Long-Term Care Insurance Act

payment of an Allowance for Registered Facility Preventive Long-Term Care Service Plan:Article 59-2, paragraph (2);

payment of an Exceptional Allowance for registered facility Preventive Long-Term Care Service plan:the preceding Article, paragraph (4) and paragraph (5);

In a case when a Municipality applies the provisions determined in each item of paragraph (1) of the preceding Article to a Prevention Benefit listed in those items that an Insured In-Home Person Requiring Support receives, for whom it is deemed to be difficult to pay necessary expenses for Preventive Long-Term Care Service (including equivalent services; the same applies hereinafter in this Article), Community-Based Service for Preventive Long-Term Care (including equivalent services; the same applies hereinafter in this Article), or registered facility Preventive Long-Term Care Support (including equivalent services; the same applies hereinafter in this Article), or Home Modification due to a disaster or other special reasons as determined by Order of the Ministry of Health, Labour and Welfare (excluding a case when they are applied with the terms replaced pursuant to the provisions of that Article), the term "90 percent" in these provisions is to be deemed to be replaced with "the percentage provided by a Municipality within the range exceeding 90 percent and 100 percent or less".

In a case when a Municipality applies the provisions determined in each item of paragraph (1) of the preceding Article to a Prevention Benefit listed in those items that an Insured In-Home Person Requiring Support receives, for whom it is deemed to be difficult to pay necessary expenses for Preventive Long-Term Care Service, Community-Based Service for Preventive Long-Term Care, or registered facility Preventive Long-Term Care Support, or Home Modification due to a disaster or other special circumstance as determined by Order of the Ministry of Health, Labour and Welfare (limited to a case when they are applied with the terms replaced pursuant to the provisions of that paragraph), the phrase "80 percent" in these provisions applied with the terms replaced pursuant to the provisions of that paragraph is to be deemed to be replaced with "the percentage provided by a Municipality within the range exceeding 80 percent and 100 percent or less".

In a case when a Municipality applies the provisions determined in each item of paragraph (1) of the preceding Article to a Prevention Benefit listed in those items that an Insured In-Home Person Requiring Support receives, for whom it is deemed to be difficult to pay necessary expenses for Preventive Long-Term Care Service, Community-Based Service for Preventive Long-Term Care, or registered facility Preventive Long-Term Care Support, or Home Modification due to a disaster or other special circumstance as determined by Order of the Ministry of Health, Labour and Welfare (limited to a case when they are applied with the terms replaced pursuant to the provisions of paragraph (2) of that Article), the phrase "70 percent" in these provisions applied with the terms replaced pursuant to the provisions of paragraph (2) of that Article is to be deemed to be replaced with "the percentage provided by a Municipality within the range exceeding 70 percent and 100 percent or less".

When the amount that is obtained by deducting from the amount calculated pursuant to the provisions of a Cabinet Order as the total amount of each expense required for Preventive Long-Term Care Service (including equivalent service) or, Community-Based Service for Preventive Long-Term Care (including equivalent service) or registered facility Preventive Long-Term Care Support (including equivalent service) that an Insured In-Home Person Requiring Support receives, the total amount of Allowance for Preventive Long-Term Care Service, Exceptional Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Exceptional Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Registered Facility Preventive Long-Term Care Service Plan, and Exceptional Allowance for Community-Based Registered Facility Preventive Long-Term Care Service Plan that are actually paid for said expenses (herein referred to as "User Charge for Preventive Long-Term Care Service" in paragraph (1) of the following Article) is significantly large, a Municipality pays an Allowance for High-Cost Preventive Long-Term Care Service to said Insured In-Home Person Requiring Support.

In addition to the provisions as set forth in the preceding paragraph, requirements for payment of an Allowance for High-Cost Preventive Long-Term Care Service, the amount of said allowance, and other matters necessary for payment of an Allowance for High-Cost Preventive Long-Term Care Service are prescribed by a Cabinet Order after considering the impact on the household budget from the burden of the expenses necessary for Preventive Long-Term Care Service or, Community-Based Service for Preventive Long-Term Care or registered facility Preventive Long-Term Care Support.

