Section 1 General Rules
第一節 通則
第十三条(組織)
National health insurance societies (hereinafter referred to as a "Society") shall be organized by incorporating those who are engaged in the same kind of business or work and are domiciled in the same district of a Society as its members.
国民健康保険組合(以下「組合」という。)は、同種の事業又は業務に従事する者で当該組合の地区内に住所を有するものを組合員として組織する。
The district of a Society set forth in the preceding paragraph shall consist of the area covered by one, or two or more Municipalities; provided, however, that this shall not apply if any special reason exists for not basing said district on such areas.
Notwithstanding the provisions of paragraph (1), a person shall not be eligible as a Society member if said person falls under any of the items (excluding items (viii) and (x)) of Article 6 or is an insured person under any national health insurance program provided by another Society; provided, however, that this shall not apply if said person's household includes any person who does not fall under any of the items (excluding item (x)) of the same Article and who is not an insured person under any national health insurance program provided by another Society.
Notwithstanding the provisions of paragraph (1), a person shall be eligible as a Society member if said person is employed by said Society, does not fall under any of the items (excluding items (viii) and (x)) of Article 6, and is not an insured person under any national health insurance program provided by another Society.
第十四条(人格)
第十五条(名称)
第十六条(住所)
第十七条(設立)
The establishment of a Society must be subject to the authorization of the prefectural governor governing the area which is the location of its principal office.
組合を設立しようとするときは、主たる事務所の所在地の都道府県知事の認可を受けなければならない。
An application for the authorization set forth in the preceding paragraph shall be filed by preparing the Society's constitution, which shall be prepared by at least fifteen founders, and by obtaining consent thereto from at least three hundred persons who will become members of said Society.
前項の認可の申請は、十五人以上の発起人が規約を作成し、組合員となるべき者三百人以上の同意を得て行うものとする。
In the case where an application for the authorization set forth in paragraph (1) is filed, the prefectural governor shall, in advance, hear the opinions of the persons specified in each of the following items for the categories of Societies set forth in those items, and shall not give the authorization set forth in the same paragraph unless said prefectural governor finds that the establishment of the Society pertaining to the application for authorization will not hinder the administration of the national health insurance services of the prefectures whose areas include the district of said Society and of the Municipalities within those prefectures.
a Society whose district does not extend beyond the area of one prefecture: the heads of the Municipalities (including the heads of special wards; the same applies hereinafter) whose area includes the district of said Society;
その地区が一の都道府県の区域を越えない組合 当該組合の地区をその区域に含む市町村の市町村長(特別区の区長を含む。以下同じ。)
a Society whose district extends over the areas of two or more prefectures: the heads of the Municipalities whose area includes the district of said Society (limited to Municipalities within the prefecture governed by the prefectural governor who received the application for the authorization set forth in paragraph (1)) and the prefectural governors of the prefectures whose areas include the district of said Society (excluding the prefectural governor who received the application for said authorization; referred to as an "other prefectural governor" in the following paragraph).
In stating an opinion pursuant to the provisions of the preceding paragraph, the other prefectural governor must in advance hear the opinions of the heads of the Municipalities within the prefecture governed by that other prefectural governor (limited to Municipalities whose area includes the district of the Society pertaining to the application for the authorization set forth in paragraph (1)).
The constitution of a Society must contain the particulars listed in the following items:
組合の規約には、次の各号に掲げる事項を記載しなければならない。
name;
名称
location of the office;
事務所の所在地
particulars pertaining to the joining and withdrawal of Society members;
組合員の加入及び脱退に関する事項
particulars pertaining to the acquisition and loss of eligibility as an insured person;
被保険者の資格の取得及び喪失に関する事項
particulars pertaining to officers;
役員に関する事項
particulars pertaining to Society meetings;
組合会に関する事項
particulars pertaining to insurance premiums;
保険料に関する事項
particulars pertaining to reserves and other particulars related to property management;
準備金その他の財産の管理に関する事項
method for giving public notice;
公告の方法
in addition to the particulars listed in the preceding items, particulars specified by Ordinance of the Ministry of Health, Labour and Welfare.
