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Article 20-9

第二十条の九

The nursing care benefit for multiple-job workers is paid to a multiple-job worker who has the right to receive a disability pension for multiple-job workers or an illness or injury pension for multiple-job workers, based on their claim, when the multiple-job worker is in a physical condition requiring constant or occasional nursing care and is receiving constant or occasional nursing care due to a disability which is the reason for the disability pension for multiple-job workers or illness or injury pension for multiple-job workers which the multiple-job worker has the right to receive and whose degree is specified by Order of the Ministry of Health, Labour and Welfare set forth in Article 12-8, paragraph (4), and such payment is made during the period while the multiple-job worker is receiving the nursing care (excluding the following periods):

複数事業労働者介護給付は、複数事業労働者障害年金又は複数事業労働者傷病年金を受ける権利を有する複数事業労働者が、その受ける権利を有する複数事業労働者障害年金又は複数事業労働者傷病年金の支給事由となる障害であつて第十二条の八第四項の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。)、当該複数事業労働者に対し、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 (limited to cases where the worker receives nursing care for daily life);

障害者支援施設に入所している間(生活介護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 set forth in Article 12-8, paragraph (4), item (ii); and

第十二条の八第四項第二号の厚生労働大臣が定める施設に入所している間

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

The provisions of Article 19-2 apply mutatis mutandis to nursing care benefits for multiple-job workers.

第十九条の二の規定は、複数事業労働者介護給付について準用する。

Article 20-10

第二十条の十

In addition to what is prescribed in this Section, the particulars necessary for insurance proceeds in respect of a multiple-job-related accident are prescribed by Order of the Ministry of Health, Labour and Welfare.

この節に定めるもののほか、複数業務要因災害に関する保険給付について必要な事項は、厚生労働省令で定める。

Section 3 Insurance Proceeds for Commuting Accidents

第三節 通勤災害に関する保険給付

Article 21

第二十一条

The insurance proceeds in respect of commuting accidents set forth in Article 7, paragraph (1), item (iii) are the insurance proceeds specified as follows:

第七条第一項第三号の通勤災害に関する保険給付は、次に掲げる保険給付とする。

medical treatment benefits;

療養給付

payment for loss of salary during a temporary absence from work;

休業給付

disability benefits;

障害給付

benefits for surviving family;

遺族給付

payments for funeral service fee;

葬祭給付

benefits for workers who get injured or fall ill while commuting to and from work; and

傷病年金

nursing care benefits

介護給付

Article 22

第二十二条

Where a worker gets injured or falls ill (limited to diseases specified by Order of the Ministry of Health, Labour and Welfare; hereinafter the same applies in this Section) while commuting to or from work (meaning commuting as set forth in Article 7, paragraph (1), item (iii); the same applies hereinafter), medical treatment benefits are paid to the worker based on their claim.

療養給付は、労働者が通勤(第七条第一項第三号の通勤をいう。以下同じ。)により負傷し、又は疾病(厚生労働省令で定めるものに限る。以下この節において同じ。)にかかつた場合に、当該労働者に対し、その請求に基づいて行う。

The provisions of Article 13 apply mutatis mutandis to medical treatment benefits.

第十三条の規定は、療養給付について準用する。

Article 22-2

第二十二条の二

Where a worker does not receive wages because of their inability to work due to medical treatment pertaining to an injury or illness caused while commuting to or from work, compensation payment for loss of salary during a temporary absence from work benefits is to be paid to the worker based on their claim.

休業給付は、労働者が通勤による負傷又は疾病に係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場合に、当該労働者に対し、その請求に基づいて行なう。

The provisions of Article 14 and Article 14-2 apply mutatis mutandis to compensation payment for loss of salary during a temporary absence from work. In this case, the term "in the course of their duties" in Article 14, paragraph (1) is deemed to be replaced with "while commuting to or from work" and the term "in accordance with the cases prescribed in items (i) through (iii) of appended table 1, by the rate for an illness or injury compensation pension amongst the rates specified in Cabinet Order set forth in items (i) to (iii) of that table" in paragraph (2) of that Article is deemed to be replaced with "in accordance with the cases prescribed in items (i) through (iii) of appended table 1 as applied mutatis mutandis pursuant to the provisions of Article 23, paragraph (2), by the rate for an illness or injury compensation pension amongst the rates specified in Cabinet Order set forth in items (i) through (iii) of that table."

