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ESIC is the country's first multi-dimensional social security system for workers in the organized sector, introduced in 1952

ESIC covers a total beneficiary population of more than 355 lakhs today

ESIC has the countrys largest medical infrastructural facility under one umbrella

ESIC is the most affordable social security system with the lowest contribution rate for multiple health insurance benefits.

ESIC is the only health insurance scheme that offers full medical care to workers and their dependants without any ceiling on individual expenditure

ESIC offers a special package of full medical care to retired/disabled insured persons for self and spouse for a nominal contribution of Rs. 120/- per annum

ESIC offers a special package of full medical care to retired/disabled insured persons for self and spouse for a nominal contribution of Rs. 120/- per annum

ESIC ACT 1948

INTRODUCTION

CHAPTER I

PRELIMINARY

1.  Short title, extent, commencement and application

2.  Definitions

2A.  Registration of factories and establishments

CHAPTER II

CORPORATION, STANDING COMMITTEE AND MEDICAL BENEFIT COUNCIL

3.  Establishment of Employees' State Insurance Corporation

4.  Constitution of Corporation

5.  Term of office of members of the Corporation

6.  Eligibility for re-nomination or re-election

7.  Authentication of orders, decisions, etc.

8.  Constitution of Standing Committee

9.  Term of office of members of Standing Committee

10.  Medical Benefit Council

11.  Resignation of membership

12.  Cessation of membership

13.  Disqualification

14.  Filling of vacancies

15.  Fees and allowances

16.  Principal officers

17.  Staff

18.  Powers of the Standing Committee

19.  Corporation's power to promote measures for health, etc. of insured persons

20.  Meetings of Corporation, Standing Committee & Medical Benefit Council

21.  Supersession of the Corporation and Standing Committee

22.  Duties of Medical Benefit Council

23.  Duties of Director General and the Financial Commissioner

24.  Acts of Corporation, etc. not invalid by reason of defect in constitution, etc.

25.  Regional Boards, Local Committees, Regional and Local Medical Benefit Councils

CHAPTER III

FINANCE AND AUDIT

26.  Employees' State Insurance Fund

27.  Grant by the Central Government

28.  Purposes for which the fund may be expended

28A.  Administrative expenses

29.  Holding of property, etc.

30.  Vesting of the property in the Corporation

31.  Expenditure by Central Government to be treated as a loan

32.  Budget estimates

33.  Accounts

34.  Audit

35.  Annual report

36.  Budget, audited accounts and the annual report to be placed before Parliament

37.  Valuation of assets and liabilities

CHAPTER IV

CONTRIBUTIONS

38.  All employees to be insured

39.  Contributions

40.  Principal employer to pay contributions in the first instance

41.  Recovery of contribution from immediate employer

42.  General provisions as to payment of contributions

43.  Method of payment of contribution

44.  Employers to furnish returns and maintain registers in certain cases

45.  Inspectors, their functions and duties

45A.  Determination of contributions in certain cases

45B.  Recovery of contributions

45C.  Issue of certificate to the Recovery Officer

45D.  Recovery Officer to whom certificate is to be forwarded

45E.  Validity of certificate and amendment thereof

45F.  Stay of proceedings under certificate and amendment or withdrawal thereof

45G.  Other modes of recovery

45H.  Application of certain provisions of the Income Tax Act

45I.  Definitions

CHAPTER V

BENEFITS

46.  Benefits

47.  When person eligible for sickness benefit (Repealed)

48.  When person deemed available for employment

49.  Sickness benefit

50.  Maternity benefit

51.  Disablement benefit

51A.  Presumption as to accident arising in course of employment

51B.  Accidents happening while acting in breach of regulations, etc.

