ESI is Employees State Insurance described in the Employees State Insurance (ESI) Act, 1948. It is a combined measure of employees' Social Insurance and the task of protecting the interests of employees. ESIC (Employee State Insurance Corporation) strictly regulates and administers ESIC penalty as per the bylaws given in the ESI Act of 1948.
In Independent India, this was the first significant Act on the worker's social security which was established on the Pooling of risks and resources principle.
The ESIC registration process is treated as a mandatory responsibility of every concerned employer entity, engaged in any economic field. Keeping pace with Indian industrialisation, the Scheme today stand executed in 33 States and Union Territories at over 843 centres.
Rate of Contribution
| Employee’s Share | Employee’s Share | Total |
|---|---|---|
| 1.75% | 4.75% | 6.50% |
Rate of Contribution for the Initial 2 Years in Newly Implemented Areas
| Employee’s Share | Employer’s Share | Total |
|---|---|---|
| 1% | 3% | 4% |
| Contribution Period | Benefit Period |
|---|---|
| April – September | January - June of the following year |
| October – March | July - December |
As per the Government notification, the following entities are covered under ESIC:
Providing that:
The employer is located in an area where the State Government has extended the Scheme, and
Under the employer, 10 or more persons are employed
All employees whose monthly salary (excluding overtime) does not exceed 21,000/- INR, are eligible to avail benefits under the ESI Scheme.
There are various benefits of registering under this scheme. Some of them are:
Medical Benefit: From the day a person enrols into insurable employment that is from the first day of employment, full medical care is provided to an Insured person and his family members.
On the payment of an annual premium of Rs 120, medical care is also provided to permanently disabled & retired insured persons and their spouses.
Certain conditions must be met for super speciality treatment and they are prescribed below;
Sickness Benefits: Generally, sickness benefits are given in the form of cash to the insured person at the time of sickness that results in the absence of work. For such purpose, the prescription must be duly certified by an (IMO) Insurance Medical Officer.
| Name of benefits | Contributory condition | Duration | Amount/Rate |
|---|---|---|---|
| Confinement Expenses | Insured women or Wife of Insured person is eligible when confinement takes place at a location where ESI Hospital is not available | Only 2 confinement | 5000/- INR per case |
| Funeral Expenses | From the 1st day of Insurable employment | Funeral expenses on Insured person death. | Maximum 10000/- INR |
| Unemployment allowance Rajiv Gandhi Shramik Kalyan Yojna(RGSKY) | Contribution to be paid for minimum 2 years | Maximum 24 month For Loss of Employment due to ; Closure of Factory or Retrenchment or Permanent Disablement due to Non-Employment Injury. | 0-12 Months: 50 % of Last Average Wages 13-24 Months: 25 % of Last Average Wages |
Maternity Benefit: Maternity benefit is paid to insured women in case of miscarriage or confinement or any related sickness due to pregnancy.
| Name of benefits | Contributory condition | Duration | Rate |
|---|---|---|---|
| Maternity Benefit | In 2 previous contribution periods 70 days contributions to be paid by the insured women | Up to 26 Weeks, | 100% of wages |
| Extended 1 month for sickness due to pregnancy which is duly certified by the doctor |
Other Benefits
| Name of benefits | Contributory condition | Duration | Amount/Rate |
|---|---|---|---|
| Confinement Expenses | Insured women or Wife of Insured persons is eligible when confinement takes place at a location where ESI Hospital is not available | Only 2 confinement | 5000/- INR per case |
| Funeral Expenses | From the 1st day of Insurable employment | Funeral expenses on the Insured person's death. | Maximum 10000/- INR |
| Unemployment allowance Rajiv Gandhi Shramik Kalyan Yojna(RGSKY) | Contribution to be paid for a minimum of 2 years | Maximum 24 months For Loss of Employment due to; Closure of Factory or Retrenchment or Permanent Disablement due to Non-Employment Injury. | 0-12 Months: 50 % of Last Average Wages 13-24 Months: 25 % of Last Average Wages |
Vocational Rehabilitation: The benefits of vocational rehabilitation can be claimed in case of an insured person disablement that is under 45 years of age and the percentage of such disablement is 40% or more.
Physical Rehabilitation: In case of any physical disablement arising out of employment injury.
Old Age Medical Care: For Insured Persons retiring at the time of superannuation or under the Voluntary Retirement Scheme (VRS) and persons leaving services due to any permanent disability. On the payment of Rs 120 p.a., such benefit can be taken by the insured person & his/her spouse.
Here is the list of essential documents needed for ESIC Registration which you can also find on site:www.mastersindia.co
After collecting all the above-mentioned documents the following procedure is to be followed for the ESI registration:
Note: ESIC shall be informed in case if there is any change in the Company or its employees.
ESI Returns shall be filed two times in a year after its registration. While filing an ESI Return the following documents are necessary:
As per section 45 of the ESI Act, any employer who is not complying with the provision of ESIC may face several consequences that are mentioned below. Further, under Reg. 31C ESIC may impose and recover damages at the following rates, not more than the amount of contribution payable for default or delay in the payment of such contribution.
| Duration | Rate |
|---|---|
| Less than 2 months | 5% |
| 2 to 4 months | 10% |
| 4 to 6 months | 15% |
| 6 months and above | 25% |
Under Section 85 (a) to (g), Criminal and Civil Prosecution will be initiated which might attract fine and imprisonment up to 3 year maximum.


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