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)).
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