Employees State Insurance Scheme. Administered by Employees State Insurance Corporation (ESIC). ESI is the Social Insurance Scheme.

. Mainly for Working Clause.

To all non-seasonal & seasonal

Factories (manufacturing units) & establishments (non-manufacturing) employing 10 or more employees including Educational institutions and Private Medical institutions. For employees drawing wages up to Rs. 15,000/- per month (01/05/2010).

3.Benefits under the Act

Benefits under the Act

Benefits provided under the Act:

Medical benefit Sickness benefit Maternity benefit Disablement benefit Dependents benefit

Benefits under the Act

1. Medical benefit :

Sickness of Insured employee or (where medical benefits is extended to his family) a member of his family. Available to the employee right from the first day of employment,during any period for which contributions are paid in respect of him or in which he can claim sickness benefit.

Benefits under the Act

2. Sickness benefit :

Sickness benefit is a Cash benefit. Insured employees is entitled to receive for the period of his sickness as the daily standard benefit rate. Minimum 78 days of the corresponding contribution is must. Benefit is not available for the first 2 days of sickness. Maximum period for benefit is 91 days in one year. Sickness benefit rate : The daily rate which sickness benefit is payable to an insured employee during the period of his sickness is 70% of his earned gross wages.

Benefits under the Act

3. Maternity benefit :

Confinement, miscarriage or medical termination of pregnancy, Sickness arising out of pregnancy, confinement, premature birth of child or miscarriage or medical termination of pregnancy. Minimum 70 days in the immediately preceding two consecutive contribution periods is must. Minimum period for benefit is 12 weeks and maybe extended up to 16 weeks on medical grounds.

Benefits under the Act

4. Disablement benefit :

Permanent disablement, whether total or partial, as a result of an employment injury (personal injury caused by an accident arising out of and in the course of employment).
Benefit for the whole of life.

Benefits under the Act

5. Dependants benefit :

When an insured employee dies as a result of an employment injury, his widow, children and his widowed mother would get the dependents benefit. In case the employee does not leave behind him a widow or children, his other dependants, are entitled to receive periodical payments.

Benefits under the Act

Funeral expenses :

In case of death of an insured employee, the eldest surviving member of his family, and if the employee

had no family or was not living with his family at the

time of his death, then the person who actually incurs expenditure on the funeral of the employee, is

entitled to receive a payment called funeral

expenses.

Maximum permissible amount of such payment is Rs. 10000/-

SUPER SPECIALITY TREATMENT

ESIC has Tied-Up with some private Hospitals to

provide Super-Specialty treatment to the Insured persons and to their families

Both Cashless treatment as well as

Reimbursement of Medical expenses is provided

ELIGIBILITY FOR SUPER SPECIALTY TREATMENT

For Self - Should have completed at least 3 months

service and should have remitted contribution for 39 days. For Family - Should have completed at least 6 months service and should have remitted contribution for 78 days.

Medical Benefits to Retired Insured Persons

The retired IPs (including voluntary and pre-

mature retirement) who were insured for not less than five years are to receive medical benefits for the IP and spouse on payment of Rs.120 per year.

S.No 1

CHENNAI Tie-up Hospital Name & Address Chettinad Super Speciality Hospital, Rajiv Gandhi Salai, Kelambakkam, Kanchepuram-603103 MIOT HOSPITALS, 4/112 MOUNT POONAMALEE ROAD, MANAPAKKAM, CHENNAI 600 089 GLOBAL HOSPITALS & HEALTH CITY, No: 439, Cheran Nagar, Perumbakkam, Cennai 600 100 Kauvery Hospital(A unit of Sri kavery Medical Care Ltd., Trichy), No.81, TTK Road, Alwarpet, Chennai-600018. SRM SPECIALITY HOSPITALS, SRM NAGAR, POTHERI, KATTANKULATHUR, KANCHEEPURAM Dist-603 203 Dr.Kamakshmi Memorial Hospital, Pallikarani, Chennai100

CHENNAI S.No 7 Tie-up Hospital Name & Address Dr.Kamakshmi Memorial Hospital, Pallikarani, Chennai100 Dr.Kamakshmi Memorial Hospital, Pallikarani, Chennai100 Frontier Lifeline Pvt. Ltd, R-30-C, Ambattur Industrial Estate Road, Chennai-600101 Lakshmi Nursing Home, Pallavaram, Chennai-100

10

11

Vasan Health Care Pvt.Ltd, Rk Salai, Mylopore, Chennai04

S.No 12

CHENNAI Tie-up Hospital Name & Address Dr.Agarwal's Eye Hospital Ltd., Cathedral Road, Chennai 86

13

MEDALL Health care Pvt. Ltd., Precision Diagnostics, No. 191, Poonamallee High Road, Kilpauk, Chennai600010 Aarthi Scans Pvt Ltd., 50, Paper mills Road, Perambur, Chennai-11 Nephrolife Care (India) Pvt. Ltd. Kilpauk, Chennai-10

14 15

16

PARVATHY ORTHO HOSPITAL, NO.241,G.S.T.ROAD,CHROMEPET, CHENNAI 600044.

 Employer should get factory/establishment registered online,

immediately on applicability of ESI Act to his unit.

Employer should get his employee including the employee employed

through the contractors registered online and T.I.C. generated immediately after taking him in insurable employment.

The employer should direct and pursue his employees to get photographed for Pehchan Card. Employer has to maintain Accident book.

 Maintain register of employees in form 6 (reg.32) Ensure maintenance of separate register of employees by contractor

and settle contractors bills only on production of this register to esic. ( sec-41 (1-a)
Deposit both employees and employers contribution as per specified

rates within 21 days of the following month. {reg. 31}

Insure all employees by generating Ins no. through online Facilitate proper inspection of records/registers and the premises by

visiting officers of ESIC as and when so required. { u/s 45}

Report promptly about the accident so as to enable ESIC to provide

benefit in time

 FILL THE FORM-1. GET THE INSURANCE NUMBER. REGISTER THE INSURANCE NUMBER TO THE LOCAL

DISPENSARY AND HAVE PHOTO SHOOT FOR PEHCHAN CARD. ARRANGE FOR FAMILY PHOTO.
IF EXPIRY DATE IS MENTIONED RENEW IT

APPROPRIATE TIME.
INFORM THE ESI IN CASE IF THERE IS ANY ADDITION

IN THE FAMILY MEMBERS.