Article 66Change of Payment Method Pertaining to Person Delinquent in Payment of an Insurance Premium
第六十六条（保険料滞納者に係る支払方法の変更）
A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc. who is a Primary Insured Person delinquent in payment of an insurance premium (excluding those who can receive payment of a medical allowance for general disease pursuant to the Atomic Bomb Survivors' Assistance Act (Act No. 117 of 1994) and other benefits for medical care as determined by Order of the Ministry of Health, Labour and Welfare) fails to pay said insurance premium from the payment due date of said insurance premium until the expiry of the period as determined by Order of the Ministry of Health, Labour and Welfare, except for a case when it is found that there is a special circumstance for said delinquency of insurance premium payment such as a disaster or other circumstances provided by a Cabinet Order, is to request said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, and to enter on said Certificate of Insured Person that the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-3, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4) and Article 61-3, paragraph (4) do not apply (hereinafter referred to as "Entry of Change of Payment Method" in this Article and paragraph (3) of the following Article).
市町村は、保険料を滞納している第一号被保険者である要介護被保険者等（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を受けることができるものを除く。）が、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当該保険料を納付しない場合においては、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る場合を除き、厚生労働省令で定めるところにより、当該要介護被保険者等に対し被保険者証の提出を求め、当該被保険者証に、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の三第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の三第四項の規定を適用しない旨の記載（以下この条及び次条第三項において「支払方法変更の記載」という。）をするものとする。
A Municipality, although in a case when the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the preceding paragraph has not yet expired, except for a case it is determined that said person delinquent in payment is due to special circumstances provided by a Cabinet Order as prescribed in the same paragraph, may request the Insured Person Requiring Long-Term Care, etc., as prescribed in the same paragraph to submit the Certificate of Insured Person, and include the Entry of Change of Payment Method on said Certificate of Insured Person.
A Municipality, when an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Change of Payment Method pursuant to the provisions of the preceding two paragraphs and has completed payment of said delinquent insurance premium or when it is determined that the delinquent payment amount pertaining to said Insured Person Requiring Long-Term Care, etc., has decreased significantly or due to a disaster or other special circumstances provided by a Cabinet Order, is to delete said Entry of Change of Payment Method.
With regard to the payment of an Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, Allowance for In-Home Long-Term Care Service Plan, Allowance for Long-Term Care Facility Service, Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Preventive Long-Term Care Service Plan, and Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility, pertaining to Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Facility Service, etc., Designated Preventive Long-Term Care Service, Designated Community-Based Service for Preventive Long-Term Care, and Designated Preventive Long-Term Care Support that an Insured Person Requiring Long-Term Care, etc. who received an Entry of Change of Payment Method pursuant to the provisions of paragraph (1) or paragraph (2) receives during the period said Entry of Change of Payment Method remains, the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-3, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), and Article 61-3, paragraph (4) do not apply.
第一項又は第二項の規定により支払方法変更の記載を受けた要介護被保険者等が、当該支払方法の変更の記載がなされている間に受けた指定居宅サービス、指定地域密着型サービス、指定居宅介護支援、指定施設サービス等、指定介護予防サービス、指定地域密着型介護予防サービス及び指定介護予防支援に係る居宅介護サービス費の支給、地域密着型介護サービス費の支給、居宅介護サービス計画費の支給、施設介護サービス費の支給、特定入所者介護サービス費の支給、介護予防サービス費の支給、地域密着型介護予防サービス費の支給、介護予防サービス計画費の支給及び特定入所者介護予防サービス費の支給については、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の三第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の三第四項の規定は適用しない。
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