The general insurance premium rate for insured persons covered by health insurance administered by JHIA is to be determined in the range from 0.03 to 0.13 by JHIA on the basis of a single branch-insured person (meaning insured persons employed at a place of business located in the same prefecture as the relevant branch office and insured persons with optional and continued coverage with a domicile or residence in the prefecture; the same applies hereinafter).
The general insurance rate determined on the basis of a single branch-insured person pursuant to the provisions of the preceding paragraph (hereinafter referred to as "insurance premium rate for each prefecture") applies to the relevant branch-insured persons.
The insurance premium rate for each prefecture is calculated on the basis of a single branch-insured person in light of the amounts listed below in order to be able to maintain the fiscal balance of revenue and expenses as specified by Cabinet Order:
都道府県単位保険料率は、支部被保険者を単位として、次に掲げる額に照らし、毎事業年度において財政の均衡を保つことができるものとなるよう、政令で定めるところにより算定するものとする。
the amount expected to be obtained by adjusting, based on the provisions of the following paragraph, the amount of expenses required for those of the benefits for medical treatment listed in Article 52, item (i) and other insurance benefits specified by Order of the Ministry of Health, Labour and Welfare (referred to as "benefits for medical treatment, etc." hereinafter in this paragraph and the following paragraph) that pertain to the relevant single branch-insured persons (excluding the amount of national subsidies pursuant to the provisions of Article 153 with respect to benefits for medical treatment, etc. pertaining to the single branch-insured persons);
the amount obtained by multiplying the estimated amount of expenses required for insurance benefits (excluding benefits for medical treatment, etc. pertaining to single branch-insured persons), young-old payments, etc., aid for the old-old, etc., and contributions for securing medical care in the early phase of an epidemic, etc. (excluding the amount of the childbirth and childcare grant prescribed in Article 152-2, the amount of national subsidies pursuant to the provisions of Articles 153 and 154 (excluding the amount of national subsidies referred to in the preceding item), and the amount of contributions pursuant to the provisions of Article 173) by the total remuneration proportion ratio (the ratio obtained by dividing the total amount of the total remuneration of single branch-insured persons in the relevant prefecture (meaning the total sum of the standard monthly remuneration and standard bonus; the same applies hereinafter) by the total amount of the total remuneration of insured persons covered by health insurance administered by JHIA);
the amount of expenses required for healthcare and welfare business (excluding the amount of national subsidies pursuant to the provisions of Article 154-2) as well as expenses required for the execution of affairs concerning health insurance business and the estimated amount of reserve funds pursuant to the provisions of Article 160-3, paragraph (1) (excluding the amount of national treasury benefits pursuant to the provisions of Article 151) as determined by JHIA as the amount to be shared among the relevant single branch-insured persons.
保健事業及び福祉事業に要する費用の額（第百五十四条の二の規定による国庫補助の額を除く。）並びに健康保険事業の事務の執行に要する費用及び第百六十条の三第一項の規定による準備金の積立ての予定額（第百五十一条の規定による国庫負担金の額を除く。）のうち当該支部被保険者が分担すべき額として協会が定める額
JHIA is to adjust finances for health insurance on the basis of a single branch-insured person as specified by Cabinet Order in order to correct any imbalances in the share of the amount of expenses required for benefits for medical treatment, etc., caused by differences in distribution status by age group of branch-insured persons and their dependents and in distribution status by age of insured persons and their dependents administered by JHIA or any imbalances in financial capability caused by differences in the average amount of total remuneration of branch-insured persons and their dependents and the average amount of total remuneration of insured persons and their dependents administered by JHIA.
JHIA is to create and publicize, in each fiscal year, the outlook of revenues and expenditures of health insurance services, including the estimated number of insured persons and total remuneration for health insurance administered by JHIA, the amount of expenses required for insurance benefits, and the amount of insurance premiums (including the level of insurance premium rate that would enable the fiscal balance of revenue and expenditure in each business year to be maintained) for a five-year period starting from the following business year.
When JHIA intends to alter the insurance premium rate for a prefecture, the president must in advance hear the opinion of the chief of the branch office located in that prefecture and then undergo discussion at the management board.
協会が都道府県単位保険料率を変更しようとするときは、あらかじめ、理事長が当該変更に係る都道府県に所在する支部の支部長の意見を聴いた上で、運営委員会の議を経なければならない。
Other than when being asked for an opinion referred to in the preceding paragraph, when the chief of a branch office finds it necessary to change the insurance premium rate for a prefecture, the chief is to hear the opinion of the council established at the branch, and then offer an opinion about the insurance premium rate for the prefecture to the president of the JHIA.
