Standard Note 190813
-
Upload
manish-soni -
Category
Documents
-
view
225 -
download
0
Transcript of Standard Note 190813
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 1/75
S T A N D A R D N O T E ON
EMPLOYEES’ STATE INSURANCE SCHEME
(As on 1.1.2013)
The Employees’ State Insurance Act, 1948 is a social security legislation that provides for
medical care and cash benefit in the contingencies of sickness, maternity, disablement and death due
to employment injury to workers. A statement indicating the broad details of various health insurance
related benefits provided under the Act is at Annexure-I.
1. COVERAGE
The Employees' State Insurance Act, 1948 applies to non-seasonal factories employing 10
or more persons. The provisions of the Act are being extended area-wise in stages. The Act
contains an enabling provision under which the "appropriate government" is empowered to extend
the provisions of the Act to other classes of establishments - industrial, commercial, agricultural
or other-wise. Under these provisions, the State Governments have extended the provisions of the
Act to shops, hotels, restaurants, cinemas including preview theatres, road motor transport
undertakings, newspaper establishments, educational and medical institutions employing 20 or
more employees. Twenty one State Governments have reduced the threshold of coverage of shops
and establishments to 10 or more persons. Employees of factories and establishments covered
under Act and drawing monthly wages upto Rs. 15,000/- per month are covered under the
scheme. The ceiling for persons with Disabilities is Rs. 25,000/- per month. As on 31/03/2012,
the scheme applied to 5.80 lakh employers employing 1.71 crore insured persons at 807 centres.
The scheme has been extended to the state of Sikkim w.e.f. 1/12/2012.
2. ADMINISTRATION
The Hqrs. of the ESI Corporation is located at Delhi and has 64 field offices which include 23
Regional Offices, 31 Sub-Regional Offices, 6 Divisional Offices, 2 Camp Offices and 3 Liaison
Offices throughout the country. Besides, there are 623 Branch Offices and 184 Pay Offices for
administration of cash benefits to Insured Persons. For inspection and coverage of
factories/Establishment, 383 Inspection Offices are also set up across the Country.
3. FINANCE
The ESI Scheme is financed mainly by contributions from employers and employees. The
rate of contribution by employer is 4.75% of the wages payable to employees. The employees’
contribution is at the rate of 1.75% of the wages payable to an employee. The State Government’s
1
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 2/75
share of expenditure on the provision of Medical Care is to the extent of 12.5%. The maximum
sharable amount is subject to the ceiling prescribed by the Corporation from time to time. Expenditure
beyond the prescribed ceiling is solely borne by the State Govts.
4. ABSOLVING OF LIABILITY UNDER OTHER ENACTMENTS
Employers coming under the purview of ESI Act, 1948, are absolved of their liabilities under
the Employees’ Compensation Act, 1923 and the Maternity Benefit Act, 1961, as these social security
provisions become the responsibility of the ESI Scheme.
5. PROVISION FOR EXEMPTION FROM THE OPERATION OF THE ACT
An “appropriate government” may grant or renew exemption under Section 87 of the Act in
respect of a Factory/Establishment or class of factories or establishments in any specified area if theemployees in such factory/establishment are in receipt of benefits substantially similar or superior to
the benefits provided under the Act for a period not exceeding one year at a time to take effect only
prospectively. Provided that an application for renewal shall be made three months before the date of
expiry of the exemption period and a decision on the same shall be taken by the appropriate
Government within two months of receipt of such application.
As per provisions of the Act no exemption shall be granted unless a reasonable opportunity is
given to the Corporation to make any representation and the same is considered by the appropriate
Govt.
The “appropriate government” may also grant exemption to any person or class of persons
employed in a factory/establishment or class of factories/establishments under Section 88 of the Act.
Exemption under Section 90 is granted to a factory/establishment belonging to a local
authority such as a Municipality/Corporation, etc. if employees in any such factories/establishments
are otherwise in receipt of benefits substantially similar or superior to the benefits provided under the
Act.
6. EXTENSION OF ESI SCHEME TO NEW SECTORS OF EMPLOYMENT.
The Committee on Perspective Planning (1972) of the ESI Corporation which had
been appointed, inter-alia, to work out a viable programme for phased extension of the Scheme,
had formulated the following criteria for extension of the Scheme to a larger cross section of wage
earners:-
(a) Need for health insurance protection;
(b) Feasibility of building upon expanding viable medical facilities; and
(c) Amenability of the establishments to enforcement by the Corporation.
2
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 3/75
Applying the above mentioned criteria, the Committee came to the conclusion that extension of
the scheme should be accomplished in three phases, as given below:-
(i) In the first phase, factories run with power and employing 10 to 19 workers; factories run
without power employing 20 or more workers and shops, cinemas including preview theater, road
motor transport undertakings and newspaper establishments, hotels and restaurants employing 20
or more workers are to be covered.
(ii) The organized mines and plantations might be covered in the second phase. In the case of
mines and plantation the recommendation of the Committee was to extend the Scheme only
partially i.e. only the cash benefits might be provided since medical care was already available to
the workers free of cost.
(iii) The unorganized or semi-organised sectors about which accurate statistical data is not
available would come later in the third phase.
In pursuance of the above recommendations, extension of the scheme to the
categories of establishments included in the first phase has already been carried out. Further, the
threshold for coverage of factories has been reduced from 20 to 10 or more persons irrespective of
whether power is used in manufacturing process or not. The scheme has also been extended to
educational institutions in 22 States/UTs and to private medical institutions in 20 States/UTs.
A provision has been made in the Act vide Employees' State Insurance (Amendment)
Act, 2010 under which medical care from underutilized ESI Hospitals can be provided to other
beneficiaries on payment of user charges.
7. PROVISION OF SOCIAL SECURITY FOR WORKERS IN THE
UNORGANISED SECTOR
Out of the total work force of about 459 millions in India, 27.55 million workers are
in the organized sector, (17.67 million in public sector and 9.87 million in private sector) and the
rest are in the unorganized sector. The ESI Act covers workers in the organized sector only. At
present about 15.5 million workers (i.e. 56.26% of organized sector) are covered under the
Employees' State Insurance Act, which represents only about 3.37% of the total work force in the
country. The remaining workers in the organized sector to which the ESI Act does not apply
remain outside the social security umbrella due to the following reasons:-(i) Employees of Central and State Govts. who are provided social protection under the rules
of the respective Governments;
(ii) Workers of factories/establishments employing less than 10 persons.
(iii) Workers of factories/establishments situated in the non-implemented areas, where the
ESI Scheme has not been implemented;
(iv) Workers of seasonal factories/establishments;
(v) Workers drawing wages exceeding Rs.15,000/- per month.
The workers employed in the organized sector and working in the smaller factories
and establishments can be brought under the ESI Scheme by gradually lowering the threshold limit for
coverage under the ESI Act. Likewise, the workers who are drawing wages above the wage limit
3
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 4/75
Rs.15,000/- per month can be brought under the ambit of the ESI Scheme by enhancing or removing
the wage limit altogether. Vide ESI (Amendment) Act, 2010, the threshold limit for coverage of
factories has been brought down to 10 or more persons irrespective of whether power is used in the
manufacturing process or not. Twenty one State Governments have also reduced the threshold limit
for coverage of shops and other establishments from 20 to 10 or more persons. Rest of the State
Governments are also in the process of doing so. Many State Governments have also extended the
provisions of the Act to the educational and private medical institutions.
Factories and establishments located in non-implemented areas having sufficient
concentration of workers are being brought under the ESI Act gradually as per the phased programme
drawn in consultation with the State Governments.
As the ESI Scheme framed under the ESI Act, 1948 provides a uniform package of benefits at
a uniform rate of contribution; and employer-employee relationship is a pre-requisite for extension of
the scheme, the scheme is not suited for extension to workers in the unorganized sector in its present
form. However, as per amendment in the ESI Act, 1948 w.e.f. 01/06/2010 vide ESI (Amendment)
Act, 2010, medical benefit under the scheme can be extended to other beneficiaries on payment of
user charges subject to framing of schemes by the Central Government. Further the Govt. of India,
Ministry of Labour & Employment, has introduced a Scheme called "Rashtriya Swasthya Bima
Yojana" for providing social security to BPL (Below Poverty Line) workers in the unorganized sector.
8. AMENDMENTS IN THE E.S.I.ACT, 1948.
The ESI Act, 1948, was amended vide ESI (Amendment) Act, 2010 w.e.f. 1-6-2010 for enhancing
the Social Security coverage, streamlining the procedure for assessment of dues and for better
services to the beneficiaries. The salient features of the Amendments in the Act are as under:-
• A uniform threshold of 10 or more persons for coverage of factories has been prescribed vide
ESI(Amendment) Act, 2010, and for counting 10 persons for initial coverage of a factory, all
persons employed irrespective of their wage are to be counted.
• Enhancing age limit of dependant children for eligibility to dependants benefit from 18 years
to 25 years;
• Extending medical benefit to dependant minor brother/sister in case of IPs not having ownfamily and whose parents are also not alive;
• Continuing medical benefit to insured persons retiring under VRS scheme or taking
premature retirement;
• Treating commuting accidents as employment injury;
• Making an enabling provision for extending medical care to other beneficiaries against
payment of user charges to facilitate providing of medical care from under-utilized ESI
Hospitals to the BPL families covered under the Rashtriya Swasthaya Bima Yojana and other
schemes framed by Central Government.
• Empowering State governments to set up autonomous Corporations for administering medical
benefit in the States for bringing autonomy and efficiency in the working.
4
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 5/75
9. MEDICAL BENEFITS PROVIDED UNDER ESI SCHEME
The Employees’ State Insurance Scheme provides comprehensive medical care in the form of
medical attendance, treatment, drugs and injections, specialist consultation and hospitalization to
Insured Persons and also to their dependants.
An Insured Person and his dependants are entitled to medical benefits from the day of entry
into insurable employment. Medical care to beneficiaries is provided through a large infrastructure
comprising Hospitals, Dispensaries, annexes, Specialist centers, Model Dispensaries- cum- Diagnostic
Centers (MDDC), IMP clinics and arrangements with other health institutions. The range of medical
services provided covers promotive, preventive, curative and rehabilitative services. Besides, the out-
patients services provided through ESI dispensaries, IMP Clinics and Employer Utilization
Dispensaries (EUD), in-patient services are provided through ESI Hospitals and through
empanelment/tie up with private hospitals.
Insured Persons and their families are being provided comprehensive medical care which
includes outpatient care/ inpatient care, specialized medical care and super specialty medical care as
per requirement of the patient. Besides medical facilities under AYUSH i.e. Ayurveda, Yoga, Unani,
Siddha and Homeopathy are also provided.
OUT PATIENT MEDICAL CARE
1. INSURANCE MEDICAL PRACTITIONER
2. SERVICE DISPENSARY
3. HOSPITAL OPD
1. INSURANCE MEDICAL PRACTITIONER
Private Medical Practitioners are appointed as panel doctors. A panel doctor is
expected to have his own consulting room and dispensary. Each panel doctor is allowed to
register upto 1000 IP family units. Under the panel system, the doctor is expected to issue
medicines to the beneficiary, from his own dispensary. Special and costly medicines are
dispensed through approved chemists as well as State Government Medical Stores. At
present, the panel system is in operation in West Bengal and Maharashtra (except Nagpur
area), Goa in certain areas, Gujarat (Ahmedabad), M.P, Punjab, Andhra Pradesh, Assam and
Karnataka. The IMPs under the panel system are paid capitation fee for providing medical
care to the Insured Persons and beneficiaries. As on date, there are about 1400 IMPs all over
the country.
5
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 6/75
2. SERVICE DISPENSARY
The out-patient medical care under the ESI Scheme is provided through the service system
i.e. through dispensaries established under the Scheme for the exclusive use of the Insured Persons
and their families, manned by full-time Medical Officers. There are about 1400 service dispensaries
under ESI scheme all over the country.
3. HOSPITAL OPD
Out patient services under various specialties and super specialties like medicine, surgery,
pediatrics, gyne & obst., ENT, eye, cardiology, nephrology, neurology, urology, CTVS etc. are being
provided through ESI hospital OPDs all over the country.
The Corporation has also set up revolving fund in all States except Meghalaya, Puducherry,
Chandigarh (U.T), Maharashtra and Rajasthan on consent of State Govt. for making advance
payments/ reimbursements in respect of specialty / super specialty treatment. The Corporation has
also extended the scope of Revolving Fund to include purchase of Drugs and Dressings, Equipments
and their repair & maintenance (including annual maintenance contracts).
IN PATIENT MEDICAL CARE
In patient services are provided through a chain of 151 ESI hospitals spread across the
country which includes 34 directly run ESIC hospitals & 117 State ESI hospitals with a total bed
strength of 19143. The provision for Super specialty services for beneficiaries is mainly through tie-
up arrangements with reputed corporate hospitals. Tie – up arrangement for super specialty treatment
has been made with more than 800 hospitals across India.
PROVISION OF DRUGS, DRESSINGS & EQUIPMENTS
ESIC prepares its own rate contract for drugs, called as DG ESIC Rate Contract. All drugs &
dressings and vaccines are procured by DG, ESIC Rate Contract.
Insured persons and their dependants are also provided artificial limbs, aids and appliances.
The Corporation has enhanced the ceiling on the cost of frames of the Spectacles from Rs.100/- to
Rs.500/- per frame. The Insured Persons and Family Members are provided with Artificial limbs,
Hearing Aids, IOL (Intra Ocular Lens), Spinal Supports, Cervical Collar, Walking Calipers, Clutches,
Wheel Chair, Cardiac Pacemaker, Cochlear implants. Other medical equipments considered essential
are also provided to the beneficiaries.
Previously, the provision of Denture, Capping of teeth and Spectacles were given to only the
Insured Persons and artificial Wigs (only to Insured Women). Now, with effect from 19/11/2007, the
spectacles, Dentures and capping of teeth facilities are also available to the dependants of Insured
Persons.
Procurement Cell at ESIC Hqrs. facilitate ESI Hospital and Dispensaries for making procurement of best quality medical equipments.
6
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 7/75
IMMUNIZATION & FAMILY WELFARE SERVICES
ESIC follows National Immunization Policy. Selective immunization during the epidemic
breakout is also carried out along with the immunization programme. ESIC participates in all national
health programmes under the aegis of Health Schemes of Govt. of India, which are extended to the
beneficiaries through our hospitals & dispensaries.
ESIC also promotes National Family Welfare Programme. Facilities for all temporary &
permanent methods of family welfare services are provided. Such facilities are also provided to non
ESI beneficiaries. Apart from cash benefit as per CHS, the ESI Corporation has also extended
additional cash incentive to Insured Persons to promote acceptance of sterilization method by
providing sickness cash benefit equal to full wage for a period of 7 days for vasectomy and 14 days
for Tubectomy.
EXPENDITURE ON MEDICAL CARE
Detail of Expenditure on medical care is as under:
1. SHARING OF EXPENDITURE BETWEEN ESIC AND VARIOUS STATE GOVT.
UPTO A CEILING.
2. SHARABLE EXPENDITURE OUTSIDE THE CEILING.
3. EXPENDITURE FULLY BORNE BY THE ESIC OUTSIDE THE CEILING
1. SHARING OF EXPENDITURE BETWEEN ESIC AND VARIOUS STATE GOVT.
UPTO A CEILING.
Expenditure on medical care is shared between ESI Corporation and the State Government in
the ratio of 7:1 within the prescribed ceiling which is revised from time to time. The current
ceiling w.e.f. 1.4.2012, is Rs.1500 per IP family unit per annum with the following two sub
heads:-
A) Administrative expenditure : Rs. 900/- per IP per annum.
B) Drugs & dressing and other expenditure : Rs.600/- per IP per annum.
In addition, the Corporation has also approved reimbursement of Rs. 200/- per IP per
annum to the State Governments, where the bed occupancy in all the State ESI Hospitals is morethan 70% during the concluded financial year. This reimbursement is given to the State
Governments to facilitate the optimum utilization of the existing infrastructure and also to
encourage them to provide staff and equipments as per ESIC Norms. This amount will be non
sharable and will totally be borne by ESI Corporation. Further this amount will be untied and
State Governments will be free to use it on any sub heads i.e “Administrative” or the ‘others’.
Further more, the ESI Corporation has also taken a decision that w.e.f. 1.4.2009, the total
expenditure under the head Administration will be shared, between the ESIC and the State Govt.
in the ratio of 7:1, subject to fulfillment of certain specified conditions.
