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Section 1 Insurer Providing Insurance for Specially-Insured Day Laborers

第一節 日雇特例被保険者の保険の保険者

Article 123

第百二十三条

The insurer providing insurance for specially-insured day laborers is JHIA.

日雇特例被保険者の保険の保険者は、協会とする。

Of the services imposed on insurers providing insurance for specially-insured day laborers, the issuance of an insurance book for a specifically insured day laborer, collection of insurance premiums pertaining to a specially-insured day laborer and collection of day laborer contributions, as well as services incidental to these are covered by the Minister of Health, Labour and Welfare.

日雇特例被保険者の保険の保険者の業務のうち、日雇特例被保険者手帳の交付、日雇特例被保険者に係る保険料の徴収及び日雇拠出金の徴収並びにこれらに附帯する業務は、厚生労働大臣が行う。

Section 2 Standard Daily Wages

第二節 標準賃金日額等

Article 124Daily Amount of Standard Wages

第百二十四条(標準賃金日額)

The standard daily wage amount is based on the relevant insured person's daily wage amount according to the following grading (if the grading has been revised pursuant to the provisions of the following paragraph, the revised grading).

Standard Daily Wage GradeStandard daily wagesDaily Amount of Wages
Level 13,000 yenLess than 3,500 yen
Level 24,400 yenNot less than 3,500 yen but less than 5,000 yen
Level 35,750 yenNot less than 5,000 yen but less than 6,500 yen
Level 47,250 yenNot less than 6,500 yen but less than 8,000 yen
Level 58,750 yenNot less than 8,000 yen but less than 9,500 yen
Level 610,750 yenNot less than 9,500 yen but less than 12,000 yen
Level 713,250 yenNot less than 12,000 yen but less than 14,500 yen
Level 815,750 yenNot less than 14,500 yen but less than 17,000 yen
Level 918,250 yenNot less than 17,000 yen but less than 19,500 yen
Level 1021,250 yenNot less than 19,500 yen but less than 23,000 yen
Level 1124,750 yenNot less than 23,000 yen

標準賃金日額は、日雇特例被保険者の賃金日額に基づき、次の等級区分(次項の規定により等級区分の改定が行われたときは、改定後の等級区分)による。

標準賃金日額等級標準賃金日額賃金日額
第一級三、〇〇〇円三、五〇〇円未満
第二級四、四〇〇円三、五〇〇円以上五、〇〇〇円未満
第三級五、七五〇円五、〇〇〇円以上六、五〇〇円未満
第四級七、二五〇円六、五〇〇円以上八、〇〇〇円未満
第五級八、七五〇円八、〇〇〇円以上九、五〇〇円未満
第六級一〇、七五〇円九、五〇〇円以上一二、〇〇〇円未満
第七級一三、二五〇円一二、〇〇〇円以上一四、五〇〇円未満
第八級一五、七五〇円一四、五〇〇円以上一七、〇〇〇円未満
第九級一八、二五〇円一七、〇〇〇円以上一九、五〇〇円未満
第一〇級二一、二五〇円一九、五〇〇円以上二三、〇〇〇円未満
第一一級二四、七五〇円二三、〇〇〇円以上

If the ratio of the total number of days of payment of insurance premiums pertaining to the standard daily wage amount corresponding to the highest grade of standard daily wage amount to the total number of days of payment of insurance premiums pertaining to specially-insured day laborers in one fiscal year exceeds 0.03, and it is found that the status will continue, the grading of standard daily wage amount may be revised by adding another grade above the highest grade from September 1 in the following fiscal year by Cabinet Order; however, the ratio of the total number of days of payment of insurance premiums pertaining to the standard daily wage amount corresponding to the highest grade of standard daily wage amount to the total number of days of payment of insurance premiums pertaining to specially-insured day laborers in that fiscal year must not fall below 0.01.

一の年度における標準賃金日額等級の最高等級に対応する標準賃金日額に係る保険料の延べ納付日数の当該年度における日雇特例被保険者に関する保険料の総延べ納付日数に占める割合が百分の三を超える場合において、その状態が継続すると認められるときは、翌年度の九月一日から、政令で、当該最高等級の上に更に等級を加える標準賃金日額の等級区分の改定を行うことができる。ただし、当該一の年度において、改定後の標準賃金日額等級の最高等級に対応する標準賃金日額に係る保険料の延べ納付日数の日雇特例被保険者に関する保険料の総延べ納付日数に占める割合が百分の一を下回ってはならない。

The provisions of Article 40, paragraph (3) apply mutatis mutandis to the establishment or amendment of Cabinet Order referred to in the preceding paragraph.

