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。
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.
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)).
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。
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。
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。
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。
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 Article 8, paragraph (1) or paragraph (2) of the Premiums Collection Act, 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.
The provisions of Article 27, Article 29, Article 30 and Article 41 of the Premiums Collection Act apply mutatis mutandis to the money to be collected pursuant to the provisions of the preceding two paragraphs.
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。
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。
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。
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
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:
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 Article 89, paragraph (1), Article 91, paragraph (1), the main clause of Article 92, Article 93 and Article 94 of the Mariners Act (Act No. 100 of 1947) (with regard to Article 91, paragraph (1) of that Act, 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船員法(昭和二十二年法律第百号)第八十九条第一項、第九十一条第一項、第九十二条本文、第九十三条及び第九十四条に規定する災害補償の事由(同法第九十一条第一項にあつては、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 Article 5, paragraph (11) of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities (Act No. 123 of 2005) (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 paragraph (7) of that Article (hereinafter referred to as "nursing care for daily life")); and
障害者の日常生活及び社会生活を総合的に支援するための法律(平成十七年法律第百二十三号)第五条第十一項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(同条第七項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
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