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    Employees' State Insurance Corporation E-Pehchan Card: Insured Person: Insurance No.: Date of Registration

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    Goutam Hota
    The document is an e-Pehchan card from the Employees' State Insurance Corporation that provides details of an insured person named Sunil Kumar. It lists his insurance number, date of registration, personal details, current and previous employer details, family details, and nominee details. It also provides a brief overview of the various medical and cash benefits provided by ESIC to insured persons, including sickness benefit, maternity benefit, disablement benefit, and dependents' benefit.

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    © All Rights Reserved
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    Employees' State Insurance Corporation E-Pehchan Card: Insured Person: Insurance No.: Date of Registration

    Uploaded by

    Goutam Hota
    85 views3 pages
    The document is an e-Pehchan card from the Employees' State Insurance Corporation that provides details of an insured person named Sunil Kumar. It lists his insurance number, date of registration, personal details, current and previous employer details, family details, and nominee details. It also provides a brief overview of the various medical and cash benefits provided by ESIC to insured persons, including sickness benefit, maternity benefit, disablement benefit, and dependents' benefit.

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    Sunil Kumar

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    The document is an e-Pehchan card from the Employees' State Insurance Corporation that provides details of an insured person named Sunil Kumar. It lists his insurance number, date of registration, personal details, current and previous employer details, family details, and nominee details. It also provides a brief overview of the various medical and cash benefits provided by ESIC to insured persons, including sickness benefit, maternity benefit, disablement benefit, and dependents' benefit.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    85 views3 pages

    Employees' State Insurance Corporation E-Pehchan Card: Insured Person: Insurance No.: Date of Registration

    Uploaded by

    Goutam Hota
    The document is an e-Pehchan card from the Employees' State Insurance Corporation that provides details of an insured person named Sunil Kumar. It lists his insurance number, date of registration, personal details, current and previous employer details, family details, and nominee details. It also provides a brief overview of the various medical and cash benefits provided by ESIC to insured persons, including sickness benefit, maternity benefit, disablement benefit, and dependents' benefit.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    Insured Person : Sunil Kumar


    Insurance No. : 1510879395
    Date of Registration : 09/07/2020

    YOUR REGISTRATION DETAILS


    Employee Name: Sunil Kumar Type of Disability : None

    Name of Father / Husband: DHARMVEER Date of Birth : 01/01/1994

    Marital Status : Married Gender : Male

    UltraTech Nathdwara Cement Ltd,P.O. ganv motipura tehsil masuda, kirap,


    Present Address : Permanent Address :
    Binanigram, Village Amli Tehsil ajmer,Dist:Ajmer,Rajasthan,305602
    Pindwara,Distt.
    Sirohi,Rajasthan,Dist:Sirohi,Rajasthan,30703
    1

    Dispensary / IMP for IP : ESIC diespensary rajkiya samudayik Dispensary / IMP for Family: ESIC diespensary rajkiya samudayik
    swasth kendra pindwara(ESIS Disp.) swasth kendra pindwara(ESIS Disp.)
    UHID RJ01.0002049769

    Current Employer Details First Employer Details

    Employer's Code No. : 15000234170000506 Employer's Code No. : None

    Sub Unit's Code No. : None Sub Unit's Code No. : None
    Date of Appointment : 07/07/2020 First Insurance No. : None

    Name of Employer : ERECTORS & FABRICATORS Name of Employer : None


    E-77 ROAD NO 4 INDRAPRAST
    Address of Employer : Address of Employer : None
    INDUSTRIAL
    AREA,KOTA-324005,Dist:KotaRajasthan32
    4005

    Family Details:
    Name Relationship Date of Birth UHID Whether Residing State District
    with the with Insured Person
    Employee

    --- --- --- --- --- --- ---

    Nominee Details:
    Name of Nominee Relationship with IP Percentage Address of Nominee
    DHARMVEER Dependant father ganv motipura tehsil masuda, kirap,
    100
    ajmer,RajasthanDist:Ajmer305602
    Documents Uploaded:
    none

    Signature / LTI of Registered Employee / IP :


    Affix Your Family Photograph Here.(Attested and Stamped by Employer / ESIC Official)

    Mobile Number : 9509604928

    NOTE:
    1. Please keep this printout for future reference and bring this along with your Photo ID for all your Claim Benefits and Medical Benefits.
    2. Employer to please affix employee and his family photo here and attest with official stamp across .