51C.  Accidents happening while travelling in employer's transport

51D.  Accidents happening while meeting emergency

52.  Dependants' benefit

52A.  Occupational disease

53.  Bar against receiving or recovery of compensation or damages under any other law

54.  Determination of question of disablement

54A.  References to Medical Boards and appeals to Medical Appeal Tribunals and Employees' Insurance Courts

55.  Review of decisions by Medical Board or Medical Appeal Tribunal

55A.  Review of dependants' benefit

56.  Medical benefit

57.  Scale of medical benefit

58.  Provision of medical treatment by State Government

59.  Establishment and maintenance of hospitals, etc. by Corporation

59A.  Provision of medical benefit by the Corporation in lieu of State Government

GENERAL

60.  Benefit not assignable or attachable

61.  Bar of benefits under other enactments

62.  Persons not to commute cash benefits

63.  Persons not entitled to receive benefit in certain cases

64.  Recipients of sickness or disablement benefit to observe conditions

65.  Benefits not to be combined

66.  Corporation's right to recover damages from employer in certain cases

67.  Corporation's right to be indemnified in certain cases

68.  Corporation's rights where a principal employer fails or neglects to pay any contribution

69.  Liability of owner or occupier of factories, etc. for excessive sickness benefit

70.  Repayment of benefit improperly received

71.  Benefit payable up to and including day of death

72.  Employer not to reduce wages, etc.

73.  Employer not to dismiss or punish employee during period of sickness, etc.

CHAPTER V-A

TRANSITORY PROVISIONS

73A.  Employer's special contribution

73B.  Special tribunals for decision of disputes or questions under this Chapter where there is no Employees' Insurance Court

73C.  Benefits under Chapter V to depend upon employee's contribution

73D.  Mode of recovery of employer's special contribution

73E.  Power to call for additional information or return

73F.  Power to exempt to be exercised by Central Government alone in respect of employer's special contributions

73G.  Application of certain provisions of this Act to employer's special contribution

73H.  Power to remove difficulties

73-I.  Duration of Chapter VA

CHAPTER VI

ADJUDICATION OF DISPUTES AND CLAIMS

74.  Constitution of Employees' Insurance Court

75.  Matters to be decided by Employees' Insurance Court

76.  Institution of proceedings, etc.

77.  Commencement of proceedings

78.  Powers of Employees' Insurance Court

79.  Appearance by legal practitioners, etc.

80.  Benefit not admissible unless claimed in time

81.  Reference to High Court

82.  Appeal

83.  Stay of payment pending appeal

CHAPTER VII

PENALTIES

84.  Punishment for false statements

85.  Punishment for failure to pay contributions, etc.

85A.  Enhanced punishment in certain cases after previous conviction

85B.  Power to recover damages

85C.  Power of Court to make orders

86.  Prosecutions

86A.  Offences by companies

CHAPTER VIII

MISCELLANEOUS

87.  Exemption of a factory or establishment or class of factories or establishments

88.  Exemption of persons or class of persons

89.  Corporation to make representation

90.  Exemption of factories or establishments belonging to government or any local authority

91.  Exemption from one or more provisions of the Act

91A.  Exemptions to be either prospective or retrospective

91B.  Misuse of benefits

91C.  Writing off of losses

92.  Power of Central Government to give directions

93.  Corporation officers and servants to be public servants

93A.  Liability in case of transfer of establishment

94.  Contributions, etc., due to Corporation to have priority over other debts

94A.  Delegation of powers

95.  Power of Central Government to make rules

96.  Power of State Government to make rules

97.  Power of Corporation to make regulations

98.  Corporation may undertake duties in Part B States

99.  Medical care for the families of insured persons

99A.  Power to remove difficulties

100.  Repeal and saving

SCHEDULE I [Omitted]

SCHEDULE II

SCHEDULE III

EMPLOYEES' STATE INSURANCE (CENTRAL) RULES, 1950

CHAPTER I
CHAPTER I I
CHAPTER III
CHAPTER III-A
CHAPTER IV
CHAPTER V
CHAPTER VI

EMPLOYEES' STATE INSURANCE (GENERAL) REGULATIONS, 1950

CHAPTER I
CHAPTER I I
CHAPTER III
CHAPTER IV

 


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