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ESI Scheme of India |
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Employees’ State Insurance Corporation (Ministry of Labour & Employment, Govt. of India) |
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Headquarters
(ISO 9001-2008 Certified)
Panchdeep Bhawan, C.I.G. Marg
New Delhi-110 002
Website:- www.esic.nic.in/www.esic.in |
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The country’s first multi-dimensional social security scheme for workers in the
organized sector, introduced in – 1952. |
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Covers a total beneficiary population of 5.55 crores today. |
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Has the country’s largest medical infrastructural facility under the umbrella. |
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Is the most affordable social security system with the lowest contribution rate
for multiple health insurance benefits.
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Takes care of the client and his/her dependants from day one of entering
insurable employment. |
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Is the only health insurance scheme that offers full medical care to workers
and their dependants without any ceiling on individual expenditure. |
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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. |
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Offers economic protection through cash payments in the event of sickness,
temporary/permanent disablement, and maternity, death due to employment
injury or occupational disease and unemployment. |
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Mission |
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A very large social security network that encompasses basic economic risks namely
health.
Sickness, disability, death and maternity.
It is a product of simple and liberal welfare legislation.
It is an Efficient, Honest and Consumer friendly Organization and its employees act like Missionaries
with Zeal.
Security and Service in the hour of need is its Motto.
It ensures Dependence during Disease, Disability and Distress.
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Vision |
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We are committed to: |
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Augmenting better coordination and awareness of the Scheme among all
stakeholders of the Scheme and |
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Bringing improvement |
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(i) |
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Towards prompt delivery of services to Insured Persons and Employers. |
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(ii) |
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Towards Prompt handling of Grievances. |
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(iii) |
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Towards bringing better work environment in our offices.Towards bringing better work environment in our offices. |
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3. |
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Expansion of the Scheme to new areas and new sectors of employment, |
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Cleanliness towards upkeep of our offices and office records. |
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Developing potential skills and positive human relations (through Training and
interaction among all involved in the Scheme.) |
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"A Participative Health Insurance Scheme for a Happy and Healthy Nation."
Employees’ State Insurance Scheme Of India |
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Citizen's’ Charter |
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1. Introduction : |
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Employees’ State Insurance Scheme of India, is an integrated social security
scheme tailored to provide protection to workers in the organized sector and their
dependants in contingencies, such as sickness, maternity or death and disablement due
to an employment injury or occupational disease. Towards this objective the scheme of
health insurance provides full medical facilities to insured persons and their dependants,
as well as, cash benefits to compensate for any loss of wages or earning capacity in
times of physical distress. |
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2. Applicability of the ESI Act : |
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The ESI Act applies to any premises/precincts, where 10 or more persons are employed.
The “appropriate Government” State or Central is empowered to extend the provisions
of the ESI Act to various classes of establishments, industrial, commercial, agricultural
or otherwise in nature. Under these enabling provisions, most of the State Govts. have
extended the ESI Act to certain specific classes of establishments, such as, Medical and
Educational Institutes, shops, hotels, restaurants, cinemas, preview theatres, motor
transport undertakings, newspaper and advertising establishments etc., employing 10 or
more persons. |
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3. Organisation : |
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As provided under the ESI Act, the Scheme is administered by a duly constituted
corporate body called the ‘Employees’ State Insurance Corporation (ESIC)’. It comprises
members representing Central and State Governments, Employers, Employees,
Parliament and the medical profession. Union Minister of Labour & Employment
functions as Chairman of the Corporation whereas the Director General, as its chief
executive, discharges the duty of running the day-to-day administration. |
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A Standing Committee representing all stakeholders is elected from the body
corporate for managing the affairs of the scheme and monitoring the progress of
implementation of various corporate decisions and policies etc. from time to time. |
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The Medical Benefit Council, a statutory body advises the Corporation on matters
related to administration of medical benefit under the ESI Scheme. |
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4. Infrastructure : |
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The central headquarters of the Corporation is located at New Delhi. For purpose of
coverage, revenue collection, extension of the scheme to new classes of establishments,
implementation of the scheme in new areas, coordination with the State Governments and general administration the Corporation has established Regional, Sub-Regional and
Divisional Offices across the country mostly located in the State Capitals.
Given the huge number of beneficiaries – about 5.55 crores now the Corporation has set
up a wide spread network of service outlets for prompt delivery of benefits in cash and
kind that includes full medical care.
Medical facilities are provided through a network of 1388 ESI Dispensaries, over 1678
Panel Clinics, besides 148 ESI hospitals and 42 hospitals annexes with other 27739
beds. For providing super-speciality medical care, the Corporation has tie up
arrangements with advanced medical institutions in the country, both in the public and
private sector. The medical benefit is administered with the active cooperation of the
State Governments.
The payment of cash benefits is made at the grass roots level through as many as 798
Branch Offices and Pay Offices that function under the direct control of the Corporation. |
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