A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc. who is a Primary Insured Person delinquent in payment of an insurance premium (excluding those who can receive payment of a medical allowance for general disease pursuant to the Atomic Bomb Survivors' Assistance Act (Act No. 117 of 1994) and other benefits for medical care as determined by Order of the Ministry of Health, Labour and Welfare) fails to pay said insurance premium from the payment due date of said insurance premium until the expiry of the period as determined by Order of the Ministry of Health, Labour and Welfare, except for a case when it is found that there is a special circumstance for said delinquency of insurance premium payment such as a disaster or other circumstances provided by a Cabinet Order, is to requestgive said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, and to enter on said Certificate of Insured Persona notice to the effect that the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 47-2, paragraph (4), Article 48, paragraph (4), Article 51-3, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4) , Article 59-2, paragraph (4) and Article 61-3, paragraph (4) do not apply (hereinafter referred to as "EntryNotice of Change of Payment Method" in this Article and paragraph (3) of the following Article). In this case, the Municipality, when it determines it necessary with regard to the qualification of an Insured Person, may request said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

A Municipality, although in a case when the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the preceding paragraph has not yet expired, except for a case when it is determined that said person delinquent in payment is due tothere are special circumstances provided by a Cabinet Order as prescribed in the same paragraph, may requestgive the Insured Person Requiring Long-Term Care, etc., as prescribed in the same paragraph to submit a Notice of Change of Payment Method, pursuant to the Certificateprovisions of Insured Person, Order of the Ministry of Health, Labour and include Welfare. In this case, the Entry of Change Municipality, when it determines it necessary with regard to the qualification of Payment Method on an Insured Person, may request said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

A Municipality, when an Insured Person Requiring Long-Term Care, etc., that has received an Entrya Notice of Change of Payment Method pursuant to the provisions of the preceding two paragraphs and has completed payment of said delinquent insurance premium or when it is determined that the delinquent payment amount pertaining to said Insured Person Requiring Long-Term Care, etc., has decreased significantly or due to a disaster or other special circumstances provided by a Cabinet Order, is to deletewithdraw said EntryNotice of Change of Payment Method and notify said Insured Person Requiring Long-Term Care, etc. of that effect, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

With regard to the payment of an Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, Allowance for In-Home Long-Term Care Service Plan, Allowance for Registered Facility Long-Term Care Service Plan, Allowance for Long-Term Care Facility Service, Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Preventive Long-Term Care Service Plan, Allowance for Registered Facility Preventive Long-Term Care Service Plan, and Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility, pertaining to Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Registered Facility Long-Term Care Support, Designated Facility Service, etc., Designated Preventive Long-Term Care Service, Designated Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support, and Designated Registered Facility Preventive Long-Term Care Support that an Insured Person Requiring Long-Term Care, etc. who received an Entrya Notice of Change of Payment Method pursuant to the provisions of paragraph (1) or paragraph (2) receives during the period in which said EntryNotice of Change of Payment Method remainshas been received, the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 47-2, paragraph (4), Article 48, paragraph (4), Article 51-3, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), Article 59-2, paragraph (4), and Article 61-3, paragraph (4) do not apply.

A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc., that has received an Entrya Notice of Change of Payment Method pursuant to the provisions of paragraph (1) or paragraph (2) of the preceding Article and whose insurance benefit has been temporarily suspended in whole or in part pursuant to the provisions of the preceding two paragraphs and who has not yet paid the delinquent insurance premium, may notify in advance said Insured Person Requiring Long-Term Care, etc., pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, and deduct the amount of delinquent insurance premium of said Insured Person Requiring Long-Term Care, etc., from the amount of insurance benefit pertaining to said temporary suspension.

With regard to an Insured Person Requiring Long-Term Care, etc. who is a Secondary Insured Person that can receive an insurance benefit, in a case when there is an insurance premium (including National Health Insurance tax pursuant to the provisions of the Local Tax Act (Act No. 226 of 1950)) or contribution that said Insured Person Requiring Long-Term Care, etc. is obligated to pay or remit pursuant to the provisions of the Medical Insurance Acts and that was not paid by the payment deadline or remittance deadline (hereinafter referred to as "Unpaid Medical Insurance Premium, etc." in this paragraph and the following paragraph), except for a case when it is found that the existence of the Unpaid Medical Insurance Premium, etc. is due to a disaster or other special circumstance as determined by a Cabinet Order, a Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, may requestgive said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person and may enter on said Certificate of Insured Persona notice to the effect that the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 47-2, paragraph (4), Article 48, paragraph (4), Article 51-3, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), Article 59-2, paragraph (4), and Article 61-3, paragraph (4) do not apply and that the whole or a part of the payment of an insurance benefit is to be suspended (hereinafter referred to as "Entrynotice of Suspensionsuspension of Insurance Benefitinsurance benefit" in this Article). In this case, the Municipality, when it determines it necessary with regard to the qualification of an Insured Person, may request said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

