At the national level, the ESIC Scheme is administered by a statutory body called the ESIC (Employees’ State Insurance Corporation), set up under ESI Act of 1948. specialist facilities. The following are some ESI benefits that employees can avail under the ESI Act. Specialist consultation and diagnostic facilities, Ante-natal care, confinement and post natal care, Ambulance Service or conveyance charges for going to hospitals diagnostic centres, Firstly, Section 17 allows the Corporation to appoint staff members and officers for carrying out its business effectively. Powers and duties of the Medical Benefit Council The powers and duties of the Medical Benefit Council shall be- (1) to advise the Corporation in regard to the constitution, setting up duties and powers of the regional and local Medical Benefit Councils; RS/5/48, dated 17-10-1950] In exercise of the powers conferred by section 97 of the Employees' State Insurance Act, 1948 (34 of 1948), the Employees' State Insurance Corporation is pleased to make the following regulations, the same having been previously published as required by sub-section (1) of the said section, namely:- The facilities of medical benefit under the ESI Scheme will also be provided to the family members of IP where the IP works and resides at one station and his family resides at another station but both the places are implemented centres and located in the same State or in different states. super speciality treatment such as open heart surgery, neuro surgery, bone marrow and hospitals. Decision by majority. Medical benefits to the insured person and his spouse have been extended under circumstances where insured person retires under Voluntary Retirement Scheme or takes premature retirement. In case of permanent disablement by the employee, he can get medical benefit till the date of his retirement. concerned ESI Dispensary, they may directly approach the nearest ESI Hospital for the first time is eligible for medical care for a period of three months. study materials for BSL,LLB, LLM, and Various Diploma courses. gets entitled to it. Powers of the Corporation. 240 [] the manner in which 241 [appointments] and elections of members of the Corporation, the Standing Committee and the Medical Benefit Council shall be made; (b) the quorum at meetings of the Corporation, the Standing Committee and the Medical Benefit Council and the minimum number of meetings of those bodies to be held in a year; has a network of 141 hospitals countrywide. This Act is designed to complete the task of protecting 'Employees' as defined in the ESI Act - 1948, against the hazards of Sickness, Maternity, Disablement or Death due to Employment injury and to provide full Medical care to insured persons and their families. G.S.R. Medical Practitioners ('Panel"system). Benefits of … etc. also, dentures, spectacles and hearing-aids where the loss of teeth, impairment Log in. care. Amount awarded by the El Court is just and reasonable and not excessive. ESI 1948 – THE ESI Corporation and The Standing Committee and The Medical Benefit Council THE EMPLOYEE STATE INSURANCE CORPORATION. 7. Currently, there are around 900 separate powers of entry under primary and secondary legislation. In the case of an emergency the IP/beneficiary can get Medical attention just IP's place of living, the IP shall approach the nearest Govt. will be effective till the end of the year, irrespective of any change in the It he/she continues in insurable employment for three months or more the medical cards, that is, one for the "insured person" [Form-4] and for the family 01/07/2011. [Section 56] As prescribed by the central government, Employer or his family members are entitled to the medical benefit. wherever admissible, Free supply of artificial limbs, aids and appliances for physical rehabilitation, Family welfare services and other national health programme services, Members 103 Medical benefit during disablement hours. IP would have continued to be entitled for the same if he had survived. Meetings of corporation, standing committee and medical benefit council. 55 Sickness benefit. worker and the members of his family are eligible for medical care from the very Duties of Medical Benefit Council. 1. Any changes in his residence/ dispensary/ employment can be carried out by the employer in the Portal as and when arises. 66 of 1995). Section 46 of the ESI Act extends following benefits under ESI Scheme. Possession ... 1) Which one of the following element is not necessary for a contract ? Ask your question. person and family, through a network of ESI Dispensaries & Panel clinics, in lump sum for one year at the rate of Rs. Scheme provides preventive health care services through the network of its dispensaries 56 Maternity benefit Maximum age for the … Medical benefits to the insured person and his spouse have been extended under circumstances where insured person retires under Voluntary Retirement Scheme or takes premature retirement. Contribution pattern to ESIC - Both employee and employer contribute to ESIC - The contribution amount changes from time to time - 0.75% of employee's salary is contributed at present - The employer contributes 3.25% to ESIC - Average salary per day of employees Rs 137. The medical care includes primary Insured Person who leaves the insurable employment on attaining the age of superannuation the claim bill directly to the Directorate where it will be settled. — The Medical Benefit Council shall — (a) advise 4 [the Corporation and the Standing Committee] on matters relating to the administration of medical benefit, the certification for purposes of the grant of benefits and other connected matters ; persons have to contact the Branch Office to which they are attached, for registration In -patient and diagnostic diagnostic srevices in basic specialities The registration and other formalities would In the earlier Act the benefit was applicable only on attaining the age of superannuation. In Hospital for getting An employee who is covered under the Scheme and his family members are entitled to avail treatment in ESI Dispensary/Hospital/Diagnostic Explain constitution of medical benefit council under esi act Get the answers you