# 健康保険法 / Health Insurance Act — 第四十四条 (Article 44) - Law: 健康保険法 (Health Insurance Act), 大正十一年法律第七十号 - English title "Health Insurance Act": Ministry of Justice translation - Kind: Act — 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: 第四十四条 (Article 44)（報酬月額の算定の特例） — address `art-44` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-44 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-44 - Every provision below carries its address and both URLs 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. --- ### 第四十四条（報酬月額の算定の特例） — (Special Provisions for Calculation of Monthly Remuneration) caption: Ministry of Justice translation — Japanese Law Translation Database System art-44 · https://japanlaw.org/ja/health-insurance-act/art-44 · https://japanlaw.org/l/211AC0000000070/art-44 **第一項** 保険者等は、被保険者の報酬月額が、第四十一条第一項、第四十二条第一項、第四十三条の二第一項若しくは前条第一項の規定によって算定することが困難であるとき、又は第四十一条第一項、第四十二条第一項、第四十三条第一項、第四十三条の二第一項若しくは前条第一項の規定によって算定した額が著しく不当であると認めるときは、これらの規定にかかわらず、その算定する額を当該被保険者の報酬月額とする。 art-44/par-1 · https://japanlaw.org/ja/health-insurance-act/art-44/par-1 · https://japanlaw.org/l/211AC0000000070/art-44/par-1 If it is difficult to calculate an insured person's monthly remuneration amount pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1), Article 43-2, paragraph (1) or paragraph (1) of the preceding Article, or if the amount calculated pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1), Article 43, paragraph (1), Article 43-2, paragraph (1) or paragraph (1) of the preceding Article is found to be significantly unjustifiable, notwithstanding these provisions, the insured person's monthly remuneration amount is an amount determined by the insurer. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前項の場合において、保険者が健康保険組合であるときは、同項の算定方法は、規約で定めなければならない。 art-44/par-2 · https://japanlaw.org/ja/health-insurance-act/art-44/par-2 · https://japanlaw.org/l/211AC0000000070/art-44/par-2 In the case of the preceding paragraph, if the insurer is a health insurance society, the calculation method in the same paragraph must be specified by the constitution. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 同時に二以上の事業所で報酬を受ける被保険者について報酬月額を算定する場合においては、各事業所について、第四十一条第一項、第四十二条第一項、第四十三条第一項、第四十三条の二第一項若しくは前条第一項又は第一項の規定によって算定した額の合算額をその者の報酬月額とする。 art-44/par-3 · https://japanlaw.org/ja/health-insurance-act/art-44/par-3 · https://japanlaw.org/l/211AC0000000070/art-44/par-3 In calculating the monthly remuneration amount for an insured person who receives remuneration at two or more places of business at the same time, the total sum of the amounts calculated pursuant to the provisions of Article 41, paragraph (1), Article 42, paragraph (1), Article 43, paragraph (1), Article 43-2, paragraph (1), or paragraph (1) of the preceding Article or paragraph (1) is the person's monthly remuneration amount. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-44/par-1: 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/ja/health-insurance-act/art-41/par-1 · https://japanlaw.org/l/211AC0000000070/art-41/par-1 - art-44/par-1: 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/ja/health-insurance-act/art-42/par-1 · https://japanlaw.org/l/211AC0000000070/art-42/par-1 - art-44/par-1: 第四十三条の二第一項 → 健康保険法 第四十三条の二第一項 (Article 43-2, paragraph (1)), art-43-2/par-1 — https://japanlaw.org/ja/health-insurance-act/art-43-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-43-2/par-1 - art-44/par-1: 前条第一項 → 健康保険法 第四十三条の三第一項 (Article 43-3, paragraph (1)), art-43-3/par-1 — https://japanlaw.org/ja/health-insurance-act/art-43-3/par-1 · https://japanlaw.org/l/211AC0000000070/art-43-3/par-1 - art-44/par-1: 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/ja/health-insurance-act/art-43/par-1 · https://japanlaw.org/l/211AC0000000070/art-43/par-1 - art-44/par-2: 前項 → 健康保険法 第四十四条第一項 (Article 44, paragraph (1)), art-44/par-1 — https://japanlaw.org/ja/health-insurance-act/art-44/par-1 · https://japanlaw.org/l/211AC0000000070/art-44/par-1 - art-44/par-3: 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/ja/health-insurance-act/art-41/par-1 · https://japanlaw.org/l/211AC0000000070/art-41/par-1 - art-44/par-3: 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/ja/health-insurance-act/art-42/par-1 · https://japanlaw.org/l/211AC0000000070/art-42/par-1 - art-44/par-3: 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/ja/health-insurance-act/art-43/par-1 · https://japanlaw.org/l/211AC0000000070/art-43/par-1 - art-44/par-3: 第四十三条の二第一項 → 健康保険法 第四十三条の二第一項 (Article 43-2, paragraph (1)), art-43-2/par-1 — https://japanlaw.org/ja/health-insurance-act/art-43-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-43-2/par-1 - art-44/par-3: 前条第一項 → 健康保険法 第四十三条の三第一項 (Article 43-3, paragraph (1)), art-43-3/par-1 — https://japanlaw.org/ja/health-insurance-act/art-43-3/par-1 · https://japanlaw.org/l/211AC0000000070/art-43-3/par-1 - art-44/par-3: 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/ja/health-insurance-act/art-44/par-1 · https://japanlaw.org/l/211AC0000000070/art-44/par-1 ## Cited by 7 provisions cite this one. No official source publishes this direction. - 健康保険法 第四十四条第二項（報酬月額の算定の特例） — https://japanlaw.org/ja/health-insurance-act/art-44/par-2 · https://japanlaw.org/l/211AC0000000070/art-44/par-2 - 健康保険法 第四十四条第三項（報酬月額の算定の特例） — https://japanlaw.org/ja/health-insurance-act/art-44/par-3 · https://japanlaw.org/l/211AC0000000070/art-44/par-3 - 健康保険法 第四十五条第二項（標準賞与額の決定） — https://japanlaw.org/ja/health-insurance-act/art-45/par-2 · https://japanlaw.org/l/211AC0000000070/art-45/par-2 - 健康保険法 第四十七条第一項（任意継続被保険者の標準報酬月額） — https://japanlaw.org/ja/health-insurance-act/art-47/par-1 · https://japanlaw.org/l/211AC0000000070/art-47/par-1 - 健康保険法 第二百四条第一項第五号（機構への厚生労働大臣の権限に係る事務の委任） — https://japanlaw.org/ja/health-insurance-act/art-204/par-1/item-5 · https://japanlaw.org/l/211AC0000000070/art-204/par-1/item-5 - 健康保険法 第二百四条第一項第六号（機構への厚生労働大臣の権限に係る事務の委任） — https://japanlaw.org/ja/health-insurance-act/art-204/par-1/item-6 · https://japanlaw.org/l/211AC0000000070/art-204/par-1/item-6 - 健康保険法 附則第三条第四項（特定健康保険組合） — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-3/par-4 · https://japanlaw.org/l/211AC0000000070/suppl-2111-70/art-3/par-4 --- ## Sources - e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/211AC0000000070/20261001_507AC0000000087), retrieved 2026-10-10 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10 - This site's parser, version 189 — 健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-10