# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第七章 (Chapter 7)

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- Law: 健康保険法施行令 (Order for Enforcement of the Health Insurance Act), 大正十五年勅令第二百四十三号
- English title "Order for Enforcement of the Health Insurance Act": claude-opus-5-5
- Kind: ImperialOrder — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say.
- Provision: 第七章 (Chapter 7) — address `ch-7`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act-enforcement-order/ch-7
- e-Gov law ID: 215IO0000000243 — never renamed. A permanent link, `/l/{lawId}/{address}` on this site, redirects to the page.
- Every provision below carries its address and its URL on the line under it.
- Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below.

Only the Japanese as published by the government has legal effect; the text
below is a copy of it. Every English rendering below is a translation and
says which kind: the Ministry of Justice's translation, or this
site's machine translation, whose model and date the Sources list names.
They are never merged and never substituted for one another.

---

## 第七章　費用の負担 — Chapter VII Sharing of Costs
<sup>heading: machine translation, not official</sup>
<sup>ch-7 · https://japanlaw.org/en/health-insurance-act-enforcement-order/ch-7</sup>

### 第四十四条の四（出産育児交付金） — Childbirth and Childcare Grants
<sup>caption: machine translation, not official</sup>
<sup>art-44-4 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-4</sup>

**第一項**  各年度の出産育児交付金は、当該年度の法第百五十二条の二に規定する出産育児一時金等の支給に要する費用の一部に充てるものとする。
<sup>art-44-4/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-4/par-1</sup>
The childbirth and childcare grant for each fiscal year is to be applied to a portion of the expenses required for the payment of the lump-sum allowance for childbirth and childcare, etc. prescribed in Article 152-2 of the Act for that fiscal year.
<sup>machine translation, not official</sup>

### 第四十四条の五（出産育児交付金に関する高齢者の医療の確保に関する法律の規定の読替え） — Replacement of Terms in the Provisions of the Act on Assurance of Medical Care for Elderly People Concerning Childbirth and Childcare Grants
<sup>caption: machine translation, not official</sup>
<sup>art-44-5 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-5</sup>

**第一項**  法第百五十二条の六の規定により高齢者の医療の確保に関する法律第四十一条及び第四十二条の規定を準用する場合においては、同法第四十一条（見出しを含む。）中「保険者」とあるのは「健康保険組合」と、同法第四十二条第一項中「、各保険者」とあるのは「、各保険者（健康保険（日雇特例被保険者（健康保険法第三条第二項に規定する日雇特例被保険者をいう。）の保険を除く。）の保険者としての全国健康保険協会及び健康保険組合をいう。以下同じ。）」と読み替えるものとする。
<sup>art-44-5/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-5/par-1</sup>
Where the provisions of Articles 41 and 42 of the Act on Assurance of Medical Care for Elderly People are applied mutatis mutandis pursuant to Article 152-6 of the Act, the term "Insurer" in Article 41 of that Act (including the heading) is deemed to be replaced with "health insurance society", and the phrase "to each Insurer" in Article 42, paragraph (1) of that Act with "to each Insurer (meaning the Japan Health Insurance Association and health insurance societies as insurers of health insurance (excluding insurance for specially-insured day laborers (meaning specially-insured day laborers prescribed in Article 3, paragraph (2) of the Health Insurance Act)); the same applies hereinafter)".
<sup>machine translation, not official</sup>

### 第四十四条の六（健康保険組合の合併等の場合における出産育児交付金の額の算定の特例） — Special Provisions for Calculation of the Amount of Childbirth and Childcare Grants in Cases of Merger, etc. of Health Insurance Societies
<sup>caption: machine translation, not official</sup>
<sup>art-44-6 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-6</sup>

**第一項**  前期高齢者交付金及び後期高齢者医療の国庫負担金の算定等に関する政令（平成十九年政令第三百二十五号）第二条第一項から第四項までの規定は、法第百五十二条の六において準用する高齢者の医療の確保に関する法律第四十一条の規定による出産育児交付金の額の算定の特例について準用する。この場合において、次の表の上欄に掲げる同令の規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句に読み替えるものとする。
第二条の見出し	保険者	健康保険組合
第二条第一項	保険者、	健康保険組合、
保険者又は解散をした保険者	健康保険組合又は解散をした健康保険組合
承継した保険者	承継した健康保険組合
成立保険者等	成立健康保険組合等
第二条第一項第一号	保険者	健康保険組合
債権の額又は前期高齢者納付金等に係る債務	債権
第二条第一項第二号及び第三号	保険者	健康保険組合
次のイ及びロに掲げる額の区分に応じ、それぞれイ及びロに	イに
第二条第二項の表以外の部分	成立保険者等	成立健康保険組合等
法第三十三条第一項ただし書	健康保険法（大正十一年法律第七十号）第百五十二条の三第一項ただし書
概算前期高齢者交付金	概算出産育児交付金
確定前期高齢者交付金	確定出産育児交付金
第二条第二項の表	保険者	健康保険組合
概算前期高齢者交付金	概算出産育児交付金
確定前期高齢者交付金	確定出産育児交付金
第二条第三項	成立保険者等	成立健康保険組合等
第二条第四項の表以外の部分	成立保険者等	成立健康保険組合等
法第三十三条第一項ただし書	健康保険法第百五十二条の三第一項ただし書
概算前期高齢者交付金	概算出産育児交付金
確定前期高齢者交付金	確定出産育児交付金
第二条第四項の表	保険者	健康保険組合
概算前期高齢者交付金	概算出産育児交付金
確定前期高齢者交付金	確定出産育児交付金
<sup>art-44-6/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-6/par-1</sup>
The provisions of Article 2, paragraphs (1) through (4) of the Cabinet Order on the Calculation, etc. of Grants for Early-Stage Elderly People and National Treasury Contributions for Latter-Stage Elderly Medical Care (Cabinet Order No. 325 of 2007) apply mutatis mutandis to the special provisions for calculation of the amount of childbirth and childcare grants under Article 41 of the Act on Assurance of Medical Care for Elderly People as applied mutatis mutandis pursuant to Article 152-6 of the Act. In this case, the words listed in the middle column of the following table in the provisions of that Cabinet Order listed in the left-hand column of the table are deemed to be replaced with the words listed in the right-hand column of the table, respectively.
Heading of Article 2	insurer	health insurance society
Article 2, paragraph (1)	insurer,	health insurance society,
insurer or a dissolved insurer	health insurance society or a dissolved health insurance society
succeeding insurer	succeeding health insurance society
newly established insurer, etc.	newly established health insurance society, etc.
Article 2, paragraph (1), item (i)	insurer	health insurance society
the amount of claims or the obligations relating to young-old payments, etc.	claims
Article 2, paragraph (1), items (ii) and (iii)	insurer	health insurance society
in accordance with the category of the amounts listed in (a) and (b) below, respectively in (a) and (b)	in (a)
Portion of Article 2, paragraph (2) other than the table	newly established insurer, etc.	newly established health insurance society, etc.
the proviso to Article 33, paragraph (1) of the Act on Assurance of Medical Care for Elderly People	the proviso to Article 152-3, paragraph (1) of the Health Insurance Act (Act No. 70 of 1922)
estimated young-old subsidy	estimated childbirth and childcare grant
fixed young-old subsidy	fixed childbirth and childcare grant
Table in Article 2, paragraph (2)	insurer	health insurance society
estimated young-old subsidy	estimated childbirth and childcare grant
fixed young-old subsidy	fixed childbirth and childcare grant
Article 2, paragraph (3)	newly established insurer, etc.	newly established health insurance society, etc.
Portion of Article 2, paragraph (4) other than the table	newly established insurer, etc.	newly established health insurance society, etc.
the proviso to Article 33, paragraph (1) of the Act on Assurance of Medical Care for Elderly People	the proviso to Article 152-3, paragraph (1) of the Health Insurance Act
estimated young-old subsidy	estimated childbirth and childcare grant
fixed young-old subsidy	fixed childbirth and childcare grant
Table in Article 2, paragraph (4)	insurer	health insurance society
estimated young-old subsidy	estimated childbirth and childcare grant
fixed young-old subsidy	fixed childbirth and childcare grant
<sup>machine translation, not official</sup>

### 第四十四条の七（保険料等交付金の交付） — Delivery of Grant from Premiums, etc.
<sup>caption: machine translation, not official</sup>
<sup>art-44-7 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7</sup>

**第一項**  政府は、次項の場合を除き、厚生労働大臣が徴収した保険料その他法の規定による徴収金及び印紙をもつてする歳入金納付に関する法律（昭和二十三年法律第百四十二号）の規定による納付金（以下この項及び次項において「保険料等」という。）が年金特別会計の健康勘定（同項において「健康勘定」という。）において収納されたときは、その都度遅滞なく、協会に対し、当該収納された保険料等の額から厚生労働大臣が行う健康保険事業の事務の執行に要する費用に相当する額（法第百五十一条の規定による当該費用に係る国庫負担金の額を除く。）として厚生労働省令で定めるところにより算定した額を控除した額を法第百五十五条の二の規定による交付金（以下この条において「保険料等交付金」という。）として交付する。
<sup>art-44-7/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-1</sup>
Except in the case referred to in the following paragraph, when the premiums and other amounts collected by the Minister of Health, Labour and Welfare pursuant to the provisions of the Act and the payments pursuant to the provisions of the Act on Payment of Government Charges with Stamps (Act No. 142 of 1948) (hereinafter referred to as "premiums, etc." in this paragraph and the following paragraph) have been received in the health account of the Pension Special Account (referred to as the "health account" in that paragraph), the Government is to deliver to JHIA, on each such occasion without delay, as the grant under Article 155-2 of the Act (hereinafter referred to as the "grant from premiums, etc." in this Article), the amount obtained by deducting, from the amount of the premiums, etc. so received, the amount calculated as provided by Order of the Ministry of Health, Labour and Welfare as an amount equivalent to the expenses required for the execution of the affairs of the health insurance business administered by the Minister of Health, Labour and Welfare (excluding the amount of the national treasury share for those expenses under Article 151 of the Act).
<sup>machine translation, not official</sup>

