Employee State Insurance
BY
VENKATESH K
Preliminary
Object of the act:
 To provide for certain benefits to employees in case of sickness, maternity and
injury during employment and to make provision for certain other matters in
relation thereto.
Preliminary
Applicability of the Act:
 All factories Shops
 employing 20 or more persons.
 Such other Govt. specified establishments.
Act does not apply to
Seasonal factories engaged exclusively in any of the activities like:
 Cotton ginning, cotton or jute pressing, decoration of ground nuts, manufacturing
coffee, indigo, lac, rubber, sugar, or tea or any manufacturing process incidental to
or connected with any of the afore said activities, and including factories engaged
for a period not exceeding seven months in a year in blending, packing or
repackaging tea or coffee, or in such other processes as may be specified by the
central govt.
 The factories exempted as seasonal from the provisions of the act. Act does not
app
Act does not apply to
 Mines
 Railway running sheds
 Govt. factories or establishments and Indian naval, military, or air force
 Other Govt. notified exempted establishments
ACT AUTHORISATION
 To Promote and measure for health and welfare of INSURED EMPLOYEES (IE)
 Intervene for the rehabilitation and reemployment for disabled / injured
 To appoint inspectors for purposed of the act
 To determine the amount of contribution and relevant verification
Medical Benefit Council
 Advise to administration on Medical Benefit, purpose of grants and related matter
 Have power and duties of INVESTIGATION on Empanelled Medical practitioner,
its treatment and attendance
 Perform other duties
Employer/ Employee’s Contribution
 It is the principle employer’s responsibility to deposit his own as well as
employee’s contribution in respect of all employees including the contract labour,
into the E.S.I. Account. Non-availability of funds cannot be a ground for non-
payment of contributions under the act. There is no provision to waive the
contribution, damages and interest
 The employer is required to contribute at the rate of 4.75% of the wages paid/
payable in respect of every wage period. The employees are also required to
contribute at the rate of 1.75% of their wages except when the “average daily
wages in a wage period” are equal to or less than Rs.40.
Employer/ Employee’s Contribution
 The employer should get his factory or establishments registered with the E.S.I.
Corporation within 15 days after the Act becoming applicable to it, and obtain the
employer’s Code Number. The regional officer will allot a code number to the
employer, which must be quoted in all documents and correspondence.
Benefits available to Insured employee
 The purpose of the Employee State Insurance Act is to provide benefits as detailed in
the Act particularly in section 46, to the insured persons or their dependants.
 The following benefits are provided under section 46.
 Sickness benefit
 Maternity benefit
 Disablement benefit
 Dependents benefit
 Medical benefit
 Funeral expenses
Obligation of the Employers
 Get your Factory / establishment registered with in 15 days after the Act becomes
applicable. Submit Form 01 to the Regional office for this purpose. Obtain
Employer’s code No. for use in all ESIC Forms / documents and correspondence
with the offices of the ESI Corporation.
 Fill up Declaration Forms in respect of all coverable employees and submit the
same to the Regional Office/ Local Office of the corporation well before the
‘Appointed Day’ and obtain insurance Numbers from the concerned Local Office/
Regional Office, In respect of newly appointed employees, fill up the declaration
form soon after appointment of such employees and submit the same to the Local
Office Concerned
Obligation of the Employers
 Pending receipt of identity cards/ identity certificates you may issue “certificate of
employment” in Form 86 to the covered employee(s) enabling them to avail
cash/medical Benefits
 Pay ESI contribution (Employee's Share @4.75% and the Employer’s share @
1.75% of the wages) with in 21 days of the month following, in which the wages
fall due.
 Maintain an Accident Book as prescribed under the Factory Act / ESI Act.
Obligation of the Employers
 Submit an Accident Report to the Local Office / ESI Dispensary concerned
immediately in respect of accidents that could result in death or disablement and
within 24 hours of its occurrence otherwise. Minor accidents which do not cause
absence from work need not be reported.
 Grant leave to insured employees on the basis of sickness certificates issued by
any authorized ESI doctor.
ESI Forms & Uses
Form 1
 ESI form 1 is declaration from employee to include him or her in Employee State
Insurance Corporation Scheme.
 ESIC Form is a declaration form to be submitted to the nearest ESIC office by
employer. ESIC declaration form has to filled by insured person i.e employee.
Form 3
 It’s a return of Declaration form which needs to be filled up by Employer
 In this form the Factory/Establishment needs to declare that the current person is
employed as an employee within the State Insurance Act.
Form 12
 Form 12 is mainly used for Accident Report of Employees by Employers.
 In this Form Employer has to fill up the details regarding the injuries which are
been suffered by employees in details manner.
Form 37
 ESIC form 37 is also knows as certificate of re employment or continuing
employment.
 When an employee or insured person in ESIC will make 78 days contribution to
ESIC then they are eligible to continue their contribution whenever they rejoins in
new organization.
ESIC 86
 ESIC 86 is a declaration form have to be provided by Employer about Whether the
current Employee is working in that particular Factory/Establishment.
 It act as a Proof given by Employer about Employee.
Thank You

Employee State Insurance & Its Uses

  • 1.