7
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 8/75
2. SHAREABLE EXPENDITURE OUTSIDE THE CEILING
a) Initial purchase of equipments for hospitals and dispensaries.
b) Equipments costing more than Rs.25000/- per unit:
Expenditure for replacement of costly equipments like X-ray machine etc. or addition
of new department in a hospital, the equipment costing more than Rs.25,000/- and
above, which is considered essential, is to be shared between the Corporation and the
State Govts. outside the ceiling.
c) Purchase of vehicles:
The expenditure on purchase of new Ambulances, Mobile dispensary Vans, Hearse
Vans, Office vehicles or replacement thereof is to be made from the shareable pool,
outside the ceiling on expenditure on medical care.
d) Nurses training school.
e) Biomedical Waste disposal.
f) training upto 0.5% of the total budget.
g) Purchase of following non-medical equipment, costing above Rs.25,000/-:-
1. Gas Pipelines
2. Photostat Machine / Fax
3. Public address system for general areas and conference rooms.
4. Projectors (over head projectors, slight projectors, LCD projectors.)
5. EPABX
6. Air conditioners
7. Water coolers
8. Walk- in coolers
9. Water treatment plant ( water softener and Reverse osmosis)
10. Display system
11. Close circuit television (CCTV)
12. DG set
13. Autoclaves
h) Disposal of Bio-medical Waste
i) Replacement of costly equipments
j) Expenditure on purchase of Vehicles
3. EXPENDITURE FULLY BORNE BY ESIC BEYOND THE CEILING
a) Construction of buildings for hospitals and dispensaries.
b) Repair and maintenance of own buildings.
c) Purchase of computers for hospitals.
d) Newly implemented areas for first three years.
e) Newly implemented areas in North East States for first five years.
f) For establishment of new AYUSH units for initial period of five years.
8
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 9/75
g) Equipment for hospital with bed occupancy more than 70%.
h) Model Hospitals and Occupational Disease Centers.
i) MDDC (Model Dispensaries cum Diagnostic Center).
j) Super specialty treatment :
To provide cashless and hassle free medical services, ESI Corporation in its
143rd meeting held on 08.07.2008 has taken a decision for bearing the super specialty
expenditure directly w.e.f. 01.08.2008. For this, tie up arrangements have been made
directly by ESIC with reputed Govt. / corporate/ private hospitals for super specialty
investigations and treatment. Entire expenditure is borne by ESIC & the expenditure
incurred is outside ceiling limit.
ADDITIONAL INCENTIVE TO STATE GOVERNMENT BASED ON PERFORMANCE OF
STATE ESI SCHEME
In addition, the Corporation has also approved that an incentive of Rs.50/- per IP per annum with100% sharing of ESIC will be given to the State Govts. based on the performance of the preceding
financial year as per the following criteria:-
1. States having average occupancy of 70% and
above in ESI Hospitals of State.
Rs.15 per IP per annum
OR
In States where no ESI Hospital is
commissioned and existence of adequate
tie up facilities are made available.
2. States where staff is provided as per ESIC
Norms and standards in respect of both
dispensaries and hospitals.
Rs.20/-per IP per annum
3. Achievement of 75% targets or above for
implementation of ESI Scheme in New
Areas in the State as fixed under the phased
programme by ESIC annually.
Rs.10/- per IP per annum
4. States which get their all hospitals graded /
ISO certified.
Rs.5/- per IP per annum.
ESI Corporation has also earmarked a separate budgetary allocation of Rs.20/- per IP family unit
per annum for promotion of preventive health services including occupational health services.
9
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 10/75
SETTING UP OF MODEL HOSPITALS & ESIC HOSPITALS
The ESI Corporation in its meeting held on 16.02.2001 had approved the setting up of one
Model Hospital in each State. On 16th February, 2002, the ESI Corporation agreed in principle to set
up one Model Hospital in each State. A number of Hospitals were taken over by Corporation with the
consent of the concerned State Governments and are aimed to provide state of art secondary
care/super speciality medical facilities. The entire expenditure on these hospitals is being borne by the
ESI Corporation itself.
At present, the ESI Corporation is directly running following ESI Hospitals.
LIST OF HOSITALS DIRECTLY RUN BY ESIC
Sl.
No.
State Place Bed capacity
1. Andhra Pradesh Nacharam, Hyderabad 200
2. Assam Beltola 503. Jharkhand Ranchi 50
4. Karnataka Rajajinagar , Bangalore 420
5. Kerala Asarmam, Kollam 115
6. Orissa Rourkela 50
7. Punjab Ludhiana 269
8. Rajasthan Jaipur 236
9. Uttar Pradesh Noida 300
10. Bihar Phulwari sharif 50
11 Gujarat Bapu Nagar, Ahmedabad 600
12 Jammu Bari Brahma 50
13 NCT Delhi Basaidarapur 600
14 Maharashtra Andheri, Mumbai 650
15 West Bengal Joka, Kolkata 300
16 Tamil Nadu KK Nagar, Chennai 500
17 Madhya Pradesh Indore 75
18 Chandigarh (UT) Chandigarh 50
19 NCT of Delhi Jhilmil 200
20 NCT of Delhi Okhla 100
21 NCT of Delhi Rohini 270
22 Jharkhand Adityapur 50
23 Kerala Udyogmandal 150
24. Kerala Ezhukone 150
25. Kerala Peripally 100
26. Haryana Gurgaon 100
10
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 11/75
27. Gujarat Naroda 225
28. Haryana Manesar 100
29. Himachal Pradesh Baddi 100
30. Rajasthan Bhiwadi 50
31. Andhra Pradesh S.S. Sanath Nagar 150
32. Gujarat Vapi 100
33. Karnataka Peenya 100
34. Tamil Nadu Tirunelveli 50
The Model Hospital shall have the facilities for all General specialty services, Cardiology
with ICCU facilities, round the clock emergency services, Intensive Care Unit, Dialysis facilities,
Radio-Diagnostic and Laboratory facilities including arrangements for safe blood transfusion services,
MRD, pharmacy, Dietary, CSSD, Laundry, Waste Management, Engineering etc. proper MIS, Patient
information system and Hospital communication, safety and security arrangements, continuing
Medical Education, health Education and training programmes. The entire service facilities shall be
supported with modern equipments and shall be computerized.
ESIC has set up a super-specialty hospital at Kollam in Kerala primarily for Cardiology
discipline. Pending regular recruitment of Specialists, ESIC has engaged contractual Cardiologists,
G.I. Specialists and Urologists.
ESIC is also running super speciality hospital at Sanathnagar, Hyderabad with super
specialties such as Cardiology, Neurology, Neurosurgery, Pediatrics surgery, nephrology, urology,dialysis etc.
The Corporation has also decided to set up following new hospitals:-
Sl.No. Name of Hospital/ Location Bed Strength
1. Tirupur (Tamil Nadu) 100
2. Dehradun (Uttrakhand) 100
3. Ankleshwar (Gujarat) 100
4. Sidkul area Haridwar (Uttrakhand) 100
5. Sidkul area Udham Singh Nagar
(Uttrakhand)
100
6. Udaipur (Rajasthan) 100
7. Dubri, Jajpur (Orissa) 100
8. Angul (Orissa) 100
9. Bhilai (Chhattisgarh) 100
10. Korba (Chhattisgarh) 100
11.
Lalru,SAS Nagar (Punjab) 10012. Doddaballapur (Karnataka) 100
13. Tuticorin (Tamil Nadu) 100
11
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 12/75
AVAILING SUPER SPECIALTY TREATMENT FROM ANY OF THE TIE UP/NETWORK
HOSPITALS OF ESIC IN THE COUNTRY.
To remove difficulties being faced by IPs and their families in getting the super specialty
investigations and treatment due to tie- up hospitals being very far off and some of the facilities not
available in their states and for which they have to seek permission for getting treatment from another
state, ESIC approved that IPs and their family members can get super specialty treatment from any of
the tie -up/ net work hospital of ESIC all over the country. This would give them a wider choice. The
instructions have come into effect from 15-01-10.
PROVISION FOR AVAILABILITY OF PRIMARY AND SECONDARY MEDICAL CARE
SERVICES WITHIN A REASONABLE DISTANCE.
ESIC has taken a decision to provide primary, secondary and tertiary medical care services
directly in the areas where there is no ESI Hospital within a distance of 25 kms and concentration of
IPs is more than 25000 and no ESI Dispensary within a distance of 8 kms where the concentration of
IPs is more than 5000 and the total expenditure will be borne by ESIC till ESIC’s own infrastructure
is created in these areas. The norms for no. of IPs for providing secondary care services have been
revised as under:-
14. Siliguri (West Bengal) 100
15. Kashipur (Uttrakhand) 100
16. Haldia (West Bengal) 100
17. Bommsandra (Karnataka) 200
18. Raipur (Chhattisgarh) 100
19. Kanyakumari (Tamil Nadu) 100
20. Vizianagaram (Andhra Pradesh) 100
21. Sriperumbudur (Tamil Nadu) 100
22. Perumbavoor (Kerala) 100
Sl.
No.
Distance from ESI
hospital (in kms)
No. of IPs
1. 25 to 75 25000
2. 75 to 125 >15000
3. >125 >10000
12
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 13/75
REVISION OF NORMS FOR SETTING UP OF NEW HOSPITALS BY ESI CORPORATION
ESI Corporation during its 153rd meeting held on 29.7.2011 has approved new norms for setting up
of ESI Hospitals based on No. of IP Family units as under:-
Sl. No. No. of beds Pre- revised Norms Revised Norms
1. *50 bedded hospital 25,000 IP family units -------
2. 100 bedded hospital 1,00,000 IP family units 25,000 IP family units
3. 150 bedded hospital 1,50,000 IP family units 1,00,000 IP family units
4. 200 bedded hospital 2,00,000 IP family units 1,50,000 IP family units
5. 250 bedded hospital 2,50,000 IP family units 2,00,000 IP family units
6. 300 bedded hospital 3,00,000 IP family units 2,50,000 IP family units
7. 350 bedded hospital ------- 3,00,000 IP family units
8. 400 bedded hospital 4,00,000 IP family units 3,50,000 IP family units
9. 500 bedded hospital 5,00,000 IP family units 4,00,000 IP family units
10. 600 bedded hospital 6,00,000 IP family units 5,00,000 IP family units
*No 50 bedded hospital will be setup by ESI Corporation.
REVISION OF NORMS FOR CREATING MEDICAL INFRASTRUCTURE IN NORTH
EAST STATES & HILLY AREAS.ESI Corporation during its 155th meeting held on 18.01.2012 at Chennai has approved adoption of
following norms for the North Eastern States & other Hilly Areas of the Country for creating
infrastructure for augmenting the implementation of ESI Scheme in these areas as under:-
Sl. No. Facilities/Infrastructure No. of IPs required
1. Setting up of one Doctor Dispensary 1000 or more
2. Setting up of Two Doctor Dispensary 2000 or more
3. Setting up of diagnostic centres 5000 or more
4. Setting up of 100 bedded hospital 15000 or more
ENHANCEMENT OF CAPITATION FEES AND SPECIALIZED MEDICINES CHARGES
FOR EMPLOYERS UTILIZATION DISPENSARIES.
ESI Corporation during its 154th meeting held on 15.12.2011 at New Delhi has approved the
enhancement of capitation fees and specialized medicine charges for Employers Utilization
Dispensaries from the existing rates of Rs. 100/- to 250/- per IP per family unit per annum and Rs.
80/- to Rs. 200/- per IP family unit respectively.
This amount will be fully borne by the ESI Corporation outside the ceiling.
13
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 14/75
HIRING OF ACCOMMODATION FOR ESIC DISPENSARIES BY ESIC.
ESIC has approved hiring of accommodation for housing the dispensaries whenever need
arises either for starting new dispensaries or for shifting from existing dispensaries of the state. The
total expenditure on hiring of these dispensaries would be borne by ESIC directly. The detailed
guidelines including the indicative area and norms for hiring dispensaries building have also been laid
down.
ENGAGEMENT OF PART TIME SPECIALIST/SUPER SPECIALIST BY ESIC DIRECTLY.
ESIC in its 150th meeting held on 03-09-10 has taken decision to recruit part time specialist/
super specialists for State run hospitals where infrastructure is lying unutilized because of non
availability of specialist/ super specialist due to non filling of vacancies by the State Govt. Total
expenditure on the same is borne by ESIC. These specialists are provided till the vacancies are filled
by the State Govt. Remuneration to part time specialists/ super specialists has also been enhanced.
SETTING UP OF HOSPITAL DEVELOPMENT COMMITTEE FOR ESIS/ESIC HOSITALS.
In order to improve the functioning of ESIC/ ESIS Hospital, the ESIC in its 143rd meeting
held on 08-07-08 approved the constitution of HDCs for all ESIS/ ESIC Hospitals run by the State
Govt. and ESIC. HDCs were given administrative and financial powers also. The various functions to
be looked after by the HDC are as under:
a) Such administrative and/ or executive functions as may, from time to time be
entrusted or delegated by the Director General.
b) To take decisions from time to time in regard to improvements in the day –to- day
functioning of the hospitals/ dispensaries attached.
c) To review the availability of various facilities in the hospital/ attached
dispensaries and recommend / decide up-gradation of facilities for improving the
delivery of health care services in the hospital/ attached dispensaries.
d) To review from time to time, the working of the hospital/ attached dispensaries
and to decide on measures to improve administration of medical benefits and in
particular strengthening of promotive and preventive health measures including
occupational health services, safety and hygiene.
e) To look after the repair and maintenance of the hospital building and buildings of
the attached dispensaries.
f) To obtain ISO Certificate for the hospitals and attached dispensaries.
g) To look into general grievances, complaints and difficulties of insured persons
and dependent patients as is considered necessary.
14
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 15/75
The HDCs are comprised of representatives of employers, employees, State Govts. and medical
superintendents of ESIS/ESIC hospitals as Chairman. The HDC has also been given powers for
sanctioning of expenditure on the purchase of equipments costing more than 2 lacs per unit ranging
from Rs. 25 lacs to Rs. 1 crore depending upon the bed occupancy of the hospital. These instructions
have been implemented with immediate effect.
A hand book on HDC giving the powers and functions has also been published and issued to all
concerned.
OCCUPATIONAL DISEASE CENTERS
ESI Corporation has set up one IOHER Centre at Basaidarapur & four zonal Occupational
Disease centers for providing medical treatment. ESIC Model Hospital, KK Nagar for South Zone,
ESIC Model Hospital, Thakurpukur for East Zone, ESIC Model Hospital, Andheri for West Zone, and
ESIC Model Hospital, Indore for Central Zone. Further, ODC at Basaidarapur has been upgraded to
Institute of Occupational Health, environment & research (IOHER)to act as a nodal Institute for
improving occupational health to International standard in all ESI health care establishment
throughout India. An MoU has been signed between IVPS & ESIC for coordination and cooperation
academic training & sharing data on occupational diseases.
NOTE ON MEDICAL EDUCATION IN ESIC
The issue of shortage of medical and para-medical personnel being reason for deficient
services was raised by the Members of the Corporation, in its 139 th meeting held on 14.7.2007. The
Chairman suggested that the Corporation should have its own Medical Colleges / PG Medical
Institutes / Training schools for training Para-medical staff to ensure sufficient availability of these
personnel.
31 ESIC Medical Education projects have been sanctioned by ESIC to be set up spread over
17 States. The details of Medical /Dental /Nursing colleges and Para-medical Institutions (State wise)
are given below in the table. In addition 11 Post-Graduate Institutions of Medical Sciences and
Research (PGIMSRs) are also sanctioned. Six of these are commissioned and running PG courses. PG
courses are planned in the other five, in future.
S.No States
Institutions
MEDICAL
COLLEGE
DENTAL
COLLEGE
NURSING
COLLEGE
PARA-MEDICALTRAININGINSTT.
1. Andhra PradeshSanath Nagar,Hyderabad
Nacharam,Hyderabad
2. Bihar Bihta , Patna
3. Gujarat Naroda Ahmedabad Naroda,
Ahmedabad4. Haryana Faridabad
5. Himachal Pradesh Mandi
15
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 16/75
6 KarnatakaRajaji Nagar,
Bangalore Gulbarga
Indira Nagar
Bangalore Gulbarga
Gulbarga Gulbarga
7. Kerala Paripally Kollam Ezhukone,
Kollam** **
8. Maharashtra Mulund , ThaneVashi, NaviMumbai
9. Madhya Pradesh Nanda Nagar,Indore
Nanda Nagar,Indore
10. New DelhiBasaidarapur, New
Delhi Rohini, Delhi
11. Orissa Bhubaneswar
12. PunjabBharat Nagar,Ludhiana
13. Rajasthan Alwar
14. Tamil NaduK.K. Nagar,
Chennai
Coimbatore15. Uttar Pradesh
Pandu Nagar,
Kanpur
16. Uttarakhand Haridwar
17. West Bengal Joka, Kolkata Joka, Kolkata
Baltikuri, Kolkata
18 10 (9**) 2 1 (2**)
** Setting up of Para-medical institution in lieu of Dental College at Ezhukone, Kollam, Kerala wasapproved in the 158th meeting of the Corporation held on 10th November, 2012.
