Article 29Requirements for Designation

The requirements specified by Cabinet Order referred to in Article 28, paragraph (1) of the Act are to be that, with regard to a health insurance society for which the state in which the amount of expenditure (limited to that specified by the Minister of Health, Labour and Welfare as recurring) exceeds the amount of income (limited to that specified by the Minister of Health, Labour and Welfare as recurring) in the settlement of accounts for one fiscal year continues, and for which the state in which the rate obtained by dividing the amount obtained by deducting the amount of expenses required for the other benefits prescribed in Article 53 of the Act from the amount of expenses required for the insurance benefits of the health insurance society in one fiscal year (including the amount of expenses required for the payment of young-old payments, etc., aid for the old-old, etc. and day laborer contribution, and contribution for securing medical care in the early phase of an epidemic, etc. (where there is a young-old subsidy under the provisions of the Act on Assurance of Medical Care for Elderly People (hereinafter referred to as the "young-old subsidy" in this Article, Article 46, Article 65, paragraph (1), item (i), (a) and Article 67, paragraph (3)), the amount after deducting it), and excluding the amount of expenses required for insurance benefits relating to medical treatment that an insured person or a dependent thereof received from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (iii) of the Act and the amount of the childbirth and childcare grant prescribed in Article 152-2 of the Act (hereinafter referred to as the "childbirth and childcare grant")) by the total sum of the total amount of the standard monthly remuneration and the total amount of the standard bonus amounts of the insured persons who are members of that health insurance society in that fiscal year exceeds 95/1,000 continues, the amount of reserves and other property specified by the Minister of Health, Labour and Welfare has fallen below the total sum of the amount equivalent to 3/12 of the average per fiscal year of the amount of expenses required for the insurance benefits provided in the three fiscal years immediately preceding the fiscal year for which the designation under Article 28, paragraph (1) of the Act is to be made (excluding the amount of expenses required for insurance benefits relating to medical treatment that an insured person or a dependent thereof received from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (iii) of the Act and the amount of the childbirth and childcare grant), the amount equivalent to 1/12 of the average per business year of the amount of expenses required for the payment of young-old payments, etc., aid for the old-old, etc. and day laborer contribution, long-term care payment, and contribution for securing medical care in the early phase of an epidemic, etc. made in those three fiscal years (where there is a young-old subsidy, the amount after deducting it), and the amount determined by the Minister of Health, Labour and Welfare in consultation with the Prime Minister, within a range not exceeding the amount equivalent to 1/12 of the amount of expenses required for the payment of the children and child-rearing support levy made in the fiscal year immediately preceding the fiscal year for which the designation under that paragraph is to be made, taking into consideration the expenses required for the insurer's payment of the children and child-rearing support levy in that immediately preceding fiscal year.