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Article 100Burial Charges

第百条(埋葬料)

In the case of the death of an insured person, an amount specified by Cabinet Order is paid as burial charges to the person whose livelihood depends on the income of the insured person and who arranged the burial.

被保険者が死亡したときは、その者により生計を維持していた者であって、埋葬を行うものに対し、埋葬料として、政令で定める金額を支給する。

If there is no one to receive burial charges pursuant to the provisions of the preceding paragraph, an amount equivalent to the expenses required for the burial within the range of the amount in the same paragraph is paid to the person who arranged the burial.

前項の規定により埋葬料の支給を受けるべき者がない場合においては、埋葬を行った者に対し、同項の金額の範囲内においてその埋葬に要した費用に相当する金額を支給する。

Article 101Lump-sum Allowance for Childbirth and Childcare

第百一条(出産育児一時金)

When an insured person gives birth, the amount specified by Cabinet Order is paid as a lump-sum allowance for childbirth and childcare.

被保険者が出産したときは、出産育児一時金として、政令で定める金額を支給する。

Article 102Childbirth Allowance

第百二条(出産手当金)

When an insured person gives birth, childbirth allowance is paid in the period during which the person does not engage in work, including 42 days (98 days in the case of multiple fetuses) preceding the day of childbirth (the scheduled date of childbirth if the day of childbirth is after the scheduled date of childbirth) and 56 days following the day of childbirth.

被保険者が出産したときは、出産の日(出産の日が出産の予定日後であるときは、出産の予定日)以前四十二日(多胎妊娠の場合においては、九十八日)から出産の日後五十六日までの間において労務に服さなかった期間、出産手当金を支給する。

The provisions of Article 99, paragraphs (2) and (3) apply mutatis mutandis to the payment of childbirth allowance.

第九十九条第二項及び第三項の規定は、出産手当金の支給について準用する。

Article 103Coordination of Childbirth Allowance with Injury and Sickness Allowance

第百三条(出産手当金と傷病手当金との調整)

Injury and sickness allowance is not paid during the period in which childbirth allowance is paid (excluding cases falling under Article 108, paragraph (3) or (4)); provided, however, that if the amount of childbirth allowance to be received (in the case of the proviso to paragraph (2) of the same Article, the total sum of the amount of remuneration prescribed in the proviso and the amount of childbirth allowance calculated pursuant to the proviso) is less than the amount calculated pursuant to the provisions of Article 99, paragraph (2), the difference between those amounts is paid.

出産手当金を支給する場合(第百八条第三項又は第四項に該当するときを除く。)においては、その期間、傷病手当金は、支給しない。ただし、その受けることができる出産手当金の額(同条第二項ただし書の場合においては、同項ただし書に規定する報酬の額と同項ただし書の規定により算定される出産手当金の額との合算額)が、第九十九条第二項の規定により算定される額より少ないときは、その差額を支給する。

If injury and sickness allowance is paid when childbirth allowance is to be paid, the injury and sickness allowance (excluding an allowance paid pursuant to the proviso to the preceding paragraph) is deemed as part payment of childbirth allowance.

出産手当金を支給すべき場合において傷病手当金が支払われたときは、その支払われた傷病手当金(前項ただし書の規定により支払われたものを除く。)は、出産手当金の内払とみなす。

Article 104Continued Benefits for Injury and Sickness Allowance or Childbirth Allowance

第百四条(傷病手当金又は出産手当金の継続給付)

A person who continued to have been an insured person for one year or more until the day preceding the day of loss of eligibility (in case of an insured person with optional and continued coverage, by the day of acquisition of eligibility) as an insured person (excluding insured persons with optional and continued coverage who are members of a mutual aid association) (referred to as a "person who was insured for one year or more" in Article 106) and who received payment of injury and sickness allowance or childbirth allowance at the time of loss of the eligibility may continue to receive the benefits from the same insurer for the period in which the person was eligible for the payment as an insured person.