Standalone Dental colleges are now not being permitted by Dental Council of India.1. Details of Under-graduate ME Institutions commissioned as on date
a. Bachelor of Dental Surgery (BDS) course has been started at ESIC Dental College,
Rohini Delhi from academic session 2010-11 with intake of 50 students annually. The
third batch of students was admitted in 2011-13 session.
b. Bachelor of Medicine & Bachelor of Surgery (MBBS) course has been started at ESIC
Medical College & PGIMSR Rajaji Nagar, Bangalore from academic session 2012-13
with intake of 100 students annually.
2. Details of Under-graduate ME Institutions on the anvil
Applications have also been submitted for grant of Letter of Permission (LOP) to the
following Regulatory bodies:
i. Medical Council of India (MCI) - To Start Bachelor of Medicine & Bachelor of Surgery
(MBBS) course from Academic Session 2013-14 at
a. ESIC Medical College & PGIMSR Joka-Kolkata,
b. ESIC Medical College & PGIMSR KK Nagar-Chennai
c. ESIC Medical College Gulbarga-Karnataka.
ii. Indian Nursing Council – To Start B.Sc.(Nursing) course from academic session 2013-
14.
a. Indira Nagar, Bangalore
b. Gulbarga, Karnataka
16
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 17/75
STATISTICAL DATA REGARDING ESI SCHEME (All India) as on 01.01.2013.
Total No. of ESI Hospitals 151
Hospitals run by ESI Corporation 34
Hospitals run by State Government 117
Total number of Dispensaries 1372
Total number of ISM unit 91
Total number of hospital beds 22823
Total number of Doctors 7340
Total number of IMP clinics 1380
10. GENERAL POLICY:
The Corporation had decided to run all the ESI Hospitals/Dispensaries/Regional
Offices/Branch Offices in its own buildings as far as feasible. Construction of other buildings such as
Specialist Centres, Offices of the Directorate Medical of ESI Scheme in the State, Central Medical
Stores etc. are sanctioned on merits in each case. ESI Corporation has built the following building for
various purpose. Further, 28 Medical Institutions( Medical College / P. G. Institute / Nursing College
/ Dental College) are under execution.
A. Medical Building
SI. No. Name of Project Nos.
1. ESI Hospitals 151
2. Super Speciality Hospital 1
3. ESI Annexes 42
4. ESI Dispensaries 392
5. Diagnostic Centre 02
6. Administrative (M) 01
B. Administrative Building
SI. No. Name of Project Nos.
1. R. O. Buildings 24
2. S. R. O. – Division office buildings 26
3. Branch Office - Local Office Building 611
17
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 18/75
C. Capital Construction Outlay
The details of Budget allocated for capital construction for the year 2012-13 is as follows:-
SI. No. Name of Project Amount Sanctioned
(Rs. In Crores)
1. Medical Colleges 1757.85
3. ESI Hospital /dispensaries/offices of Directorate ofESI Scheme/ Central Medical Stores etc.
640.00
4. Regional Offices/Branch Offices/Staff Quarters 145.00
Total 2542.85
List of Major Projects under execution is as per Annexure `A’
18
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 19/75
Annexure-A
Sr.No. Medical Education & related works
1 PG INSTITUTE CUM MEDICAL COLLEGE AT SANATH NAGAR, HYDERABAD
2 RENOVATION OF ESI HOSPITAL & DENTAL COLLEGE, NACHARAM,HYDERABAD
3 CONSTRUCTION OF MEDICAL COLLEGE AT BIHTA, PATNA, BIHAR
4 PG INSTITUTE CUM MEDICAL COLLEGE, ESI HOSPITAL, BASAIDARAPUR, NEW DELHI
5 MEDICAL COLLEGE AT FARIDABAD
6 CONSTRUCTION OF MEDICAL COLLEGE, MANDI, H.P.
7 CONSTRUCTION OF MEDICAL COLLEGE, DENTAL COLLEGE AND NURSINGCOLLEGE AT GULBARGA, KARNATAKA
8 ESIC PARA MEDICAL AND ALLIED HEALTH SCIENCE CENTRE AT GULBARGA
9 PGI & UPGRADATION/FACE LIFTING OF ESIC MODEL HOSPITAL AT RAJAJI NAGAR, BANGALURU
10 MEDICAL COLLEGE AT RAJAJINAGAR, BENGALURU
11 NURSING COLLEGE & HOSTEL & 1000 SEATER AUDITORIUM AT INDIRA NAGAR
12 MEDICAL COLLEGE, PARIPPALLY, KOLLAM, KERALA
13 PGIMSR & RENOVATION OF HOSPITAL AT MGM HOSPITAL, PAREL, MUMBAI
14 FACE LIFTING/EXPANSION OF ESI HOSPITAL AT VASHI, MUMBAI
15 PGIMSR AT ESIC HOSPITAL, ANDHERI, MUMBAI
16 CONSTRUCTION OF ESIC MEDICAL COLLEGE AT ALWAR
17 PGI & MEDICAL COLLEGE AT K.K.NAGAR, CHENNAI
18 CONSTRUCTION OF MEDICAL COLLEGE AT COIMBATORE
19 PG INSTITUTE AT AYANAVARAM, CHENNAI
20 CONSTRUCTION OF ESIC DENTAL COLLEGE AND RENOVATION OF ESICHOSPITAL AT PANDU NAGAR, KANPUR
21 PG INSTITUTE CUM MEDICAL COLLEGE AT JOKA, KOLKATA
22 CONSTRUCTION OF ESI HOSPITAL & PG COLLEGE AT MANIKTALA,KOLKATA
19
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 20/75
Sr.No. Hospital
1 RENOVATION/FACELIFTING OF ESI HOSPITAL, TIRUPATI, ANDHRA PRADESH
2 RENOVATION AND EXPANSION OF ESI HOSPITAL, OKHLA
3 RENOVATION/UPGRADATION OF ESI HOSPITAL, MARGAON, GOA
4 CONSTRUCTION OF 100 BEDDED ESI HOSPITAL AT ANKLESHWAR
6 RENOVATION /FACELIFTING OF EXISTING 100 BEDDED ESI HOSPITAL HUBLI,KARNATAKA
7 RENOVATION/FACELIFTING OF 100 BEDDED ESI HOSPITAL MYSORE
8 RENOVATION /FACELIFTING OF EXISTING ESI HOSPITAL DEVENGIRI,KARNATAKA
9 ESI HOSPITAL, KANDIVALI, MUMBAI
10 RENOVATION/FACELIFTING OF ESI HOSPITAL, BHUBANESWAR
11 CONSTRUCTION OF ESI MODEL HOSPITAL, JAIPUR
12 CONSTRUCTION OF ESI HOSPITAL & SRO TIRUNELVELI.
13 CONSTRUCTION OF 100 BEDDED TRAUMA CENTRE AND RENOVATION OFEXISTING ESI HOSPITAL, SAROJINI NAGAR, LUCKNOW
14 CONSTRUCTION OF STAFF QUARTERS AT ESI HOSPITAL CAMPUS, SECTOR -24, NOIDA/FACELIFTING OF INTERIOR EXISTING HOSPITAL BLOCK
Sr.No. Dispensary/Branch office
1 CONSTRUCTION OF ESI DISPENSARY CUM BRANCH OFFICE AT AUTO NAGAR,VIJYAWADA
2 ESI DIGNOSTIC CENTRE AND ESIC DISPENSARY AT JEEDIMETLA
3 RENOVATION OF ESI DISPENSARY AT NIA-I, KARAMPURA
4 RENOVATION OF ESI DISPENSARY AT MAYAPURI – I
5 RENOVATION OF ESI DISPENSARY MAYAPURI – II
6 CONSTRUCTION OF ESI DISPENSARY CUM DIAGNOSTIC CENTRE, MANI NAGAR, AHMEDABAD
7 DISPENSARY AND BRANCH OFFICE AT CHINCHWAD (PUNE)
8 BRANCH OFFICE & DISPENSARY, WALUJ, AURANGABAD, MAHARASHTRA
9 CONSTRUCTION OF ESIC DISPENSARY, BRANCH OFFICE & STAFF QUARTERSAT JHARSUGUDA, ODISHA
10 CONSTRUCTION OF 2 Dr DISP. BRANCH OFFICE AND STAFF QUARTERS AT
JAGATPUR
11 DISPENSARY-CUM-DIAGNOSTIC CENTRE & BRANCH OFFICE AT COLABA,MUMBAI.
12 3 DOCTOR DISPENSARY AT PORUVAZHY, KERALA.
20
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 21/75
Sr.No. RO/SRO
1 CONSTUCTION OF SRO, VIJAYWADA
2 RENOVATION OF REGIONAL OFFICE AT PANJIM, GOA
3 FACELIFTING OF RO, BANGALURU
4 SRO CHIKHALTHANA, AURANGABAD
5 SRO THANE, MUMBAI
6 MODERNIZATION/UPGRADATION OF RO, CHANDIGARH
7 FACELIFTING OF RO, JAIPUR
8 FACELIFTING/RENOVATION OF RO CHENNAI
9 RENOVATION OF RO PUDUCHERRY
10 CONSTRUCTION OF REGIONAL OFFICE BUILDING FOR ESIC / ESI MB AT SALTLAKE, KOLKATA
11 INTERNAL RENOVATION, REPAIRING AND PAINTING 'A','B','C','D' & 'N' TYPESTAFF QUARTERS AT GB BLOCK, SALT LAKE, KOLKATA
12 CONSTRUCTION OF SRO BUILDING, HUBLI, KARNATAKA.
21
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 22/75
11. INDIAN SYSTEMS OF MEDICINE
The details of progress made under ISM as on 01.01.2013 is placed at Annexure VI
12. REVENUE INCOME
Against the Target of Rs. 6700 Crores, Contribution Income Received upto Dec. 2012 is
Rs. 6110.96 Crores. Regions wise position of Contribution Income received during the period
upto Dec. 2012 is given below:-
ANALYSIS OF REGION WISE COLLECTION OF CONTRIBUTION INCOME UPTODEC.2013 (Rs. In lakhs)
Name of theRegion
Target ofcontribution
income
Proportionate
target upto
the month of
Dec., 2012
contribution
received
upto Dec,
2012
Increase/Decrease
as compare to
proportionate
target
% Increase/
Decrease
compare to
proportionate
target
Andhra Pradesh 41531.38 31148.54 35848.26 4699.72 199.64
Assam 3138.83 2354.12 2864.92 510.80 21.70
Aurangabad 5007.86 3755.89 4371.3 615.41 16.39
Baroda 7025.68 5269.26 6274.3 1005.04 19.07
Barrackpore 7689.11 5766.83 7311.45 1544.62 26.78
Bihar 2951.31 2213.49 3157 943.51 42.63
Bomansandram 21861.73 16396.30 19562.85 3166.55 19.31
Chhatisgarh 5773.20 4329.90 6384.88 2054.98 47.46
Coimbatore 15085.74 11314.30 13262.75 1948.45 17.22
Delhi 21175.00 15881.25 17802.99 1921.74 12.10
Ernakullam 9751.77 7313.83 9766.98 2453.15 33.54
Goa 6014.73 4511.05 4369.97 -141.08 -3.13
Gujarat 15170.32 11377.74 13009.25 1631.51 14.34
Gurgaon 26507.81 19880.86 23477.05 3596.19 18.09
Haryana 20053.85 15040.39 14290.13 -750.26 -4.99
Himachal & P. 6089.12 4566.84 5658.45 1091.61 23.90
Hubli 5326.84 3995.13 6413.78 2418.65 60.54
Jammu 1836.42 1377.31 1994.71 617.40 44.83
Jalandhar 7814.00 5860.50 5445.57 -414.93 -7.08
Jharkand 7330.39 5497.79 6498.42 1000.63 18.20
Karnataka 34319.21 25739.41 30464.42 4725.01 18.36
Kerala 7749.24 5811.93 7700.28 1888.35 32.49
Kollam 6738.29 5053.72 7073.33 2019.61 39.96
Lucknow 3702.00 2776.50 5287.19 2510.69 90.43
Ludhiana 10950.23 8212.67 9237.76 1025.09 12.48
Madurai 8094.71 6071.03 7179 1107.97 18.25
Marol 26195.00 19646.25 27677.44 8031.19 40.88
MP 14166.51 10624.88 13653.87 3028.99 28.51
Mumbai 30421.00 22815.75 23068.5 252.75 1.11
Nagpur 3536.00 2652.00 4908.08 2256.08 85.07
Noida 23932.54 17949.41 20484.47 2535.06 14.12
22
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 23/75
13. RECOVERY OF CONTRIBUTION
Contribution under ESI Act is payable by the Principal employer of factory/establishment in
the first instance but he is authorized to recover from the employees, the employees’ share of
contribution by deduction from their wages and not otherwise, provided that no such deduction is to
be made from any wages other than those relating to the period in respect of which contribution is
payable. The employer is not entitled to recover the employer’ share of contribution from the wages
of the employees. The rate of contribution has been laid down in Rule 51 of ESI (Central) Rules,
1950, as amended.
14. POSITION REGARDING ARREARS OF ESI DUES
The arrears of ESI dues as on 31.3.2012 were Rs.1472.72.00 crores as per detailsgiven below:-
(Rs. in Crores)
i. Recoverable dues 441.53
ii Non-Recoverable dues for the present 1031.19
Total 1472.72
Okhla 21986.00 16489.50 19147.7 2658.20 16.12
Orissa 7199.94 5399.96 8082.37 2682.41 49.67
Peenya 14593.51 10945.13 12460.96 1515.83 13.85
Pondicherry 3491.44 2618.58 3042.48 423.90 16.19
Pune 25892.00 19419.00 24233.32 4814.32 24.79
Punjab 10407.05 7805.29 11089.58 3284.29 42.08
Rajasthan 13479.00 10109.25 14562.67 4453.42 44.05
Rohini 6328.61 4746.46 6092.66 1346.20 28.36
Salem 7265.16 5448.87 6372.05 923.18 16.94
Surat 7903.12 5927.34 7226.55 1299.21 21.92
Tamil Nadu 52290.00 39217.50 48122.26 8904.76 22.71
Thane 18820.74 14115.55 16267.74 2152.19 15.25
Tirunelveli 3595.38 2696.54 3537.72 841.18 31.19
U.P 6214.00 4660.50 7687.35 3026.85 64.95
Udaipur 3716.66 2787.49 3406.18 618.69 22.20
Uttrakhand 8364.77 6273.58 9546.81 3273.23 52.17Varanassi 1420.00 1065.00 1455.39 390.39 36.66
Vijayawada 7365.04 5523.78 7548.42 2024.64 36.65
Vishkapatnam 6187.98 4640.98 5492.59 851.61 18.35
West Bengal 36540.00 27405.00 31062.22 3657.22 13.35
Hqrs. Office 0.00 0.00 159.73 159.73 0.00
TOTAL 670000.00 502500.16 611096.1 108595.94 21.61
23
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 24/75
Out of the dues of Rs.1472.72 Crores category –wise classification is as follows:-
a. Govt./Public Sector 348.74Factories / Estt.
b. Private Factories/Estt. 1123.98
Total 1472.72
STATEMENT SHOWING THE POSITION OF ARREARS OF ESI DUES AS ON 31.3.2012
(Rs. in Crores)
BREAK UP As on 31.3.2012
A) ARREARS RECOVERABLEPrivate Public Total
Amount pending with Recovery Officers 408.61 32.92 441.53
Total 408.61 32.92 441.53
B) ARREARS NOT RECOVERABLE FOR THE
PRESENT
(i)Amount of arrears disputed in Courts
385.45 275.86 661.31
(ii)Amount due from Factories/Estts. whichhave gone into liquidation
149.75 22.69 172.44
(iii)Amount pending with Claim
Commissioner2.05 4.02 6.07
(iv)Amount due from Factories/Estts. whichhave closed and whereabouts of employers
not known.
74.46 0.26 74.72
(v)Decree obtained and execution proceedings in progress.
1.27 0 1.27
Total (i to v)612.98 302.83 915.81
C) DUES FROM SICK INDUSTRIES.
(i)Factories regd. with BIFR butrehabilitation scheme yet to be sanctioned 65.78 7.16 72.94
(ii)Factories/establishments which have beendeclared sick and rehabilitation schemesanctioned by BIFR
36.96 5.48 42.44
Total (i to ii)102.74 12.64 115.38
GRAND TOTAL (A+B+C)1124.33 348.39 1472.72
24
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 25/75
The following measures have been/are being taken to bring down the arrears:-
i. Consequent to adding of new provisions under Section 45-C to 45-I in the Principal
Act. 1948 through the ESI (Amendment) Act, in 1989, for setting up of independent
Recovery Machinery in the ESI Corporation on the analogy of the 2nd and 3rd Schedule of
the Income Tax Act, the Corporation has set up its own Recovery Machinery.