**第二項**  政府は、当該年度の健康勘定に前年度の決算上の剰余金が繰り入れられたときは、遅滞なく、協会に対し、当該繰り入れられた額（保険料等に係るもの以外のものとして厚生労働大臣が定めるものを除く。）を保険料等交付金として交付する。
<sup>art-44-7/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-2</sup>
When the surplus in the final accounts of the previous fiscal year has been transferred to the health account for that fiscal year, the Government is to deliver to JHIA without delay, as the grant from premiums, etc., the amount so transferred (excluding the amount specified by the Minister of Health, Labour and Welfare as that other than relating to premiums, etc.).
<sup>machine translation, not official</sup>

**第三項**  政府は、各月ごとに、協会に対し、当該各月において交付した保険料等交付金の額の算定根拠を明らかにするものとする。
<sup>art-44-7/par-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-3</sup>
For each month, the Government is to make clear to JHIA the basis for calculating the amount of the grant from premiums, etc. delivered in that month.
<sup>machine translation, not official</sup>

**第四項**  前三項に定めるもののほか、保険料等交付金の交付に関し必要な事項は、厚生労働省令で定める。
<sup>art-44-7/par-4 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-4</sup>
Beyond what is provided for in the preceding three paragraphs, necessary matters concerning the delivery of the grant from premiums, etc. are specified by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

### 第四十五条（介護保険料額が徴収される場合） — Cases in Which the Amount of Long-Term Care Insurance Premium Is Collected
<sup>caption: machine translation, not official</sup>
<sup>art-45 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45</sup>

**第一項**  法第百五十六条第二項ただし書（法附則第七条第三項において準用する場合を含む。）の政令で定める場合は、介護保険第二号被保険者（介護保険法第九条第二号に規定する被保険者をいう。以下同じ。）となった月において介護保険第二号被保険者に該当しなくなった場合とする。
<sup>art-45/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45/par-1</sup>
The cases specified by Cabinet Order as referred to in the proviso to Article 156, paragraph (2) of the Act (including as applied mutatis mutandis pursuant to Article 7, paragraph (3) of the Supplementary Provisions of the Act) are cases where a person ceases to be an item (ii) insured person (meaning an insured person prescribed in Article 9, item (ii) of the Long-Term Care Insurance Act; the same applies hereinafter) in the month in which the person became an item (ii) insured person.
<sup>machine translation, not official</sup>

### 第四十五条の二（都道府県単位保険料率の算定方法） — Method of Calculating the Premium Rate for Each Prefecture
<sup>caption: machine translation, not official</sup>
<sup>art-45-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2</sup>

**第一項**  協会は、厚生労働省令で定めるところにより、一の事業年度の翌事業年度における、第一号に掲げる額を予定保険料納付率（一の事業年度の三月分から当該一の事業年度の翌事業年度の二月分までの保険料（任意継続被保険者に係る保険料にあっては、当該翌事業年度の四月分から三月分までの保険料）として徴収すべき額の見込額に占める当該翌事業年度において納付が見込まれる保険料の額の総額の割合として厚生労働省令で定めるところにより算定される率をいう。次条において同じ。）で除して得た額を第二号に掲げる額で除することにより、当該一の事業年度の三月から用いる都道府県単位保険料率（法第百六十条第二項に規定する都道府県単位保険料率をいう。次条及び第四十五条の四第四項第一号において同じ。）を算定するものとする。
<sup>art-45-2/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1</sup>
As specified by Order of the Ministry of Health, Labour and Welfare, JHIA is to calculate the premium rate for each prefecture (meaning the premium rate for each prefecture prescribed in Article 160, paragraph (2) of the Act; the same applies in the following Article and Article 45-4, paragraph (4), item (i)) to be used from March of a business year, by dividing the amount obtained by dividing the amount listed in item (i) by the projected premium payment rate (meaning the rate calculated, as specified by Order of the Ministry of Health, Labour and Welfare, as the proportion that the total amount of premiums expected to be paid in the business year following the business year represents of the estimated amount to be collected as premiums for the period from March of a business year to February of the business year following that business year (for premiums relating to insured persons with optional and continued coverage, premiums for the period from April to March of that following business year); the same applies in the following Article) by the amount listed in item (ii), for the business year following the business year.
<sup>machine translation, not official</sup>

  **一**  次のイからハまでに掲げる額を合算した額からニに掲げる額を控除した額
  <sup>art-45-2/par-1/item-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-1</sup>
  the amount obtained by deducting the amount listed in (d) from the total sum of the amounts listed in (a) through (c);
  <sup>machine translation, not official</sup>

    **イ**  法第百六十条第三項第一号に掲げる額から当該支部被保険者（同条第一項に規定する支部被保険者をいう。以下同じ。）に係る同号に規定する療養の給付等（第四十五条の四第四項第一号及び第二号において「療養の給付等」という。）に要する費用のうち法の規定により支払うべき一部負担金に相当する額の見込額を控除した額
    <sup>art-45-2/par-1/item-1/sub-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-1/sub-1</sup>
    the amount obtained by deducting, from the amount listed in Article 160, paragraph (3), item (i) of the Act, the estimated amount of the amount equivalent to the partial co-payment payable pursuant to the provisions of the Act out of the expenses required for the benefits for medical treatment, etc. prescribed in that item (referred to as "benefits for medical treatment, etc." in Article 45-4, paragraph (4), items (i) and (ii)) relating to the branch-insured person concerned (meaning the single branch-insured person prescribed in Article 160, paragraph (1) of the Act; the same applies hereinafter);
    <sup>machine translation, not official</sup>

    **ロ**  法第百六十条第三項第二号に掲げる額から当該支部被保険者に係る同号に規定する保険給付に要する費用のうち法の規定により支払うべき一部負担金に相当する額の見込額を控除した額と一の事業年度の前々事業年度の三月から当該一の事業年度の前事業年度の二月までの各月の当該支部被保険者（任意継続被保険者を除く。）の総報酬額（標準報酬月額及び標準賞与額の合計額をいう。以下この条及び次条において同じ。）の総額及び当該一の事業年度の前事業年度の四月から三月までの各月の当該支部被保険者（任意継続被保険者に限る。）の総報酬額の総額の合算額に千分の〇・一を乗じて得た額とを合算して得た額
    <sup>art-45-2/par-1/item-1/sub-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-1/sub-2</sup>
    the amount obtained by adding together the amount obtained by deducting, from the amount listed in Article 160, paragraph (3), item (ii) of the Act, the estimated amount of the amount equivalent to the partial co-payment payable pursuant to the provisions of the Act out of the expenses required for the insurance benefits prescribed in that item relating to the branch-insured person concerned, and the amount obtained by multiplying by 0.1/1,000 the total sum of the total amount of the total remuneration (meaning the total of the standard monthly remuneration and the standard bonus amount; the same applies in this Article and the following Article) of the branch-insured person concerned (excluding insured persons with optional and continued coverage) for each month from March of the business year before the previous business year of a business year through February of the business year previous to that business year, and the total amount of the total remuneration of the branch-insured person concerned (limited to insured persons with optional and continued coverage) for each month from April through March of the business year previous to that business year;
    <sup>machine translation, not official</sup>

    **ハ**  法第百六十条第三項第三号に掲げる額
    <sup>art-45-2/par-1/item-1/sub-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-1/sub-3</sup>
    the amount listed in Article 160, paragraph (3), item (iii) of the Act; and
    <sup>machine translation, not official</sup>

    **ニ**  一の事業年度において取り崩すことが見込まれる準備金の額その他健康保険事業に要する費用のための収入の見込額のうち当該支部被保険者を単位とする健康保険の当該一の事業年度の財政においてその収入とみなすべき額として協会が定める額並びに高齢者の医療の確保に関する法律第十八条第一項に規定する特定健康診査及び同項に規定する特定保健指導の実施状況その他の当該支部被保険者及びその被扶養者の健康の保持増進並びに医療に要する費用の適正化に係る当該支部（法第七条の四第一項に規定する支部をいう。）の取組の状況を勘案して厚生労働省令で定めるところにより算定した報奨金の額
    <sup>art-45-2/par-1/item-1/sub-4 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-1/sub-4</sup>
    the amount specified by JHIA as the amount to be deemed revenue in the finances of a business year of health insurance on the basis of the branch-insured person concerned, out of the estimated amount of revenue for expenses required for health insurance business, such as the amount of reserves expected to be drawn down in that business year, and the amount of incentive payment calculated, as specified by Order of the Ministry of Health, Labour and Welfare, taking into account the status of implementation of the special health examination prescribed in Article 18, paragraph (1) of the Act on Assurance of Medical Care for Elderly People and the specified health guidance prescribed in the same paragraph, and other efforts of the relevant branch (meaning the branch prescribed in Article 7-4, paragraph (1) of the Act) concerning the maintenance and promotion of the health of the branch-insured person concerned and the dependents of that person and the optimization of medical expenses;
    <sup>machine translation, not official</sup>

