第十三条
The medical treatment compensation benefits is paid for medical treatment.
療養補償給付は、療養の給付とする。
The coverage of the medical treatment benefit set forth in the preceding paragraph is as prescribed in the following items (limited to those that are considered necessary by the government):
前項の療養の給付の範囲は、次の各号(政府が必要と認めるものに限る。)による。
medical examination;
診察
provision of medicines or treatment materials;
薬剤又は治療材料の支給
medical treatment procedures, operations and other treatment;
処置、手術その他の治療
management of medical treatment and relevant care and other nursing care of workers staying at home;
居宅における療養上の管理及びその療養に伴う世話その他の看護
admission to hospitals or clinics and relevant care and other nursing care of the worker; and
病院又は診療所への入院及びその療養に伴う世話その他の看護
transport
移送
The government may, where it is difficult to pay the medical treatment benefit set forth in paragraph (1) and in other cases specified by Order of the Ministry of Health, Labour and Welfare, pay the medical treatment expenses instead of the medical treatment benefit.
政府は、第一項の療養の給付をすることが困難な場合その他厚生労働省令で定める場合には、療養の給付に代えて療養の費用を支給することができる。
第十四条
The compensation payment for loss of salary during a temporary absence from work is paid from the fourth day since a worker does not receive wages because the worker is unable to work in order to receive medical treatment for an injury or illness caused in the course of their duties, and the amount of compensation per day is the amount equivalent to 60 percent of the basic daily payment amount; provided, however, that the amount of the compensation payment for loss of salary during a temporary absence from work for days on which a worker works for a portion of the regular working hours due to medical treatment for an injury or illness caused in the course of their duties or leave for which wages are paid (hereinafter referred to as a "partial calculation day" in this paragraph), or for a partial calculation day of a multiple-job worker, is the amount equivalent to 60 percent of the amount obtained by deducting the amount of the wages to be paid for the partial calculation day from the basic daily payment amount (in cases where the amount prescribed in Article 8-2, paragraph (2), item (ii) (hereinafter referred to as the "maximum amount" in this paragraph) is regarded as the basic daily payment amount, the basic daily payment amount to be paid on the assumption that the provision of that item does not apply) (in cases where the amount after the deduction exceeds the maximum amount, the amount equivalent to the maximum amount).
休業補償給付は、労働者が業務上の負傷又は疾病による療養のため労働することができないために賃金を受けない日の第四日目から支給するものとし、その額は、一日につき給付基礎日額の百分の六十に相当する額とする。ただし、労働者が業務上の負傷又は疾病による療養のため所定労働時間のうちその一部分についてのみ労働する日若しくは賃金が支払われる休暇(以下この項において「部分算定日」という。)又は複数事業労働者の部分算定日に係る休業補償給付の額は、給付基礎日額(第八条の二第二項第二号に定める額(以下この項において「最高限度額」という。)を給付基礎日額とすることとされている場合にあつては、同号の規定の適用がないものとした場合における給付基礎日額)から部分算定日に対して支払われる賃金の額を控除して得た額(当該控除して得た額が最高限度額を超える場合にあつては、最高限度額に相当する額)の百分の六十に相当する額とする。
When a worker who receives compensation payment for loss of salary during a temporary absence from work is, for the same reason, eligible to receive either a employee's disability pension under the provisions of the Employee's Pension Insurance Act (Act No. 115 of 1954) or a disability basic pension under the provisions of the National Pension Act (Act No. 141 of 1959), the amount of the compensation payment for loss of salary during a temporary absence from work to be paid to the worker, notwithstanding the provision of the preceding paragraph, is the amount obtained by multiplying the amount set forth in that paragraph, pursuant to the provisions of items (i) through (iii) of Appended Table 1, by the rate for the illness or injury compensation pension amongst the rates specified by Cabinet Order set forth in items (i) through (iii) of that table (in cases where such amount is less than the amount specified by Cabinet Order, the amount specified by Cabinet Order).