Accordingly officers of the cadre of Deputy Directors and Assistant Directors have been
notified to work as Recovery Officer. This measure would help in tiding over the
shortage of Recovery Officers who shall exclusively carryout the revenue recovery work.
ii. Prosecution action is taken against the defaulting employers under Section 85, 85-A
of the ESI Act and under Section 406/409 of Indian Penal Code. Penal damages are
imposed under Section 85-B of the Act.
iii. Besides taking legal actions under provisions of the Act, administrative and
persuasive measures i.e. publishing the name of defaulters in local News Papers/ESIC
web-site are also being taken for early recovery of arrears.
15. RECOVERY OF ARREARS
The Recovery Machinery started functioning in Regions/Sub-Regions by stages. The date of
such setting up of Recovery Machinery, target and the amount recovered during 2011-2012 are
shown as under :-
(Amount in Crore)
Sl.No.
Name of theRegion/Sub-Region
Date of setting up ofRecovery
Machinery
Target fixed Amountrecovered
1. Andhra Pradesh 01.01.1992 4.01 4.76
2. Karnataka 01.01.1992 7.98 8.16
3. Madhya Pradesh 01.01.1992 1.56 1.25
4. Maharashtra 01.01.1992 8.12 8.185. Uttar Pradesh 01.01.1992 3.23 1.40
6. West Bengal 01.01.1992 10.97 11.12
7. Gujarat 01.12.1992 2.79 2.82
8. Bihar 01.12.1992 1.38 0.96
9. Haryana 01.12.1992 1.55 1.58
10. Kerala 01.12.1992 2.39 2.84
11. Rajasthan 01.12.1992 3.65 3.66
12. Orissa 01.12.1992 2.75 1.10
13. Delhi 01.12.1992 5.21 1.96
14. Pune 01.12.1992 3.60 4.62
15. Chennai 01.12.1992 13.66 13.71
16. Coimbatore 01.12.1992 9.52 9.65
17. Madurai 01.03.1993 3.38 3.56
18. Nagpur 01.03.1992 2.86 1.01
25
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 26/75
19. Punjab 01.06.1993 3.41 2.53
20. H.P. 01.06.1993 0.42 0.42
21. J & K 01.06.1993 0.59 0.34
22. Goa 01.09.1997 0.34 0.35
23. Assam 01.09.1997 1.19 1.75
24. Marol
22.04.2003 3.74 2.59
25.Thane
22.04.2003 2.91 2.93
26. NOIDA
12.08.2003 1.54 1.35
27 Jharkhand
30.09.2003 2.05 0.91
28Pondicherry
01.06.2004 0.49 1.09
29 Hubli
01.05.2003 1.27 1.29
30. Vijayawada 01.06.2004 1.23 2.0131. Chhattisgarh 01.06.2004 0.34 2.00
32. Uttaranchal 01.06.2004 1.37 1.39
33. Aurangabad 01.04.2008 1.05 0.62
34 Vadodara 01.04.2010 1.80 1.82
35 Surat 01.04.2010 0.46 0.93
36 Ludhiana 01.04.2010 1.60 0.45
37 Salem 01.04.2010 1.11 1.12
38 Tirunelveli 01.04.2010 3.08 4.14
39 Barrackpore 01.04.2010 2.31 2.6940 Rohini 01.04.2010 1.19 0.89
41 Okhla 01.04.2010 1.63 1.30
42 Gurgaon 01.04.2011 1.56 0.78
43 Peenya 01.04.2011 1.71 5.99
44 Bommasandra 01.04.2011 2.34 2.43
45 Ernakulaqm 01.04.2011 2.81 1.92
46 Kollam 01.04.2011 1.99 1.62
47 Udaipur 01.04.2011 1.03 0.76
48 Varanasi 01.04.2011 0.83 1.50
136.00 132.26
The total arrears outstanding as on 31.3.2012 were Rs. 1472.72 crores, out of which Rs.
441.53 crores falls under the category of recoverable arrears and an amount of Rs.1031.19 crores
under the category of non-recoverable arrears for the present due to claims disputed in the Courts,
factories having gone into liquidation, factories registered with BIFR, amount pending with Claims
Commissioner, closure of the factories and whereabouts of the defaulting employers in certain cases
not known. The Regions are advised to gear up the recovery machinery not only to achieve the target
26
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 27/75
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 28/75
25 Nagpur 4.36 2.74 2.86 0.57
26 Aurangabad 10.03 1.02 1.05 0.19
27Pune
20.80 33.15 3.60 3.23
28 Orissa 14.68 14.30 2.75 0.36
29 Punjab 5.42 14.38 3.41 1.9
30 Ludhiana 0.34 3.65 1.60 0.31
31 H.P. 1.27 0.91 0.42 0.24
32 J. & K. 5.62 1.21 0.59 0.11
33 Rajasthan 5.94 15.52 3.65 2.24
34 Udaipur 0.75 6.49 1.03 0.45
35 Chennai 157.27 21.93 13.66 9.19
36 Salem 14.24 3.73 1.11 0.8
37 Pondicherry 8.14 0.88 0.49 0.8
38 Coimbatore 14.78 14.41 9.52 7.54
39 Madurai 12.16 12.81 3.38 2.74
40 Tiruunelveli 11.16 6.05 3.08 1.14
41 U.P. 26.51 10.04 3.23 0.49
42 Varanasi 0.57 5.05 0.83 0.07
43 Uttranchal 4.05 2.43 1.37 0.69
44 Noida 2.00 3.99 1.54 0.8745 West Bengal 184.48 36.13 10.97 8.12
46 Barrackpore 60.07 2.79 2.31 1.02
47 Rohini 28.14 3.93 1.19 0.55
48 Okhla 1.51 1.13 1.63 1.09
Total 969.92 398.45 136.00 89.07
During the period from April 2011 to December 2011 recovery of arrears of Rs.89.07
crore has been made by the Recovery Machinery of the Corporation.
17. PROSECUTION CASES
ESI Act has empowered ESI Corporation to initiate prosecution against employees &
employers under section 84 & 85 of Act respectively and under section 406/409 of Indian Penal Code for
the following offences:-
1. For false statement made by employees under section 84.
2. Failure to pay contribution under section 85 (a)
3. Deducts or attempts to deduct from the wages of an employee the whole or any part of the
employer’s contribution.
28
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 29/75
4. In contravention of section 72 reduces the wages or any privileges or benefits admissible to an
employee.
5. In contravention of section 73 or any regulation dismisses discharges, reduces or otherwise
punishes an employee.
6. Fails or refuses to submit any return required by the regulations, or makes a false return.
7. Obstructs any Inspector or other official of the Corporation in the discharge of his duties.
8. Is guilty of any contravention of or non-compliance with any of the requirements of this Act
or the rules or the regulations in respect of which no special penalty is provided.
9. Breach of trust by employer.
Enhanced punishment for committing subsequent offence after previous conviction is also
envisaged under section 85A.
DETAILS OF PROSECUTION CASES UNDER SECTION 85 & 406/409 FROM 31.12.2012
S.No. Particulars Section 84 of theESI Act
Section 85 of theESI Act
Section406/409 of theIPC
1 No. of cases pending at the beginningof the year
582 16098 1237
2 No. of Prosecution cases filed during
the period
6 799 16
Total (1+2) 588 16897 1253
3 Total no. of cases decided during theyear 2012
15 1029 39
• Defaulters convicted withimprisonment
0 52 1
• Defaulters convicted with fine 6 592 23
• Cases acquitted/Dismissed 0 65 2
• No. of cases closed by the court 9 320 13
4 No. of cases withdrawn 69 764 18
Total (3+4) 84 1793 57
5 No. of Prosecution cases pending ason 31.12.2012
504 15104 1196
Efforts made to liquidate pending cases.
(i) Launch of New Amnesty Scheme: - New Amnesty Scheme 2010 was launched
w.e.f. 01/03/2010 & was effective till 28/02/2011. The objective of Scheme was to
reduce the no of litigation & unlock the dues stuck up is court. Under this scheme pending
cases filed u/s 84, 85, 75 upto 28/02/2010 could be settled. During the scheme 2278 no
application were received for withdrawal of court cases & 1495 no of cases were
withdrawn. This also result in receipt of dues amounting to Rs. 11.31 Cr.
(ii) Release of Revenue Manual:- The ESI Corporation has been in operation for over
six decades and during this period a lot of changes have taken place in the law and
procedure relating to Revenue administration. Though efforts were made on many
occasions in the past to bring out collections of instructions relating to revenue matters for
29
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 30/75
different periods, it is for the first time that the entire gamut of law and procedure and all
available instructions/judgments relating to revenue administration have been compiled in
book form in a systematic and lucid manner. This manual is of immense help to the
Officers and staff of Revenue branches and Social Security Officers for efficient
discharge of their duties.
(iii) Change of designation of Insurance Inspector:- The designation of Insurance
Inspector has been changed to Social Security Officer with effect from 01/06/2010.
(iv) Provision of Appellate Authority:-Appellate Authority has been created by
insertion of new section 45AA in the Act. As per this provision if employer is not
satisfied with the order passed u/s 45-A, he may prefer an appeal to an Appellate
Authority as may be provided by regulation within 60 days of date of such order by
depositing 25% of contribution or as per his own calculation whichever is higher provided
that if employer finally succeeds in the appeal, the corporation shall refund such deposit
to the employer alongwith such interest as may be specified in the regulation
(v) Time limit for assessment of contribution:- Section 45-A has been amended to
include that no order under this section shall be passed to claim contribution for the
period beyond 5 years from the date on which contribution become payable.
18. IMPROVEMENTS EFFECTED IN THE ESI SCHEME
(a) COVERAGE
• Threshold for coverage of factories reduced from 20 to 10 or more persons.
• Threshold for coverage of shops and other establishments also reduced from 20 to 10 in 15
States/UTs.
• The Scheme was extended to 68 areas covering 1.14 lakh employees during 2010-11 and to
60 areas covering 1.57 lakh employees during 2011-12. During the current year 2012-13, the
scheme has been extended to 55 areas covering 1.73 lakh employees upto 1-2-2013.
• Revenue income of the Corporation increased to 8393.55 crores in the year 2011-12 from
6980.60 crores in 2010-11.
(b) CASH BENEFITS
• Corporation disbursed 685.05 crores as cash benefits in the year 2011-12 as against
496.56 crores in the year 2010-11.
• Daily rate of Sickness Benefit has been enhanced from 60% to 70% of average daily wage.
The daily rate of permanent disablement benefit and dependants benefit was enhanced from
75% of wages to 90% of wages.
30
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 31/75
• The Corporation, in its meeting held in October 2012 decided to enhance the rates of
permanent disablement benefit and dependants benefit to protect the value of these benefits
against rise in the cost of living index.
• The Corporation, in its meeting held in October,2012, also decided to enhance the
Confinement Expenses for confinement taking place outside ESI Dispensary/Hospital from
Rs.2500/- to Rs. 5000/-.
• The Corporation also decided to enhance the Limit for Daily rate of PDB for Commutation.
• Payment of long-term benefits (PDB/DB) through Electronic Clearing System.
• Renovation of Branch Offices and dispensaries with provision all amenities for visiting
beneficiaries.
• Payment of Permanent Disablement Benefit within 3 days of Medical Board decision.
• Permanently disabled persons working in factories and establishments covered under the ESI
Act and drawing wages upto 25,000/- per month have been brought under the scheme
w.e.f.1-4-2008. In order to encourage employment of disabled persons, the employers’ share
of contribution in respect of such disabled employees will be paid by the Central Government
for initial three years.
(c) IT- ENABLEMENT
• ESIC’s IT Project ‘Panchdeep’, one of the largest e-governance project, has been launched.
• All ESI Institutions have been networked under this Project.
• Two smart cards christened as “Pehchan” cards, one for Insured Person and other for the
family have been issued. This enables the Insured Persons and their family members to avail
medical benefit from anywhere anytime, even if living at separate locations.
• Bio-metric details of about 85 lakhs Insured Persons have already been captured to generate
these smart cards.
• Aawareness campaigns have been launched to inform, educate & communicate about Project
Panchdeep to the stakeholders.
• IT Project Panchdeep has been rolled out throughout the country.
• Registration of factories/establishments and their employees is now on-line and employers are
able to generate code number for their establishment and temporary identity cards for their
employees online after which the biometric details and photograph of employees are captured
and Pehchan cards are issued by designated offices of ESIC. Entitlements to benefits,
processing of benefit payments, revenue management, and medical history of patients will all
be available in the data –base through Pehchan, Pashan, Dhanwantari and Milap modules of
IT enablement project.
(d) MEDICAL BENEFIT
(i) The families of insured persons who were previously entitled to medical Benefit, 13
weeks after the date on which the insured person himself became entitled to medical
31
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 32/75
Benefit have been made entitled from the same day as the insured person himself. This
has come into force from 17.12.1977.
(ii) Since 1978, the medical treatment in cases of insured persons who go out of coverage of
the Scheme during the period of treatment would not be discontinued till the spell of
sickness ends or in the case of long term ailments so long as insured persons (excluding
members of the families0 required active treatment.
(iii) Since February, 1991 Medical Benefit has been extended to retired insured persons and
their spouses, on attaining the age of superannuation and to insured persons who cease to
be in insurable employment on account of permanent disablement caused due to
employment injury and their spouses on payment of contribution of Rs.120/- per annum.
19. PUBLIC GRIEVANCES REDRESSAL MACHINERY SET-UP IN ESIC
1. The Cabinet Secretariat, Government of India vide Notification no. A-11013/1/88-Ad-Idated 02.06.98 has extended the jurisdiction of Directorate of Public Grievances to ESI
Hospitals and Dispensaries directly managed by the ESI Corporation under the Ministry of
Labour.
2. Accordingly, the ESI Corporation has set up the Public Grievance Redressal System at
Headquarters office and all RO/SRO/DO/BOs and ESIC Hospitals to ensure expeditious
disposal of complaints and redressal of grievances. Under the ESI Scheme, various
measures have been taken by the Corporation for the same. A Public Grievance Cell has been set-up in ESIC, Head Quarter Office which is headed by a senior officer of the
Corporation. This Cell monitors the grievance redressal machinery in the entire ESI set-up
comprising of Regional Offices, Sub-Regional Offices, Branch Offices, ESI Hospitals and
Dispensaries managed and controlled directly by the E.S.I. Corporation. Further, in all field
offices and hospitals a designated Grievance Officer has been nominated to ensure prompt
and effective redressal of grievances. Detailed guidelines have also been issued from the
Hqrs. Office vide Memo No. Z-14/11/4/98-Ins-I dated 8.05.98 to all concerned to look into
the public grievances of the Stakeholders and settle these within the stipulated time frame.
3. A new Instruction on Public Grievance policy has been issued vide DO letter no. Z-
14/11/04/2009-PG dated 23/11/2009 to all RDs/SSMC/JD,I/C/SMC/MS/ D(M)D to settle
the grievances on top priority. A copy of which was also sent to Trade Unions/ Employer’s
Associations.
4. To ensure that online grievances related to ESI Corporation is being received through PG
Portal Govt. of India, Centralized Public Grievance redress and Monitoring system
(CPGRAMS) has been installed so that cases can be settled through online within stipulated
32
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 33/75
time frame. “Instruction in this regards has been issued to all RDs/ Dir’s/JD I/c, vide letter
no. Z-14/11/04/2009-PG dated 09.10.2009 and 03.12.2009.
5. Grievances and complaints are not only received directly but are also received through the
Cabinet Secretariat (Directorate of Public Grievances), Ministry of Labour & Employment
& Prime Minister's Office etc. These complaints are promptly taken up and efforts are made
to redress them within the time frame.
6. From January 2012 (including B/F) to 31st December 2012, a total number of 5305
grievances/complaints were received from various quarters and out of which 5116
grievances have been disposed through the internal grievance handling mechanism and rest
are under process of settlement.
7. The Public Grievance System has displayed its e-mail address on Internet from November,
2004. Through this e-mail address, representations/ complaints can be forwarded to
concerned Regional Director/Joint Directors/Medical Superintendents for redressal of the
same.
8. In order to bring transparency in the system and to facilitate stake holders to access the
information pertaining to ESIC and to make the ESI Scheme customer friendly, a Toll Free
Helpline number 1800-11-2526 has been installed and activated since 1.12.2006
(functioning all the working days from 9:30 A.M. to 5:30 P.M.). 24x7 toll free helpline
(except Sunday) has started functioning w.e.f. 01.04.2011. Now this helpline is functional
for 7 days round the clock w.e.f. 01.07.2011. Advertisement has also been issued in all
national leading dailies in this connection. The system is functioning under the direct
supervision of Public Grievance Cell and reviewed by the Insurance Commissioner &
Director General.
9. Some of the other measures taken by the Corporation to ensure prompt settlement of Public
Grievances are as follows: -
(a) Educating the target public through internal publications of the ESI Bulletins (ESI
Samachar), Citizens' Charter, Pamphlets on Benefits Employees' Guide/Employers'
Guide etc. available under the Scheme.
