Dear Korgaonkarji, Thanks for raising the issue through your remarks as above. In this connection, I may submit that the Maternity Benefit Claim Form No. 19, as laid down under ESI (General) Regulations, 1950, includes a certificate from the claimant of the benefit that she has ceased to work for remuneration during the period of claim. Therefore, once such a claim is made with the appropriate branch office of ESIC, in my opinion, furnishing of wrong information and false declaration is complete regardless of whether the actual benefit is paid or not.
Further, it is to be seen in what manner the said insured woman or the said establishment will prove before the authorities that the entries made in the Attendance and Wages records with reference to the said insured woman are wrong and erroneous. At present, due to the online procedure, the payment of contributions, submission of declaration forms, etc., are being made online by the employers. I am doubtful if the employer or the said insured woman will be able to prove their case of wrong/erroneous entries in said records. In addition, the question will also arise whether a similar type of error or mistake has been made concerning returns or payments of contributions, etc., in respect of said insured women when generating the records of EPF or under the Factories Act, etc., as may be applicable in the said establishment. In light of the above position, I have written my opinion about the possibilities of the prosecution of the said insured woman.
In this era of RTI and verification of complaint systems in public offices, I am doubtful if any official will agree and be convinced of the genuineness of the story as narrated by the initiator of this thread.