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Supplementary Provisions, Article 13Exceptions to the Calculation of the Amount of Fixed Levy Pertaining to Insurers of Employee Insurance, etc. for Each of Fiscal Years 2017 and 2018

第十三条(平成二十九年度及び平成三十年度の各年度の被用者保険等保険者に係る確定納付金の額の算定の特例)

The amount of the fixed Levy under the proviso to Article 151, paragraph (1) pertaining to insurers of employee insurance, etc. for each of fiscal years 2017 and 2018 is, notwithstanding the provisions of Article 153, item (i), the amount specified in each of the following items in accordance with the category of insurer of employee insurance, etc. set forth in those items.

平成二十九年度及び平成三十年度の各年度における被用者保険等保険者に係る第百五十一条第一項ただし書の確定納付金の額は、第百五十三条第一号の規定にかかわらず、次の各号に掲げる被用者保険等保険者の区分に応じ、当該各号に定める額とする。

an insurer exceeding the fixed burden adjustment base amount (meaning an insurer of employee insurance, etc. for which the amount obtained by dividing the amount of the fixed total-remuneration-based Levy by the number of Secondary Insured Persons pertaining to that insurer of employee insurance, etc. for each of those fiscal years, calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, exceeds the fixed burden adjustment base amount; the same applies in the following item and paragraph (5)): the total of the total of the amount obtained by deducting the amount subject to burden adjustment from the amount of the fixed total-remuneration-based Levy and the burden adjustment amount, and the amount of the adjusted fixed subscriber-based Levy;

確定負担調整基準超過保険者(確定総報酬割納付金の額を厚生労働省令で定めるところにより算定した当該各年度における当該被用者保険等保険者に係る第二号被保険者の数で除して得た額が確定負担調整基準額を超える被用者保険等保険者をいう。次号及び第五項において同じ。) 確定総報酬割納付金の額から負担調整対象額を控除して得た額と負担調整額との合計額と補正後確定加入者割納付金の額との合計額

an insurer of employee insurance, etc. other than an insurer exceeding the fixed burden adjustment base amount: the total of the total of the amount of the fixed total-remuneration-based Levy and the burden adjustment amount, and the amount of the adjusted fixed subscriber-based Levy.

確定負担調整基準超過保険者以外の被用者保険等保険者 確定総報酬割納付金の額と負担調整額との合計額と補正後確定加入者割納付金の額との合計額

The amount of the fixed total-remuneration-based Levy in each item of the preceding paragraph is the amount obtained by multiplying the number obtained by dividing the amount obtained by multiplying the total amount of fixed Levy before adjustment pertaining to insurers of employee insurance, etc. for each of those fiscal years by one half by the amount set forth in item (i) for each of those fiscal years, by the amount set forth in item (ii) for each of those fiscal years.

前項各号の確定総報酬割納付金の額は、当該各年度における被用者保険等保険者に係る補正前確定納付金総額に二分の一を乗じて得た額を当該各年度における第一号に掲げる額で除して得た数に、当該各年度における第二号に掲げる額を乗じて得た額とする。

the total of the total standard remuneration of Secondary Insured Persons (meaning the total standard remuneration of Secondary Insured Persons prescribed in Article 152, paragraph (2); the same applies in the following item, in the following paragraph, in the items of Article 15, paragraph (2) of the Supplementary Provisions, and in Article 15, paragraph (3) of the Supplementary Provisions) pertaining to all insurers of employee insurance, etc.;

全ての被用者保険等保険者に係る第二号被保険者標準報酬総額(第百五十二条第二項に規定する第二号被保険者標準報酬総額をいう。次号及び次項並びに附則第十五条第二項各号及び第三項において同じ。)の合計額

The fixed burden adjustment base amount in paragraph (1), item (i) is the amount specified by Cabinet Order for each fiscal year, taking into consideration the total standard remuneration of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. for each of those fiscal years, the number of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, and trends in expenses required for Insurance Benefits, etc.

第一項第一号の確定負担調整基準額は、当該各年度における各被用者保険等保険者に係る第二号被保険者標準報酬総額、厚生労働省令で定めるところにより算定した当該各年度における各被用者保険等保険者に係る第二号被保険者の数及び保険給付に要する費用等の動向を勘案し、年度ごとに政令で定める額とする。

The amount subject to burden adjustment set forth in paragraph (1), item (i) is to be the amount obtained by deducting, from the amount of the fixed total-remuneration-based Levy prescribed in paragraph (2), the amount obtained by multiplying the number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the fixed burden adjustment base amount prescribed in the preceding paragraph.