(b) Suvidha Samagam for quick redressal of Public Grievances of beneficiaries are
periodically arranged once in a month at the level of Regional Offices, BranchOffices and ESI Hospitals etc. Latest instruction was issued on Suvidha Samagam
vide letter no V-11/14/2/2010-PG dated 16.01.2013.
33
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 34/75
(c) Facilitation Centers have been opened in the offices of the Corporation such as
Hqrs. Office, Regional Office, Branch Offices and ESI Hospitals managed directly
by the E.S.I. Corporation.
(d) Advertisement is also issued in all national leading dailies newspaper periodically
giving the details of new initiatives of ESI Corporation like scheme of incentives to
employers for providing employment to persons with disabilities, Rajiv Gandhi
Shramik Kalyan Yojna and Project Pehchan work etc.
20. MANAGEMENT SERVICE UNIT
I) Results-Framework Document (RFD)
A Results-Framework Document (RFD) is a record of understanding between a Minister
representing the people’s mandate and the Secretary of a Department responsible for implementing
this mandate. This document contains not only the agreed objectives, policies, programs and projects
but also Success Indicators and Targets to measure progress in implementing them.
The RFD seeks to address three basic questions: (a) What are department’s main objectives
for the year? (b) What actions are proposed to achieve these objectives? (c) How would someone
know at the end of the year the degree of progress made in implementing these actions? That is, what
are the relevant success indicators and their targets?
The ESI Corporation is participating in this monitoring system of the Cabinet Secretariat
/PMO both as an independent organization called responsibility centre as well as a part of Ministry
of Labour & Employment, Govt. of India. A total of 34 success indicators covering all the divisions
of the Head Quarters have been included in this document. Out of this 34 success indicators 4 are part
of MoL&E’s RFD which carries weight of 6%.
The RFD also contains 3 mandatory success indicators with weight of 11%. These are;
1. Efficient functioning of the
RFD system
: i) Timely submission of draft RFD ie 5th
March.
ii) Timely submission of result for RFD ie
1st May.
2. Administrative Reforms : i) Implementation of ISO 9001 as per
approved action plan.
ii) Prepare an action plan for innovation.
34
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 35/75
3. Improving internal
efficiency/ responsiveness/
service delivery of Ministry/
department. Action-
Implementation of Sevottam.
: i) Independent audit of implementation of
citizen charter.
ii) Independent audit of implementation of
public grievances redressal system.
The MOL&E vide its letter No. Z-20025/10/2011-RFD (Pt-I) dated 28/6/2012 communicated
Ministry’s achievement for the year 2011-12 as 95.04% and ESIC’s achievement in Ministry’s
RFD was 99.16%..
II) ISO 9001:2008 certification in ESIC
All Regional/ Sub-Regional Offices, D(M)D, ESIC Model hospitals were expected to get themselves
audited for quality & get certified under the latest version of QMS i.e. ISO 9001:2008. As on
31.03.2013 49 no. of Offices and 22 no. of ESIC Hospitals have been awarded ISO 9001:2008.
III) VIP/ MP References
A total of 110 no of queries from VIP/ MP from different Ministries, as and when received, have been
finally replied after compilation of relevant data collected from different Branches & respective field
formations.
IV) Productivity Link Bonus
The PLB for the Financial Year 2011-12 have been paid to all eligible employees for 60 days.
V) Monthly D.O. to the D.G.
The Monthly DO to DG is the important instrument for monitoring functions of the Regional/ Sub-
Regional offices. A new format had been designed & implemented during 2012-13 with a view to
monitor speedy implementation of computerization in ESIC besides overall working of the Region.
21. PUBLIC RELATIONS
The ESI Corporation has a set up of Public Relations Division consisting of full fledged P.R.
Branch at Hqrs. Office, New Delhi assisted by one each Nodal Officer at the Regional and Sub-
Regional level. Brochures/pamphlets/booklets/Annual Report and other literature for the Corporation
are published centrally, apart from interacting with media for dissemination of information on new
initiatives, meetings, seminars, exhibitions, health check-up camps, health melas, awareness camps
etc.
During the year 2011-12, massive efforts have been made to highlight the activities of the
Corporation as well as to raise the level of awareness of the target public about various aspects of the
35
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 36/75
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 37/75
On this occasion, ESICians also took a pledge to make the organization a shining example
to follow for all other social security delivery organization.
5. The Regional Offices and the Hqrs. issued a number of advertisements to various national
and regional newspapers to bring up the level of awareness among the employers and
employees etc. concerning various provisions of the ESI Act, various aspects of project
‘Pehchan’ and project ‘Panchdeep’, incentive scheme for the employers for employing
disabled persons etc. The Hqrs. issued various display advertisements in leading
newspapers in the country on different new initiatives of the Corporation to bring ESIC
closer to people.
6. Emphasis was laid on educating the insured population about the benefits and
contributory conditions under the Scheme and about different aspects of IT Roll Out
project during the year under report by producing adequate printed educational material
about the ESI Scheme. A pamphlet on ‘Medical Benefit provided under ESI Scheme’,
revised edition of ‘Citizens’ Charter’, a handbook of ESIC Hospital named ‘Arogyam’
were produced for distribution among the insured persons through the network of Branch
Offices, ESI Hospitals and dispensaries all over the country. This year’s highlight was
that every publicity material was released simultaneously in Hindi, regional languages as
well as in English.
7. In compliance of the Meetings of the ESI Corporation regarding awareness campaign, the
ESI Corporation have done a massive media and awareness campaign on various Benefits
of ESI Scheme, project Panchdeep (IT Roll Out Plan), Indian System of Medicine (ISM)
etc. for educating the target audience which included the Insured Persons, their family
members and the employers covered under the ESI Scheme. In this media campaign, all
kinds of media like television, radio, newspapers, magazines, hoardings, other outreach
programmes at the national, state and the local level.
8. In order to make ESIC Website a powerful PR tool for the organization, the ESIC
Corporate Website, ‘www.esic.nic.in’ has been reframed and redesigned, making it more
presentable and useful for general public. The website has been developed in both the
languages, Hindi and English to give it a wide appeal and make it suitable for people of
all classes and segments. In a nutshell, the ESIC’s website is now making the life of all
the visitors simple by providing accurate and updated information with a better user
interface.
9. During the year under report, some Outreach/One-to-One Contact Programmes were also
organized through Road Shows/Nukkad Nataks in Uttar Pradesh, Jharkhand, Chattisgarh,
37
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 38/75
Orissa, Madhya Pradesh and Bihar for “Reaching Out to the Stakeholders” and getting
feedback from them, directly.
These seminars and meetings helped the ESIC to understand the actual feelings of the
stakeholders (i.e. employees & employers). All the stakeholders participated widely in
these outreach programmes. Some stakeholders also provided specific advice for further
improvements at the grass root level. However, the overall feedbacks were very positive
and encouraging.
A. COMMITMENTS MADE AND ACHIEVED
COMMITMENTS ACHIEVEMENT
MEDICAL DIVISION
• WELLNESS MOBILE VANS TO BESTARTED IN ALL SUCH ESIC HOSPITALS
Target: 31, Operational : 31 100%
• SETTING UP OF AYUSH UNITS (ISM) INALL ESIC HOSPITALS
Target: 31, Achieved : 31 100%
• ORGANIZING OF ONE HEALTH CAMP INEACH MONTH BY EACH ESIC HOSPITALS
Target: 341, Held : 1031 302%
• OPENING OF 05 ESIC GREENFIELD
HOSPITALS
Target: 05, Achieved : 05 100%
• UPGRADATION/MODERNIZATION
CENTRE IN EACH ESIC HOSPITAL
Target: 05, Achieved : 04 80%
• FACILITATION/COUNSELING CENTRE INEACH ESIC HOSPITALS
Target: 31, Achieved : 31 100%
• ESTABLISHMENT OF DIAMOND JUBILEEMODEL DISPENSARIES WITHDIAGNOSTIC FACILITIES
Finalized : 13State Govt. ApprovalAwaited : 04
Under Construction : 02INSURANCE DIVISION
• ENROLMENT/COVERAGE DRIVE FORMORE MEMBERS UNDER ESI SCHEME
New Unit : 34699 New Employees :9.76 lakh
• BENEFIT PAYMENT THROUGH ECS FORPDB CASES
Total Cases : 73.52 lakhCases Paid through ECS :72.55 Lakh
99%
• BENEFIT PAYMENT THROUGH ECS FORDB CASES
Total Cases: 18.20 Lakh
Cases Paid through ECS:17.99 Lakh
99%
• NO PUBLIC GRIEVANCE CASES REMAIN
PENDING FOR DISPOSAL BEYOND 15DAYS
Cases : 511, Settled : 473 93%
• ONE FACILITATION CONCLAVE(SUVIDHA SAMAGAM) FOREMPLOYERS/EMPLOYEES TO BEORGANISED ONCE IN A MONTH BY EACHBRANCH OFFICES
Scheduled : 6809, Held :7084
104%
• TO MAKE 25 BRANCH OFFICES ALL OVERINDIA – WITH SAFE DRINKING WATERAND ALL THE AMENITIES
Achieved : 71 284%
• PDB/DB CASES TO BE SETTLED WITHINONE MONTH
No. of Cases: 1389, Settled :1126
81%
38
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 39/75
• ALL APPEAL CASES FROM EMPLOYERSTO BE DISPOSED WITHIN 60 DAYS
No. of Cases: 519, Settled :
431
83%
• SETTLEMENT & PAYMENT OF MEDICALBOARD CASES WITHIN THREE DAYS
No. of cases : 1205, Settled :1129
94%
• FACILITATION CENTRE IN ESIC
HQRS./REGIONALOFFICE/SROS/DOS/BRANCH OFFICES
Target : 677, Achieved : 594 88%
FINANCE DIVISION• PAYMENT TO ALL CLIENTS WITHIN 10
DAYS THROUGH ECS (TO REGULARCLIENTS)
No. of Bills : 1.52 LakhSettled : 1.35 Lakh
89%
• COMPUTERISATION OF MONTHLY ANDANNUAL ACCOUNTS
No. of Accounting Units : 91Achieved : 88
97%
• ORGANIZING OF 100 TRAININGPROGRAMMES ON ETIQUETTES/PEOPLEHANDLING/COURTESY
Target: 100, Achieved: 309 309%
• PEHCHAN CARD WILL BE GIVEN TO THEINSURED PERSONS WITHIN 7 DAYSAFTER DATA CAPTURING
No. of Cards issued : 15.66Lakh
• REAL TIME ONLINE REGISTRATION FOR
EMPLOYERS AND INSURED PERSONS
Employers : 19422/IPs: 34.03Lakh
22. RTI ACT
1. The Right to information Act’2005 has been implemented in all offices in ESI Corporation
including ESI Hospitals and Dispensaries directly run by the Corporation. Central Public
Information Officer (CPIO) have been designated in all Regional/Sub-Regional/Divisional
Offices/Hospitals, Dispensaries, Branch Offices, Directorate (Medical) Delhi, Directorate
(Medical) Noida, /NTA and Hqrs. Office. Appellate Authority has also been designated for
each office.
2. The applicant may make the application for information under RTI Act’05 and deposit
application fee of Rs.10/- in cash in any of our Office or in the designated branch of State
Bank of India by Challan or through Indian Postal Order or Demand Draft drawn in favour of
ESIC Fund A/c No.1.
3. The information to the applicant is ordinarily provided in the form in which it is sought.
4. Manual of the Right to Information has been published as per provisions of RTI Act, 2005.
724 requests for information were received during the period April 2012 to Dec.2012 out of
which information was provided in 704 cases and rejected in 20 cases. 141 Appeals were also
decided during this period.
5. The name and the address of the Appellate Authority is mentioned in the reply/decisions
communicated to the applicant.
39
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 40/75
23. TRAINING
Standard Note on National Training Academy, ESIC as on 01.01.2013
The National Training Academy is the apex training centre of ESIC under Training
Division with the Commissioner as head of NTA. Its Job is to impart training to all group ‘A’ and
‘B’ (including medical and non-medical) officers of ESIC.There are 4 Zonal Training Institutes working under NTA –viz. ZTI NZ, ZTI SZ, ZTI WZ, and
ZTI EZ headed by Director/Joint Director assisted by 1 or 2 staff members.
Setting up of ESIC National Training Academy
• In the year 2005, the National Training Academy of ESIC was set up to impart training to all
group A & B officers of ESIC with Additional Commissioner as its Head and it started functioning
from ESIC Regional Office Mumbai building.
• In addition, 4 Zonal Training Institutes were also set up to impart training to group C and D staff
of ESIC.
• Zonal Training Institute, North Zone, Delhi at RO Delhi
• Zonal Training Institute, South Zone, Bangalore,
• Zonal Training Institute, West Zone Mumbai, and
• Zonal Training Institute, East Zone, Kolkata
Shifting of NTA from Mumbai to Delhi
• In December 2005 the NTA was shifted to Delhi and it started functioning from ESI Hospital
premises, Rohini, Delhi.
• The NTA infrastructure was developed in one of the patients ward of ESIH Rohini and it
functioned from there till 2009 end when it was shifted to RO Delhi. In April 2010, the National
Training Academy was once again shifted to the Office Space rented on the 2nd floor in the NRPO
Building, EPFO Complex, Sector-23, Dwarka, New Delhi.
In the year 2012, a total number of 177 training programs were conducted by NTA and the four
ZTIs where 5288 participants were trained during 2012. The programmes were conducted both In-
house and in association with various renowed training academies like NIAR LBSNAA, DTRTI,
XIMB etc.
Training Conducted from 1st January to 31st December, 2012 (General Cadre)
Sl.
No.
Name of Training Type of
Participants
Date No. Of
Traine
es
Place
1. Training on “Finance for
Non-Finance Officers (South& East Zone)
Finance &
Accounts Officers
9th to 13th Jan.,
2012
24 RO, Chennai
40
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 41/75
2. Training for “Assistant
Executive Engineers”
Engineers 24th Jan. to 25th
Feb., 2012
12 NTA, New Delhi
3. Inner Engineering Program AD/DD 1st to 7th Feb.,2012
05 Tyagraj Stadium, New Delhi
4. Two days Work shop onProject Management forEngineers
Engineers, NodalOfficers, DD
7th to 8th Feb.,2012
88 NTA, New Delhi
5. Training on “Finance for Non-Finance Officers (North& West Zone)
Finance &Accounts Officers
13th
to 17th
Feb.,2012
29 SRO, Marol,Mumbai
6. Training on RevenueRecovery
Recovery Officers 7th to 9th May,2012
30 Direct TaxesRegional TrainingInstitute (DTRTI),
Bangalore
7. Training for DDOs of ESICOfficers (South & West
Zone)
DDOs 11th to 12th May,2012
35 DTRTI, Bangalore
8. Training for DDOs of ESICOfficers (North & East
Zone)
DDOs 22nd to 23rd May,2012
30 DTRTI, Kolkata
9. Mandatory In-ServiceTraining Programme forESIC Officers before
‘Regular Promotion’ to nexthigher level reg. (JD to Dir.)
Ist Batch (Ist Spell)
Regular JointDirectors &
Ad-hoc Directors
11th to 18th June,2012
24 NTA, New Delhi
10. Mandatory In-ServiceTraining Programme forESIC Officers before
‘Regular Promotion’ to nexthigher level reg. (JD to Dir.)
Ist Batch (IInd Spell)
Regular JointDirectors &
Ad-hoc Directors
25th to 30th June,2012
26 Xavier Institute ofManagement,Bhubaneshwar
(XIMB)
11. Training Programme onAccounting Basis Reformsfor ESIC Officials
All concernedOfficers
28th to 30th June,2012
23 NTA, New Delhi
12. Mandatory In-ServiceTraining Programme forESIC Officers before
‘Regular Promotion’ to next
higher level reg. (JD to Dir.)Ist Batch (IIIrd Spell)
Regular JointDirectors &
Ad-hoc Directors
9th to 16th July,2012
30 National Instituteof Administrative
Research, Lal
Bahadur Shastri
National Academyof Administration
(LBSNAA),Mussoorie
13. One Day Hindi Workshop All Hindi Officers 19th July, 2012 31 NTA, Delhi
14. Mandatory In-Service
Training Programme forESIC Officers before
‘Regular Promotion’ to nexthigher level reg. (JD to Dir.)
IInd Batch (Ist Spell)
Regular JointDirectors &
Ad-hoc Directors
23rd July to 1st
Aug., 2012
32
NTA, New Delhi
15. Mandatory In-Service
Training Programme forESIC Officers before‘Regular Promotion’ to next
Regular DeputyDirectors & AD-
hoc Joint
3rd to 14th Aug.,
2012
39
NIAR, LBSNAA,Mussoorie
41
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 42/75
higher level reg. (DD to
JD)- Ist Spell
Directors
16. Mandatory In-ServiceTraining Programme forESIC Officers before‘Regular Promotion’ to nexthigher level reg. (JD to Dir.)
