转自：扬子晚报 无锡市政务服务人力资源和社会保障分中心（广瑞路2号市人力资源市场一楼大厅）工伤保险待遇支付 受理业务和无锡市社保中心服务大厅（广瑞路2号市人力资源市场三楼）工伤保险咨询业务由各办事处 承接。新就业形态人员职业伤害待遇申请仍按原渠道受理。广大市民有疑问可咨询电话81880505。 据悉，工伤保险待遇支付受理事项包括工伤医疗（康复、辅助器具配置）待遇、伤残待遇（一次性伤残 补助金、一次性医疗补助金、伤残津贴、生活护理费等）、先行支付相关待遇和工伤死亡待遇。 扬子晚报/紫牛新闻记者 张建波 校对 胡妍璐 记者从无锡市社会保险基金管理中心获悉，为进一步提高工伤保险业务经办服务整体效能，提升社保经 办"一站式"服务功能，自2026年1月12日起，无锡市区工伤保险待遇支付受理业务由无锡市社保中心驻 各区办事处按辖区经办（其中建筑工程项目按项目所在地，其他单位按照单位注册地）。 | 单位 | 地址 | | | --- | --- | --- | | 梁溪办事处 | 扬名街道清名路 380 号 | | | | (梁溪区政务服务中心) | | | 锡山办事处 | 东亭街道二泉中路 139 号 | | | | ( ...

欢迎扫描下方二维码关注： 职工发生工伤，经治疗伤情相对稳定后 存在残疾、影响劳动能力的 ， 或者停工留薪期满 （含劳动能力鉴定委员会确认的延长期限）， 工伤职 工或者其用人单位 应当及时向设区的市级劳动能力鉴定委员会提出劳动能力鉴定申请。 因 申请领取病残津贴 进行劳动能力鉴定的，因病或非因工致残人员或者其用人单位应当向待遇领取地或者最后参保地的设区的市级劳动能力鉴 定委员会提出劳动能力鉴定申请。 个人申请劳动能力鉴定 需要单位盖章吗？ Q 根据《工伤保险条例》和《劳动能力鉴定管理办法》规定，职工可以提出劳动能力鉴定申请，填写劳动能力鉴定申请表并提交有关资料。 个人提出申请的， 用人单位盖章不是必经程序 。 A 劳动能力鉴定申请后 多久可以进行鉴定？ 劳动能力鉴定委员会收到劳动能力鉴定申请后，应当及时对申请人提交的材料进行审核；材料不完整的，劳动能力鉴定委员会应当自收到鉴定申 请之日起 5个工作日 内以书面或者电子形式一次性告知申请人需要补正的全部材料和合理期限。申请人无正当理由逾期未补正的，视为放弃当次 劳动能力鉴定申请。 注意哦！工伤职工、 因病或非因工致残人员 因身体等原因 无法提出劳动能力鉴定申请的 ...

工伤认定 本报讯 为进一步扩大工伤保险覆盖范围，省人社厅等四部门近日联合印发《实习生、见习人员、超龄 从业人员参加工伤保险办法》（以下简称《办法》），该办法2026年1月1日起正式施行。 在工伤认定方面，参加工伤保险的这三类人员因工作遭受事故伤害或患职业病，其工伤认定、劳动能力 鉴定将按照《工伤保险条例》《海南省劳动能力鉴定管理办法（修订）》等国家和我省有关规定执行。 社会保险行政部门在认定工伤时，可参考工伤保险缴费记录及三方协议等开展工作，无需提供劳动关系 证明材料。 《办法》明确规定，在我省参加工伤保险的用人单位，可自愿为本单位实习生、见习人员、超龄从业人 员单险种参加工伤保险并缴纳费用。其中，实习生指年满16周岁，由实施全日制学历教育的中职学校 （含技工院校）、高职专科学校、高职本科学校按专业培养目标要求及人才培养方案安排，或经职业学 校批准自行到企（事）业等单位进行6至12个月岗位实习的学生；见习人员为按照《海南省就业见习管 理办法》到见习单位参加就业见习的人员；超龄从业人员则是用人单位招用的达到法定退休年龄但不超 过65周岁的从业人员。 待遇支付上，被认定为工伤的，按照《工伤保险条例》《海南经济特区 ...