  **二**  一の事業年度の三月から当該一の事業年度の翌事業年度の二月までの各月の当該支部被保険者（任意継続被保険者を除く。）の総報酬額の総額及び当該一の事業年度の翌事業年度の四月から三月までの各月の当該支部被保険者（任意継続被保険者に限る。）の総報酬額の総額の合算額の見込額
  <sup>art-45-2/par-1/item-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-2</sup>
  the estimated amount of the total sum of the total amount of the total remuneration of the branch-insured person concerned (excluding insured persons with optional and continued coverage) for each month from March of a business year through February of the business year following that business year, and the total amount of the total remuneration of the branch-insured person concerned (limited to insured persons with optional and continued coverage) for each month from April through March of the business year following that business year.
  <sup>machine translation, not official</sup>

### 第四十五条の三（三月以外の月から用いる都道府県単位保険料率の算定方法） — Method of Calculating the Premium Rate for Each Prefecture to Be Used from a Month Other than March
<sup>caption: machine translation, not official</sup>
<sup>art-45-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3</sup>

**第一項**  協会は、前条の規定にかかわらず、その変更しようとする都道府県単位保険料率を三月以外の月から用いようとするときは、厚生労働省令で定めるところにより、第一号に掲げる額から第二号に掲げる額を控除した額を予定保険料納付率で除して得た額を第三号に掲げる額で除することにより、当該都道府県単位保険料率を算定するものとする。
<sup>art-45-3/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1</sup>
Notwithstanding the provisions of the preceding Article, when JHIA intends to use a premium rate for each prefecture that it is about to change from a month other than March, JHIA is to calculate that premium rate for each prefecture, as specified by Order of the Ministry of Health, Labour and Welfare, by dividing the amount obtained by dividing the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i) by the projected premium payment rate by the amount listed in item (iii).
<sup>machine translation, not official</sup>

  **一**  当該変更後の都道府県単位保険料率を用いる最初の月（次号及び第三号において「適用月」という。）の属する事業年度における前条第一号に掲げる額
  <sup>art-45-3/par-1/item-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-1</sup>
  the amount listed in item (i) of the preceding Article in the business year to which the first month in which the premium rate for each prefecture after the change is to be used (referred to as the "month of application" in the following item and item (iii)) belongs;
  <sup>machine translation, not official</sup>

  **二**  次のイからハまでに掲げる適用月の区分に応じ、それぞれイからハまでに定める額
  <sup>art-45-3/par-1/item-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-2</sup>
  the amount specified respectively in (a) through (c) in accordance with the classification of months of application listed in (a) through (c):
  <sup>machine translation, not official</sup>

    **イ**  ロ又はハに掲げる月以外の月　適用月の属する事業年度の前事業年度の三月から当該適用月の前月までの各月の当該支部被保険者（任意継続被保険者を除く。）の総報酬額の総額及び当該適用月の属する事業年度の四月から当該適用月の前月までの各月の当該支部被保険者（任意継続被保険者に限る。）の総報酬額の総額の合算額の見込額に当該変更前の都道府県単位保険料率を乗じて得た額に当該適用月の属する事業年度における予定保険料納付率を乗じて得た額
    <sup>art-45-3/par-1/item-2/sub-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-2/sub-1</sup>
    a month other than a month listed in (b) or (c): the amount obtained by multiplying the estimated amount of the total sum of the total amount of the total remuneration of the branch-insured person concerned (excluding insured persons with optional and continued coverage) for each month from March of the business year previous to the business year to which the month of application belongs through the month preceding the month of application, and the total amount of the total remuneration of the branch-insured person concerned (limited to insured persons with optional and continued coverage) for each month from April of the business year to which the month of application belongs through the month preceding the month of application, by the premium rate for each prefecture before the change, and then multiplying the amount so obtained by the projected premium payment rate in the business year to which the month of application belongs;
    <sup>machine translation, not official</sup>

    **ロ**  四月　当該四月の前月の当該支部被保険者（任意継続被保険者を除く。）の総報酬額の総額の見込額に当該変更前の都道府県単位保険料率を乗じて得た額に当該四月の属する事業年度における予定保険料納付率を乗じて得た額
    <sup>art-45-3/par-1/item-2/sub-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-2/sub-2</sup>
    April: the amount obtained by multiplying the estimated amount of the total amount of the total remuneration of the branch-insured person concerned (excluding insured persons with optional and continued coverage) for the month preceding that April by the premium rate for each prefecture before the change, and then multiplying the amount so obtained by the projected premium payment rate in the business year to which that April belongs;
    <sup>machine translation, not official</sup>

    **ハ**  五月　当該五月の前々月及び前月の当該支部被保険者（任意継続被保険者を除く。）の総報酬額の総額並びに当該五月の前月の当該支部被保険者（任意継続被保険者に限る。）の総報酬額の総額の合算額の見込額に当該変更前の都道府県単位保険料率を乗じて得た額に当該五月の属する事業年度における予定保険料納付率を乗じて得た額
    <sup>art-45-3/par-1/item-2/sub-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-2/sub-3</sup>
    May: the amount obtained by multiplying the estimated amount of the total sum of the total amount of the total remuneration of the branch-insured person concerned (excluding insured persons with optional and continued coverage) for the month two months before that May and the month preceding that May, and the total amount of the total remuneration of the branch-insured person concerned (limited to insured persons with optional and continued coverage) for the month preceding that May, by the premium rate for each prefecture before the change, and then multiplying the amount so obtained by the projected premium payment rate in the business year to which that May belongs;
    <sup>machine translation, not official</sup>

  **三**  適用月から当該適用月の属する事業年度の二月までの各月（適用月が二月の場合にあっては、当該二月）の当該支部被保険者（任意継続被保険者を除く。）の総報酬額の総額及び当該適用月から当該適用月の属する事業年度の三月までの各月の当該支部被保険者（任意継続被保険者に限る。）の総報酬額の総額の合算額の見込額
  <sup>art-45-3/par-1/item-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-3</sup>
  the estimated amount of the total sum of the total amount of the total remuneration of the branch-insured person concerned (excluding insured persons with optional and continued coverage) for each month from the month of application through February of the business year to which the month of application belongs (where the month of application is February, that February), and the total amount of the total remuneration of the branch-insured person concerned (limited to insured persons with optional and continued coverage) for each month from the month of application through March of the business year to which the month of application belongs.
  <sup>machine translation, not official</sup>

### 第四十五条の四（支部被保険者を単位とする健康保険の財政の調整） — Adjustment of Finances for Health Insurance on the Basis of a Single Branch-Insured Person
<sup>caption: machine translation, not official</sup>
<sup>art-45-4 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4</sup>

**第一項**  法第百六十条第四項の規定により行う支部被保険者を単位とする健康保険の財政の調整は、年齢調整及び財政力調整とする。
<sup>art-45-4/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-1</sup>
The adjustment of finances for health insurance on the basis of a single branch-insured person that is carried out pursuant to the provisions of Article 160, paragraph (4) of the Act is to be age adjustment and financial capability adjustment.
<sup>machine translation, not official</sup>

**第二項**  前項の年齢調整は、次の各号に掲げる場合の区分に応じ、当該各号に定めるところにより行うものとする。
<sup>art-45-4/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-2</sup>
The age adjustment referred to in the preceding paragraph is to be carried out, in accordance with the classification of cases listed in the following items, as specified respectively in those items.
<sup>machine translation, not official</sup>

  **一**  支部年齢勘案標準給付費額が支部平均給付費額以上である場合　当該支部年齢勘案標準給付費額から当該支部平均給付費額を控除した額を控除すること。
  <sup>art-45-4/par-2/item-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-2/item-1</sup>
  in the case where the branch age-adjusted standard benefit cost is the branch average benefit cost or more: to deduct the amount obtained by deducting that branch average benefit cost from that branch age-adjusted standard benefit cost;
  <sup>machine translation, not official</sup>

  **二**  支部年齢勘案標準給付費額が支部平均給付費額未満である場合　当該支部平均給付費額から当該支部年齢勘案標準給付費額を控除した額を加算すること。
  <sup>art-45-4/par-2/item-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-2/item-2</sup>
  in the case where the branch age-adjusted standard benefit cost is less than the branch average benefit cost: to add the amount obtained by deducting that branch age-adjusted standard benefit cost from that branch average benefit cost.
  <sup>machine translation, not official</sup>

**第三項**  第一項の財政力調整は、次の各号に掲げる場合の区分に応じ、当該各号に定めるところにより行うものとする。
<sup>art-45-4/par-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-3</sup>
The financial capability adjustment referred to in paragraph (1) is to be carried out, in accordance with the classification of cases listed in the following items, as specified respectively in those items.
<sup>machine translation, not official</sup>

  **一**  支部総報酬按分給付費額が支部平均給付費額以上である場合　当該支部総報酬按分給付費額から当該支部平均給付費額を控除した額を加算すること。
  <sup>art-45-4/par-3/item-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-3/item-1</sup>
  in the case where the branch benefit cost apportioned by total remuneration is the branch average benefit cost or more: to add the amount obtained by deducting that branch average benefit cost from that branch benefit cost apportioned by total remuneration;
  <sup>machine translation, not official</sup>

  **二**  支部総報酬按分給付費額が支部平均給付費額未満である場合　当該支部平均給付費額から当該支部総報酬按分給付費額を控除した額を控除すること。
  <sup>art-45-4/par-3/item-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-3/item-2</sup>
  in the case where the branch benefit cost apportioned by total remuneration is less than the branch average benefit cost: to deduct the amount obtained by deducting that branch benefit cost apportioned by total remuneration from that branch average benefit cost.
  <sup>machine translation, not official</sup>