休業補償給付を受ける労働者が同一の事由について厚生年金保険法(昭和二十九年法律第百十五号)の規定による障害厚生年金又は国民年金法(昭和三十四年法律第百四十一号)の規定による障害基礎年金を受けることができるときは、当該労働者に支給する休業補償給付の額は、前項の規定にかかわらず、同項の額に別表第一第一号から第三号までに規定する場合に応じ、それぞれ同表第一号から第三号までの政令で定める率のうち傷病補償年金について定める率を乗じて得た額(その額が政令で定める額を下回る場合には、当該政令で定める額)とする。
第十四条の二
No compensation payment for loss of salary during a temporary absence from work is paid if a worker falls under any of the following items (limited to cases specified by Order of the Ministry of Health, Labour and Welfare):
労働者が次の各号のいずれかに該当する場合(厚生労働省令で定める場合に限る。)には、休業補償給付は、行わない。
where a worker is detained in a penal institution, workhouse or any other facility equivalent thereto; or
刑事施設、労役場その他これらに準ずる施設に拘禁されている場合
where a worker is detained in a juvenile training school or any other facility equivalent thereto
少年院その他これに準ずる施設に収容されている場合
第十五条
The disability compensation benefits is paid either as a disability compensation pension or a lump-sum payment for disability, in accordance with the grades of disability specified by Order of the Ministry of Health, Labour and Welfare.
障害補償給付は、厚生労働省令で定める障害等級に応じ、障害補償年金又は障害補償一時金とする。
The amounts of a disability compensation pension or a lump sum compensation payment for disability is as prescribed respectively in Appended Table 1 or Appended Table 2.
第十五条の二
Where there has been a change to the degree of the relevant degree of the disability of a worker receiving a disability compensation pension, and as a result of such change, the worker falls under another grade of disability prescribed in Appended Table 1 or Appended Table 2, the government is to, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, pay the disability compensation pension or lump sum compensation payment for disability corresponding to the new grade of disability under which the worker now falls, and does not pay the former disability compensation pension thereafter.
第十六条
Compensation benefits for surviving family is to be paid as either a compensation pension for surviving family or a lump sum compensation for surviving family.
遺族補償給付は、遺族補償年金又は遺族補償一時金とする。
第十六条の二
The surviving family members who are eligible to receive a compensation pension for surviving family is a worker's spouse, children, parents, grandchildren, grandparents, and siblings who were dependent on the worker's income at the time of their death; provided, however, that in the case of those other than a wife (including a person who did not register marriage but has been in a de facto marital relationship with the worker; the same applies hereinafter), this applies only where they have satisfied the requirements prescribed in any of the following items at the time of the worker's death:
遺族補償年金を受けることができる遺族は、労働者の配偶者、子、父母、孫、祖父母及び兄弟姉妹であつて、労働者の死亡の当時その収入によつて生計を維持していたものとする。ただし、妻(婚姻の届出をしていないが、事実上婚姻関係と同様の事情にあつた者を含む。以下同じ。)以外の者にあつては、労働者の死亡の当時次の各号に掲げる要件に該当した場合に限るものとする。
in the case of a husband (including a person who did not register marriage but has been in a de facto marital relationship with the worker; the same applies hereinafter), parents or grandparents: they are 60 years of age or older;
夫(婚姻の届出をしていないが、事実上婚姻関係と同様の事情にあつた者を含む。以下同じ。)、父母又は祖父母については、六十歳以上であること。
in the case of children or grandchildren: they must be in their age before the first March 31 after they turned 18 years of age;
子又は孫については、十八歳に達する日以後の最初の三月三十一日までの間にあること。
in the case of siblings: they must be in their age before the first March 31 after they turned 18 years of age, or they are 60 years of age or older; or
兄弟姉妹については、十八歳に達する日以後の最初の三月三十一日までの間にあること又は六十歳以上であること。
in the case of a husband, children, parents, grandchildren, grandparents, or siblings who do not fall under any of the requirements set forth in the preceding three items: they are disabled as specified in Order of the Ministry of Health, Labour and Welfare
前三号の要件に該当しない夫、子、父母、孫、祖父母又は兄弟姉妹については、厚生労働省令で定める障害の状態にあること。
When a child who was an unborn baby at the time of a worker's death is born, the child, with respect to the application of the provisions of the preceding paragraph, is deemed, from then on, as a child who was dependent on the worker's income at the time of the worker's death.
労働者の死亡の当時胎児であつた子が出生したときは、前項の規定の適用については、将来に向かつて、その子は、労働者の死亡の当時その収入によつて生計を維持していた子とみなす。
The order of priority of surviving family members who are to receive a compensation pension for surviving family is given to the spouse first, and then to children, parents, grandchildren, grandparents and siblings.
