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Chapter III Payment of Insurance Proceeds

第三章 保険給付

Section 1 General Rules

第一節 通則

Article 7

第七条

The insurance proceeds under this Act are those prescribed below:

この法律による保険給付は、次に掲げる保険給付とする。

payment of insurance proceeds for injury, illness, disability or death of workers during the course of their duties (hereinafter referred to as an "occupational accident");

労働者の業務上の負傷、疾病、障害又は死亡(以下「業務災害」という。)に関する保険給付

payment of insurance proceeds for injury, illness, disability or death of multiple-job workers (including persons specified by Order of the Ministry of Health, Labour and Welfare as those similar thereto; the same applies hereinafter) attributable to the work of two or more businesses (hereinafter referred to as a "multiple-job-related accident") (excluding those set forth in the preceding item; the same applies hereinafter);

複数事業労働者(これに類する者として厚生労働省令で定めるものを含む。以下同じ。)の二以上の事業の業務を要因とする負傷、疾病、障害又は死亡(以下「複数業務要因災害」という。)に関する保険給付(前号に掲げるものを除く。以下同じ。)

payment of insurance proceeds for injury, illness, disability or death of workers while commuting to or from work (hereinafter referred to as a "commuting accident"); and

労働者の通勤による負傷、疾病、障害又は死亡(以下「通勤災害」という。)に関する保険給付

coverage of follow-up medical examination

二次健康診断等給付

The commuting referred to in item (iii) of the preceding paragraph means that workers travel to or from work by choosing the efficient route and means as prescribed below, excluding commuting which has the nature of their duties:

前項第三号の通勤とは、労働者が、就業に関し、次に掲げる移動を、合理的な経路及び方法により行うことをいい、業務の性質を有するものを除くものとする。

travel back and forth between the worker's residence and workplace;

住居と就業の場所との間の往復

travel from the worker's workplace to another workplace as specified by Order of the Ministry of Health, Labour and Welfare; and

厚生労働省令で定める就業の場所から他の就業の場所への移動

travel between the worker's residences that precedes or follows the traveling back and forth specified in item (i) (limited to those satisfying the requirements specified by Order of the Ministry of Health, Labour and Welfare)

第一号に掲げる往復に先行し、又は後続する住居間の移動(厚生労働省令で定める要件に該当するものに限る。)

Where a worker deviates from the travel route referred to in each item of the preceding paragraph or discontinues the travel referred to in each item of that paragraph, traveling during the deviation or discontinuation or any subsequent travel set forth in each item of that paragraph are not deemed as commuting referred to in paragraph (1), item (iii); provided, however, that this does not apply if the deviation or discontinuation is required to carry out an activity necessary for daily life, which are the basic needs specified by Order of the Ministry of Health, Labour and Welfare due to unavoidable circumstances, except during the period of the deviation or stoppage en route.

労働者が、前項各号に掲げる移動の経路を逸脱し、又は同項各号に掲げる移動を中断した場合においては、当該逸脱又は中断の間及びその後の同項各号に掲げる移動は、第一項第三号の通勤としない。ただし、当該逸脱又は中断が、日常生活上必要な行為であつて厚生労働省令で定めるものをやむを得ない事由により行うための最小限度のものである場合は、当該逸脱又は中断の間を除き、この限りでない。

Article 8

第八条

The basic daily payment amount is the amount equivalent to the average wage referred to in Article 12 of the Labor Standards Act. In this case, the day on which the grounds to calculate the average wage occurred referred to in paragraph (1) of that Article is the day on which the accident which caused the injury or death as prescribed in paragraph (1), items (i) through (iii) of the preceding Article occurs, or the date on which the occurrence of an illness prescribed in items (i) through (iii) of that paragraph was confirmed by making a diagnosis (hereinafter referred to as "the date on which the grounds for calculation occurred").

給付基礎日額は、労働基準法第十二条の平均賃金に相当する額とする。この場合において、同条第一項の平均賃金を算定すべき事由の発生した日は、前条第一項第一号から第三号までに規定する負傷若しくは死亡の原因である事故が発生した日又は診断によつて同項第一号から第三号までに規定する疾病の発生が確定した日(以下「算定事由発生日」という。)とする。

When it is deemed inappropriate to pay the amount equivalent to the average wage referred to in Article 12 of the Labor Standards Act as the basic daily payment amount, the amount calculated by the government pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare is deemed to be the basic daily payment amount, notwithstanding the provisions of the preceding paragraph.

労働基準法第十二条の平均賃金に相当する額を給付基礎日額とすることが適当でないと認められるときは、前項の規定にかかわらず、厚生労働省令で定めるところによつて政府が算定する額を給付基礎日額とする。

Notwithstanding the provisions of the preceding two paragraphs, the basic daily payment amount in the case where insurance proceeds are paid to a multiple-job worker, their surviving family members or other persons specified by Order of the Ministry of Health, Labour and Welfare for injury, illness, disability or death of the multiple-job worker caused in the course of their duties, by reasons attributable to the work of two or more businesses of the multiple-job worker, or while the multiple-job worker is commuting to or from work, is the amount calculated by the government pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare based on the sum of the amounts equivalent to the basic daily payment amounts calculated pursuant to the provisions of the preceding two paragraphs for each business that employs the multiple-job worker.

前二項の規定にかかわらず、複数事業労働者の業務上の事由、複数事業労働者の二以上の事業の業務を要因とする事由又は複数事業労働者の通勤による負傷、疾病、障害又は死亡により、当該複数事業労働者、その遺族その他厚生労働省令で定める者に対して保険給付を行う場合における給付基礎日額は、前二項に定めるところにより当該複数事業労働者を使用する事業ごとに算定した給付基礎日額に相当する額を合算した額を基礎として、厚生労働省令で定めるところによつて政府が算定する額とする。

Article 8-2

第八条の二

The basic daily payment amount for loss of salary during a temporary absence from work used as the basis for calculation of compensation payment for loss of salary during a temporary absence from work, payment for loss of salary during a temporary absence from work for multiple-job workers or payment for loss of salary during a temporary absence from work (hereinafter referred to as the "compensation payment for loss of salary during a temporary absence from work, etc." in this Article) (hereinafter referred to as "basic daily payment amount for loss of salary during a temporary absence from work" in this Article) is provided as follows:

休業補償給付、複数事業労働者休業給付又は休業給付(以下この条において「休業補償給付等」という。)の額の算定の基礎として用いる給付基礎日額(以下この条において「休業給付基礎日額」という。)については、次に定めるところによる。

With regard to compensation payment for loss of salary during a temporary absence from work, etc. other than the compensation payment for loss of salary during a temporary absence from work, etc. prescribed in the following item, the amount calculated as the basic daily payment amount pursuant to the provisions of the preceding Article is deemed to be the basic daily compensation payment amount for loss of salary during a temporary absence from work.

次号に規定する休業補償給付等以外の休業補償給付等については、前条の規定により給付基礎日額として算定した額を休業給付基礎日額とする。

If the average salary (meaning the average amount of monthly salary of a worker calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare based on the fixed amount of salary paid every month in the Monthly Labor Statistics prepared by the Ministry of Health, Labour and Welfare; hereinafter the same applies in this item) per a three-months period defined as January through March, April through June, July through September, and October through December (hereinafter referred to as a "quarter" in this Article and Article 42, paragraph (2)) exceeds 110 percent or below 90 percent of the average salary for the quarter of the date on which the grounds for calculation occurred (in cases where the amount calculated pursuant to the provision of this item (hereinafter referred to as the "revised daily amount" in this item) is regarded as the basic daily payment amount for loss of salary during a temporary absence from work, the quarter two quarters before the first quarter for which the revised daily amount is to be used as the basis for calculating the amount of compensation payment for loss of salary during a temporary absence from work, etc.), in relation to the compensation payment for loss of salary during a temporary absence from work, etc. for which grounds for payment occurred on or after the first day of the quarter two quarters after the quarter in which the relevant increase or decrease has occurred, the basic daily payment amount for loss of salary during a temporary absence from work is the amount obtained by multiplying the amount calculated as the basic daily payment amount under the provisions of the preceding Article (in cases where a revised daily amount is regarded as the basic daily payment amount for loss of salary during a temporary absence from work, the revised daily amount) by a rate specified by the Minister of Health, Labour and Welfare based on that rate of increase or decrease.

