Supplementary Provisions, Article 14Exceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
第十四条（令和元年度の被用者保険等保険者に係る概算納付金の額の算定の特例）
For fiscal year 2019, the amount of the estimated Levy under Article 151, paragraph (1) pertaining to an insurer of employee insurance, etc. is, notwithstanding Article 152, paragraph (1), item (i), to be the amount specified in each of the following items for the category of insurer of employee insurance, etc. set forth in that item:
令和元年度における被用者保険等保険者に係る第百五十一条第一項の概算納付金の額は、第百五十二条第一項第一号の規定にかかわらず、次の各号に掲げる被用者保険等保険者の区分に応じ、当該各号に定める額とする。
an Insurer Exceeding the Estimated Burden Adjustment Base Amount (meaning an insurer of employee insurance, etc. for which the amount obtained by dividing the amount of the estimated total-remuneration-based Levy by the prospective number of Secondary Insured Persons pertaining to that insurer of employee insurance, etc. in fiscal year 2019, calculated as provided by Order of the Ministry of Health, Labour and Welfare, exceeds the estimated 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 prospective amount subject to burden adjustment from the amount of the estimated total-remuneration-based Levy and the prospective burden adjustment amount, and the amount of the adjusted estimated subscriber-based Levy;
an insurer of employee insurance, etc. other than an Insurer Exceeding the Estimated Burden Adjustment Base Amount: the total of the total of the amount of the estimated total-remuneration-based Levy and the prospective burden adjustment amount, and the amount of the adjusted estimated subscriber-based Levy.
概算負担調整基準超過保険者以外の被用者保険等保険者 概算総報酬割納付金の額と負担調整見込額との合計額と補正後概算加入者割納付金の額との合計額
The amount of the estimated total-remuneration-based Levy set forth in each item of the preceding paragraph is to be the amount obtained by multiplying the number obtained by dividing the amount obtained by multiplying the pre-adjustment total estimated Levy for insurers of employee insurance, etc. for fiscal year 2019 (meaning the pre-adjustment total estimated Levy for insurers of employee insurance, etc. prescribed in Article 12, paragraph (7) of the Supplementary Provisions; the same applies in paragraph (6)) by three fourths by the amount set forth in item (i) for that fiscal year, by the amount set forth in item (ii) for that fiscal year:
the total of the prospective total standard remuneration of Secondary Insured Persons pertaining to all insurers of employee insurance, etc.;
全ての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の見込額の合計額
the prospective total standard remuneration of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc.
The estimated burden adjustment base amount set forth in paragraph (1), item (i) is to be the amount specified by Cabinet Order, taking into account the prospective total standard remuneration of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. in fiscal year 2019, the prospective number of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, and trends in the expenses, etc. required for Insurance Benefits.
第一項第一号の概算負担調整基準額は、令和元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の見込額、厚生労働省令で定めるところにより算定した同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見込数及び保険給付に要する費用等の動向を勘案し、政令で定める額とする。
The prospective 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 estimated total-remuneration-based Levy prescribed in paragraph (2), the amount obtained by multiplying the prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in fiscal year 2019, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the estimated burden adjustment base amount prescribed in the preceding paragraph.
The prospective 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 prospective amounts subject to burden adjustment prescribed in the preceding paragraph pertaining to all Insurers Exceeding the Estimated Burden Adjustment Base Amount in fiscal year 2019 by the total of the adjusted prospective numbers of Secondary Insured Persons (meaning the adjusted prospective number of Secondary Insured Persons prescribed in Article 12, paragraph (8) of the Supplementary Provisions; the same applies below in this paragraph and the following paragraph) pertaining to all insurers of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.
The amount of the adjusted estimated 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 estimated Levy for insurers of employee insurance, etc. for fiscal year 2019 by one fourth by the total of the adjusted prospective numbers of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare, by the adjusted prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. in that fiscal year, calculated as provided by Order of the Ministry of Health, Labour and Welfare.
