S T A N D A R D N O T E ON

EMPLOYEES’ STATE INSURANCE SCHEME

(As on 1.1.2013)

The Employees’ State Insurance Act, 1948 is a social security legislation that provides for

medical care and cash benefit in the contingencies of sickness, maternity, disablement and death due

to employment injury to workers. A statement indicating the broad details of various health insurance

related benefits provided under the Act is at Annexure-I.

1. COVERAGE

The Employees' State Insurance Act, 1948 applies to non-seasonal factories employing 10

or more persons. The provisions of the Act are being extended area-wise in stages. The Act

contains an enabling provision under which the "appropriate government" is empowered to extend

the provisions of the Act to other classes of establishments - industrial, commercial, agricultural

or other-wise. Under these provisions, the State Governments have extended the provisions of the

Act to shops, hotels, restaurants, cinemas including preview theatres, road motor transport

undertakings, newspaper establishments, educational and medical institutions employing 20 or

more employees. Twenty one State Governments have reduced the threshold of coverage of shops

and establishments to 10 or more persons. Employees of factories and establishments covered

under Act and drawing monthly wages upto Rs. 15,000/- per month are covered under the

scheme. The ceiling for persons with Disabilities is Rs. 25,000/- per month. As on 31/03/2012,

the scheme applied to 5.80 lakh employers employing 1.71 crore insured persons at 807 centres.

The scheme has been extended to the state of Sikkim w.e.f. 1/12/2012.

2. ADMINISTRATION

The Hqrs. of the ESI Corporation is located at Delhi and has 64 field offices which include 23

Regional Offices, 31 Sub-Regional Offices, 6 Divisional Offices, 2 Camp Offices and 3 Liaison

Offices throughout the country. Besides, there are 623 Branch Offices and 184 Pay Offices for

administration of cash benefits to Insured Persons. For inspection and coverage of

factories/Establishment, 383 Inspection Offices are also set up across the Country.

3. FINANCE

The ESI Scheme is financed mainly by contributions from employers and employees. The

rate of contribution by employer is 4.75% of the wages payable to employees. The employees’

contribution is at the rate of 1.75% of the wages payable to an employee. The State Government’s

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share of expenditure on the provision of Medical Care is to the extent of 12.5%. The maximum

sharable amount is subject to the ceiling prescribed by the Corporation from time to time. Expenditure

beyond the prescribed ceiling is solely borne by the State Govts.

4. ABSOLVING OF LIABILITY UNDER OTHER ENACTMENTS

Employers coming under the purview of ESI Act, 1948, are absolved of their liabilities under

the Employees’ Compensation Act, 1923 and the Maternity Benefit Act, 1961, as these social security

provisions become the responsibility of the ESI Scheme.

5. PROVISION FOR EXEMPTION FROM THE OPERATION OF THE ACT

An “appropriate government” may grant or renew exemption under Section 87 of the Act in

respect of a Factory/Establishment or class of factories or establishments in any specified area if the

employees in such factory/establishment are in receipt of benefits substantially similar or superior to

the benefits provided under the Act for a period not exceeding one year at a time to take effect only

prospectively. Provided that an application for renewal shall be made three months before the date of

expiry of the exemption period and a decision on the same shall be taken by the appropriate

Government within two months of receipt of such application.

As per provisions of the Act no exemption shall be granted unless a reasonable opportunity is

given to the Corporation to make any representation and the same is considered by the appropriate

Govt.

The “appropriate government” may also grant exemption to any person or class of persons

employed in a factory/establishment or class of factories/establishments under Section 88 of the Act.

Exemption under Section 90 is granted to a factory/establishment belonging to a local

authority such as a Municipality/Corporation, etc. if employees in any such factories/establishments

are otherwise in receipt of benefits substantially similar or superior to the benefits provided under the

Act.

6. EXTENSION OF ESI SCHEME TO NEW SECTORS OF EMPLOYMENT.

The Committee on Perspective Planning (1972) of the ESI Corporation which had

been appointed, inter-alia, to work out a viable programme for phased extension of the Scheme,

had formulated the following criteria for extension of the Scheme to a larger cross section of wage

earners:-

(a) Need for health insurance protection;

(b) Feasibility of building upon expanding viable medical facilities; and

(c) Amenability of the establishments to enforcement by the Corporation.