**第四項**  前二項において、次の各号に掲げる用語の意義は、当該各号に定めるところによる。
<sup>art-45-4/par-4 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4</sup>
In the preceding two paragraphs, the meanings of the terms listed in the following items are as prescribed respectively in those items.
<sup>machine translation, not official</sup>

  **一**  支部年齢勘案標準給付費額　厚生労働省令で定めるところにより、年齢階級ごとに、当該年齢階級に係る年齢階級別平均一人当たり給付額（厚生労働省令で定めるところにより、療養の給付等のうち協会が管掌する健康保険の被保険者及びその被扶養者であって当該年齢階級に属する者に係るものについて当該一の事業年度の翌事業年度（第四十五条の二に規定する当該一の事業年度の翌事業年度をいい、前条の規定に基づき都道府県単位保険料率を算定する場合にあっては、同条に規定する当該適用月の属する事業年度をいう。以下この項において同じ。）に要する費用の見込額から当該見込額のうち法の規定により支払うべき一部負担金に相当する額及び法第百五十三条の規定による国庫補助の額の合算額の見込額を控除した額を、当該一の事業年度の翌事業年度において協会が管掌する健康保険の被保険者及びその被扶養者であって当該年齢階級に属する者の合計数の見込数で除して得た額をいう。）に当該一の事業年度の翌事業年度において当該支部被保険者及びその被扶養者であって当該年齢階級に属する者の合計数の見込数を乗じて得た額を合算した額をいう。
  <sup>art-45-4/par-4/item-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4/item-1</sup>
  "branch age-adjusted standard benefit cost" means the total sum of the amounts obtained, for each age group, as specified by Order of the Ministry of Health, Labour and Welfare, by multiplying the average benefit per person by age group relating to that age group (meaning the amount obtained, as specified by Order of the Ministry of Health, Labour and Welfare, by dividing the amount obtained by deducting, from the estimated amount of expenses required in the business year following the business year (meaning the business year following the business year prescribed in Article 45-2 and, where the premium rate for each prefecture is calculated pursuant to the preceding Article, the business year to which the month of application prescribed in that Article belongs; the same applies hereinafter in this paragraph) for the benefits for medical treatment, etc. relating to insured persons of health insurance administered by JHIA and their dependents belonging to that age group, the estimated total sum of the amount equivalent to the partial co-payment payable pursuant to the provisions of the Act out of that estimated amount and the amount of national subsidy pursuant to the provisions of Article 153 of the Act, by the estimated total number of insured persons of health insurance administered by JHIA and their dependents belonging to that age group in the business year following the business year) by the estimated total number of the branch-insured person concerned and the dependents of that person belonging to that age group in the business year following the business year;
  <sup>machine translation, not official</sup>

  **二**  支部平均給付費額　厚生労働省令で定めるところにより、平均一人当たり給付額（厚生労働省令で定めるところにより、療養の給付等のうち協会が管掌する健康保険の被保険者及びその被扶養者に係るものについて当該一の事業年度の翌事業年度に要する費用の見込額から当該見込額のうち法の規定により支払うべき一部負担金に相当する額及び法第百五十三条の規定による国庫補助の額の合算額の見込額を控除した額（次号において「総給付費見込額」という。）を、当該一の事業年度の翌事業年度における協会が管掌する健康保険の被保険者及びその被扶養者の合計数の見込数で除して得た額をいう。）に当該一の事業年度の翌事業年度における当該支部被保険者及びその被扶養者の合計数の見込数を乗じて得た額をいう。
  <sup>art-45-4/par-4/item-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4/item-2</sup>
  "branch average benefit cost" means the amount obtained by multiplying, as specified by Order of the Ministry of Health, Labour and Welfare, the average benefit per person (meaning the amount obtained, as specified by Order of the Ministry of Health, Labour and Welfare, by dividing the amount obtained by deducting, from the estimated amount of expenses required in the business year following the business year for the benefits for medical treatment, etc. relating to insured persons of health insurance administered by JHIA and their dependents, the estimated total sum of the amount equivalent to the partial co-payment payable pursuant to the provisions of the Act out of that estimated amount and the amount of national subsidy pursuant to the provisions of Article 153 of the Act (referred to as the "estimated total benefit cost" in the following item), by the estimated total number of insured persons of health insurance administered by JHIA and their dependents in the business year following the business year) by the estimated total number of the branch-insured person concerned and the dependents of that person in the business year following the business year;
  <sup>machine translation, not official</sup>

  **三**  支部総報酬按分給付費額　厚生労働省令で定めるところにより、総給付費見込額に当該一の事業年度の翌事業年度における法第百六十条第三項第二号に規定する総報酬按分率の見込値を乗じて得た額をいう。
  <sup>art-45-4/par-4/item-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4/item-3</sup>
  "branch benefit cost apportioned by total remuneration" means the amount obtained by multiplying, as specified by Order of the Ministry of Health, Labour and Welfare, the estimated total benefit cost by the estimated value of the total remuneration proportion ratio prescribed in Article 160, paragraph (3), item (ii) of the Act in the business year following the business year.
  <sup>machine translation, not official</sup>

### 第四十五条の五（子ども・子育て支援金率の上限） — Upper Limit of the Children and Child-Rearing Support Contribution Rate
<sup>caption: machine translation, not official</sup>
<sup>art-45-5 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-5</sup>

**第一項**  法第百六十条の二第一項の政令で定める率は、千分の二・五とする。
<sup>art-45-5/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-5/par-1</sup>
The rate specified by Cabinet Order as referred to in Article 160-2, paragraph (1) of the Act is 2.5/1,000.
<sup>machine translation, not official</sup>

### 第四十六条（準備金の積立て） — Accumulation of Reserves
<sup>caption: machine translation, not official</sup>
<sup>art-46 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-46</sup>

**第一項**  協会は、毎事業年度末において、当該事業年度及びその直前の二事業年度内において行った保険給付に要した費用の額（前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金、介護納付金並びに流行初期医療確保拠出金等の納付に要した費用の額（前期高齢者交付金がある場合には、これを控除した額）を含み、出産育児交付金の額並びに法第百五十三条及び第百五十四条の規定による国庫補助の額を除く。）の一事業年度当たりの平均額の十二分の一に相当する額並びに当該事業年度において行った子ども・子育て支援納付金の納付に要した費用の額の十二分の一に相当する額を超えない範囲内において当該年度における保険者の子ども・子育て支援納付金の納付に要する費用を勘案して厚生労働大臣が内閣総理大臣と協議して定める額とを合算した額に達するまでは、当該事業年度の剰余金の額を準備金として積み立てなければならない。
<sup>art-46/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-46/par-1</sup>
JHIA must, at the end of each business year, accumulate the amount of surplus of that business year as a reserve until it reaches the sum of the amount equivalent to one-twelfth of the average per business year of the amount of expenses required for insurance benefits provided in that business year and the two business years immediately preceding it (including the amount of expenses required for payment of young-old payments, etc., aid for the old-old, etc., and day laborer contributions, long-term care payments, and contributions for securing medical care in the early phase of an epidemic, etc. (where there is a young-old subsidy, the amount after deducting it), and excluding the amount of childbirth and childcare grants and the amount of national subsidies pursuant to the provisions of Articles 153 and 154 of the Act), and the amount determined by the Minister of Health, Labour and Welfare in consultation with the Prime Minister, within a range not exceeding the amount equivalent to one-twelfth of the amount of expenses required for payment of the children and child-rearing support levy made in that business year, taking into account the expenses required for the payment of the children and child-rearing support levy by insurers in that year.
<sup>machine translation, not official</sup>

**第二項**  健康保険組合は、毎事業年度末において、当該事業年度及びその直前の二事業年度内において行った保険給付に要した費用の額（被保険者又はその被扶養者が法第六十三条第三項第三号に掲げる病院若しくは診療所又は薬局から受けた療養に係る保険給付に要した費用の額及び出産育児交付金の額を除く。）の一事業年度当たりの平均額の十二分の三に相当する額と当該事業年度及びその直前の二事業年度内において行った前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金、介護納付金並びに流行初期医療確保拠出金等の納付に要した費用の額（前期高齢者交付金がある場合には、これを控除した額）の一事業年度当たりの平均額の十二分の一に相当する額並びに当該事業年度において行った子ども・子育て支援納付金の納付に要した費用の額の十二分の一に相当する額を超えない範囲内において当該年度における保険者の子ども・子育て支援納付金の納付に要する費用を勘案して厚生労働大臣が内閣総理大臣と協議して定める額とを合算した額に達するまでは、当該事業年度の剰余金の額を準備金として積み立てなければならない。
<sup>art-46/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-46/par-2</sup>
A health insurance society must, at the end of each business year, accumulate the amount of surplus of that business year as a reserve until it reaches the sum of the amount equivalent to three-twelfths of the average per business year of the amount of expenses required for insurance benefits provided in that business year and the two business years immediately preceding it (excluding the amount of expenses required for insurance benefits relating to medical treatment that an insured person or the dependent of that person received from a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (iii) of the Act, and the amount of childbirth and childcare grants), the amount equivalent to one-twelfth of the average per business year of the amount of expenses required for payment of young-old payments, etc., aid for the old-old, etc., and day laborer contributions, long-term care payments, and contributions for securing medical care in the early phase of an epidemic, etc. provided in that business year and the two business years immediately preceding it (where there is a young-old subsidy, the amount after deducting it), and the amount determined by the Minister of Health, Labour and Welfare in consultation with the Prime Minister, within a range not exceeding the amount equivalent to one-twelfth of the amount of expenses required for payment of the children and child-rearing support levy made in that business year, taking into account the expenses required for the payment of the children and child-rearing support levy by insurers in that year.
<sup>machine translation, not official</sup>