一月から三月まで、四月から六月まで、七月から九月まで及び十月から十二月までの各区分による期間(以下この条及び第四十二条第二項において「四半期」という。)ごとの平均給与額(厚生労働省において作成する毎月勤労統計における毎月きまつて支給する給与の額を基礎として厚生労働省令で定めるところにより算定した労働者一人当たりの給与の一箇月平均額をいう。以下この号において同じ。)が、算定事由発生日の属する四半期(この号の規定により算定した額(以下この号において「改定日額」という。)を休業給付基礎日額とすることとされている場合にあつては、当該改定日額を休業補償給付等の額の算定の基礎として用いるべき最初の四半期の前々四半期)の平均給与額の百分の百十を超え、又は百分の九十を下るに至つた場合において、その上昇し、又は低下するに至つた四半期の翌々四半期に属する最初の日以後に支給すべき事由が生じた休業補償給付等については、その上昇し、又は低下した比率を基準として厚生労働大臣が定める率を前条の規定により給付基礎日額として算定した額(改定日額を休業給付基礎日額とすることとされている場合にあつては、当該改定日額)に乗じて得た額を休業給付基礎日額とする。

If the date on which grounds for compensation payment for loss of salary during a temporary absence from work, etc. occurred is later than the date on which one year and six months have elapsed from the date of the commencement of medical treatment pertaining to the compensation payment for loss of salary during a temporary absence from work, etc., if a worker falls under any of the cases set forth in the following items, the amount specified in the respective items is deemed to be the basic daily payment amount for loss of salary during a temporary absence from work, notwithstanding the provisions of the preceding paragraph:

休業補償給付等を支給すべき事由が生じた日が当該休業補償給付等に係る療養を開始した日から起算して一年六箇月を経過した日以後の日である場合において、次の各号に掲げる場合に該当するときは、前項の規定にかかわらず、当該各号に定める額を休業給付基礎日額とする。

if the amount calculated as the basic daily payment for loss of salary during a temporary absence from work pursuant to the provisions of the preceding paragraph is less than the minimum amount of basic daily payment for loss of salary during a temporary absence from work benefit specified by the Minister of Health, Labour and Welfare for each age group specified by Order of the Ministry of Health, Labour and Welfare (hereinafter simply referred to as the "age group" in this Article), which is less than the amount pertaining to the age group to which a worker who is to receive the basic daily compensation payment for loss of salary during a temporary absence from work, etc. is classified as of the first day of the quarter in which the date on which the grounds for the basic daily compensation payment for loss of salary during a temporary absence from work, etc. occurred (hereinafter referred to as the "base date" in the following item):the amount pertaining to the age group; or

前項の規定により休業給付基礎日額として算定した額が、厚生労働省令で定める年齢階層(以下この条において単に「年齢階層」という。)ごとに休業給付基礎日額の最低限度額として厚生労働大臣が定める額のうち、当該休業補償給付等を受けるべき労働者の当該休業補償給付等を支給すべき事由が生じた日の属する四半期の初日(次号において「基準日」という。)における年齢の属する年齢階層に係る額に満たない場合 当該年齢階層に係る額

if the amount calculated as the basic daily compensation payment for loss of salary during a temporary absence from work pursuant to the provisions of the preceding paragraph exceeds the maximum amount of the basic daily compensation payment for loss of salary during a temporary absence from work specified by the Minister of Health, Labour and Welfare for each age group, which pertains to the age group to which a worker who is to receive the compensation payment for loss of salary during a temporary absence from work, etc., as of the base date:the amount pertaining to the age group

前項の規定により休業給付基礎日額として算定した額が、年齢階層ごとに休業給付基礎日額の最高限度額として厚生労働大臣が定める額のうち、当該休業補償給付等を受けるべき労働者の基準日における年齢の属する年齢階層に係る額を超える場合 当該年齢階層に係る額

The amount specified by the Minister of Health, Labour and Welfare referred to in item (i) of the preceding paragraph is to be specified each year for each age group pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare taking the employment conditions and other circumstances of workers of the relevant age group into account, by classifying all workers of their age group into twenty groups according to the amount of monthly wage they receive (hereinafter referred to as "monthly wage" in this paragraph) by using the amount of highest monthly wage received by the worker of the group receiving the lowest amount of monthly wage as the basis for the calculation of such amount.

前項第一号の厚生労働大臣が定める額は、毎年、年齢階層ごとに、厚生労働省令で定めるところにより、当該年齢階層に属するすべての労働者を、その受けている一月当たりの賃金の額(以下この項において「賃金月額」という。)の高低に従い、二十の階層に区分し、その区分された階層のうち最も低い賃金月額に係る階層に属する労働者の受けている賃金月額のうち最も高いものを基礎とし、労働者の年齢階層別の就業状態その他の事情を考慮して定めるものとする。

The provisions of the preceding paragraph apply mutatis mutandis to the amount specified by the Minister of Health, Labour and Welfare referred to in paragraph (2), item (ii). In this case, the term "pertaining to the lowest amount of monthly wage" in the preceding paragraph is deemed to be replaced with "of the group of the second highest amount of monthly wage".

前項の規定は、第二項第二号の厚生労働大臣が定める額について準用する。この場合において、前項中「最も低い賃金月額に係る」とあるのは、「最も高い賃金月額に係る階層の直近下位の」と読み替えるものとする。

Article 8-3

第八条の三

The basic daily payment amount used as the basis for the calculation of payment of employees' pension insurance proceeds (hereinafter referred to as the "basic daily pension benefit amount" in this Article) is provided as follows;

年金たる保険給付の額の算定の基礎として用いる給付基礎日額(以下この条において「年金給付基礎日額」という。)については、次に定めるところによる。

With regard to payment of employees' pension insurance proceeds to be paid in the three-months periods before July of the fiscal year (meaning April l through March 31 of the following year; the same applies hereinafter) of the year after the next fiscal year of the date on which the grounds for calculation occurred, the amount calculated as the basic daily payment amount pursuant to the provisions of Article 8 is used as the basic daily pension payment amount.

算定事由発生日の属する年度(四月一日から翌年三月三十一日までをいう。以下同じ。)の翌々年度の七月以前の分として支給する年金たる保険給付については、第八条の規定により給付基礎日額として算定した額を年金給付基礎日額とする。

With regard to payment of employees' pension insurance proceeds to be paid in the three-months period after August of the fiscal year of the year after the next fiscal year of the date on which the grounds for calculation occurred, the amount obtained by multiplying the amount calculated as the basic daily payment amount pursuant to the provisions of Article 8 by the rate specified by the Minister of Health, Labour and Welfare based on the rate obtained by dividing the average salary (meaning the average amount of salary per worker calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare based on the fixed amount of salary paid every month in the Monthly Labor Statistics prepared by the Ministry of Health, Labour and Welfare; hereinafter the same applies in this item and Article 16-6, paragraph (2)) of the fiscal year before the fiscal year of the month in which employees' pension insurance is to be paid (if it is to be paid in the month of April through July, the fiscal year before last), by the average salary of the fiscal year in which the date on which the grounds of calculation occurred, is used as the basic daily pension payment amount.

算定事由発生日の属する年度の翌々年度の八月以後の分として支給する年金たる保険給付については、第八条の規定により給付基礎日額として算定した額に当該年金たる保険給付を支給すべき月の属する年度の前年度(当該月が四月から七月までの月に該当する場合にあつては、前々年度)の平均給与額(厚生労働省において作成する毎月勤労統計における毎月きまつて支給する給与の額を基礎として厚生労働省令で定めるところにより算定した労働者一人当たりの給与の平均額をいう。以下この号及び第十六条の六第二項において同じ。)を算定事由発生日の属する年度の平均給与額で除して得た率を基準として厚生労働大臣が定める率を乗じて得た額を年金給付基礎日額とする。

The provisions of paragraphs (2) through (4) of the preceding Article apply mutatis mutandis to the basic daily pension benefit amount. In this case, the term "the date on which grounds for compensation payment for loss of salary during a temporary absence from work, etc. occurred is later than the date on which one year and six months have elapsed from the date of the commencement of medical treatment pertaining to the compensation payment for loss of salary during a temporary absence from work, etc." in paragraph (2) of that Article is deemed to be replaced with "there are grounds for payment of employees' pension insurance proceeds", the term the "preceding paragraph" is deemed to be replaced with "paragraph (1) of the following Article", and the term "basic daily payment amount for loss of salary during a temporary absence from work" is deemed to be replaced with "basic daily pension benefit amount"; the term "compensation payment for loss of salary during a temporary absence from work, etc." in item (i) of that paragraph is deemed to be replaced with "payment of employees' pension insurance proceeds", the term "the date on which the grounds for payment occurred" is deemed to be replaced with the "month in which the payment is to be made", the term "the first day of the quarter (in " is deemed to be replaced with "August 1 of the fiscal year (if the relevant month is any of the months from April through July, August 1 of the fiscal year before that fiscal year; hereinafter in ", and the term "age of" is deemed to be replaced with the "age (if the compensation pension for surviving family, the pension for surviving family of multiple-job workers or the survivors pension is to be paid, the age of the worker on the base date that would be obtained if calculated assuming that the death of the worker pertaining to the grounds for payment did not occur; the same applies in ) of"; and the term "compensation payment for loss of salary during a temporary absence from work, etc." in item (ii) of that paragraph is deemed to be replaced with "payment of employees' pension insurance proceeds".

