In cases where a Householder or Society member who is eligible for insurance benefits (including the payment of a difference pursuant to the provisions of Article 43, paragraph (3) or Article 56, paragraph (2); hereinafter the same shall apply) has become delinquent in the payment of insurance premiums and where said person still fails to pay said insurance premiums during the period until the period specified by Order of the Ministry of Health, Labour and Welfare has elapsed from the due date for payment of said insurance premiums even though the Municipality or Society concerned has carried out encouragement of insurance premium payment, etc., Municipalities and Societies shall temporarily suspend the payment of insurance benefits in whole or in part, as provided by Order of the Ministry of Health, Labour and Welfare, unless a disaster or any other special circumstances specified by Cabinet Order are deemed to exist under which such insurance premiums failed to be paid.
Even if the period specified by Order of the Ministry of Health, Labour and Welfare as prescribed in the preceding paragraph has not elapsed, in cases where a Householder or Society member who is eligible for insurance benefits is still delinquent in the payment of insurance premiums even though the Municipality or Society concerned has carried out encouragement of insurance premium payment, etc., Municipalities and Societies may temporarily suspend the payment of insurance benefits in whole or in part, as provided by Order of the Ministry of Health, Labour and Welfare, unless a disaster or any other special circumstances specified by Cabinet Order are deemed to exist under which such insurance premiums failed to be paid.
In cases where a Householder or Society member who is subject to the application of Article 54-3, paragraph (1) or the main clause of paragraph (2) and for whom the payment of insurance benefits has been temporarily suspended in whole or in part pursuant to the provisions of the preceding two paragraphs still fails to pay delinquent insurance premiums, Municipalities and Societies may, upon prior notice to such Householder or Society member as provided by Order of the Ministry of Health, Labour and Welfare, deduct the amount of such Householder's or Society member's delinquent insurance premiums from the amount of insurance benefits whose payment has been so suspended temporarily.
市町村及び組合は、第五十四条の三第一項又は第二項本文の規定の適用を受けている世帯主又は組合員であつて、前二項の規定による保険給付の全部又は一部の支払の一時差止がなされているものが、なお滞納している保険料を納付しない場合においては、厚生労働省令で定めるところにより、あらかじめ、当該世帯主又は組合員に通知して、当該一時差止に係る保険給付の額から当該世帯主又は組合員が滞納している保険料額を控除することができる。
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In cases where the ratio of co-payment has been reduced pursuant to the provisions of paragraph (1) and when an insured person has received benefits for medical treatment at or from a health…
第一項の規定により一部負担金の割合が減ぜられた場合において、被保険者が前項に規定する保険医療機関等以外の保険医療機関等について療養の給付を受けたときは、市町村及び組合は、当該被保険者が第四十二条第一項の規定により当該保険医療機関等に支払つた一部負担金と第一項の規定により減ぜられた割合による一部負担金との差額を当該被保…
Open this provision(Special Medical Expenses)
In the case where a Householder who is in arrears with insurance premiums (limited to a Householder who has a domicile within the area of the Municipality) or a Society member who is in arrears with…
市町村及び組合は、保険料を滞納している世帯主（当該市町村の区域内に住所を有する世帯主に限る。）又は組合員（その世帯に属する全ての被保険者が原子爆弾被爆者に対する援護に関する法律（平成六年法律第百十七号）による一般疾病医療費の支給その他厚生労働省令で定める医療に関する給付（以下この項及び第四項において「原爆一般疾病医療…
Open this provision(Special Medical Expenses)
Even before the period specified by Order of the Ministry of Health, Labour and Welfare prescribed in the preceding paragraph has elapsed, in the case where a householder…
市町村及び組合は、前項に規定する厚生労働省令で定める期間が経過する前においても、当該市町村又は組合が保険料納付の勧奨等を行つてもなお保険料滞納世帯主等が当該保険料を納付しない場合においては、その世帯に属する被保険者が保険医療機関等から療養を受けたとき、又は指定訪問看護事業者から指定訪問看護を受けたときは…
Open this provision(Coordination with Benefits Relating to Medical Services Provided by Other Laws and Regulations)
In cases where benefits under any law or regulation set forth in the preceding paragraph are benefits in kind relating to medical services and when any co-payment is made or actual costs are…
市町村及び組合は、前項に規定する法令による給付が医療に関する現物給付である場合において、その給付に関し一部負担金の支払若しくは実費徴収が行われ、かつ、その一部負担金若しくは実費徴収の額が…
Open this provisionIn cases where a Householder or Society member who is eligible for insurance benefits (including the payment of a difference pursuant to the provisions of Article 43, paragraph (3) or Article 56…
市町村及び組合は、保険給付（第四十三条第三項又は第五十六条第二項の規定による差額の支給を含む。以下同じ。）を受けることができる世帯主又は組合員が保険料を滞納しており、かつ、当該保険料の納期限から厚生労働省令で定める期間が経過するまでの間に…
Open this provisionEven if the period specified by Order of the Ministry of Health, Labour and Welfare as prescribed in the preceding paragraph has not elapsed, in cases where a Householder or Society member who is…
市町村及び組合は、前項に規定する厚生労働省令で定める期間が経過しない場合においても、保険給付を受けることができる世帯主又は組合員が、当該市町村又は組合が保険料納付の勧奨等を行つてもなお保険料を滞納している場合においては、当該保険料の滞納につき災害その他の政令で定める特別の事情があると認められる場合を除き…
Open this provisionSociety
「組合」
A National Health Insurance Society (国民健康保険組合): a body made up, as its members (組合員), of people engaged in the same kind of business or occupation who live in its district, which may provide national health insurance to its members and the people in their households (Articles 3, 13 and 19).
Short name set inArticle 13, paragraph (1)
encouragement of insurance premium payment, etc.machine translation
「保険料納付の勧奨等」
In Article 54-3, paragraph (2) and Article 63-2, paragraphs (1) and (2), what a municipality or National Health Insurance Society (国民健康保険組合) does to get unpaid insurance premiums (保険料) paid: urging payment, making sure there are opportunities to consult on paying, and the other steps a Ministry of Health, Labour and Welfare Order (厚生労働省令) names.
Short name set inArticle 54-3, paragraph (1)· applies only in this provision and in Article 54-3, paragraph (2); and Article 63-2, paragraphs (1) and (2)