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Article 18Calculation of the Amount of Insurance Benefits Pertaining to Occupational Accidents Under Article 12, Paragraph (3) of the Act

第十八条(法第十二条第三項の業務災害に関する保険給付の額の算定)

The insurance benefits specified by Order of the Ministry of Health, Labour and Welfare as referred to in Article 12, paragraph (3) of the Act are medical treatment compensation benefits, compensation payments for loss of salary during a temporary absence from work, nursing care compensation benefits, and insurance benefits paid in relation to a specially enrolled person (meaning a person listed in the items of Article 33 of the Industrial Accident Compensation Insurance Act (Act No. 50 of 1947; hereinafter referred to as the "Industrial Accident Insurance Act"); the same applies hereinafter in this Article) for whom the basic daily benefit amount has been calculated pursuant to , , or (Order of the Ministry of Labour No. 22 of 1955; hereinafter referred to as the "Industrial Accident Insurance Ordinance") (including cases where these provisions are applied mutatis mutandis pursuant to and ).

法第十二条第三項の厚生労働省令で定める保険給付は、療養補償給付、休業補償給付、、、又は(労災則及びにおいて準用する場合を含む。)の規定により給付基礎日額を算定した特別加入者(労働者災害補償保険法(昭和二十二年法律第五十号。以下「労災保険法」という。)第三十三条各号に掲げる者をいう。以下この条において同じ。)に関し支給する保険給付とする。

The calculation of the amount of the pension-type insurance benefits under Article 12, paragraph (3) of the Act and the insurance benefits under the preceding paragraph (excluding insurance benefits paid in relation to a specially enrolled person) is to be carried out by determining, according to the category of insurance benefits listed in the following items, the amount prescribed in the respective items:

法第十二条第三項の年金たる保険給付及び前項の保険給付(特別加入者に関し支給する保険給付を除く。)の額の算定は、次の各号に掲げる保険給付の区分に応じ、当該各号に定める額とすることにより行うものとする。

Disability compensation pension: an amount equivalent to the amount of the disability compensation that would be paid if, for the same reason, the provisions of Article 77 of the Labor Standards Act were applied by deeming the basic daily benefit amount prescribed in Article 8 of the Industrial Accident Insurance Act to be the average wage;

障害補償年金 同一の事由について労災保険法第八条に規定する給付基礎日額を平均賃金とみなして労働基準法第七十七条の規定を適用することとした場合に行われることとなる障害補償の額に相当する額

Compensation pension for surviving family: an amount equivalent to the amount of the compensation to the bereaved family that would be paid if, for the same reason, the provisions of Article 79 of the Labor Standards Act were applied by deeming the basic daily benefit amount prescribed in Article 8 of the Industrial Accident Insurance Act to be the average wage;

遺族補償年金 同一の事由について労災保険法第八条に規定する給付基礎日額を平均賃金とみなして労働基準法第七十九条の規定を適用することとした場合に行われることとなる遺族補償の額に相当する額

Illness or injury compensation pension: the total of the amounts of the illness or injury compensation pension for the months up to the month preceding the month that includes the day on which three years elapse after the start of medical treatment for the injury or illness in question;

傷病補償年金 傷病補償年金のうち当該負傷又は疾病に関する療養の開始後三年を経過する日の属する月の前月までの月分のものの額を合計した額

Medical treatment compensation benefit: the total of the amounts of the medical treatment compensation benefit for which the reason for payment arose before the day on which three years elapse after the start of the medical treatment in question;

療養補償給付 療養補償給付のうち当該療養の開始後三年を経過する日前に支給すべき事由の生じたものの額を合計した額

Compensation payment for loss of salary during a temporary absence from work: the total of the amounts of the compensation payment for loss of salary during a temporary absence from work for which the reason for payment arose before the day on which three years elapse after the start of medical treatment for the injury or illness in question; and

休業補償給付 休業補償給付のうち当該負傷又は疾病に関する療養の開始後三年を経過する日前に支給すべき事由の生じたものの額を合計した額

Nursing care compensation benefit: the total of the amounts of the nursing care compensation benefit for the months up to the month preceding the month that includes the day on which three years elapse after the start of medical treatment for the injury or illness in question.

