Procedures

If you take time off from work due to sickness
(About application for injury and sickness allowance)

For the period when the insured is off work due to illness or injury outside work and no compensation is paid, the amount calculated by the following calculation method will be paid per day off. If you are sick or injured due to an accident or disaster while you work or commute to work, the worker's accident insurance will be applied.

Conditions for receiving payment

What is for medical treatment Home treatment may be used as long as the treatment is for illness or injury outside of work.
Do not stick to work If you can't do the job you've been doing until now, even if you can do other light jobs, you can't do it. However, doctor's proof is required for the rest period.
When you have missed work for 4 days or more,
including 3 consecutive days
There is no waiting period for 3 days. It will be paid for the days after 4 days when you cannot work.
Not being paid If the employer has paid the salary and the amount is higher than the injury and sickness allowance, it will not be paid. If the salary is lower, only the difference will be paid.

Payment period

It is up to 1 year and 6 months from the date of the first payment of injury and sickness allowance. This means 1 year and 6 months on the calendar, so even if there is a day when I went to work, I will not be paid for a period that exceeds 1 year and 6 months from the start of the payment. Disability pension and disability allowance are paid from the welfare annuity insurance for the same injury or illness, and if you receive old age welfare pension, etc., it will not be paid, but when those amounts are less than the injury and sickness allowance, the difference is The maximum payment period is 1 year and 6 months.

支給期間イメージ
* Please include the waiting period when applying.

Amount paid per day = Standard reward daily amount x 2/3.

Standard remuneration daily calculation method

Before the start date of payment
Insured period
If you have one year or more
Average for the last 1 year
Before the start date of payment
Insured period
If less than 1 year
  1. Average daily standard remuneration for the insured period
  2. Standard compensation daily amount for all insured, whichever is less
* When the remuneration from the business owner is paid, the remuneration amount will be adjusted.
Procedure

Please fill out the following documents, obtain the proof of your doctor's opinion, and submit.
(Refer to the "Application forms" page for submission)
Please submit the application form on a monthly basis, not for several months.

Required documents
  • Health Insurance Claim for Injury and Illness Allowance
    EXCEL
  • Certificate of Consent (* Only for initial application)
    WORD
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