Page 72 - Handbook on Convergence of Service

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3.8 Employees’ State Insurance Corporation (ESIC)
The Employees’ State Insurance Corporation (ESIC) has been established
under the Employees’ State Insurance Act, 1948. The ESI Corporation provides
comprehensive social security benefits, as per provisions under the Employees’
State Insurance (ESI) Act, 1948, in the form of complete medical care and cash
benefits to the insured employees, including family members, of the factories/
establishments situated in its notified areas in the country as per eligibility.

The Act is applicable to the factories and establishments having ten or more
employees, drawing wages up to Rs. 21,000/- (Rs. 25,000/- for persons with
disabilities). The ESI scheme is extended in 611 districts. There are 161 ESI
hospitals and 1574 dispensaries across the country. Total number of Sanctioned
beds in ESIC/ ESIS hospitals 20231. The link for list of ESIC Hospital is www.esic.
gov.in/hospitals and for ESIC Dispensaries is www.esic.gov.in/dispensaries.
Brief description of Benefits, Contributory Conditions, Duration of Benefits and
the Scale of Benefits are as below:

Sl. Benefit Contributory Duration Rate
No Condition
SICKNESS BENEFIT
1. Sickness Benefit Payment of Up to 91 days in two 70% of the
contribution consecutive benefits average
for 78 days in periods. daily wages.
corresponding
contribution period.
2. Enhanced Same as Above 14 days for 100% of
Sickness Benefit Tubectomy and 7 the average
days for Vasectomy, wages.
extendable on
medical advice
3. Extended For 34 specified 124 days during a 80% of the
Sickness Benefit long-term diseases, period of two years. average
continuous insurable This may be extended daily wages.
employment for up to two years on
two years with medical advice.
the minimum 156
days’ contribution
in four consecutive
contribution periods.
DISABLEMENT BENEFIT
4. Temporary From day one of As long as temporary 90% of the
Disablement entering insurable disablement lasts. average
Benefit employment for daily wages
disablement due to approx.
employment injury.
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