介護補償給付 介護補償給付のうち当該負傷又は疾病に関する療養の開始後三年を経過する日の属する月の前月までの月分のものの額を合計した額

Notwithstanding the provisions of the preceding paragraph, the calculation of the amount of the insurance benefits referred to in Article 12, paragraph (3) of the Act that are calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act and of insurance benefits paid in relation to a specially enrolled person is to be carried out by determining, according to the category of insurance benefits listed in the following items, the amount prescribed in the respective items:

前項の規定にかかわらず、法第十二条第三項の労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付及び特別加入者に関し支給する保険給付の額の算定は、次の各号に掲げる保険給付の区分に応じ、当該各号に定める額とすることにより行うものとする。

Compensation payment for loss of salary during a temporary absence from work: the total of the amounts of the compensation payment for loss of salary during a temporary absence from work (in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, and in the case of insurance benefits paid in relation to a specially enrolled person, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated by the method prescribed in (including cases where applied mutatis mutandis pursuant to and )) for which the reason for payment arose before the day on which three years elapse after the start of medical treatment for the injury or illness in question;

休業補償給付 休業補償給付(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額に相当する額又は労災則(労災則及びにおいて準用する場合を含む。)に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。)のうち当該負傷又は疾病に関する療養の開始後三年を経過する日前に支給すべき事由の生じたものの額を合計した額

Disability compensation pension: an amount equivalent to the amount of the disability compensation that would be paid if the provisions of Article 77 of the Labor Standards Act were applied by deeming, in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, the basic daily benefit amount in the case where it is calculated for the same reason by the method prescribed in paragraphs (1) and (2) of that Article to be the average wage, and in the case of insurance benefits paid in relation to a specially enrolled person, the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated for the same reason by the method prescribed in paragraphs (1) and (2) of that Article, or the basic daily benefit amount in the case where it is calculated by the method prescribed in (including cases where applied mutatis mutandis pursuant to and ; the same applies hereinafter in this paragraph), to be the average wage;

障害補償年金 労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額を平均賃金とみなし、特別加入者に関し支給する保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額又は労災則(労災則及びにおいて準用する場合を含む。以下この項において同じ。)に規定する方法により算定した場合の給付基礎日額をもとに算定した額を平均賃金とみなして労働基準法第七十七条の規定を適用することとした場合に行われることとなる障害補償の額に相当する額

Lump-sum compensation payment for disability: the amount of the lump-sum compensation payment for disability (in the case of insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the disability giving rise to the benefit occurred, and in the case of insurance benefits paid in relation to a specially enrolled person, limited to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the disability giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount in the case where it is calculated by the method prescribed in );

障害補償一時金 障害補償一時金の額(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる障害が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる障害が発生した事業場における賃金額をもとに算定した額に相当する額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。)

Compensation pension for surviving family: an amount equivalent to the amount of compensation to the bereaved family that would be paid if the provisions of Article 79 of the Labor Standards Act were applied by deeming as the average wage, for insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, the basic daily benefit amount that would result if calculated for the same reason by the methods prescribed in paragraphs (1) and (2) of that Article, and, for insurance benefits paid with respect to a specially enrolled person, the amount calculated on the basis of the basic daily benefit amount that would result if calculated for the same reason by the methods prescribed in paragraphs (1) and (2) of that Article, or the basic daily benefit amount that would result if calculated by the method prescribed in ;

遺族補償年金 労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額を平均賃金とみなし、特別加入者に関し支給する保険給付にあつては、同一の事由について同条第一項及び第二項に規定する方法により算定した場合の給付基礎日額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額を平均賃金とみなして労働基準法第七十九条の規定を適用することとした場合に行われることとなる遺族補償の額に相当する額

Lump-sum compensation payment for surviving family: the amount of the lump-sum compensation payment for surviving family (limited, for insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, and, for insurance benefits paid with respect to a specially enrolled person, to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount that would result if calculated by the method prescribed in );

遺族補償一時金 遺族補償一時金の額(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額をもとに算定した額に相当する額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。)

Funeral service fee: the amount of the funeral service fee (limited, for insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, and, for insurance benefits paid with respect to a specially enrolled person, to the amount calculated on the basis of the amount of wages at the workplace where the death giving rise to the benefit occurred, or the basic daily benefit amount that would result if calculated by the method prescribed in (including as applied mutatis mutandis pursuant to and ));

葬祭料 葬祭料の額(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる死亡が発生した事業場における賃金額又は労災則(労災則及びにおいて準用する場合を含む。)に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。)

Illness or injury compensation pension: the total of the amounts, for the months up to the month preceding the month that includes the day on which three years elapse after the start of medical treatment for the injury or illness, of the illness or injury compensation pension (limited, for insurance benefits calculated using the basic daily benefit amount prescribed in Article 8, paragraph (3) of the Industrial Accident Insurance Act, to an amount equivalent to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, and, for insurance benefits paid with respect to a specially enrolled person, to the amount calculated on the basis of the amount of wages at the workplace where the injury or illness giving rise to the benefit occurred, or the amount calculated on the basis of the basic daily benefit amount that would result if calculated by the method prescribed in ).