前条第二項から第四項までの規定は、年金給付基礎日額について準用する。この場合において、同条第二項中「休業補償給付等を支給すべき事由が生じた日が当該休業補償給付等に係る療養を開始した日から起算して一年六箇月を経過した日以後の日である」とあるのは「年金たる保険給付を支給すべき事由がある」と、「前項」とあるのは「次条第一項」と、「休業給付基礎日額」とあるのは「年金給付基礎日額」と、同項第一号中「休業補償給付等」とあるのは「年金たる保険給付」と、「支給すべき事由が生じた日」とあるのは「支給すべき月」と、「四半期の初日(次号」とあるのは「年度の八月一日(当該月が四月から七月までの月に該当する場合にあつては、当該年度の前年度の八月一日。以下この項」と、「年齢の」とあるのは「年齢(遺族補償年金、複数事業労働者遺族年金又は遺族年金を支給すべき場合にあつては、当該支給をすべき事由に係る労働者の死亡がなかつたものとして計算した場合に得られる当該労働者の基準日における年齢。次号において同じ。)の」と、同項第二号中「休業補償給付等」とあるのは「年金たる保険給付」と読み替えるものとする。

Article 8-4

第八条の四

The provisions of paragraph (1) of the preceding Article apply mutatis mutandis to the basic daily payment amount used as the basis of calculation of the disability compensation lump-sum payment, lump-sum compensation payment for surviving family, disability lump-sum payment for multiple-job workers, lump-sum payment for surviving family of multiple-job workers, disability lump-sum payment or lump-sum payment for surviving family. In this case, the term "to be paid in the three-month period" and the "month in which the payment is to be made" in that paragraph are respectively deemed to be replaced with the "grounds for the payment occurred" and the "month in which the grounds for the payment occurred".

前条第一項の規定は、障害補償一時金若しくは遺族補償一時金、複数事業労働者障害一時金若しくは複数事業労働者遺族一時金又は障害一時金若しくは遺族一時金の額の算定の基礎として用いる給付基礎日額について準用する。この場合において、同項中「の分として支給する」とあるのは「に支給すべき事由が生じた」と、「支給すべき月」とあるのは「支給すべき事由が生じた月」と読み替えるものとする。

Article 8-5

第八条の五

When finding a fraction of the basic daily payment amount of less than one yen, such fraction is rounded up to one yen.

給付基礎日額に一円未満の端数があるときは、これを一円に切り上げるものとする。

Article 9

第九条

Payment of employees' compensation insurance proceeds is to commence in the month following the month in which the grounds for payment occurred and is to terminate in the month in which the right to receive payment is extinguished.

年金たる保険給付の支給は、支給すべき事由が生じた月の翌月から始め、支給を受ける権利が消滅した月で終わるものとする。

If the grounds for suspending the payment have occurred, employees' pension insurance proceeds is not be paid from the month following the month in which the grounds occurred to the month in which the grounds cease to exist.

年金たる保険給付は、その支給を停止すべき事由が生じたときは、その事由が生じた月の翌月からその事由が消滅した月までの間は、支給しない。

Employees' compensation insurance proceeds are paid six times a year, in February, April, June, August, October and December of each year, for the previous month and the relevant month; provided, however, that in cases where the right to receive the payment is extinguished, the employees' pension insurance proceeds for the relevant two-months period is to be paid even if either of them is not the month of insurance proceeds payment.

年金たる保険給付は、毎年二月、四月、六月、八月、十月及び十二月の六期に、それぞれその前月分までを支払う。ただし、支給を受ける権利が消滅した場合におけるその期の年金たる保険給付は、支払期月でない月であつても、支払うものとする。

Article 10

第十条

If it is not known for three months whether a worker who was on board a vessel when it sank, capsized, was lost or went missing or who was on board a vessel and went missing during its navigation is dead or alive, or if the death of such worker becomes apparent within three months but the time of death is not known, the worker shall, with respect to the application of the provisions relating to the payment of compensation benefits for surviving family, funeral service fee, survivors benefits and funeral rite benefits, presuming that the worker has died on the date on which the vessel sank, capsized, was lost or went missing or on the date on which the worker went missing. The same applies in the cases where it is not known for three months whether a worker who was on board an aircraft when it crashed, was lost or went missing or who was on board an aircraft and went missing during its flight is dead or alive, or where the death of such worker becomes apparent within three months but the time of death is not known.

船舶が沈没し、転覆し、滅失し、若しくは行方不明となつた際現にその船舶に乗つていた労働者若しくは船舶に乗つていてその船舶の航行中に行方不明となつた労働者の生死が三箇月間わからない場合又はこれらの労働者の死亡が三箇月以内に明らかとなり、かつ、その死亡の時期がわからない場合には、遺族補償給付、葬祭料、遺族給付及び葬祭給付の支給に関する規定の適用については、その船舶が沈没し、転覆し、滅失し、若しくは行方不明となつた日又は労働者が行方不明となつた日に、当該労働者は、死亡したものと推定する。航空機が墜落し、滅失し、若しくは行方不明となつた際現にその航空機に乗つていた労働者若しくは航空機に乗つていてその航空機の航行中行方不明となつた労働者の生死が三箇月間わからない場合又はこれらの労働者の死亡が三箇月以内に明らかとなり、かつ、その死亡の時期がわからない場合にも、同様とする。

Article 11

第十一条

If a person who has the right to receive payment of insurance proceeds under this Act dies and any payment of the insurance proceeds payable to the deceased person remains unpaid, their spouse (including a person who did not register the marriage but has been in a de facto marital relationship with the deceased person; the same applies hereinafter), children, parents, grandchildren, grandparents or siblings who makes a living together with the deceased person at the time of their death (in the case of the compensation pension for surviving family, other surviving family members eligible to receive the survivor compensation pension, in the case of the pension for surviving family of multiple-job workers, other surviving family members eligible to receive the pension for surviving family of multiple-job workers, and in the case of the pension for surviving family, other surviving family members eligible to receive the pension for surviving family) may claim payment of the unpaid insurance proceeds in their own names.

この法律に基づく保険給付を受ける権利を有する者が死亡した場合において、その死亡した者に支給すべき保険給付でまだその者に支給しなかつたものがあるときは、その者の配偶者(婚姻の届出をしていないが、事実上婚姻関係と同様の事情にあつた者を含む。以下同じ。)、子、父母、孫、祖父母又は兄弟姉妹であつて、その者の死亡の当時その者と生計を同じくしていたもの(遺族補償年金については当該遺族補償年金を受けることができる他の遺族、複数事業労働者遺族年金については当該複数事業労働者遺族年金を受けることができる他の遺族、遺族年金については当該遺族年金を受けることができる他の遺族)は、自己の名で、その未支給の保険給付の支給を請求することができる。

In the case referred to in the preceding paragraph, if the deceased person had not claimed payment of insurance proceeds before their death, those persons prescribed in that paragraph may claim payment of the insurance proceeds in their own names.

前項の場合において、死亡した者が死亡前にその保険給付を請求していなかつたときは、同項に規定する者は、自己の名で、その保険給付を請求することができる。

The order of priority of those who are to receive any unpaid insurance proceeds depends on the order prescribed in paragraph (1) (in the case of the compensation pension for surviving family, the order priority depends on the order prescribed in Article 16-2, paragraph (3), in the case of the pension for surviving family of multiple-job workers, the order prescribed in Article 16-2, paragraph (3), as applied mutatis mutandis pursuant to Article 20-6, paragraph (3), and in the case of the pension for surviving family, the order prescribed in Article 16-2, paragraph (3), as applied mutatis mutandis pursuant to Article 22-4, paragraph (3)).

未支給の保険給付を受けるべき者の順位は、第一項に規定する順序(遺族補償年金については第十六条の二第三項に、複数事業労働者遺族年金については第二十条の六第三項において準用する第十六条の二第三項に、遺族年金については第二十二条の四第三項において準用する第十六条の二第三項に規定する順序)による。

If there are two or more persons who hold the same rank in the order of priority of persons who are to receive any unpaid insurance proceeds, a claim made by one of the relevant persons is deemed to have been made on behalf of all relevant persons for the total amount, and a payment made to one of the relevant persons is deemed to have been made to all relevant persons.

未支給の保険給付を受けるべき同順位者が二人以上あるときは、その一人がした請求は、全員のためその全額につきしたものとみなし、その一人に対してした支給は、全員に対してしたものとみなす。

Article 12

第十二条

When, even though the grounds to suspend the payment of employees' pension insurance proceeds occurred, any employees' pension insurance proceeds have been paid for the period in which the payment should have been suspended, the insurance proceeds which have been paid may be deemed to be an advance payment of the employees' pension insurance proceeds which are to be paid after that period. Despite the fact that the grounds for changing the amount of insurance proceeds by reducing its amount have occurred, the insurance proceeds of which amount is not reduced have been paid for the period from the month following the month in which the grounds occurred, the same applies to the amount of the insurance proceeds should have been reduced.

