Employee State Insurance Corporation (ESIC)

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Administrative & Operational Benefits of ESIC Act – Employers and Employees, Retired and Disabled Persons

Role of ESIC in Delivery of Benefits for Employees/Workers

The ESIC is instrumental in delivery of benefits for wage-earners/employees of factories and commercial organizations across India by ensuring that:-

The quality and quantity of benefits is based on the norms and standards as laid down by the ESI Corporation for the purpose.

The benefits are made readily available within the given time frame to insured persons and beneficiaries under this scheme.

No harassment is caused to the beneficiaries of this scheme across the counter at the grass root level by way of word or deed.

All requisite information, procedural norms and guidance etc. are made available to the beneficiaries for availing benefits.

All types of forms etc. are made available to the beneficiaries of ESIC scheme which is free of cost as such forms may be required by such individuals for filing their medical claims

No beneficiary is exploited at any level in the process of delivery of benefits.

As notified for ESIC/ESIS establishments, office hours are strictly adhered to by the staff. This is indeed essential in order to avoid any inconvenience being caused to the beneficiaries of ESIC scheme for the purpose of smooth flow of benefit process.

Drugs, injections, dressings, etc. as prescribed by the authorised doctors are made available in a timely manner.

Role of ESIC in Servicing Employers

ESIC plays an important role in servicing the employers of factories, commercial establishments, shops etc. This is done with a view to reduce the employer’s responsibility pertaining to the healthcare issues concerning their organizational employees and in turn the issues regarding employees’ welfare is assumed by ESIC.

To develop a purposive, responsive and productive relationship with the employers.

Seek their active involvement in the improvement of the scheme as a confidence building measure.

Provide the employers necessary guidance in fulfilling their lawful obligations under the ESIC Act.

Make available to them all the requisite Forms and proformae free from all hassles as may be required by them from time to time.

To ensure that any lax medical certification on part of ESIC does not bring down the productivity of a factory or commercial establishment.

To ensure that in case of any doubt, difficulty or misunderstanding the employer is given an opportunity to be heard at an appropriate level.

To ensure that all the correspondences emanating from the employer is responded to in a timely manner and objectively.

To ensure that an employer is not being unnecessarily harassed by any official of the ESIC who have been authorized to inspect the commercial premises or the records.

To ensure that any grievances received from employers are looked into promptly and pointedly for speedy disposal of cases.

Medical Benefits – For Retired & Disabled Persons (Rules 60 & 61 of ESI Central Rules, 1950)

Insured Persons who cease to be in insurable employment on account of permanent physical disablement due to employment injury or those who leave the insurable employment on attaining the age of superannuation are eligible to receive medical benefits for themselves and their spouses (or dependants). The benefit is provided on payment of contribution in lump sum for one year at the rate of Rs. 10/- monthly in advance.

Scale of Medical Benefits

Superannuated or disabled insured workers are entitled to the same scale of Medical Benefits and to the same package of medical/healthcare facilities that are admissible to an insured person and spouse.

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Dear Sir, I joined ESI scheme on 1st Aug'14, I have paid one month contribution only. Now my father needs to undergo eye surgery. Is it possible to have such facility from ESI scheme. Please give me details in this regard.
aprchristumas Thursday, August 14, 2014
Hi, I joined company on 2nd May 2014, Please can you advise when can i and dependent can get full medical treatment or reimbursement from ESIC.
reachankitbansal Tuesday, July 01, 2014
sir i joined a company 3_3-2014`n fill esi form when i got alll the esi facility??????
pankaj1239 Saturday, April 05, 2014
Dear sir Please guide me how to avail the facilty.This is anusuya from bangalore. Thanks and Regards Anusuya ESI Insurance No - 534269872 pls conform me. my esi num its working r not.......regards

anusuya Tuesday, March 04, 2014
Dear Sir I want to take esi facility but there is no idea of the procedure. Last day I went to renuka orthopaedic hospital in patna, doctor checked and demaded for the fee. But as I know in esi there is nothing to pay from pocket. Please guide me how to avail the facilty Thanks and Regards Manish Kumar ESI Insurance No - 4215223985 Mob- 7781007602
Manish4215223985 Tuesday, January 14, 2014
sir i am naveen kumar ,i go esi hospital for my wife's treatment of eyes, but doctor speak ruffly and said here is no treatment in hospital, we said then reffer any hospital but he said we can not reffer, then i go to another hospital , iwant to treatment another hospital how can i collect my bills to esi
naveensood Friday, November 22, 2013
one of fr she worked with me.nw she relived from our company.her father was in critical stage,whether she can apply for esi with her no.Kindly reply as soon as possible
aparna30 Wednesday, November 13, 2013
Hi, I worked with an organization when I registered for ESIC . Now I moved to another company and its been 2years now. I want to contribute towards my ESIC IP NO. Please let me know how can I initiate contributing towards ESIC with my new company with the changed address. Thanks in Advance, Anil V.
Anee Tuesday, November 12, 2013
I have been working in an organization for the last one year, and astonishingly i found that this company employing around 200 employees is still not registered with ESIC and none of the employees are covered under ESI or even PF. I am wondering as to how a organization can survive like this cheating the employees and minting money like this. Could someone tell me as to how these people can be straightened out using the law.
goodsamaritan Thursday, November 07, 2013
hi my name is raghu my brother worked for 6 years in one organization, 6 months back he resigned due to close of that organization. will he get any benefits of medical and any pay from esi, if so how to get benefits. because he is still searching for job from 6 months. please give some advice
Raghu.M Thursday, November 07, 2013
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