傷病補償年金 傷病補償年金(労災保険法第八条第三項に規定する給付基礎日額を用いて算定した保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額に相当する額に限り、特別加入者に関し支給する保険給付にあつては、給付の原因となる負傷又は疾病が発生した事業場における賃金額をもとに算定した額又は労災則に規定する方法により算定した場合の給付基礎日額をもとに算定した額に限る。)のうち当該負傷又は疾病に関する療養の開始後三年を経過する日の属する月の前月までの月分のものの額を合計した額

Article 18-2Payments, etc. Specified by Order of the Ministry of Health, Labour and Welfare under Article 12, Paragraph (3) of the Act

第十八条の二(法第十二条第三項の厚生労働省令で定める給付金等)

The payments specified by Order of the Ministry of Health, Labour and Welfare under Article 12, paragraph (3) of the Act are special payments under the provisions of the Rules for Payment of Special Payments for Industrial Accident Compensation Insurance (Order of the Ministry of Labour No. 30 of 1974; hereinafter referred to as the "Special Payment Rules") that relate to occupational accidents (excluding the special lump-sum payments for surviving family paid to a person with the right to receive lump-sum compensation payments for surviving family paid in the case under Article 16-6, paragraph (1), item (ii) of the Industrial Accident Insurance Act, those relating to persons listed in column 4 of the table in Article 17-2, and, of those relating to a person who has been made eligible to receive insurance benefits under the provisions of the Industrial Accident Insurance Act pursuant to Article 36, paragraph (1) of the Industrial Accident Insurance Act (hereinafter referred to as an "insured person of Class III special enrollment"), those in the case where the occupational accident arose from a business listed in Article 33, item (vi) or (vii) of the Industrial Accident Insurance Act).

法第十二条第三項の厚生労働省令で定める給付金は、の規定による特別支給金で業務災害に係るもの(労災保険法第十六条の六第一項第二号の場合に支給される遺族補償一時金の受給権者に支給される遺族特別一時金、第十七条の二の表の第四欄に掲げる者に係るもの及び労災保険法第三十六条第一項の規定により労災保険法の規定による保険給付を受けることができることとされた者(以下「第三種特別加入者」という。)のうち労災保険法第三十三条第六号又は第七号に掲げる事業により当該業務災害が生じた場合に係るものを除く。)とする。

Notwithstanding the preceding paragraph, with regard to special payments calculated using the annual basic amount for calculation under of the Special Payment Rules that relates to a multiple-job worker, only the special payments in the case where the amount obtained by dividing by 365 the annual basic amount for calculation under and for the same cause arising in the course of work (rounding up any fraction less than one yen to one yen) is used are the payments under the preceding paragraph.

前項の規定にかかわらず、複数事業労働者に係るの規定による算定基礎年額を用いて算定した特別支給金については、同一の業務上の事由について及びの規定による算定基礎年額を三百六十五で除して得た額(その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。)とした場合による特別支給金に限り、前項の給付金とする。

Article 18-3

第十八条の三

The provisions of Article 18, paragraphs (2) and (3) apply mutatis mutandis to the calculation of the amount of pension-type special payments and the amount of special payments for temporary absence from work, among the special payments under the Special Payment Rules under Article 12, paragraph (3) of the Act that relate to occupational accidents. In this case, the phrase "disability compensation pension" in Article 18, paragraph (2), item (i) is deemed to be replaced with "disability special pension", and the phrase "the basic daily benefit amount prescribed in Article 8 of the Industrial Accident Insurance Act" with "the amount obtained by dividing by 365 the annual basic amount for calculation under and of the Special Payment Rules (rounding up any fraction less than one yen to one yen)"; the phrase "compensation pension for surviving family" in item (ii) of that paragraph with "special pension for surviving family", and the phrase "the basic daily benefit amount prescribed in Article 8 of the Industrial Accident Insurance Act" with "the amount obtained by dividing by 365 the annual basic amount for calculation under and of the Special Payment Rules (rounding up any fraction less than one yen to one yen)"; the phrase "illness or injury compensation pension" in item (iii) of that paragraph with "illness or injury special pension"; the phrase "compensation payment for loss of salary during a temporary absence from work" in item (v) of that paragraph with "special payment for temporary absence from work"; and the phrase "compensation payment for loss of salary during a temporary absence from work" in paragraph (3), item (i) of that Article with "special payment for temporary absence from work", the phrase "insurance benefits" with "special payments", and the phrase "giving rise to the benefit" with "giving rise to the payment".

