공포번호 29950
공포일 2019-07-02
고용노동부
Ministry of Employment and Labor
전체선택
제1장 총칙
CHAPTER I GENERAL PROVISIONS
제1조(목적)
Article 1 (Purpose)
제2조(법의 적용 제외 사업)
Article 2 (Businesses Excluded from Application of the Act)
제2조의2(상시근로자 수의 산정 및 적용 시점)
Article 2-2 (Calculation of Number of Regular Workforce, and Time of Application Thereof)
제3조(산업재해보상보험및예방심의위원회의 기능)
Article 3 (Functions of Industrial Accident Compensation Insurance and Prevention Deliberation Committee)
제4조(위원회의 구성)
Article 4 (Constitution of Committee)
제5조(위원의 임기 등)
Article 5 (Term of Office of Members, etc.)
제6조(위원장과 부위원장)
Article 6 (Chairperson and Vice Chairperson)
제7조(위원회의 회의)
Article 7 (Meetings of Committee)
제8조(전문위원회)
Article 8 (Expert Committees)
제8조의2(조사·연구위원)
Article 8-2 (Survey and Research Commissioners)
제8조의3(관계 행정기관 등의 협조)
Article 8-3 (Request for Cooperation from Related Administrative Agencies, etc.)
제9조(위원회의 간사)
Article 9 (Executive Secretary of Committee)
제10조(위원의 수당)
Article 10 (Allowances for Members)
제11조(운영세칙)
Article 11 (Detailed Operating Rules)
제12조(조사·연구 사업의 대행)
Article 12 (Vicarious Execution of Survey and Research Projects)
제2장 근로복지공단
CHAPTER II KOREA WORKERS' COMPENSATION AND WELFARE SERVICE
제13조 삭제 <2010. 3. 26.>
Article 13 Deleted.
제14조(예산 및 사업운영계획의 승인)
Article 14 (Approval of Budgets and Operational Plans)
제15조(결산서의 제출)
Article 15 (Submission of (Balance Sheet of) Settlement of Accounts)
제16조(공단 규정의 승인)
Article 16 (Approval of Regulations of the Service)
제17조(자금 차입 등의 승인 신청)
Article 17 (Application for Approval on Borrowing of Funds, etc.)
제18조(공단 이사장의 대표 권한의 위임)
Article 18 (Delegation of Representative Authority of President of the Service)
제19조(업무의 위탁)
Article 19 (Entrustment of Business)
제20조(출자 등)
Article 20 (Investment, etc.)
제3장 보험급여
CHAPTER III INSURANCE BENEFITS
제1절 보험급여의 기준
SECTION 1 Standards for Insurance Benefits
제21조(보험급여의 청구, 결정 통지 등)
Article 21 (Requests for Insurance Benefits, Notification of Decision, etc.)
제22조(평균임금의 증감)
Article 22 (Increase or Decrease of Average Wage)
제23조(근로 형태가 특이한 근로자의 범위)
Article 23 (Scope of Employees in Unusual Type of Employment)
제24조(근로 형태가 특이한 근로자의 평균임금 산정 방법)
Article 24 (Method of Calculation of Average Wage for Employees in Unusual Type of Employment)
제25조(직업병에 걸린 사람에 대한 평균임금 산정 특례)
Article 25 (Special Cases on Calculating Average Wages for Persons with Occupational Diseases)
제26조(최고·최저 보상기준 금액의 산정방법)
Article 26 (Methods of Calculating Maximum and Minimum Standard Amounts of Compensation)
제2절 업무상의 재해의 인정 기준
SECTION 2 Standards for Recognition of Occupational Accidents
제27조(업무수행 중의 사고)
Article 27 (Accidents in the Course of Duty)
제28조(시설물 등의 결함 등에 따른 사고)
Article 28 (Accidents Due to Defects, etc. in Facilities, etc.)
제29조 삭제 <2017. 12. 26.>
Article 29 Deleted.
제30조(행사 중의 사고)
Article 30 (Accidents During Events)
제31조(특수한 장소에서의 사고)
Article 31 (Accidents in Particular Places)
제32조(요양 중의 사고)
Article 32 (Accidents During Medical Care)
제33조(제3자의 행위에 따른 사고)
Article 33 (Accidents Caused by Third Party's Acts)
제34조(업무상 질병의 인정기준)
Article 34 (Standards for Recognition of Occupational Diseases)
제35조(출퇴근 중의 사고)
Article 35 (Accidents During Commute to or from Work)
제35조의2(출퇴근 재해 적용 제외 직종 등)
Article 35-2 (Type of Work Excluded from Application of Accidents on Commuting)
제36조(자해행위에 따른 업무상의 재해의 인정 기준)
Article 36 (Standards for Recognition of Occupational Accidents Due to Self-Harm)
제37조(사망의 추정)
Article 37 (Presumption of Death)
제3절 요양급여 등
SECTION 3 Medical Care Benefits, etc.