前各号に掲げる事項のほか厚生労働省令で定める事項
第十九条(被保険者)
A Society member and all persons belonging to said member's household shall be insured persons under the national health insurance program provided by said Society; provided, however, that this shall not apply to any person who falls under any of the items (excluding item (x)) of Article 6 or is an insured person under any national health insurance program provided by another Society.
Notwithstanding the provisions of the preceding paragraph, a Society may, pursuant to the provisions of its constitution, choose not to grant status as an insured person collectively to all persons belonging to the household of a member of such Society.
Article 20Time of Acquisition of Eligibility
第二十条(資格取得の時期)
An insured person under the national health insurance program provided by a Society shall become eligible as such on the day on which said person becomes a member of said Society or on the first day on which said person belongs to such member's household or on which said person no longer falls under any of the items (excluding item (x)) of Article 6 or on the day on which said person ceases to be an insured person under the National Health Insurance provided by another Society.
Article 21Time of Loss of Eligibility
第二十一条(資格喪失の時期)
An insured person under the national health insurance program provided by a Society shall lose eligibility as such from the day immediately following the day on which said person ceases to be a member of said Society or ceases to belong to such member's household or from the day immediately following the first day on which said person falls under any of the items (excluding items (ix) and (x)) of Article 6; provided, however, that if said insured person becomes an insured person under the national health insurance program provided by prefectures, etc. or the national health insurance program provided by another Society as a result of the fact that said person ceases to be a member of said Society or ceases to belong to such member's household, said person shall lose eligibility as such from the day on which said person ceases to be a member of such Society or ceases to belong to such member's household.
組合が行う国民健康保険の被保険者は、組合員若しくは組合員の世帯に属する者でなくなつた日の翌日又は第六条各号(第九号及び第十号を除く。)のいずれかに該当するに至つた日の翌日から、その資格を喪失する。ただし、組合員又は組合員の世帯に属する者でなくなつたことにより、都道府県等が行う国民健康保険又は他の組合が行う国民健康保険の被保険者となつたときは、その日から、その資格を喪失する。
An insured person under the national health insurance program provided by a Society shall lose eligibility as such from the first day on which said person falls under item (ix) of Article 6.
The provisions of Article 9 (excluding paragraph (6)) apply mutatis mutandis to notification concerning insured persons under the national health insurance program provided by a Society and confirmation concerning the eligibility of insured persons. In this case, the term "Householder" in paragraphs (1), (3) and (5) of that Article is deemed to be replaced with "Society member"; the term "the Municipality" in paragraphs (1) and (5) of that Article with "the Society"; the phrase "as a Householder" in paragraph (2) of that Article with "as a Society member"; the phrase "Householder may" in paragraphs (2) and (4) of that Article with "Society member may"; the phrase "the Municipality in which said Householder has a domicile" in paragraphs (2) and (4) of that Article with "the Society"; the phrase "the Municipality is to" in paragraphs (2) and (4) of that Article with "the Society is to"; and the phrase "the Householder who requested" in paragraphs (2) and (4) of that Article with "the Society member who requested".
Section 2 Management
第二節 管理
第二十三条(役員)
The fixed number of directors shall be five or more and the fixed number of auditors shall be two or more, and each of these fixed numbers shall be specified by the Society's constitution.
理事の定数は五人以上、監事の定数は二人以上とし、それぞれ規約で定める。
All directors and auditors shall be appointed at a Society meeting from among Society members pursuant to the provisions of the Society's constitution; provided, however, that this shall not preclude directors and auditors from being appointed at a Society meeting from among persons other than Society members if any special circumstances exist.
