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BENEFITS AT A GLANCE Benefits Contributory Conditions I.P. Should work for wages for 78 days in the corresponding C.P.

(wef 19-9-98). Duration Sickness Benefit 91 days in any two consecutive B.P. 124 days which may be extended upto 309 days in specified chronic cases during a period of three yrs. As per S.B.R. Rate To Whom Payable

a) Sickness Benefit.

Only to the insured person

b) Extended sickness benefit Continuous for long term diseases like employment for the TB, leprosy, etc. period of two years. c)Enhanced sickness benefit (for under-going sterilization operation for family planning) Same as for Benefit (a)above

25% Above S.B.R.

Only to the insured person

7 days for vasectomy & 14 days for tubectomy extended in cases Twice the S.B.R of post-coperative complications etc.

Only to the insured person

Disalement Benefit In case of temporary disablement: as long as a) For temp. Only to disablement the Disablement Benefits No Conditons incapacity lasts & in case of injured 40% above person S.B.R (employment injury) permenant dis-ablement: for life time. EXPLANATION: Where more injuries than one are caused by the same accident, the rate of benefit payable under clauses (c) & (d) shall be aggregated but not so in any case as to exceed the FULL RATE and in cases of disablement not covered by clauses (a), (b), (c) & (d) at such rate, not exceeding the FULL RATE, as may be provided in the regulations. Dependent's Benefit

To the WIDOW/S during life time until remarriage. Dependents Benefit (employment injury) No condition To the legitimate or adopted SON/S until he attains the age of 18yrs. To the legitimate or adopted unmarried Daughter/s until she attains the age of 18 yrs. or until marriage, whichever is earlier, In case the deceased person does not leave a widow or legitimate or adopted child. D.B. shall be payable to... a) Parent or grand parent, for life b) Any other male dependent, until he attains the age of 18 yrs.

3/5 of the FULL RATE, if there are 2 or more widows, the amt. payable to the widows shall be divided equally between the widows. 2/5 of the FULL RATE, if there are 2 or more sons, the amt. payable to the sons shall be divided equally between the sons. Subject to a min of Rs. 14/-


3/10th of the FULL RATE 2/10th of the FULL RATE

c) Any other female dependent, until she attains the age of 18 -----do----yrs. Or until marriage whichever is earlier. N.B. An insured person whose PERMANENT DISABLEMENT has been assessed as final and who has been awarded permanent disablement benefit at a rate not exceeding Rs. 1.50 per day may apply for a lumpsum payment and such amount shall be determined by multiplying the daily rate of permanent disablement benefit by the figure indicated in Co. 2 of the Schedule III of the Regulations. Maternity Benefit Payment of 12 weeks of which not more contribution for 70 than 6 weeks can precede the days in one or two expected date of confinement. consecutive periods. 6 weeks for miscarriage or for medical termination of pregnancy Twice S.B.R. Subject t o min of Rs.20/- p.d. Medical bonus Only to the insured person.

Maternity Benefits

Additional payment for one of Rs.250/-where month for Complications (pre or ESI facility is not post) arising out of Pregnancy available. Medical From the date of entry of an employee into an insurable employment so long as he remains in insurable employment and three after for certain additional period Other Beneftis Person as well as his/ her Family Members as defined u/s 2(11) of the Act.

Medical Insured Benefit

No Condition

Full Medical care including hospitalisation


No condition (i.e.merely by virtue of being an insured person)

One time lump sum payment

To the eldest surviving member of the deceased IP Not more than Rs. or to the person 1,500/who actually incurs the espenditure on the funeral of an IP

Rehabilitation Allowance

No condition

For each day of which I.P. Same as at 1(a) remains admitted in Artificial Up to Rs. 15 L for Limb Center for fixation, repair Rehabilitation. or replacement of artificial limb.

Only to the I.P.

Medical benefit to IP who ceases insurable employment on account of permanent disablement

No condition but an. I.P. has to pay Rs. 10/- pm in lump sum for one year in advance every year.

Till the date on which an I.P. would have attained the age of superannuation Till the time yearly contribution is paid to the Concerned Office of the Corporation.

Medical Benefit

IP and spouse.

1) Insurable Medical Benefit to retired IP employment for a period of 5 years


IP and Spouse

2) Payment of Office of the Contribution @ Rs. 15/- PM in lump __ do__ sum PMfor one year in advance, each year.


IP and Spouse