제38조(요양비의 청구 등)
Article 38 (Claims, etc. for Medical Care Expenses)
제39조(과징금의 부과·납부 및 기준)
Article 39 (Imposition and Payment of Penalty Surcharges, and Criteria therefor)
제40조(진료계획의 제출)
Article 40 (Submission of Medical Treatment Plans)
제41조(진료계획의 심사 및 변경 조치)
Article 41 (Examination of Medical Treatment Plans and Measures to Change)
제42조(자문의사)
Article 42 (Advisory Doctors)
제43조(자문의사회의)
Article 43 (Panel of Advisory Doctors)
제44조(전원 요양)
Article 44 (Transfer to Another Medical Institution)
제45조(추가상병)
Article 45 (Additional Injury or Disease)
제46조(평가 대상 산재보험 의료기관)
Article 46 (Industrial Accident Insurance-Related Medical Institutions Subject to Evaluation)
제47조(산재보험 의료기관의 평가 방법 등)
Article 47 (Evaluation Methods, etc. for Industrial Accident Insurance-Related Medical Institutions)
제48조(재요양의 요건 및 절차)
Article 48 (Requirements and Procedures for Additional Medical Care)
제4절 휴업급여
SECTION 4 Temporary Disability Compensation Benefits
제49조(부분휴업급여의 지급 요건)
Article 49 (Requirements for Partially Temporary Disability Compensation Benefits)
제50조(부분휴업급여의 지급 절차)
Article 50 (Procedures for Partially Temporary Disability Compensation Benefits)
제51조(고령자 휴업급여의 감액지급 유예기간)
Article 51 (Grace Period on Payment of Reduced Amount of Temporary Disability Compensation Benefits for the Aged)
제52조(재요양에 따른 평균임금 산정사유 발생일)
Article 52 (Date of Occurrence of Causes for Calculating Average Wage Due to Additional Medical Care)
제5절 장해급여
SECTION 5 Disability Benefits
제53조(장해등급의 기준 등)
Article 53 (Standards, etc. for Disability Grades)
제54조(장해보상연금 선급금의 이자율)
Article 54 (Interest Rate for Disability Compensation Annuities Paid in Advance)
제55조(장해등급등의 재판정 대상자)
Article 55 (Persons Subject to Re-Determination of Disability Grades, etc.)
제56조(장해등급등의 재판정 시기 등)
Article 56 (Period, etc. for Re-determination of Disability Grades, etc.)
제57조(장해등급등의 재판정에 따른 장해급여 또는 진폐보상연금의 지급 방법)
Article 57 (Methods of Payment of Disability Benefits or Pneumoconiosis Compensation Annuities according to Re-Determination of Disability Grades, etc.)
제58조(재요양 후의 장해급여)
Article 58 (Disability Benefits after Additional Medical Care)
제6절 간병급여
SECTION 6 Nursing Benefits
제59조(간병급여의 지급 기준 및 방법)
Article 59 (Standards for and Method of Paying Nursing Benefits)
제7절 유족급여
SECTION 7 Survivors' Benefits
제60조(유족보상연금 청구에 관한 대표자 선임 등)
Article 60 (Appointment, etc. of Representative for Claiming Survivors' Compensation Annuities)
제61조(생계를 같이 하는 유족의 범위)
Article 61 (Scope of Survivors Who Had Shared Same Livelihood with Employee)
제62조(유족보상연금의 지급정지 등)
Article 62 (Suspension of Payment, etc. of Survivors' Compensation Annuities)
제63조(유족보상연금액의 조정)
Article 63 (Adjustment of Survivors' Compensation Annuities)
제8절 상병보상연금
SECTION 8 Injury-Disease Compensation Annuities
제64조(상병보상연금의 지급 등)
Article 64 (Payment, etc. of Injury-Disease Compensation Annuities)
제65조(중증요양상태등급 기준 등)
Article 65 (Standards, etc. for Invalidity Grades)
제9절 장의비
SECTION 9 Funeral Expenses
제66조(장의비 최고·최저금액의 산정)
Article 66 (Calculation of Maximum and Minimum Amounts of Funeral Expenses)
제10절 직업재활급여
SECTION 10 Vocational Rehabilitation Benefits
제67조(직업재활 지원)
Article 67 (Support for Vocational Rehabilitation)
제68조(직업재활급여 대상자)
Article 68 (Persons Eligible for Vocational Rehabilitation Benefits)
제69조(직업훈련비용의 지급 제한)
Article 69 (Restrictions on Payment of Vocational Training Costs)
제70조(직장복귀지원금 등의 지급 요건 등)
Article 70 (Requirements for Payment, etc. of Return-to-Work Subsidies, etc.)