### 第四十七条（二以上の事業所に使用される場合の保険料） — Premiums When Employed at Two or More Places of Business
<sup>caption: machine translation, not official</sup>
<sup>art-47 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47</sup>

**第一項**  法第百六十一条第四項の規定により被保険者（日雇特例被保険者を除く。以下同じ。）が同時に二以上の事業所又は事務所（以下単に「事業所」という。）に使用される場合における各事業主の負担すべき標準報酬月額に係る保険料の額は、第一号に掲げる額に第二号に掲げる数を乗じて得た額とする。
<sup>art-47/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-1</sup>
Where, pursuant to Article 161, paragraph (4) of the Act, an insured person (excluding specially-insured day laborers; the same applies hereinafter) is employed at two or more places of business or offices (hereinafter simply referred to as "places of business") at the same time, the amount of premiums relating to the standard monthly remuneration to be borne by each employer is the amount obtained by multiplying the amount listed in item (i) by the number listed in item (ii).
<sup>machine translation, not official</sup>

  **一**  当該被保険者の保険料の半額（法第百六十二条の規定が適用された場合にあっては、保険料の額に事業主の負担すべき割合を乗じて得た額）
  <sup>art-47/par-1/item-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-1/item-1</sup>
  half of the premium of the insured person concerned (where Article 162 of the Act is applied, the amount obtained by multiplying the amount of premium by the proportion to be borne by the employer);
  <sup>machine translation, not official</sup>

  **二**  各事業所について法第四十一条第一項、第四十二条第一項若しくは第四十三条第一項又は第四十四条第一項の規定により算定した額を当該被保険者の報酬月額で除して得た数
  <sup>art-47/par-1/item-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-1/item-2</sup>
  the number obtained by dividing the amount calculated for each place of business pursuant to Article 41, paragraph (1), Article 42, paragraph (1), Article 43, paragraph (1), or Article 44, paragraph (1) of the Act by the monthly remuneration of the insured person concerned.
  <sup>machine translation, not official</sup>

**第二項**  法第百六十一条第四項の規定により被保険者が同時に二以上の事業所に使用される場合における各事業主の負担すべき標準賞与額に係る保険料の額は、前項第一号に掲げる額に各事業所についてその月に各事業主が支払った賞与額をその月に当該被保険者が受けた賞与額で除して得た数を乗じて得た額とする。
<sup>art-47/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-2</sup>
Where, pursuant to Article 161, paragraph (4) of the Act, an insured person is employed at two or more places of business at the same time, the amount of premiums relating to the standard bonus amount to be borne by each employer is the amount obtained by multiplying the amount listed in item (i) of the preceding paragraph by the number obtained by dividing the amount of bonus paid by each employer in that month for each place of business by the amount of bonus received by the insured person in that month.
<sup>machine translation, not official</sup>

**第三項**  法第百六十一条第四項の被保険者が同時に二以上の事業所に使用される場合における各事業主が納付すべき保険料は、前二項の規定により各事業主が負担すべき保険料及びこれに応ずる当該被保険者が負担すべき保険料とする。
<sup>art-47/par-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-3</sup>
Where an insured person referred to in Article 161, paragraph (4) of the Act is employed at two or more places of business at the same time, the premiums to be paid by each employer are the premiums to be borne by each employer pursuant to the preceding two paragraphs and the corresponding premiums to be borne by that insured person.
<sup>machine translation, not official</sup>

### 第四十八条（保険料の前納期間） — Period for Advance Payment of Premiums
<sup>caption: machine translation, not official</sup>
<sup>art-48 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-48</sup>

**第一項**  法第百六十五条第一項の規定による保険料の前納は、四月から九月まで若しくは十月から翌年三月までの六月間又は四月から翌年三月までの十二月間を単位として行うものとする。ただし、当該六月又は十二月の間において、任意継続被保険者の資格を取得した者又はその資格を喪失することが明らかである者については、当該六月間又は十二月間のうち、その資格を取得した日の属する月の翌月以降の期間又はその資格を喪失する日の属する月の前月までの期間の保険料について前納を行うことができる。
<sup>art-48/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-48/par-1</sup>
Advance payment of premiums pursuant to Article 165, paragraph (1) of the Act is to be made in units of six months, from April to September or from October to March of the following year, or 12 months, from April to March of the following year; provided, however, that for a person who acquires status as an insured person with optional and continued coverage, or who is clearly to lose that status, during those six or 12 months, advance payment may be made of the premiums for the period, within those six or 12 months, from the month following the month containing the day on which the person acquires that status, or up to the month preceding the month containing the day on which the person loses that status.
<sup>machine translation, not official</sup>

### 第四十九条（前納の際の控除額） — Amount Deducted upon Advance Payment
<sup>caption: machine translation, not official</sup>
<sup>art-49 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-49</sup>

**第一項**  法第百六十五条第二項の政令で定める額は、前納に係る期間の各月の保険料の合計額から、その期間の各月の保険料の額を年四分の利率による複利現価法によって前納に係る期間の最初の月から当該各月までのそれぞれの期間に応じて割り引いた額の合計額（この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円として計算する。）を控除した額とする。
<sup>art-49/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-49/par-1</sup>
The amount specified by Cabinet Order as referred to in Article 165, paragraph (2) of the Act is the amount obtained by deducting, from the total sum of the premiums for each month of the period covered by advance payment, the total sum of the amounts obtained by discounting the amount of the premium for each month of that period by the compound present value method at an annual interest rate of 4%, according to the respective periods from the first month of the period covered by the advance payment to each such month (where that total has a fractional amount of less than one yen, a fractional amount of less than 50 sen is rounded down, and a fractional amount of 50 sen or more is calculated as one yen).
<sup>machine translation, not official</sup>

### 第五十条（前納保険料の充当） — Appropriation of Premiums Paid in Advance
<sup>caption: machine translation, not official</sup>
<sup>art-50 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-50</sup>

**第一項**  法第百六十五条第一項の規定により保険料が前納された後、前納に係る期間の経過前において任意継続被保険者に係る保険料の額の引上げが行われることとなった場合においては、前納された保険料のうち当該保険料の額の引上げが行われることとなった後の期間に係るものは、当該期間の各月につき納付すべきこととなる保険料に、先に到来する月の分から順次充当するものとする。
<sup>art-50/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-50/par-1</sup>
Where, after premiums are paid in advance pursuant to Article 165, paragraph (1) of the Act, the amount of premiums relating to an insured person with optional and continued coverage is to be raised before the period covered by the advance payment elapses, the portion of the premiums paid in advance that relates to the period after the raise is to be appropriated, in order from the earliest month, to the premiums to be paid for each month of that period.
<sup>machine translation, not official</sup>

### 第五十一条（前納保険料の還付） — Refund of Premiums Paid in Advance
<sup>caption: machine translation, not official</sup>
<sup>art-51 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-51</sup>

**第一項**  法第百六十五条第一項の規定により保険料を前納した後、前納に係る期間の経過前において任意継続被保険者がその資格を喪失した場合においては、その者（法第三十八条第二号に該当するに至った場合においては、その者の相続人）の請求に基づき、前納した保険料のうち未経過期間に係るものを還付する。
<sup>art-51/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-51/par-1</sup>
Where an insured person with optional and continued coverage loses that status before the period covered by advance payment elapses, after paying premiums in advance pursuant to Article 165, paragraph (1) of the Act, the portion of the premiums paid in advance that relates to the unelapsed period is to be refunded upon the request of that person (where the person has come to fall under Article 38, item (ii) of the Act, the heir of that person).
<sup>machine translation, not official</sup>

**第二項**  前項に規定する未経過期間に係る還付額は、任意継続被保険者の資格を喪失した時において当該未経過期間につき保険料を前納するものとした場合におけるその前納すべき額に相当する額とする。
<sup>art-51/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-51/par-2</sup>
The refund amount relating to the unelapsed period prescribed in the preceding paragraph is the amount equivalent to the amount that would be payable if the premiums for that unelapsed period were to be paid in advance at the time of losing status as an insured person with optional and continued coverage.
<sup>machine translation, not official</sup>

### 第五十二条（準用） — Mutatis Mutandis Application
<sup>caption: machine translation, not official</sup>
<sup>art-52 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-52</sup>

**第一項**  第四十八条から前条までの規定は、法附則第三条第一項に規定する特例退職被保険者の保険料の前納について準用する。
<sup>art-52/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-52/par-1</sup>
The provisions of Article 48 through the preceding Article apply mutatis mutandis to advance payment of premiums of a special retired insured person prescribed in Article 3, paragraph (1) of the Supplementary Provisions of the Act.
<sup>machine translation, not official</sup>

### 第五十三条（厚生労働省令への委任） — Delegation to Order of the Ministry of Health, Labour and Welfare
<sup>caption: machine translation, not official</sup>
<sup>art-53 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-53</sup>

**第一項**  第四十八条から前条までに定めるもののほか、保険料の前納の手続その他保険料の前納に関して必要な事項は、厚生労働省令で定める。
<sup>art-53/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-53/par-1</sup>
In addition to what is provided for in Article 48 through the preceding Article, procedures for advance payment of premiums and other matters necessary for advance payment of premiums are specified by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

### 第五十四条（日雇特例被保険者の保険料額） — Amount of Premium for Specially-Insured Day Laborers
<sup>caption: machine translation, not official</sup>
<sup>art-54 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-54</sup>