第十四条及び第十四条の二の規定は、休業給付について準用する。この場合において、第十四条第一項中「業務上の」とあるのは「通勤による」と、同条第二項中「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」とあるのは「第二十三条第二項において準用する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年金について定める率」と読み替えるものとする。

The amount of compensation or loss of salary during a temporary absence from work to be paid to a worker receiving medical treatment benefits (excluding persons specified in Order of the Ministry of Health, Labour and Welfare as set forth in Article 31, paragraph (2)) pertaining to the first day on which the grounds for payment occurred, notwithstanding the provisions of Article 14, paragraph (1) as applied mutatis mutandis pursuant to the provisions of the preceding paragraph, is the amount obtained by deducting the amount equivalent to the amount specified in Order of the Ministry of Health, Labour and Welfare set forth in Article 31, paragraph (2) from the amount set forth in Article 14, paragraph (1).

療養給付を受ける労働者(第三十一条第二項の厚生労働省令で定める者を除く。)に支給する休業給付であつて最初に支給すべき事由の生じた日に係るものの額は、前項において準用する第十四条第一項の規定にかかわらず、同項の額から第三十一条第二項の厚生労働省令で定める額に相当する額を減じた額とする。

Article 22-3

第二十二条の三

Where a worker gets injured or falls ill while commuting to or from work and remains physically disabled after recovery, a disability benefit is paid to the worker based on their claim.

障害給付は、労働者が通勤により負傷し、又は疾病にかかり、なおつたとき身体に障害が存する場合に、当該労働者に対し、その請求に基づいて行なう。

Disability benefits are paid in the form of disability pension or a lump sum payment for disability, in accordance with the grades of disabilities specified in Order of the Ministry of Health, Labour and Welfare set forth in Article 15, paragraph (1).

障害給付は、第十五条第一項の厚生労働省令で定める障害等級に応じ、障害年金又は障害一時金とする。

The provisions of Article 15, paragraph (2) and Article 15-2 as well as the provisions of appended table 1 (limited to the parts pertaining to the disability compensation pension) and appended table 2 (limited to the parts pertaining to the lump sum compensation payment for disability) apply mutatis mutandis to disability benefits. In this case, the term "disability compensation pension" and "lump sum payment for disability" in these provisions are respectively deemed to be replaced with "disability pension" and " lump sum payment for disability ".

第十五条第二項及び第十五条の二並びに別表第一(障害補償年金に係る部分に限る。)及び別表第二(障害補償一時金に係る部分に限る。)の規定は、障害給付について準用する。この場合において、これらの規定中「障害補償年金」とあるのは「障害年金」と、「障害補償一時金」とあるのは「障害一時金」と読み替えるものとする。

Article 22-4

第二十二条の四

Where a worker dies while commuting to or from work, benefits for surviving family is paid to the worker's surviving family members based on their claims.

遺族給付は、労働者が通勤により死亡した場合に、当該労働者の遺族に対し、その請求に基づいて行なう。

Benefit for surviving family is paid in the form of a survivor pension or lump sum payment for surviving family.

遺族給付は、遺族年金又は遺族一時金とする。

The provisions of Articles 16-2 to Article 16-9 as well as the provisions of appended table 1 (limited to the parts pertaining to the compensation pension for surviving family) and appended table 2 (limited to the parts pertaining to the lump sum compensation for surviving family) apply mutatis mutandis to benefits for surviving family. In this case, the term "compensation pension for surviving family" and "lump sum compensation for surviving family" in these provisions are respectively deemed to be replaced with "pension for surviving family" and "lump sum payment for surviving family".

