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Article 13Domicile Exception of an Insured Person that is Admitted to or has been a Resident of a Facility Subject to Domicile Exception

第十三条(住所地特例対象施設に入所又は入居中の被保険者の特例)

An Insured Person for whom it is considered that his or her domicile has changed to the location of any of the following facilities (hereinafter referred to as a "Facility Subject to Domicile Exception") by admission to or residence in (hereinafter referred to as "Admission, etc.") such Facility Subject to Domicile Exception (in the case of an Insured Person for whom it is considered that his or her domicile has changed to the location of a facility listed in item (iii) by admission to that facility, limited to a person for whom an admission measure under has been taken; hereinafter referred to as an "Insured Person Subject to Domicile Exception" in this paragraph and the following paragraph), and who is considered to have had a domicile within the area of another Municipality (meaning a Municipality other than the Municipality where said Facility Subject to Domicile Exception is located) at the time of Admission, etc. at said Facility Subject to Domicile Exception, is to be an Insured Person of Long-Term Care Insurance provided by said other Municipality, notwithstanding the provisions of Article 9; provided, however, that this does not apply to an Insured Person Subject to Domicile Exception who is continuously undergoing Admission, etc. at two or more Facilities Subject to Domicile Exception, and who is considered to have successively changed his or her domicile, by Admission, etc. at each of the Facility Subject to Domicile Exception at which he or she is currently undergoing Admission, etc. (hereinafter referred to as the "current facility of admission" in this paragraph and the following paragraph) and the Facility Subject to Domicile Exception at which he or she was undergoing Admission, etc. immediately before the Admission, etc. at the current facility of admission (hereinafter referred to as the "facility of immediately preceding admission" in this paragraph), to the locations of the facility of immediately preceding admission and the current facility of admission respectively (such a person being referred to as an "insured person in specified continuous admission" in the following paragraph).

次に掲げる施設(以下「住所地特例対象施設」という。)に入所又は入居(以下「入所等」という。)をすることにより当該住所地特例対象施設の所在する場所に住所を変更したと認められる被保険者(第三号に掲げる施設に入所することにより当該施設の所在する場所に住所を変更したと認められる被保険者にあっては、の規定による入所措置がとられた者に限る。以下この項及び次項において「住所地特例対象被保険者」という。)であって、当該住所地特例対象施設に入所等をした際他の市町村(当該住所地特例対象施設が所在する市町村以外の市町村をいう。)の区域内に住所を有していたと認められるものは、第九条の規定にかかわらず、当該他の市町村が行う介護保険の被保険者とする。ただし、二以上の住所地特例対象施設に継続して入所等をしている住所地特例対象被保険者であって、現に入所等をしている住所地特例対象施設(以下この項及び次項において「現入所施設」という。)に入所等をする直前に入所等をしていた住所地特例対象施設(以下この項において「直前入所施設」という。)及び現入所施設のそれぞれに入所等をすることにより直前入所施設及び現入所施設のそれぞれの所在する場所に順次住所を変更したと認められるもの(次項において「特定継続入所被保険者」という。)については、この限りでない。

a Care Facility for the Elderly as provided in .

に規定する養護老人ホーム

A person described in any of the following items that corresponds to the conditions of a Specified Continuous Admission of an Insured Person is to be an Insured Person of Long-Term Care Insurance of the Municipality as prescribed respectively in the following items, notwithstanding the provisions of Article 9:

特定継続入所被保険者のうち、次の各号に掲げるものは、第九条の規定にかかわらず、当該各号に定める市町村が行う介護保険の被保険者とする。

an Insured Person Subject to Domicile Exception for whom it is determined to have changed his or her domicile consecutively from one location where a Facility Subject to Domicile Exception is located to another such Facility by moving in for Admission, etc., at two or more of a Facility Subject to Domicile Exception, where in each said Facility the Insured Person moved in for Admission, etc., continuously, and is considered to have had domicile in another Municipality (a Municipality other than the Municipality where the Facility of Current Admission of an Insured Person is located) when said Insured Person moved in for Admission, etc., at said Facility of First Prior Admission of an Insured Person, from among two or more of a said Facility Subject to Domicile Exception, said other Municipality;

継続して入所等をしている二以上の住所地特例対象施設のそれぞれに入所等をすることによりそれぞれの住所地特例対象施設の所在する場所に順次住所を変更したと認められる住所地特例対象被保険者であって、当該二以上の住所地特例対象施設のうち最初の住所地特例対象施設に入所等をした際他の市町村(現入所施設が所在する市町村以外の市町村をいう。)の区域内に住所を有していたと認められるもの 当該他の市町村

an Insured Person Subject to Domicile Exception for whom it is determined to have changed domicile from a location other than where one of a Facility Subject to Domicile Exception is located to a place where another said Facility Subject to Domicile Exception is located (herein referred to as "Change of Specified Domicile" in this item) by moving in for continuous Admission, etc., from one of two or more of a said Facility Subject to Domicile Exception where the Insured Person continues Admission, etc., to another said Facility Subject to Domicile Exception (herein referred to as "Continuous Admission, etc." in this item), and is considered to have had a domicile in another Municipality (a Municipality other than the Municipality where the Facility of Current Admission of an Insured Person is located) when moving in for Continuous Admission, etc., pertaining to a Change of Specified Domicile for the most recent occurrence, said other Municipality.

継続して入所等をしている二以上の住所地特例対象施設のうち一の住所地特例対象施設から継続して他の住所地特例対象施設に入所等をすること(以下この号において「継続入所等」という。)により当該一の住所地特例対象施設の所在する場所以外の場所から当該他の住所地特例対象施設の所在する場所への住所の変更(以下この号において「特定住所変更」という。)を行ったと認められる住所地特例対象被保険者であって、最後に行った特定住所変更に係る継続入所等の際他の市町村(現入所施設が所在する市町村以外の市町村をいう。)の区域内に住所を有していたと認められるもの 当該他の市町村

A Facility Subject to Domicile Exception at which a person who has been made an Insured Person of Long-Term Care Insurance provided by the other Municipality prescribed in paragraph (1) pursuant to the provisions of that paragraph, or a person who has been made an Insured Person of Long-Term Care Insurance provided by the other Municipality specified in the items of that paragraph pursuant to the provisions of the preceding paragraph (hereinafter referred to as an "Insured Person to Whom the Domicile Exception Applies"), is undergoing Admission, etc. must provide necessary cooperation to the Municipality where said Facility Subject to Domicile Exception is located (hereinafter referred to as the "Municipality Where the Facility Is Located") and to the Municipality that provides Long-Term Care Insurance to said Insured Person to Whom the Domicile Exception Applies.

第一項の規定により同項に規定する当該他の市町村が行う介護保険の被保険者とされた者又は前項の規定により同項各号に定める当該他の市町村が行う介護保険の被保険者とされた者(以下「住所地特例適用被保険者」という。)が入所等をしている住所地特例対象施設は、当該住所地特例対象施設の所在する市町村(以下「施設所在市町村」という。)及び当該住所地特例適用被保険者に対し介護保険を行う市町村に、必要な協力をしなければならない。

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