第四十条第三項の規定は、前項の政令の制定又は改正について準用する。

Article 125Daily Amount of Wages

第百二十五条(賃金日額)

The daily amount of wages is calculated pursuant to the following items:

賃金日額は、次の各号によって算定する。

if the wages are determined on the basis of working days or hours, or daily output, or it is otherwise possible to calculate the daily wages for a specially-insured day laborer, the determined or calculated amount;

賃金が日又は時間によって定められる場合、一日における出来高によって定められる場合その他日雇特例被保険者が使用された日の賃金を算出することができる場合には、その額

if the wages are determined in accordance with total output over a period of two days or more, or it is otherwise not possible to calculate the daily wages for a specially-insured day laborer (excluding cases that fall under the following item), the average amount of daily wages received on the preceding day (if no person received a similar wage for engaging in similar work on the preceding day, the most recent day on which any person does so) by persons who engaged in similar work at the same place of business and receive similar wages;

賃金が二日以上の期間における出来高によって定められる場合その他日雇特例被保険者が使用された日の賃金を算出することができない場合(次号に該当する場合を除く。)には、当該事業所において同様の業務に従事し同様の賃金を受ける者のその前日(その前日において同様の業務に従事し同様の賃金を受ける者がなかったときは、これに該当する者のあったその直近の日)における賃金日額の平均額

if the amount of wages is based on a period of two days or more, the amount obtained by dividing that amount by the number of days in the period concerned (30 days if the period is one month);

賃金が二日以上の期間によって定められる場合には、その額をその期間の総日数(月の場合は、一月を三十日として計算する。)で除して得た額

if it is not possible to calculate pursuant to the provisions of the preceding three items, the amount of a wages received by persons who engaged in similar work and receive similar wages in a day in that region;

前三号の規定により算定することができないものについては、その地方において同様の業務に従事し同様の賃金を受ける者が一日において受ける賃金の額

if the relevant person receives wages corresponding to two or more of each of the preceding items, the total sum of the amounts calculated for each of the wages in accordance with the preceding items; and

前各号のうち二以上に該当する賃金を受ける場合には、それぞれの賃金につき、前各号によって算定した額の合算額

if the person is employed at two or more places of business in a day, the amount calculated pursuant to the preceding items for wages paid from the first place of business employing the person.

一日において二以上の事業所に使用される場合には、初めに使用される事業所から受ける賃金につき、前各号によって算定した額

In the case of the preceding paragraph, with regard to a wage to be paid other than in currency, the amount is specified by the Minister of Health, Labour and Welfare based on the local market price.

前項の場合において、賃金のうち通貨以外のもので支払われるものについては、その価額は、その地方の時価により、厚生労働大臣が定める。

Article 126Specially-Insured Day Laborer's Insurance Book

第百二十六条(日雇特例被保険者手帳)

A day worker who becomes a specially-insured day laborer must request the Minister of Health, Labour and Welfare to issue a specially-insured day laborer's insurance book within five days since the day on which the person becomes a specially-insured day laborer; however, this does not apply if the person already has a specially-insured day laborer's insurance book issued that contains a blank space for stamps for proof of health insurance.

日雇労働者は、日雇特例被保険者となったときは、日雇特例被保険者となった日から起算して五日以内に、厚生労働大臣に日雇特例被保険者手帳の交付を申請しなければならない。ただし、既に日雇特例被保険者手帳の交付を受け、これを所持している場合において、その日雇特例被保険者手帳に健康保険印紙をはり付けるべき余白があるときは、この限りでない。

When the Minister of Health, Labour, and Welfare receives a request referred to in the preceding paragraph, the Minister must issue a specially-insured day laborer's insurance book.

厚生労働大臣は、前項の申請があったときは、日雇特例被保険者手帳を交付しなければならない。

A person who has received a specially-insured day laborer's insurance book must return it to the Minister of Health, Labour and Welfare if it has become obvious that the person is unlikely to become a specially-insured day laborer within the period during which a blank space for stamps for proof of health insurance remains in the insurance book, or receives approved pursuant to the proviso to Article 3, paragraph (2).

日雇特例被保険者手帳の交付を受けた者は、その日雇特例被保険者手帳に健康保険印紙をはり付けるべき余白の残存する期間内において日雇特例被保険者となる見込みのないことが明らかになったとき、又は第三条第二項ただし書の規定による承認を受けたときは、厚生労働大臣に日雇特例被保険者手帳を返納しなければならない。

The form, issuance and return of and other necessary matters concerning an specifically insured day laborer's insurance book are specified by Order of the Ministry of Health, Labour and Welfare.

