The project for the provision of grants carried out by the federation pursuant to Article 2, paragraph (1) of the Supplementary Provisions of the Act must conform to the following standards:
a health insurance society that is to be covered by the provision of grants is to fall under either of the following:
交付金の交付の対象となる健康保険組合は、次のいずれかに該当するものであること。
a health insurance society whose required premium rate (meaning the rate obtained by dividing the estimated amount of the expenses required for the benefits relating to medical care provided by each health insurance society in that year (excluding other benefits prescribed in Article 53 of the Act; hereinafter referred to as "medical care benefits") and for payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, and contributions for securing medical care in the early phase of an epidemic, etc. (the amount after deducting the amount of childbirth and childcare grants (where there is a young-old subsidy, the amount of childbirth and childcare grants and the young-old subsidy)) by the estimated amount of the total sum of the total amount of standard monthly remuneration and the total amount of standard bonus amounts of the insured persons who are members of that health insurance society in that year; the same applies hereinafter) is the average required premium rate of all health insurance societies that are members of the federation or more, and for which it is found necessary to lighten the financial burden relating to the provision of medical care benefits, the implementation of healthcare services and welfare services, and the payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, and contributions for securing medical care in the early phase of an epidemic, etc.;
その所要保険料率（当該年度において各健康保険組合が行った医療に関する給付（法第五十三条に規定するその他の給付を除く。以下「医療給付」という。）並びに前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金並びに流行初期医療確保拠出金等の納付に要した費用の額（出産育児交付金（前期高齢者交付金がある場合には、出産育児交付金及び前期高齢者交付金）の額を控除した額）の見込額を当該年度における当該各健康保険組合の組合員である被保険者の標準報酬月額の総額及び標準賞与額の総額の合算額の見込額で除して得た率をいう。以下同じ。）が連合会の会員である全健康保険組合の平均の所要保険料率以上である健康保険組合であって、医療給付、保健事業及び福祉事業の実施並びに前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金並びに流行初期医療確保拠出金等の納付に係る財政の負担を軽減することが必要であると認められるもの
a health insurance society other than a health insurance society listed in (a), for which it is found necessary to mitigate the impact in light of the occurrence of high-cost medical care benefits, a decline in the level of remuneration and other factors having a considerable impact on the financial situation of health insurance societies relating to the provision of medical care benefits, the implementation of healthcare services and welfare services, and the payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, and contributions for securing medical care in the early phase of an epidemic, etc.;
イに掲げる健康保険組合以外の健康保険組合であって、高額な医療給付の発生、報酬の水準の低下その他医療給付、保健事業及び福祉事業の実施並びに前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金並びに流行初期医療確保拠出金等の納付に係る健康保険組合の財政状況に相当程度の影響を及ぼす要因に照らし、その影響を緩和することが必要であると認められるもの
the scale of the project for the provision of grants and the method of their provision are to be such that, with respect to the projects carried out by health insurance societies, consideration is given so as not to impede the autonomous management of health insurance societies and not to cause the business efforts of health insurance societies to be lost.
交付金の交付事業の規模及び交付方法は、健康保険組合が行う事業について、健康保険組合の自主的な運営を妨げず、かつ、健康保険組合の事業努力を失わせないよう配慮されたものであること。
Matters necessary for the application of the standards in the preceding paragraph, matters necessary for the calculation of the amount of grants, and other matters necessary for the provision of grants are specified by Order of the Ministry of Health, Labour and Welfare.
前項の基準の適用に関し必要な事項、交付金の額の算定に関し必要な事項その他交付金の交付に関して必要な事項は、厚生労働省令で定める。
The federation must, in accordance with the Order of the Ministry of Health, Labour and Welfare referred to in the preceding paragraph, specify the details concerning the provision of grants.
Read this with the articles around it
young-old payments, etc.machine translation
「前期高齢者納付金等」
The payment for persons in the early stage of old age (前期高齢者納付金) and the related administrative expense contribution (前期高齢者関係事務費拠出金), which are collected from insurers each fiscal year under Article 36 of the Act on Assurance of Medical Care for Elderly People.
