Instituto Mexicano del Seguro Social (IMSS)

The Instituto Mexicano del Seguro Social (IMSS) is a Mexican public institution administering several social security branches, including occupational risk insurance. For people protected under this branch, it administers care and benefits following occupational accidents and diseases. Its role forms part of public social security rather than a commercial ARL arrangement.

At a glance

Classification of occupational origin is central to IMSS procedures. ST-7 and ST-9 forms document separate accident and disease processes. Benefits depend on the recognised event, its consequences and the requirements of the applicable scheme.

Contents
  1. One branch within a broader institution
  2. Classifying accidents and diseases
  3. Documents and employer involvement
  4. Benefits and the consequences of an event
  5. Prevention and international comparisons
  6. Frequently asked questions
  7. Related concepts
  8. In the blog
  9. References

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One branch within a broader institution

IMSS also administers sickness and maternity, disability and life insurance and other branches, each with its own rules. Occupational risk insurance concerns accidents and diseases connected with employment. It would therefore be inaccurate to describe every IMSS service or benefit as occupational injury protection.

Classifying accidents and diseases

The institutional assessment procedure uses ST-7 for a suspected occupational accident and ST-9 for a suspected occupational disease. Suspected status distinguishes initial care from the determination of occupational origin. Worker information, clinical records and employment details inform the assessment; a diagnosis alone does not settle every aspect of classification.

Documents and employer involvement

The published procedure includes information to be completed by the employer. It also states that, if the employer refuses to sign the reverse of the form, the person may take it to the relevant Occupational Health service. This distinguishes the employer’s administrative cooperation from the institution’s authority to assess occupational risk.

Benefits and the consequences of an event

Protection includes medical care and cash benefits according to recognised consequences. Temporary incapacity, lasting impairment and death do not result in the same benefit. IMSS emphasises completing classification when impairments remain because this may be necessary to assess entitlement to occupational risk compensation or a pension.

Prevention and international comparisons

The Social Security Law gives IMSS investigative and preventive cooperation functions. These do not remove employers’ duties concerning safety, registration and affiliation. Commuting events are considered under the Mexican framework and should not be assumed to follow the same rules as insurance in another country. Nor should every person employed in Mexico be assumed to belong to IMSS.

Frequently asked questions

Are ST-7 and ST-9 interchangeable?

No. ST-7 concerns a suspected occupational accident and ST-9 a suspected occupational disease. They belong to distinct classification procedures.

Does an employer’s refusal to sign prevent submission?

IMSS guidance states that the person may approach the Occupational Health service with the form even if the employer refuses to sign its reverse.

Editorial information

Published and updated: 10 October 2026.

Editorial responsibility: Sabentis editorial team.

Author: Pablo RodríguezLinkedIn

Executive Vice President of Fundación Internacional ORP and Chief Financial Officer of Sabentis.

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