An Injury and Sickness Allowance will be paid if an insured person is unable to work and receives no salary due to treatment for a non-work-related illness or injury.
[When applying within two years after joining the Sony Health Insurance Society]
Submit a Previous Health Insurance Information Report together with the Application Form for Injury and Sickness Allowance / Injury and Sickness Allowance Additional Sum.
Former employees (continued benefits after leaving employment)
Injury and Sickness Allowance is intended mainly to allow the recipient to devote time to recuperation and to promote early recovery. For this reason, the benefit is paid only if the insurer recognizes based on a doctor’s opinion that the time off work is necessary for recovery.
Injury and Sickness Allowance may not be paid if the applicant visits a medical care institution but is not actually receiving treatment (e.g., preventive care or a normal pregnancy), does not follow the doctor’s instructions, or does not devote time to treatment (e.g., willfully discontinues treatment or fails to take the medications prescribed by a doctor).
You cannot claim this allowance for a future date (in advance). Submit the application form only after the period of taking time off.
If your period of recuperation is prolonged, submit the application form in intervals of about one month.
To the extent possible, try to match the period entered in “4. Period of time off work taken for recuperation” under “Claim details” of the application form to the payroll closing date. If the month is divided, the timing for the employer to fill out the certification field may be delayed, resulting in processing carried over to the following month.
Example: At a company whose payroll period closes at the end of the month → From the 1st through the last day of the month
If you are on long-term leave for recuperation without seeing a doctor, the benefit may not be paid as a result of the review.
The submitted documents are reviewed to decide on whether to pay the allowance. You will be issued a Notice of Payment Decision if the allowance is to be paid or a Notice of Non-Payment Decision if not to be paid.
