Road Accident Coverage In ESI Scheme - Employee Benefits - CiteHR
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if person met accident at outside while on duty, due to emergency he may admitted to private hospital, he can avail the benefits is possible ?
how much claim dependent got in accident under esi schme ,accident occured outside the company
how much claim dependent got in accident under esi schme, accident occured outside the company
Hi,
I am Amit, working in service company.
I have got road accident (bike sleeps due to puncher) on compan's bike on 26 November 2016, while returning to the company from client site.
I have taken treatment in private hospital as I have not aware of ESIC benifit.
By giving medical certificate i have taken leave from ESIC office.
Still on leave.
Our company has not reported accident yet.
How to register accident in ESIC?
If accident register aftet 2 months what befits I will get.
Can I claim the my medical expense to whom?
What is the procedure for that.

1. Sir, ESIC has its established procedure for submission of accident reports as well as payments of Temporary Disablement Benefits (TDB) to employees/insured persons who met with accidents during and in the course of employment. I think, you should have reported the matter to your employer about the accident occurred and entry should have been made in the Accident Register maintained, if any, by your employer.

2. The appropriate office for payment of TDB to you, if approved by said department is Branch Office of ESIC to which you are attached. Even if some permanent disability remains after your recovery, then if accident is not approved by ESIC, then you will not be entitled for Permanent Disablement Benefit (PDB) from said office. You can get the address of concerned office from the ESIC Identity Card.

3. When you have obtained medical treatment from private sources, I am not sure whether you can get the reimbursement of said expenses at this stage because ESIC has its own referral and medical reimbursement procedure. You can see the copies of such instructions from the website of ESIC.

4. I think, at this stage, you can complain in writing to the Branch Manager, ESIC Branch Office with copy to Sub-Regional Office, ESIC intimating that your employer had not submitted the accident report and further request them to ask the employer to submit accident report immediately and pay you benefits (TDB as well as PDB) as admissible to you. You can also submit copies of details of medical treatment, if any, obtained. With best wishes.

Dear Sir, One of our employee has met with a Road Accident recently while going for home . He is covered under ESI Scheme. Is it possible to claim the benefits in ESI? If 'yes' , please guide me. Rgds - harish
Dear Harish, without wasting time, File Online Accident Report & follow up with your ESI Local office
while going / returning from duty If one meet with an accident he will get accident benefit if reported so but within how many kilometres,
BKNayak

Dear All
Our employee met with an accident out of premises he was not on official duty.
he can got some esic benefits from ESIC hospital
Please explain
Thanks & Regards,
Rajesh


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