IInd Batch (IInd Spell)
Regular JointDirectors &
Ad-hoc Directors
6th Aug. to 11th Aug., 2012
30Xavier Institute of
Management,Bhubaneshwar
(XIMB)
17. Mandatory In-ServiceTraining Programme forESIC Officers before‘Regular Promotion’ to nexthigher level reg. (JD to Dir.)
IInd Batch (IIIrd Spell)
Regular JointDirectors &
Ad-hoc Directors
21st to 25th Aug.,2012
30 NIAR, LBSNAA,
Mussoorie
18. Mandatory In-ServiceTraining Programme forESIC Officers before‘Regular Promotion’ to nexthigher level reg. (DD to
JD)- IInd Spell
Regular DeputyDirectors
& Ad-hoc JointDirectors
27th Aug. to 6th Sep., 2012
39 NTA, Delhi
19. Two Days Hindi Workshopfor DD’s Deputy Directors
25th and 26th Sep.,2012
13 NTA, Delhi
20. Accounting Reforms inESIC AD(F), DD(F)
10th and 11th October, 2012
33 NTA, Delhi
21. Accounting Reforms inESIC
AD (F), DD(F) 12th and 13th October, 2012
40 NTA, Delhi
22. Training on Preventive
Vigilance (West & SouthZone)
AD/DD
Dealing withVigilance Matters
15th to 17th
October, 2012
35 ESIMH, Rajaji
Nagar, Bangalore
23. Training on PreventiveVigilance(North & East Zone)
AD/DDDealing with
Vigilance Matters
5th to 7th November, 2012
34 RO, Kolkata
Medical Side
24. VC Purchase Procedure All Model
Hospital Doctors
9.01.2012 180 Hqrs.
25. VC Occupational Health inESI
All ModelHospital Doctors
20.01.2012 170 Hqrs.
26. NABH Training SAG/NFSG 11,12,13.01.12 35 NTA, New Delhi
27. Eagle-7 SMC, MS, RD,Dir, JD
16 to 20.01.2012 25 RO, Cochin
28. Medical Vigilance training CMO, IMO, SAG. NFSG
30 & 31. 01.2012
29 NTA, New Delhi
29. Etiquette Programme NO/Nurses 9.2.2012 27 NTA, New Delhi
30. VC on laparoscopy surgery All ModelHospital Doctors
10.2.2012 200 Hqrs.
31. Second Inning Programme All SAG Dir. 11.02.2012 15 NTA, New Delhi
32. MDP for NursingAdministration
NO/Nurses 16 & 17 .02.2012
28 NTA, New Delhi
33. Teaching Faculties AssistantProfessors
27 & 28.02.2012 21 NTA, New Delhi
42
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 43/75
34. FMS Training NFSG 21.02. to
2.3.2012
25 NTA, New Delhi
35. Eagle 8 SMC, MS, RD,Dir, JD
12 to 16 .03.2012 25 Srinagar
36. Induction ProgrammeDoctors
IMO Gr. II 27 & 28 .3.2012 20 ESIMH, Rajaji Nagar
37. Induction Programme for Newly Recruited Doctors
IMO 8 & 9 .05.2012 32 ESIMH, Peenya
38. Orientation programme forTraining Faculties ofPGIMSR MGM
Asst. Professor 17 & 18.05.2012 23 SRO, Marol
39. Orientation programme forTraining Faculties of Rohini
& Basaidarapur
Asst. Professor 22 & 23.05.2012 28 NTA, New Delhi
40. Orientation programme forDoctors at Ranchi
IMO Gr. II 4 & 5.06.2012 24 ESIMH, Ranchi
41. Orientation programme forDoctors at Ezhukon
Specialist 7 & 8 .06.2012 20 ESIMH, Ezhukon
42. Orientation programme forDoctors at Ludhiana
IMO 20 & 21.06 16 ESIMH, Ludhiana
43. Orientation programme for
Doctors at Gujarat
IMO 26 & 27.06.2012 25 ESIMH,
Bapunagar(Ahemdabad)
44. Workshop on Administrative MS, SMC 5 & 6.07.2012 17 RO, Kolkata
45.
Orientation programme forCMO, RO Delhi CMO 9 & 10.07.2012 23 RO, Delhi
46. Eagle 9 SMC, MS, RD,
Dir, JD
16 to 20.07.2012 25 RO, Coimbatore
47. Orientation programme onChange of Organizationculture for IMO Gr.I
IMO Gr. I 23 &24.08.2012 21 NTA, New Delhi
48. Orientation programme forDoctors of Andhra Pradeshat ESI Hospital Sanath Nagar
IMO, SMC 28 & 29.08.2012 30 ESIMH, Sanath Nagar
49. Orientation programme forDoctors, ESI Model HospitalJammu
IMO Gr. II 13 & 14.08.2012 21 ESIMH, Jammu
50. Communication Skill SAG, Doctors 20 & 21.09.2012 20 NTA, New Delhi
51. Workshop on Financial &vigilance
SSMC, MS, AD 27 & 28.09.2012 32 SRO, Marol,Mumbai
52. Orientation programme forDoctors,
IMO Gr. II 4 & 5.10.2012 24 RO, Rajasthan
53. Orientation programme onchange organization Culture
IMO Gr. II 10 & 11.10.2012 20 ESI JhilmilHospital
54. VC Super Specialty MSs, SMCs 19.10.2012 120 Hqrs.
55.
MDP for west Bengal ESI Nursing Administration ANS 7 & 8.11.2012 25 ESI NursingSchool Kolkata
43
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 44/75
56. Orientations programme on
change in organizationculture
IMO 21 & 22.11.2012 20 GOA
57. Workshop on Medico LegalIssue in Health care DeliverySystem for Specialist
Specialist 4.12.2012 24 NTA, New Delhi
58. Orientations programme onchange in organizationculture
MO/ IMO II 17 & 18.12.2012 18 ESIMH, RamDurbarPunjab
North Zone (ZTI)
59. Etiquette and PublicHandling Courtesy in r/o
Hospital Jammu
Paramedical Staff/ Nursing Orderly
02/01/12 25 ESIC ModelHospital, Jammu
60. Etiquette and Public
Handling Courtesyin r/oHospital Jammu
Paramedical Staff
/ Nursing Orderly
03/01/12 21 ESIC Model
Hospital, Jammu
61. Etiquette and Public
Handling Courtesy in r/o ROBaddi
Assistant / UDC 09/01/12 21 ESIC Regional
Office, Baddi
62. Etiquette and PublicHandling Courtesy
in r/o RO, SRO Chandigarh& Ludhiana
Assistant / UDC 20/01/12 27 ESIC SubRegional Office,
Ludhiana
63. Etiquette and PublicHandling Courtesy
in r/o SRO Jallandhar &
Hospital Jammu
Assistant / UDC /LDC
23/01/12 23 ESIC SubRegional Office,
Jallandhar
64. Training Programme forMTS (Non-Matric)
in r/o RO, SRO Delhi
MTS (Non-Matric)
27/02/12 to02/03/12
27 ESIC RegionalOffice, Delhi
65. Training Programme forMTS (Non-Matric) in r/o
ESI Hospital
MTS (Non-Matric)
19/03/12 to27/03/12
19 ESIC RegionalOffice, Delhi
66. Orientation Programmein r/o
Delhi & NCR
Newly Recruited
Steno
23/04/12 to
27/04/12
23 ESIC Regional
Office, Delhi
67. Induction Coursein r/o RO,SRO & Hqrs
MTS 3/05/12 to04/05/12
36 ESIC RegionalOffice, Delhi
68. Training Programme onComputer Application
LDC 21/05/12 to22/05/12
18 ESIC RegionalOffice, Delhi
69. Training Programme for
Steno Hindi
in r/o Northern Region
STENO 24/05/12 to
25/05/12
10 ESIC Regional
Office, Delhi
70. Management &
Leadershipin r/o NorthernRegion
SSO 11/06/12 to
12/06/12
31 ESIC Regional
Office, Delhi
71. Orientation Coursein r/oHospital Delhi
Nursing Orderly 18/06/12 to19/06/12
22 ESIC RegionalOffice, Delhi
44
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 45/75
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 46/75
91. Administration, Revenue &Benefits
UDC (NewlyRecruited)
25/10/12 to31/10/12
26 ESIC RegionalOffice, Delhi
92. Vigilance / Departmental
Proceeding
Para-Medical Staff 01/11/12 to
03/11/12
29 ESIC Model
Hospital, Gurgaon
93. Revenue & Administration MTS 07/11/12 to09/11/12
38 ESIC SubRegional Office,
Ludhiana
94. Vigilance & AdministrativeMatters
Assistants / UDC 21.11.12 to23.11.12
23 ESIC RegionalOffice,
Chandigarh
95. Preventive Vigilance,Procedure & Departmental
Proceeding
SSO 27/11/12 to30/11/12
27 ESIC RegionalOffice, Delhi
96. Preventive Vigilance,Procedure & Departmental
Proceeding
Assistants 05/12/12 to07/12/12
16 ESIC RegionalOffice, Delhi
97. Preventive Vigilance,Procedure & Departmental
Proceeding
Para-Medical Staff 12/12/12 to14/12/12
21 ESIC RegionalOffice, Delhi
98. Preventive Vigilance,Procedure & Departmental
Proceeding
OfficeSuperintendent /
Assistants
19/12/12 to21/12/12
27 ESIC Regional
Office, Delhi
East Zone (ZTI)
99. ETIQUETTE UDC 19/06/12 25 ZTI (E.Z.)
100. -DO- UDC 19/07/12 25 RANCHI
101. -DO- MTS 20/07/12 23 -DO-
102. -DO- UDC 26/07/12 25 PATNA
103. -DO- MTS 27/07/12 25 -DO-
104. -DO- MTS 27/08/12 19 GUWAHATI105. -DO- UDC 28/08/12 23 -DO-
106. -DO- NURSE 20/09/12 23 ADITYAPUR,JAMSHEDPUR
107. -DO- NURSE 21/09/12 24 -DO-
108. -DO- NURSE 11/10/12 27 NAMKUM,RANCHI
109. -DO- NURSE 12/10/12 28 -DO-
110. INDUCTION UDC 19/03/12 TO23/03/12
25 ZTI (E.Z.)
111.
-DO- UDC 16/04/12 TO20/04/12 25 -DO-
112. -DO- UDC 14/05/12 TO18/05/12
24 -DO-
46
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 47/75
113. -DO- UDC 21/05/12 TO
25/05/12
17 -DO-
114. -DO- MTS 11/06/12 TO13/06/12
24 -DO-
115. -DO- MTS 12/09/12 TO14/09/12
24 -DO-
116. -DO- MTS 01/11/12 TO
02/11/12
25 -DO-
117. -DO- MTS 06/12/12 TO07/12/12
22 -DO-
118. -DO- MTS 20/12/12 TO21/12/12
20 -DO-
119. FUNCTIONAL UDC 25/06/12 TO27/06/12
22 -DO-
120. -DO- UDC 06/08/12 TO08/08/12
20 -DO-
121. -DO- HC/ASST 07/05/12 TO09/05/12
24 -DO-
122. -DO- -DO- 02/07/12 TO04/07/12
24 -DO-
123. -DO- -DO- 22/08/12 TO23/08/12
22 -DO-
124. -DO- SSO 04/06/12 TO06/06/12
21 -DO-
125. -DO- -DO- 16/07/12 TO18/07/12
23 RANCHI
126. -DO- -DO- 29/08/12 TO31/08/12
18 GUWAHATI
West Zone (ZTI)
127. Induction TrainingProgramme for NewlyRecruited LDCs. for(03days)
LDC
01/02/2012to
03/02/201222 S. R.O. Pune
128. Induction TrainingProgramme for NewlyRecruited UDCs. for(03days)
UDC21/02/2012
to23/02/2012
26 S. R.O.Aurangabad
129. Induction TrainingProgramme for NewlyRecruited UDCs. for(03days)
UDC 27/02/2012to
29/02/2012
25 S. R.O. Surat
130. Induction Training Coursefor LDCs Newly Promotedfrom MTS Cadre for(03days)
LDC 13/03/2012to
15/03/2012
30 S. R.O. Marol
131. Functional Training Courseon “REVENUE ANDREVENUE RECOVERY”for Assistants/ UDCs. for(02days)
ASST/UDC21/03/2012
to22/03/2012
22 S. R.O Nagpur
132. Induction Training
Programme for NewlyRecruited UDCs. and NewlyPromoted LDCs from MTSCadre for (03days)
LDC 03/04/2012
to05/04/2012 28 S. R.O. Marol
47
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 48/75
133. Functional Training Course
on “REVENUE ANDREVENUE RECOVERY”for Assistants/ UDCs. for
(03days)
ASST/UDC 09/04/2012
to11/04/2012
28
S. R.O Marol
134. Functional Training Courseon “REVENUE AND
REVENUE RECOVERY”for Assistants/ UDCs. for(03days)
ASST/UDC 16/04/2012
to18/04/2012
25 R.O Indore
135. Functional Training Courseon “REVENUE ANDREVENUE RECOVERY”
for Assistants/ UDCs. for(03days)
ASST/UDC
25/04/2012to
27/04/2012 27 S. R.O Marol
136. Induction TrainingProgramme for NewlyRecruited UDCs. for(03days)
UDC
08/05/2012to
10/05/2012 30R.O. Ahmedabad
137. Functional Training Courseon “REVENUE ANDREVENUE RECOVERY”for Assistants/ UDCs. andLDC. for (03days)
ASST/UDC14/05/2012
to16/05/2012 28
S. R.O Marol
138. Functional Training Course
on “REVENUE ANDREVENUE RECOVERY”for Assistants/ UDCs. for(03days)
ASST/UDC21/05/2012
to23/05/2012 30 S. R.O. Pune
139. Functional Training Courseon “REVENUE ANDREVENUE RECOVERY”for Assistants/ UDCs.LDC.for (03days)
ASST/UDC18/06/2012
to20/06/2012
30 R.O. Ahmedabad
140. Functional Training Courseon “REVENUE ANDREVENUE RECOVERY”
for Assistants/ UDCs. for(03days)
ASST/UDC27/06/2012
to
29/06/2012
30S.R.O. Marol
141. Induction Training
Programme for NewlyRecruited UDCs. and NewlyPromoted LDCs from MTSCadre for (03days)
LDC/UDC
16/07/2012
to18/07/2012 26
R.O.
AHMEDABAD
142. Induction Training
Programme for NewlyRecruited MTS Cadre for(02days)
MTS
29/08/2012
&31/08/2012
29 R.O. MUMBAI
143. One day training course on
“Courtesy, Etiquette & PRskills” for ESIS Hospital &dispensary staff
DOCTORS &PARAMEDI-CAL STAFF
06/09/2012 25 SRO NAGPUR
144. One day training course on“Courtesy, Etiquette & PRskills” for ESIS Hospital &dispensary staff
DOCTORS &PARAMEDI-CAL STAFF
07/09/2012 22 SRO NAGPUR
48
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 49/75
145. Induction Training
Programme for NewlyRecruited MTS Cadre for(02days)
MTS
11.10.2012
To12.10.2012 27
SRO PUNE
146. Induction TrainingProgramme for NewlyRecruited UDCs. for
(03days)
UDC
17.102012To
19.102012 24MUMBAI
147. Skill Upgradation Trg. ForGr.D Paramedical Staff ofESIC Model Hospital,Andheri
Gr.’D’Paramedical
Staff
6.11.2012To
9.11.201225
Mumbai
148. Pre-Exam. Trg. For AsstsAppearing for LDCE forSSO post
ASST/ ADHOCSSO
19.11.2012To
21.11.2012 35
Mumbai
149. Induction TrainingProgramme for NewlyRecruited UDCs. for
(03days)
UDC
26.11.2012To
28.11.2012 30MUMBAI
150. Induction Training
Programme for NewlyRecruited MTS Cadre for(02days)
MTS
29.11.2012
To30.11.2012 27
MUMBAI
151. Induction TrainingProgramme for NewlyRecruited UDCs. for(03days)
UDC12.12.2012
To14.12.2012 24
MUMBAI
152. Induction Training
Programme for NewlyRecruited UDCs. for(03days)
UDC
19.12.2012
To21.12.2012 25 SURAT
153. Induction TrainingProgramme for NewlyRecruited UDCs. for(03days)
UDC26.12.2012
To28.12.2012 32 P UNE
ZTI (SZ)
154. Orientation/Induction Training
programme for newly
recruited LDCs of R.O.Hyderabad jurisdiction.
UDC4th, 5th & 6th Jan’2012 29
R.O.Hyderabad
155. Orientation/Induction Training programme for newlyrecruited LDCs of ROChennai, SRO Coimbatore,SRO Madurai , Tirunelveli& Salem.