被保険者の資格を喪失した日(任意継続被保険者の資格を喪失した者にあっては、その資格を取得した日)の前日まで引き続き一年以上被保険者(任意継続被保険者又は共済組合の組合員である被保険者を除く。)であった者(第百六条において「一年以上被保険者であった者」という。)であって、その資格を喪失した際に傷病手当金又は出産手当金の支給を受けているものは、被保険者として受けることができるはずであった期間、継続して同一の保険者からその給付を受けることができる。

Article 105Payment of Benefits Concerning Death after Loss of Eligibility

第百五条(資格喪失後の死亡に関する給付)

When a person receiving insurance benefits pursuant to the provisions of the preceding Article dies, a person who had been receiving insurance benefits pursuant to the provisions of the same Article dies within three days after the day of loss of the benefits, or a person who was an insured person dies within three days after the day of loss of a eligibility as an insured person, a person whose livelihood depends on the income of the insured person and who arranges the burial may receive burial charges from the last insurer of the insured person.

前条の規定により保険給付を受ける者が死亡したとき、同条の規定により保険給付を受けていた者がその給付を受けなくなった日後三月以内に死亡したとき、又はその他の被保険者であった者が被保険者の資格を喪失した日後三月以内に死亡したときは、被保険者であった者により生計を維持していた者であって、埋葬を行うものは、その被保険者の最後の保険者から埋葬料の支給を受けることができる。

The provisions of Article 100 apply mutatis mutandis to a case in which no one is eligible to receive burial charges pursuant to the provisions of the preceding paragraph and to the amount of burial charges referred to in the same paragraph.

第百条の規定は、前項の規定により埋葬料の支給を受けるべき者がない場合及び同項の埋葬料の金額について準用する。

Article 106Payment of Lump-sum Allowance for Childbirth and Childcare after Loss of Eligibility

第百六条(資格喪失後の出産育児一時金の給付)

A person who was an insured person for one year or more and gives birth within six months after the date of loss of the eligibility as an insured person may be paid the lump-sum allowance for childbirth and childcare that should have been received as an insured person from the person's last insurer.

一年以上被保険者であった者が被保険者の資格を喪失した日後六月以内に出産したときは、被保険者として受けることができるはずであった出産育児一時金の支給を最後の保険者から受けることができる。

Article 107Cases where Persons have Become an Insured Person Covered by Seamen's Insurance

第百七条(船員保険の被保険者となった場合)

Notwithstanding the provisions of the preceding three Articles, when a person who was an insured person becomes an insured person covered by Seamen's Insurance, insurance benefits are not paid.

前三条の規定にかかわらず、被保険者であった者が船員保険の被保険者となったときは、保険給付は、行わない。

Article 108Coordination of Injury and Sickness Allowance or Childbirth Allowance With Remuneration

第百八条(傷病手当金又は出産手当金と報酬等との調整)

Injury and sickness allowance is not paid to a person who may receive all or part of the person's remuneration in case of sickness or injury during the period in which the person may receive the remuneration; provided, however, that if the amount of the remuneration to be received is less than the amount calculated pursuant to the provisions of Article 99, paragraph (2) (excluding the cases falling under Article 103, paragraph (1) or , paragraph (3) or (4)), the difference between those amounts is paid.

疾病にかかり、又は負傷した場合において報酬の全部又は一部を受けることができる者に対しては、これを受けることができる期間は、傷病手当金を支給しない。ただし、その受けることができる報酬の額が、第九十九条第二項の規定により算定される額より少ないとき(第百三条第一項又は第三項若しくは第四項に該当するときを除く。)は、その差額を支給する。

Childbirth allowance is not paid to a person who may receive all or part of the person's remuneration in case of childbirth during the period in which the person may receive the remuneration; provided, however, that if the amount of the remuneration to be received is less than the amount of childbirth allowance, the difference between those amounts is paid.

出産した場合において報酬の全部又は一部を受けることができる者に対しては、これを受けることができる期間は、出産手当金を支給しない。ただし、その受けることができる報酬の額が、出産手当金の額より少ないときは、その差額を支給する。

Injury and sickness allowance is not paid when the person to receive injury and sickness allowance is eligible for a disability welfare pension pursuant to the Employee's Pension Insurance Act due to the same sickness and injury, and diseases caused thereby; provided, however, that if the amount of the disability welfare pension to be received (when it is possible to receive the disability basic pension pursuant to the National Pension Act based on the same payment reason as that for the disability welfare pension, the total sum of the amount of the disability welfare pension and the amount of the disability basic pension) calculated pursuant to Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as the "amount of disability pension" in this paragraph) is less than the amount calculated pursuant to the provisions of Article 99, paragraph (2), the difference between the calculated amount and an amount specified in accordance with the classification of each of the following items is paid:

