Regulations of the Examination of Occupational Injuries and Diseases of the Labor Occupational Accident Insurance Article 22

The insured person, beneficiary, person who pays funeral expenses, or insurance applicant shall state any opinions or provide any evidence, concerning the circumstances referred to in the preceding article, when claiming insurance benefits.Where said person or unit fails to state opinions or provide evidence referred to in the preceding paragraph, the insurer may notify the person or unit to supplement the opinion or evidence within a specific time limit. Where the person or unit fails to do so within the specified time limit and it is impossible to identify the occupational injuries and disease simply based on the related facts and evidence, the insurer will pay no insurance benefits.Where the opinion or evidence stated or provided by the insured person, beneficiary, or person who pays the funeral expenses is inconsistent with that stated or provided by the insurance applicant, the insurer shall ask the insurance applicant to present counter-proof. Where the insurance applicant fails to do so, the insurer shall conduct the review simply based on the insured person’s opinion or evidence and other related evidence.
中文原文 勞工保險被保險人因執行職務而致傷病審查準則第22條
被保險人、受益人、支出殯葬費之人或投保單位,應於申請保險給付時,就前條各款事項,陳述意見或提供證據。
未依前項規定陳述意見或提供證據者,保險人得通知限期補正;屆期不補正,且就相關事實及證據無法認定為職業傷病者,保險人不發給保險給付。
被保險人、受益人、支出殯葬費之人就第一項,所陳述之意見或提供之證據與投保單位不一致時,保險人應請投保單位提出反證;投保單位未提出反證者,保險人應以被保險人之意見或證據,綜合其他相關事實及證據審查。

English translation for reference only; the Chinese text prevails. Not legal advice.