Has the National Insurance Institute refused to recognize your work accident? This happens frequently, especially in “commuting” accidents, cardiac and brain events, and injuries that develop gradually. Rejection is not the end of the road. You can appeal before the appeals committee and to the labor court, and professional representation significantly improves the chances of success.
Why Does the National Insurance Institute Refuse to Recognize Work Accidents?
Common Causes for Non-Recognition
The National Insurance Institute may refuse to recognize an accident if: the event was not reported immediately, if the injured person did not seek prompt medical treatment, if the employer denies the accident occurred at work, if it involves a “commuting” accident that does not meet the definition, or if it involves a cardiac or brain event whose connection to work has not been proven.
Cardiac and Brain Events
A cardiac or brain event that occurred at work is recognized as a work accident only if a direct link to work stress or severe psychological distress is proven. Proving the causal link requires professional representation.
Commuting Accidents
The court has set a broad definition for “commuting to work” accidents, but the National Insurance Institute often interprets it narrowly. Brief authorized stops, minor detours, and non-direct routes do not necessarily preclude recognition.
Damages and Compensation
- Accident recognition and payment of injury benefits
- Disability pension after recovery
- Retroactive payment if recognition was delayed
- Interest on late payments
How We Work
- Submit a recognition request within 12 months of the injury
- Appeal a rejection within 12 months of receiving the decision
- Collect witness statements from those who saw the event
- Contact an attorney experienced in National Insurance
For a free initial consultation: Contact us or 072-2428822.
Frequently Asked Questions
The employer denies the accident occurred at work. What do we do?
The injury can be proven through co-worker testimonies, medical documentation close to the event, and internal workplace documents. Professional representation helps collect and present the evidence.
I was injured a year ago. Can I still appeal?
It depends on when the decision was issued. You must check the date of the decision and the submission deadline.
Can we also sue the employer in addition to the National Insurance?
Yes, if the injury was caused by employer negligence, you can sue them directly in addition to the National Insurance claim.