傷病手当金の支給を受けるべき者が、同一の疾病又は負傷及びこれにより発した疾病につき厚生年金保険法による障害厚生年金の支給を受けることができるときは、傷病手当金は、支給しない。ただし、その受けることができる障害厚生年金の額(当該障害厚生年金と同一の支給事由に基づき国民年金法による障害基礎年金の支給を受けることができるときは、当該障害厚生年金の額と当該障害基礎年金の額との合算額)につき厚生労働省令で定めるところにより算定した額(以下この項において「障害年金の額」という。)が、第九十九条第二項の規定により算定される額より少ないときは、当該額と次の各号に掲げる場合の区分に応じて当該各号に定める額との差額を支給する。

if the person is ineligible for remuneration and ineligible to receive payment of childbirth allowance:the amount of disability pension;

報酬を受けることができない場合であって、かつ、出産手当金の支給を受けることができない場合 障害年金の額

if the person is ineligible for remuneration and eligible for childbirth allowance:the amount of childbirth allowance (that amount if it exceeds the amount calculated pursuant to the provisions of Article 99, paragraph (2)) or the amount of disability pension, whichever is larger;

報酬を受けることができない場合であって、かつ、出産手当金の支給を受けることができる場合 出産手当金の額(当該額が第九十九条第二項の規定により算定される額を超える場合にあっては、当該額)と障害年金の額のいずれか多い額

if the person is entitled to all or part of the person's remuneration and not eligible for childbirth allowance:all or part of the remuneration (that amount if it exceeds the amount calculated pursuant to the provisions of Article 99, paragraph (2)) or the amount of disability pension, whichever is larger; or

報酬の全部又は一部を受けることができる場合であって、かつ、出産手当金の支給を受けることができない場合 当該受けることができる報酬の全部又は一部の額(当該額が第九十九条第二項の規定により算定される額を超える場合にあっては、当該額)と障害年金の額のいずれか多い額

if the person is entitled to all or part of remuneration and eligible for childbirth allowance:the total sum of all or part of the remuneration and the amount of childbirth allowance calculated pursuant to the provision of the proviso to the preceding paragraph (that amount if it amount exceeds the amount calculated pursuant to the provisions of Article 99, paragraph (2)), or the amount of disability pension, whichever is larger.

報酬の全部又は一部を受けることができる場合であって、かつ、出産手当金の支給を受けることができる場合 当該受けることができる報酬の全部又は一部の額及び前項ただし書の規定により算定される出産手当金の額の合算額(当該合算額が第九十九条第二項の規定により算定される額を超える場合にあっては、当該額)と障害年金の額のいずれか多い額

When a person who is to receive injury and sickness allowance is eligible for disability allowance pursuant to the Employee's Pension Insurance Act due to the same sickness and injury, and diseases caused thereby, injury and sickness allowance is not paid during the period from day on which the person starts receiving the disability allowance until the day on which the total sum of the amounts calculated pursuant to the provisions of Article 99, paragraph (2) in the case where the person is to receive payment of injury and sickness allowance after that day reaches the amount of the disability allowance; provided, however, this does not apply to the difference between that total amount and the disability allowance or another difference specified by Cabinet Order if the person is entitled to all or some of remuneration or eligible for childbirth allowance, or in other cases specified by Cabinet Order on the day when the total amount reaches or exceeds the amount of the disability allowance.

