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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