When an Insured Person Requiring Long-Term Care, etc., that has received an Entrya notice of Suspensionsuspension of Insurance Benefitinsurance benefit pursuant to the provisions of the preceding paragraph completes payment of an Unpaid Medical Insurance Premium, etc., or when it is determined that there is a significant decrease of an Unpaid Medical Insurance Premium, etc., pertaining to said Insured Person Requiring Long-Term Care, etc., or due to disaster or other special circumstance as provided by a Cabinet Order, the Municipality is to withdraw said Entrynotice of Suspensionsuspension of Insurance Benefit is insurance benefit and notify said Insured Person Requiring Long-Term Care, etc. of that effect, pursuant to be deletedthe provisions of Order of the Ministry of Health, Labour and Welfare.

The provisions of Article 66, paragraph (4) apply mutatis mutandis to an Insured Person Requiring Long-Term Care, etc., that has received an Entrya notice of Suspensionsuspension of Insurance Benefitinsurance benefit pursuant to the provisions of paragraph (1).

With regard to an Insured Person Requiring Long-Term Care, etc., that has received an Entrya notice of Suspensionsuspension of Insurance Benefitinsurance benefit pursuant to the provisions of paragraph (1), a Municipality is to temporarily suspend the whole or a part of an insurance benefit.

A Municipality, when it finds it necessary in relation to the Entrynotice of Suspensionsuspension of Insurance Benefit ofinsurance benefit for an Insured Person Requiring Long-Term Care, etc., may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, request the medical insurer in which said Insured Person Requiring Long-Term Care, etc. is enrolled (the Minister of Health, Labour and Welfare, where said Insured Person Requiring Long-Term Care, etc. is an insured person of health insurance administered by the Japan Health Insurance Association (excluding a voluntary continuing insured person prescribed in Article 3, paragraph (4) of the Health Insurance Act) or a dependent thereof, or an insured person of mariners insurance (excluding a voluntary continuing insured person for sickness prescribed in Article 2, paragraph (2) of the Mariners Insurance Act) or a dependent thereof, and a Municipality, where said Insured Person Requiring Long-Term Care, etc. is an insured person of National Health Insurance conducted by a prefecture together with the Municipalities within that prefecture as provided in the National Health Insurance Act (hereinafter referred to as "National Health Insurance"); the same applies hereinafter in this Article) to provide information on the status of payment of insurance premiums (including National Health Insurance tax collected pursuant to the provisions of the Local Tax Act) or contributions collected pursuant to the provisions of the Medical Insurance Acts with regard to said Insured Person Requiring Long-Term Care, etc., and other matters as determined by Order of the Ministry of Health, Labour and Welfare.

When a Municipality has made a Certification of Needed Long-Term Care, a Renewal of Certification of Needed Long-Term Care, a Certification of Change of Category of Condition of Need for Long-Term Care pursuant to the provisions of Article 27, paragraph (7) as applied mutatis mutandis pursuant to Article 29, paragraph (2) or pursuant to the provisions of Article 30, paragraph (1), a Certification of Needed Support, a Renewal of Certification of Needed Support, or a Certification of Change of Category of Needed Support Condition pursuant to the provisions of Article 32, paragraph (6) as applied mutatis mutandis pursuant to Article 33-2, paragraph (2) or pursuant to the provisions of Article 33-3, paragraph (1) (hereinafter referred to simply as "Certification" in this paragraph), and there is a Period of Extinguished Right to Collect Insurance Premiums (meaning a period calculated pursuant to the provisions of a Cabinet Order regarding the period for which the right to collect the insurance premium pertaining to said period has been extinguished by prescription; the same applies hereinafter in this paragraph) with regard to an Insured Person Requiring Long-Term Care, etc. who is a Primary Insured Person pertaining to said Certification, the Municipality is to enter on the Certificate of Insured Person ofgive notice to said Insured Person Requiring Long-Term Care, etc., pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, in addition to the entrynotice pursuant to the provisions of the second sentence of Article 27, paragraph (7) (including a case applied mutatis mutandis pursuant to Article 28, paragraph (4) and, Article 29, paragraph (2)), the second sentence of and Article 30, paragraph (1)2)) or the second sentence of Article 35, paragraph (4), or the second sentence of Article 32, paragraph (6) (including a case applied mutatis mutandis pursuant to Article 33, paragraph (4) and, Article 33-2, paragraph (2)), the second sentence of and Article 33-3, paragraph (1)2)) or the second sentence of Article 35, paragraph (2) or the second sentence of paragraph (6) of that Article, as pertaining to said Certification, of the fact that the amount of the Long-Term Care Benefit, etc. (excluding payment of an Allowance for In-Home Long-Term Care Service Plan, payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan, payment of an Allowance for Preventive Long-Term Care Service Plan and payment of an Exceptional Allowance for Preventive Long-Term Care Service Plan, payment of an Allowance for High-Cost Long-Term Care Service, payment of an Allowance for High-Cost Medical and Long-Term Care Service Combined, payment of an Allowance for High-Cost Preventive Long-Term Care Service and payment of an Allowance for High-Cost Medical and Preventive Long-Term Care Service Combined, and payment of an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, payment of an Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, payment of an Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility and payment of an Exceptional Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility) is to be reduced, and that the Allowance for High-Cost Long-Term Care Service, the Allowance for High-Cost Medical and Long-Term Care Service Combined, the Allowance for High-Cost Preventive Long-Term Care Service and the Allowance for High-Cost Medical and Preventive Long-Term Care Service Combined, and the Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, the Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, the Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility and the Exceptional Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility will not be paid, and of the period during which these measures are taken (meaning a period determined by the Municipality, as specified by Cabinet Order, according to the Period of Extinguished Right to Collect Insurance Premiums; hereinafter referred to as the "Benefit Reduction Period" in this Article) (hereinafter referred to as "Entrynotice of Benefit Reduction Amountbenefit reduction amount, etc." in this Article); provided, however, that this does not apply when it is found that there is a special circumstance, such as a disaster, specified by Cabinet Order with regard to said Insured Person Requiring Long-Term Care, etc.

