If you take time off from work due to sickness

If an insured person is unable to work to undergo treatment for a nonoccupational sickness or injury and is unable to earn salary or other income during this time, he or she will be paid “Injury and Sickness Allowance”.

If you take time off from work due to sickness

Applies to:	Insured persons taking time off from work due to sickness (those satisfying all four conditions below)
How to apply	If you take time off from work or take an absence from work due to sickness, MSDKK or MSDGK employee: you will receive a set of papers from Payroll Inc. MSD AH KK employee: contact to TG Japan Inc. in charge of AH and request the “Application Forms”. You will receive a set of papers. ORGANON KK employee: contact to i6 Consulting Sharoshi Hojin in charge of ORGANON and request the “Application Forms”. You will receive a set of papers. Please fill in those papers and send them back to the designated recipient in the enclosed return envelope.
Required documents:	Please ask for “Claim for Injury and Sickness Allowance/Additional Sum”to the address inquiries below. Example of completed form
Deadline:	As soon as possible
Address inquiries to:	MSDKK and MSDGK Employee　：Payroll Inc MSD AH KK　：TG Japan Inc. in charge of AH ORGANON KK　：i6 Consulting Sharoshi Hojin in charge of ORGANON A voluntarily and continuously insured person： Value HR, Health Insurance BPO Center, in charge of MSD
Notes:	You must satisfy all four of the following conditions to receive this allowance: You must be undergoing treatment for the sickness or injury You must be unable to work due to the treatment You must have missed work for at least three consecutive days You must be unable to earn your salary or other income

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