LDC 11th ,12th & 13th Jan’2012
28 ESIC SRO-Coimbatore
156. Orientation/Induction Training for newly
recruited Staff Nurses &
paramedical staff ofESIC.Hospital Peenya
B’lore
NO/Nurses 17th & 18th Jan’2012
30 ESIC ModelHospital,Rajajinag
ar,Bangalore.
49
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 50/75
157. Orientation/
Induction Training for newlyrecruited Staff Nurses &
paramedical staff of ESIC.
Hospital Peenya B’lore
NO/Nurses 23rd & 24th
Jan’12
29 ESIC Model
Hospital,Rajajinagar,Bangalore.
158. Orientation/Induction Training for newly
recruited Staff Nurses & paramedical staff ofESIC.Hospital Peenya
B’lore
NO/Nurses 27th & 28th Jan’2012
32 ESIC ModelHospital,Rajajinag
ar,Bangalore.
159. Soft skill TrainingProgramme on Etiquettes &
People Handling
Staff Nurse/Paramedical
Staff
20th Jan’2012 30 ESIC ModelHospital,Rajajinag
ar,Bangalore.
160. Soft skill TrainingProgramme on Etiquettes &
People Handling
Staff Nurse/ParamedicalStaff
25th Jan’2012 29 ESIC ModelHospital,Rajajinagar,Bangalore.
161. Soft skill TrainingProgramme on Etiquettes &
People Handling
Staff Nurse/Paramedical
Staff
30th Jan’2012 32 ESIC ModelHospital,Rajajinag
ar,Bangalore.
162. Orientation/Induction Training programme for newly
recruited Nursing orderlies.
Nursing Orderlies 2nd Feb’201232
ESIC ModelHospital,Rajajinagar,Bangalore-10
163. Soft skills TrainingProgramme on Etiquettes &People Handling.
Nursing Orderlies 3rd Feb’2012 32 ESIC ModelHospital,Rajajinagar,Bangalore-10
164. Orientation/
Induction Training for newlyrecruited LDCs(now UDCs)-
SRO Kollam & ESICHospital Ashramam.,Paripally & Ezukone
Kollam.
UDC 15, 16th & 17th
Feb’2012
33 ESIC Model
Hospital,Ashramam,Kollam
165. Soft skills TrainingProgramme on Etiquettes &
People Handling
All cadres fromSSOs to MTS
25th Feb’2012 24 Hotel Bell,Bangalore.
166. Refresher training programme for
SSOs/Br.Managers/Office Supdts
SSOs/Br.Managers/OfficeSupdt.
26th
& 27th
Feb’2012
26 HotelBell,Bangalore
167. Training Programme onRevenue Recovery Module
of WIPRO for the staffmembers working in
Revenue Recovery branch in
association with Wipro.
Staff members inRevenue Recovery
28th & 29th Feb’2012/
16 HotelBell,Bangalore
168. Refresher TrainingProgramme for SSO’s in
Insurance, Benefits andlegal.
SSOs 03.04.2012to
04.04.2012
26 ESIC, SRO,Ernakulum
169. Functional TrainingProgramme for Newly
LDC/UDC 11.04.2012to
25 RO, ESIC,Bangalore
50
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 51/75
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 52/75
24. INFORMATION COMMUNICATION TECHNOLOGY DIVISION
The IT Roll Out Plan of ESIC, ‘Project Panchdeep’ has been assigned to M/s WIPRO as
System Integrator on BOOT Model.
The project has 5 components viz, Pehchan, Dhanwantri, Pashan, Milap and Pragati meaning
Identification, Medical Information System, Hardware, Integration (Networking) and various ERPapplications respectively.
Pehchan Card (Identification Card) in duplicate is being issued to each IP (one for
himself/herself and one for his/her family) since Aug, 2009 for availing benefits any where any time
in India. Till Dec 31st, 2012 approximately 98 Lakh IPs have been enrolled at ESI Pehchan Camps.
Photo/Bio-metric details of IP and their dependents are being captured. Issuing of Pehchan Card is a
continuous process and is being carried out in all regions. Step like organizing Hybrid Pehchan
Camps (camps in the employers premises) have been taken to achieve maximum enrollment.
The ESI Scheme has started adopting computer based application usage of the Health
Information System Software – “Dhanwantri” Module across the country. Training to staff including
doctors and nurses across all locations has been arranged and refresher / repeat training arranged
every quarter imparting training to about 6500 staff, doctors and nurses. Till now two refresher
training has been arranged in each State/UT and presently the third Refresher Course Training is
being organized across all locations in the country.
Nearly 2024 sites are live and rest are being done and site discrepancies and other
requirements are being addressed for rectification.
Two Training Centers/Video Conferencing Centers have been set up in each State - one
attached with Regional Office for training on ERP to Officers/Officials and the other attached with
ESI Directorate for training in Medical Modules and other applications etc.
Insured Persons(IPs) have been empowered to check Personal Details/Contribution
Details/Entitlement Details through IP Portal on www.esic.in.
Employer has been empowered with self registration of Employer and Employees (IP)
through ESIC Portal www.esic.in. Employer has also been empowered to file and pay Monthly
Contribution through system generated challan. A facility to pay monthly contribution online through
SBI Payment Geteway is also in place. Beside this Employer has been empowered to do various
activities through different links provided on the home page of Employer Portal.
In the Insurance Module, Payment/Contribution details of Employers and Employees can be
viewed through this portal and notices for non/delayed payment can be processed and generated
through system. Inspection and Survey can also be processed through system.
Grievance of employers and IPs are addressed through online mail service at [email protected]
and problems related to IT that are faced by the ESI Employees are addressed at [email protected]
and at VOIP(Voice Over Internet Protocol) No. 7001. Complaints are logged and a ticket no. /
complaint no. is alloted for each complaint registered at itcare and ithelpdesk.
52
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 53/75
Based on real time feedback of errors in developed modules, viz. Benefits, Insurance, ERP,
Dhanwantri, System Integrator is carrying out rectifications. Pending issues namely errors in
application including reports, desktop not meeting bussiness requirement of ESIC, non-balancing of
two links provided at ESI locations, slow response of application, absence of audit trail provisions,
non-implementation of parameters of Service Level Agreement, Power back-up issues relating to UPS
and inverter are being actively pursued with WIPRO. Action is being taken to engage NISG(National
Institute of Smart Government) as consultant and also to set up Project Management Unit(PMU) with
the help of NISG. Help of NISG would also be taken, as necessary, to close the pending issues.
53
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 54/75
25. GENERAL INFORMATION AND STATISTICAL DATA REGARDING THEEMPLOYEES’ STATE INSURANCE SCHEME
General information regarding benefits, coverage etc. under the ESI Scheme and the latest
statistical data regarding the scheme are summarized at Annexures given below.
1. Statement showing the details of benefits provided
under the ESI Act 1948.
Annexure – I 55
2. Benefits & Contributory conditions Annexure - II 59
3. General Information regarding ESI Scheme Annexure – III 63
4. Revenue & Expenditure of Corporation Annexure – IV 65
5. Statistical Data regarding ESI Scheme Annexure – V 67
6. Progress made under ISM as on 01.01.2013 Annexure – VI 69
54
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 55/75
Annexure – I
51(I) STATEMENT SHOWING THE DETAILS OF BENEFITS PROVIDED UNDER THEESI ACT, 1948
(1) MEDICAL BENEFIT
(i) Medical Benefit is available to an Insured person and his family from the day he entersinsurable employment. There is a huge infrastructure comprising of hospitals, dispensaries,
annexes, Specialist centre, IMP Clinics and arrangements with other institutions to provide
medical care to beneficiaries. The range of services provided covers preventive, promotive,
curative and rehabilitative services. Besides the out-patients services through dispensaries of
IMP Clinics, the in-patient services arrangements exist through ESI Hospitals or
arrangements with other hospitals.
The provision for Super specialty services for beneficiaries are mainly through tie-up
arrangements with reputed institutions.The Corporation has also set up revolving fund with Regional Directors in respect of all
States except Meghalaya, Pondicherry, on consent of State Govt. for making advance
payments/ reimbursement in respect of Specialty/Super Specialty case.
The Corporation has also set up Revolving Fund with Regional Directors for purchase of
Drugs and Dressings, Equipments and their Repair and Maintenance (including annual
maintenance contracts) in respect of Andhra Pradesh, Assam, Chandigarh Admn., Himachal
Pradesh, Kerala, Karnataka and West Bengal at the request of these State Govt.
ESI has developed its own pharmacopoeiae for drugs. All drugs and dressings (including
vaccine and sera that may be considered necessary and generally in accordance with
pharmacopoeia are supplied free of charge.
Insured Persons and their family members are provided artificial limbs, aids and appliance as
well. All Diagnostic facilities are provided through ESI owned hospitals and in case of
sophisticated tests lie CT Scan, MRI etc., contractual arrangements are made.
(ii) Medical Benefit to insured persons who ceases to be in insurable employment on
account of permanent disablement
The Medical Benefit has further been extended to permanently disabled insured
person and his spouse who ceased to be in insurable employment due to employment injury
with effect from 01.02.1991. This benefit is provided on payment of contribution by him in
lump-sum for one year at the rate of Rs.10 per month at a time.
(iii) Medical Benefit to retired insured persons
Medical Benefit has also been extended to the insured persons and his spouse who
retires on attaining the age of superannuation or retires under VRS or retires prematurely and
who was in insurable employment for at least 5 years. This benefit is provided on payment of
contribution by him at the rate of ten rupees per month in lump sum for one year in advance.
55
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 56/75
(iv) Confinement Expenses
The scheme of medical bonus was introduced on 16.11.96 under Rule 56-A of the ESI
(Central) Rules 1950. According to this Rule an insured woman and an insured person in
respect of his wife shall be paid medical bonus on account of confinement expenses as
prescribed and approved by ESI Corporation. Provided that the confinement occurs at a place
where necessary medical facilities under the Employees State Insurance scheme are not
available. Provided further that confinement expenses shall be paid for two confinements
only. At present the amount of medical bonus is Rs.2500/- The limit of this amount has been
raised from Rs.2500/- to Rs.5000/- in the ESI Corporation Meeting held on 10.11.2012
(Notification in this regard is awaited)
(2) SICKNESS BENEFIT (IN CASH)
Sickness Benefit represents periodical payments made to an insured person during the
period of certified sickness. To qualify for this benefit, contribution should have been paid
for at least 78 days in the relevant contribution period. The maximum duration of Sickness
benefit is 91 days in two consecutive benefit periods. There is a waiting period of 2 days
which is waived if the insured person is certified sick within 15 days of the last spell for
which sickness benefit was last paid. The Sickness Benefit rate is 70% of the average daily
wages of an insured person w.e.f. 01.07.2011.
After exhausting the Sickness Benefit payable upto 91 days, an insured person if
suffering from Tuberculosis/Leprosy, mental and malignant diseases or any other specified
long-term disease, he is entitled to Extended Sickness benefit at a higher cash benefit at the
rate of 80% of average daily wage for a period of two years, provided he has been in
continuous service for a period of 2 years or more in a factory or establishment to which the
provisions of the Act apply and fulfills the contributory conditions. The list of these long-
term diseases is constantly reviewed and 34 diseases are included presently. The Director
General/Medical Commissioner have also been authorized to extend the benefit to many other
rare diseases.
Enhanced Sickness benefit is full average daily wages is also provided to insured
person eligible to sickness benefit, for undergoing sterilization operations for family planning,
for upto 7 days in case of vasectomy and upto 14 days for tubectomy, the period being
extendable in cases of post-operative complication etc.
(3) MATERNITY BENEFIT
Maternity Benefit implies periodical payment to an insured woman in case of
confinement or mis-carriage or sickness arising out of pregnancy, confinement, pre-mature
birth of child or mis-carriage. For entitlement to Maternity Benefit, the insured woman
should have contributed for not less than seventy days in the immediately preceding two
consecutive contribution periods with reference to the benefits periods in which the
56
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 57/75
confinement occurs or it is expected to occur. The daily rate of benefit is 100% of average
daily wages.
Maternity Benefit is payable for a maximum period of 12 weeks incase of
confinement, 6 weeks incase of mis-carriage and additional one month in case of sickness
arising out of pregnancy, confinement, pre-mature birth of child or miscarriage or medical
termination of pregnancy. Maternity Benefit continuers to be payable in the event of death of
an insured woman during her confinement or during the period of 6 weeks immediately
following her confinement leaving behind a child for the whole of that period, and if the child
also dies during the said period, until the death of the child.
(4) DISABLEMENT BENEFIT
In case of temporary disability arising out of employment injury, disablement benefit
is admissible to an IP for the entire period so certified by the Insurance Medical
Officer/Insurance Medical Practitioner for which the insured person does not work for
wages. The cash benefit is not subject to any contributory conditions and is payable at a rate
of 90% of the average daily wage. The temporary disablement benefit is however, not
payable for an employment injury resulting in incapacity for less then three days excluding
the date of accident.
Where the disablement due to an employment injury results in permanent, partial or
total loss of earning capacity, the periodical cash payments are made to the insured persons
for life depending on the loss of earning capacity as may be certified by a duly constituted
Medical Board. The cash benefit rate is revised periodically to protect against erosion in the
real value of rupee subject to availability of funds.
However, commutation of periodical payment is permissible where the permanent
disablement stands assessed as final and the daily rate of benefit does not exceed Rs.5/- per
day, and where Benefit rate exceeds Rs.5/- per day but commuted value does not exceed Rs.
30,000/- at the time of the commencement of final award of his permanent disability.
(5) DEPENDANTS’ BENEFIT
Periodical payments are paid to dependants of an insured person who dies as a result
of employment injury. The widow & widow mother receive monthly pension for life or until
re-marriage. An amount equivalent to 3/5 of dependent benefit rate is payable to the widow.
Widowed mother and each child also share among themselves an amount equivalent to 2/5th
of the disablement benefit. Son get benefit till 25 years of age, provided, incase of infirmity,
the benefit continues to be paid, till the infirmity lasts. Daughters are entitled to share
dependants benefit till marriage. However, it is subject to the condition that the total
dependants benefit distributed does not exceed, at any time, the full rate of disablement
benefit. In case it exceeds the above ceiling; the share of each of the dependants is,
proportionately reduced. In case the insured person does not leave behind any widow or child
57
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 58/75
or widowed mother, the benefit is payable to other dependants. The periodical increases in
amount of pension linked with the cost of living index is sanctioned from time to time to
compensate for loss of real value. The minimum amount of the periodical monthly payment
of Dependant benefit payable to all eligible dependents shall not be less than Rs.1200/- (Rs.
One thousand to hundred only) w.e.f. 01.03.2012
(6) FUNERAL EXPENSES
Funeral expenses upto a maximum of Rs.10,000/- w.e.f. 01.04.2011 on the funeral of
a deceased insured person are reimbursed. The amount is paid either to the eldest surviving
member of the family or in his absence to the person who actually incurs the expenditure on
the funeral.
(7) REHABILITATION ALLOWANCE
Rehabilitation allowance is paid to the insured persons for each day on which they
remain admitted in an Artificial limb centre at double the Standard Benefit rate.
(8) RAJIV GANDHI SHRAMIK KALYAN YOJANA (RGSKY)
Under Rajiv Gandhi Shramik Kalyan Yojana, which has been introduced w.e.f.
01.04.2005, unemployment allowance is paid to the insured person for a maximum period of
twelve months (w.e.f. 01.02.2009) who has been rendered unemployed involuntarily on
account of closure of factory/establishment, retrenchment or permanent invalidity not less
than 40% arising out of non-employment injury, in case contribution in respect of him/her
have been paid or payable for a minimum of three years (w.e.f. 11.09.2009) prior to the loss
of employment. The Insured Person and his/her family is also entitled to medical care for a
period of twelve months (w.e.f. 01.02.2009) from the date of unemployment. This allowance
shall cease to be payable in case the Insured Persons gets re-employment or attains the age of
superannuation or 60 years, whichever is earlier. Daily rate of Unemployment Allowance is
50% of average daily wages drawn by the IP/IW during the last four completed contribution
periods, immediately preceding the date of unemployment.(9) CONVEYANCE ALLOWANCE TO PDB BENEFICIARIES
Under this Scheme, PDB beneficiaries are paid Rs. 100/- as conveyance allowance on their
personal visit to Branch Office for submission of life certificate once in a year.
58
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 59/75
Annexure-II
51(II). BENEFITS & CONTRIBUTORY CONDITIONS
(i)
(a)
SICKNESS
BENEFIT
Payment for atleast78 days in therelevant contribution
period
91 days in any twoconsecutive periods.
As at Annexure-II-A (70% of daily averagewages)
(b) EXTENDED
SICKNESSBENEFIT(for 34 specified long
term diseases)
Continuous
employment for a period of two yearsand contribution for
156 days in fourconsecutive
contribution periods.