傷病手当金の支給を受けるべき者が、同一の疾病又は負傷及びこれにより発した疾病につき厚生年金保険法による障害手当金の支給を受けることができるときは、当該障害手当金の支給を受けることとなった日からその者がその日以後に傷病手当金の支給を受けるとする場合の第九十九条第二項の規定により算定される額の合計額が当該障害手当金の額に達するに至る日までの間、傷病手当金は、支給しない。ただし、当該合計額が当該障害手当金の額に達するに至った日において当該合計額が当該障害手当金の額を超える場合において、報酬の全部若しくは一部又は出産手当金の支給を受けることができるときその他の政令で定めるときは、当該合計額と当該障害手当金の額との差額その他の政令で定める差額については、この限りでない。

When a person who is to receive injury and sickness allowance (limited to a person who is to receive it pursuant to the provisions of Article 104 and who meets the requirements specified by Cabinet Order) is eligible for payment of pension benefits specified by Cabinet Order pursuant to the National Pension Act or the Employee's Pension Insurance Act with aging or retirement as the grounds for payment (hereinafter referred to as "superannuation benefits" in this paragraph and the following paragraph), injury and sickness allowance is not paid; provided, however, that if the amount of the superannuation benefits (if there are two or more superannuation benefits, the total sum of the benefits) calculated pursuant to Order of the Ministry of Health, Labour and Welfare is less than the amount of injury and sickness allowance, the difference between those amounts is paid.

傷病手当金の支給を受けるべき者(第百四条の規定により受けるべき者であって、政令で定める要件に該当するものに限る。)が、国民年金法又は厚生年金保険法による老齢を支給事由とする年金たる給付その他の老齢又は退職を支給事由とする年金である給付であって政令で定めるもの(以下この項及び次項において「老齢退職年金給付」という。)の支給を受けることができるときは、傷病手当金は、支給しない。ただし、その受けることができる老齢退職年金給付の額(当該老齢退職年金給付が二以上あるときは、当該二以上の老齢退職年金給付の額の合算額)につき厚生労働省令で定めるところにより算定した額が、傷病手当金の額より少ないときは、その差額を支給する。

When finding it necessary for the payment of injury and sickness allowance pursuant to the provisions of the preceding three paragraphs, an insurer may request those who pay superannuation benefits (referred to as "pension insurers" in the next paragraph) to provide necessary materials about the status of payment of disability welfare pension or disability basic pension referred to in paragraph (2), disability allowance referred to in paragraph (3), or superannuation benefits referred to in the preceding paragraph.

保険者は、前三項の規定により傷病手当金の支給を行うにつき必要があると認めるときは、老齢退職年金給付の支払をする者(次項において「年金保険者」という。)に対し、第二項の障害厚生年金若しくは障害基礎年金、第三項の障害手当金又は前項の老齢退職年金給付の支給状況につき、必要な資料の提供を求めることができる。

Pension insurers (except for the Minister of Health, Labour and Welfare), with the consent of the Minister of Health, Labour and Welfare, may delegate affairs related to the provision of documents pursuant to the provisions of the preceding paragraph to the Minister of Health, Labour and Welfare.

年金保険者(厚生労働大臣を除く。)は、厚生労働大臣の同意を得て、前項の規定による資料の提供の事務を厚生労働大臣に委託して行わせることができる。

Article 109

第百九条

When a person prescribed in any of paragraphs (1) through (4) of the preceding Article becomes sick or injured, or gives birth, with respect to all of part of the remuneration to which the person is entitled, the entire amount of injury and sickness allowance or childbirth allowance is paid if the person is unable to receive all of the remuneration, and the difference between the amount of remuneration received and the amount of injury and sickness allowance or childbirth allowance is paid if the person is unable to receive part of the remuneration and the received amount is less than the amount of injury and sickness allowance or childbirth allowance; provided, however, that if a part of injury and sickness allowance or childbirth allowance is received pursuant to the provisions of the proviso to paragraph (1), paragraph (2), paragraph (3) or paragraph (4) of the preceding article, an amount equivalent to the allowance is deducted from the amount to be paid.

前条第一項から第四項までに規定する者が、疾病にかかり、負傷し、又は出産した場合において、その受けることができるはずであった報酬の全部又は一部につき、その全額を受けることができなかったときは傷病手当金又は出産手当金の全額、その一部を受けることができなかった場合においてその受けた額が傷病手当金又は出産手当金の額より少ないときはその額と傷病手当金又は出産手当金との差額を支給する。ただし、同条第一項ただし書、第二項ただし書、第三項ただし書又は第四項ただし書の規定により傷病手当金又は出産手当金の一部を受けたときは、その額を支給額から控除する。

The amount paid by the insurer pursuant to the provisions of the preceding paragraph is collected from the employer.

前項の規定により保険者が支給した金額は、事業主から徴収する。

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