年金たる保険給付の支給を停止すべき事由が生じたにもかかわらず、その停止すべき期間の分として年金たる保険給付が支払われたときは、その支払われた年金たる保険給付は、その後に支払うべき年金たる保険給付の内払とみなすことができる。年金たる保険給付を減額して改定すべき事由が生じたにもかかわらず、その事由が生じた月の翌月以後の分として減額しない額の年金たる保険給付が支払われた場合における当該年金たる保険給付の当該減額すべきであつた部分についても、同様とする。

Where a worker who has the right to receive employees' pension insurance proceeds (excluding the compensation pension for surviving family, the pension for surviving family of multiple-job workers and the pension for surviving family; hereinafter referred to as "Pension B" in this paragraph) has become eligible to receive other employees' pension insurance proceeds (excluding the compensation pension for surviving family, the pension for surviving family of multiple-job workers and the pension for surviving family; hereinafter referred to as "Pension A" in this paragraph) for the same injury or illness caused in the course of their duties, by reasons attributable to the work of two or more businesses of a multiple-job worker, or while commuting to or from work (hereinafter referred to as the "same illness or injury" in this Article), and the right to receive Pension B has been extinguished, if Pension B has been paid for the period from the month following the month in which the relevant right was extinguished, that payment of Pension B is deemed to be an advanced payment of Pension A. If a worker who has the right to receive payment of employees' pension insurance proceeds (excluding the compensation pension for surviving family, the pension for surviving family of multiple-job workers and the pension for surviving family) is eligible for the compensation payment for loss of salary during a temporary absence from work, payment for loss of salary during a temporary absence from work for multiple-job workers or payment for loss of salary during a temporary absence from work, or a disability compensation lump-sum payment, a disability lump-sum payments for multiple-job workers or a lump-sum payment for disability for the same illness or injury, and the right to receive the employees' pension insurance proceeds has been extinguished, the same applies if the employees' pension insurance proceeds have been paid for the period as the payment for the month after the month in which the relevant right was extinguished.

同一の業務上の事由、複数事業労働者の二以上の事業の業務を要因とする事由又は通勤による負傷又は疾病(以下この条において「同一の傷病」という。)に関し、年金たる保険給付(遺族補償年金、複数事業労働者遺族年金及び遺族年金を除く。以下この項において「乙年金」という。)を受ける権利を有する労働者が他の年金たる保険給付(遺族補償年金、複数事業労働者遺族年金及び遺族年金を除く。以下この項において「甲年金」という。)を受ける権利を有することとなり、かつ、乙年金を受ける権利が消滅した場合において、その消滅した月の翌月以後の分として乙年金が支払われたときは、その支払われた乙年金は、甲年金の内払とみなす。同一の傷病に関し、年金たる保険給付(遺族補償年金、複数事業労働者遺族年金及び遺族年金を除く。)を受ける権利を有する労働者が休業補償給付、複数事業労働者休業給付若しくは休業給付又は障害補償一時金、複数事業労働者障害一時金若しくは障害一時金を受ける権利を有することとなり、かつ、当該年金たる保険給付を受ける権利が消滅した場合において、その消滅した月の翌月以後の分として当該年金たる保険給付が支払われたときも、同様とする。

If, for the same illness or injury, a worker receiving the compensation payment for loss of salary during a temporary absence from work, the payment for loss of salary during a temporary absence from work for multiple-job workers or the payment for loss of salary during a temporary absence from work has the right to receive a disability compensation benefit or an illness or injury compensation pension, a disability benefit for multiple-job workers or an illness or injury pension for multiple-job workers, or a disability benefit or an illness or injury pension, and it was decided that the compensation payment for loss of salary during a temporary absence from work, payment for loss of salary during a temporary absence from work for multiple-job workers or payment for loss of salary during a temporary absence from work would not be paid, if the compensation payment for loss of salary during a temporary absence from work, payment for loss of salary during a temporary absence from work for multiple-job workers or payment for loss of salary during a temporary absence from work is continued to be paid to the worker thereafter, such compensation payment for loss of salary during a temporary absence from work, payment for loss of salary during a temporary absence from work for multiple-job workers or payment for loss of salary during a temporary absence from work paid is deemed to be an advanced payment of the disability compensation benefit or illness or injury compensation pension, disability benefit for multiple-job workers or illness or injury pension for multiple-job workers, or disability benefit or illness or injury pension.

同一の傷病に関し、休業補償給付、複数事業労働者休業給付又は休業給付を受けている労働者が障害補償給付若しくは傷病補償年金、複数事業労働者障害給付若しくは複数事業労働者傷病年金又は障害給付若しくは傷病年金を受ける権利を有することとなり、かつ、休業補償給付、複数事業労働者休業給付又は休業給付を行わないこととなつた場合において、その後も休業補償給付、複数事業労働者休業給付又は休業給付が支払われたときは、その支払われた休業補償給付、複数事業労働者休業給付又は休業給付は、当該障害補償給付若しくは傷病補償年金、複数事業労働者障害給付若しくは複数事業労働者傷病年金又は障害給付若しくは傷病年金の内払とみなす。

Article 12-2

第十二条の二

If a person who has the right to receive the payment of insurance proceeds has died, and despite the fact that the right to receive the payment is extinguished, employees' pension insurance proceeds have been overpaid for the period after the month in which the date of the death is recorded, if there are any insurance proceeds that are to be paid to the person who is to perform obligations under the claim for the return of monies that has resulted from the overpayment (hereinafter referred to as the "claim for the return of monies" in this Article), the amount of payment under the insurance proceeds may be appropriated as the amount of the claim for the return of monies that resulted from the overpayment, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

年金たる保険給付を受ける権利を有する者が死亡したためその支給を受ける権利が消滅したにもかかわらず、その死亡の日の属する月の翌月以後の分として当該年金たる保険給付の過誤払が行われた場合において、当該過誤払による返還金に係る債権(以下この条において「返還金債権」という。)に係る債務の弁済をすべき者に支払うべき保険給付があるときは、厚生労働省令で定めるところにより、当該保険給付の支払金の金額を当該過誤払による返還金債権の金額に充当することができる。

Article 12-2-2

第十二条の二の二

When a worker has intentionally caused an accident which is the direct cause of injury, illness, disability or death, the government does not pay insurance proceeds.

労働者が、故意に負傷、疾病、障害若しくは死亡又はその直接の原因となつた事故を生じさせたときは、政府は、保険給付を行わない。

When a worker has, by an intentional criminal act or gross negligence or by not following directions as to medical treatment without any just cause, caused an injury, illness, disability or death or an accident that was the cause thereof, or progressed the stage of injury, illness or disability or hindered their recovery, the government may decide not to pay the whole or a part of the insurance proceeds.

労働者が故意の犯罪行為若しくは重大な過失により、又は正当な理由がなくて療養に関する指示に従わないことにより、負傷、疾病、障害若しくは死亡若しくはこれらの原因となつた事故を生じさせ、又は負傷、疾病若しくは障害の程度を増進させ、若しくはその回復を妨げたときは、政府は、保険給付の全部又は一部を行わないことができる。

Article 12-3

第十二条の三

When a person has received insurance proceeds by deception or other wrongful means, the government may collect the amount equivalent to the cost for the payment of the insurance proceeds in whole or in part from the person.

偽りその他不正の手段により保険給付を受けた者があるときは、政府は、その保険給付に要した費用に相当する金額の全部又は一部をその者から徴収することができる。

In the cases referred to in the preceding paragraph, when the insurance proceeds was paid due to a false report or certification submitted by an employer (in cases where an original contractor is deemed to be an employer pursuant to the provisions of or , the original contractor; the same applies hereinafter), the government may order the employer to pay the money to be collected as set forth in the preceding paragraph jointly and severally with the person who has received the insurance proceeds.

前項の場合において、事業主(又はの規定により元請負人が事業主とされる場合にあつては、当該元請負人。以下同じ。)が虚偽の報告又は証明をしたためその保険給付が行なわれたものであるときは、政府は、その事業主に対し、保険給付を受けた者と連帯して前項の徴収金を納付すべきことを命ずることができる。

The provisions of , , and apply mutatis mutandis to the money to be collected pursuant to the provisions of the preceding two paragraphs.

、、及びの規定は、前二項の規定による徴収金について準用する。

Article 12-4

第十二条の四

When the government has paid insurance proceeds in cases where an accident which is the cause of payment of insurance proceeds is caused by an act of a third party, the government acquires the right to claim compensation for damages held by the person who has received the insurance proceeds against the third party, at a maximum of the payment amount thereof.

政府は、保険給付の原因である事故が第三者の行為によつて生じた場合において、保険給付をしたときは、その給付の価額の限度で、保険給付を受けた者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 cases referred to in the preceding paragraph, when the person who are to receive insurance proceeds has received compensation for damages for the same reason from the third party, the government may decide not to pay the insurance proceeds, at a maximum of the amount of the compensation.

前項の場合において、保険給付を受けるべき者が当該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、政府は、その価額の限度で保険給付をしないことができる。

Article 12-5

第十二条の五

The right to receive insurance proceeds will not be affected by the retirement of the worker.

保険給付を受ける権利は、労働者の退職によつて変更されることはない。

The right to receive insurance proceeds may not be assigned, offered as security or seized.

保険給付を受ける権利は、譲り渡し、担保に供し、又は差し押さえることができない。

Article 12-6

第十二条の六

Taxes and other public charges may not be imposed on the basis of money and goods received as payment of insurance proceeds.