A Municipality, when it is determined that an Insured Person Requiring Long-Term Care, etc., that has received an Entrya notice of Benefit Reduction Amountbenefit reduction amount, etc., pursuant to the provisions of the preceding paragraph is subject to a special circumstance as provided by a Cabinet Order as set forth in the proviso of the same paragraph, andor when the Benefit Reduction Period expires, is to deletewithdraw said Entrynotice of Benefit Reduction Amountbenefit reduction amount, etc. and notify said Insured Person Requiring Long-Term Care, etc. of that effect, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

With regard to the Long-Term Care Benefit, etc. listed in the following items pertaining to In-Home Service (including equivalent service; the same applies hereinafter in this Article), Community-Based Service (including equivalent service; the same applies hereinafter in this Article), registered facility long-term care support (including equivalent service; the same applies hereinafter in this Article), Facility Service, Preventive Long-Term Care Service (including equivalent service; the same applies hereinafter in this Article), and Community-Based Service for Preventive Long-Term Care (including equivalent service; the same applies hereinafter in this Article) , and registered facility Preventive Long-Term Care Support (including equivalent service; the same applies hereinafter in this Article) used, and Home Modification carried out, by an Insured Person Requiring Long-Term Care, etc. who has received an Entrya notice of Benefit Reduction Amountbenefit reduction amount, etc. pursuant to the provisions of paragraph (1), from the first day of the month following the month that includes the day on which said entry notice of benefit reduction amount, etc. was received until said Benefit Reduction Period has elapsed, in the case of applying the provisions specified in each of those items (excluding a case when the provisions are applied as replaced pursuant to the provisions of Article 49-2 or Article 59-259-4), the term "90 percent" in those provisions is deemed to be replaced with "70 percent":

payment of an Allowance for registered facility Long-Term Care Service plan:Article 47-2, paragraph (2);

payment of an Exceptional Allowance for registered facility Long-Term Care Service plan:Article 47-3, paragraph (4) and paragraph (5);

payment of an Allowance for registered facility Preventive Long-Term Care Service plan:Article 59-2, paragraph (2);

payment of an Exceptional Allowance for registered facility Preventive Long-Term Care Service plan:Article 59-3, paragraph (4) and paragraph (5);

With regard to the Long-Term Care Benefit, etc. listed in the items of the preceding paragraph pertaining to In-Home Service, Community-Based Service, registered facility long-term care support, Facility Service, Preventive Long-Term Care Service, and Community-Based Service for Preventive Long-Term Care , and registered facility Preventive Long-Term Care Support used, and Home Modification carried out, by an Insured Person Requiring Long-Term Care, etc. who has received an Entrya notice of Benefit Reduction Amountbenefit reduction amount, etc. pursuant to the provisions of paragraph (1), from the first day of the month following the month that includes the day on which said entry notice of benefit reduction amount, etc. was received until said Benefit Reduction Period has elapsed, in the case of applying the provisions specified in each of those items (limited to a case when the provisions are applied as replaced pursuant to the provisions of Article 49-2, paragraph (1) or Article 59-259-4, paragraph (1)), the term "80 percent" in those provisions applied as replaced pursuant to the provisions of Article 49-2, paragraph (1) or Article 59-259-4, paragraph (1) is deemed to be replaced with "70 percent".