제71조(직장복귀지원금 등의 지급 제한)
Article 71 (Restrictions on Payment of Return-to-Work Subsidies, etc.)
제11절 보험급여의 일시지급 등
SECTION 11 Lump-Sum Payment, etc. of Insurance Benefits
제72조(보험급여의 일시지급 기준)
Article 72 (Standards for Lump-Sum Payment of Insurance Benefits)
제72조의2(합병증 등 예방관리 조치대상 등)
Article 72-2 (Persons Subject to Measures for Prevention of Complications, etc.)
제73조(장해특별급여의 지급기준 등)
Article 73 (Standards, etc. for Payment of Special Disability Benefits)
제74조(유족특별급여의 지급기준 등)
Article 74 (Standards, etc. for Payment of Special Survivors' Benefits)
제75조(특별급여액의 징수)
Article 75 (Collection of Special Benefits)
제76조(다른 보상이나 배상과의 조정 기준)
Article 76 (Standards for Adjustment to other Compensation or Indemnity)
제77조(미지급 보험급여 수급권자의 결정 등)
Article 77 (Decision, etc. on Beneficiaries of Unpaid Insurance Benefits)
제77조의2(보험급여수급계좌)
Article 77-2 (Insurance Benefit Receipt Accounts)
제78조(보험급여 지급 제한의 범위 등)
Article 78 (Scope, etc. of Restrictions on Payment of Insurance Benefits)
제79조(부당이득의 징수)
Article 79 (Collection of Unjust Gains)
제79조의2(부정수급자 명단 공개 제외 사유)
Article 79-2 (Grounds for Exception to Disclosure of Lists of Unlawful Recipients)
제80조(보험급여 등의 충당 한도 및 절차)
Article 80 (Limit to and Procedure for Appropriation of Insurance Benefits, etc.)
제81조(제3자로부터 배상받은 사람에 대한 보험급여의 조정)
Article 81 (Adjustment of Insurance Benefits for Persons Paid Damages from Third Persons)
제81조의2(보험급여에 대한 압류 금지)
Article 81-2 (Prohibition of Seizure of Insurance Benefits)
제82조(수급권의 대위)
Article 82 (Subrogation of Right to Receive Insurance Benefits)
제83조(보험급여 원부의 작성)
Article 83 (Preparation of Insurance Benefit Ledger)
제3장의2 진폐에 따른 보험급여의 특례
CHAPTER III-2 SPECIAL CASES ON INSURANCE BENEFITS FOR PNEUMOCONIOSIS
제83조의2(진폐판정 및 보험급여 결정 기준)
Article 83-2 (Criteria for Determination of Pneumoconiosis and Decision to Pay Insurance Benefits)
제83조의3(진폐에 따른 사망 여부 판단 시 고려사항)
Article 83-3 (Considerations in Determining Death Caused by Pneumoconiosis)
제4장 근로복지 사업
CHAPTER IV LABOR WELFARE PROJECTS
제84조(국민건강보험 요양급여 비용의 본인 일부 부담금의 대부 대상)
Article 84 (Persons Eligible for Loans for Individual Co-Payment of Medical Care Benefit Costs under National Health Insurance)
제85조(대부금의 충당 한도 및 절차)
Article 85 (Maximum Limit to and Procedure for Appropriation for Loans)
제5장 산업재해보상보험및예방기금
CHAPTER V INDUSTRIAL ACCIDENT COMPENSATION INSURANCE AND PREVENTION FUND
제85조의2(출연금의 산정 기준 등)
Article 85-2 (Guidelines, etc. for Computation of Contributions)
제85조의3(출연금의 용도 등)
Article 85-3 (Purposes of Use of Contributions)
제85조의4(출연금의 추가 출연 및 반납)
Article 85-4 (Additional Contributions and Return of Contributions)
제86조(기금의 운용)
Article 86 (Operation of Fund)
제87조(기금계정의 설치)
Article 87 (Opening of Fund Accounts)
제88조(보험료 등의 기금 납입 등)
Article 88 (Payment, etc. of Premiums, etc. into Fund)
제89조(기금운용계획)
Article 89 (Fund Operational Plans)
제90조(책임준비금의 산정 기준 등)
Article 90 (Criteria for Calculating Liability Reserves)
제91조(기금의 회계기관 등)
Article 91 (Accounting Agency, etc. of Fund)
제92조(기금의 지출원인행위)
