As the economy picked up, employment rates rose and along with them, the number of employees insured against accidents. At the same time, the number of accidents at work again began to rise. Between 1999 and 2008, statistics by FAII showed an increase of 20 per cent in occupational accidents.

Still, the changed economic structure, increasing digitalisation and information technology and globalisation had transformed Finnish working life: fewer and fewer people now earned a living from traditional industrial work or manual labour.

The structural changes posed new challenges for safety at work in areas such as workplace wellbeing, coping and the mental load of work. The proliferation of new, atypical forms of employment, such as temporary labour and subcontracting, also called for new practices and ways of thinking. The trend toward longer careers and aging employees was also visible in statistics, as the number of accidents involving employees over the age of 60 had doubled in a decade. Elsewhere, issues related moisture damage, problems with indoor air quality and diseases related to these were discussed increasingly often at workplaces.

The worst occupational accident in world history occurred at the very beginning of the new millennium. In 2001 in United States, nearly 3,000 people were killed in the September 11 terror attacks. The attacks caused total financial damages of about 230 to 330 billion Finnish markka. Of these, the share of accident insurance was approximately 30 billion markka. In addition to the victims of the attacks and rescue personnel and their family members, compensation was expected to be payable to Manhattan residents who inhaled asbestos released into the air when the World Trade Center towers collapsed.

The EU approved the changes made to Finnish legislation on accident insurance and ended the monitoring of the accident insurance system in 2002.

In 2005, statutory accident insurance adopted the full cost responsibility system to cover the costs of medical care. With the introduction of the full cost responsibility contribution, insurance companies began to pay the costs of treating occupational accidents and diseases in municipal health care directly to the relevant municipality or joint municipal authority. The new system meant that employees injured at work had faster and more flexible access to complicated surgeries.  

The number of accidents at work again fell after the financial crisis in 2008 and the euro crisis of the following year resulted in an economic recession. Before the crash, the number of accidents had grown every year for five years.

At the end of the decade, FAII received a new Managing Director as Jussi Kauma (2009-2017) was appointed to the position.