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Applying the above mentioned criteria, the Committee came to the conclusion that extension of

the scheme should be accomplished in three phases, as given below:-

(i) In the first phase, factories run with power and employing 10 to 19 workers; factories run

without power employing 20 or more workers and shops, cinemas including preview theater, road

motor transport undertakings and newspaper establishments, hotels and restaurants employing 20

or more workers are to be covered.

(ii) The organized mines and plantations might be covered in the second phase. In the case of

mines and plantation the recommendation of the Committee was to extend the Scheme only

partially i.e. only the cash benefits might be provided since medical care was already available to

the workers free of cost.

(iii) The unorganized or semi-organised sectors about which accurate statistical data is not

available would come later in the third phase.

In pursuance of the above recommendations, extension of the scheme to the

categories of establishments included in the first phase has already been carried out. Further, the

threshold for coverage of factories has been reduced from 20 to 10 or more persons irrespective of

whether power is used in manufacturing process or not. The scheme has also been extended to

educational institutions in 22 States/UTs and to private medical institutions in 20 States/UTs.

A provision has been made in the Act vide Employees' State Insurance (Amendment)

Act, 2010 under which medical care from underutilized ESI Hospitals can be provided to other

beneficiaries on payment of user charges.

7. PROVISION OF SOCIAL SECURITY FOR WORKERS IN THE UNORGANISED SECTOR

Out of the total work force of about 459 millions in India, 27.55 million workers are

in the organized sector, (17.67 million in public sector and 9.87 million in private sector) and the

rest are in the unorganized sector. The ESI Act covers workers in the organized sector only. At

present about 15.5 million workers (i.e. 56.26% of organized sector) are covered under the

Employees' State Insurance Act, which represents only about 3.37% of the total work force in the

country. The remaining workers in the organized sector to which the ESI Act does not apply

remain outside the social security umbrella due to the following reasons:-

(i) Employees of Central and State Govts. who are provided social protection under the rules

of the respective Governments;

(ii) Workers of factories/establishments employing less than 10 persons.

(iii) Workers of factories/establishments situated in the non-implemented areas, where the

ESI Scheme has not been implemented;

(iv) Workers of seasonal factories/establishments;

(v) Workers drawing wages exceeding Rs.15,000/- per month.

The workers employed in the organized sector and working in the smaller factories

and establishments can be brought under the ESI Scheme by gradually lowering the threshold limit for

coverage under the ESI Act. Likewise, the workers who are drawing wages above the wage limit

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Rs.15,000/- per month can be brought under the ambit of the ESI Scheme by enhancing or removing

the wage limit altogether. Vide ESI (Amendment) Act, 2010, the threshold limit for coverage of

factories has been brought down to 10 or more persons irrespective of whether power is used in the

manufacturing process or not. Twenty one State Governments have also reduced the threshold limit

for coverage of shops and other establishments from 20 to 10 or more persons. Rest of the State

Governments are also in the process of doing so. Many State Governments have also extended the

provisions of the Act to the educational and private medical institutions.

Factories and establishments located in non-implemented areas having sufficient

concentration of workers are being brought under the ESI Act gradually as per the phased programme

drawn in consultation with the State Governments.

As the ESI Scheme framed under the ESI Act, 1948 provides a uniform package of benefits at

a uniform rate of contribution; and employer-employee relationship is a pre-requisite for extension of

the scheme, the scheme is not suited for extension to workers in the unorganized sector in its present

form. However, as per amendment in the ESI Act, 1948 w.e.f. 01/06/2010 vide ESI (Amendment)

Act, 2010, medical benefit under the scheme can be extended to other beneficiaries on payment of

user charges subject to framing of schemes by the Central Government. Further the Govt. of India,

Ministry of Labour & Employment, has introduced a Scheme called "Rashtriya Swasthya Bima

Yojana" for providing social security to BPL (Below Poverty Line) workers in the unorganized sector.