With regard to the Long-Term Care Benefit, etc. listed in the items of paragraph (3) pertaining to In-Home Service, Community-Based Service, registered facility long-term care support, Facility Service, Preventive Long-Term Care Service, and Community-Based Service for Preventive Long-Term Care , and registered facility Preventive Long-Term Care Support used, and Home Modification carried out, by an Insured Person Requiring Long-Term Care, etc. who has received an Entrya notice of Benefit Reduction Amountbenefit reduction amount, etc. pursuant to the provisions of paragraph (1), from the first day of the month following the month that includes the day on which said entry notice of benefit reduction amount, etc. was received until said Benefit Reduction Period has elapsed, in the case of applying the provisions specified in each of those items (limited to a case when the provisions are applied as replaced pursuant to the provisions of Article 49-2, paragraph (2) or Article 59-259-4, paragraph (2)), the term "70 percent" in those provisions applied as replaced pursuant to the provisions of Article 49-2, paragraph (2) or Article 59-259-4, paragraph (2) is deemed to be replaced with "60 percent".

The provisions of Article 51, paragraph (1), Article 51-2, paragraph (1), Article 51-3, paragraph (1), Article 51-4, paragraph (1), Article 61, paragraph (1), Article 61-2, paragraph (1), Article 61-3, paragraph (1) and Article 61-4, paragraph (1) do not apply to the expenses necessary for In-Home Service, Community-Based Service, registered facility long-term care support, Facility Service, Preventive Long-Term Care Service and, Community-Based Service for Preventive Long-Term Care and registered facility Preventive Long-Term Care Support received by an Insured Person Requiring Long-Term Care, etc. who has received an Entrya notice of Benefit Reduction Amountbenefit reduction amount, etc. pursuant to the provisions of paragraph (1), from the first day of the month following the month that includes the day on which said entrynotice of benefit reduction amount, etc. was received until said Benefit Reduction Period has elapsed.

When a person that is registered as set forth in paragraph (1) of the preceding Article engages in or intends to engage in the business of a Designated In-Home Long-Term Care Support Provider, or ofa Designated Registered Facility Long-Term Care Support Provider, or another provider or facility specified by Order of the Ministry of Health, Labour and Welfare, located in a prefecture other than the prefecture governed by the prefectural governor that made said registration, said person may apply for a transfer of registration to the prefectural governor governing the location of the Business Office of said provider or the location of said facility via the prefectural governor that made said registration, however, provided that this provision does not apply when said person is punished by a prohibition pursuant to the provisions of Article 69-38, paragraph (3) or (6) and said prohibition period has not completely expired.

A prefectural governor, when a provider or an establisher of a facility that has received a recommendation pursuant to the provisions of paragraph (3) and is a Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Registered Facility Long-Term Care Support Provider , Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, or Designated Registered Facility Preventive Long-Term Care Support Provider, or is an Establisher of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Long-Term Care Health Facility, or an integrated facility for medical and long-term care, has not taken the measures pertaining to said recommendation without a justifiable basis, may order said provider or establisher of a facility, setting a due date, to take the measures pertaining to said recommendation.

when the applicant has, with regard to insurance premiums, charges or contributions (including National Health Insurance tax pursuant to the provisions of the Local Tax Act; hereinafter referred to as "insurance premiums, etc."except in this item, Article 78-2, paragraph (4), item (v)-3, Article 7986, paragraph (2), item (iv)-3, Article 94, paragraph (3), item (v)-3, Article 107, paragraph (3), item (vii), Article 115-2, paragraph (2), item (v)-3, Article 115-12, paragraph (2), item (v)-3, Article 115-22, paragraph (2), item (iv)-3 and Article 203, paragraph (2)(c), hereinafter referred to as "insurance premiums, etc.") that the applicant is obligated to pay under the provisions of the social insurance Acts or the Act on the Collection, etc. of Insurance Premiums of Labor Insurance (Act No. 84 of 1969), been subject, by the day before the day of making said application, to a disposition of delinquency based on the provisions of those Acts, and has continued, for a period of three months or more from the day of receiving said disposition without a justifiable reason, to be delinquent in all of the insurance premiums, etc. whose due dates arrived on or after the day of receiving said disposition (limited to insurance premiums, etc. that the person subject to said disposition is obligated to pay under an Act that provides that the person is obligated to pay the insurance premiums, etc. pertaining to said disposition; the same appliesexcept in Article 78-2, paragraph (4), item (v)-3, Article 79, paragraph (2), item (iv)-3, Article 94, paragraph (3), item (v)-3, Article 107, paragraph (3), item (vii), Article 115-2, paragraph (2), item (v)-3, Article 115-12,(c) of that paragraph (2), item (v)-3 and Article 115-22, paragraph (2), item (iv)-3, the same applies hereinafter);

