Quick Answer: Who Is Covered Under ESIC?

Is esic mandatory for employees?

ESI contribution is mandatory for employees earning Rs 21,000 or less monthly.

Prior to December 2016, the wage limit was Rs 15,000 or less..

Can I withdraw my ESI money?

ESIC is an insurance for people below certain income level. It helps you to get excellent medical care for your family free of cost. ESI deduction is premium, you cannot withdraw from it.

Are parents covered under ESIC?

The scheme provides medical care to the employee family members also. Earlier in February 2019, the income limit for availing the medical benefit for the dependent parents of an Insured Person covered under ESI Scheme has been enhanced from the existing Rs. 5000 per month from all sources to Rs. 9000 per month.

Can I claim ESI in private hospital?

As mandated by the ESI Act, treatment has to be taken only from the ESIC hospitals or dispensaries. However, in case of emergency, if the treatment is taken from a private hospital, you can raise a claim with the ESIC subject to ESIC approval.

Who are eligible for ESIC?

Applicability of the ESI scheme The ESI scheme is applicable to all factories and other establishments as defined in the Act with 10 or more persons employed in such establishment and the beneficiaries’ monthly wage does not exceed Rs 21,000 are covered under the scheme.

Which family members are covered under ESIC?

BENEFIT TO FAMILY (iv) In case of the death of the insured employee due to employment injury, the widow, widowed mother and children are entitled to Dependants’ benefit.

What are the benefits under ESIC?

Unemployment Allowance equal to 50% of wage for a maximum period of upto Two Years.Medical care for self and family from ESI Hospitals/Dispensaries during the period IP receives unemployment allowance.Vocational Training provided for upgrading skills – Expenditure on fee/travelling allowance borne by ESIC.

Who is not eligible for ESIC?

All employees of a covered unit, whose monthly incomes (excluding overtime, bonus, leave encashment) does not exceed Rs. 21,000 per month, are eligible to avail benefits under the Scheme. Employees earning daily average wage up to Rs. 176 are exempted from ESIC contribution.

How do I claim ESI leave?

ESIC Form-9 to Claim for Sickness/Temporary Disablement/Maternity Benefit. You can get the ESIC Form-9 to make a Claim in case of Sickness/Temporary Disablement/Maternity Benefit as provided by the Employees’ State Insurance Corporation, Ministry of Labour and Employment, Government of India.

What is the difference between ESI and ESIC?

ESI is a self-financing social security and health insurance scheme for Indian workers managed by ESIC under the ESI Act 1948. … However, ESIC extends coverage to firms with 10 or more employees while EPFO covers firms with 20 or more employees. The government sees two benefits of the scheme.

What is the salary limit for ESIC 2019?

The ESI Act 1948 under the labour ministry covers employees with salary up to Rs 21,000. Aiming to increase the country’s formal workforce, the government had raised the wage ceiling in December 2016 to Rs 21,000 from Rs 15,000.

How can I claim medical expenses in ESIC?

To submit a re-imbursement claim bill/bills an IP has to write an application to the Administrative Medical Officer, ESI Scheme, Assam through the concerned Insurance Medical Officer i/c, ESI Scheme Dispensary along with the claim bill format which is available at Dispensary. They have to mention the cause of diseases.

What is the age limit for ESIC coverage?

The age limit is between 18 years to 30 years. But there is relaxation for the upper age limit. Around 10 more employees in a unit are given PF allowance. “From a business perspective, the contribution towards insurance and provident fund comes as a cost burden to companies.

Is ESI calculated on basic salary?

Employees’ State Insurance Scheme will be calculated on the gross salary (Basic and LOP dependent allowances) upto ₹21,000 . If Gross is above ₹21,000 ESI will be constant.

In which states ESIC is not applicable?

The existing wage-limit for coverage under the Act, is Rs. 21,000/- per month (with effect from 1.01. 2017). All the States except Nagaland, Manipur, Tripura, Sikkim, Arunachal Pradesh and Mizoram.

How can I take ESI?

The ESI filings can be done, once you receive the 17-digit number. The employees, who are registered under the scheme, get an ESI card, after submitting a form, with their family photograph and details of the family members to the employer, who then submits the same to the ESIC, for registration.

Who can go to ESI hospital?

At present, ESI scheme is applicable only to workers in organized sector earning upto Rs. 10,000/- per month and the benefits thereof are only provided to workers covered under the Scheme.

Which diseases are covered under ESIC?

I Infectious DiseasesTuberculosis.Leprosy.Chronic Empyema.AIDS.II Neoplasms.Malignant Diseases.III Endocrine, Nutritional and Metabolic Disorders.Diabetes Mellitus-with proliferative retinopathy/diabetic foot/nephropathy.More items…

Can I continue ESI after leaving job?

Workers will be able to draw 47 per cent of their total contributions towards ESIC after remaining unemployed for at least three months from the date of leaving their previous jobs, according to the draft scheme. “The person can choose to receive the cash at one go or in instalments,” the official quoted above said.

Is esic mandatory for employees above 21 000?

No. Employees drawing pay of Rs. 21000 or Above are exempted from ESIC deduction, similarly they do not get any kind of medical facility too. No, its applicable for employee whose gross wages is upto 21k per month.

How can I get super Speciality treatment in ESIC?

The members of the family of the Insured Person be allowed super specialty treatment if the Insured Person has contributed 156 days (78 days in each contribution period) and have completed minimum one year of insurable employment from the date of registration.