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| FAQ'S |
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In addition to necessities of food
| Q |
What Is, E.S.I. Scheme ? |
| A |
In addition to necessities of food, clothing, housing etc.,
man needs security in times of physical and economic distress
consequent upon sickness, disablement etc. The Employees'
State Insurance Scheme is an integrated measure of Social
Insurance embodied in the Employees' State Insurance Act and
is designed to accomplish the task of protecting 'employees' as
defined in the Employees' State Insurance Act against the
hazards of sickness, maternity, disablement and death due to
employment injury and to provide medical care to insured
persons and their families. The Scheme covers employees of
non-seasonal power-using factories employing 10 or more
persons. There is, however, a built-in provision for its extension
to other establishments or classes of establishments, industrial,
commercial, agricultural or otherwise. The Scheme has been
progressively extended to cover employees in non-power using
factories employing 20 or more persons and to commercial
establishents. |
| Q |
How does the Employees State Insurance Scheme
assist you? |
| A |
The dependence of an individual on cash income is a
characieristic feature of modern economy. An interruption of
money income even for a $mall period is, therefore, a hardship;
a prolonged loss of income is indeed a catastrophe. By coming
forward to provide health protection and income maintenance
in a series oft-experienced contingencies like sickness,
maternity, disablement and death due to employment injury,
the Employees' State lnsurance Scheme tends to ameliorate
your economic anxiety and to be a friend in need and distress. |
| Q |
Why is it called a Health lnsurance Scheme? |
| A |
The Employees' State Insurance Scheme performs a dual
role; by providing assistance in kind (medical care) it tries to
restore your health and working capacity and by assistance in
cash (cash benefit) it tries to sustain you when your income is
interrupted. With a better and facile health protection, greater
vitality, and assurance of income-maintenance in times of need,
it makes you every inch a better, a healthier, secure worker
and therefore, a happier man. The assistance comes to you
not as an act of benevolence but in virtue of an acquired right. |
| Q |
Who administers the Employees' State lnsurance
Scheme? |
| A |
The Employees' State lnsurance Scheme is administered
by a corporate body called the Employees' State lnsurance
Corporation (ESIC), which has members representing
Employees, Employers, the Central Government, State
Governments, Medical Profession and the Parliament. The
Director General is the Chief Executive Officer of the
Corporation and is also an ex-officio member of the Corporation.
The other bodies at the national level are the Standing
Committee (a representative body of the Corporation) and the ,
Medical Benefit Council, a specialised body which advises the ,
Corporation on administration of Medical Benefit. At the
Regional and Local levels, the Regional Boards and Local
Committees have been constituted. There is, thus, an
association of interests and interest groups at all levels.
ESIC is the trustee of the interests of the insured persons.
It discharges its obligations and duties through a net-work of
Regional Offices and Local Offices, Hospitals and Dispensaries
spread over the entire country. |
| Q |
Whom does the Scheme protect? |
| A |
The Scheme protects all "employees" engaged on a
monthly remuneration not exceeding Rs. 6500/- in a factory/
establishment to which the Act applies. Persons employed for
wages on any work connected with the administration of the
factory or establishment or any part, department or branch
thereof or purchase of raw materials, or distribution or sale of
the product of a factory or establishment are also covered.
Mines, Railway Running Sheds, Naval, Military and Air Force
Workshops and specified seasonal factories are excluded.The
scheme also provides full medical cover to the dependants of
insured persons. In the event of death of an insured person
due to employment injury dependants become eligible to cash
benefit. |
| Q |
Where do Employees State Insurance Funds Come
from? |
| A |
The Employees' State Insurance Funds are primarily built
out of employers contribution and employees contribution
payable monthly as a fixed percentage of wages. |
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