ESI Deductions & Time Gap For Making Use Of ESI Services

rvaraprasad
Hi,
I am associated with a financial services company as Sr. HR, we have very recently started providing ESI fecility to the team members, in line to this last month we have collected all the documents pertaining to ESI enrolment due to some gaps we could not able to issue the ESI cards.
One of our employee is suffering with apendix and wants to undergo a surgery and has asked to help him in this process...
The question is how much time it will take to proceed with all the formalities of ESI for an employee and with in how many days an employee can make use of the ESI hospital...
Please help me with your valuable information.
ThankQ,
Vara
kvrm2002
Hi!

An employee is entitled to Medical Benefit from the very first day of his joining

in insurable employment i.e. from the date of joining in an establishment to which the ESI is applicable. His entitlement to Medical Benefit along with his family members is as follows.

1. From the date of Joining: for a period of 3 months

2. Continues for 3 months or more in employment: Till the beginning of the

corresponding contribution period.

3. Contributions paid for not less than 78 days in a contribution period: Till the end of the corresponding benefit period

Contribution periods Corresponding Benefit periods

1st April to 30 th September 1st Jan. to 30 th June

1st October to 31st March 1st July to 31st Dec.

If an employee requires medical treatment before he is registered and received his identity card, the employer can provide him with a certificate of employment in a standard form ESIC-86 (available free of cost from ESI Branch Office). By producing this form in the ESI Dispensary, the employee can avail the medical benefit for himself or for any of his family members till he gets his identity card.

It is mandatory for the employer to obtain and submit the declaration form for an employee to the concerned branch office within 10 days from the date of his appointment. (Regulation 14 of ESI (General) Regulations, 1950) .

Now ESI is introducing submission of Delcaration forms and payment of contributions on line. Photo Pachan (identity cards) cards are issued to self and family under bio-matrix system , which can be utilised in any ESI Hospital/dispensary across the country. To know more about the Pachhan cards, please log on ESIC - Headquarters' Office

Ramana Murty
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