第一項各号の補正後概算加入者割納付金の額は、令和元年度における被用者保険等保険者に係る補正前概算納付金総額に四分の一を乗じて得た額を厚生労働省令で定めるところにより算定した同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見込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同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見込数を乗じて得た額とする。
(Amount of Levy)
The amount of Levy to be collected from each medical insurer pursuant to the provisions of paragraph (1) of the preceding Article is to be the amount of estimated Levy in said fiscal year, however…
前条第一項の規定により各医療保険者から徴収する納付金の額は、当該年度の概算納付金の額とする。ただし、前々年度の概算納付金の額が前々年度の確定納付金の額を超えるときは、当該年度の概算納付金の額からその超える額とその超える額に係る調整金額との合計額を控除して得た額とするものとし…
Open this provision(Estimated Levy)
insurer of employee insurance, etc. (meaning the insurer of employee insurance, etc. prescribed in Article 7, paragraph (3) of the Act on Assurance of Medical Care for Elderly People; the same…
被用者保険等保険者（高齢者の医療の確保に関する法律第七条第三項に規定する被用者保険等保険者をいう。以下同じ。） 当該年度における全ての市町村の医療保険納付対象額及び介護予防・日常生活支援総合事業医療保険納付対象額の見込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同年度における全ての医療保険者に係る第二号被保険者…
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy Pertaining to Insurers of Employee Insurance, etc. for Each of Fiscal Years 2017 and 2018
The total amount of estimated Levy before adjustment pertaining to insurers of employee insurance, etc. in paragraph (2) and the preceding paragraph is the amount obtained by multiplying the amount…
第二項及び前項の被用者保険等保険者に係る補正前概算納付金総額は、当該各年度における全ての市町村の医療保険納付対象額及び介護予防・日常生活支援総合事業医療保険納付対象額の見込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医療保険者に係る第二号被保険者の見込数の総数で除して得た額に…
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy Pertaining to Insurers of Employee Insurance, etc. for Each of Fiscal Years 2017 and 2018
The adjusted prospective number of Secondary Insured Persons in paragraphs (5) and (6) is the total of the prospective number of Secondary Insured Persons…
第五項及び第六項の補正後第二号被保険者見込数は、第二号被保険者（第二号被保険者のうち、次の各号に掲げる区分に応じ、当該各号に定める者であるもの（以下「特定第二号被保険者」という。）を除く。）の見込数と特定第二号被保険者である者の見込数に年度ごとに特定第二号被保険者である者の数及び納付金の額の状況を勘案して政令で定める…
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
For fiscal year 2019, the amount of the estimated Levy under Article 151, paragraph (1) pertaining to an insurer of employee insurance, etc. is, notwithstanding Article 152, paragraph (1), item (i)…
令和元年度における被用者保険等保険者に係る第百五十一条第一項の概算納付金の額は、第百五十二条第一項第一号の規定にかかわらず、次の各号に掲げる被用者保険等保険者の区分に応じ、当該各号に定める額とする。
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
an Insurer Exceeding the Estimated Burden Adjustment Base Amount (meaning an insurer of employee insurance, etc. for which the amount obtained by dividing the amount of the estimated…
概算負担調整基準超過保険者（概算総報酬割納付金の額を厚生労働省令で定めるところにより算定した令和元年度における当該被用者保険等保険者に係る第二号被保険者の見込数で除して得た額が概算負担調整基準額を超える被用者保険等保険者をいう。次号及び第五項において同じ。） 概算総報酬割納付金の額から負担調整対象見込額を控除して得た…
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
an insurer of employee insurance, etc. other than an Insurer Exceeding the Estimated Burden Adjustment Base Amount: the total of the total of the amount of the estimated total-remuneration-based Levy…
概算負担調整基準超過保険者以外の被用者保険等保険者 概算総報酬割納付金の額と負担調整見込額との合計額と補正後概算加入者割納付金の額との合計額
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
The amount of the estimated total-remuneration-based Levy set forth in each item of the preceding paragraph is to be the amount obtained by multiplying the number obtained by dividing the amount…
前項各号の概算総報酬割納付金の額は、令和元年度における被用者保険等保険者に係る補正前概算納付金総額（附則第十二条第七項に規定する被用者保険等保険者に係る補正前概算納付金総額をいう。第六項において同じ。）に四分の三を乗じて得た額を同年度における第一号に掲げる額で除して得た数に…
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
the total of the prospective total standard remuneration of Secondary Insured Persons pertaining to all insurers of employee insurance, etc.;
全ての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の見込額の合計額
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
the prospective total standard remuneration of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc.
