Understanding ESIC Benefits: Who Qualifies as an Eligible Family Member?

Dear All,

I just want to know who will be the eligible family member with a married IP and married IP with the permissible age limit to get the benefits from ESIC. Is there any eligibility for younger brother and sister in any of the above classifications of IPs?

With Regards,
Vikas Kumar

Dear All,

I just want to know who will be the eligible family member with a married IP and married IP with the permissible age limit to get the benefits from ESIC. Is there any eligibility for younger brother and sister in any of the above classifications of IPs?

Father & Mother-in-law will be considered as eligible family for a female IP?

With Regards,
Vikas Kumar

If the monthly income of the father-in-law is below Rs. 1500/-, then the in-laws are eligible for ESIC benefits.

Father-in-law and mother-in-law do not come under the definition of family under Sec. 2(11) of the ESI Act. Hence, they will not receive any benefits on the ESI Card of a Married Insured Woman/Person.

Furthermore, if an Insured Person/Woman does not have parents, their dependent minor brothers & sisters will receive benefits for medical care. Currently, if the dependent parents' monthly income is less than 1500, they will receive benefits from the ESI card of their son/daughter.

I hope I clarified your doubt.

The IP and his family only get the medical benefits. The IP person only gets the medical and cash benefit. (Cash benefit means when you are sick, then you get your salary as per ESIC rules.) Family means mother, father, wife, and children below 18 years old.

If a mother is dependent on a female I.P., even after marriage, she can also benefit from her daughter's ESI Card. However, fathers-in-law and mothers-in-law are not entitled to such benefits for either Insured Persons or Insured Women.

I want to know what the procedure is to include minor sisters and brothers in the benefits of existing ESIC benefit holders. Is there any prescribed application form for the procedure?

Regards,
Gautam

No specific procedure... You have to register them online as you are enrolling the other family members. Further, with reference to my earlier post, please note that as of now, to include the dependent parents, their monthly earning capacity should be less than Rs. 5,000.

Furthermore, as I already mentioned, to include the dependent minor brother and sister, one should keep in mind that both parents of the IP/IW should not be alive, and both the minor brother and sister should be dependent on the earnings of the IP/IW.

All the best...

Dear All, please clarify my doubt; it's a little urgent. Recently, we have recruited an employee who is covered under ESI. He has provided his photograph, and we have discovered that he has two spouses and four children. Now, my question is: will the eligibility apply to both of the spouses or not? Please clarify shortly.

My name is Mohankumar. My wife works in a garment factory. When we ask the factory personnel about whether my father and mother (my wife's father-in-law and mother-in-law) can be members of ESI, they say it's not possible. Only the employee's father, mother, and husband are eligible. However, my wife's father and mother have a son who also works in garments. They are already members of his ESI card and are beneficiaries of ESI. Please guide me on whether my father and mother can also be eligible for my wife's ESI. How can I proceed further to complete this? I am waiting for your valuable reply. Please help me with this.

Dear All,

I just want to know if Father & Mother-in-law will be considered as eligible family for My IP?

Regards,
Abhishek Patil

Eligibility for ESIC Medical Benefits for Family Members

As per Section 46(2) of the ESI Act, 1948, the family of the insured person is entitled to medical benefits from ESIS institutions under certain terms and conditions as laid down in the ESI Act, 1948, and the rules/regulations framed thereunder. According to Section 2(11), the term "family" does not include the father-in-law or mother-in-law. Therefore, these relatives are not entitled to medical facilities based on the ESI entitlement of their son-in-law or daughter-in-law. However, if their own son or daughter is covered under ESIS, then naturally they will be entitled to medical facilities from ESIS as part of the "family" as defined under the relevant section mentioned above.

However, Section 2(11) stipulates that the parents must be "dependent," and their income from all sources should not exceed the amount prescribed by the Central Government. A limit of Rs. 5000 per month has been set by the government in Rule 61-A of the ESI (Central) Rules, 1950. Therefore, parents whose income from all sources exceeds Rs. 5000 per month are not entitled to ESIS medical facilities, even if they are part of the "family" as defined under the said Act.

Sir,

My question is - I joined ESIC before 7 months, and my father is suffering from a neurological problem. The doctor has suggested 4 operations, but ESIC is not ready to refer me to another hospital because I have not completed 2 years. Is this true?