The Employees’ State Insurance Scheme is an integrated measure of Social Insurance embodied in the Employees’ State Insurance Act. It aims to protect employees, as defined in the Employees’ State Insurance Act, 1948, against the impact of incidences of sickness, maternity, disablement, and death due to employment injury and to provide medical care to the insured persons and their families.
All States in India except for Nagaland, Manipur, Sikkim, Arunachal Pradesh, and Mizoram.
Applicable to Delhi, Chandigarh, and Puducherry.
Applicable to non-seasonal factories employing 10 or more persons.
The scheme has been extended to shops, hotels, restaurants, cinemas (including preview theatres), road-motor transport undertakings, and newspaper establishments employing 20* or more persons.
The scheme has been extended to private medical and educational institutions employing 20* or more persons in certain States/UTs.
The existing wage limit for coverage under the Act is Rs. 21,000/- per month ( w.e.f. 01.01.2017).
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.
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.
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 reaches out to its beneficiaries to provide medical care and relief during COVID 19 pandemic
29 Apr, 2021
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.
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.