から当該一の事業年度の前事業年度までの間における納付額を原資として、協会に対して交付された額の累計額

Supplementary Provisions, Article 5-9Review

第五条の九(検討)

In the case where it is expected that it will be necessary to raise JHIA's general insurance rate in order to maintain its fiscal balance, in light of the outlook for revenue and expenditure of health insurance services prepared by JHIA as prescribed in Article 160, paragraph (5), the government is to conduct a review of the provisions of Articles 153 and 154 and Article 5 of the Supplementary Provisions, taking into account trends in the general insurance rates of insurers other than JHIA, the fiscal situation of the national government, and other changes in the socioeconomic situation, etc., and, if it finds it necessary, to take required measures based on the results.

政府は、協会が作成する第百六十条第五項に規定する健康保険事業の収支の見通しを踏まえ、その財政の均衡を保つために協会の一般保険料率を引き上げる必要があると見込まれる場合において、協会以外の保険者の一般保険料率の動向、国の財政状況その他の社会経済情勢の変化等を勘案し、第百五十三条及び第百五十四条並びに附則第五条の規定について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。

Supplementary Provisions, Article 6Application Concerning the Promotion and Mutual Aid Corporation for Private Schools of Japan

第六条(日本私立学校振興・共済事業団等の適用)

With regard to the application of this Act, the Promotion and Mutual Aid Corporation for Private Schools of Japan is deemed to be a mutual aid association, and subscribers to the Private School Personnel Mutual Aid System pursuant to the provisions of the Private School Personnel Mutual Aid Association Act are deemed to be members of the mutual aid association.

この法律の適用については、日本私立学校振興・共済事業団は共済組合と、私立学校教職員共済法の規定による私立学校教職員共済制度の加入者は共済組合の組合員とみなす。

Supplementary Provisions, Article 7Specified Insured Person

第七条(特定被保険者)

Notwithstanding the provisions of Article 156, paragraph (1), item (ii) and Article 157, paragraph (2), a health insurance society may, as specified by its articles of incorporation, make the amount of insurance premium relating to an insured person other than an item (ii) insured person (limited to a person who has a dependent who is an item (ii) insured person; hereinafter referred to as a "specified insured person" in this Article and the following Article) the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium.

健康保険組合は、第百五十六条第一項第二号及び第百五十七条第二項の規定にかかわらず、規約で定めるところにより、介護保険第二号被保険者である被保険者以外の被保険者(介護保険第二号被保険者である被扶養者があるものに限る。以下この条及び次条において「特定被保険者」という。)に関する保険料額を一般保険料等額と介護保険料額との合算額とすることができる。

With regard to the application of Article 156, paragraph (3) to a specified insured person whose amount of insurance premium has been made the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of the preceding paragraph, the phrase "the preceding two paragraphs" in that paragraph is deemed to be replaced with "Article 7, paragraphs (1) and (3) of the Supplementary Provisions".

前項の規定によりその保険料額を一般保険料等額と介護保険料額との合算額とされた特定被保険者に対する第百五十六条第三項の規定の適用については、同項中「前二項」とあるのは、「附則第七条第一項及び第三項」とする。

The provisions of Article 156, paragraph (2) apply mutatis mutandis to the case where a dependent who is an item (ii) insured person (limited to a dependent of a specified insured person whose amount of insurance premium has been made the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of paragraph (1)) ceases to fall under the category of item (ii) insured person.

第百五十六条第二項の規定は、介護保険第二号被保険者である被扶養者(第一項の規定によりその保険料額を一般保険料等額と介護保険料額との合算額とされた特定被保険者の被扶養者に限る。)が介護保険第二号被保険者に該当しなくなった場合について準用する。

Necessary matters concerning special provisions on the calculation of the long-term care insurance rate of a health insurance society that has made the amount of insurance premium relating to specified insured persons the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of paragraph (1) are specified by Cabinet Order.

第一項の規定により特定被保険者に関する保険料額を一般保険料等額と介護保険料額との合算額とした健康保険組合の介護保険料率の算定の特例に関して必要な事項は、政令で定める。

Supplementary Provisions, Article 8Approved Health Insurance Society

第八条(承認健康保険組合)

A health insurance society approved by the Minister of Health, Labour and Welfare as meeting the requirements specified by Cabinet Order (hereinafter referred to as an "approved health insurance society" in this Article) may, notwithstanding the provisions of Article 156, paragraph (1), item (i), Article 157, paragraph (2), Article 160, paragraph (16) and paragraph (1) of the preceding Article, make the amount of insurance premium relating to an insured person who is an item (ii) insured person (including a specified insured person whose amount of insurance premium has been made the sum of the amount of general insurance premium, etc. and the amount of long-term care insurance premium pursuant to the provisions of that paragraph; the same applies in paragraph (4)) the sum of the amount of general insurance premium, etc. and the amount of special long-term care insurance premium.

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健康保険組合(以下この条において「承認健康保険組合」という。)は、第百五十六条第一項第一号、第百五十七条第二項、第百六十条第十六項及び前条第一項の規定にかかわらず、介護保険第二号被保険者である被保険者(同項の規定によりその保険料額を一般保険料等額と介護保険料額との合算額とされた特定被保険者を含む。第四項において同じ。)に関する保険料額を一般保険料等額と特別介護保険料額との合算額とすることができる。

The method for calculating the amount of special long-term care insurance premiums referred to in the preceding paragraph is to be specified in the constitution in accordance with standards specified by Cabinet Order so that the total amount of special long-term care insurance premiums of an approved health insurance society each fiscal year and the amount of long-term care payments to be paid by the approved health insurance society are equal.

前項の特別介護保険料額の算定方法は、政令で定める基準に従い、各年度における当該承認健康保険組合の特別介護保険料額の総額と当該承認健康保険組合が納付すべき介護納付金の額とが等しくなるように規約で定めるものとする。

Cabinet Order referred to in the preceding paragraph is specified in consideration of standards specified by Cabinet Order prescribed in Article 129, paragraph (2) of the Long-Term Care Insurance Act.

前項の政令は、介護保険法第百二十九条第二項に規定する政令で定める基準を勘案して定める。

Regarding the application of the provisions of Article 162 to an insured person who is an item 2 insured person of an approved health insurance society, the phrase "long-term care insurance premiums" in the same Article is replaced with "special long-term care insurance premiums".

承認健康保険組合の介護保険第二号被保険者である被保険者に対する第百六十二条の規定の適用については、同条中「介護保険料額」とあるのは、「特別介護保険料額」とする。

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