The payment of insurance proceeds for an occupational accident set forth in Article 7, paragraph (1), item (i) is the payment of insurance proceeds specified in the following:
medical treatment compensation benefits;
療養補償給付
compensation payment for loss of salary during a temporary absence from work;
休業補償給付
disability compensation benefits;
障害補償給付
compensation benefits for surviving family;
遺族補償給付
funeral service fee;
葬祭料
compensation benefits for workers who get injured or sick ; and
傷病補償年金
nursing care compensation benefits
介護補償給付
The insurance proceeds set forth in the preceding paragraph (excluding the illness or injury compensation pension and the nursing care compensation benefits), where the reason for compensation for accident prescribed in Article 75 through Article 77, and Article 79 and Article 80 of the Labor Standards Act or the reason for compensation for accident prescribed in Article 89, paragraph (1), Article 91, paragraph (1), the main clause of Article 92, Article 93 and Article 94 of the Mariners Act (Act No. 100 of 1947) (with regard to Article 91, paragraph (1) of that Act, limited to the part equivalent to the reason for compensation for accident prescribed in Article 76, paragraph (1) of the Labor Standards Act) have occurred, are paid to a worker or surviving family members who are to receive compensation or to a person who holds the funeral, based on their claims.
前項の保険給付(傷病補償年金及び介護補償給付を除く。)は、労働基準法第七十五条から第七十七条まで、第七十九条及び第八十条に規定する災害補償の事由又は船員法(昭和二十二年法律第百号)第八十九条第一項、第九十一条第一項、第九十二条本文、第九十三条及び第九十四条に規定する災害補償の事由(同法第九十一条第一項にあつては、労働基準法第七十六条第一項に規定する災害補償の事由に相当する部分に限る。)が生じた場合に、補償を受けるべき労働者若しくは遺族又は葬祭を行う者に対し、その請求に基づいて行う。
A compensation benefit for workers who get injured or sick is paid to a worker who get injured or fall ill in the course of their duties when the worker falls under all of the following items on the day on which one year and six months have elapsed from the commencement of medical treatment for the injury or illness, or falls under all of the following items after that day, and the compensation benefit is l paid to the worker during the period when the worker suffers from the injury or illness:
傷病補償年金は、業務上負傷し、又は疾病にかかつた労働者が、当該負傷又は疾病に係る療養の開始後一年六箇月を経過した日において次の各号のいずれにも該当するとき、又は同日後次の各号のいずれにも該当することとなつたときに、その状態が継続している間、当該労働者に対して支給する。
the illness or injury is not cured; and
当該負傷又は疾病が治つていないこと。
the degree of disability due to the injury or illness falls under the grade of injury or illness specified by Order of the Ministry of Health, Labour and Welfare
当該負傷又は疾病による障害の程度が厚生労働省令で定める傷病等級に該当すること。
Nursing care compensation benefits are paid to a worker who has the right to receive a disability compensation benefit or illness or injury compensation benefit, based on their claim, when the worker having disability requires constant or occasional nursing care and is receiving constant or occasional nursing care service due to the disability which is the reason for the disability compensation benefit or illness and injury compensation benefit, due to the degree of disability specified by Order of the Ministry of Health, Labour and Welfare, and such compensation benefits are paid during the period when the worker is receiving the nursing care service (excluding the following periods):
介護補償給付は、障害補償年金又は傷病補償年金を受ける権利を有する労働者が、その受ける権利を有する障害補償年金又は傷病補償年金の支給事由となる障害であつて厚生労働省令で定める程度のものにより、常時又は随時介護を要する状態にあり、かつ、常時又は随時介護を受けているときに、当該介護を受けている間(次に掲げる間を除く。)、当該労働者に対し、その請求に基づいて行う。
the period during which the worker is admitted to a facility designed to support persons with disabilities prescribed in Article 5, paragraph (11) of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities (Act No. 123 of 2005) (hereinafter referred to as a "facility designed to support persons with disabilities") (limited to cases where the worker receives nursing care for daily life prescribed in paragraph (7) of that Article (hereinafter referred to as "nursing care for daily life")); and
障害者の日常生活及び社会生活を総合的に支援するための法律(平成十七年法律第百二十三号)第五条第十一項に規定する障害者支援施設(以下「障害者支援施設」という。)に入所している間(同条第七項に規定する生活介護(以下「生活介護」という。)を受けている場合に限る。)
the period during which the worker is admitted to a facility specified by the Minister of Health, Labour and Welfare as those equivalent to a facility designed to support persons with disabilities (limited to those where nursing care for daily life is provided); and
the period during which the worker is admitted to a hospital or clinic
病院又は診療所に入院している間