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女子受工伤被要求用别人名字住院 公司涉嫌骗保

2015-12-03 09:26:19   中国新闻网

这位负责人表示,走新农合肯定不能报工伤,要先预付款去治疗的就要转到别的医院去,有专业对口的医院去帮她治疗,如果她要是不转就直接治好了,该怎么陪一分不少的陪给他。

25号,记者继续了解到,公司提供的两种方案都不承认她妻子是工伤事故。第一种方案不仅仅不会垫付费用,对于治疗费用还要凭借发票酌情报销,第二种方案更是需要以胡女士自己的身份通过新型农村合作医疗进行报销,并且拒不承认是工伤事故。胡先生称,私底下发短信的时候是承认工伤的,后来当着大家面他也不承认了,说是不走工伤,要为公司省钱,要体谅,必须认定自己摔伤的来治疗。

而新农合的报销范围内明确提出:存在第三方责任的情况下,发生人身伤害产生的医药费依法由第三责任方承担,如交通事故、医疗事故、工伤等。武汉恒典律师事务所律师陈亮告诉记者,如果受害人在知情的情况下,使用新农合的方式获取治疗费用,是明显违规违法的。陈亮表示,这种骗保行为如果得到了受害人本人的配合,他们就是相当于共同骗保。

胡先生告诉记者,据他所知,目前公司200多人员工,绝大多是都跟他和他妻子一样没有购买任何的相关保险。陈律师也告诉记者,这样的用工形式是人口流动较大的餐饮企业潜规则。公司的这样行为,是规避了一些成本和风险,但从法律的性质上来说,它的确有骗保之嫌,劳动监察和社保局就是处理这些的部分,如果你不跟我签合同,不跟我买社保,本身就应该向劳动监管和社保部门进行投诉,那么它就会对它进行行政处罚,另外它的骗保行为,社保局方面肯定有相关的部门进行监管。

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