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STATE
INSURANCE
CORPORATION
[under Employees' State Insurance Act, 1948(ESI Act)]
INTRODUCTION:
If 20 or more employees are working in an establishment,
ESIC will cover that establishment
Salary/ Wage is within Rs. 15000/- per month.
Employees contribute @ 1.75% of wages & Employers
contribute @ 4.75% of wages in a month
Major legislation on Social Security
for workers.
1. Medical Benefit
2. Sickness Benefit
3. Maternity Benefit
4. Disablement Benefit
5. Dependants' Benefit
6. Other Benefits
6 MAJOR BENEFITS of ESIC:
1. Medical Benefit :
a. Full medical care to an Insured person and his
family members from day 1.
b. No ceiling on expenditure of the treatment .
c. Retired and Permanently Disabled insured persons
and their spouses on payment of a annual premium
of Rs.120/- .
2. Sickness Benefit:
a. Sickness Benefit in the form of cash
compensation .
b. Rate @ 70 % of wages.
c. For certified sickness only, for a maximum of 91
days in a year.
d. Eligibility- Min. 78 days of work in a contribution
period of 6 months (Apr-Sept & Oct-Mar).
e. Extended Sickness Benefit & Enhanced Sickness
Benefit
3. Maternity Benefit:
a. For confinement/ pregnancy.
b. Payable for 3 months, which is extendable by further 1
month on medical advice.
c. Rate @ 100% of wages.
d. Eligibility- contribution for 70 days of work in the
preceding year.
4. Disablement Benefit:
a. Temporary disablement benefit- Rate @ 90% of
wage is payable so long as disability continues.
b. Permanent disablement benefit- Rate @ 90% of
wage in the form of monthly payment.
Depending upon the extent of loss of earning
capacity as certified by a Medical Board
5. Dependants' Benefit:
a. In cases death occurs due to employment injury.
b. Rate @ 90% of wage in the form of monthly payment.
c. Paid to the dependants of a deceased Insured person
6. Other Benefits:
a. Funeral Expenses- Upto Rs.10,000/- is payable to the
dependents to performs last rites.
b. Vocational Rehabilitation & Physical Rehabilitation.
c. Rajiv Gandhi Shramik Kalyan Yojana:
IP must be insured for three or more years
Unemployment Allowance equal to 50% of wage for a maximum
period of upto one year.
Medical care for self and family from ESI Hospitals/Dispensaries
Vocational Training provided for upgrading skills
CONTRIBUTION:
EMPLOYER EMPLOYEE
4.75 % OF THE EMPLOYEES
FIXED SALARY
1.75 % OF THE EMPLOYEES
FIXED SALARY
TOTAL CONTRIBUTION= (4.75 + 1.75)% = 6.50%
ANY
QUERIES?????
THANK YOU
For further queries contact-
Raktim Kakati- 9854332803