Article 92 (Fund Expenditure-Incurring Actions)
제93조(기금의 지출)
Article 93 (Disbursement of Fund)
제94조(현금 취급의 금지)
Article 94 (Prohibition of Cash Handling)
제95조(기금의 결산보고)
Article 95 (Statement of Fund Accounts)
제6장 심사 청구 및 재심사 청구
CHAPTER VI REQUESTS FOR EXAMINATION AND REEXAMINATION
제96조(심사 청구의 방식)
Article 96 (Methods of Requests for Examination)
제97조(보정 및 각하)
Article 97 (Corrections and Dismissals)
제98조(보험급여 결정등의 집행정지)
Article 98 (Suspension of Execution of Decision, etc. on Insurance Benefits)
제99조(산업재해보상보험심사위원회의 구성)
Article 99 (Organization of Industrial Accident Compensation Insurance Examination Committee)
제100조(심사위원회의 운영)
Article 100 (Operation of Examination Committee)
제101조(심사 청구에 대한 결정의 방법)
Article 101 (Methods of Rendering Decisions on Requests for Examination)
제102조(심사위원회의 심의 제외 대상)
Article 102 (Exclusion from Deliberation by Examination Committee)
제103조(심리를 위한 조사)
Article 103 (Investigation for Deliberation)
제104조(실비 지급)
Article 104 (Payment of Actual Expenses)
제105조(재심사 청구의 방식)
Article 105 (Methods of Filing Requests for Reexamination)
제106조(산업재해보상보험재심사위원회의 구성)
Article 106 (Constitution of Industrial Accident Compensation Insurance Reexamination Committee)
제107조(재심사위원회의 운영)
Article 107 (Operation of Reexamination Committee)
제108조(재심사 심리기일 및 장소의 통지 등)
Article 108 (Notification, etc. of Date and Place of Deliberation on Request for Reexamination)
제109조(심리의 공개)
Article 109 (Disclosure of Deliberation)
제110조(심리조서)
Article 110 (Deliberative Protocol)
제111조(소위원회의 구성·운영)
Article 111 (Organization and Operation of Subcommittees)
제112조(조사연구원의 배치)
Article 112 (Placement of Researchers)
제113조(준용규정)
Article 113 (Provisions Applicable Mutatis Mutandis)
제7장 보칙
CHAPTER VII SUPPLEMENTARY PROVISIONS
제114조(수급권의 변동 신고 등)
Article 114 (Reporting on Changes, etc. in Right to Receive Insurance Benefits)
제115조(외국거주자의 수급권 신고)
Article 115 (Reporting on Entitlement of Overseas Residents)
제116조(보고·제출요구)
Article 116 (Demands for Reporting and Submission)
제117조(진찰 요구 대상 등)
Article 117 (Objects, etc. of Demands for Medical Examination)
제118조(특진의료기관)
Article 118 (Medical Institutions for Special Examination)
제119조(보험급여의 일시 중지)
Article 119 (Temporary Suspension of Insurance Benefits)
제120조(금융기관의 지정)
Article 120 (Designation of Financial Institutions)
제121조(현장실습생에 대한 보험급여 지급 등)
Article 121 (Payment, etc. of Insurance Benefits for On-The-Job Trainees)
제122조(중·소기업 사업주의 범위)
Article 122 (Scope of Small and Medium Business Owners)
제123조(중·소기업 사업주의 업무상의 재해의 인정 기준)
Article 123 (Standards for Recognition of Occupational Accidents for Small and Medium Business Owner)
제124조(중·소기업 사업주에 대한 보험급여 지급의 제한)
Article 124 (Restrictions on Payment of Insurance Benefits to Small and Medium Business Owners)
제125조(특수형태근로종사자의 범위 등)
Article 125 (Scope, etc. of Persons in Special Types of Employment)
제126조(특수형태근로종사자의 노무 제공 신고 등)
Article 126 (Reporting, etc. on Provision of Labor Services by Persons in Special Types of Employment)
제127조(특수형태근로종사자에 대한 업무상의 재해의 인정 기준)