    Signature / Stamp of ESIC Officer / Employer


    Employees’ State Insurance Corporation is a premier organization providing Social Security to workforce in the form of Medical and
    Cash Benefits in the contingencies of Sickness, Maternity, Disablement or death due to employment injury.

    SI.No Benefits Entitlement Duration Rate of Benefit


    From day one of entering into Reasonable medical care, Super
    1 Medical Benefit One should be an insured person
    insurable employment to till date in Speciality treatment, comprehensive
    insurable employment and during medical care & clinical investigation
    the corresponding benefit period. as per eligibility
    2(a) Sickness Benefit 78 days in relevant Contribution Up to 91 days in two 70% of average Daily wages
    Period consecutive Benefit Period
    2(b) Enhanced 78 days in one Contribution Period 7 days/ 14 days for male/female
    100% of average Daily wages
    Sickness Benefit insured person respectively for
    undergoing sterilization operation
    3 Extended 156 days in 4 consecutive 124 to 309 days may be 80% of average Daily wages
    Sickness Benefit Contribution Period extended to 730 days in case of
    specified long term diseases
    Temporary From day one of entering As long as temporary 90% of average Daily wages
    4(a)
    Disablement Insurable employment disablement lasts
    Benefit
    Permanent From day one of entering For whole life Depending upon loss of
    4(b) Disablement Insurable employment earning capacity of Insured
    Benefit
    5 Dependents From day one of entering 90% of average Daily wages.
    Paid to the dependents of the
    Benefit Insurable employment Shareable in fixed proportion.
    Insured Person. Who dies as a
    result of employment injury, in
    manner as detailed in Rule 58
    6 Maternity Benefit 70 days in immediately 26 weeks in case of normal 100% of average Daily wages
    preceding 1 or 2 consecutive delivery for 1st two surviving child
    Contribution Periods thereafter 12 weeks. 6 weeks in
    case of miscarriage. 12 weeks
    for commissioning/adopting
    mother.

    I. Unemployment allowance
    Rajiv Gandhi Insurable employment for the last 2 For a maximum period of 24
    at the rates of
    7 Shramik Kalyana years with 78 days contribution paid/ months. Vocational training of up
    Yojana payable in each Contribution Period, to 1 year for upgrading skill of i. 50% of last avg. daily
    Involuntary Unemployment due to Insured Persons receiving wages - 0 to 12 Months.
    closure of factory, retrenchment or unemployment allowance. ii. 25% of last avg. daily
    permanent disablement due to wages - 13 to 24 Months
    non-employment injury>40% 2. Medical care for self and
    family during receipt of
    unemployment allowance.
    8 Funeral Expenses From day one of entering For defraying expenses on With the enhancement of Funeral
    Insurable employment funeral of an Insured Person Expenses to Rs.15,000/-.
    Rs. 5000/- per case of confinement
    Confinement No condition other than Up to two confinements
    9 to an Insured Women or an Insured
    expenses insurable employment.
    person in respect of his wife in case
    facilities for confinement are not
    available in ESI institutions.
    Superannuated/permanently
    Medical facility within ESIC
    Medical Care to retired/retired under VRS /Pre-mature
    10 On yearly basis. on payment of Rs. 120/- for
    retired Insured retirement/ permanently retired due to
    self
    Persons employment injury after being in
    insurable employment for 5
    years/spouses of such deceased
    Insured Persons/spouses receiving
    Dependent Benefit.

    • For detailed information on benefits you are requested to visit website www.esic.nic.in or call toll free number 1800112526

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