Core Viewpoint - The Ministry of Human Resources and Social Security has issued "Opinions (III)" to clarify the recognition of work-related injuries during commuting and remote work, enhancing the understanding and application of the Work Injury Insurance Regulations [1][2]. Group 1: Clarification of Work Injury Recognition - The document specifies the three essential elements for recognizing work injuries: working time, working location, and working cause, providing detailed scenarios for each to protect employee rights [2]. - It outlines specific circumstances for commuting injuries, defining reasonable time and routes for employees traveling between their workplace and residence [2]. - It clarifies that medical malpractice during treatment does not affect the original recognition of work-related injuries, although compensation for malpractice is not covered by work injury insurance [2][3]. Group 2: Remote Work and Injury Recognition - The document states that injuries sustained while working from home, under employer direction, can be recognized as work-related if sufficient evidence is provided, but casual communication does not qualify [3]. - It specifies that if an employee falls ill at home while working, it can be considered work time if it aligns with the employer's requirements and significantly encroaches on rest time [3]. Group 3: Exclusions and Responsibilities - Injuries resulting from the employee's intentional misconduct, intoxication, or self-harm are explicitly excluded from work injury recognition [3]. - The document establishes that non-primary responsibility for traffic accidents must be validated by legal documents from relevant authorities for recognition as work-related injuries [4]. Group 4: Death and Labor Relationship Confirmation - It clarifies that the time of death for work-related injuries is determined by medical or legal documentation, with provisions for other evidence to be considered [5]. - The document mandates that social insurance authorities confirm the labor relationship when processing work injury claims, and disputes should be resolved through arbitration or litigation [6]. Group 5: Treatment Policy Adjustments - It specifies that changes in disability assessment levels will lead to adjustments in benefits, effective from the month following the final assessment [6]. - The document also clarifies that employers who fail to register or pay for work injury insurance are still responsible for related costs [6].

Core Viewpoint - The Ministry of Human Resources and Social Security has issued "Opinions (III)" to clarify and specify the recognition of work-related injuries, particularly concerning commuting and remote work situations, enhancing the understanding and application of the Work Injury Insurance Regulations [1][2]. Group 1: Background and Significance - Work injury insurance is a social insurance system that protects employees' rights, promotes injury prevention, and mitigates employers' risks. Since the implementation of the Work Injury Insurance Regulations, over 2 million employees have received work injury protection annually [2]. - The issuance of "Opinions (III)" aims to further clarify the understanding and application of the regulations, improve administrative law enforcement, and protect the legitimate rights of employees and employers [2]. Group 2: Specific Clarifications on Work Injury Recognition - The opinions detail the elements required for work injury recognition, including "working time, working place, and working cause," providing specific scenarios to aid in understanding and application [2][3]. - It specifies that commuting injuries are recognized if employees travel between their workplace and residence within a reasonable time and route, detailing four specific scenarios to balance the rights of employees and employers [3]. Group 3: Medical and Remote Work Provisions - The opinions clarify that medical malpractice during treatment does not affect the recognition of the original work injury, but compensation for malpractice is not covered by the work injury insurance fund [4]. - For remote work, injuries sustained during work-related tasks at home are recognized if there is sufficient evidence proving the injury occurred due to work, while casual communications via modern technology are not considered work-related [4]. Group 4: Exclusions and Traffic Accident Recognition - Injuries resulting from the employee's intentional criminal acts, intoxication, drug use, self-harm, or suicide are not recognized as work injuries [5]. - For traffic accidents where the employee is not primarily at fault, recognition requires legal documentation from traffic management or court rulings, and unproven accidents will not be recognized [5]. Group 5: Labor Relationship Confirmation and Treatment Policies - The opinions state that social insurance administrative departments must confirm the labor relationship when processing work injury recognition applications, and disputes should be resolved through arbitration or litigation [6]. - Adjustments to benefits are mandated when there are changes in the labor capacity assessment, with specific provisions for new expenses related to employers' insurance obligations [7].

