group insuredとは 意味・読み方・使い方

Article 42-2 (1) A Municipality, when an Insured Person Requiring Long-Term Care received from a person designated by the mayor of said Municipality (herein referred to as "Designated Community-Based Service Provider") a Community-Based Service from a provider that performs Community-Based Service Business pertaining to said designation (herein referred to as "Designated Community-Based Service"), shall pay to said Insured Person Requiring Long-Term Care an Allowance for Community-Based Long-Term Care Service with regard to the expenses required for said Designated Community-Based Service (except for expenses necessary to provide meals, residence, and other expenses as determined by an Ordinance of the Ministry of Health, Labour, and Welfare as necessary for daily life with regard to the expenses required for Outpatient Long-Term Care for a Dementia Patient, Multifunctional Long-Term Care in a Small Group Home, Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid; hereinafter the same shall apply in this Article), however, provided that this provision shall not apply when said Insured Person Requiring Long-Term Care receives Community-Based Service other than the type pertaining to said designation in a case said Insured Person is issued a designation pursuant to the provision of Article 37, paragraph (1).発音を聞く 例文帳に追加

第四十二条の二　市町村は、要介護被保険者が、当該市町村の長が指定する者（以下「指定地域密着型サービス事業者」という。）から当該指定に係る地域密着型サービス事業を行う事業所により行われる地域密着型サービス（以下「指定地域密着型サービス」という。）を受けたときは、当該要介護被保険者に対し、当該指定地域密着型サービスに要した費用（認知症対応型通所介護、小規模多機能型居宅介護、認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護に要した費用については、食事の提供に要する費用、居住に要する費用その他の日常生活に要する費用として厚生労働省令で定める費用を除く。以下この条において同じ。）について、地域密着型介護サービス費を支給する。ただし、当該要介護被保険者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の地域密着型サービスを受けたときは、この限りでない。 - 日本法令外国語訳データベースシステム

(2) The national government, pursuant to the provisions of a Cabinet Order, shall grant an amount equivalent to 50 percent of the amount (hereinafter referred to as "Economic Assistance to A Comprehensive Support Business, etc.") that is obtained by multiplying the percentage that is the result of the sum of the cost payment percentage of the Secondary Insured Person group as set forth in Article 125, paragraph (1) and 50 percent, by the amount of expenses necessary for a Community Support Project (except for Long-Term Care Prevention Project) to a Municipality.発音を聞く 例文帳に追加

２　国は、政令で定めるところにより、市町村に対し、地域支援事業（介護予防事業を除く。）に要する費用の額に、第百二十五条第一項の第二号被保険者負担率に百分の五十を加えた率を乗じて得た額（以下「包括的支援事業等支援額」という。）の百分の五十に相当する額を交付する。 - 日本法令外国語訳データベースシステム

(3) The rate of an insurance premium as set forth in the preceding paragraph shall be determined in order to be able to maintain fiscal balance of revenue and expenses approximated through three years in consideration of the estimated amount of disbursements necessary for Insurance Benefits calculated based on the prospective volume, etc., of the Service Covered by Long-Term Care Benefits, etc., as prescribed in a Municipal Insured Long-Term Care Service Plan, the estimated amount of disbursements necessary for payment of a Fiscal Stability Fund contribution, the approximate amount of disbursements necessary for repayment of borrowings from a prefecture pursuant to the provisions of Article 147, paragraph (1), item (ii), and estimated amount of disbursements necessary for Community Support Projects and Health Care and Welfare Projects, the distribution of income of the Primary Insured Person group and said prospective amount, and the amount of national treasury impositions, etc.発音を聞く 例文帳に追加

３　前項の保険料率は、市町村介護保険事業計画に定める介護給付等対象サービスの見込量等に基づいて算定した保険給付に要する費用の予想額、財政安定化基金拠出金の納付に要する費用の予想額、第百四十七条第一項第二号の規定による都道府県からの借入金の償還に要する費用の予定額並びに地域支援事業及び保健福祉事業に要する費用の予定額、第一号被保険者の所得の分布状況及びその見通し並びに国庫負担等の額等に照らし、おおむね三年を通じ財政の均衡を保つことができるものでなければならない。 - 日本法令外国語訳データベースシステム

Article 125 (1) With regard to the amount (hereinafter referred to as "Amount Subject to Medical Insurance Premium Payment" in this Chapter) that is obtained by multiplying the payment percentage of the Secondary Insured Person group to the amount of expense necessary for Long-Term Care Benefits and Prevention Benefits among the expenses that are imposed upon a special account pertaining to Municipal Long-Term Care Insurance, pursuant to the provisions of a Cabinet Order, a Grant for Long-Term Care Benefit Expenses that is provided to a Municipality by the Social Insurance Medical Fee Payment Fund (hereinafter referred to as "Payment Fund") pursuant to the provisions of the Social Insurance Medical Fee Payment Fund Act (Act No. 129 of 1948) shall be allocated to said amount.発音を聞く 例文帳に追加

第百二十五条　市町村の介護保険に関する特別会計において負担する費用のうち、介護給付及び予防給付に要する費用の額に第二号被保険者負担率を乗じて得た額（以下この章において「医療保険納付対象額」という。）については、政令で定めるところにより、社会保険診療報酬支払基金法（昭和二十三年法律第百二十九号）による社会保険診療報酬支払基金（以下「支払基金」という。）が市町村に対して交付する介護給付費交付金をもって充てる。 - 日本法令外国語訳データベースシステム

Article 126 (1) With regard to the amount that is obtained by multiplying the payment proportion of the Secondary Insured Person group as set forth in paragraph (1) of the preceding Article to the amount of expenses necessary for a Long-Term Care Prevention Project among the expenses that are imposed on a special account pertaining to Municipal Long-Term Care Insurance (hereinafter referred to as "Amount Subject to Medical Insurance Premium Payment for Long-Term Care Prevention Project" in this Chapter), pursuant to the provisions of a Cabinet Order, the Grants for Supporting Community Support Projects that the Payment Fund provides to a Municipality, shall be allocated to said amount.発音を聞く 例文帳に追加

第百二十六条　市町村の介護保険に関する特別会計において負担する費用のうち、介護予防事業に要する費用の額に前条第一項の第二号被保険者負担率を乗じて得た額（以下この章において「介護予防事業医療保険納付対象額」という。）については、政令で定めるところにより、支払基金が市町村に対して交付する地域支援事業支援交付金をもって充てる。 - 日本法令外国語訳データベースシステム