Understanding ESIC Benefits and Salary Impact on Medical Benefits Eligibility

Dear All,

I just want to know one thing - if we increase an employee's salary in the month of January but they are still in the ESIC bracket, will a renewed card be issued by the ESIC office, and if so, would it be applicable for medical benefits?

Pallavi

The card will not change with every change in the salary. If it is for calculating the amount of medical benefits, it will come only in the next benefit period, which comes only after nine months. By the time the employer would have submitted the half-yearly returns, in which the increase in salary would be reflected.

Regards,
Madhu.T.K

But I want to know whether he will be entitled to the medical benefits during this nine-month period.

Please let me know if you need any further information.

For medical benefit (free hospitalization and treatment), no contributory condition is there. But for availing sickness benefit, under which an employee is entitled to cash benefit equivalent to around 60% of his average wages during his days of sickness, he should have worked at least for 78 days in the preceding contribution period. If he is a new employee joining in the middle of a contribution period, he should have worked at least 50% of the days in that contribution period.

In your case, since he is already an insured person, the question of eligibility for sickness benefit will not arise because he might have already contributed to the scheme. He will continue to get the benefits. It is only the cash benefit that will change. For that, he may have to wait for the next benefit period to come.

Regards, Madhu.T.K

My baby was born on 19 July 2015, and I received the form on 18 August. So, please tell me if I received the form within 30 days or 31 days.