Core Viewpoint - The Ministry of Human Resources and Social Security has issued "Opinions (III)" to clarify and specify the recognition of work-related injuries, particularly concerning commuting and remote work situations, enhancing the understanding and application of the Work Injury Insurance Regulations [1][2]. Group 1: Background and Significance - Work injury insurance is a social insurance system that protects employees' rights, promotes injury prevention, and mitigates employers' risks. Since the implementation of the Work Injury Insurance Regulations, over 2 million employees have received work injury protection annually [2]. - The issuance of "Opinions (III)" aims to further clarify the understanding and application of the regulations, improving administrative efficiency and safeguarding the rights of both employees and employers [2]. Group 2: Specific Clarifications on Work Injury Recognition - The opinions detail the elements required for work injury recognition, including "work time, work location, and work cause," providing clearer definitions to protect employee rights [2][3]. - It specifies that commuting injuries are recognized if employees travel between their workplace and residence within a reasonable time and route, detailing four specific scenarios to ensure fair treatment of both employees and employers [3]. Group 3: Medical and Remote Work Injury Recognition - The opinions clarify that medical malpractice during treatment does not affect the original work injury recognition, ensuring that employees' rights are upheld even in cases of medical negligence [4]. - For remote work, injuries sustained while working from home, as long as they are work-related and supported by sufficient evidence, will be recognized as work injuries. However, casual communications through modern means are not considered work-related [4]. Group 4: Exclusions and Traffic Accident Recognition - Injuries resulting from an employee's intentional criminal acts, intoxication, drug use, self-harm, or suicide are explicitly excluded from work injury recognition [5]. - The criteria for recognizing work injuries from traffic accidents are clarified, requiring legal documentation from relevant authorities to substantiate claims [5]. Group 5: Labor Relationship Confirmation and Treatment Policies - The opinions mandate that social insurance administrative departments confirm labor relationships when processing work injury claims, providing guidance for cases with disputes [6]. - Adjustments to benefits are specified when there are changes in the assessment of an employee's work capacity, ensuring that compensation aligns with the latest evaluations [7].

Core Viewpoint - The Ministry of Human Resources and Social Security has released opinions to clarify the application of the Work Injury Insurance Regulations, enhancing the understanding of work injury recognition and protecting the rights of employees and employers [1][2]. Group 1: Work Injury Recognition - The opinions specify that commuting to and from work is considered work-related if it follows a reasonable route and timeframe, and if the employee is not primarily responsible for a traffic accident [1]. - For injuries sustained during home office work, if there is sufficient evidence that the injury occurred due to work-related reasons, it should be recognized as a work injury, despite being at home [2]. - Simple communication through messaging or calls does not qualify as work-related injuries [2]. Group 2: Medical Treatment and Liability - Medical malpractice during the treatment of a work-related injury does not affect the original recognition of the work injury, but compensation for malpractice is not covered by the work injury insurance fund [1]. - The opinions clarify that in cases of illegal subcontracting or personal affiliations, the rights of workers regarding work injuries will be better protected, with the responsible parties held accountable for work injury insurance [2]. Group 3: Adjustment of Benefits - Adjustments to benefits for injured workers will occur based on changes in disability assessment results, with allowances and care fees adjusted from the month following the final assessment, while one-time disability compensation remains unchanged [3].