遺族補償年金を受けるべき遺族の順位は、配偶者、子、父母、孫、祖父母及び兄弟姉妹の順序とする。
第十六条の三
The amount of a compensation pension for surviving family is the amount prescribed in appended table 1.
遺族補償年金の額は、別表第一に規定する額とする。
If there are two or more persons who has the right to receive a compensation pension for surviving family, the amount of the compensation pension for surviving family, notwithstanding the provisions of the preceding paragraph, is the amount obtained by dividing the amount prescribed in appended table 1 by the number of persons concerned.
If there has been an increase or decrease in the number of the surviving family members which is to be used as the basis for calculating the amount of a compensation pension for surviving family, the amount of the compensation pension for surviving family is changed from the month after the month in which the increase or decrease occurred.
遺族補償年金の額の算定の基礎となる遺族の数に増減を生じたときは、その増減を生じた月の翌月から、遺族補償年金の額を改定する。
Where the surviving family member who has the right to receive a compensation pension for surviving family is the worker's wife, and there are no other surviving family members eligible to receive the compensation pension for surviving family who share the cost of living with the wife, if the wife falls under any of the following items, the amount of the compensation pension for surviving family is changed from the month after the month in which the wife falls under the respective items:
遺族補償年金を受ける権利を有する遺族が妻であり、かつ、当該妻と生計を同じくしている遺族補償年金を受けることができる遺族がない場合において、当該妻が次の各号の一に該当するに至つたときは、その該当するに至つた月の翌月から、遺族補償年金の額を改定する。
when the wife turns the age of 55 (excluding cases where the wife is disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in appended table 1);
五十五歳に達したとき(別表第一の厚生労働省令で定める障害の状態にあるときを除く。)。
when the wife becomes disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in Appended Table 1 or such circumstances have ceased to exist (excluding cases where the wife is 55 years of age or older)
別表第一の厚生労働省令で定める障害の状態になり、又はその事情がなくなつたとき(五十五歳以上であるときを除く。)。
第十六条の四
The right to receive a compensation pension for surviving family is extinguished when a surviving family member having the right falls under any of the following items. In this case, when there is no person holding the same rank in the order of priority but there is a person(s) holding a lower rank, the compensation pension for surviving family is paid to the person(s) who holds the next rank:
遺族補償年金を受ける権利は、その権利を有する遺族が次の各号の一に該当するに至つたときは、消滅する。この場合において、同順位者がなくて後順位者があるときは、次順位者に遺族補償年金を支給する。
when the surviving family member eligible for survivors benefit dies;
死亡したとき。
when the surviving family member eligible for survivors benefit is married (including cases where they did not register marriage but the surviving family member is in a de facto marital relationship);
婚姻(届出をしていないが、事実上婚姻関係と同様の事情にある場合を含む。)をしたとき。
when the surviving family member eligible for survivors benefit is adopted by a person other than their lineal relative by blood or their lineal relative through marriage (including a person who did not register adoption but is in a de facto adoptive relationship);
直系血族又は直系姻族以外の者の養子(届出をしていないが、事実上養子縁組関係と同様の事情にある者を含む。)となつたとき。
when the kinship between the surviving family member and the deceased worker is terminated by the dissolution of their kinship;
離縁によつて、死亡した労働者との親族関係が終了したとき。
in the case of children, grandchildren or siblings, when the first March 31 after they turned 18 years old ends (excluding cases where they have been disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in Article 16-2, paragraph (1), item (iv) continuously from the time of the death of the worker); or
子、孫又は兄弟姉妹については、十八歳に達した日以後の最初の三月三十一日が終了したとき(労働者の死亡の時から引き続き第十六条の二第一項第四号の厚生労働省令で定める障害の状態にあるときを除く。)。
in the case of the worker's husband, children, parents, grandchildren, grandparents or siblings who are disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in Article 16-2, paragraph (1), item (iv), when such circumstances have ceased to exist (excluding cases where the worker's husband, parents or grandparents were 60 years of age or older at the time of the worker's death, where the worker's children or grandchildren have not experienced the first March 31 after they turned 18 years old, and where the worker's siblings have not experienced the first March 31 after they turned 18 years old or they were 60 years of age or older at the time of the worker's death).
