Benefits & Contributory Conditions
(i)
(a)
SICKNESS
BENEFIT
(b)
EXTENDED
SICKNESS
BENEFIT
(for 34 specified long
term diseases)
(c)
ENHANCED
SICKNESS
BENEFIT
(for undergoing
sterilization operation
for family welfare.)
DISABLEMENT
BENEFIT (
EMPLOYMENT
INJURY)
Temporary
Disablement Benefit
(ii)
(a)
(b)
Permanent
Disablement Benefit
(iii)
DEPENDANTS
BENEFIT
(Rule 58)
Payment for atleast
78 days in the
relevant contribution
period
Continuous
employment for a
period of two years
and contribution for
156 days in four
consecutive
contribution periods.
Same
as
for
Sickness Benefit.
91 days in any two As at Annexure-II-A (
consecutive periods.
70% of daily average
wages)
Two years
80% of daily average
wages
7 days for vasectomy 100% of daily average
and 14 days for wages
tubectomy;
extendable in cases in
post
operative
complication etc.
He/She should be an Till the
employee on the lasts.
date of employment
injury.
-doFor life
incapacity
90% of the daily
average wages
Depends upon the loss
of earning capacity of
the workers which is
determined
by
a
Medical Board.
The deceased should 1. To widow/widows 90% of the daily
be an employee on for life or until average wages to be
divided amongst the
the date of fatal remarriage
accident.
2.
To widowed dependants
in
the
mother during life.
prescribed ratio.
3. to legitimate or
adopted son until he
attains the age of
twenty five years.
4. To legitimate or
adopted daughter till
marriage.
5. To legitimate or
adopted
son
or
daughter
wholly
dependant on the
earning of the insured
(iv)
MATERNITY
BENEFIT
Payment
of
contribution for 70
days in immediately
proceeding one or
two
consecutive
contribution periods.
(v)
FUNERAL
EXPENSES
He should be an
insured person on
the date of death.
(vi)
REHABILITATION
ALLOWANCE
Entitlement
to
medical benefit or if
disabled due to
employment injury.
(vii)
MEDICAL
BENEFIT
(viii)
MEDICAL
BENEFIT TO
RETIRED/DISA
BLED INSURED
PERSONS AND
HIS/HER SPOUSE
No
condition
(insured person and
his family is eligible
from the date of
entry of I.P. into
insurable
employment)
On payment of
Rs.10/- p.m. in
lump-sum for one
year in advance
person at the time of
his/her death, who
have attained the age
of twenty five years
and are infirm, till
infirmity lasts.
5.
To
other
dependants for life or
till marriage or upto
the age of 18 years,
as the case may be
12 weeks of which 100% of daily average
not more than six wages.
weeks can precede
the expected date of
confinement; 6 weeks
for miscarriage and
additional one month
for sickness arising
out of pregnancy
confinement,
premature birth of
child or miscarriage.
Actual expenditure on
funeral not exceeding
Rs.
10,000/-w.e.f.
01.04.2011.
For each day on At 100% of daily
which insured person average wages.
remains admitted in
Artificial
LimbCentre
for
fixation/repair
or
replacement
of
artificial limb.
Till the
Full medical care (all
disability/disease
facilities
including
lasts.
hospitalization) for I.P.
and members of their
family.
(i)
by
insured Period for which
persons who retire contribution is paid.
from
insurable
Full Medical care.
(ix)
Confinement
Expenses
(x)
Vocational
Rehabilitation
Allowance Skill
Development Scheme
under
R.G.S.K.Y.
Unemployment
Allowance
(xi)
(xii)
employment
on
attaining the age of
superannuation or
under
VRS
or
prematurely
after
being in insurable
employment for not
less than five years
(ii)
by insured
persons who cease
to be in insurable
employment
on
account
of
permanent
disablement due to
an
employment
injury.
To an Insured
Woman or an I.P. in
respect of his wife
incase facilities for
confinement are not
available in ESI
Institutions.
Not more than 45
years of age and
disability not le than
40% due to
Employment Injury
An I.P. who has lost
employment due to
closure of factory,
retrenchment
or
permanent
disablement of at
least 40% arising out
of non-employment
injury
and
the
contribution
in
respect of him have
been paid/payable
for a minimum of
three years prior to
the
loss
of
employment
IP/IW should be in
Vocational
of
Rehabilitation Skill receipt
Development Scheme Unemployment
under
(under Rajiv Gandhi Allowance
IPs are entitled for
full medical care for
self and spouse only,
Period for which
contribution is paid,
till attaining the age
of superannuation.
Up to two
confinements only
w.e.f. 01.12.2008
Rs. 2,500/- per case.
All the days of
training in Vocational
Rehabilitation Centre
Rs. 123/- per day or
the actual amount
charged by Vocational
Rehabilitation Centre,
whichever is higher.
Maximum period of
one year during life
time w.e.f.
01.02.2009
about 50% of average
daily wage.
Short duration of ten
weeks or other longer
duration courses of
upto six months at
Entire fee charged by
the Institutions is to be
paid
by
the
Corporation. To and fro
Shramik
Yojana)
(xiii)
New Addition
Kalyan Rajiv
Shramik
Yojana
Gandhi Advance Vocational Rail/Bus fare to IP/IW
Kalyan Training Institutions. who has to travel to
attend the training
programme at AVTIs
as
charged,
is
reimbursed.
Conveyance
10.
Conveyance Under this Scheme,
Allowance
Allowance
to PDB beneficiaries are
Permanent
paid Rs. 100/- as
Disablement
conveyance allowance
Benefit(PDB)
on their personal visit
beneficiariesto Branch Office for
regarding
submission of life
certificate once in a
year.