租税その他の公課は、保険給付として支給を受けた金品を標準として課することはできない。

Article 12-7

第十二条の七

A person who has the right to receive insurance proceeds must, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, notify the government of the particulars necessary for the payment of insurance proceeds specified by Orderance of the Ministry of Health, Labour and Welfare, or submit the necessary documents for the payment of insurance proceeds or other items specified by Order of the Ministry of Health, Labour and Welfare.

保険給付を受ける権利を有する者は、厚生労働省令で定めるところにより、政府に対して、保険給付に関し必要な厚生労働省令で定める事項を届け出、又は保険給付に関し必要な厚生労働省令で定める書類その他の物件を提出しなければならない。

Section 2 Payment of Insurance Proceeds for Occupational Accidents

第二節 業務災害に関する保険給付

Article 12-8

第十二条の八

The payment of insurance proceeds for an occupational accident set forth in Article 7, paragraph (1), item (i) is the payment of insurance proceeds specified in the following:

第七条第一項第一号の業務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 compensation benefits;

療養補償給付

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

休業補償給付

disability compensation benefits;

障害補償給付

compensation benefits for surviving family;

遺族補償給付

funeral service fee;

葬祭料

compensation benefits for workers who get injured or sick ; and

傷病補償年金

nursing care compensation benefits

介護補償給付

The insurance proceeds set forth in the preceding paragraph (excluding the illness or injury compensation pension and the nursing care compensation benefits), where the reason for compensation for accident prescribed in Article 75 through Article 77, and Article 79 and Article 80 of the Labor Standards Act or the reason for compensation for accident prescribed in , , the main clause of , and (with regard to , limited to the part equivalent to the reason for compensation for accident prescribed in Article 76, paragraph (1) of the Labor Standards Act) have occurred, are paid to a worker or surviving family members who are to receive compensation or to a person who holds the funeral, based on their claims.

前項の保険給付(傷病補償年金及び介護補償給付を除く。)は、労働基準法第七十五条から第七十七条まで、第七十九条及び第八十条に規定する災害補償の事由又は、、本文、及びに規定する災害補償の事由(にあつては、労働基準法第七十六条第一項に規定する災害補償の事由に相当する部分に限る。)が生じた場合に、補償を受けるべき労働者若しくは遺族又は葬祭を行う者に対し、その請求に基づいて行う。

A compensation benefit for workers who get injured or sick is paid to a worker who get injured or fall ill in the course of their duties when the worker falls under all of the following items on the day on which one year and six months have elapsed from the commencement of medical treatment for the injury or illness, or falls under all of the following items after that day, and the compensation benefit is l paid to the worker during the period when the worker suffers from the injury or illness:

傷病補償年金は、業務上負傷し、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 injury or illness falls under the grade of injury or illness specified by Order of the Ministry of Health, Labour and Welfare

当該負傷又は疾病による障害の程度が厚生労働省令で定める傷病等級に該当すること。

Nursing care compensation benefits are paid to a worker who has the right to receive a disability compensation benefit or illness or injury compensation benefit, based on their claim, when the worker having disability requires constant or occasional nursing care and is receiving constant or occasional nursing care service due to the disability which is the reason for the disability compensation benefit or illness and injury compensation benefit, due to the degree of disability specified by Order of the Ministry of Health, Labour and Welfare, and such compensation benefits are paid during the period when the worker is receiving the nursing care service (excluding the following periods):

介護補償給付は、障害補償年金又は傷病補償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補償年金又は傷病補償年金の支給事由となる障害であつて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 to support persons with disabilities prescribed in (hereinafter referred to as a "facility designed to support persons with disabilities") (limited to cases where the worker receives nursing care for daily life prescribed in (hereinafter referred to as "nursing care for daily life")); and

に規定する障害者支援施設(以下「障害者支援施設」という。)に入所している間(に規定する生活介護(以下「生活介護」という。)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 as those equivalent to a facility designed to support persons with disabilities (limited to those where nursing care for daily life is provided); and

障害者支援施設(生活介護を行うものに限る。)に準ずる施設として厚生労働大臣が定めるものに入所している間

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

Article 13

第十三条

The medical treatment compensation benefits is paid for medical treatment.

療養補償給付は、療養の給付とする。

The coverage of the medical treatment benefit set forth in the preceding paragraph is as prescribed in the following items (limited to those that are considered necessary by the government):

前項の療養の給付の範囲は、次の各号(政府が必要と認めるものに限る。)による。

medical examination;

診察

provision of medicines or treatment materials;

薬剤又は治療材料の支給

medical treatment procedures, operations and other treatment;

処置、手術その他の治療

management of medical treatment and relevant care and other nursing care of workers staying at home;

居宅における療養上の管理及びその療養に伴う世話その他の看護

admission to hospitals or clinics and relevant care and other nursing care of the worker; and

病院又は診療所への入院及びその療養に伴う世話その他の看護

transport

移送

The government may, where it is difficult to pay the medical treatment benefit set forth in paragraph (1) and in other cases specified by Order of the Ministry of Health, Labour and Welfare, pay the medical treatment expenses instead of the medical treatment benefit.

政府は、第一項の療養の給付をすることが困難な場合その他厚生労働省令で定める場合には、療養の給付に代えて療養の費用を支給することができる。

Article 14

第十四条

The compensation payment for loss of salary during a temporary absence from work is paid from the fourth day since a worker does not receive wages because the worker is unable to work in order to receive medical treatment for an injury or illness caused in the course of their duties, and the amount of compensation per day is the amount equivalent to 60 percent of the basic daily payment amount; provided, however, that the amount of the compensation payment for loss of salary during a temporary absence from work for days on which a worker works for a portion of the regular working hours due to medical treatment for an injury or illness caused in the course of their duties or leave for which wages are paid (hereinafter referred to as a "partial calculation day" in this paragraph), or for a partial calculation day of a multiple-job worker, is the amount equivalent to 60 percent of the amount obtained by deducting the amount of the wages to be paid for the partial calculation day from the basic daily payment amount (in cases where the amount prescribed in Article 8-2, paragraph (2), item (ii) (hereinafter referred to as the "maximum amount" in this paragraph) is regarded as the basic daily payment amount, the basic daily payment amount to be paid on the assumption that the provision of that item does not apply) (in cases where the amount after the deduction exceeds the maximum amount, the amount equivalent to the maximum amount).

休業補償給付は、労働者が業務上の負傷又は疾病によ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日の第四日目から支給するものとし、その額は、一日につき給付基礎日額の百分の六十に相当する額とする。ただし、労働者が業務上の負傷又は疾病による療養のため所定労働時間のうちその一部分についてのみ労働する日若しくは賃金が支払われる休暇(以下この項において「部分算定日」という。)又は複数事業労働者の部分算定日に係る休業補償給付の額は、給付基礎日額(第八条の二第二項第二号に定める額(以下この項において「最高限度額」という。)を給付基礎日額とすることとされている場合にあつては、同号の規定の適用がないものとした場合における給付基礎日額)から部分算定日に対して支払われる賃金の額を控除して得た額(当該控除して得た額が最高限度額を超える場合にあつては、最高限度額に相当する額)の百分の六十に相当する額とする。

When a worker who receives compensation payment for loss of salary during a temporary absence from work is, for the same reason, eligible to receive either a employee's disability pension under the provisions of the or a disability basic pension under the provisions of the National Pension Act (Act No. 141 of 1959), the amount of the compensation payment for loss of salary during a temporary absence from work to be paid to the worker, notwithstanding the provision of the preceding paragraph, is the amount obtained by multiplying the amount set forth in that paragraph, pursuant to the provisions of items (i) through (iii) of Appended Table 1, by the rate for the illness or injury compensation pension amongst the rates specified by Cabinet Order set forth in of that table (in cases where such amount is less than the amount specified by Cabinet Order, the amount specified by Cabinet Order).

休業補償給付を受ける労働者が同一の事由についての規定による障害厚生年金又は国民年金法(昭和三十四年法律第百四十一号)の規定による障害基礎年金を受けることができるときは、当該労働者に支給する休業補償給付の額は、前項の規定にかかわらず、同項の額に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を乗じて得た額(その額が政令で定める額を下回る場合には、当該政令で定める額)とする。

Article 14-2

第十四条の二

No compensation payment for loss of salary during a temporary absence from work is paid if a worker falls under any of the following items (limited to cases specified by Order of the Ministry of Health, Labour and Welfare):

労働者が次の各号のいずれかに該当する場合(厚生労働省令で定める場合に限る。)には、休業補償給付は、行わない。

where a worker is detained in a penal institution, workhouse or any other facility equivalent thereto; or

刑事施設、労役場その他これらに準ずる施設に拘禁されている場合

where a worker is detained in a juvenile training school or any other facility equivalent thereto

少年院その他これに準ずる施設に収容されている場合

Article 15

第十五条

The disability compensation benefits is paid either as a disability compensation pension or a lump-sum payment for disability, in accordance with the grades of disability specified by Order of the Ministry of Health, Labour and Welfare.

