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Article 90Requests for Administrative Review; Requests for Re-examination

第九十条(審査請求及び再審査請求)

A person objecting to a disposition taken by the Minister of Health, Labour and Welfare concerning status as an insured, standardized remuneration, or insurance benefits may file a request for administrative review with a social insurance examiner and, if the person objects to the decision thereby, may file a request for re-examination with the Social Insurance Examination Committee; provided, however, that this does not apply to a decision under the provisions of Article 28-4, paragraph (1) or paragraph (2).

厚生労働大臣による被保険者の資格、標準報酬又は保険給付に関する処分に不服がある者は、社会保険審査官に対して審査請求をし、その決定に不服がある者は、社会保険審査会に対して再審査請求をすることができる。ただし、第二十八条の四第一項又は第二項の規定による決定については、この限りでない。

A person objecting to a disposition taken by a person as set forth in one of the following items concerning status as an insured or insurance benefits may file a request for administrative review with the person prescribed in :

次の各号に掲げる者による被保険者の資格又は保険給付に関する処分に不服がある者は、当該各号に定める者に対して審査請求をすることができる。

a person specified in Article 2-5, paragraph (1), item (ii):the National Public Officers Mutual Aid Association Examination Committee provided for in the National Public Officers Mutual Aid Association Act.

第二条の五第一項第二号に定める者 国家公務員共済組合法に規定する国家公務員共済組合審査会

a person specified in Article 2-5, paragraph (1), item (iii):the Local Public Officers Mutual Aid Association Examination Committee provided for in the Local Public Officers, etc. Mutual Aid Association Act.

第二条の五第一項第三号に定める者 地方公務員等共済組合法に規定する地方公務員共済組合審査会

a person specified in Article 2-5, paragraph (1), item (iv):the Mutual Aid Examination Committee of the Promotion and Mutual Aid Corporation for Private Schools of Japan provided for in the Private School Personnel Mutual Aid Association Act.

第二条の五第一項第四号に定める者 に規定する日本私立学校振興・共済事業団の共済審査会

If no decision has been reached within the two months after the date on which a person has filed a request for administrative review as referred to in paragraph (1), the requester may deem the social insurance examiner to have denied the request for administrative review.

第一項の審査請求をした日から二月以内に決定がないときは、審査請求人は、社会保険審査官が審査請求を棄却したものとみなすことができる。

Requests for administrative review as referred to in paragraph (1) and paragraph (2) and requests for re-examination as referred to in paragraph (1) are deemed to constitute legal claims, as it concerns the postponement of the completion of prescription and the renewal of prescription.

第一項及び第二項の審査請求並びに第一項の再審査請求は、時効の完成猶予及び更新に関しては、裁判上の請求とみなす。

Once a disposition concerning a person's status as an insured or standardized remuneration has become final and binding, an objection to that disposition may not be used as the grounds for an objection to a disposition concerning insurance benefits that is based thereupon.

被保険者の資格又は標準報酬に関する処分が確定したときは、その処分についての不服を当該処分に基づく保険給付に関する処分についての不服の理由とすることができない。

Beyond what is specified in paragraph (2), paragraph (4), and the preceding paragraph, requests for administrative review of dispositions provided for in paragraph (2) are as prescribed by the Acts on mutual aid.

第二項、第四項及び前項に定めるもののほか、第二項に規定する処分についての審査請求については、の定めるところによる。

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