ESIC reaches out to its beneficiaries to provide medical care and relief during COVID 19 pandemic
The Insured Persons (IP), under the ESI Act can seek free medical care in its COVID 19 dedicated hospitals, reimbursement of expenditure for treatment taken in any private institution, sickness benefit for the period of abstention from work at 70% of average daily wages for 91 days, remedial reliefs if they become unemployed in this pandemic and cash relief in the event of unfortunate demise.
The extract of the benefits:
The Insured Person and/or his family members in case of being infected with COVID 19 can avail free of cost medical care in any of the ESIC/ESIS Hospital which has been declared as COVID 19 dedicated hospital. Presently 21 ESIC hospitals run directly by ESIC with 3676 COVID isolation beds, 229 ICU beds and 163 ventilator beds and 26 ESI Scheme Hospitals run by State Govts. Having 2023 beds are functioning as COVID 19 dedicated hospitals.
In addition to above, instructions have been issued to each of the ESIC hospital to function with a minimum of 20% of its bed capacity as dedicated Covid beds for ESI IPs, beneficiaries, staff and pensioners.
Plasma therapy which has shown promising results to save the lives of serious COVID 19 patients, is also available in ESIC Medical College & Hospital, Faridabad (Haryana) and ESIC Medical College & Hospital, Sanath Nagar (Telangana).
ESI Beneficiaries may also seek Emergency/non-Emergency medical treatment from tie-up hospital directly without referral letter, in accordance with his/her entitlement.
In case the IP or family member being infected with COVID 19 takes treatment in any private institution, the reimbursement of expenditure may be claimed.
In case the Insured Person abstains from his work being infected with COVID 19, he can claim Sickness benefit for his period of abstention as per his entitlement. Sickness benefit is paid @ 70% of average daily wages for 91 days.
In case any Insured Person becomes unemployed, he may avail relief under Atal Beemit Vyakti Kalyan Yojana (ABVKY) @ 50% of average pay day earning for a maximum of 90 days. For availing this relief, the IP can submit his claim online at ESIC portal.
In case any Insured Person becomes unemployed due to retrenchment or closure of factory/establishment as per the Industrial Disputes Act, 1947, he may claim unemployment allowance for a period of 02 years subject to qualifying conditions under Rajiv Gandhi Shramik Kalyan Yojana (RGSKY).
In the event of unfortunate demise of any Insured Person, funeral expenses of Rs.15,000/- are paid to the eldest surviving member of his family.
ESIC Provisions comes to effect In Mayiladuthurai, Vellore, Ariyalur Districts Of Tamil Nadu
31 Aug, 2021
ESIC has implemented the provisions towards Chapter IV (Contribution), Chapter V (Benefits), Chapter VI (Adjudication Of Disputes and Claims) effective from 1st day of September, 2021 in all the areas of Mayiladuthurai, Vellore and Ariyalur in the State of Tamil Nadu.
Conveyance allowance not a part of wages to compute ESI contribution
23 Aug, 2021
The Hon’ble Supreme Court has passed an Order recently (ESIC v/s Texmo Industries (Madras) dated 08 March 2021) stating that conveyance allowance or traveling allowance does not fall under the definition of ESI wages.
This has been affirmed as a reported judgment by the Apex Court.
ESI will pay the periodic payments to the eligible dependant family members if the Insured Person’s death is due to COVID 19. This scheme is effective from 24 March 2020 for a period of 2 years.
The draft notification for the ESIC COVID-19 Relief Scheme was published in the Gazette on 18th June 2021 and suggestion received were considered. Accordingly, the ESIC notified the Scheme now.
ESI benefits to casual, contractual employees of Municipal Corporations, Councils at NCT Delhi
28 Jul, 2021
The Ministry of Labour and Employment extends the ESI applicability to all the casual and contractual employees of the Municipal Corporations, Councils of NCT Delhi where the ESI provisions has been already brought into force.
ESI announces the coverage for casual and contractual employees of municipal bodies
10 Jun, 2021
The Ministry of Labour and Employment has announced the decision to extend ESI coverage to all casual and contractual workers working the municipal bodies. The coverage shall be extended to those casual and contractual employees, agencies, establishments which are within the implemented areas already notified under the ESI Act.
Additional benefits under ESI and EPF EDLI schemes for workers’ family dependants
30 May, 2021
The family dependants of Insured Persons (IP) under the ESI scheme, who have been registered in the online portal of the ESIC prior to their diagnosis of COVID disease and subsequent death due to the disease, will be entitled to receive the same benefits and in the same scale as received by the dependents of insured persons who die as a result of employment injury, subject to certain conditions.
Under the EPFO’s Employees’ Deposit Linked Insurance (EDLI) Scheme all surviving dependent family members of the members of this scheme are eligible to avail benefits of EDLI in case of death in harness of the member.
ESI provisions partially come into force in Erode District, Tamil Nadu from 01 June 2021
28 May, 2021
TWith effect from 01 June 2021, the provisions of Contributions, Benefits, and Adjudication of Dispute and Claims under chapter IV, V, and VI of the ESI Act, respectively are enforced by the Central Government in Erode District of Tamil Nadu to extend the benefits in this COVID 19 pandemic to face the requirements.
ESIC Pensioners Medical Scheme - Revised Guidelines
25 May, 2021
ESIC has published revised guidelines for entry to the ESIC's Pension Medical Scheme (PMS), regulation of Fixed Medical Allowance payment, eligibility of Super Speciality Medical Treatment, modalities for providing medical treatment to the beneficiaries, provision of tie-up arrangement with private hospitals, etc.
ESI provisions partially come into force in West Bengal
21 May, 2021
With effect from 01 June 2021, the provisions of Contributions, Benefits, and Adjudication of Dispute and Claims under chapter IV, V, and VI of the ESI Act, respectively are enforced by the Central Government in Alipurduar, Cooch Behar, Kalimpong, Purulia, North & South Dinajpur Districts of West Bengal to extend the benefits in this COVID 19 pandemic to face the requirements.
The enabled provisions of ESI Act are:
Chapter IV - provisions of Contributions except sections 44, 45
Chapter V - provisions of Benefits
Chapter VI - provisions of Adjudications of Dispute and Claims except sections 76(1), 77,78,79 and 81.
The medical benefits (as laid down in Regulation 95-A of the Employees’ State Insurance (General) Regulations and the West Bengal Employees' State Insurance (Medical Benefit) Rules, 1955)shall be extended to the families of insured persons in the entire area of Alipurduar, Cooch Behar, Kalimpong, Purulia, North & South Dinajpur Districts of West Bengal.
ESIC extends relaxations in eligibility conditions in Atal Beemit Vyakti Kalyan Yojana for 6 months
06 Apr, 2021
The eligibility conditions for the Atal Beemit Vyakti Kalyan Yojana (ABVKY) Scheme are further extended for a period of 6 months from 01 January 2021 to 30 June 2021 with same terms and conditions as notified earlier.
ESIC publishes list of the fully notified, partially notified, and non-notified areas
01 Apr, 2021
ESI Corporation, in continuation to its previous circular of November 2020, notified the updated list of the fully notified, partially notified, and non-notified areas in the states and union territories.