第一項第一号の負担調整対象額は、第二項に規定する確定総報酬割納付金の額から厚生労働省令で定めるところにより算定した当該各年度における当該被用者保険等保険者に係る第二号被保険者の数に前項に規定する確定負担調整基準額を乗じて得た額を控除して得た額とする。

The burden adjustment amount set forth in each item of paragraph (1) is to be the amount obtained by multiplying the amount obtained by dividing the total of the amounts subject to burden adjustment prescribed in the preceding paragraph pertaining to all insurers exceeding the fixed burden adjustment base amount in each such fiscal year by the total of the adjusted numbers of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.

第一項各号の負担調整額は、当該各年度における全ての確定負担調整基準超過保険者に係る前項に規定する負担調整対象額の総額を厚生労働省令で定めるところにより算定した当該各年度における全ての被用者保険等保険者に係る補正後第二号被保険者数の総数で除して得た額に、厚生労働省令で定めるところにより算定した当該各年度における当該被用者保険等保険者に係る補正後第二号被保険者数を乗じて得た額とする。

The amount of the adjusted fixed subscriber-based Levy set forth in each item of paragraph (1) is to be the amount obtained by multiplying the amount obtained by dividing the amount obtained by multiplying the pre-adjustment total fixed Levy for insurers of employee insurance, etc. in each such fiscal year by one half by the total of the adjusted numbers of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.

第一項各号の補正後確定加入者割納付金の額は、当該各年度における被用者保険等保険者に係る補正前確定納付金総額に二分の一を乗じて得た額を厚生労働省令で定めるところにより算定した当該各年度における全ての被用者保険等保険者に係る補正後第二号被保険者数の総数で除して得た額に、厚生労働省令で定めるところにより算定した当該各年度における当該被用者保険等保険者に係る補正後第二号被保険者数を乗じて得た額とする。

The pre-adjustment total fixed Levy for insurers of employee insurance, etc. referred to in paragraph (2) and the preceding paragraph is to be the amount obtained by multiplying the amount obtained by dividing the total of the Amounts Subject to Medical Insurance Premium Payment and the Amounts Subject to Medical Insurance Premium Payment for Comprehensive Project for Long-Term Care Prevention and Daily Life Support of all Municipalities in each such fiscal year by the total number of Secondary Insured Persons pertaining to all medical insurers in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the total number of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.

第二項及び前項の被用者保険等保険者に係る補正前確定納付金総額は、当該各年度における全ての市町村の医療保険納付対象額及び介護予防・日常生活支援総合事業医療保険納付対象額の総額を厚生労働省令で定めるところにより算定した当該各年度における全ての医療保険者に係る第二号被保険者の総数で除して得た額に、厚生労働省令で定めるところにより算定した当該各年度における全ての被用者保険等保険者に係る第二号被保険者の総数を乗じて得た額とする。

The adjusted number of Secondary Insured Persons referred to in paragraphs (5) and (6) is to be the sum of the number of Secondary Insured Persons (excluding specified Secondary Insured Persons) and the number obtained by multiplying the number of persons who are specified Secondary Insured Persons by the ratio specified by Cabinet Order, taking into account, for each fiscal year, the number of persons who are specified Secondary Insured Persons and the status of the amount of the Levy.

第五項及び第六項の補正後第二号被保険者数は、第二号被保険者(特定第二号被保険者を除く。)の数と特定第二号被保険者である者の数に年度ごとに特定第二号被保険者である者の数及び納付金の額の状況を勘案して政令で定める割合を乗じて得た数との合計とする。

Supplementary Provisions, Article 14Exceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019

第十四条(令和元年度の被用者保険等保険者に係る概算納付金の額の算定の特例)

For fiscal year 2019, the amount of the estimated Levy under Article 151, paragraph (1) pertaining to an insurer of employee insurance, etc. is, notwithstanding Article 152, paragraph (1), item (i), to be the amount specified in each of the following items for the category of insurer of employee insurance, etc. set forth in that item:

令和元年度における被用者保険等保険者に係る第百五十一条第一項の概算納付金の額は、第百五十二条第一項第一号の規定にかかわらず、次の各号に掲げる被用者保険等保険者の区分に応じ、当該各号に定める額とする。

an Insurer Exceeding the Estimated Burden Adjustment Base Amount (meaning an insurer of employee insurance, etc. for which the amount obtained by dividing the amount of the estimated total-remuneration-based Levy by the prospective number of Secondary Insured Persons pertaining to that insurer of employee insurance, etc. in fiscal year 2019, calculated as provided by Order of the Ministry of Health, Labour and Welfare, exceeds the estimated burden adjustment base amount; the same applies in the following item and paragraph (5)): the total of the total of the amount obtained by deducting the prospective amount subject to burden adjustment from the amount of the estimated total-remuneration-based Levy and the prospective burden adjustment amount, and the amount of the adjusted estimated subscriber-based Levy;

概算負担調整基準超過保険者(概算総報酬割納付金の額を厚生労働省令で定めるところにより算定した令和元年度における当該被用者保険等保険者に係る第二号被保険者の見込数で除して得た額が概算負担調整基準額を超える被用者保険等保険者をいう。次号及び第五項において同じ。) 概算総報酬割納付金の額から負担調整対象見込額を控除して得た額と負担調整見込額との合計額と補正後概算加入者割納付金の額との合計額

an insurer of employee insurance, etc. other than an Insurer Exceeding the Estimated Burden Adjustment Base Amount: the total of the total of the amount of the estimated total-remuneration-based Levy and the prospective burden adjustment amount, and the amount of the adjusted estimated subscriber-based Levy.