  • 2.
    Preliminary Object of theact:  To provide for certain benefits to employees in case of sickness, maternity and injury during employment and to make provision for certain other matters in relation thereto.
  • 3.
    Preliminary Applicability of theAct:  All factories Shops  employing 20 or more persons.  Such other Govt. specified establishments.
  • 4.
    Act does notapply to Seasonal factories engaged exclusively in any of the activities like:  Cotton ginning, cotton or jute pressing, decoration of ground nuts, manufacturing coffee, indigo, lac, rubber, sugar, or tea or any manufacturing process incidental to or connected with any of the afore said activities, and including factories engaged for a period not exceeding seven months in a year in blending, packing or repackaging tea or coffee, or in such other processes as may be specified by the central govt.  The factories exempted as seasonal from the provisions of the act. Act does not app
  • 5.
    Act does notapply to  Mines  Railway running sheds  Govt. factories or establishments and Indian naval, military, or air force  Other Govt. notified exempted establishments
  • 6.
    ACT AUTHORISATION  ToPromote and measure for health and welfare of INSURED EMPLOYEES (IE)  Intervene for the rehabilitation and reemployment for disabled / injured  To appoint inspectors for purposed of the act  To determine the amount of contribution and relevant verification
  • 7.
    Medical Benefit Council Advise to administration on Medical Benefit, purpose of grants and related matter  Have power and duties of INVESTIGATION on Empanelled Medical practitioner, its treatment and attendance  Perform other duties
  • 8.
    Employer/ Employee’s Contribution It is the principle employer’s responsibility to deposit his own as well as employee’s contribution in respect of all employees including the contract labour, into the E.S.I. Account. Non-availability of funds cannot be a ground for non- payment of contributions under the act. There is no provision to waive the contribution, damages and interest  The employer is required to contribute at the rate of 4.75% of the wages paid/ payable in respect of every wage period. The employees are also required to contribute at the rate of 1.75% of their wages except when the “average daily wages in a wage period” are equal to or less than Rs.40.
  • 9.
    Employer/ Employee’s Contribution The employer should get his factory or establishments registered with the E.S.I. Corporation within 15 days after the Act becoming applicable to it, and obtain the employer’s Code Number. The regional officer will allot a code number to the employer, which must be quoted in all documents and correspondence.
  • 10.
    Benefits available toInsured employee  The purpose of the Employee State Insurance Act is to provide benefits as detailed in the Act particularly in section 46, to the insured persons or their dependants.  The following benefits are provided under section 46.  Sickness benefit  Maternity benefit  Disablement benefit  Dependents benefit  Medical benefit  Funeral expenses
  • 11.
    Obligation of theEmployers  Get your Factory / establishment registered with in 15 days after the Act becomes applicable. Submit Form 01 to the Regional office for this purpose. Obtain Employer’s code No. for use in all ESIC Forms / documents and correspondence with the offices of the ESI Corporation.  Fill up Declaration Forms in respect of all coverable employees and submit the same to the Regional Office/ Local Office of the corporation well before the ‘Appointed Day’ and obtain insurance Numbers from the concerned Local Office/ Regional Office, In respect of newly appointed employees, fill up the declaration form soon after appointment of such employees and submit the same to the Local Office Concerned
  • 12.
    Obligation of theEmployers  Pending receipt of identity cards/ identity certificates you may issue “certificate of employment” in Form 86 to the covered employee(s) enabling them to avail cash/medical Benefits  Pay ESI contribution (Employee's Share @4.75% and the Employer’s share @ 1.75% of the wages) with in 21 days of the month following, in which the wages fall due.  Maintain an Accident Book as prescribed under the Factory Act / ESI Act.
  • 13.
    Obligation of theEmployers  Submit an Accident Report to the Local Office / ESI Dispensary concerned immediately in respect of accidents that could result in death or disablement and within 24 hours of its occurrence otherwise. Minor accidents which do not cause absence from work need not be reported.  Grant leave to insured employees on the basis of sickness certificates issued by any authorized ESI doctor.
  • 14.
  • 15.
    Form 1  ESIform 1 is declaration from employee to include him or her in Employee State Insurance Corporation Scheme.  ESIC Form is a declaration form to be submitted to the nearest ESIC office by employer. ESIC declaration form has to filled by insured person i.e employee.
  • 16.
    Form 3  It’sa return of Declaration form which needs to be filled up by Employer  In this form the Factory/Establishment needs to declare that the current person is employed as an employee within the State Insurance Act.
  • 17.
    Form 12  Form12 is mainly used for Accident Report of Employees by Employers.  In this Form Employer has to fill up the details regarding the injuries which are been suffered by employees in details manner.
  • 18.
    Form 37  ESICform 37 is also knows as certificate of re employment or continuing employment.  When an employee or insured person in ESIC will make 78 days contribution to ESIC then they are eligible to continue their contribution whenever they rejoins in new organization.
  • 19.
    ESIC 86  ESIC86 is a declaration form have to be provided by Employer about Whether the current Employee is working in that particular Factory/Establishment.  It act as a Proof given by Employer about Employee.
  • 20.