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Sickness Benefits |
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Eligibility:
The benefit becomes admissible only after an insured
employee has paid contribution for at least 78 days
in a contribution period of six months. Sickness
Benefit is payable for a maximum of 91 days in two
consecutive contribution periods (one year).
Benefit:
Payment is made by the concerned Branch Office within
7 days of certification of sickness.
Rate:
Just above 70% of the wages. … see
rates
Claim procedure:
A claim for sickness benefit can be made only on
the basis of Medical Certificate issued by the authorized
doctors under the Scheme. In exceptional cases alternative
evidence of sickness or temporary disablement is
accepted by the Corporation.
- An Insured Person is required
to deposit his medical certificate in the box
provided at the Dispensary or the Branch office.
Or he should ensure that the certificate is
presented to the Branch office within 3 day
of its issue.
- He/she should fill-up claim
form for Sickness Benefit printed on the certificate
itself, or claim form available at Branch Offices,
when he/she goes to Branch Office for collecting
payment or while submitting the certificate
at the pay office, as the case may be.
- Branch Office staff will assist
in filing the claims if so required. In case
of pay-offices, Dispensary staff will assist
in filing the claims.
- If the claim is accepted, the
same shall be paid immediately by the Branch
office and if not found eligible a regret slip
will be issued in ESIC-15. In case of Pay-Offices
the cashier visits the pay office on an appointed
day and disburses the payment. Insured Person
can also get payments through money order if
they so desire and send a written request to
the Branch Office.
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