概算負担調整基準超過保険者以外の被用者保険等保険者 概算総報酬割納付金の額と負担調整見込額との合計額と補正後概算加入者割納付金の額との合計額

The amount of the estimated total-remuneration-based Levy set forth in each item of the preceding paragraph is to be the amount obtained by multiplying the number obtained by dividing the amount obtained by multiplying the pre-adjustment total estimated Levy for insurers of employee insurance, etc. for fiscal year 2019 (meaning the pre-adjustment total estimated Levy for insurers of employee insurance, etc. prescribed in Article 12, paragraph (7) of the Supplementary Provisions; the same applies in paragraph (6)) by three fourths by the amount set forth in item (i) for that fiscal year, by the amount set forth in item (ii) for that fiscal year:

前項各号の概算総報酬割納付金の額は、令和元年度における被用者保険等保険者に係る補正前概算納付金総額(附則第十二条第七項に規定する被用者保険等保険者に係る補正前概算納付金総額をいう。第六項において同じ。)に四分の三を乗じて得た額を同年度における第一号に掲げる額で除して得た数に、同年度における第二号に掲げる額を乗じて得た額とする。

The estimated burden adjustment base amount set forth in paragraph (1), item (i) is to be the amount specified by Cabinet Order, taking into account the prospective total standard remuneration of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. in fiscal year 2019, the prospective number of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, and trends in the expenses, etc. required for Insurance Benefits.

第一項第一号の概算負担調整基準額は、令和元年度における各被用者保険等保険者に係る第二号被保険者標準報酬総額の見込額、厚生労働省令で定めるところにより算定した同年度における各被用者保険等保険者に係る第二号被保険者の見込数及び保険給付に要する費用等の動向を勘案し、政令で定める額とする。

The prospective amount subject to burden adjustment set forth in paragraph (1), item (i) is to be the amount obtained by deducting, from the amount of the estimated total-remuneration-based Levy prescribed in paragraph (2), the amount obtained by multiplying the prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in fiscal year 2019, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the estimated burden adjustment base amount prescribed in the preceding paragraph.

第一項第一号の負担調整対象見込額は、第二項に規定する概算総報酬割納付金の額から厚生労働省令で定めるところにより算定した令和元年度における当該被用者保険等保険者に係る第二号被保険者の見込数に前項に規定する概算負担調整基準額を乗じて得た額を控除して得た額とする。

The prospective burden adjustment amount set forth in each item of paragraph (1) is to be the amount obtained by multiplying the amount obtained by dividing the total of the prospective amounts subject to burden adjustment prescribed in the preceding paragraph pertaining to all Insurers Exceeding the Estimated Burden Adjustment Base Amount in fiscal year 2019 by the total of the adjusted prospective numbers of Secondary Insured Persons (meaning the adjusted prospective number of Secondary Insured Persons prescribed in Article 12, paragraph (8) of the Supplementary Provisions; the same applies below in this paragraph and the following paragraph) pertaining to all insurers of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.

第一項各号の負担調整見込額は、令和元年度における全ての概算負担調整基準超過保険者に係る前項に規定する負担調整対象見込額の総額を厚生労働省令で定めるところにより算定した同年度における全ての被用者保険等保険者に係る補正後第二号被保険者見込数(附則第十二条第八項に規定する補正後第二号被保険者見込数をいう。以下この項及び次項において同じ。)の総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該被用者保険等保険者に係る補正後第二号被保険者見込数を乗じて得た額とする。

The amount of the adjusted estimated subscriber-based Levy set forth in each item of paragraph (1) is to be the amount obtained by multiplying the amount obtained by dividing the amount obtained by multiplying the pre-adjustment total estimated Levy for insurers of employee insurance, etc. for fiscal year 2019 by one fourth by the total of the adjusted prospective numbers of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.

第一項各号の補正後概算加入者割納付金の額は、令和元年度における被用者保険等保険者に係る補正前概算納付金総額に四分の一を乗じて得た額を厚生労働省令で定めるところにより算定した同年度における全ての被用者保険等保険者に係る補正後第二号被保険者見込数の総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該被用者保険等保険者に係る補正後第二号被保険者見込数を乗じて得た額とする。

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