障害補償給付は、厚生労働省令で定める障害等級に応じ、障害補償年金又は障害補償一時金とする。

The amounts of a disability compensation pension or a lump sum compensation payment for disability is as prescribed respectively in Appended Table 1 or Appended Table 2.

障害補償年金又は障害補償一時金の額は、それぞれ、別表第一又は別表第二に規定する額とする。

Article 15-2

第十五条の二

Where there has been a change to the degree of the relevant degree of the disability of a worker receiving a disability compensation pension, and as a result of such change, the worker falls under another grade of disability prescribed in Appended Table 1 or Appended Table 2, the government is to, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, pay the disability compensation pension or lump sum compensation payment for disability corresponding to the new grade of disability under which the worker now falls, and does not pay the former disability compensation pension thereafter.

障害補償年金を受ける労働者の当該障害の程度に変更があつたため、新たに別表第一又は別表第二中の他の障害等級に該当するに至つた場合には、政府は、厚生労働省令で定めるところにより、新たに該当するに至つた障害等級に応ずる障害補償年金又は障害補償一時金を支給するものとし、その後は、従前の障害補償年金は、支給しない。

Article 16

第十六条

Compensation benefits for surviving family is to be paid as either a compensation pension for surviving family or a lump sum compensation for surviving family.

遺族補償給付は、遺族補償年金又は遺族補償一時金とする。

Article 16-2

第十六条の二

The surviving family members who are eligible to receive a compensation pension for surviving family is a worker's spouse, children, parents, grandchildren, grandparents, and siblings who were dependent on the worker's income at the time of their death; provided, however, that in the case of those other than a wife (including a person who did not register marriage but has been in a de facto marital relationship with the worker; the same applies hereinafter), this applies only where they have satisfied the requirements prescribed in any of the following items at the time of the worker's death:

遺族補償年金を受けることができる遺族は、労働者の配偶者、子、父母、孫、祖父母及び兄弟姉妹であつて、労働者の死亡の当時その収入によつて生計を維持していたものとする。ただし、妻(婚姻の届出をしていないが、事実上婚姻関係と同様の事情にあつた者を含む。以下同じ。)以外の者にあつては、労働者の死亡の当時次の各号に掲げる要件に該当した場合に限るものとする。

in the case of a husband (including a person who did not register marriage but has been in a de facto marital relationship with the worker; the same applies hereinafter), parents or grandparents: they are 60 years of age or older;

夫(婚姻の届出をしていないが、事実上婚姻関係と同様の事情にあつた者を含む。以下同じ。)、父母又は祖父母については、六十歳以上であること。

in the case of children or grandchildren: they must be in their age before the first March 31 after they turned 18 years of age;

子又は孫については、十八歳に達する日以後の最初の三月三十一日までの間にあること。

in the case of siblings: they must be in their age before the first March 31 after they turned 18 years of age, or they are 60 years of age or older; or

兄弟姉妹については、十八歳に達する日以後の最初の三月三十一日までの間にあること又は六十歳以上であること。

in the case of a husband, children, parents, grandchildren, grandparents, or siblings who do not fall under any of the requirements set forth in the preceding three items: they are disabled as specified in Order of the Ministry of Health, Labour and Welfare

前三号の要件に該当しない夫、子、父母、孫、祖父母又は兄弟姉妹については、厚生労働省令で定める障害の状態にあること。

When a child who was an unborn baby at the time of a worker's death is born, the child, with respect to the application of the provisions of the preceding paragraph, is deemed, from then on, as a child who was dependent on the worker's income at the time of the worker's death.

労働者の死亡の当時胎児であつた子が出生したときは、前項の規定の適用については、将来に向かつて、その子は、労働者の死亡の当時その収入によつて生計を維持していた子とみなす。

The order of priority of surviving family members who are to receive a compensation pension for surviving family is given to the spouse first, and then to children, parents, grandchildren, grandparents and siblings.

遺族補償年金を受けるべき遺族の順位は、配偶者、子、父母、孫、祖父母及び兄弟姉妹の順序とする。

Article 16-3

第十六条の三

The amount of a compensation pension for surviving family is the amount prescribed in appended table 1.

遺族補償年金の額は、別表第一に規定する額とする。

If there are two or more persons who has the right to receive a compensation pension for surviving family, the amount of the compensation pension for surviving family, notwithstanding the provisions of the preceding paragraph, is the amount obtained by dividing the amount prescribed in appended table 1 by the number of persons concerned.

遺族補償年金を受ける権利を有する者が二人以上あるときは、遺族補償年金の額は、前項の規定にかかわらず、別表第一に規定する額をその人数で除して得た額とする。

If there has been an increase or decrease in the number of the surviving family members which is to be used as the basis for calculating the amount of a compensation pension for surviving family, the amount of the compensation pension for surviving family is changed from the month after the month in which the increase or decrease occurred.

遺族補償年金の額の算定の基礎となる遺族の数に増減を生じたときは、その増減を生じた月の翌月から、遺族補償年金の額を改定する。

Where the surviving family member who has the right to receive a compensation pension for surviving family is the worker's wife, and there are no other surviving family members eligible to receive the compensation pension for surviving family who share the cost of living with the wife, if the wife falls under any of the following items, the amount of the compensation pension for surviving family is changed from the month after the month in which the wife falls under the respective items:

遺族補償年金を受ける権利を有する遺族が妻であり、かつ、当該妻と生計を同じくしている遺族補償年金を受けることができる遺族がない場合において、当該妻が次の各号の一に該当するに至つたときは、その該当するに至つた月の翌月から、遺族補償年金の額を改定する。

when the wife turns the age of 55 (excluding cases where the wife is disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in appended table 1);

五十五歳に達したとき(別表第一の厚生労働省令で定める障害の状態にあるときを除く。)。

when the wife becomes disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in Appended Table 1 or such circumstances have ceased to exist (excluding cases where the wife is 55 years of age or older)

別表第一の厚生労働省令で定める障害の状態になり、又はその事情がなくなつたとき(五十五歳以上であるときを除く。)。

Article 16-4

第十六条の四

The right to receive a compensation pension for surviving family is extinguished when a surviving family member having the right falls under any of the following items. In this case, when there is no person holding the same rank in the order of priority but there is a person(s) holding a lower rank, the compensation pension for surviving family is paid to the person(s) who holds the next rank:

遺族補償年金を受ける権利は、その権利を有する遺族が次の各号の一に該当するに至つたときは、消滅する。この場合において、同順位者がなくて後順位者があるときは、次順位者に遺族補償年金を支給する。

when the surviving family member eligible for survivors benefit dies;

死亡したとき。

when the surviving family member eligible for survivors benefit is married (including cases where they did not register marriage but the surviving family member is in a de facto marital relationship);

婚姻(届出をしていないが、事実上婚姻関係と同様の事情にある場合を含む。)をしたとき。

when the surviving family member eligible for survivors benefit is adopted by a person other than their lineal relative by blood or their lineal relative through marriage (including a person who did not register adoption but is in a de facto adoptive relationship);

直系血族又は直系姻族以外の者の養子(届出をしていないが、事実上養子縁組関係と同様の事情にある者を含む。)となつたとき。

when the kinship between the surviving family member and the deceased worker is terminated by the dissolution of their kinship;

離縁によつて、死亡した労働者との親族関係が終了したとき。

in the case of children, grandchildren or siblings, when the first March 31 after they turned 18 years old ends (excluding cases where they have been disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in Article 16-2, paragraph (1), item (iv) continuously from the time of the death of the worker); or

子、孫又は兄弟姉妹については、十八歳に達した日以後の最初の三月三十一日が終了したとき(労働者の死亡の時から引き続き第十六条の二第一項第四号の厚生労働省令で定める障害の状態にあるときを除く。)。

in the case of the worker's husband, children, parents, grandchildren, grandparents or siblings who are disabled as specified in Order of the Ministry of Health, Labour and Welfare set forth in Article 16-2, paragraph (1), item (iv), when such circumstances have ceased to exist (excluding cases where the worker's husband, parents or grandparents were 60 years of age or older at the time of the worker's death, where the worker's children or grandchildren have not experienced the first March 31 after they turned 18 years old, and where the worker's siblings have not experienced the first March 31 after they turned 18 years old or they were 60 years of age or older at the time of the worker's death).

第十六条の二第一項第四号の厚生労働省令で定める障害の状態にある夫、子、父母、孫、祖父母又は兄弟姉妹については、その事情がなくなつたとき(夫、父母又は祖父母については、労働者の死亡の当時六十歳以上であつたとき、子又は孫については、十八歳に達する日以後の最初の三月三十一日までの間にあるとき、兄弟姉妹については、十八歳に達する日以後の最初の三月三十一日までの間にあるか又は労働者の死亡の当時六十歳以上であつたときを除く。)。

When a surviving family member eligible to receive a compensation pension for surviving family falls under any of the items of the preceding paragraph, the member cease to be a surviving family member eligible to receive the compensation pension for surviving family.

