Section 1 General Rules
第一節 通則
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);
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.
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.
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.
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.
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:
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
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
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.
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".
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.
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 the following item" 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 this paragraph", 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 the following item) 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。
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".
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。
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 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。