This scheme was created with the objective to provide protection against sickness, disablement, maternity, etc. to employees of the organised sector. This social security scheme provides complete medical care to all employees who are registered under the Employees’ State Insurance Act, 1948. It is a multi-dimensional scheme that provides financial assistance to the members of the employee’s family in case of his/her death or a certain predetermined benefit if he/she is absent from work due to sickness or disablement.
The scheme is applicable to factories and other establishments where the following conditions are met:
This scheme was introduced for socio-economic welfare of the employees and hence is designed in a way that the employees can reap maximum benefits.
The Employees’ State Insurance Corporation provides an array of benefits as mentioned below:
|Medical Benefit||Complete medical care is provided to the insured individual as well as his/her family members. No limits are specified for such medical expenses.|
|Sickness Benefit||A cash compensation at the rate of 70% of the wages payable is paid for certified sicknesses.|
|Disablement Benefit||A benefit equal to 90% of the wages payable is paid on a monthly basis. In case of temporary disablement, the benefit is paid only as long as the person is disabled.|
|Maternity Benefit||Maternity benefit is payable for a period of 3 months and may be extended by an extra month.|
|Dependent Benefit||If an insured individual passes away due to occupational hazards or employment injury, the family members will receive monthly instalments equal to 90% of the wages payable.|
|Funeral expenses||An amount equal to Rs.10,000 is payable to the dependents to perform final rites of the deceased individual.|
|Confinement expenses||In case an individual is confined in a place where ESIC facilities cannot be availed, an amount equal to Rs.5,000 is provided. This benefit is payable for a maximum 2 times.|
The Employee State Insurance Corporation provides a card to each of the members enrolled under the ESIC scheme. When an insured person wishes to avail medical benefits offered under the scheme, he/she has to produce the ESI card to the hospital. The ESI or Pehchan card helps identify the insured individual. The employer or the insured person as well as his/her nominee, both, are given a Pehchan card each. In case the member passes away, the nominee will have to produce the ESI card while making a claim for the death benefit.
All about the ESI card:
The details regarding the insured person printed on an ESI card are:
The card also has a micro line, magnetic stripe, statutory instructions, UV text, micro text, and hologram.
The Employee State Insurance Corporation has been a lifeline for millions of Indian employees who are part of the workforce that drives the country’s economy. This scheme was designed keeping in mind the impoverished sections of the society who can’t afford to buy even the most basic health insurance policies. With plans such as this, the ESI Corporation aims to provide much needed support to many such families.
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