The State Government shall, by notification in the Official Gazette, constitute an EL Court for local areas under Section 74 of the Act. Any person who is or has been a judicial officer or is a legal practitioner of five years' standing shall be qualified to be a Judge of the EL Court. Under Section 54A of the Act, the EL Court decides appeal against the decision of Medical Board/Medical Appeal Tribunal under Section 54A(2).

(b) The IP or the Corporation can file an Appeal under Section 54A of the Act and Rule 20B of ESI (Central) Rules, 1950 to the Employees' Insurance Court by presenting an application within three months of the date of communication of the decision of the Medical Board/Special Medical Board or of the Medical Appeal Tribunal to the IP or the Corporation as the case may be.

The El Court may entertain application after period of three months, if it is satisfied that the applicant had sufficient reasons for not presenting the application within the said period.

The Rules made by the State government in respect of form and manner to be followed in presenting application to EL Court shall be applicable to the applications presented for the above purpose.

An appeal against the decision of an EL Court shall lie to the High Court, if a substantial question of interpretation of law is involved under Section 82 of the Act and period of limitation for an appeal shall be sixty days.