第十六条の二第一項第四号の厚生労働省令で定める障害の状態にある夫、子、父母、孫、祖父母又は兄弟姉妹については、その事情がなくなつたとき(夫、父母又は祖父母については、労働者の死亡の当時六十歳以上であつたとき、子又は孫については、十八歳に達する日以後の最初の三月三十一日までの間にあるとき、兄弟姉妹については、十八歳に達する日以後の最初の三月三十一日までの間にあるか又は労働者の死亡の当時六十歳以上であつたときを除く。)。
When a surviving family member eligible to receive a compensation pension for surviving family falls under any of the items of the preceding paragraph, the member cease to be a surviving family member eligible to receive the compensation pension for surviving family.
遺族補償年金を受けることができる遺族が前項各号の一に該当するに至つたときは、その者は、遺族補償年金を受けることができる遺族でなくなる。
第十六条の五
When the whereabouts of a person who has the right to receive a compensation pension for surviving family is unknown for not less than one year, the payment of the compensation pension for surviving family is suspended for as long as those whereabouts are unknown, upon the request filed by a person who holds the same rank in the order of priority if there is any such person, or upon the request filed by a person who holds the next rank in the order of priority if there is no person holding the same rank. In this case, if there is no person holding the same rank, the person who holds the next rank is the person with the first rank during that period.
遺族補償年金を受ける権利を有する者の所在が一年以上明らかでない場合には、当該遺族補償年金は、同順位者があるときは同順位者の、同順位者がないときは次順位者の申請によつて、その所在が明らかでない間、その支給を停止する。この場合において、同順位者がないときは、その間、次順位者を先順位者とする。
A surviving family member whose payment of the compensation pension for surviving family is suspended pursuant to the provisions of the preceding paragraph may request for revocation of the suspension of the payment at any time.
前項の規定により遺族補償年金の支給を停止された遺族は、いつでも、その支給の停止の解除を申請することができる。
The provisions of Article 16-3, paragraph (3) apply mutatis mutandis where the payment of the compensation pension for surviving family is suspended pursuant to the provisions of paragraph (1) or where the suspension of the payment is revoked pursuant to the provisions of the preceding paragraph. In this case, the term "month in which the increase or decrease occurred" in paragraph (3) of that Article is deemed to be replaced with the "month in which the payment is suspended or the suspension of the payment is revoked."
第十六条の六
A lump sum compensation for surviving family is paid in the following cases:
遺族補償一時金は、次の場合に支給する。
where, at the time of the worker's death, there is no surviving family member who is eligible to receive a compensation pension for surviving family; and
労働者の死亡の当時遺族補償年金を受けることができる遺族がないとき。
where a person's right to receive the compensation pension for surviving family is extinguished, and there is no other surviving family member who is eligible to receive the compensation pension for surviving family and the total amount of the compensation pension for surviving family paid for the worker's death is less than the amount of the lump sum compensation for surviving family that would be paid on the assumption that the situation falls under the case set forth in the preceding item on the day on which the right is extinguished.
遺族補償年金を受ける権利を有する者の権利が消滅した場合において、他に当該遺族補償年金を受けることができる遺族がなく、かつ、当該労働者の死亡に関し支給された遺族補償年金の額の合計額が当該権利が消滅した日において前号に掲げる場合に該当することとなるものとしたときに支給されることとなる遺族補償一時金の額に満たないとき。
When the total amount of a compensation pension for surviving family prescribed in item (ii) of the preceding paragraph is calculated, with regard to the amount of the compensation pension for surviving family paid for a period before July of the fiscal year of the date on which the right prescribed in that item is extinguished (in cases where the month of the date on which the right is extinguished is any of the months from April to July, the previous fiscal year; hereinafter the same applies in this paragraph), the amount is calculated according to the amount obtained by multiplying the amount actually paid by the rate specified by the Minister of Health, Labour and Welfare based on the rate obtained by dividing the average salary for the fiscal year before the fiscal year of the date on which the right is extinguished by the average salary for the fiscal year one year before the fiscal year of the months for which the compensation pension for surviving family is paid (in cases where the relevant month is either April, May, June or July, the fiscal year two years before).