理事及び監事は、規約の定めるところにより、組合員のうちから組合会で選任する。ただし、特別の事情があるときは、組合員以外の者のうちから組合会で選任することを妨げない。
The respective terms of office of directors and auditors shall be specified by the Society's constitution within a period not exceeding three years.
理事及び監事の任期は、三年をこえない範囲内において、規約で定める。
第二十四条(役員の職務)
A director shall execute the operations of the Society and shall represent the Society pursuant to the provisions of its constitution.
理事は、規約の定めるところにより、組合の業務を執行し、及び組合を代表する。
Article 24-2Restrictions on Directors' Authority of Representation
第二十四条の二(理事の代表権の制限)
Restrictions on directors' authority of representation may not be asserted against a third party without knowledge of such restrictions.
理事の代表権に加えた制限は、善意の第三者に対抗することができない。
Article 24-3Delegation of Directors' Authority
第二十四条の三(理事の代理行為の委任)
A director may delegate their authority on a specific action to another person unless such delegation is prohibited by the Society's constitution or a resolution of a Society meeting.
理事は、規約又は組合会の決議によつて禁止されていないときに限り、特定の行為の代理を他人に委任することができる。
Article 24-4Provisional Director
第二十四条の四(仮理事)
In cases where there is any vacancy in the position of director and when damage is likely to occur due to a delay in business, the prefectural governor must appoint a provisional director at the request of any interested person or by said person's authority.
理事が欠けた場合において、事務が遅滞することにより損害を生ずるおそれがあるときは、都道府県知事は、利害関係人の請求により又は職権で、仮理事を選任しなければならない。
Article 24-5Acts in Conflict of Interest
第二十四条の五(利益相反行為)
A director shall have no authority of representation as to any matter involving a conflict of interest between the Society and such director. In the event of such a conflict of interest, the prefectural governor must appoint a special agent at the request of any interested person or by said person's authority.
組合と理事との利益が相反する事項については、理事は、代表権を有しない。この場合においては、都道府県知事は、利害関係人の請求により又は職権で、特別代理人を選任しなければならない。
When a valid Society meeting fails to take place or when a Society meeting fails to make a resolution on any matter on which a resolution needs to be made, the directors may, under the direction of the prefectural governor, handle such matter on which a resolution needs to be made.
組合会が成立しないとき、又はその議決すべき事項を議決しないときは、理事は、都道府県知事の指揮を受け、その議決すべき事項を処分することができる。
In cases where a matter on which a resolution needs to be made at a Society meeting must be implemented temporarily and urgently, when a valid Society meeting fails to take place or when there is no time to convene a Society meeting, then the directors may handle such matter on which a resolution needs to be made.
組合会において議決すべき事項に関し臨時急施を要する場合において、組合会が成立しないとき、又は組合会を招集する暇がないときは、理事は、その議決すべき事項を処分することができる。
Any disposition made pursuant to the provisions of the two preceding paragraphs must be reported by the directors at the first Society meeting convened thereafter.
前二項の規定による処分については、理事は、その後最初に招集される組合会に報告しなければならない。
第二十六条(組合会)
A Society meeting shall be composed of Society council members, whose fixed number shall be specified by its constitution within a range not less than one-twentieth of the total number of Society members; provided, however, that in cases where a Society has more than six hundred members in total, having at least thirty Society council members will suffice.
組合会は、組合会議員をもつて組織するものとし、組合会議員の定数は、組合員の総数の二十分の一を下らない範囲内において、規約で定める。ただし、組合員の総数が六百人をこえる組合にあつては、三十人以上であることをもつて足りる。
Society council members shall be elected by Society members from among themselves pursuant to the provisions of the Society's constitution.
組合会議員は、規約の定めるところにより、組合員が、組合員のうちから選挙する。
The term of office of Society council members shall be specified by the Society's constitution within a period not exceeding three years.
組合会議員の任期は、三年をこえない範囲内において、規約で定める。