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Dear Members,

I have a query regarding E.S.I.C. Suppose, an employee is receiving ESI benefits. His/her spouse is also working, but he/she is out of coverage of ESI because the Gross Salary is more than Rs. 15,000 per month. In this case, please let me know whether the spouse is also eligible for ESI benefits.

Thanks and regards,
S Sarkar

From India
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Hi Sarkar,

Yes, the spouse is very much eligible. The legislation states that the insured person's spouse is eligible for medical benefits, so there is no question about the spouse's working condition. Without the spouse, the definition of family in the ESI Act is null. Please check the definition for clarification.

With Regards,
Mr. Thumbs Up

From India, Chennai
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Dear Sarkar, Spouse won’t be covered in this case as to be covered the dependent monthly income should be less then 5K a month.
From India, Delhi
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Sir, I think there is no monetary limit concerning the "spouse" for receiving medical benefits from ESIS. The limit of Rs. 5000 is applicable only in the case of "dependent parents". Kindly refer to Rule 61-A of ESI (Central) Rules, 1950.
From India, Noida
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