第十八条第二項及び第三項の規定は、法第十二条第三項の特別支給金規則による特別支給金で業務災害に係るもののうち年金たる特別支給金の額及び休業特別支給金の額の算定について準用する。この場合において、第十八条第二項第一号中「障害補償年金」とあるのは「障害特別年金」と、「労災保険法第八条に規定する給付基礎日額」とあるのは「及びの規定による算定基礎年額を三百六十五で除して得た額(その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。)」と、同項第二号中「遺族補償年金」とあるのは「遺族特別年金」と、「労災保険法第八条に規定する給付基礎日額」とあるのは「及びの規定による算定基礎年額を三百六十五で除して得た額(その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。)」と、同項第三号中「傷病補償年金」とあるのは「傷病特別年金」と、同項第五号中「休業補償給付」とあるのは「休業特別支給金」と、同条第三項第一号中「休業補償給付」とあるのは「休業特別支給金」と、「保険給付」とあるのは「特別支給金」と、「給付の」とあるのは「支給の」と読み替えるものとする。

Article 19Amount of Labor Insurance Premiums under Article 12, Paragraph (3) of the Act

第十九条(法第十二条第三項の労働保険料の額)

The amount obtained by adding the amount obtained by subtracting the portion corresponding to the special enrollment non-industrial injury rate from the amount of Class I special enrollment insurance premiums to the amount obtained by subtracting the portion corresponding to the non-industrial injury rate from the amount of general insurance premiums during the three consecutive insurance years prescribed in Article 12, paragraph (3) of the Act (limited, for a business under Article 12, paragraph (1), item (i) of the Act, to the portion corresponding to the industrial accident insurance rate (if that rate has been increased or decreased pursuant to paragraph (3) of that Article (including where applied with terms replaced pursuant to Article 12-2 of the Act), the increased or decreased rate; the same applies hereinafter in this Article)) is the sum of the amounts obtained, for each insurance year of those three consecutive insurance years, by adding the amount obtained by subtracting the portion corresponding to the special enrollment non-industrial injury rate from the amount of final insurance premiums relating to Class I special enrollment insurance premiums to the amount obtained by subtracting the portion corresponding to the non-industrial injury rate from the amount of final insurance premiums relating to general insurance premiums (limited, for a business under Article 12, paragraph (1), item (i) of the Act, to the portion corresponding to the industrial accident insurance rate).

法第十二条第三項に規定する連続する三保険年度の間における一般保険料の額(法第十二条第一項第一号の事業については、労災保険率(その率が同条第三項(法第十二条の二の規定により読み替えて適用する場合を含む。)の規定により引き上げ又は引き下げられたときは、その引き上げ又は引き下げられた率。以下この条において同じ。)に応ずる部分の額)から非業務災害率に応ずる部分の額を減じた額に第一種特別加入保険料の額から特別加入非業務災害率に応ずる部分の額を減じた額を加えた額は、当該連続する三保険年度の各保険年度の一般保険料に係る確定保険料の額(法第十二条第一項第一号の事業については、労災保険率に応ずる部分の額)から非業務災害率に応ずる部分の額を減じた額に第一種特別加入保険料に係る確定保険料の額から特別加入非業務災害率に応ずる部分の額を減じた額を加えた額の合算額とする。

Article 19-2Class I Adjustment Rate

第十九条の二(第一種調整率)

The Class I adjustment rate specified by Order of the Ministry of Health, Labour and Welfare, taking into consideration the costs required for pension-type insurance benefits relating to occupational accidents under Article 12, paragraph (3) of the Act, the costs required for insurance benefits pertaining to persons afflicted with a specific disease, and other circumstances, is 67/100; provided, however, that for the businesses listed in the following items, it is the rate specified respectively in those items.

法第十二条第三項の業務災害に関する年金たる保険給付に要する費用、特定疾病にかかつた者に係る保険給付に要する費用その他の事情を考慮して厚生労働省令で定める第一種調整率は、百分の六十七とする。ただし、次の各号に掲げる事業にあつては、当該各号に定める率とする。

Forestry business: 51/100;

林業の事業 百分の五十一

建設の事業 百分の六十三

Port cargo handling business or port stevedoring: 63/100;

港湾貨物取扱事業又は港湾荷役業の事業 百分の六十三

Shipowner's business: 35/100.

船舶所有者の事業 百分の三十五

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