Long-Term Care Insurance Act

A person that corresponds to any of the following items is to be an Insured Person of Long-Term Care for the Aged Insurance provided by a municipality or special city ward (herein referred to simply as "Municipality"):

a person that is domiciled in the Municipality and is 65 years of age or more (herein referred to as "Primary Insured Person");

a person insured by medical insurance that is domiciled in the Municipality and is 40 years of age or more but less than 65 years of age (herein referred to as "Secondary Insured Person").

An Insured Person by Long-Term Care Insurance as provided by a Municipality pursuant to the provisions of the preceding Article shall acquire said eligibility on the date when said Person first corresponds to any of the following items:

when a Medical Insurance Subscriber who is domiciled in said Municipality becomes 40 years of age;

when a Medical Insurance Subscriber who is 40 years of age or more but less than 65 years of age acquires domicile in said Municipality;

when a person that is domiciled in said Municipality and is 40 years of age or more but less than 65 years of age becomes a Medical Insurance Subscriber;

when a person that is domiciled in said Municipality (other than a Medical Insurance Subscriber) becomes 65 years of age.

An Insured Person by Long-Term Care Insurance provided by said Municipality pursuant to the provisions of Article 9 of this Act shall lose said qualification from the day following the date when said person fails to have domicile in said Municipality, however, provided that said person loses this qualification on said date when the person fails to have domicile in said Municipality and obtains domicile in another Municipality on the same day.

A Secondary Insured Person loses this qualification on the date when said person becomes a non-Medical Insurance Subscriber.

A Primary Insured Personmust notify the Municipality of matters regarding acquisition and loss of qualification of Insured Person status and other necessary matters pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, however, provided that this provisiondoes not apply to a case when the Primary Insured Person acquired the qualification of an Insured Person due to becoming subject to Article 10, item (iv) of this Act (except for a case pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare).

The householder of said family in which a Primary Insured Person resides may provide the notification pursuant to the provisions of the preceding paragraph regarding said Primary Insured Person on behalf of a Primary Insured Person that resides in the household.

An Insured Person may request the Municipality to issue a Certificate of Insured Person pertaining to said Insured Person.

An Insured Person must return the Certificate of Insured Person pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare when said Person no longer meets said qualifications.

When a notification is issued pursuant to the provisions of Articles 22 to 24, Article 25, Article 30-46 or Article 30-47 of the Residential Basic Book Act (Act No. 81 of 1967) (limited to a case when a supplementary note is appended to the document pertaining to said notification pursuant to the provisions of Article 28-3 of the same Act), the notification is deemed as a notification pursuant to the main clause of paragraph (1) based on the same reason as said notification.

In addition to the provisions as prescribed in each of the preceding paragraphs of this Article, necessary matters for notification pertaining to an Insured Person and that pertaining to the Certificate of Insured Person are as determined by Order of the Ministry of Health, Labour, and Welfare.

An Insured Person for whom it is considered that his or her domicile has changed to the location of any of the following facilities (hereinafter referred to as a "Facility Subject to Domicile Exception") by admission to or residence in (hereinafter referred to as "Admission, etc.") such Facility Subject to Domicile Exception (in the case of an Insured Person for whom it is considered that his or her domicile has changed to the location of a facility listed in item (iii) by admission to that facility, limited to a person for whom an admission measure under Article 11, paragraph (1), item (i) of the Act on Social Welfare for the Elderly has been taken; hereinafter referred to as an "Insured Person Subject to Domicile Exception" in this paragraph and the following paragraph), and who is considered to have had a domicile within the area of another Municipality (meaning a Municipality other than the Municipality where said Facility Subject to Domicile Exception is located) at the time of Admission, etc. at said Facility Subject to Domicile Exception, is to be an Insured Person of Long-Term Care Insurance provided by said other Municipality, notwithstanding the provisions of Article 9; provided, however, that this does not apply to an Insured Person Subject to Domicile Exception who is continuously undergoing Admission, etc. at two or more Facilities Subject to Domicile Exception, and who is considered to have successively changed his or her domicile, by Admission, etc. at each of the Facility Subject to Domicile Exception at which he or she is currently undergoing Admission, etc. (hereinafter referred to as the "current facility of admission" in this paragraph and the following paragraph) and the Facility Subject to Domicile Exception at which he or she was undergoing Admission, etc. immediately before the Admission, etc. at the current facility of admission (hereinafter referred to as the "facility of immediately preceding admission" in this paragraph), to the locations of the facility of immediately preceding admission and the current facility of admission respectively (such a person being referred to as an "insured person in specified continuous admission" in the following paragraph).

Facility Covered by Long-Term Care Insurance;

Specified Facility;

a Care Facility for the Elderly as provided in Article 20-4 of the Act on Social Welfare for the Elderly.

A person described in any of the following items that corresponds to the conditions of a Specified Continuous Admission of an Insured Person is to be an Insured Person of Long-Term Care Insurance of the Municipality as prescribed respectively in the following items, notwithstanding the provisions of Article 9:

an Insured Person Subject to Domicile Exception for whom it is determined to have changed his or her domicile consecutively from one location where a Facility Subject to Domicile Exception is located to another such Facility by moving in for Admission, etc., at two or more of a Facility Subject to Domicile Exception, where in each said Facility the Insured Person moved in for Admission, etc., continuously, and is considered to have had domicile in another Municipality (a Municipality other than the Municipality where the Facility of Current Admission of an Insured Person is located) when said Insured Person moved in for Admission, etc., at said Facility of First Prior Admission of an Insured Person, from among two or more of a said Facility Subject to Domicile Exception, said other Municipality;

an Insured Person Subject to Domicile Exception for whom it is determined to have changed domicile from a location other than where one of a Facility Subject to Domicile Exception is located to a place where another said Facility Subject to Domicile Exception is located (herein referred to as "Change of Specified Domicile" in this item) by moving in for continuous Admission, etc., from one of two or more of a said Facility Subject to Domicile Exception where the Insured Person continues Admission, etc., to another said Facility Subject to Domicile Exception (herein referred to as "Continuous Admission, etc." in this item), and is considered to have had a domicile in another Municipality (a Municipality other than the Municipality where the Facility of Current Admission of an Insured Person is located) when moving in for Continuous Admission, etc., pertaining to a Change of Specified Domicile for the most recent occurrence, said other Municipality.

A Facility Subject to Domicile Exception at which a person who has been made an Insured Person of Long-Term Care Insurance provided by the other Municipality prescribed in paragraph (1) pursuant to the provisions of that paragraph, or a person who has been made an Insured Person of Long-Term Care Insurance provided by the other Municipality specified in the items of that paragraph pursuant to the provisions of the preceding paragraph (hereinafter referred to as an "Insured Person to Whom the Domicile Exception Applies"), is undergoing Admission, etc. must provide necessary cooperation to the Municipality where said Facility Subject to Domicile Exception is located (hereinafter referred to as the "Municipality Where the Facility Is Located") and to the Municipality that provides Long-Term Care Insurance to said Insured Person to Whom the Domicile Exception Applies.