Things to Know About Employees’ State Insurance Act 1948 (ESIC)
Employees’ State Insurance Scheme is a multidimensional social security system designed to provide socio-economic security to the workers and their dependents covered under the scheme. Apart from complete medical care for self and dependents, which is admissible from the first day of insurable employment, the insured person is also entitled to a variety of cash benefits in times of physical distress due to illness, temporary or permanent disability, etc. If insured persons die in industrial accidents or due to injuries sustained while at work or due to occupational hazards, they are entitled to a monthly pension called dependent benefit.
Eligibility:- Team Members whose total gross income is Rs 21,000 per month or less are eligible for this scheme. In this, the Team members’s contribution is 0.75%, and the employment provider’s contribution is 3.25%.
Its medical benefits are as follows:-
- Medical benefits – Under this, free medical treatment and medicines for colds, coughs, fever, weakness, etc. are available. There is a provision of a maximum of 91 days leave as well as 70% daily salary payable on the consultation of doctors.
- Illness Benefit- Under this, free treatment and medicines for diseases like surgery, fracture kidney transplant, etc., as well as pathology facilities are available free of cost. There is a provision of 70% daily wages along with 124 to 309 days leave as per the consultation of doctors as per requirement. For which the insured person must deposit contributions for 2 years.
- Maternity Benefit- Under this, free treatment and medicines for female delivery, as well as pathology facilities are available free of cost. There is a provision of 100% daily wages with a maximum leave of 26 weeks for the care of a newborn child. In case of loss of pregnancy, there is a provision of 100% daily salary with a maximum leave of 6 weeks. For which the insured person must deposit 70 days’ contribution.
- Disability Benefit – There is a provision of 70% of daily payable during the temporary or permanent disability of the insured person.
- Dependent’s Benefit – For the dependent’s benefit, it is mandatory to deposit 78 days’ contribution in both half years.
- Funeral expenses – If the insured person dies in industrial accidents or due to injury during work or occupational hazard, then there is a provision of Rs 15,000 for his funeral. There is a provision of pension for their dependents and children get pension till they attain the age of 18 years.