Core Viewpoint - The new regulations released by the Ministry of Human Resources and Social Security on November 20 aim to clarify the recognition of work-related injuries, particularly in scenarios such as commuting and remote work, thereby protecting the legal rights of employees and employers [1][2][3]. Group 1: Work Injury Recognition - The new guidelines specify that injuries occurring during commuting, under reasonable circumstances and routes, can be recognized as work-related injuries, especially in cases of non-major responsibility in traffic accidents [1]. - For remote work, injuries sustained during work hours, as mandated by the employer, can be recognized as work-related if there is sufficient evidence proving the work-related nature of the injury [3]. - The guidelines also address the issue of medical malpractice during treatment for work-related injuries, clarifying that such malpractice does not affect the original recognition of the work injury, but related medical costs due to malpractice are not covered by the work injury insurance fund [2]. Group 2: Responsibilities and Adjustments - The new regulations clarify that in cases of illegal subcontracting or personal affiliations, the responsible parties must bear the work injury insurance liability, and applications for work injury recognition in such cases will be accepted by social insurance administrative departments [3]. - Adjustments to benefits for injured workers will be made based on changes in disability assessment results, with allowances and care fees adjusted from the month following the final assessment, while one-time disability compensation remains unchanged [4].

Core Points - The new regulations released by the Ministry of Human Resources and Social Security aim to clarify the application of the Work Injury Insurance Regulations, enhancing the protection of both employees and employers' legal rights [1] - The guidelines address various scenarios for recognizing work-related injuries, including commuting, remote work, and medical malpractice during treatment [1][4] Group 1: Commuting and Work Injury Recognition - The new guidelines specify that injuries occurring during commuting, when the employee is traveling between their residence and workplace on a reasonable route, can be recognized as work-related injuries, provided the employee is not primarily responsible for the accident [2] - Recognition of work-related injuries during commuting will rely on legal documents issued by traffic management authorities or effective court rulings [2] Group 2: Remote Work and Work Injury Recognition - The guidelines clarify that injuries sustained while working from home, if proven to be work-related and arranged by the employer, should be recognized as work-related injuries [4] - Simple communication through messaging or emails does not qualify as work-related activities for injury recognition [4] - If an employee falls ill at home while fulfilling work requirements, it may be considered as being within "working time and working position" if sufficient evidence is provided [4] Group 3: Medical Malpractice and Work Injury - The guidelines state that medical malpractice during treatment does not affect the recognition of the original work-related injury or occupational disease [3] - However, any damages resulting from medical malpractice that are not caused by the work-related injury or disease will not be covered by the work injury insurance fund [3] Group 4: Adjustments in Benefits - The guidelines specify that if a work injury employee requests a reassessment of their labor capacity and the conclusion changes, their disability allowance and living care fees will be adjusted from the month following the new conclusion, while the one-time disability compensation will not be adjusted [5]

Core Viewpoint - Work-related medical expenses cannot be reimbursed through medical insurance and must go through the work injury insurance channel, as clearly stipulated by law. Misusing medical insurance not only results in invalid reimbursement but may also lead to fund recovery and fines, necessitating a strict distinction between the two保障体系 [1] Group 1: Legal Framework - The Social Insurance Law explicitly states that medical expenses that should be paid from the work injury insurance fund are not included in the medical insurance reimbursement scope [1] - For example, if a construction worker suffers a fall and is recognized as having a work injury, all related medical costs must be covered by the work injury insurance fund, and using medical insurance for these expenses could lead to recovery actions by the medical insurance department [1] Group 2: Work Injury Insurance Reimbursement - Reimbursement covers treatment costs that align with the work injury insurance directory, including surgical fees, medication costs, and examination fees [4] - Rehabilitation costs during the work injury recovery period, such as physical therapy and assistive device expenses, are also included [4] - Daily hospitalization allowances and travel expenses for medical treatment away from home are reimbursable, provided proper documentation is submitted [4] Group 3: Administrative Penalties and Employer Responsibilities - According to the Medical Insurance Fund Usage Regulations, those who commit fraud may face a suspension of medical insurance reimbursement for 3 to 12 months and fines ranging from 2 to 5 times the amount fraudulently obtained [5] - Employers who fail to pay for work injury insurance are responsible for covering all work injury costs and cannot offset these costs with commercial accident insurance [5] Group 4: Practical Recommendations - Timely recognition of work injuries is crucial; applications must be submitted within one year, including necessary documentation [6] - Maintaining complete records, such as work injury recognition documents and medical invoices, is essential for reimbursement claims [6] - Monitoring employer compliance with work injury insurance payments is important; employees can seek arbitration or complaints if the employer has not paid [6]