Supplementary Provisions, Article 13Exceptions to the Calculation of the Amount of Fixed Levy Pertaining to Insurers of Employee Insurance, etc. for Each of Fiscal Years 2017 and 2018
第十三条（平成二十九年度及び平成三十年度の各年度の被用者保険等保険者に係る確定納付金の額の算定の特例）
The amount of the fixed Levy under the proviso to Article 151, paragraph (1) pertaining to insurers of employee insurance, etc. for each of fiscal years 2017 and 2018 is, notwithstanding the provisions of Article 153, item (i), the amount specified in each of the following items in accordance with the category of insurer of employee insurance, etc. set forth in those items.
an insurer exceeding the fixed burden adjustment base amount (meaning an insurer of employee insurance, etc. for which the amount obtained by dividing the amount of the fixed total-remuneration-based Levy by the number of Secondary Insured Persons pertaining to that insurer of employee insurance, etc. for each of those fiscal years, calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, exceeds the fixed burden adjustment base amount; the same applies in the following item and paragraph (5)): the total of the total of the amount obtained by deducting the amount subject to burden adjustment from the amount of the fixed total-remuneration-based Levy and the burden adjustment amount, and the amount of the adjusted fixed subscriber-based Levy;
an insurer of employee insurance, etc. other than an insurer exceeding the fixed burden adjustment base amount: the total of the total of the amount of the fixed total-remuneration-based Levy and the burden adjustment amount, and the amount of the adjusted fixed subscriber-based Levy.
確定負担調整基準超過保険者以外の被用者保険等保険者 確定総報酬割納付金の額と負担調整額との合計額と補正後確定加入者割納付金の額との合計額
The amount of the fixed total-remuneration-based Levy in each item of the preceding paragraph is the amount obtained by multiplying the number obtained by dividing the amount obtained by multiplying the total amount of fixed Levy before adjustment pertaining to insurers of employee insurance, etc. for each of those fiscal years by one half by the amount set forth in item (i) for each of those fiscal years, by the amount set forth in item (ii) for each of those fiscal years.
the total of the total standard remuneration of Secondary Insured Persons (meaning the total standard remuneration of Secondary Insured Persons prescribed in Article 152, paragraph (2); the same applies in the following item, in the following paragraph, in the items of Article 15, paragraph (2) of the Supplementary Provisions, and in Article 15, paragraph (3) of the Supplementary Provisions) pertaining to all insurers of employee insurance, etc.;
the total standard remuneration of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc.
The fixed burden adjustment base amount in paragraph (1), item (i) is the amount specified by Cabinet Order for each fiscal year, taking into consideration the total standard remuneration of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. for each of those fiscal years, the number of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, and trends in expenses required for Insurance Benefits, etc.
第一項第一号の確定負担調整基準額は、当該各年度における各被用者保険等保険者に係る第二号被保険者標準報酬総額、厚生労働省令で定めるところにより算定した当該各年度における各被用者保険等保険者に係る第二号被保険者の数及び保険給付に要する費用等の動向を勘案し、年度ごとに政令で定める額とする。
The amount subject to burden adjustment set forth in paragraph (1), item (i) is to be the amount obtained by deducting, from the amount of the fixed total-remuneration-based Levy prescribed in paragraph (2), the amount obtained by multiplying the number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the fixed burden adjustment base amount prescribed in the preceding paragraph.
The burden adjustment amount set forth in each item of paragraph (1) is to be the amount obtained by multiplying the amount obtained by dividing the total of the amounts subject to burden adjustment prescribed in the preceding paragraph pertaining to all insurers exceeding the fixed burden adjustment base amount in each such fiscal year by the total of the adjusted numbers of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.
第一項各号の負担調整額は、当該各年度における全ての確定負担調整基準超過保険者に係る前項に規定する負担調整対象額の総額を厚生労働省令で定めるところにより算定した当該各年度における全ての被用者保険等保険者に係る補正後第二号被保険者数の総数で除して得た額に、厚生労働省令で定めるところにより算定した当該各年度における当該被用者保険等保険者に係る補正後第二号被保険者数を乗じて得た額とする。
The amount of the adjusted fixed subscriber-based Levy set forth in each item of paragraph (1) is to be the amount obtained by multiplying the amount obtained by dividing the amount obtained by multiplying the pre-adjustment total fixed Levy for insurers of employee insurance, etc. in each such fiscal year by one half by the total of the adjusted numbers of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.
The pre-adjustment total fixed Levy for insurers of employee insurance, etc. referred to in paragraph (2) and the preceding paragraph is to be the amount obtained by multiplying the amount obtained by dividing the total of the Amounts Subject to Medical Insurance Premium Payment and the Amounts Subject to Medical Insurance Premium Payment for Comprehensive Project for Long-Term Care Prevention and Daily Life Support of all Municipalities in each such fiscal year by the total number of Secondary Insured Persons pertaining to all medical insurers in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the total number of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in each such fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.
The adjusted number of Secondary Insured Persons referred to in paragraphs (5) and (6) is to be the sum of the number of Secondary Insured Persons (excluding specified Secondary Insured Persons) and the number obtained by multiplying the number of persons who are specified Secondary Insured Persons by the ratio specified by Cabinet Order, taking into account, for each fiscal year, the number of persons who are specified Secondary Insured Persons and the status of the amount of the Levy.