Article 127 (Standards for Recognition of Occupational Accidents for Persons in Special Types of Employment)
제127조의2(민감정보 및 고유식별정보의 처리)
Article 127-2 (Processing Sensitive Information and Personally Identifiable Information)
제127조의3(규제의 재검토)
Article 127-3 (Assessment of Regulation)
제8장 벌칙
CHAPTER VIII PENALTY PROVISIONS
제128조(과태료의 부과)
Article 128 (Imposition of Administrative Fines)
부칙 <제20875호, 2008. 6. 25.>
ADDENDA
부칙 <제20947호, 2008. 7. 29.>
ADDENDA <Presidential Decree No. 20947, Jul. 29, 2008>
부칙 <제20966호, 2008. 8. 7.>
ADDENDA <Presidential Decree No. 20966, Aug. 7, 2008>
부칙 <제21263호, 2009. 1. 14.>
ADDENDA <Presidential Decree No. 21263, Jan. 14, 2009>
부칙 <제21588호, 2009. 6. 30.>
ADDENDUM <Presidential Decree No. 21588, Jun. 30, 2009>
부칙 <제22060호, 2010. 2. 24.>
ADDENDA <Presidential Decree No. 22060, Feb. 24, 2010>
부칙 <제22101호, 2010. 3. 26.>
ADDENDA <Presidential Decree No. 22101, Mar. 26, 2010>
부칙 <제22269호, 2010. 7. 12.>
ADDENDA <Presidential Decree No. 22269, Jul. 12, 2010>
부칙 <제22356호, 2010. 8. 25.>
ADDENDA <Presidential Decree No. 22356, Aug. 25, 2010>
부칙 <제22410호, 2010. 9. 29.>
ADDENDUM <Presidential Decree No. 22410, Sep. 29, 2010>
부칙 <제22492호, 2010. 11. 15.>
ADDENDA <Presidential Decree No. 22492, Nov. 15, 2010>
부칙 <제22493호, 2010. 11. 15.>
ADDENDA <Presidential Decree No. 22493, Nov. 15, 2010>
부칙 <제22516호, 2010. 12. 7.>
ADDENDA <Presidential Decree No. 22516, Dec. 7, 2010>
부칙 <제22637호, 2011. 1. 24.>
ADDENDA <Presidential Decree No. 22637, Jan. 24, 2011>
부칙 <제23468호, 2011. 12. 30.>
ADDENDUM <Presidential Decree No. 23468, Dec. 30, 2011>
부칙 <제23728호, 2012. 4. 16.>
ADDENDA <Presidential Decree No. 23728, Apr. 16, 2012>
부칙 <제24077호, 2012. 8. 31.>
ADDENDA <Presidential Decree No. 24077, Aug. 31, 2012>
부칙 <제24177호, 2012. 11. 12.>
ADDENDA <Presidential Decree No. 24177, Nov. 12, 2012>
부칙 <제24651호, 2013. 6. 28.>
ADDENDA <Presidential Decree No. 24651, Jun. 28, 2013>
부칙 <제25050호, 2013. 12. 30.>
ADDENDUM <Presidential Decree No. 25050, Dec. 30, 2013>
부칙 <제25435호, 2014. 6. 30.>
ADDENDA <Presidential Decree No. 25435, Jun. 30, 2014>
부칙 <제25532호, 2014. 8. 6.>
ADDENDUM <Presidential Decree No. 25532, Aug. 6, 2014>
부칙 <제25840호, 2014. 12. 9.>
ADDENDA <Presidential Decree No. 25840, Dec. 9, 2014>
부칙 <제26094호, 2015. 2. 10.>
ADDENDUM <Presidential Decree No. 26094, Feb. 10, 2015>
부칙 <제26196호, 2015. 4. 14.>
ADDENDUM <Presidential Decree No. 26196, Apr. 14, 2015>
부칙 <제27050호, 2016. 3. 22.>
ADDENDA <Presidential Decree No. 27050, Mar. 22, 2016>
부칙 <제27751호, 2016. 12. 30.>
ADDENDA <Presidential Decree No. 27751, Dec. 30, 2016>
부칙 <제28506호, 2017. 12. 26.>
ADDENDA <Presidential Decree No. 28506, Dec. 26, 2017>
부칙 <제29180호, 2018. 9. 18.>
ADDENDA <Presidential Decree No. 29180, Sep. 18, 2018>
부칙 <제29354호, 2018. 12. 11.>
ADDENDA <Presidential Decree No. 29354, Dec. 11, 2018>
부칙 <제29450호, 2018. 12. 31.>
ADDENDA <Presidential Decree No. 29450, Dec. 31, 2018>
부칙 <제29950호, 2019. 7. 2.>
ADDENDUM <Presidential Decree No. 29950, Jul. 2, 2019>