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What is Employee State Insurance Corporation

Employee State Insurance Corporation or ESIC is a self-financing social security and health insurance scheme which provides medical benefit, sickness benefit, maternity benefit, disablement benefit and various other benefits such as funeral expenses, free supply of physical aids etc. to the employees and their family.

Units or Establishments that have 10 or more employees, drawing the wages of up to Rs.15,000 a month are required to be registered for ESIC under the ESI Act 1948. The benefits provided by the scheme are funded from the contributions raised from covered employees and their employers at the fixed percentage of wages. At present, covered employees contribute 1.75% of the wages to the ESIC and covered employers contribute 4.75% of the wages, payable to their employees. The state government also contribute 1/8th share cost of medical benefit. ESI Registration is done through LegalStartup.

Benefits of ESI Registration

ESI Registration ensures that employees enjoy the following advantages under the Employees’ State

Medical aid

From the very first day of employment, registered ESI members and their families are entitled to enjoy the benefits of complete medical care and insurance.

Maternity aid

Pregnant women are entitled to maternity benefits that are payable upto twenty six weeks. This period can be extended by 30 days on medical advice. To qualify for maternity benefits, employers are required to contribute their wages for 70 days in the preceding two contributions periods.

Disablement benefits

Disabled employees can get 90% of their monthly salaries as disablement benefits.

Sickness benefits

Absence from work during illness can be taken for a maximum of 91 days per year along with 70% of the monthly wages.

Dependent benefits

In the unfortunate event of the demise of an employee during the employment, the dependents of the deceased will receive 90% of his/her monthly salary.

Funeral expenses

The family of the deceased employee is entitled to an additional amount of Rs.10,000 towards funeral expenses.

Confinement expenses

In the case of confinement of an insured woman or wife of an employee occurring in a place with no medical facilities under the ESI scheme, confinement expenses can be availed.

In addition, some of the need-based benefits:

Vocational rehabilitation

Permanently physically challenged, insured employees are entitled to undergo vocational rehabilitation training at VRS.

Physical rehabilitation

Available to employees in the case of physical disablement due to an employment injury or occupational hazards.

Old age medical care

An annual payment of Rs.120 ensures medical care benefits for retiring ESI employees or for those who are opting for VRS/ERS. Insured ESI members retiring on account of permanent disabilities are also entitled to the same benefits.

Extended sickness benefits

ESI members suffering from chronic diseases can avail the extended sickness benefit for upto 2 years, provided the sick leave of 91 days are expired. Among other conditions, the criteria for eligibility for this benefit include that the concerned ESI member should have been working for at least 2 years at the onset of the sickness and its subsequent diagnosis.

Enhanced sickness benefit

This benefit was introduced in 1976 as a measure to encourage ESI employees to undergo vasectomy or tubectomy for family welfare. Registered ESI members willing to undergo the sterilisation procedures are eligible for enhanced sickness benefit of 100% of their daily average wages. This benefit also allows a recuperating period of 7 days for vasectomy and 14 days for tubectomy from the date of surgery or admission in the hospital. Extension of this benefit can also be availed in case of post-operative complications

Eligibility/entities covered under ESIC Registration in India

As per the ESI Act of 1948, all establishments are eligible for ESI registration provided they fulfill the criteria of having the required number of employees in that state. The entities covered are:

Under the Employees’ State Insurance Act of 1948, many establishments are eligible for registration as long as they have the required number of employees in that state. The entities covered are:

  • Shops
  • Cinemas
  • Movie theatres
  • Medical institutions
  • Hotels or restaurants
  • Newspaper establishments
  • Private Educational institutions
  • Roadside motor transport establishments

Eligibility for ESI Registration in India

The general rule to be eligible for ESI (Employees’ State Insurance) registration is to have 10 or more workers. But in some regions, ESI is applicable only if there are more than 20 employees.

Other eligibility criteria that need to be fulfilled are:

  • Any employee whose gross salary is up to Rs. 21,000 per month can avail this with the help of the employer.
  • Establishment Registered with EPFO.
  • The contribution to ESI is 6.5% of the gross salary. It is divided as:
    • 4.75% by the employer
    • 1.75% by the employee

For industrial units, where there are chances of occurrence of injury or health issues at the business premise, all employees with salary less than Rs.21,000 compulsorily need to have ESI

What are the documents required for ESIC Registration

The documents required for the registration are –

1. A registration certificate obtained either under the:

a. Factories Act

b. Shops and Establishment Act

2. Certificate of Registration in case of Company, and Partnership deed in case of a Partnership

3. Memorandum of Association and Articles of Association of the Company

4. A list of all the employees working in the Establishment

5. PAN Card of the Business Entity as well as all the Employees working under the entity

6. The compensation details of all the employees

7. A cancelled cheque of the Bank Account of the Company

8. List of Directors of the Company

9. List of the Shareholders of the Company

10. Register containing the attendance of the employees

After collecting all the above-mentioned documents the following procedure is to be followed for the registration of the ESI:

a. Form No – 1 (Employers Registration Form) is to be downloaded and filled.

b. After downloading the PDF version of the form and filling it, it has to be submitted on the website itself along with the above-mentioned documents.

FAQ

To recognize each employee, the ESI scheme allots a unique identification number to every worker. This number is called the insurance number and is used for all operational purposes.

Every shop, establishment, and factory having 10 or more employees requires to get register under Employees’ State Insurance.
The employees covered under the ESI scheme are entitled to a family pension.
The ESI members are entitled to unemployment cash benefit, maternity benefit and allowance in case of female employees.   Besides, there is a disablement benefit also. 

ESI confers on the employees a wide range of benefits such as medical benefits, disability benefits, death benefits, injury benefits, and maternity benefits.

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