日雇特例被保険者手帳の様式、交付及び返納その他日雇特例被保険者手帳に関して必要な事項は、厚生労働省令で定める。

Section 3 Insurance Benefits Pertaining to Specially-Insured Day Laborers

第三節 日雇特例被保険者に係る保険給付

Article 127Types of Insurance Benefits

第百二十七条(保険給付の種類)

Insurance benefits pursuant to this Act pertaining to specially-insured day laborers (including former specially-insured day laborers; the same applies hereinafter in this Section) are as follows:

日雇特例被保険者(日雇特例被保険者であった者を含む。以下この節において同じ。)に係るこの法律による保険給付は、次のとおりとする。

benefits for medical treatment, as well as payment of dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, and transport expenses;

療養の給付並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費及び移送費の支給

payment of injury and sickness allowance;

傷病手当金の支給

payment of burial charges;

埋葬料の支給

payment of lump-sum allowance for childbirth and childcare;

出産育児一時金の支給

payment of childbirth allowance;

出産手当金の支給

payment of dependent's medical expenses, dependent's medical expenses for home-nursing, and dependent's transport expenses;

家族療養費、家族訪問看護療養費及び家族移送費の支給

payment of dependent's burial charges;

家族埋葬料の支給

lump-sum allowance for dependent's childbirth and childcare;

家族出産育児一時金の支給

payment of special medical expenses; and

特別療養費の支給

payment of high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care.

高額療養費及び高額介護合算療養費の支給

Article 128Coordination with Benefits by Medical Insurance

第百二十八条(他の医療保険による給付等との調整)

Benefits for medical treatment, or dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, or childbirth allowance, pertaining to a specially-insured day laborer, are not paid if the specially-insured day laborer may receive payment equivalent to these for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this Act (excluding the National Health Insurance Act; the same applies hereinafter in this Article), the laws and regulations prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act.

日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、埋葬料、出産育児一時金若しくは出産手当金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定、(国民健康保険法を除く。以下この条において同じ。)の規定若しくは第五十五条第一項に規定する法令の規定又は介護保険法の規定によりこれらに相当する給付を受けることができる場合には、行わない。

When the JHIA finds it necessary for the payment of injury and sickness allowance pertaining to specially-insured day laborers, it may request persons who provide benefits pursuant to the provisions of the Industrial Accident Compensation Insurance Act, the National Public Officers' Accident Compensation Act, or the Local Public Officers Accident Compensation Act or a Prefectural or Municipal Ordinance based on to provide necessary materials about the status of payment of those benefits.

協会は、日雇特例被保険者に係る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、労働者災害補償保険法、国家公務員災害補償法又は地方公務員災害補償法若しくはに基づく条例の規定により給付を行う者に対し、当該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。

Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid, to that extent, if the relevant person has received a benefit equivalent to payment of dependent's medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 140, paragraph (2)), dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or lump-sum allowance for dependent's childbirth and childcare for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter or the provisions of medical insurance laws other than this Act.

日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、埋葬料若しくは出産育児一時金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定又はの規定によりこの章の規定による家族療養費(第百四十条第二項において準用する第百三十二条の規定により支給される療養費を含む。次項において同じ。)、家族訪問看護療養費、家族移送費、家族埋葬料又は家族出産育児一時金の支給に相当する給付を受けたときは、その限度において、行わない。

Dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or dependent's lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid if the relevant person may receive a benefit equivalent to payment of those expenses or allowances, or benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare under this Chapter for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this act, or the Long-Term Care Insurance Act.

日雇特例被保険者に係る家族療養費、家族訪問看護療養費、家族移送費、家族埋葬料又は家族出産育児一時金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定若しくはの規定又は介護保険法の規定によりこれらに相当する給付又はこの章の規定による療養の給付若しくは入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、埋葬料若しくは出産育児一時金の支給に相当する給付を受けることができる場合には、行わない。

Special medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 145, paragraph (6)) are not paid if the relevant person may receive benefits equivalent to benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing under this Chapter for the same sickness or injury pursuant to the provisions of the preceding Chapter, the provisions of medical insurance laws other than this Act, the laws and regulations prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act.

特別療養費(第百四十五条第六項において準用する第百三十二条の規定により支給される療養費を含む。)の支給は、同一の疾病又は負傷について、前章の規定、の規定若しくは第五十五条第一項に規定する法令の規定又は介護保険法の規定によりこの章の規定による療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給に相当する給付を受けることができる場合には、行わない。

Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, or special medical expenses, pertaining to a specially-insured day laborer, are not made to that extent if the specially-insured day laborer received medical treatment or medical expenses for the same sickness or injury borne by the national government or a local government pursuant to the provisions of other Acts.

日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、家族療養費、家族訪問看護療養費、家族移送費若しくは特別療養費の支給は、同一の疾病又は負傷について、他の法令の規定により国又は地方公共団体の負担で療養又は療養費の支給を受けたときは、その限度において、行わない。

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