Two years 80% of daily average
wages
(c) ENHANCEDSICKNESSBENEFIT(for undergoing
sterilization operationfor family welfare.)
Same as forSickness Benefit.
7 days for vasectomyand 14 days fortubectomy;extendable in cases in
post operativecomplication etc.
100% of daily averagewages
(ii) DISABLEMENTBENEFIT (
EMPLOYMENTINJURY)
(a) TEMPORARYDISABLEMENTBENEFIT
He/She should be anemployee on thedate of employmentinjury.
Till the incapacitylasts.
90% of the dailyaverage wages
(b) PERMANENT
DISABLEMENTBENEFIT
-do- For life Depends upon the loss
of earning capacity ofthe workers which isdetermined by aMedical Board.
(iii) DEPENDANTSBENEFIT(Rule 58)
The deceased should be an employee onthe date of fatal
accident.
1. To widow/widowsfor life or untilremarriage
2. To widowedmother during life.
3. to legitimate oradopted son until heattains the age of
twenty five years.4. To legitimate or
adopted daughter tillmarriage.5. To legitimate oradopted son ordaughter wholly
dependant on theearning of the insured person at the time ofhis/her death, whohave attained the age
of twenty five yearsand are infirm, tillinfirmity lasts.5. To other
90% of the dailyaverage wages to bedivided amongst the
dependants in the prescribed ratio.
59
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 60/75
dependants for life or
till marriage or uptothe age of 18 years,as the case may be
(iv) MATERNITYBENEFIT
Payment ofcontribution for 70days in immediately
proceeding one ortwo consecutivecontribution periods.
12 weeks of whichnot more than sixweeks can precede
the expected date ofconfinement; 6 weeksfor miscarriage andadditional one monthfor sickness arisingout of pregnancyconfinement, premature birth ofchild or miscarriage.
100% of daily averagewages.
(v) FUNERALEXPENSES
He should be aninsured person on
the date of death.
Actual expenditure onfuneral not exceeding
Rs. 10,000/-w.e.f.
01.04.2011.(vi) REHABILITATION
ALLOWANCE
Entitlement tomedical benefit or ifdisabled due toemployment injury.
For each day onwhich insured personremains admitted inArtificial Limb-Centre forfixation/repair orreplacement ofartificial limb.
At 100% of dailyaverage wages.
(vii) MEDICALBENEFIT
No condition(insured person andhis family is eligiblefrom the date ofentry of I.P. intoinsurableemployment)
Till thedisability/diseaselasts.
Full medical care (allfacilities includinghospitalization) for I.P.and members of theirfamily.
(viii) MEDICALBENEFIT TORETIRED/DISABLED INSUREDPERSONS ANDHIS/HER SPOUSE
On payment of
Rs.10/- p.m. inlump-sum for oneyear in advance
(i) by insured
persons who retire
from insurableemployment onattaining the age ofsuperannuation or
under VRS or prematurely after being in insurableemployment for notless than five years
(ii) by insured persons who ceaseto be in insurable
employment onaccount of
permanentdisablement due to
Period for whichcontribution is paid.
IPs are entitled forfull medical care forself and spouse only,Period for whichcontribution is paid,till attaining the ageof superannuation.
Full Medical care.
60
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 61/75
an employment
injury.
(ix) CONFINEMENTEXPENSES
To an InsuredWoman or an I.P. inrespect of his wifeincase facilities forconfinement are not
available in ESIInstitutions.
Up to twoconfinements onlyw.e.f. 01.12.2008
Rs. 2,500/- per case.
(x) VOCATIONAL
REHABILITATIONALLOWANCESKILLDEVELOPMENTSCHEME UNDER R.G.S.K.Y.
Not more than 45years of age anddisability not le than40% due to
Employment Injury
All the days oftraining in VocationalRehabilitation Centre
Rs. 123/- per day orthe actual amountcharged by VocationalRehabilitation Centre,
whichever is higher.
(xi) UNEMPLOYMENTALLOWANCE
An I.P. who has lostemployment due toclosure of factory,
retrenchment or permanentdisablement of atleast 40% arising outof non-employmentinjury and thecontribution inrespect of him have been paid/payablefor a minimum ofthree years prior tothe loss ofemployment
Maximum period ofone year during lifetime w.e.f.
01.02.2009
about 50% of averagedaily wage.
(xii) VOCATIONALREHABILITATIONSKILLDEVELOPMENTSCHEME (UNDERRAJIV GANDHISHRAMIKKALYAN YOJANA)
IP/IW should be inreceipt ofUnemploymentAllowance underRajiv GandhiShramik KalyanYojana
Short duration of tenweeks or other longerduration courses ofupto six months atAdvance VocationalTraining Institutions.
Entire fee charged bythe Institutions is to be paid by theCorporation. To and froRail/Bus fare to IP/IWwho has to travel toattend the training programme at AVTIsas charged, isreimbursed.
(xiii) NEW ADDITION ConveyanceAllowance 10. ConveyanceAllowance toPermanentDisablement
Benefit(PDB) beneficiaries-regarding
Under this Scheme,PDB beneficiaries are paid Rs. 100/- asconveyance allowance
on their personal visitto Branch Office forsubmission of lifecertificate once in ayear.
61
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 62/75
62
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 63/75
ANNEXURE – III
51(III) GENERAL INFORMATION REGARDING EMPLOYEES' STATEINSURANCE SCHEME
1. COVERAGE UNDER THE ESI ACT, 1948
(a) The Act was originally applicable to the factories using power and employing 20 or
more coverable employees; but it is now applicable to factories employing 10 or more persons
irrespective whether power is used in the manufacturing process or not.
(b) Under Section 1(5) of the Act, the Scheme has been extended to shops, hotels,
restaurants, cinemas including preview theatres, road motor transport undertakings and newspaper
establishments employing 20 or more coverable employees. Twenty One State Governments
(Andhra Pradesh, Assam, Tripura, Bihar, Chhatisgarh, Goa, Gujarat, Haryana, Jammu &Kashmir
Jharkhand, Karnataka, Kerala, Meghalaya, Orissa, Punjab, Rajasthan, Tamilnadu, Uttrakhand,
West Bengal, New Delhi & Pondicherry) have brought down the threshold for coverage of shops
and other establishments from 20 to 10 or more persons.
(c) The Scheme has further been extended under Section 1(5) of the Act to Educational
Institutions in States namely: Andhra Pradesh, Tripura, Bihar, Chhatisgarh, Goa, Gujarat,
Haryana, Jharkhand, Karnataka, Kerala, Orissa, Punjab, Rajasthan, Uttrakhand, West Bengal, New
Delhi, Pondicherry, Assam, Jammu & Kashmir, Madhya Pradesh, Tamil Nadu & Uttar Pradesh (22
States/UTs) and to Private Medical Institutions in the States of Andhra Pradesh, Tripura, Bihar,
Chhatisgarh, Haryana, Jammu & Kashmir, Jharkhand, Karnataka, Kerala, Orissa, Punjab,
Rajasthan, Tamilnadu, Uttrakhand, West Bengal, New Delhi, Assam, Himachal Pradesh, Madhya
Pradesh & Chandigarh (20 States/UTs).
(d) The existing wage-limit for coverage under the Act, is Rs. 15,000/-per month (w.e.f.
01/05/2010).
2. AREAS COVERED
The ESI Scheme is being implemented area-wise by stages. The Scheme has already
been implemented in different areas in the following States/Union Territories:-
(i) States: All the States except Manipur, Mizoram and Arunachal Pradesh.
(ii) Union Territories: Delhi, Chandigarh and Pondicherry except
Andaman & Nicobar.
2. RECENT INITIATIVES FOR IMPROVING THE SCHEME
COVERAGE
• Threshold for coverage of factories reduced from 20 to 10 or more persons
• Threshold for coverage of shops and other establishments also reduced from 20 to 10 in 15
States/UTs.
63
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 64/75
• The Scheme was extended to 68 areas covering 1.14 lakh employees during 2010-11 and to
60 areas covering 1.57 lakh employees during 2011-12. During the current years 2012-13, the
scheme has been extended to 55 areas covering 1.73 lakh employees upto 1-2-2013.
• Revenue income of the Corporation increased to Rs. 8393.55 crores in the year 2011-12 from
Rs. 6980.60 crores in 2010-11.
CASH BENEFITS
• Corporation disbursed Rs. 685.05 crores as cash benfits in the year 2011-12 as against
Rs. 496.56 crores in the year 2010-11.
• Daily rate of Sickness Benefit has been enhanced from 60% to 70% of average daily
wage. The daily rate of permanent disablement benefit and dependants benefit was
enhanced from 75% of wages to 90% of wages.
• The Corporation, in its meeting held in October 2012 decided to enhance the rates of
permanent disablement benefit and dependants benefit to protect the value of these
benefits against rise in the cost of living index.
• The Corporation, in its meeting held in October, 2012, also decided to enhance the
Confinement Expenses for confinement taking place outside ESI
Dispnensary/Hospital from Rs. 2500/- to Rs. 5000/-.
• The Corporation also decided to enhance the Limit for Daily rate of PDB for
Commutation.
• Payment of long-term benefits (PDB/DB) through Electronic Clearing System.
• Renovation of Branch Offices and dispensaries with provision all amenities for
visiting beneficiaries.
• Payment of Permanent Disablement Benefit within 3 days of Medical Board decision.
• Permanently disabled persons working in factories and establishments covered under
the ESI Act and drawing wages upto Rs. 25,000/- per month have been brought under
the scheme w.e.f. 01-04-2008. In order to encourage employment of disabled persons,
the employers’ share of contribution in respect of such disabled employees will be
paid by the Central Government for initial three years.
64
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 65/75
ANNEXURE-IV
51(IV) REVENUE & EXPENDITURE OF CORPORATION
1. Revenue of ESI Corporation Amount
(Rs. in lakhs)
Actual from 1.4.2012 to 30.9.2012 4,019,34.92
Revised Estimates for 2012-2013 9,332,68.30
Budget Estimates for 2013-2014 10,140,81.00
2. Total Expenditure
(Revenue Account)
Actual Expenditure from 1.4.2012 to 30.9.2012 2,253,23.08
Revised Estimates for 2012-2013 5,894,71.00
Budget Estimates for 2013-2014 7,119,18.00
3. Total Expenditure (Capital Account)
(Excluding Staff Cars)
Actual Expenditure from 1.4.2012 to 20.10.2012 833,72.00
Revised Estimates for 2012-2013 2,542,85.00
Budget Estimates for 2013-2014 2,504,00.00
65
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 66/75
66
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 67/75
ANNEXURE-V
51(V) STATISTICAL DATA REGARDING ESI SCHEME (ALL INDIA)
ALL INDIA
Sl. No. Heads As on 31.03.2011 As on 31.03.2012
1 No. of Employees covered 154.28 Lakhs 163.49 Lakhs
2 No. of I.P's Covered 155.3 Lakhs 171.01 Lakhs
3 No. of Beneficiaries 602.57 Lakhs 663.52 Lakhs
4 No. of Centres 790 807
67
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 68/75
68
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 69/75
Annexure-VI
51(VI) PROGRESS MADE UNDER ISM/AYUSH AS ON 01.01.2013
ESI Corporation, a premier Social Security Organization has been providing full medical care
to its beneficiaries. Along with the Allopathic system of medicine, the ESI Corporation has been
giving importance to promote AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy) facilities in
ESI Scheme in various States. AYUSH facilities have been developed in a phased manner all over the
country.
In this regard the ESI Corporation has taken several steps for strengthening of AYUSH/ISM
services, the details are as under:
1. For encouraging the State Governments for setting up of AYUSH units, in the 134 th meeting
of the ESIC Corporation held on 21/12/2005, it has been approved to bear the entire
expenditure on setting up of ISM units in all states for the first five years by ESICCorporation instead of three years.
2. The following new AYUSH Units have been approved by ESIC in 2012.
i) 11 new Ayurvedic and 11 Homeopathy units have been opened in ESI scheme in
Andhra Pradesh in April 2012.
ii) Approval has been granted for opening of 2 Ayurvedic units in ESI scheme in Haryana
in September 2012.
iii) Approval has been granted for opening of 19 AYUSH units in ESI scheme in Tamil
Nadu in October 2012.
3. For providing timely and good quality medicines, the ESIC has formulated
Central Ayurvedic Rate Contract Ay.-5.
4. For strengthening/enhancing of AYUSH services, norms were approved for provision of staff
(Physicians and Pharmacists) for setting up of AYUSH units in ESI hospitals/dispensaries in
the 9th meeting of Sub-Committee of ESIC on AYUSH/ISM held on 06/04/2011.
5. For popularization of AYUSH facilities, ESIC has participated in exhibitions/health melas
and publicity material like posters; pamphlets etc., related to AYUSH were
distributed/displayed in the exhibition. The exhibitions/health melas are also organized at the
level of hospitals/dispensaries for popularization of AYUSH.
6. Details of AYUSH/ISM facilities under ESI Scheme is enclosed as Annexure- A
69
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 70/75
70
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 71/75
Annexure - A
STATUS REPORT ON AYUSH
STATEMENT SHOWING FACILITIES PROVIDED IN ISM (OTHER THAN ALLOPATHY)
i.e. (AYUSH) AYURVEDIC, YOGA, UNANI, SIDDHA & HOMEOPATHY IN THE VARIOUS
STATES OF THE COUNTRY AS ON 01/01/2013 in ESIC/ESIS.
A) AYURVEDIC
Sr. No. State No. of units in
Disp./Hospitals
No. of Ayurvedic
Physician
No. of beds in
hospitals
1. Andhra Pradesh 13 14 -
2. Assam 1 1 02
3. Bihar 3 3 -
4. Chandigarh 2 2 -
5.
Delhi 12 10+2* 306. Goa 1 1 -
7. Gujarat 41 45 27
8. Haryana 3 3 -
9. Himachal Pradesh 1 1 -
10. Jammu & Kashmir 1 1 02
11. Jharkhand 2 2 -
12. Karnataka 2 3 -
13. Kerala 15 16 40
14. Madhya Pradesh 01 01 -
15. Maharashtra
Mumbai
Nagpur
01
02
01
03
-
-
16. Orissa 2 2 02
17. Punjab 07 07 10
18. Rajasthan 02 02 -
19. Tamil Nadu 04 05 25
20. Uttar Pradesh 13 10 -
21. Uttrakhand 02 02 -
22. West Bengal 7 5 -
• One posted in Hqrs. Office and One in Central Store.
71
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 72/75
Panchkarma Therapy:
• Rohini – Delhi
• Bapu Nagar, Ahmadabad & 8 ESI Scheme Hospital in the State of Gujarat
• Lucknow (U.P.)
• K.K. Nagar, Chennai
Kshar Sutra
• Okhla, Delhi
• Bapunagar, Ahmadabad
• Lucknow (U.P.)
• Bari Brahmana, Jammu
B) YOGA
Sr.
NO.
STATE NO. OF YOGA CENTRES
1. ANDHRA PRADESH 01
2. ASSAM 01
3. BIHAR 01
4. CHANDIGARH 01
5. DELHI 27 (including 4 yoga centers in ESIC hospitals in Delhi)
6. GUJARAT 10
7. HIMACHAL PRADESH 01
8. JHARKHAND 01
9. KARNATAKA 01
10. KERALA 01
11. ORISSA 01
12. PUNJAB 06
13. TAMIL NADU 09
14. UTTAR PRADESH 02
C) UNANI
Sr. No. State No. of Units
Disp./Hospitals
No of Unani
Physician
No. of beds in
Hospitals
1. Bihar 1 1 -
72
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 73/75
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 74/75
12. Gurgaon, Haryana OPD available - -
13. Jaipur, Rajasthan OPD available - Available
14. Jammu, Bari Brahamna OPD available - -
15. Jhilmil, Delhi OPD available Available Available
16. Joka, West Bengal OPD available - -
17. K.K. Nagar, Chennai OPD available Available -
18. Manesar, Haryana OPD available - -
19. Nacharam, Andhra Pradesh OPD available Available -
20. Namkum Ranchi, Jharkhand OPD Available Available -
21. Nandanagar, Indore (MP) OPD available Available -
22. Noida, Uttar Pradesh OPD available Available Available
23. Okhla, Delhi OPD available Available Available
24. Parippally, Kerala OPD available - -
25. Phulwari Sharif, Patna (Bihar) OPD available Available -
26. Rajajinagar, Bangalore OPD available Available -
27. Rohini, Delhi OPD available Available Available
28. Rourkela, Orissa OPD available Available -
29. Udyogmandal, Kerala OPD available - -
30. Vapi, Gujarat OPD available - -
31. Trinalveli, Tamilnadu - - -
32. Peenia, Karnataka - - -
33. Sanath Nagar, Andhra Pradesh - - -
34. Naroda, Gujarat - - -
74
8/13/2019 Standard Note 190813
http://slidepdf.com/reader/full/standard-note-190813 75/75