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KNOW HOW

Tips for Employees

To ensure smooth flow of ESI Benefits to Insured Employees:

Declaration Forms in Form- I to be filled in properly for registration of employees. The Form should contain all relevant information asked for in respect of each coverable employee and submitted to the Local Office concerned within ten days of entry into insurable employment. Before filling Declaration Form it should be ensured that worker was not insured under the ESI Scheme in the past. If so, the old Insurance No. should be indicated in the Form.

All fresh entrants into the insurable employment should be advised to furnish two post card size family photographs (of IP and dependants only) with the Declaration Form to the appropriate Local Office.

Temporary Identification Certificate annexed to the Declaration Form may be obtained from the Local Office Manager with his seal and signature and issued to the insured employee forthwith.

On receipt of Permanent Identity Cards from the Local Office, the same should be passed on to the insured employees without delay.

In order to facilitate a newly insured person to avail medical benefit under the scheme in absence of an identity certificate/ identity card, a ‘Certificate of Employment’ may be issued to the insured person in Form 86. This certificate, issued by the employer, remains valid for three months bur can be revalidated for a further period not exceeding 3 months.

Whenever events, such as, marriage, birth or death entails any additions or deletions in the family particulars of an insured person, the requisite information has to be conveyed by the employer in ‘Form 1-B’ to the Local Office within 15 days from the occurrence of such a change.

On re-entry of a person into insurance employment or, where an insured person had been disentitled to medical benefit due to non-submission of Return of Contribution, the employer may issue a ‘Certificate of re-employment’ or ‘continuing employment’ to such person in Form ESIC-37. This certificate will enable the Insured Person to avail medical benefit from the date of issuance.

If an insured employee needs a change of dispensary due to any valid reasons an application may be made in form ESIC- 53.

Accident Report in respect of an insured employee may be submitted immediately in case of death or serious injury and in other chases within 24 hours of an accident. For this Form 16-B filled up in triplicate and one copy each forwarded to the Branch Office and Dispensary. Form 32 may also be submitted along with the Accident Report, in case an accident has occurred prior to the commencement of the first Benefit Period of the IP to enable the Branch Office determine the rate of Disablement Benefit.

Whenever an Insured Person goes out of station on duty or leave, he may be issued a Certificate in Form ESIC 105. This will enable him and his family to avail Medical Treatment in ESI Dispensaries/ Hospitals elsewhere, if available at such outstation.

If any Insured Person is in need of a duplicate identity card, an application may be made to the Local Office Manager in Form ESIC 72.

Return of Contribution may be submitted in time with all relevant particulars neatly filled up against all Insured Persons with Insurance Nos. in ascending order. Remember, any inadvertent deletion may debar an Insured Person from availing benefit due to him/ her.

Employers may assist or guide individual employees, for claiming any lawful benefit under the Scheme, and also educate them properly about their rights and responsibilities under the ESI Scheme. The usefulness of the Scheme in the face of an untoward event resulting in loss of wages or earning capacity could be explained to the employees.

For clarification of any doubt vis-à-vis your rights and responsibilities under the ESI Act, it is advisable to get in touch with the responsible ESIC Official rather than depend for advice on self proclaimed consultants or any other unauthorized persons.


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