**第一項**  法第百六十八条第一項の規定により日雇特例被保険者に関する保険料額を算定する場合並びに法第百六十九条第一項の規定により日雇特例被保険者の負担すべき額及び日雇特例被保険者を使用する事業主の負担すべき額を算定する場合において、法第百六十八条第一項第一号イ及びロに掲げる額に十円未満の端数があるときは、その端数を切り捨てるものとする。
<sup>art-54/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-54/par-1</sup>
Where the amount of premium relating to a specially-insured day laborer is calculated pursuant to Article 168, paragraph (1) of the Act, and where the amount to be borne by a specially-insured day laborer and the amount to be borne by an employer employing specially-insured day laborers are calculated pursuant to Article 169, paragraph (1) of the Act, if the amounts listed in Article 168, paragraph (1), item (i), (a) and (b) of the Act have a fractional amount of less than 10 yen, the fractional amount is to be rounded down.
<sup>machine translation, not official</sup>

**第二項**  厚生労働大臣は、日雇特例被保険者に関する保険料額並びに日雇特例被保険者の負担すべき額及び日雇特例被保険者を使用する事業主の負担すべき額を告示するものとする。
<sup>art-54/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-54/par-2</sup>
The Minister of Health, Labour and Welfare is to give public notice of the amount of premium relating to specially-insured day laborers, the amount to be borne by specially-insured day laborers, and the amount to be borne by employers employing specially-insured day laborers.
<sup>machine translation, not official</sup>

### 第五十五条（日雇拠出金の納期及び納付の額） — Due Dates and Amounts of Payment of Day Laborer Contributions
<sup>caption: machine translation, not official</sup>
<sup>art-55 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-55</sup>

**第一項**  日雇拠出金の納期は、九月三十日及び三月三十一日とする。
<sup>art-55/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-55/par-1</sup>
The due dates for day laborer contributions are September 30 and March 31.
<sup>machine translation, not official</sup>

**第二項**  各納期に納付すべき日雇拠出金の額は、法第百七十四条の規定による当該年度の日雇拠出金の額の二分の一に相当する金額とする。
<sup>art-55/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-55/par-2</sup>
The amount of day laborer contributions to be paid on each due date is the amount equivalent to one-half of the amount of day laborer contributions for the relevant fiscal year pursuant to Article 174 of the Act.
<sup>machine translation, not official</sup>

**第三項**  前項の規定にかかわらず、当該年度の日雇拠出金の額に二千円未満の端数があるときは、九月三十日の納期に納付すべき額は当該年度の日雇拠出金の額に当該端数の額を加算した額の二分の一に相当する金額とし、三月三十一日の納期に納付すべき額は当該年度の日雇拠出金の額から当該端数の額を控除した額の二分の一に相当する金額とする。
<sup>art-55/par-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-55/par-3</sup>
Notwithstanding the preceding paragraph, where the amount of day laborer contributions for the fiscal year has a fractional amount of less than 2,000 yen, the amount to be paid on the due date of September 30 is the amount equivalent to one-half of the amount obtained by adding that fractional amount to the amount of day laborer contributions for that fiscal year, and the amount to be paid on the due date of March 31 is the amount equivalent to one-half of the amount obtained by deducting that fractional amount from the amount of day laborer contributions for that fiscal year.
<sup>machine translation, not official</sup>

### 第五十六条（日雇拠出金の納付の猶予） — Deferment of Payment of Day Laborer Contributions
<sup>caption: machine translation, not official</sup>
<sup>art-56 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56</sup>

**第一項**  厚生労働大臣は、やむを得ない事情により、日雇特例被保険者を使用する事業主の設立する健康保険組合又は法第百七十九条に規定する国民健康保険の保険者（以下この項及び次項において「日雇関係組合」という。）が日雇拠出金を納付することが著しく困難であると認められるときは、厚生労働省令で定めるところにより、当該日雇関係組合の申請に基づき、その納期から一年以内の期間を限り、その一部の納付を猶予することができる。
<sup>art-56/par-1 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56/par-1</sup>
Where the Minister of Health, Labour and Welfare finds that, due to unavoidable circumstances, it is extremely difficult for a health insurance society established by an employer employing specially-insured day laborers or an insurer of national health insurance prescribed in Article 179 of the Act (referred to as a "day laborer health society" in this paragraph and the following paragraph) to pay day laborer contributions, the Minister may, as specified by Order of the Ministry of Health, Labour and Welfare, upon application of the day laborer health society, defer payment of part of them for a period of up to one year from the due date.
<sup>machine translation, not official</sup>

**第二項**  厚生労働大臣は、前項の規定による猶予をしたときは、その旨、猶予に係る日雇拠出金の額、猶予期間その他必要な事項を日雇関係組合に通知しなければならない。
<sup>art-56/par-2 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56/par-2</sup>
When the Minister of Health, Labour and Welfare has granted deferment pursuant to the provisions of the preceding paragraph, the Minister must notify the day laborer health society of that fact, the amount of day laborer contributions subject to the deferment, the deferment period, and other necessary matters.
<sup>machine translation, not official</sup>

**第三項**  厚生労働大臣は、第一項の規定による猶予をしたときは、その猶予期間内は、その猶予に係る日雇拠出金につき新たに法第百八十条第一項の規定による督促及び同条第四項の規定による処分又は徴収の請求をすることができない。
<sup>art-56/par-3 · https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56/par-3</sup>
When the Minister of Health, Labour and Welfare has granted deferment pursuant to the provisions of paragraph (1), the Minister may not, during the deferment period, newly make a demand pursuant to the provisions of Article 180, paragraph (1) of the Act or a request for disposition or collection pursuant to the provisions of paragraph (4) of that Article regarding the day laborer contributions subject to the deferment.
<sup>machine translation, not official</sup>

