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Supplementary Provisions, Article 7Special Provisions on the Amount of Insurance Benefits to Be Included in Calculating the Ratios under Article 12, Paragraph (3) and Article 20, Paragraph (1) of the Act and on the Scope of Special Payments under the Provisions of the Special Payment Rules

第七条(法第十二条第三項及び第二十条第一項の割合の算定に当たり算入すべき保険給付の額及び特別支給金規則の規定による特別支給金の範囲に関する特例)

For the time being, with regard to the application of Article 18, the phrase ", nursing care compensation benefits" in paragraph (1) of that Article is deemed to be replaced with ", lump-sum compensation payments for disability, lump-sum compensation payments for surviving family, funeral service fees, nursing care compensation benefits", and the calculation of the amount under paragraph (2) of that Article is to be carried out, notwithstanding that paragraph, by determining, according to the category of insurance benefits listed in the following items, the amount prescribed in the respective items (excluding the amount added pursuant to the provisions of (Order of the Ministry of Health, Labour and Welfare No. 64 of 2019; hereinafter in the following paragraph referred to as the "2019 Industrial Accident Insurance Ordinance Amendment") (including cases where applied mutatis mutandis pursuant to (Order of the Ministry of Health, Labour and Welfare No. 70 of 2020; hereinafter in the following paragraph referred to as the "2020 Industrial Accident Insurance Ordinance Amendment"), (Order of the Ministry of Health, Labour and Welfare No. 182 of 2020; hereinafter in the following paragraph referred to as the "2020 Labor Insurance Premium Collection Ordinance Amendment") and (Order of the Ministry of Health, Labour and Welfare No. 58 of 2021; hereinafter in the following paragraph referred to as the "2021 Industrial Accident Insurance Ordinance Amendment")) to the amount listed in item (ii) of that paragraph):

当分の間、第十八条の規定の適用については、同条第一項中「、介護補償給付」とあるのは「、障害補償一時金、遺族補償一時金、葬祭料、介護補償給付」と読み替えるものとし、同条第二項の額の算定は、同項の規定にかかわらず、次の各号に掲げる保険給付の区分に応じ、当該各号に定める額(労働者災害補償保険法施行規則等の一部を改正する省令(平成三十一年厚生労働省令第六十四号。次項において「平成三十一年改正労災則」という。)(労働者災害補償保険法施行規則等の一部を改正する省令(令和二年厚生労働省令第七十号。次項において「令和二年改正労災則」という。)、労働保険の保険料の徴収等に関する法律施行規則の一部を改正する省令(令和二年厚生労働省令第百八十二号。次項において「令和二年改正徴収則」という。)及び労働者災害補償保険法施行規則等の一部を改正する省令(令和三年厚生労働省令第五十八号。次項において「令和三年改正労災則」という。)において準用する場合を含む。)の規定により同項第二号に掲げる額に加えた額を除く。)とすることにより行うものとする。

Disability compensation pension: an amount equivalent to the amount of the disability compensation that would be paid if, for the same reason, the provisions of Article 77 of the Labor Standards Act were applied by deeming the basic daily benefit amount prescribed in Article 8 of the Industrial Accident Insurance Act to be the average wage (where that reason relates to the 2011 off the Pacific coast of Tohoku Earthquake that occurred on March 11, 2011 (hereinafter referred to as the "2011 off the Pacific coast of Tohoku Earthquake"), the amount obtained by multiplying that amount by the rate determined by the Minister of Health, Labour and Welfare (hereinafter referred to as the "adjustment rate for the disaster"), and where that reason relates to the novel coronavirus disease prescribed in (hereinafter referred to as the "novel coronavirus disease"), the amount obtained by multiplying that amount by the rate determined by the Minister of Health, Labour and Welfare (hereinafter referred to as the "adjustment rate for the novel coronavirus disease"));

障害補償年金 同一の事由について労災保険法第八条に規定する給付基礎日額を平均賃金とみなして労働基準法第七十七条の規定を適用することとした場合に行われることとなる障害補償の額に相当する額(当該事由が平成二十三年三月十一日に発生した東北地方太平洋沖地震(以下「東北地方太平洋沖地震」という。)に伴うものである場合は、当該額に厚生労働大臣が定める率(以下「災害に係る調整率」という。)を乗じて得た額とし、当該事由がに規定する新型コロナウイルス感染症(以下「新型コロナウイルス感染症」という。)に関するものである場合は、当該額に厚生労働大臣が定める率(以下「新型コロナウイルス感染症に係る調整率」という。)を乗じて得た額)

Compensation pension for surviving family: an amount equivalent to the amount of the compensation to the bereaved family that would be paid if, for the same reason, the provisions of Article 79 of the Labor Standards Act were applied by deeming the basic daily benefit amount prescribed in Article 8 of the Industrial Accident Insurance Act to be the average wage (where that reason relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that reason relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

