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Article 57Right to Claim Compensation for Damages

第五十七条(損害賠償請求権)

When the grounds for an expense claim is caused consist of an act by a third party and an insurer provides insurance benefits, the insurer obtains the right to claim compensation for damages held by the person entitled to receive the benefits (if the grounds for an expense claim lie with a dependent of the insured person, the dependent is included; the same applies hereinafter in the following paragraph) against the third party, to the extent of the amount of the benefits (when the insurance benefits are benefits for medical treatment, the amount calculated by deducting, from the cost of the benefits for medical treatment, the amount of co-payment to be borne by the person with respect to the benefits for medical treatment; the same applies hereinafter in paragraph (1) of the following Article).

保険者は、給付事由が第三者の行為によって生じた場合において、保険給付を行ったときは、その給付の価額(当該保険給付が療養の給付であるときは、当該療養の給付に要する費用の額から当該療養の給付に関し被保険者が負担しなければならない一部負担金に相当する額を控除した額。次条第一項において同じ。)の限度において、保険給付を受ける権利を有する者(当該給付事由が被保険者の被扶養者について生じた場合には、当該被扶養者を含む。次項において同じ。)が第三者に対して有する損害賠償の請求権を取得する。

In the case referred to in the preceding paragraph, if the person entitled to receive the insurance benefits receives compensation for damages on the same ground from the third party, the insurer is exempt from the responsibility to pay the insurance benefit to the extent of the amount of the compensation.

前項の場合において、保険給付を受ける権利を有する者が第三者から同一の事由について損害賠償を受けたときは、保険者は、その価額の限度において、保険給付を行う責めを免れる。

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