Except as prescribed in the first sentence of the next paragraph, if, after the insurer delivers a document pursuant to paragraph (2) or (3) of the preceding Article, the insured or the injured party asks the insurer, in writing and pursuant to Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order, for an explanation of material information as prescribed by Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order with regard to the payment of insurance proceeds and damages (other than information as prescribed by Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order which is referred to in paragraph (2) of that Article), or for an explanation of the details prescribed by Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order with regard to its grounds for not paying the insurance proceeds and damages as prescribed in paragraph (3) of that Article, the insurer must provide a written explanation of this to the insured or injured party asking for the explanation, pursuant to Order of the Ministry of Land, Infrastructure, Transport and Tourism and Cabinet Office Order; provided, however, that the insurer may provide an explanation other than in writing if the person asking for the explanation consents.
保険会社は、前条第二項又は第三項の規定により書面を交付した後において、被保険者又は被害者から、国土交通省令・内閣府令で定めるところにより、書面により、保険金等の支払に関する重要な事項（同条第二項の国土交通省令・内閣府令で定める事項を除く。）であつて国土交通省令・内閣府令で定めるもの又は同条第三項に規定する支払を行わないこととした理由の詳細であつて国土交通省令・内閣府令で定めるものについて説明を求められたときは、次項前段に規定する場合を除き、国土交通省令・内閣府令で定めるところにより、当該説明を求めた者に対し、書面により、当該説明を求められた事項を説明しなければならない。ただし、当該説明を求めた者の同意があるときは、書面以外の方法により説明することができる。
An insurer may decide not to explain all or some of the things that it has been asked to explain pursuant to the preceding paragraph, if explaining something it has been asked to explain could do unreasonable harm to the rights and interests of a third party or if there are any other legitimate grounds for it to decide not to give an explanation. In such a case, the insurer must deliver a document indicating that it will not explain these things and giving the grounds for not explaining them to the person requesting the explanation.
An insurer must give an explanation as under paragraph (1) or deliver a document as under the preceding paragraph (in the next paragraph, this is referred to as an "explanation, etc.") within 30 days, counting from the day the explanation is asked for pursuant to paragraph (1).
If an insurer is unable to provide an explanation ,etc. within the period prescribed in the preceding paragraph due to the difficulty of clerical processing or any other legitimate grounds, it must notify the person asking for the explanation pursuant to paragraph (1), in writing and within the period prescribed in the preceding paragraph, of the reasons it cannot provide an explanation , etc. within the period prescribed in the preceding paragraph and of the time limit by which it will provide an explanation, etc.
With the consent of the insured or the injured party and pursuant to Cabinet Order, in lieu of giving a written explanation as under paragraph (1), delivering a document as under paragraph (2) or notifying a person in writing as under the preceding paragraph (hereinafter referred to as providing a "written explanation , etc."), 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 prescribe, to provide the relevant person with the information that it is required to give in the document. Having done so, the insurer is deemed to have provided a written explanation ,etc.
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(Delivery of Documents)
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…
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…
Open this provision(Delivery of Documents)
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…
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。
Open this provision(Written Explanations)
Except as prescribed in the first sentence of the next paragraph, if, after the insurer delivers a document pursuant to paragraph (2) or (3) of the preceding Article…
保険会社は、前条第二項又は第三項の規定により書面を交付した後において、被保険者又は被害者から、国土交通省令・内閣府令で定めるところにより、書面により、保険金等の支払に関する重要な事項（同条第二項の国土交通省令・内閣府令で定める事項を除く。）であつて国土交通省令・内閣府令で定めるもの又は同条第三項に規定する支払を行わな…
Open this provision(Written Explanations)
An insurer may decide not to explain all or some of the things that it has been asked to explain pursuant to the preceding paragraph, if explaining something it has been asked to explain could do…
保険会社は、前項の規定により説明を求められた場合であつて第三者の権利利益を不当に害するおそれがあるときその他正当な理由があるときは、当該説明を求められた事項の全部又は一部について説明をしないことができる。この場合において、保険会社は、説明をしない旨及びその理由を記載した書面を当該説明を求めた者に交付しなければならない。
Open this provision(Written Explanations)
An insurer must give an explanation as under paragraph (1) or deliver a document as under the preceding paragraph (in the next paragraph, this is referred to as an "explanation, etc.") within 30 days…
第一項の規定による説明又は前項の規定による書面の交付（次項において「説明等」という。）は、第一項の規定により説明を求められた日から起算して三十日以内にしなければならない。
Open this provision(Written Explanations)
If an insurer is unable to provide an explanation ,etc. within the period prescribed in the preceding paragraph due to the difficulty of clerical processing or any other legitimate grounds…
保険会社は、事務処理上の困難その他正当な理由により前項に規定する期間内に説明等をすることができないときは、同項に規定する期間内に、第一項の規定により説明を求めた者に対し、書面により、前項に規定する期間内に当該説明等をすることができない理由及び当該説明等の期限を通知しなければならない。
Open this provisioninsurer
「保険会社」
The insurer of liability insurance (責任保険): a non-life insurance company (損害保険会社) as defined in Article 2, paragraph (4) of the Insurance Business Act, or a foreign non-life insurance company, etc. (外国損害保険会社等) as defined in paragraph (9) of that Article, that underwrites liability insurance.
Short name set inArticle 6, paragraph (1)
insurance proceeds and damages
「保険金等」
The insurance money an insurer (保険会社) must pay the insured, and the damages it must pay an injured party (被害者) who claims them from it under Article 16, paragraph (1) — everywhere in this Act after Article 16-2, except in Article 28-4, paragraph (1).
Short name set inArticle 16-2, paragraph (1)· applies from here on, except in Article 28-4, paragraph (1)
explanation, etc.
「説明等」
In Article 16-5, paragraphs (3) and (4), an insurer's written explanation, under paragraph (1) of that Article, of matters about payment that the insured or the injured party (被害者) has asked about, or its delivery of a document under paragraph (2) saying that it will not explain and why.
Short name set inArticle 16-5, paragraph (3)· applies only in this provision and in Article 16-5, paragraph (4)
written explanation , etc.
「書面による説明等」
An insurer's written explanation under Article 16-5, paragraph (1), its delivery of a document under paragraph (2), or its written notice under paragraph (4) of that Article — which, with the consent of the insured or the injured party (被害者), it may give instead by electronic or other information and communications technology means.
Short name set inArticle 16-5, paragraph (5)