遺族補償年金を受けることができる遺族が前項各号の一に該当するに至つたときは、その者は、遺族補償年金を受けることができる遺族でなくなる。

Article 16-5

第十六条の五

When the whereabouts of a person who has the right to receive a compensation pension for surviving family is unknown for not less than one year, the payment of the compensation pension for surviving family is suspended for as long as those whereabouts are unknown, upon the request filed by a person who holds the same rank in the order of priority if there is any such person, or upon the request filed by a person who holds the next rank in the order of priority if there is no person holding the same rank. In this case, if there is no person holding the same rank, the person who holds the next rank is the person with the first rank during that period.

遺族補償年金を受ける権利を有する者の所在が一年以上明らかでない場合には、当該遺族補償年金は、同順位者があるときは同順位者の、同順位者がないときは次順位者の申請によつて、その所在が明らかでない間、その支給を停止する。この場合において、同順位者がないときは、その間、次順位者を先順位者とする。

A surviving family member whose payment of the compensation pension for surviving family is suspended pursuant to the provisions of the preceding paragraph may request for revocation of the suspension of the payment at any time.

前項の規定により遺族補償年金の支給を停止された遺族は、いつでも、その支給の停止の解除を申請することができる。

The provisions of Article 16-3, paragraph (3) apply mutatis mutandis where the payment of the compensation pension for surviving family is suspended pursuant to the provisions of paragraph (1) or where the suspension of the payment is revoked pursuant to the provisions of the preceding paragraph. In this case, the term "month in which the increase or decrease occurred" in paragraph (3) of that Article is deemed to be replaced with the "month in which the payment is suspended or the suspension of the payment is revoked."

第十六条の三第三項の規定は、第一項の規定により遺族補償年金の支給が停止され、又は前項の規定によりその停止が解除された場合に準用する。この場合において、同条第三項中「増減を生じた月」とあるのは、「支給が停止され、又はその停止が解除された月」と読み替えるものとする。

Article 16-6

第十六条の六

A lump sum compensation for surviving family is paid in the following cases:

遺族補償一時金は、次の場合に支給する。

where, at the time of the worker's death, there is no surviving family member who is eligible to receive a compensation pension for surviving family; and

労働者の死亡の当時遺族補償年金を受けることができる遺族がないとき。

where a person's right to receive the compensation pension for surviving family is extinguished, and there is no other surviving family member who is eligible to receive the compensation pension for surviving family and the total amount of the compensation pension for surviving family paid for the worker's death is less than the amount of the lump sum compensation for surviving family that would be paid on the assumption that the situation falls under the case set forth in the preceding item on the day on which the right is extinguished.

遺族補償年金を受ける権利を有する者の権利が消滅した場合において、他に当該遺族補償年金を受けることができる遺族がなく、かつ、当該労働者の死亡に関し支給された遺族補償年金の額の合計額が当該権利が消滅した日において前号に掲げる場合に該当することとなるものとしたときに支給されることとなる遺族補償一時金の額に満たないとき。

When the total amount of a compensation pension for surviving family prescribed in item (ii) of the preceding paragraph is calculated, with regard to the amount of the compensation pension for surviving family paid for a period before July of the fiscal year of the date on which the right prescribed in that item is extinguished (in cases where the month of the date on which the right is extinguished is any of the months from April to July, the previous fiscal year; hereinafter the same applies in this paragraph), the amount is calculated according to the amount obtained by multiplying the amount actually paid by the rate specified by the Minister of Health, Labour and Welfare based on the rate obtained by dividing the average salary for the fiscal year before the fiscal year of the date on which the right is extinguished by the average salary for the fiscal year one year before the fiscal year of the months for which the compensation pension for surviving family is paid (in cases where the relevant month is either April, May, June or July, the fiscal year two years before).

前項第二号に規定する遺族補償年金の額の合計額を計算する場合には、同号に規定する権利が消滅した日の属する年度(当該権利が消滅した日の属する月が四月から七月までの月に該当する場合にあつては、その前年度。以下この項において同じ。)の七月以前の分として支給された遺族補償年金の額については、その現に支給された額に当該権利が消滅した日の属する年度の前年度の平均給与額を当該遺族補償年金の支給の対象とされた月の属する年度の前年度(当該月が四月から七月までの月に該当する場合にあつては、前々年度)の平均給与額で除して得た率を基準として厚生労働大臣が定める率を乗じて得た額により算定するものとする。

Article 16-7

第十六条の七

The surviving family members who are eligible to receive a lump sum compensation for surviving family are the persons specified in the following items:

遺族補償一時金を受けることができる遺族は、次の各号に掲げる者とする。

the worker's spouse;

配偶者

the worker's children, parents, grandchildren and grandparents who were dependent on the worker's income at the time of their death; and

労働者の死亡の当時その収入によつて生計を維持していた子、父母、孫及び祖父母

the worker's children, parents, grandchildren and grandparents who do not fall under the preceding item, and the worker's siblings.

前号に該当しない子、父母、孫及び祖父母並びに兄弟姉妹

The order of priority for the surviving family members who are to receive a lump sum compensation for surviving family is decided in accordance with the order set forth in each of the items of the preceding paragraph, and among the persons specified in items (ii) and (iii) of that paragraph, the order set forth in the respective items applies.

遺族補償一時金を受けるべき遺族の順位は、前項各号の順序により、同項第二号及び第三号に掲げる者のうちにあつては、それぞれ、当該各号に掲げる順序による。

Article 16-8

第十六条の八

The amount of a lump sum compensation payment for surviving family is the amount prescribed in appended table 2.

遺族補償一時金の額は、別表第二に規定する額とする。

The provisions of Article 16-3, paragraph (2) apply mutatis mutandis to the amount of the lump sum compensation payment for surviving family. In this case, the term "appended table 1" in that paragraph is deemed to be replaced with "appended table 2".

第十六条の三第二項の規定は、遺族補償一時金の額について準用する。この場合において、同項中「別表第一」とあるのは、「別表第二」と読み替えるものとする。

Article 16-9

第十六条の九

A person who intentionally causes the death of a worker is not be regarded as a surviving family member who is eligible to receive compensation benefits for surviving family.

労働者を故意に死亡させた者は、遺族補償給付を受けることができる遺族としない。

A person who, before the death of a worker, intentionally causes the death of a person holding a higher or the same rank in the order of priority as a surviving family member who is eligible to receive a compensation pension for surviving family as a result of the worker's death, is not be regarded as a surviving family member who is eligible to receive a compensation pension for surviving family.

労働者の死亡前に、当該労働者の死亡によつて遺族補償年金を受けることができる先順位又は同順位の遺族となるべき者を故意に死亡させた者は、遺族補償年金を受けることができる遺族としない。

A person who has intentionally causes the death of a surviving family member who is eligible to receive a compensation pension for surviving family is not regarded as a surviving family member who is eligible to receive a lump sum compensation payment for surviving family. The same applies to a person who, before the death of a worker, intentionally causes the death of a person who is to become a surviving family member eligible to receive a compensation pension for surviving family as a result of the worker's death.

遺族補償年金を受けることができる遺族を故意に死亡させた者は、遺族補償一時金を受けることができる遺族としない。労働者の死亡前に、当該労働者の死亡によつて遺族補償年金を受けることができる遺族となるべき者を故意に死亡させた者も、同様とする。

When a surviving family member who is eligible to receive a compensation pension for surviving family intentionally causes the death of another surviving family member holding a higher or the same rank in the order of priority as a surviving family member who is eligible to receive a compensation pension for surviving family, that surviving family member is not regarded as a surviving family member who is eligible to receive a compensation pension for surviving family. In this case, if that surviving family member is a person having the right to receive a compensation pension for surviving family, the relevant right is extinguished.

遺族補償年金を受けることができる遺族が、遺族補償年金を受けることができる先順位又は同順位の他の遺族を故意に死亡させたときは、その者は、遺族補償年金を受けることができる遺族でなくなる。この場合において、その者が遺族補償年金を受ける権利を有する者であるときは、その権利は、消滅する。

In the case referred to in the second sentence of the preceding paragraph, the provisions of the second sentence of Article 16-4, paragraph (1) apply mutatis mutandis.

前項後段の場合には、第十六条の四第一項後段の規定を準用する。

Article 17

第十七条

The amount of funeral service fee is the amount specified by the Minister of Health, Labour and Welfare in consideration of the cost normally required for funeral.

葬祭料は、通常葬祭に要する費用を考慮して厚生労働大臣が定める金額とする。

Article 18

第十八条

The amount of an illness and injury compensation pension is as prescribed in appended table 1 in accordance with the grades of illness or injury specified in Order of the Ministry of Health, Labour and Welfare set forth in Article 12-8, paragraph (3), item (ii).

傷病補償年金は、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応じ、別表第一に規定する額とする。

Compensation payment for loss of salary during a temporary absence from work is not paid to a person who receives an illness or injury compensation pension.

