New Self-Declaration Form for Insured Women: How It Affects Your Maternity Benefits

Introduction of Self-declaration Form for Insured Women

As per the ESIC circular dated 18th July 2017, the ESIC has introduced a Self-declaration Form for the Insured Woman. The ESIC had noticed some instances where the family particulars of IP/IW vary from those available in the IP portal, leading to undue benefits. To address this issue, a self-declaration from the Insured Woman is now required for the number of her surviving children as of the date of presenting the maternity benefit claim.

In case of any inconsistency between the declaration and the portal particulars, 12 weeks of maternity benefit will be paid immediately from the ESIC Branch. The remaining payment, if any, will be made to the Insured Woman within 14 days, subject to verification. Therefore, Insured women are now required to submit the Self-declaration Form along with claim form No. 19 for the settlement of the Maternity Benefit Claim.

Ensure compliance with the ESIC circular by submitting the Self-declaration Form along with claim form No. 19 for the settlement of Maternity Benefit Claim. In case of any discrepancies between the declaration and portal details, 12 weeks of benefit will be promptly paid, with the rest subject to verification. This process aims to prevent incorrect benefit payouts and streamline the claim settlement process for Insured Women.