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Article 16-4Delivery of Documents

第十六条の四(書面の交付)

When a claim is filed for insurance proceeds and damages, the insurer, without delay, must deliver to the insured or injured party that has filed the claim a document giving an outline of the criteria for payment and any other information that Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order specify, pursuant to Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order.

保険会社は、保険金等の請求があつたときは、遅滞なく、国土交通省令・内閣府令で定めるところにより、支払基準の概要その他の国土交通省令・内閣府令で定める事項を記載した書面を当該請求を行つた被保険者又は被害者に交付しなければならない。

Having paid insurance proceeds and damages, an insurer, without delay, must deliver to the insured or injured party that has filed a claim as prescribed in the preceding paragraph a document detailing the amount of the insurance proceeds and damages paid, the applicable grade of residual disability, the reason for the decision that that grade is applicable, and any other material information concerning the payment of the insurance proceeds and damages that Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order specifies, pursuant to Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order.

保険会社は、保険金等の支払を行つたときは、遅滞なく、国土交通省令・内閣府令で定めるところにより、支払つた保険金等の金額、後遺障害の該当する等級、当該等級に該当すると判断した理由その他の保険金等の支払に関する重要な事項であつて国土交通省令・内閣府令で定めるものを記載した書面を前項に規定する請求を行つた被保険者又は被害者に交付しなければならない。

On deciding not to pay insurance proceeds and damages because there is evidence of circumstances as prescribed in the proviso to Article 3 or based on other grounds, an insurer, without delay, must deliver to the insured or injured party that has filed a claim as prescribed in paragraph (1) a document giving grounds for not paying the insurance proceeds and damages, pursuant to Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order.

保険会社は、第三条ただし書に規定する事項の証明があつたことその他の理由により保険金等を支払わないこととしたときは、遅滞なく、国土交通省令・内閣府令で定めるところにより、支払を行わないこととした理由を記載した書面を第一項に規定する請求を行つた被保険者又は被害者に交付しなければならない。

With the consent of the insured or the injured party and pursuant to Cabinet Order, in lieu of delivering a document as under one of the preceding three paragraphs, an insurer may use one of the means of employing an electronic data processing system or of otherwise making use of information and communications technology which Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order prescribes, to provide the relevant person with the information that it is required to give in that document. Having done so, the insurer is deemed to have delivered the relevant document.

保険会社は、前三項の規定による書面の交付に代えて、政令で定めるところにより、被保険者又は被害者の承諾を得て、当該書面に記載すべき事項を電子情報処理組織を使用する方法その他の情報通信の技術を利用する方法であつて国土交通省令・内閣府令で定めるものにより提供することができる。この場合において、当該保険会社は、当該書面を交付したものとみなす。

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