第十六条の二から第十六条の九まで並びに別表第一(遺族補償年金に係る部分に限る。)及び別表第二(遺族補償一時金に係る部分に限る。)の規定は、遺族給付について準用する。この場合において、これらの規定中「遺族補償年金」とあるのは「遺族年金」と、「遺族補償一時金」とあるのは「遺族一時金」と読み替えるものとする。

Article 22-5

第二十二条の五

Where a worker dies while commuting to or from work, funeral service fee is paid to the person who holds the funeral based on their claim.

葬祭給付は、労働者が通勤により死亡した場合に、葬祭を行なう者に対し、その請求に基づいて行なう。

The provisions of Article 17 apply mutatis mutandis to payment of funeral service fee.

第十七条の規定は、葬祭給付について準用する。

Article 23

第二十三条

An illness or injury pension is paid to a worker who gets injured or fall ill while commuting to or from work, when the person falls under all of the following items on the day on which one year and six months have elapsed after the commencement of medical treatment pertaining to the illness or injury, or falls under all of the following items after that day, and such payment is made for the period during which the relevant illness or injury continues to exist:

傷病年金は、通勤により負傷し、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 illness or injury falls under a grade of illness or injury specified by Order of the Ministry of Health, Labour and Welfare set forth in Article 12-8, paragraph (3), item (ii).

当該負傷又は疾病による障害の程度が第十二条の八第三項第二号の厚生労働省令で定める傷病等級に該当すること。

The provisions of Article 18 and Article 18-2 as well as the provisions of appended table 1 (limited to those parts pertaining to the illness or injury compensation pension) apply mutatis mutandis to an illness or injury pension. In this case, the term "compensation payment for loss of salary during a temporary absence from work " in Article 18, paragraph (2) is deemed to be replaced with "payment for loss of salary during a temporary absence from work", and the term "illness or injury compensation pension" in that table is deemed to be replaced with "illness or injury pension".

第十八条、第十八条の二及び別表第一(傷病補償年金に係る部分に限る。)の規定は、傷病年金について準用する。この場合において、第十八条第二項中「休業補償給付」とあるのは「休業給付」と、同表中「傷病補償年金」とあるのは「傷病年金」と読み替えるものとする。

Article 24

第二十四条

Nursing care benefit is paid to a worker who has the right to receive a disability pension or an illness or injury pension, based on their claim, when the worker is in a physical condition requiring constant or occasional nursing care and is receiving constant or occasional nursing care due to a disability which is the cause for the payment of that disability pension or illness or injury pension which the worker has the right to receive and whose degree of disability is specified by Order of the Ministry of Health, Labour and Welfare set forth in Article 12-8, paragraph (4), and such payment is made during the period while the worker is receiving the nursing care(excluding the following periods):

介護給付は、障害年金又は傷病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年金又は傷病年金の支給事由となる障害であつて第十二条の八第四項の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 for persons with disabilities (limited to cases where the worker receives nursing care for daily life);

障害者支援施設に入所している間(生活介護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 set forth in Article 12-8, paragraph (4), item (ii); and

第十二条の八第四項第二号の厚生労働大臣が定める施設に入所している間

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

The provisions of Article 19-2 apply mutatis mutandis to nursing care benefits.

第十九条の二の規定は、介護給付について準用する。

Article 25

第二十五条

In addition to what is prescribed in this Section, necessary particulars necessary for payment of insurance proceeds in respect of a commuting accident are prescribed by Order of the Ministry of Health, Labour and Welfare.

この節に定めるもののほか、通勤災害に関する保険給付について必要な事項は、厚生労働省令で定める。

Section 4 Payment for Follow-up Medical Examination

第四節 二次健康診断等給付

Article 26

第二十六条

Follow-up medical examination expenses is paid to a worker, based on their claim, where the worker has, in their most recent medical examination conducted pursuant to the provisions of Article 66, paragraph (1) of the Industrial Health and Safety Act (Act No. 57 of 1972) or a medical examination pertaining to the medical examination conducted pursuant to the provisions of the proviso to paragraph (5) of that Article (hereinafter referred to as an "initial medical examination" in this paragraph), undergone blood pressure tests or blood tests or other tests concerning physical conditions related to the occurrence of a cerebrovascular disease or heart disease caused in the course of their duties, which are specified by Order of the Ministry of Health, Labour and Welfare, and the worker who has undergone these tests is diagnosed as those showing abnormalities for all items of the medical test (excluding workers who, based on the results of the initial medical examination or for other reasons, obviously have symptoms of cerebrovascular disease or heart disease).

