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MY WIFE IS WORKING AS AN ACCOUNTANT FOR PAST ONE YEAR, NOW SHE IS PREGNANT, SHE IS TAKING TREATMENT IN ESI, SHE GOT THAT ESI CARD, MY PROBLEM IS AFTER DELIVERY WHERE CAN WE CLAIM. WHETHER ESI OR COMPANY
Dear Mr. K_Venkee

Maternity Benefit is cash payable to an insured woman for the specified period of abstention from work for confinement.



According to ESIC Act 1948,Sec 46 of Act, Citizens Charter under Social Security Benefits of Sec 7 sub. part III Maternity Benefit cash Claim :

Maternity Benefit is payable to insured women in case of confinement or miscarriage or sickness related thereto.

• For claiming the benefit an insured woman should have paid contribution for at least 70 days in two consecutive

contribution periods i.e. one year.

• The benefit is normally payable for 12 weeks which can be further extended upto 16 weeks on medical grounds.

• The rate of payment of the benefit is equal to full wages or double the Standard Sickness Benefit rate.

• The benefit is payable within 14 days of submission of duly authenticated the claim papers.

**Claim Form 22

The Identity Card serves as a means of identification and has to be produced at the time of claiming medical care at the dispensary/clinic and cash benefit at the Local Office of the Corporation. A net-work of Local Offices has been established by the Corporation in all implemented areas to disburse all claims for sickness, maternity, disablement and dependents benefit. The Local Office also answers all doubts and enquiries and assists otherwise in filling in claim forms and completing other action necessary in connection with the settlement of claims. These offices also interact with the employers of the area. The Local Offices are managed by a Manager and work under the direction and control of the Regional Offices.

If Benefit is desired before confinement, a Notice and Certificate of Pregnancy and a Certificate of Expected Confinement obtained from the Insurance medical Officer/Insurance Medical Practitioner are also required to be submitted.

Where a claim to Maternity Benefit is not submitted along with prescribed certificates referred to above, the Corporation has the discretion to accept other evidence in lieu thereof.

Insured person in case she does not avail medical facility from an ESI hospital at the time of delivery of a child. This bonus of Rs. 250/- has been increased to Rs. 1000/- from 1st April 2003

Regards

Kalyan

MBA,(MBL)

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