Hi,
We have identified recently that one of our employee is getting ESI benefits for her spouse too. This is okay as family is covered. The question is, this employee is getting ESI benefit whereas her husband
1. is not dependent on her
2. is earning Rs. 700,000 per year (works in a telecom Company)
I could not find any reference which restricts such benefit. Can you please shed some light on it...
regards,
Amit Sharma
HR Manager
Pioneer Health
From India, Sonipat
We have identified recently that one of our employee is getting ESI benefits for her spouse too. This is okay as family is covered. The question is, this employee is getting ESI benefit whereas her husband
1. is not dependent on her
2. is earning Rs. 700,000 per year (works in a telecom Company)
I could not find any reference which restricts such benefit. Can you please shed some light on it...
regards,
Amit Sharma
HR Manager
Pioneer Health
From India, Sonipat
PROFESSIONALS AND BUSINESSES PARTICIPATING IN DISCUSSION


Hi Amit,
I agree with Madhu here, as I have also not heard of any provision restricting spouse benefits for ESI on the basis of income.
I also don't think this creates any increase in the employer or employee contribution. So it is not clear on what is the reason to check on provisions for any such restriction.
Sometimes it happens that when a parallel private insurance coverage is introduced for employees, a number of them refuse the coverage citing that they are already covered under ESI. This puts the employer at a disadvantage to bring down the premium costs for the group insurance coverage, because the assured business of the majority of employees cannot be committed to the health insurance service provider.
By any chance is this such a situation?
From India, Bengaluru
I agree with Madhu here, as I have also not heard of any provision restricting spouse benefits for ESI on the basis of income.
I also don't think this creates any increase in the employer or employee contribution. So it is not clear on what is the reason to check on provisions for any such restriction.
Sometimes it happens that when a parallel private insurance coverage is introduced for employees, a number of them refuse the coverage citing that they are already covered under ESI. This puts the employer at a disadvantage to bring down the premium costs for the group insurance coverage, because the assured business of the majority of employees cannot be committed to the health insurance service provider.
By any chance is this such a situation?
From India, Bengaluru