Short name set inArticle 20, paragraph (1)
aid for the old-old, etc.machine translation
「後期高齢者支援金等」
The support payment for persons in the late stage of old age (後期高齢者支援金), the related administrative expense contribution (後期高齢者関係事務費拠出金) and the administrative expense contribution related to childbirth and childcare (出産育児関係事務費拠出金) under the Act on Assurance of Medical Care for Elderly People.
Short name set inArticle 20, paragraph (1)
day laborer contributionmachine translation
「日雇拠出金」
The contribution that the Minister of Health, Labour and Welfare collects each fiscal year from day laborer health societies (日雇関係組合) toward the costs of health insurance for specially-insured day laborers (日雇特例被保険者), and which those societies must pay.
Short name set inArticle 20, paragraph (1)
contribution for securing medical care in the early phase of an epidemic, etc.machine translation
「流行初期医療確保拠出金等」
The contribution for securing medical care in the early phase of an epidemic (流行初期医療確保拠出金) and the related administrative expense contribution (流行初期医療確保関係事務費拠出金), which insurers must pay under Article 36-14 of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases.
Short name set inArticle 20, paragraph (1)
childbirth and childcare grantmachine translation
「出産育児交付金」
The childbirth and childcare grant under Article 152-2 of the Health Insurance Act: money granted to insurers under Article 124-4, paragraph (1) of the Act on Assurance of Medical Care for Elderly People to meet part of the cost of the lump-sum allowance for childbirth and childcare (出産育児一時金) and the lump-sum allowance for dependent's childbirth and childcare (家族出産育児一時金).
Short name set inArticle 29, paragraph (1)
young-old subsidymachine translation
「前期高齢者交付金」
In Articles 29 and 46, Article 65, paragraph (1), item (i), (a) and Article 67, paragraph (3), the grant for persons in the early stage of old age (前期高齢者交付金) that insurers receive under the Act on Assurance of Medical Care for Elderly People, which is taken off what a health insurance society (健康保険組合) spends on the payments and contributions it makes under that and other Acts.
Short name set inArticle 29, paragraph (1)· applies only in this article and in Article 46; Article 67, paragraph (3); and Article 65, paragraph (1), item (i), (a)
federationmachine translation
「連合会」
Short for the federation of health insurance societies (健康保険組合連合会).
Short name set inArticle 57, paragraph (1)
medical care benefitsmachine translation
「医療給付」
From Article 65, paragraph (1), item (i), (a) on, the benefits relating to medical care that each health insurance society (健康保険組合) provides, other than the additional benefits under Article 53 of the Health Insurance Act.
Short name set inArticle 65, paragraph (1), item (i), (a)
required premium ratemachine translation
「所要保険料率」
From Article 65, paragraph (1), item (i), (a) on, the rate obtained by dividing a health insurance society's (健康保険組合) estimated cost for the fiscal year of its medical care benefits (医療給付) and of paying the payments for persons in the early stage of old age, etc. (前期高齢者納付金等), the support payments for the late-stage elderly, etc. (後期高齢者支援金等), the day-labourer contributions (日雇拠出金) and the contributions for securing medical care in the early phase of an epidemic, etc. (流行初期医療確保拠出金等) — less the childbirth and childcare subsidy (出産育児交付金) and any grant for persons in the early stage of old age (前期高齢者交付金) — by the estimated total of the standard monthly remuneration and standard bonus amounts of its insured members for that year.
Defined inArticle 65, paragraph (1), item (i), (a)
health insurance society
健康保険組合
A corporation that runs the health insurance of the insured persons who are its members; it and the Japan Health Insurance Association (全国健康保険協会) are the two insurers of health insurance (Health Insurance Act, Articles 4, 6 and 9). It is made up of the employers of the workplaces it covers, the insured persons they employ and its insured persons with optional and continued coverage (Article 8). An employer that regularly employs at least the number of insured persons a Cabinet Order (政令) sets, or employers that reach that number together, may set one up: they draw up its constitution (規約) with the consent of at least half of the insured persons at each workplace concerned, and obtain the authorization of the Minister of Health, Labour and Welfare (Articles 11 and 12).
Written by AI using Health Insurance Act, Arts. 4, 6, 8, 9, 11, 12 as a reference.