---

## Cites
- art-44-4/par-1: 法第百五十二条の二 → 健康保険法 第百五十二条の二 (Article 152-2), art-152-2 — https://japanlaw.org/en/health-insurance-act/art-152-2 (e-Gov law ID 211AC0000000070)
- art-44-5/par-1: 法第百五十二条の六 → 健康保険法 第百五十二条の六 (Article 152-6), art-152-6 — https://japanlaw.org/en/health-insurance-act/art-152-6 (e-Gov law ID 211AC0000000070)
- art-44-5/par-1: 高齢者の医療の確保に関する法律第四十一条 → 高齢者の医療の確保に関する法律 第四十一条 (Article 41), art-41 — https://japanlaw.org/en/elderly-medical-care-act/art-41 (e-Gov law ID 357AC0000000080)
- art-44-5/par-1: 第四十二条 → 高齢者の医療の確保に関する法律 第四十二条 (Article 42), art-42 — https://japanlaw.org/en/elderly-medical-care-act/art-42 (e-Gov law ID 357AC0000000080)
- art-44-5/par-1: 同法第四十二条第一項 → 高齢者の医療の確保に関する法律 第四十二条第一項 (Article 42, paragraph (1)), art-42/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-42/par-1 (e-Gov law ID 357AC0000000080)
- art-44-5/par-1: 健康保険法第三条第二項 → 健康保険法 第三条第二項 (Article 3, paragraph (2)), art-3/par-2 — https://japanlaw.org/en/health-insurance-act/art-3/par-2 (e-Gov law ID 211AC0000000070)
- art-44-6/par-1: 前期高齢者交付金及び後期高齢者医療の国庫負担金の算定等に関する政令（平成十九年政令第三百二十五号）第二条第一項から第四項まで → e-Gov law 419CO0000000325, 第二条第一項 (Article 2, paragraph (1)), art-2/par-1 — not held in this collection
- art-44-6/par-1: 法第百五十二条の六 → 健康保険法 第百五十二条の六 (Article 152-6), art-152-6 — https://japanlaw.org/en/health-insurance-act/art-152-6 (e-Gov law ID 211AC0000000070)
- art-44-6/par-1: 高齢者の医療の確保に関する法律第四十一条 → 高齢者の医療の確保に関する法律 第四十一条 (Article 41), art-41 — https://japanlaw.org/en/elderly-medical-care-act/art-41 (e-Gov law ID 357AC0000000080)
- art-44-6/par-1: 法第三十三条第一項 → 健康保険法 第三十三条第一項 (Article 33, paragraph (1)), art-33/par-1 — https://japanlaw.org/en/health-insurance-act/art-33/par-1 (e-Gov law ID 211AC0000000070)
- art-44-6/par-1: 健康保険法（大正十一年法律第七十号）第百五十二条の三第一項 → 健康保険法 第百五十二条の三第一項 (Article 152-3, paragraph (1)), art-152-3/par-1 — https://japanlaw.org/en/health-insurance-act/art-152-3/par-1 (e-Gov law ID 211AC0000000070)
- art-44-7/par-1: 次項 → 健康保険法施行令 第四十四条の七第二項 (Article 44-7, paragraph (2)), art-44-7/par-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-2
- art-44-7/par-1: この項 → 健康保険法施行令 第四十四条の七第一項 (Article 44-7, paragraph (1)), art-44-7/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-1
- art-44-7/par-1: 法第百五十一条 → 健康保険法 第百五十一条 (Article 151), art-151 — https://japanlaw.org/en/health-insurance-act/art-151 (e-Gov law ID 211AC0000000070)
- art-44-7/par-1: 法第百五十五条の二 → 健康保険法 第百五十五条の二 (Article 155-2), art-155-2 — https://japanlaw.org/en/health-insurance-act/art-155-2 (e-Gov law ID 211AC0000000070)
- art-44-7/par-1: この条 → 健康保険法施行令 第四十四条の七 (Article 44-7), art-44-7 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7
- art-44-7/par-4: 前三項 → 健康保険法施行令 第四十四条の七第一項 (Article 44-7, paragraph (1)), art-44-7/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-1
- art-44-7/par-4: 前三項 → 健康保険法施行令 第四十四条の七第二項 (Article 44-7, paragraph (2)), art-44-7/par-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-2
- art-44-7/par-4: 前三項 → 健康保険法施行令 第四十四条の七第三項 (Article 44-7, paragraph (3)), art-44-7/par-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-44-7/par-3
- art-45/par-1: 法第百五十六条第二項 → 健康保険法 第百五十六条第二項 (Article 156, paragraph (2)), art-156/par-2 — https://japanlaw.org/en/health-insurance-act/art-156/par-2 (e-Gov law ID 211AC0000000070)
- art-45/par-1: 法附則第七条第三項 → 健康保険法 附則第七条第三項 (Supplementary Provisions, Article 7, paragraph (3)), suppl-2111-70/art-7/par-3 — https://japanlaw.org/en/health-insurance-act/suppl-2111-70/art-7/par-3 (e-Gov law ID 211AC0000000070)
- art-45/par-1: 介護保険法第九条第二号 → 介護保険法 第九条第一項第二号 (Article 9, paragraph (1), item (ii)), art-9/par-1/item-2 — https://japanlaw.org/en/long-term-care-insurance-act/art-9/par-1/item-2 (e-Gov law ID 409AC0000000123)
- art-45-2/par-1: 第一号 → 健康保険法施行令 第四十五条の二第一項第一号 (Article 45-2, paragraph (1), item (i)), art-45-2/par-1/item-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-1
- art-45-2/par-1: 次条 → 健康保険法施行令 第四十五条の三 (Article 45-3), art-45-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3
- art-45-2/par-1: 第二号 → 健康保険法施行令 第四十五条の二第一項第二号 (Article 45-2, paragraph (1), item (ii)), art-45-2/par-1/item-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-2
- art-45-2/par-1: 法第百六十条第二項 → 健康保険法 第百六十条第二項 (Article 160, paragraph (2)), art-160/par-2 — https://japanlaw.org/en/health-insurance-act/art-160/par-2 (e-Gov law ID 211AC0000000070)
- art-45-2/par-1: 第四十五条の四第四項第一号 → 健康保険法施行令 第四十五条の四第四項第一号 (Article 45-4, paragraph (4), item (i)), art-45-4/par-4/item-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4/item-1
- art-45-2/par-1/item-1/sub-1: 法第百六十条第三項第一号 → 健康保険法 第百六十条第三項第一号 (Article 160, paragraph (3), item (i)), art-160/par-3/item-1 — https://japanlaw.org/en/health-insurance-act/art-160/par-3/item-1 (e-Gov law ID 211AC0000000070)
- art-45-2/par-1/item-1/sub-1: 同条第一項 → 健康保険法 第百六十条第一項 (Article 160, paragraph (1)), art-160/par-1 — https://japanlaw.org/en/health-insurance-act/art-160/par-1 (e-Gov law ID 211AC0000000070)
- art-45-2/par-1/item-1/sub-1: 第四十五条の四第四項第一号 → 健康保険法施行令 第四十五条の四第四項第一号 (Article 45-4, paragraph (4), item (i)), art-45-4/par-4/item-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4/item-1
- art-45-2/par-1/item-1/sub-1: 第二号 → 健康保険法施行令 第四十五条の四第四項第二号 (Article 45-4, paragraph (4), item (ii)), art-45-4/par-4/item-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4/item-2
- art-45-2/par-1/item-1/sub-2: 法第百六十条第三項第二号 → 健康保険法 第百六十条第三項第二号 (Article 160, paragraph (3), item (ii)), art-160/par-3/item-2 — https://japanlaw.org/en/health-insurance-act/art-160/par-3/item-2 (e-Gov law ID 211AC0000000070)
- art-45-2/par-1/item-1/sub-2: この条 → 健康保険法施行令 第四十五条の二 (Article 45-2), art-45-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2
- art-45-2/par-1/item-1/sub-2: 次条 → 健康保険法施行令 第四十五条の三 (Article 45-3), art-45-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3
- art-45-2/par-1/item-1/sub-3: 法第百六十条第三項第三号 → 健康保険法 第百六十条第三項第三号 (Article 160, paragraph (3), item (iii)), art-160/par-3/item-3 — https://japanlaw.org/en/health-insurance-act/art-160/par-3/item-3 (e-Gov law ID 211AC0000000070)
- art-45-2/par-1/item-1/sub-4: 高齢者の医療の確保に関する法律第十八条第一項 → 高齢者の医療の確保に関する法律 第十八条第一項 (Article 18, paragraph (1)), art-18/par-1 — https://japanlaw.org/en/elderly-medical-care-act/art-18/par-1 (e-Gov law ID 357AC0000000080)
- art-45-2/par-1/item-1/sub-4: 法第七条の四第一項 → 健康保険法 第七条の四第一項 (Article 7-4, paragraph (1)), art-7-4/par-1 — https://japanlaw.org/en/health-insurance-act/art-7-4/par-1 (e-Gov law ID 211AC0000000070)
- art-45-3/par-1: 前条 → 健康保険法施行令 第四十五条の二 (Article 45-2), art-45-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2
- art-45-3/par-1: 第一号 → 健康保険法施行令 第四十五条の三第一項第一号 (Article 45-3, paragraph (1), item (i)), art-45-3/par-1/item-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-1
- art-45-3/par-1: 第二号 → 健康保険法施行令 第四十五条の三第一項第二号 (Article 45-3, paragraph (1), item (ii)), art-45-3/par-1/item-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-2
- art-45-3/par-1: 第三号 → 健康保険法施行令 第四十五条の三第一項第三号 (Article 45-3, paragraph (1), item (iii)), art-45-3/par-1/item-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-3
- art-45-3/par-1/item-1: 次号 → 健康保険法施行令 第四十五条の三第一項第二号 (Article 45-3, paragraph (1), item (ii)), art-45-3/par-1/item-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-2
- art-45-3/par-1/item-1: 第三号 → 健康保険法施行令 第四十五条の三第一項第三号 (Article 45-3, paragraph (1), item (iii)), art-45-3/par-1/item-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3/par-1/item-3
- art-45-3/par-1/item-1: 前条第一号 → 健康保険法施行令 第四十五条の二第一項第一号 (Article 45-2, paragraph (1), item (i)), art-45-2/par-1/item-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2/par-1/item-1
- art-45-4/par-1: 法第百六十条第四項 → 健康保険法 第百六十条第四項 (Article 160, paragraph (4)), art-160/par-4 — https://japanlaw.org/en/health-insurance-act/art-160/par-4 (e-Gov law ID 211AC0000000070)
- art-45-4/par-2: 前項 → 健康保険法施行令 第四十五条の四第一項 (Article 45-4, paragraph (1)), art-45-4/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-1
- art-45-4/par-3: 第一項 → 健康保険法施行令 第四十五条の四第一項 (Article 45-4, paragraph (1)), art-45-4/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-1
- art-45-4/par-4: 前二項 → 健康保険法施行令 第四十五条の四第二項 (Article 45-4, paragraph (2)), art-45-4/par-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-2
- art-45-4/par-4: 前二項 → 健康保険法施行令 第四十五条の四第三項 (Article 45-4, paragraph (3)), art-45-4/par-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-3
- art-45-4/par-4/item-1: 第四十五条の二 → 健康保険法施行令 第四十五条の二 (Article 45-2), art-45-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-2
- art-45-4/par-4/item-1: 前条 → 健康保険法施行令 第四十五条の三 (Article 45-3), art-45-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-3
- art-45-4/par-4/item-1: この項 → 健康保険法施行令 第四十五条の四第四項 (Article 45-4, paragraph (4)), art-45-4/par-4 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4
- art-45-4/par-4/item-1: 法第百五十三条 → 健康保険法 第百五十三条 (Article 153), art-153 — https://japanlaw.org/en/health-insurance-act/art-153 (e-Gov law ID 211AC0000000070)
