Understanding ESIC Benefits for Disabled Employees: What Support Can You Expect?

ESIC Benefits for Disabled Employees

One of my machine operators met a major accident on the company premises, and ESIC has referred him to a government hospital. What kind of benefits does ESIC grant if he is found disabled? Also, please inform me about the percentage of the amount of leave that is compensated by ESIC.

Regards,
Pulkit

The injured employee will be entitled to the following benefits in cash provided the accident report is submitted by the employer on time and the case is admitted as an employment injury by the ESIC Branch Office:

1. Temporary Disablement Benefit during the period the employee is temporarily incapacitated due to such an accident as may be certified by an ESI dispensary/hospital.
2. Permanent Disablement Benefit (after being declared fit). Such permanent disablement is decided by the medical board as constituted by ESIC under the said Act based on the loss of earning capacity due to such an accident.

In addition, medical facilities can be availed by the said employee. For rates of such cash benefits, kindly refer to Rule 57 of ESI (Central) Rules, 1952.

Regards

Dear Mr. Pulkit, The injured employee will be entitled to a disability pension after receiving the certificate from the ESIC-Medical board. The pension amount will depend entirely on the percentage of disability.

Firstly, please submit the accident report to your local office immediately in the required format. Seek guidance from your local office for the next steps. For information on cash benefit rates, please refer to Rule 57 of the ESI (Central) Rules, 1952.

Regards,
N.S. Negi
Head HR & Compliance

Can you tell me if ESIC will consider 100% of the leave for payment or reduce the percentage? One of my friends told me that they will only consider 70% to 80% of the leave amount. The process is the same for accidental cases. Please guide me.

Regards,
Pulkit30

It totally depends on the ESIC - Local office manager and the accident reports submitted by yourself or the company. If the accident is on the premises, the compensation percentage is up to 80-90%. If the accident is off the premises, the compensation percentage is up to 60%.

Regards,
N.S. Negi

Thank you, Mr. N. S. Negi. There was an accident in our factory premises, and I have also submitted the accident report to the local office. The individual has lost seven fingers on both hands due to a paper-cutting machine. In terms of disability, how much pension will be considered?

Regards, Pulkit

If anyone is injured on the factory premises, what should we do? At that time, should we admit them to a local hospital or a government hospital?

If he is an ESIC-insured employee, then first admit him to an ESIC hospital. If he is not an ESIC-insured person, then you have to admit him to any local hospital.

Regards,
Pulkit

Dear sir, An employee was injured by accident and received medical benefits from ESIC. However, we mistakenly paid his contribution for that period, leading ESIC to send a notice seeking clarification. Please advise on how to address this issue and suggest an appropriate response.

Thank you.

When an employee sustains an injury at work premises and if he is an ESI member, he should be admitted to the nearest hospital where facilities exist to provide medical care. In short, it depends on the severity of the injury and whether it is a life-threatening emergency. In the case of a life-threatening emergency, the nearest hospital is the best possibility to save a life. Once the patient stabilizes, then transfer him/her to an ESI hospital. However, ESI should be informed at the earliest about the injury and the place of admission, and seek the ESI opinion for the future course of action.