An insured person who is enrolled in the National Health Insurance of Setagaya Ward and is receiving salary, etc., is infected with the new coronavirus infection, or has symptoms such as fever and is suspected of being infected, and undergoes labor for medical treatment. Injury and Sickness Allowance will be paid if you are unable to do so (only if certain requirements are met).

Regarding the payment requirements and application method for the Injury and Sickness Allowance, details are posted below, but we will also explain by phone.

In addition, the Ministry of Health, Labor and Welfare's "Q&A on the new coronavirus (for workers)" Please refer to the.

Click here for information on payment of an amount equivalent to the sickness and injury allowance to same-sex partners of persons insured by the Setagaya Ward National Health Insurance.

Payment requirements

Target audience

Those who meet all the following three conditions

1. Be a member of the National Health Insurance of Setagaya Ward and receive payment of salary, etc.
2. Infected with the new coronavirus infection, or having symptoms such as fever and being suspected of being infected and unable to perform labor due to medical treatment.
3. During the period when you were unable to work, you were unable to receive payment of salary, etc., or were paid with a partial reduction.

(Supplement) Salaries, etc. refer to salaries, etc. stipulated in Article 28, Paragraph 1 of the Income Tax Law, and do not include bonuses stipulated in Article 3, Paragraph 6 of the Health Insurance Law. In addition, sole proprietors and freelancers who are not salary earners are not eligible.

(Note) This is for those who have been infected with the new coronavirus infection or who have symptoms such as fever and are suspected of being infected and were unable to work due to medical treatment. If you do not perform labor, you will not be covered.

Number of days eligible for payment

The number of days during which you were scheduled to work during the period when you are unable to perform labor from the day on which three days have elapsed counting from the day on which you were unable to perform labor

(Caution) There are days when you cannot perform labor for 3 consecutive days and you cannot perform labor after the 4th day. Must be a member by March 31st.

Payment amount

(Total amount of salary income for the most recent three consecutive months ÷ number of working days) x 2/3 x number of days subject to payment

(caution)

• If your salary, etc. is partially reduced, or if you can receive compensation for absence from work, the amount of payment may be reduced or not paid.
• There is an upper limit on the amount of payment.

Applicable period

The period after January 1, 2020 when you cannot work due to medical treatment

(However, up to 1 year and 6 months if hospitalization continues)

Application method

Required Documents (For Injury and Sickness Allowance for Corona Infected Persons)

1. National Health Insurance Injury and Sickness Allowance Payment Application Form (for entry by householder) (Form No. 1)

National Health Insurance Injury and Sickness Allowance Payment Application Form (for entry by householder) (Form No. 1)

[Entry example] National Health Insurance Injury and Sickness Allowance Payment Application Form (for entry by householder) (Form No. 1)

2. National Health Insurance Injury and Sickness Allowance Payment Application Form (for insured persons) (Form No. 2)

National Health Insurance Injury and Sickness Allowance Payment Application Form (for insured persons) (Form No. 2)

[Entry example] National Health Insurance Injury and Sickness Allowance Payment Application Form (for insured persons) (Form 2)

3. National Health Insurance Injury and Sickness Allowance Payment Application Form (For Employer Entry) (Form No. 3)

National Health Insurance Injury and Sickness Allowance Payment Application Form (For Employer Entry) (Form No. 3)

[Entry example] National Health Insurance Injury and Sickness Allowance Payment Application Form (for business owners) (Form 3)

4. National Health Insurance Injury and Sickness Allowance Payment Application Form (for filling in at medical institutions) (Form 4)

National Health Insurance Injury and Sickness Allowance Payment Application Form (for filling in at medical institutions) (Form 4)

[Entry example] National Health Insurance Injury and Sickness Allowance Payment Application Form (for entry by medical institutions) (Form 4)

5. Written oath and written consent (No. 5 style)

Written oath and written consent (No. 5 style)

Power of attorney (No. 6 style)

Agent notification (Form No. 7)

(Note) If you did not see a medical institution, a certificate from your employer in the column for employer entry in “2. is required. In addition to these documents, we may ask you to submit additional documents for review.

Apply to

Apply by mail or at the counter (National Health Insurance and Pension Division counter only, Counter No. 26 on the 2nd floor of the 2nd Government Building)

(caution)

• From the perspective of preventing the spread of the new coronavirus infection, please apply by mail as much as possible.
• If a representative applies, please contact the National Health Insurance and Pension Division Insurance Benefit Section in advance.
• If you wish to submit the application documents by mail, please send them to the department in charge below.

〒154-8504 4-21-27 Setagaya, Setagaya-ku

Setagaya Ward Office, National Health Insurance and Pension Section Insurance Benefit Section

Amount equivalent to sickness allowance for same-sex partners of National Health Insurance insured persons

Some payment requirements and applications are the same as for Injury and Sickness Allowance. See here for details.

Please refer to the following for the details of procedures related to the amount equivalent to the injury and sickness allowance for other same-sex partners.

Guidelines for payment of an amount equivalent to the sickness and injury allowance to same-sex partners of persons insured by the Setagaya City National Health Insurance

Applicable same-sex partners

Those who meet both of the following conditions

1. A member of the National Health Insurance in Setagaya Ward who lives together and lives together dies of a new coronavirus infection, and some of the sickness and injury allowances for that person have not been paid at the time of death.
2. At the time of the death of a member of Setagaya City's National Health Insurance, a notarized document has been created for the deceased person and his/her same-sex partner, or Article 3, Paragraph 1 of the Setagaya City Guidelines for Handling Partnership Oaths for both parties Meet the requirements specified in each item.

(Supplement) A notarized deed is a notarized deed of a voluntary guardianship contract stipulated in Article 2, Item 1 of the Act on Voluntary Guardianship Contracts, and a sincere relationship based on affection and trust between a National Health Insurance subscriber and his/her same-sex partner. , a notarized deed of agreement stating that both parties will live together and each will be obligated to share the expenses necessary for their living.

(reference)

Each item of Article 3, Paragraph 1 of the Setagaya Ward Partnership Oath Handling Guideline

1. Both parties must have reached the age of majority.
2. Both have a residence in the ward, or one has an address in the ward and the other plans to move into the ward, or both plan to move into the ward. thing.
3. Neither party is legally married to another.
4. Neither party has taken an oath of partnership with another person.
5. If you have already taken an oath of partnership with another person, offer to revoke that oath.
6. The relationship, etc. between both parties is not between direct blood relatives or collateral blood relatives of the third degree.

Required documents (for same-sex partner injury and sickness allowance equivalent)

1. National Health Insurance Injury and Sickness Allowance Equivalent Payment Application Form (for applicants to fill out) (Form No. 1)
2. National Health Insurance Injury and Sickness Allowance Equivalent Payment Application Form (for applicants to fill out) (Form 2)
3. National Health Insurance Injury and Sickness Allowance Equivalent Payment Application Form (For Employer Entry) (Form No. 3)
4. National Health Insurance Injury and Sickness Allowance Equivalent Supply Application Form (for entry by medical institutions) (Form 4)
5. Written oath (No. 5 style)
6. Notarized deed
7. Applicant's family register certificate
8. Certificate of all registered matters or certificate of all registered matters of the deceased

(Note) If you do not see a medical institution, you do not need to submit “4.

(Note) If "6. Notarized deed" has not been created, "8. Certificate of all registered matters in the family register or certificate of all removed family registrations of the deceased" is stipulated in Article 10, Paragraph 1 of the Family Register Act. If it is deemed difficult to obtain the certificate due to reasons such as that the certificate does not exist, it is not necessary to submit it.