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Under the ESI scheme, both employers and employees contribute a percentage of the employee’s salary to the ESI fund. These contributions are collected by the ESIC and used to provide various benefits to insured individuals. The ESI scheme covers employees working in factories, businesses, and establishments with 10 or more employees (20 or more in some states) where the monthly wage of each employee is up to Rs. 21,000.
The benefits provided by the ESI scheme include medical care for insured employees and their families, cash benefits during periods of certified sickness, maternity benefits for female employees, disablement benefits for employment-related injuries or illnesses, dependent benefits in case of the death of an insured employee, funeral expenses, and vocational rehabilitation services.
Overall, the Employee State Insurance (ESI) scheme plays a crucial role in ensuring the social security and well-being of employees and their families in India by providing them with access to healthcare services and financial assistance during times of need.
Applicability of ESI:
The ESIC is applicable on all the establishments having 10 or more workers and is beneficial to all the employees earning Rs.15, 000/- or less per month as wages, employer must contribute 3.25 percent and employee must contributes 0.75 percent towards ESI.
Due date for filing ESI Return:
The due date for ESI return filing is 15th of subsequent month.
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₹1299
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Here are the main benefits covered under the ESI scheme
The primary benefit provided by ESI is medical care for insured employees and their families. This includes outpatient, inpatient, specialist consultations, diagnostic tests, and medicines. Medical care is provided through a network of ESI dispensaries, hospitals, and tie-up hospitals.
Insured employees are entitled to receive cash benefits during periods of certified sickness. This benefit is payable for a maximum of 91 days in a year at a rate of 70% of the daily wages.
Female insured employees are entitled to maternity benefits, including paid leave for a certain period before and after childbirth. Maternity benefit is payable for 26 weeks, which includes 8 weeks of prenatal leave and 18 weeks of postnatal leave. The rate of benefit is 100% of the average daily wages.
If an insured employee suffers from a permanent disability due to an employment injury, disablement benefits are provided. The amount of disablement benefit depends on the extent of disability and is determined based on a schedule of injuries.
In case of the death of an insured employee due to employment-related injury or illness, dependent benefits are provided to the surviving dependents. Dependent benefits include a monthly pension to the widow(er) and/or children of the deceased employee.
ESI also covers funeral expenses in the unfortunate event of the insured employee’s death. This helps the family cope with the expenses related to the funeral.
In cases where an insured employee suffers from a disability due to an employment injury, vocational rehabilitation services may be provided to help the individual reintegrate into the workforce.
Here is the check list of documents required.
Get Answers to your most asked questions.
Employee State Insurance (ESI) is a social security and health insurance scheme in India, administered by the Employees’ State Insurance Corporation (ESIC), aimed at providing medical and cash benefits to employees and their dependents.
Employees earning wages of Rs. 15,000 or less per month working in establishments with 10 or more employees are eligible for ESI benefits.
ESI provides benefits such as medical care for employees and their families, cash benefits during periods of sickness, maternity benefits, disablement benefits due to employment-related injuries, dependent benefits, funeral expenses, and vocational rehabilitation services.
Employers contribute 3.25% of the employee’s wages, while employees contribute 0.75% of their wages towards ESI.
ESI is mandatory for employees covered under the scheme. However, certain categories of employees, such as those covered under other social security schemes, are exempt.
ESI contributions are deducted from the employee’s wages by the employer and deposited with the ESIC.
No, employees covered under ESI cannot opt-out of the scheme. It is mandatory for both employers and eligible employees to contribute to ESI.
Non-compliance with ESI regulations can lead to penalties, fines, and legal consequences for employers.
Employers can register their establishments with the ESIC online through the ESIC portal or by visiting the nearest ESIC office.
More information about ESI can be obtained from the official website of the Employees’ State Insurance Corporation (ESIC) or by contacting the local ESIC office.