傷病補償年金を受ける者には、休業補償給付は、行わない。

Article 18-2

第十八条の二

Where there has been a change in the degree of the relevant degree of disability of a worker receiving an illness or injury compensation pension, and as a result of such change, that person falls under another grade of illness or injury prescribed in appended table 1, the government, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, pays the illness or injury compensation pension corresponding to the new grade of illness or injury under which the person now falls, and does not pay the former illness or injury compensation pension thereafter.

傷病補償年金を受ける労働者の当該障害の程度に変更があつたため、新たに別表第一中の他の傷病等級に該当するに至つた場合には、政府は、厚生労働省令で定めるところにより、新たに該当するに至つた傷病等級に応ずる傷病補償年金を支給するものとし、その後は、従前の傷病補償年金は、支給しない。

Article 19

第十九条

Where a worker who gets injured or fall ill in the course of their duties receives an illness or injury compensation pension on the day when three years have elapsed after the commencement of medical treatment pertaining to the illness or injury, or begins to receive an illness or injury compensation pension after that day, with respect to the application of the provisions of Article 19, paragraph (1) of the Labor Standards Act, the relevant employer is deemed to have received a compensation for discontinuance pursuant to the provisions of Article 81 of the Labor Standards Act on the day when three years have elapsed or on the day when the worker begins to receive the illness or injury compensation pension, respectively.

業務上負傷し、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三年を経過した日において傷病補償年金を受けている場合又は同日後において傷病補償年金を受けることとなつた場合には、労働基準法第十九条第一項の規定の適用については、当該使用者は、それぞれ、当該三年を経過した日又は傷病補償年金を受けることとなつた日において、同法第八十一条の規定により打切補償を支払つたものとみなす。

Article 19-2

第十九条の二

Nursing care compensation benefits is to be paid monthly, and the monthly amount is the amount specified by the Minister of Health, Labour and Welfare in consideration of the expenses normally required for receiving constant or occasional nursing care.

介護補償給付は、月を単位として支給するものとし、その月額は、常時又は随時介護を受ける場合に通常要する費用を考慮して厚生労働大臣が定める額とする。

Article 20

第二十条

In addition to what is prescribed in this Section, the particulars necessary for payment of insurance proceeds in respect of an occupational accidents are prescribed in Order of the Ministry of Health, Labour & Welfare.

この節に定めるもののほか、業務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 2-2 Payment of Insurance Proceeds for Multiple-Job-Related Accidents

第二節の二 複数業務要因災害に関する保険給付

Article 20-2

第二十条の二

The payment of insurance proceeds for a multiple-job-related accident set forth in Article 7, paragraph (1), item (ii) is the payment of insurance proceeds specified in the following:

第七条第一項第二号の複数業務要因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 for multiple-job workers;

複数事業労働者療養給付

payment for loss of salary during a temporary absence from work for multiple-job workers;

複数事業労働者休業給付

disability benefits for multiple-job workers;

複数事業労働者障害給付

benefits for surviving family of multiple-job workers;

複数事業労働者遺族給付

funeral benefit for multiple-job workers;

複数事業労働者葬祭給付

illness or injury pensions for multiple-job workers; and

複数事業労働者傷病年金

nursing care benefits for multiple-job workers

複数事業労働者介護給付

Article 20-3

第二十条の三

Where a multiple-job 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) due to the work of two or more businesses in which the multiple-job worker is engaged, medical treatment benefits for multiple-job workers are paid to the multiple-job worker based on their claim.

複数事業労働者療養給付は、複数事業労働者がその従事する二以上の事業の業務を要因として負傷し、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、当該複数事業労働者に対し、その請求に基づいて行う。

The provisions of Article 13 apply mutatis mutandis to medical treatment benefits for multiple-job workers.

第十三条の規定は、複数事業労働者療養給付について準用する。

Article 20-4

第二十条の四

Where a multiple-job worker does not receive wages because of their inability to work due to medical treatment pertaining to an injury or illness caused by the work of two or more businesses in which the multiple-job worker is engaged, payment for loss of salary during a temporary absence from work for multiple-job workers is paid to the multiple-job worker based on their claim.

複数事業労働者休業給付は、複数事業労働者がその従事する二以上の事業の業務を要因とする負傷又は疾病によ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、当該複数事業労働者に対し、その請求に基づいて行う。

The provisions of Article 14 and Article 14-2 apply mutatis mutandis to payment for loss of salary during a temporary absence from work for multiple-job workers. In this case, the term "a worker ... in the course of their duties" in Article 14, paragraph (1) is deemed to be replaced with "a multiple-job worker ... caused by the work of two or more businesses in which the multiple-job worker is engaged", 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 by Cabinet Order set forth in 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 Article 20-8, paragraph (2), by the rate for an illness or injury pension for multiple-job workers amongst the rates specified by Cabinet Order set forth in of that table".

第十四条及び第十四条の二の規定は、複数事業労働者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「労働者が業務上の」とあるのは「複数事業労働者がその従事する二以上の事業の業務を要因とする」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「第二十条の八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、それぞれ同表の政令で定める率のうち複数事業労働者傷病年金について定める率」と読み替えるものとする。

Article 20-5

第二十条の五

Where a multiple-job worker gets injured or falls ill due to the work of two or more businesses in which the multiple-job worker is engaged and remains physically disabled after recovery, a disability benefit for multiple-job workers is paid to the multiple-job worker based on their claim.

複数事業労働者障害給付は、複数事業労働者がその従事する二以上の事業の業務を要因として負傷し、又は疾病にかかり、治つたとき身体に障害が存する場合に、当該複数事業労働者に対し、その請求に基づいて行う。

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

複数事業労働者障害給付は、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、複数事業労働者障害年金又は複数事業労働者障害一時金とする。

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 disability compensation lump-sum payment) apply mutatis mutandis to disability benefits for multiple-job workers. In this case, the terms "disability compensation pension" and "disability compensation lump-sum payment" in these provisions are deemed to be replaced with "disability pension for multiple-job workers" and "disability lump-sum payment for multiple-job workers", respectively.

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、複数事業労働者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「複数事業労働者障害年金」と、「障害補償一時金」とあるのは「複数事業労働者障害一時金」と読み替えるものとする。

Article 20-6

第二十条の六

Where a multiple-job worker dies due to the work of two or more businesses in which the multiple-job worker is engaged, benefits for surviving family of multiple-job workers are paid to the surviving family members of the multiple-job worker based on their claims.

複数事業労働者遺族給付は、複数事業労働者がその従事する二以上の事業の業務を要因として死亡した場合に、当該複数事業労働者の遺族に対し、その請求に基づいて行う。

The benefits for surviving family of multiple-job workers are paid in the form of a pension for surviving family of multiple-job workers or a lump-sum payment for surviving family of multiple-job workers.

複数事業労働者遺族給付は、複数事業労働者遺族年金又は複数事業労働者遺族一時金とする。

The provisions of Article 16-2 through 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 payment for surviving family) apply mutatis mutandis to benefits for surviving family of multiple-job workers. In this case, the terms "compensation pension for surviving family" and "lump-sum compensation payment for surviving family" in these provisions are deemed to be replaced with "pension for surviving family of multiple-job workers" and "lump-sum payment for surviving family of multiple-job workers", respectively.

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、複数事業労働者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「複数事業労働者遺族年金」と、「遺族補償一時金」とあるのは「複数事業労働者遺族一時金」と読み替えるものとする。

Article 20-7

第二十条の七

Where a multiple-job worker dies due to the work of two or more businesses in which the multiple-job worker is engaged, a funeral benefit for multiple-job workers is paid to the person who holds the funeral based on their claim.

複数事業労働者葬祭給付は、複数事業労働者がその従事する二以上の事業の業務を要因として死亡した場合に、葬祭を行う者に対し、その請求に基づいて行う。

The provisions of Article 17 apply mutatis mutandis to the funeral benefit for multiple-job workers.

第十七条の規定は、複数事業労働者葬祭給付について準用する。

Article 20-8

第二十条の八

An illness or injury pension for multiple-job workers is paid to a multiple-job worker who gets injured or falls ill due to the work of two or more businesses in which the multiple-job worker is engaged, when the multiple-job worker 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 injury or illness, or comes to fall under all of the following items after that day, and such payment is made for the period during which that condition continues:

複数事業労働者傷病年金は、複数事業労働者がその従事する二以上の事業の業務を要因として負傷し、又は疾病にかかつた場合に、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、当該複数事業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 injury or illness 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 for multiple-job workers. 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 for multiple-job workers", and the term "illness or injury compensation pension" in that table is deemed to be replaced with "illness or injury pension for multiple-job workers".

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、複数事業労働者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「複数事業労働者休業給付」と、同表中「傷病補償年金」とあるのは「複数事業労働者傷病年金」と読み替えるものとする。

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 of that table" in paragraph (2) of that Article is be 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 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 or a medical examination pertaining to the medical examination conducted pursuant to the provisions of the proviso to (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、の規定による健康診断又は当該健康診断に係る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 to an employer (meaning an employer prescribed in ) 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 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(に規定する事業者をいう。)に対するの規定の適用については、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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