Esic

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F.Y. BMS
Vinayak Bhandari
Karan Bhandari
Rahul Kriplani
Aliasgar Lokhandwala
Mohamad Tariq
Chandni Kewlani
Vibhav Parikh
F.Y. BMS
Vinayak Bhandari
Karan Bhandari
Rahul Kriplani
Aliasgar Lokhandwala
Mohamad Tariq
Chandni Kewlani
Vibhav Parikh

“A Participative Health Insurance Scheme for a Happy and Healthy Nation.” “A Participative Health Insurance Scheme for a Happy and Healthy Nation.” Employee State Insurance Corporation
Employee State Insurance Corporation

Employees’ State Insurance Scheme of India is a multidimensional social security system tailored to provide socio-economic protection to worker population and their dependents covered under the scheme. Besides full medical care for self and dependents, that is admissible from day one of insurable employment, the insured persons are also entitled to a variety of cash benefits in times of physical distress due to sickness, temporary or permanent disablement etc. resulting in loss of earning capacity, the confinement in respect of insured women, dependents of insured persons who die in industrial accidents or because of employment injury or occupational hazard are entitled to a monthly pension called the dependents benefit. APPLICABILITY OF THE ESI ACT

The ESI Act applies to any premises/precincts, where 10 or more persons are employed. The “appropriate Government” State or Central is empowered to extend the provisions of the ESI Act to various classes of establishments, industrial, commercial, agricultural or otherwise in nature. Under these enabling provisions, most of the State Government have extended the ESI Act to certain specific classes of establishments, such as, Medical and Educational Institutes, shops, hotels, restaurants, cinemas, preview theatres, motor transport undertakings, newspaper and advertising establishments etc., employing 10 or more persons. ORGANISATION

As provided under the ESI Act, the Scheme is administered by a duly constituted corporate body called the ‘Employees’ State Insurance Corporation (ESIC)’. It comprises members representing Central and State Governments, Employers, Employees, Parliament and the medical profession. Union Minister of Labour & Employment functions as Chairman of the Corporation whereas the Director General, as its chief executive, discharges the duty of running the day-to-day administration. A Standing Committee representing all stakeholders is elected from the body corporate for managing the affairs of the scheme and monitoring the progress of implementation of various corporate decisions and policies etc. from time to time. The Medical Benefit Council, a statutory body advises the Corporation on matters related to administration of medical benefit under the ESI Scheme. INFRASTRUCTURE

The central headquarters of the Corporation is located at New Delhi. For purpose of coverage, revenue collection, extension of the scheme to new classes of establishments, implementation of the scheme in new areas, coordination with the State Governments and general administration the Corporation has established Regional, Sub-Regional and Divisional Offices across the country mostly located in the State Capitals. Given the huge number of beneficiaries – about 5.55 crores now the Corporation has set up a wide spread network of service outlets for prompt delivery of benefits in cash and kind that includes full medical care. Medical facilities are provided through a network of 1388 ESI Dispensaries, over 1678 Panel Clinics, besides 148 ESI hospitals and 42 hospitals annexes with other 27739 beds. For providing super-specialty medical care, the Corporation has tie up arrangements with advanced medical institutions in the country, both in the public and private sector. The medical benefit is administered with the active cooperation of the State Governments. The payment of cash benefits is made at the grass roots level through as many as 798 Branch Offices and Pay Offices that function under the direct control...
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