支部長は、前項の意見を求められた場合のほか、都道府県単位保険料率の変更が必要と認める場合には、あらかじめ、当該支部に設けられた評議会の意見を聴いた上で、理事長に対し、当該都道府県単位保険料率の変更について意見の申出を行うものとする。
When JHIA intends to make a change to the insurance premium rate for a prefecture, the president of JHIA must obtain authorization for the change from the Minister of Health, Labour and Welfare.
協会が都道府県単位保険料率を変更しようとするときは、理事長は、その変更について厚生労働大臣の認可を受けなければならない。
The Minister of Health, Labour, and Welfare gives the authorization referred to in the preceding paragraph, the Minister must make publicize that fact without delay.
厚生労働大臣は、前項の認可をしたときは、遅滞なく、その旨を告示しなければならない。
When the Minister of Health, Labour and Welfare finds that the insurance premium rate for a prefecture is inappropriate from the viewpoint of balancing the revenue and expenditure of health insurance services or finds that there is a hindrance to the sound operation of health insurance business administered by JHIA, the Minister may order JHIA to apply for authorization to change the insurance premium rate for the prefecture within a specified reasonable period.
厚生労働大臣は、都道府県単位保険料率が、当該都道府県における健康保険事業の収支の均衡を図る上で不適当であり、協会が管掌する健康保険の事業の健全な運営に支障があると認めるときは、協会に対し、相当の期間を定めて、当該都道府県単位保険料率の変更の認可を申請すべきことを命ずることができる。
If JHIA does not apply as referred to in the preceding paragraph during the period referred to in the same paragraph, the Minister of Health, Labour and Welfare may change the insurance premium rate for the prefecture by undergoing discussion at the Social Security Council.
厚生労働大臣は、協会が前項の期間内に同項の申請をしないときは、社会保障審議会の議を経て、当該都道府県単位保険料率を変更することができる。
The provisions of paragraph (9) apply mutatis mutandis to changes in insurance premium rate for a prefecture made pursuant to the provisions of the preceding paragraph.
第九項の規定は、前項の規定により行う都道府県単位保険料率の変更について準用する。
The provisions of paragraphs (1) and (8) apply mutatis mutandis to the general insurance premium rate for health insurance administered by a health insurance society. In this case, the phrase "is determined in the range from 0.03 through 0.13 by JHIA on the basis of a single branch-insured person (meaning insured persons employed at a place of business located in the same prefecture as the relevant branch office and insured persons with optional and continued coverage with a domicile or residence in the prefecture; the same applies hereinafter)" in paragraph (1) is replaced with "is determined in the range from 0.03 through 0.13", "insurance premium rate for a prefecture" in paragraph (8) with "general insurance premium rate for health insurance administered by a health insurance society".
The insurer specifies the specific insurance rate based on the rate obtained by dividing the sum of the amount of young-old payments, etc., the amount of aid for the old-old, etc., and the amount of contributions for securing medical care in the early phase of an epidemic, etc. to be paid by the insurer each fiscal year (in the case of health insurance and insurance for specially-insured day laborers administered by JHIA, the amount remaining after deducting the amount of national subsidies pursuant to the provisions of Articles 153 and 154 from that amount) (if there is a young-old subsidy, the amount remaining after deducting it) by the estimated total amount of the total remuneration of insured persons administered by the insurer in the relevant fiscal year.
The insurer specifies a basic insurance rate based on the rate obtained by deducting the specific insurance rate from the general insurance rate.
基本保険料率は、一般保険料率から特定保険料率を控除した率を基準として、保険者が定める。
The insurer determines a long-term care insurance rate based on the rate obtained by dividing the amount of long-term care payments to be paid by the insurer each fiscal year (excluding those pertaining to specially-insured day laborers) by the estimated total amount of the total remuneration of the insured persons administered by the insurer who are item (ii) insured persons in the relevant fiscal year.
介護保険料率は、各年度において保険者が納付すべき介護納付金（日雇特例被保険者に係るものを除く。）の額を当該年度における当該保険者が管掌する介護保険第二号被保険者である被保険者の総報酬額の総額の見込額で除して得た率を基準として、保険者が定める。
When JHIA specifies a basic insurance rate or specific insurance rate pursuant to the provisions of paragraphs (14) and (15), or a long-term care insurance rate pursuant to the provisions of the preceding paragraph, it must notify the Minister of Health, Labour and Welfare to that effect without delay.