遺族補償年金 同一の事由について労災保険法第八条に規定する給付基礎日額を平均賃金とみなして労働基準法第七十九条の規定を適用することとした場合に行われることとなる遺族補償の額に相当する額(当該事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Illness or injury compensation pension: the total of the amounts of the illness or injury compensation pension for the months up to the month preceding the month that includes the day on which three years elapse after the start of medical treatment for the injury or illness in question (where the ground for payment of that illness or injury compensation pension relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

傷病補償年金 傷病補償年金のうち当該負傷又は疾病に関する療養の開始後三年を経過する日の属する月の前月までの月分のものの額を合計した額(当該傷病補償年金の支給事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Medical treatment compensation benefit: the total of the amounts of the medical treatment compensation benefit for which the ground for payment arose before the day on which three years elapse after the start of the medical treatment in question (where that ground relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

療養補償給付 療養補償給付のうち当該療養の開始後三年を経過する日前に支給すべき事由の生じたものの額を合計した額(当該事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Compensation payment for loss of salary during a temporary absence from work: the total of the amounts of the compensation payment for loss of salary during a temporary absence from work for which the ground for payment arose before the day on which three years elapse after the start of medical treatment for the injury or illness in question (where that ground relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

休業補償給付 休業補償給付のうち当該負傷又は疾病に関する療養の開始後三年を経過する日前に支給すべき事由の生じたものの額を合計した額(当該事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Lump-sum compensation payment for disability: the amount of the lump-sum compensation payment for disability (where the ground for payment of that lump-sum compensation payment for disability relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

障害補償一時金 障害補償一時金の額(当該障害補償一時金の支給事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Lump-sum compensation payment for surviving family: the amount of the lump-sum compensation payment for surviving family (where the ground for payment of that lump-sum compensation payment for surviving family relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

遺族補償一時金 遺族補償一時金の額(当該遺族補償一時金の支給事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Funeral service fee: the amount of the funeral service fee (where the ground for payment of that funeral service fee relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease); and

葬祭料 葬祭料の額(当該葬祭料の支給事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Nursing care compensation benefit: the total of the amounts of the nursing care compensation benefit for the months up to the month preceding the month that includes the day on which three years elapse after the start of medical treatment for the injury or illness in question (where the ground for payment of that nursing care compensation benefit relates to the 2011 off the Pacific coast of Tohoku Earthquake, the amount obtained by multiplying that amount by the adjustment rate for the disaster, and where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease).

介護補償給付 介護補償給付のうち当該負傷又は疾病に関する療養の開始後三年を経過する日の属する月の前月までの月分のものの額を合計した額(当該介護補償給付の支給事由が東北地方太平洋沖地震に伴うものである場合は、当該額に災害に係る調整率を乗じて得た額とし、当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

In the case of applying the provisions of the preceding paragraph, the calculation of the amount under Article 18, paragraph (3) is to be carried out, notwithstanding that paragraph, by determining, according to the category of insurance benefits listed in the following items, the amount prescribed in the respective items (excluding the amount added pursuant to the provisions of Article 2, paragraph (1) of the Supplementary Provisions of the 2019 Industrial Accident Insurance Ordinance Amendment (including cases where applied mutatis mutandis pursuant to Article 4 of the Supplementary Provisions of the 2020 Industrial Accident Insurance Ordinance Amendment, Article 2 of the Supplementary Provisions of the 2020 Labor Insurance Premium Collection Ordinance Amendment and Article 4 of the Supplementary Provisions of the 2021 Industrial Accident Insurance Ordinance Amendment) to the amount listed in item (ii) of that paragraph):

前項の規定を適用する場合において、第十八条第三項の額の算定は、同項の規定にかかわらず、次の各号に掲げる保険給付の区分に応じ、当該各号に定める額(平成三十一年改正労災則附則第二条第一項(令和二年改正労災則附則第四条、令和二年改正徴収則附則第二条及び令和三年改正労災則附則第四条において準用する場合を含む。)の規定により同項第二号に掲げる額に加えた額を除く。)とすることにより行うものとする。

Compensation payment for loss of salary during a temporary absence from work: the total of the amounts of the compensation payment for loss of salary during a temporary absence from work (in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, and in the case of insurance benefits paid in relation to a specially enrolled person, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated by the method prescribed in (including cases where applied mutatis mutandis pursuant to and )) for which the ground for payment arose before the day on which three years elapse after the start of medical treatment for the injury or illness in question (where that ground relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

休業補償給付 休業補償給付(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額に相当する額又は労災則(労災則及びにおいて準用する場合を含む。)に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。)のうち当該負傷又は疾病に関する療養の開始後三年を経過する日前に支給すべき事由の生じたものの額を合計した額(当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Disability compensation pension: an amount equivalent to the amount of the disability compensation that would be paid if the provisions of Article 77 of the Labor Standards Act were applied by deeming, in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, the basic daily benefit amount in the case where it is calculated for the same reason by the method prescribed in paragraphs (1) and (2) of that Article to be the average wage, and in the case of insurance benefits paid in relation to a specially enrolled person, the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated for the same reason by the method prescribed in paragraphs (1) and (2) of that Article, or the basic daily benefit amount in the case where it is calculated by the method prescribed in (including cases where applied mutatis mutandis pursuant to and ; the same applies hereinafter in this paragraph), to be the average wage (where that reason relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