need, now! It may bestow provident fund, gratuity and … The Director-General of Health Services as co-Chairman. in all major national preventive health service campaigns. centre and recognised institutions such as :-. manned by full-time doctors ('Service' system) or at the private clinics of Insurance temporarily;The facilities of medical benefit under the ESI Scheme will also An 1. or disabled insured worker will be entitled to the same scale of Medical Benefit Duties of Director General and the Financial Commissioner. in most of the States to ensure smooth flow of funds for super-speciality treatment Section 24. IP shall produce all the relevant documents demanded by the designated hospital of IPs family are entitled to free, full and comprehensive medical care under In case of the retirement of the employer his spouse shall be eligible to receive medical benefit subject to payment of contribution. after being insured continuously for not less than 5 years, immediately before IP If he/she The Act also guarantees reasonably good medical care to workers and their immediate dependants. State schemes have also tie-up arrangements This document is highly rated by B Com students and has been viewed 2231 times. : 1. be provided medical care as under:-. been in insurable employment for a minimum period of 5 years immediately before angiography etc. any documents, information, returns and assessments relating to the business, the value of the supply of any goods and services, or the income of any taxable person to which section 6 of the Goods and Services Tax Act (Cap. 65 of 2002.] the Scheme. for medical benefit. The We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. for a maximum period of 730 days for the I.P.and his/her family. — The meetings of the Corporation, the Standing Committee and the Medical Benefit Council shall be held in accordance with the Central Rules at such time and place as may be fixed by the Chairman concerned. Join now. An The scheme envisaged by it is one of compulsory State Insurance providing for certain benefits in the event of sickness, maternity and employment injury to workmen employed in or in connection with the work in factories other than seasonal factories. Held, injured or his family shall be entitled to medical benefits under Section 56 of the Act since the accident took place during employment. on attaining the age of superannuation are eligible to receive medical benefit Part 1 — Preliminary. forms and further guidance. ESI Corporation challenged the judgement of the El Court in appeal. interventions. With the dawn of Trade Union Movement the bargaining power of the workers increased and thus slowly trickling of benefits started. Insured by producing his/her ESI identity card at the designated private medical institution, ESIC The only condition is that the employee should have served for 70 days in previous two terms. 25(E).—In exercise of the powers conferred by Section 5, read with sub-section (1) of Section 7 of the Employees’ Provident Funds and Miscellaneous Provisions Act, 1952 (19 of 1952), the Central Government hereby makes the following Scheme, further to amend the Employees’ Provident Funds Scheme, 1952. namely B) Every agreement is a contract. the items included in the package deal shall be borne by the IP/beneficiary. These include immunisation against some killer diseases, pulse The Employees* State Insurance Act (ESI Act) was enacted with the object of introducing a scheme of health insurance for industrial workers. and the scale of medical benefit to be provided to insured persons. medical care, diagnostic services, specialist consultations and indoor medical Section 23. place of work or at a place other than the place of work of the Insured Person 98 Discharge , etc., of employee under certain conditions. Procedure The The corporation shall be a body corporate with perpetual succession and common seal. In case IP is disentitled, the family becomes disentitled According to Salmond, in the whole range of legal theory, there is no conception more difficult than that of Possession. The total cost of such treatment, diagnostic facilities or surgical Persons who cease to be in insurable employment on account of permanent physical Whenever the patient is not able to travel by himself/herself, ambulance As on 31 March 2016, the total beneficiaries are 82.8 million. be done through the Branch Office of the ESI Corporation and the intending insured to be followed by the ESI beneficiaries to avail Super speciality medical treatment. and the Medical Officer shall issue a referral letter to the IP to approach the referral arrangements are available with the reputed hospitals The comprehensive package includes primary medical care, specialists and diagnostic services, in-patient care with provision for all super specialist facilities. IP/beneficiary shall produce the referral letter along with the ESI Identity Card been under ESI coverage for atleast 2 years during which he/she should have contributed Health hazards in the Industry made it imperative to have some Medical / health Insurance and it culminated in the Schemes like ESI. referring the IP/beneficiary to the concerned Empanelled Medical institution, In the earlier Act the benefit was applicable only on attaining the age of superannuation. availing cash benefits at the ESI branch Office. The rates of benefits under ESI Act/rules/regulations which are paid in cash have now been modified w.e.f. Medical Benefit council: To advice the ESI Corporation in regard to various matters relating to Medical Benefits, under the Act: Director General: To act as the Chief Executive Officer of the Corporation: To convene meetings of the corporation, to enter into contracts on behalf of the Corporation and to exercise other powers that he may be entrusted with: Medical Appeal Tribunal 117A) applies; (c) information obtained under the Property Tax Act (Cap. shall produce necessary referral letter and other relevant documents within 48 disablement due to employment injury or those who leave the insurable employment covers all aspects of health care from primary to super speciality facilities. 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