A Designated In-Home Service Provider, when it has confirmed, through the presentation of the certificate of insured person, etc. by an Insured Person that intends to receive Designated In-Home Service, an opinion pertaining to said Insured Person, which is an opinion as listed in Article 27, paragraph (7), item (ii) (including a case applied mutatis mutandis pursuant to Article 28, paragraph (4) , Article 29, paragraph (2) or Article 2930, paragraph (2)) or Article 32, paragraph (6), item (ii) (including a case applied mutatis mutandis pursuant to Article 33, paragraph (4) or, Article 33-2, paragraph (2)), or an opinion as prescribed in the second sentence of Article 30, paragraph (1) or in the second sentence of Article 33-3, paragraph (12)) (herein referred to as "Opinion of the Certification Committee"), must engage in offering said Designated In-Home Service of said Insured Person in consideration of said Opinion of the Certification Committee.

A Designated In-Home Service Provider, when it has provided notification of the abolition or suspension of the business pursuant to the provisions of paragraph (2) of the following Article, must, with regard to a person who received said Designated In-Home Service within one month before the date of said notification and who wishes to continue to be provided with services equivalent to said Designated In-Home Service even on or after the date of said abolition or suspension of the business, provide convenience, such as coordination with Designated In-Home Long-Term Care Support Providers, Designated Registered Facility Long-Term Care Support Providers, other Designated In-Home Service Providers and other relevant persons, so that necessary In-Home Service, etc. is continuously provided.

A prefectural governor or mayor of a Municipality, when finding it necessary for the smooth provision of the convenience prescribed in Article 74, paragraph (5) by a Designated In-Home Service Provider, may coordinate among said Designated In-Home Service Provider, Designated In-Home Long-Term Care Support Providers, Designated Registered Facility Long-Term Care Support Providers, other Designated In-Home Service Providers and other relevant persons, or provide advice and other assistance to said Designated In-Home Service Provider and said relevant persons.

A Designated Community-Based Service Provider, when it provides notification of abolishment or suspension of business pursuant to the provisions of paragraph (2) of the following Article or when it declines an appointment as service provider pursuant to the provisions of Article 78-8, must provide coordination with Designated In-Home Long-Term Care Support Providers, Designated Registered Facility Long-Term Care Support Providers, other Designated Community-Based Service Providers, and other relevant persons, and provide other conveniences, to a person who received said Designated Community-Based Service (excluding Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) within one month before the date of said notification, or a person who received said Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care on the day before the first day of the prior notice period prescribed in the same Article, and who wishes to continue to be provided with services equivalent to said Designated Community-Based Service on or after the date of said abolishment or suspension of business or the date of said decline of appointment as service provider, so that necessary In-Home Service, etc. are provided continuously.

A mayor of a Municipality, when it is determined to be necessary for a Designated Community-Based Service Provider to smoothly provide the conveniences prescribed in Article 78-4, paragraph (7), may provide coordination among said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Providers, Designated Registered Facility Long-Term Care Support Providers, other Designated Community-Based Service Providers, and other relevant persons, or advice and other assistance to said Designated Community-Based Service Provider and said relevant persons.

when a Designated Community-Based Service Provider (limited to a Provider that provides Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care) is entrusted with an investigation pursuant to the provisions of Article 28, paragraph (5) (including a case applied mutatis mutandis pursuant to Article 29, paragraph (2), Article 30, paragraph (2), Article 31, paragraph (23), Article 33, paragraph (4), Article 33-2, paragraph (2), Article 33-3, paragraph (2), and Article 34, paragraph (23); the same applies to Article 84, Article 85-9, Article 92, Article 104 and Article 114-6), and submits a false report regarding the result of said investigation;

Section 4-2 Designated Registered Facility Long-Term Care Support Providers