障害補償年金 労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額を平均賃金とみなし、特別加入者に関し支給する保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額又は労災則(労災則及びにおいて準用する場合を含む。以下この項において同じ。)に規定する方法により算定した場合の給付基礎日額をもとに算定した額を平均賃金とみなして労働基準法第七十七条の規定を適用することとした場合に行われることとなる障害補償の額に相当する額(当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Lump-sum compensation payment for disability: the amount of the lump-sum compensation payment for disability (in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the disability giving rise to the benefit occurred, and in the case of insurance benefits paid in relation to a specially enrolled person, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the disability giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated by the method prescribed in ; provided, however, that where the ground for payment of that lump-sum compensation payment for disability relates to the novel coronavirus disease, it is the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

障害補償一時金 障害補償一時金の額(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる障害が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる障害が発生した事業場における賃金額をもとに算定した額に相当する額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。ただし、当該障害補償一時金の支給事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額とする。)

Compensation pension for surviving family: an amount equivalent to the amount of the compensation to the bereaved family that would be paid if the provisions of Article 79 of the Labor Standards Act were applied by deeming, in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, the basic daily benefit amount in the case where it is calculated for the same reason by the method prescribed in paragraphs (1) and (2) of that Article to be the average wage, and in the case of insurance benefits paid in relation to a specially enrolled person, the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated for the same reason by the method prescribed in paragraphs (1) and (2) of that Article, or the basic daily benefit amount in the case where it is calculated by the method prescribed in , to be the average wage (where that reason relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

遺族補償年金 労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額を平均賃金とみなし、特別加入者に関し支給する保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額を平均賃金とみなして労働基準法第七十九条の規定を適用することとした場合に行われることとなる遺族補償の額に相当する額(当該事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

Lump-sum compensation payment for surviving family: the amount of the lump-sum compensation payment for surviving family (in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, and in the case of insurance benefits paid in relation to a specially enrolled person, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated by the method prescribed in ; provided, however, that where the ground for payment of that lump-sum compensation payment for surviving family relates to the novel coronavirus disease, it is the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease);

遺族補償一時金 遺族補償一時金の額(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額をもとに算定した額に相当する額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。ただし、当該遺族補償一時金の支給事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額とする。)

Funeral service fee: the amount of the funeral service fee (in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, and in the case of insurance benefits paid in relation to a specially enrolled person, limited to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated by the method prescribed in (including cases where applied mutatis mutandis pursuant to and ); provided, however, that where the ground for payment of that funeral service fee relates to the novel coronavirus disease, it is the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease); and

葬祭料 葬祭料の額(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額又は労災則(労災則及びにおいて準用する場合を含む。)に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。ただし、当該葬祭料の支給事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額とする。)

Illness or injury compensation pension: the total of the amounts of the illness or injury compensation pension (in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, and in the case of insurance benefits paid in relation to a specially enrolled person, limited to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated by the method prescribed in ) for the months up to the month preceding the month that includes the day on which three years elapse after the start of medical treatment for the injury or illness in question (where the ground for payment of that illness or injury compensation pension relates to the novel coronavirus disease, the amount obtained by multiplying that amount by the adjustment rate for the novel coronavirus disease).

傷病補償年金 傷病補償年金(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。)のうち当該負傷又は疾病に関する療養の開始後三年を経過する日の属する月の前月までの月分のものの額を合計した額(当該傷病補償年金の支給事由が新型コロナウイルス感染症に関するものである場合は、当該額に新型コロナウイルス感染症に係る調整率を乗じて得た額)

For the time being, with regard to the application of Article 18-2, the phrase "and, of those relating to a person" in that Article is deemed to be replaced with "of those relating to a person", and the phrase "those in the case where the occupational accident arose from a business listed in or " with "those in the case where the occupational accident arose from a business listed in or , those relating to the 2011 off the Pacific coast of Tohoku Earthquake, those relating to the novel coronavirus disease, and those paid as the amount added pursuant to the provisions of (Order of the Ministry of Health, Labour and Welfare No. 64 of 2019) (including cases where applied mutatis mutandis pursuant to (Order of the Ministry of Health, Labour and Welfare No. 70 of 2020), (Order of the Ministry of Health, Labour and Welfare No. 182 of 2020) and (Order of the Ministry of Health, Labour and Welfare No. 58 of 2021)) to the amount listed in ".

当分の間、第十八条の二の規定の適用については、同条中「及び労災保険法」とあるのは「、労災保険法」と、「を除く」とあるのは「、東北地方太平洋沖地震に係るもの、新型コロ(、において準用する場合を含む。)の規定によりに掲げる額に加えた額として支給されたものを除く」と読み替えるものとする。

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