二次健康診断等給付は、労働安全衛生法(昭和四十七年法律第五十七号)第六十六条第一項の規定による健康診断又は当該健康診断に係る同条第五項ただし書の規定による健康診断のうち、直近のもの(以下この項において「一次健康診断」という。)において、血圧検査、血液検査その他業務上の事由による脳血管疾患及び心臓疾患の発生にかかわる身体の状態に関する検査であつて、厚生労働省令で定めるものが行われた場合において、当該検査を受けた労働者がそのいずれの項目にも異常の所見があると診断されたときに、当該労働者(当該一次健康診断の結果その他の事情により既に脳血管疾患又は心臓疾患の症状を有すると認められるものを除く。)に対し、その請求に基づいて行う。

The coverage of follow-up medical examination is as follows:

二次健康診断等給付の範囲は、次のとおりとする。

a medical examination conducted by a doctor who carries out the medical test (excluding the tests prescribed in the preceding paragraph) specified by Order of the Ministry of Health, Labour and Welfare which are necessary to understand the conditions of the blood vessels in the brain and the heart (limited to once per fiscal year; hereinafter referred to as a "follow-up medical examination" in this Section); and

脳血管及び心臓の状態を把握するために必要な検査(前項に規定する検査を除く。)であつて厚生労働省令で定めるものを行う医師による健康診断(一年度につき一回に限る。以下この節において「二次健康診断」という。)

health guidance given by a doctor or public health nurse by having an interview based on the results of the follow-up medical examination in order to prevent the occurrence of a cerebrovascular disease and heart disease (limited to once per follow-up medical examination; hereinafter referred to as "specific health guidance" in the following paragraph)

二次健康診断の結果に基づき、脳血管疾患及び心臓疾患の発生の予防を図るため、面接により行われる医師又は保健師による保健指導(二次健康診断ごとに一回に限る。次項において「特定保健指導」という。)

With regard to workers who, based on the results of a follow-up medical examination or for other reasons, obviously have symptoms of a cerebrovascular disease or heart disease, the government does not give specific health guidance pertaining to the follow-up medical examination.

政府は、二次健康診断の結果その他の事情により既に脳血管疾患又は心臓疾患の症状を有すると認められる労働者については、当該二次健康診断に係る特定保健指導を行わないものとする。

Article 27

第二十七条

With respect to the application of the provisions of Article 66-4 of the Industrial Safety and Health Act to an employer (meaning an employer prescribed in Article 2, item (iii) of that Act) who has received, from a worker who has undergone a follow-up medical examination, a document certifying the results of the follow-up medical examination within a period specified by Order of the Ministry of Health, Labour and Welfare not exceeding three months from the day of the follow-up medical examination, the term the "results of the medical examinations... (limited to the results of the medical examinations" in that Article is deemed to be replaced with the "results of the medical examination and the follow-up medical examination prescribed in Article 26, paragraph (2), item (i) of the Industrial Accident Compensation Insurance Act... (limited to the results of these medical examinations".

二次健康診断を受けた労働者から当該二次健康診断の実施の日から三箇月を超えない期間で厚生労働省令で定める期間内に当該二次健康診断の結果を証明する書面の提出を受けた事業者(労働安全衛生法第二条第三号に規定する事業者をいう。)に対する同法第六十六条の四の規定の適用については、同条中「健康診断の結果(当該健康診断」とあるのは、「健康診断及び労働者災害補償保険法第二十六条第二項第一号に規定する二次健康診断の結果(これらの健康診断」とする。

Article 28

第二十八条

In addition to what is prescribed in this Section, the necessary particulars for the payment of follow-up medical examination, etc. are prescribed by Order of the Ministry of Health, Labour and Welfare.

この節に定めるもののほか、二次健康診断等給付について必要な事項は、厚生労働省令で定める。

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