- art-45-4/par-4/item-2: 法第百五十三条 → 健康保険法 第百五十三条 (Article 153), art-153 — https://japanlaw.org/en/health-insurance-act/art-153 (e-Gov law ID 211AC0000000070)
- art-45-4/par-4/item-2: 次号 → 健康保険法施行令 第四十五条の四第四項第三号 (Article 45-4, paragraph (4), item (iii)), art-45-4/par-4/item-3 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-45-4/par-4/item-3
- art-45-4/par-4/item-3: 法第百六十条第三項第二号 → 健康保険法 第百六十条第三項第二号 (Article 160, paragraph (3), item (ii)), art-160/par-3/item-2 — https://japanlaw.org/en/health-insurance-act/art-160/par-3/item-2 (e-Gov law ID 211AC0000000070)
- art-45-5/par-1: 法第百六十条の二第一項 → 健康保険法 第百六十条の二第一項 (Article 160-2, paragraph (1)), art-160-2/par-1 — https://japanlaw.org/en/health-insurance-act/art-160-2/par-1 (e-Gov law ID 211AC0000000070)
- art-46/par-1: 法第百五十三条 → 健康保険法 第百五十三条 (Article 153), art-153 — https://japanlaw.org/en/health-insurance-act/art-153 (e-Gov law ID 211AC0000000070)
- art-46/par-1: 第百五十四条 → 健康保険法 第百五十四条 (Article 154), art-154 — https://japanlaw.org/en/health-insurance-act/art-154 (e-Gov law ID 211AC0000000070)
- art-46/par-2: 法第六十三条第三項第三号 → 健康保険法 第六十三条第三項第三号 (Article 63, paragraph (3), item (iii)), art-63/par-3/item-3 — https://japanlaw.org/en/health-insurance-act/art-63/par-3/item-3 (e-Gov law ID 211AC0000000070)
- art-47/par-1: 法第百六十一条第四項 → 健康保険法 第百六十一条第四項 (Article 161, paragraph (4)), art-161/par-4 — https://japanlaw.org/en/health-insurance-act/art-161/par-4 (e-Gov law ID 211AC0000000070)
- art-47/par-1: 第一号 → 健康保険法施行令 第四十七条第一項第一号 (Article 47, paragraph (1), item (i)), art-47/par-1/item-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-1/item-1
- art-47/par-1: 第二号 → 健康保険法施行令 第四十七条第一項第二号 (Article 47, paragraph (1), item (ii)), art-47/par-1/item-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-1/item-2
- art-47/par-1/item-1: 法第百六十二条 → 健康保険法 第百六十二条 (Article 162), art-162 — https://japanlaw.org/en/health-insurance-act/art-162 (e-Gov law ID 211AC0000000070)
- art-47/par-1/item-2: 法第四十一条第一項 → 健康保険法 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — https://japanlaw.org/en/health-insurance-act/art-41/par-1 (e-Gov law ID 211AC0000000070)
- art-47/par-1/item-2: 第四十二条第一項 → 健康保険法 第四十二条第一項 (Article 42, paragraph (1)), art-42/par-1 — https://japanlaw.org/en/health-insurance-act/art-42/par-1 (e-Gov law ID 211AC0000000070)
- art-47/par-1/item-2: 第四十三条第一項 → 健康保険法 第四十三条第一項 (Article 43, paragraph (1)), art-43/par-1 — https://japanlaw.org/en/health-insurance-act/art-43/par-1 (e-Gov law ID 211AC0000000070)
- art-47/par-1/item-2: 第四十四条第一項 → 健康保険法 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/en/health-insurance-act/art-44/par-1 (e-Gov law ID 211AC0000000070)
- art-47/par-2: 法第百六十一条第四項 → 健康保険法 第百六十一条第四項 (Article 161, paragraph (4)), art-161/par-4 — https://japanlaw.org/en/health-insurance-act/art-161/par-4 (e-Gov law ID 211AC0000000070)
- art-47/par-2: 前項第一号 → 健康保険法施行令 第四十七条第一項第一号 (Article 47, paragraph (1), item (i)), art-47/par-1/item-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-1/item-1
- art-47/par-3: 法第百六十一条第四項 → 健康保険法 第百六十一条第四項 (Article 161, paragraph (4)), art-161/par-4 — https://japanlaw.org/en/health-insurance-act/art-161/par-4 (e-Gov law ID 211AC0000000070)
- art-47/par-3: 前二項 → 健康保険法施行令 第四十七条第一項 (Article 47, paragraph (1)), art-47/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-1
- art-47/par-3: 前二項 → 健康保険法施行令 第四十七条第二項 (Article 47, paragraph (2)), art-47/par-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-47/par-2
- art-48/par-1: 法第百六十五条第一項 → 健康保険法 第百六十五条第一項 (Article 165, paragraph (1)), art-165/par-1 — https://japanlaw.org/en/health-insurance-act/art-165/par-1 (e-Gov law ID 211AC0000000070)
- art-49/par-1: 法第百六十五条第二項 → 健康保険法 第百六十五条第二項 (Article 165, paragraph (2)), art-165/par-2 — https://japanlaw.org/en/health-insurance-act/art-165/par-2 (e-Gov law ID 211AC0000000070)
- art-50/par-1: 法第百六十五条第一項 → 健康保険法 第百六十五条第一項 (Article 165, paragraph (1)), art-165/par-1 — https://japanlaw.org/en/health-insurance-act/art-165/par-1 (e-Gov law ID 211AC0000000070)
- art-51/par-1: 法第百六十五条第一項 → 健康保険法 第百六十五条第一項 (Article 165, paragraph (1)), art-165/par-1 — https://japanlaw.org/en/health-insurance-act/art-165/par-1 (e-Gov law ID 211AC0000000070)
- art-51/par-1: 法第三十八条第二号 → 健康保険法 第三十八条第一項第二号 (Article 38, paragraph (1), item (ii)), art-38/par-1/item-2 — https://japanlaw.org/en/health-insurance-act/art-38/par-1/item-2 (e-Gov law ID 211AC0000000070)
- art-51/par-2: 前項 → 健康保険法施行令 第五十一条第一項 (Article 51, paragraph (1)), art-51/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-51/par-1
- art-52/par-1: 第四十八条から前条まで → 健康保険法施行令 第四十八条 (Article 48), art-48 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-48
- art-52/par-1: 第四十八条から前条まで → 健康保険法施行令 第四十九条 (Article 49), art-49 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-49
- art-52/par-1: 第四十八条から前条まで → 健康保険法施行令 第五十条 (Article 50), art-50 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-50
- art-52/par-1: 第四十八条から前条まで → 健康保険法施行令 第五十一条 (Article 51), art-51 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-51
- art-52/par-1: 法附則第三条第一項 → 健康保険法 附則第三条第一項 (Supplementary Provisions, Article 3, paragraph (1)), suppl-2111-70/art-3/par-1 — https://japanlaw.org/en/health-insurance-act/suppl-2111-70/art-3/par-1 (e-Gov law ID 211AC0000000070)
- art-53/par-1: 第四十八条から前条まで → 健康保険法施行令 第四十八条 (Article 48), art-48 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-48
- art-53/par-1: 第四十八条から前条まで → 健康保険法施行令 第四十九条 (Article 49), art-49 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-49
- art-53/par-1: 第四十八条から前条まで → 健康保険法施行令 第五十条 (Article 50), art-50 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-50
- art-53/par-1: 第四十八条から前条まで → 健康保険法施行令 第五十一条 (Article 51), art-51 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-51
- art-53/par-1: 第四十八条から前条まで → 健康保険法施行令 第五十二条 (Article 52), art-52 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-52
- art-54/par-1: 法第百六十八条第一項 → 健康保険法 第百六十八条第一項 (Article 168, paragraph (1)), art-168/par-1 — https://japanlaw.org/en/health-insurance-act/art-168/par-1 (e-Gov law ID 211AC0000000070)
- art-54/par-1: 法第百六十九条第一項 → 健康保険法 第百六十九条第一項 (Article 169, paragraph (1)), art-169/par-1 — https://japanlaw.org/en/health-insurance-act/art-169/par-1 (e-Gov law ID 211AC0000000070)
- art-54/par-1: 法第百六十八条第一項第一号 → 健康保険法 第百六十八条第一項第一号 (Article 168, paragraph (1), item (i)), art-168/par-1/item-1 — https://japanlaw.org/en/health-insurance-act/art-168/par-1/item-1 (e-Gov law ID 211AC0000000070)
- art-55/par-2: 法第百七十四条 → 健康保険法 第百七十四条 (Article 174), art-174 — https://japanlaw.org/en/health-insurance-act/art-174 (e-Gov law ID 211AC0000000070)
- art-55/par-3: 前項 → 健康保険法施行令 第五十五条第二項 (Article 55, paragraph (2)), art-55/par-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-55/par-2
- art-56/par-1: 法第百七十九条 → 健康保険法 第百七十九条 (Article 179), art-179 — https://japanlaw.org/en/health-insurance-act/art-179 (e-Gov law ID 211AC0000000070)
- art-56/par-1: この項 → 健康保険法施行令 第五十六条第一項 (Article 56, paragraph (1)), art-56/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56/par-1
- art-56/par-1: 次項 → 健康保険法施行令 第五十六条第二項 (Article 56, paragraph (2)), art-56/par-2 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56/par-2
- art-56/par-2: 前項 → 健康保険法施行令 第五十六条第一項 (Article 56, paragraph (1)), art-56/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56/par-1
- art-56/par-3: 第一項 → 健康保険法施行令 第五十六条第一項 (Article 56, paragraph (1)), art-56/par-1 — https://japanlaw.org/en/health-insurance-act-enforcement-order/art-56/par-1
- art-56/par-3: 法第百八十条第一項 → 健康保険法 第百八十条第一項 (Article 180, paragraph (1)), art-180/par-1 — https://japanlaw.org/en/health-insurance-act/art-180/par-1 (e-Gov law ID 211AC0000000070)
- art-56/par-3: 同条第四項 → 健康保険法 第百八十条第四項 (Article 180, paragraph (4)), art-180/par-4 — https://japanlaw.org/en/health-insurance-act/art-180/par-4 (e-Gov law ID 211AC0000000070)

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## Sources

- claude-opus-5-5 — English title of a law in this collection, written for this site, written 2026-11-06
- e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法施行令 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/215IO0000000243/20261001_508CO0000000276), retrieved 2026-11-06
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-005, translated 2026-11-07
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-014, translated 2026-11-07
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-015, translated 2026-11-07
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-016, translated 2026-11-07
- claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch health-insurance-act-enforcement-order-20261106T164949-016, translated 2026-11-07
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-017, translated 2026-11-08
- claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch health-insurance-act-enforcement-order-20261106T164949-017, translated 2026-11-08
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-018, translated 2026-11-07
- This site's parser, version 229 — 健康保険法施行令 — structure, counts, cross-references and defined terms, computed 2026-11-06