当該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の見込額
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
The estimated burden adjustment base amount set forth in paragraph (1), item (i) is to be the amount specified by Cabinet Order, taking into account the prospective total standard remuneration of…
第一項第一号の概算負担調整基準額は、令和元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の見込額、厚生労働省令で定めるところにより算定した同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見込数及び保険給付に要する費用等の動向を勘案し、政令で定める額とする。
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
The prospective 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 estimated total-remuneration-based Levy…
第一項第一号の負担調整対象見込額は、第二項に規定する概算総報酬割納付金の額から厚生労働省令で定めるところにより算定した令和元年度における当該被用者保険等保険者に係る第二号被保険者の見込数に前項に規定する概算負担調整基準額を乗じて得た額を控除して得た額とする。
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
The prospective 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 prospective amounts…
第一項各号の負担調整見込額は、令和元年度における全ての概算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見込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同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見込数（附則第十二条第八項に規定する補正後第二号被保険者見込数をいう。以下この項及び次項…
Open this provisionExceptions to the Calculation of the Amount of Estimated Levy for Insurers of Employee Insurance, etc. for Fiscal Year 2019
The amount of the adjusted estimated 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…
第一項各号の補正後概算加入者割納付金の額は、令和元年度における被用者保険等保険者に係る補正前概算納付金総額に四分の一を乗じて得た額を厚生労働省令で定めるところにより算定した同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見込数の総数で除して得た額に…
Open this provisionSecondary Insured Person
「第二号被保険者」
A person aged 40 to 64 who has a domicile in the municipality's area and is a medical insurance subscriber (医療保険加入者) (Article 9, item (ii)). Residents of certain facilities for persons with disabilities, and others a Ministry of Health, Labour and Welfare Order names, are kept out of the insurance for the time being by Article 11, paragraph (1) of the Act for Enforcement of the Long-Term Care Insurance Act.
Short name set inArticle 9, paragraph (1), item (ii)
insurers of employee insurance, etc.machine translation
「被用者保険等保険者」
An insurer of employee insurance, etc. as defined in Article 7, paragraph (3) of the Act on Assurance of Medical Care for Elderly People: an insurer (保険者) other than the Japan Health Insurance Association (全国健康保険協会) acting as insurer under Article 123, paragraph (1) of the Health Insurance Act, prefectures, municipalities and National Health Insurance societies (国民健康保険組合), together with any National Health Insurance society the Minister of Health, Labour and Welfare designates whose members are people who, with approval under Article 3, paragraph (1), item (viii) of the Health Insurance Act, are not insured under that Act.
Defined inArticle 152, paragraph (1), item (i)
prospective total standard remuneration of Secondary Insured Personsmachine translation
「第二号被保険者標準報酬総額の見込額」
In Articles 12 and 14 of the supplementary provisions (附則), the prospective total standard remuneration of secondary insured persons (第二号被保険者標準報酬総額) of an insurer of employee insurance, etc. (被用者保険等保険者), calculated as a Ministry of Health, Labour and Welfare Order (厚生労働省令) provides (Article 152, paragraph (1), item (i), (a)).
Defined inSupplementary Provisions, Article 12, paragraph (2), item (i)· applies only in this provision and in Supplementary Provisions, Article 12, paragraph (2), item (ii); Supplementary Provisions, Article 12, paragraph (3); Supplementary Provisions, Article 14, paragraph (2), items (i) and (ii); and Supplementary Provisions, Article 14, paragraph (3)
Insurer Exceeding the Estimated Burden Adjustment Base Amountmachine translation
「概算負担調整基準超過保険者」
In Articles 12 and 14 of the supplementary provisions (附則), an insurer of employee insurance and similar schemes (被用者保険等保険者) whose estimated total-remuneration-based levy (概算総報酬割納付金), divided by its expected number of secondary insured persons (第二号被保険者) for the fiscal year as worked out under a Ministry of Health, Labour and Welfare Order (厚生労働省令), exceeds the estimated burden adjustment base amount (概算負担調整基準額) — for fiscal 2017 and 2018 in Article 12, and for fiscal 2019 in Article 14.
Defined inSupplementary Provisions, Article 14, paragraph (1), item (i)· applies only in this provision and in Supplementary Provisions, Article 14, paragraph (1), item (ii); and Supplementary Provisions, Article 14, paragraph (5)
pre-adjustment total estimated levy for insurers of employee insurance, etc.machine translation
「被用者保険等保険者に係る補正前概算納付金総額」
In Article 14 of the supplementary provisions (附則), the amount Article 12, paragraph (7) of them defines: the prospective total of all municipalities' amounts subject to medical insurance payment (医療保険納付対象額) and the like amounts for comprehensive long-term care prevention and daily life support projects, divided by the prospective number of secondary insured persons (第二号被保険者) of all medical insurers (医療保険者) and multiplied by that of all insurers of employee insurance, etc. (被用者保険等保険者), each number as a Ministry of Health, Labour and Welfare Order (厚生労働省令) calculates it.
Defined inSupplementary Provisions, Article 14, paragraph (2)· applies only in this provision and in Supplementary Provisions, Article 14, paragraph (6)