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How to apply for Worker’s Compensation in Japan? (2)

If a worker is injured while working or commuting to work or become ill due to work, he or she can make a claim to the chief of the Labor Standards Inspection Office for Workers’ Compensation, such as Medical Compensation Benefit and Temporally Absence Compensation Benefit. This article explains the procedure to claim for such compensations.

How to claim for Workers’ Compensation

When an industrial accident occurs, a worker can claim for workers’ compensation by submitting a designated claim form available at the Labor Standards Inspection Office. They will carry out the necessary investigation on the accident. Basically, workers need to claim themselves, but some companies do it for you.

Step1.Obtain Claim Form

Firstly, you need to obtain a claim form for the type of compensation for which you claim at the local Labor Standards Inspection Office or the website of the Ministry of Health, Labor and Welfare.

 

Step2.Fill in the claim form

The claim form requires a signature of your employer to certify that the accident actually occurred as described.

In some types of the claim form, there are sections for the medical institution to describe information such as diagnosis and status of medical treatment.

As explained in our previous article, there may be cases where the employer does not cooperate with workers’ compensation claims, but even in such case, you can file a claim by consulting with the Labor Standards Inspection Office.

How to apply for Workers' Compensation in Japan (1)What is Industrial Accident Compensation Insurance (or 労災 Rosai)? W...

Step3.Submit the claim form and supporting documents to the Labor Standards Inspection Office.

Once the claim form is written, you can submit it to the Labor Standards Inspection Office which has jurisdiction together with the required supporting documents depending on the type of compensation. The Labor Standards Inspection Office will conduct an investigation based on the contents of the claim form to determine whether it is an industrial accident or not. Benefits you can obtain will be determined based on the results.

When requesting Medical Compensation Benefit

To claim Medical Compensation Benefit, the designated claim form must be submitted to the Labor Standards Inspection Office. The form and procedures vary depending on whether the medical institution where you receive treatment is a hospital designated for Industrial Accidents Compensation Insurance 労災指定病院 (“Designated Medical Facility”).

外国人労働者向け労災保険給付パンフレット(厚生労働省)より。

 

There are 32 Designated Medical Facilities nationwide. Designated Medical Facilities can be searched by location or medical specialty on the website of the Ministry of Health, Labor and Welfare.

If the medical institution where you have received medical treatment is one of  Designated Medical Facilities, submit a designated claim form to that medical institution.

Please use ” Medical Compensation Benefits Claim Form(Form No.5)” in the case of an accident on the job or an illness caused by work. And in the case of an accident during commuting, please use “Medical Compensation Benefits Claim Form (Form No.16-3)”.

外国人労働者向け労災給付パンフレット(厚生労働省)より。

 

The claim form will be submitted to the chief of the Labor Standards Inspection Office via the medical institution. You do not have to pay medical treatment expenses.

On the other hand, if the medical institution where you received medical treatment is not one of Designated Medical Facilities, you temporarily need to pay the medical treatment expenses. After you submit a designated claim form directly to the chief of the Labor Standards Inspection Office, the expenses incurred by you will be paid. Since health insurance cannot be used for industrial accidents, the full amount must be paid in advance. When you receive treatment at the hospital, please tell them that you will claim for workers’ compensation.

Please use “Medical Care Expense Payment Claim Form(Form No.7)” in the case of an accident on the job or an illness caused by work. And in the case of an accident during commuting, please use “Medical Care Expense Payment Claim Form(Form No.16-5)”.

 

 

 

Temporally Absence Compensation Benefit

When an employee is absent from work for medical treatment due to an industrial accident, the employer pays 60% of the employee’s salary for the first three days. Then, from the fourth day, you are entitled to Temporally Absence Compensation Benefit. Please submit a designated claim form  to the chief of the Labor Standards Inspection Office.

Please use “Temporally Absence from Work Compensation Benefits Claim Form (Form No.8)” in the case of an accident on the job or an illness caused by work. And in the case of an accident during commuting, please use “Temporally Absence from Work Benefits Claim Form (Form No.16-6)”.

Other Benefits

In addition to the above benefits, there are other insurance benefits such as Injury and Disease Compensation Benefit, Nursing Care Benefit, Disability Compensation benefits, Survivor’s Benefits, Funeral Rites Benefit, For each of these insurance benefits, a designated claim form needs be submitted to the chief of the Labor Standards Inspection Office.

DISCLAIMER: This article was written on March 2022. The system may change from time to time. So it is vitally important to be aware of the current situation.