8. AMENDMENTS IN THE E.S.I.ACT, 1948. The ESI Act, 1948, was amended vide ESI (Amendment) Act, 2010 w.e.f. 1-6-2010 for enhancing

the Social Security coverage, streamlining the procedure for assessment of dues and for better

services to the beneficiaries. The salient features of the Amendments in the Act are as under:-

• A uniform threshold of 10 or more persons for coverage of factories has been prescribed vide

ESI(Amendment) Act, 2010, and for counting 10 persons for initial coverage of a factory, all

persons employed irrespective of their wage are to be counted.

• Enhancing age limit of dependant children for eligibility to dependants benefit from 18 years

to 25 years;

• Extending medical benefit to dependant minor brother/sister in case of IPs not having own

family and whose parents are also not alive;

• Continuing medical benefit to insured persons retiring under VRS scheme or taking

premature retirement;

• Treating commuting accidents as employment injury;

• Making an enabling provision for extending medical care to other beneficiaries against

payment of user charges to facilitate providing of medical care from under-utilized ESI

Hospitals to the BPL families covered under the Rashtriya Swasthaya Bima Yojana and other

schemes framed by Central Government.

• Empowering State governments to set up autonomous Corporations for administering medical

benefit in the States for bringing autonomy and efficiency in the working. 4

9. MEDICAL BENEFITS PROVIDED UNDER ESI SCHEME

The Employees’ State Insurance Scheme provides comprehensive medical care in the form of

medical attendance, treatment, drugs and injections, specialist consultation and hospitalization to

Insured Persons and also to their dependants.

An Insured Person and his dependants are entitled to medical benefits from the day of entry

into insurable employment. Medical care to beneficiaries is provided through a large infrastructure

comprising Hospitals, Dispensaries, annexes, Specialist centers, Model Dispensaries- cum- Diagnostic

Centers (MDDC), IMP clinics and arrangements with other health institutions. The range of medical

services provided covers promotive, preventive, curative and rehabilitative services. Besides, the out-

patients services provided through ESI dispensaries, IMP Clinics and Employer Utilization

Dispensaries (EUD), in-patient services are provided through ESI Hospitals and through

empanelment/tie up with private hospitals.

Insured Persons and their families are being provided comprehensive medical care which

includes outpatient care/ inpatient care, specialized medical care and super specialty medical care as

per requirement of the patient. Besides medical facilities under AYUSH i.e. Ayurveda, Yoga, Unani,

Siddha and Homeopathy are also provided.

OUT PATIENT MEDICAL CARE

1. INSURANCE MEDICAL PRACTITIONER

2. SERVICE DISPENSARY

3. HOSPITAL OPD

1. INSURANCE MEDICAL PRACTITIONER

Private Medical Practitioners are appointed as panel doctors. A panel doctor is

expected to have his own consulting room and dispensary. Each panel doctor is allowed to

register upto 1000 IP family units. Under the panel system, the doctor is expected to issue

medicines to the beneficiary, from his own dispensary. Special and costly medicines are

dispensed through approved chemists as well as State Government Medical Stores. At

present, the panel system is in operation in West Bengal and Maharashtra (except Nagpur

area), Goa in certain areas, Gujarat (Ahmedabad), M.P, Punjab, Andhra Pradesh, Assam and

Karnataka. The IMPs under the panel system are paid capitation fee for providing medical

care to the Insured Persons and beneficiaries. As on date, there are about 1400 IMPs all over

the country.

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2. SERVICE DISPENSARY

The out-patient medical care under the ESI Scheme is provided through the service system

i.e. through dispensaries established under the Scheme for the exclusive use of the Insured Persons

and their families, manned by full-time Medical Officers. There are about 1400 service dispensaries

under ESI scheme all over the country.

3. HOSPITAL OPD

Out patient services under various specialties and super specialties like medicine, surgery,

pediatrics, gyne & obst., ENT, eye, cardiology, nephrology, neurology, urology, CTVS etc. are being

provided through ESI hospital OPDs all over the country.

The Corporation has also set up revolving fund in all States except Meghalaya, Puducherry,

Chandigarh (U.T), Maharashtra and Rajasthan on consent of State Govt. for making advance

payments/ reimbursements in respect of specialty / super specialty treatment. The Corporation has

also extended the scope of Revolving Fund to include purchase of Drugs and Dressings, Equipments

and their repair & maintenance (including annual maintenance contracts).

IN PATIENT MEDICAL CARE

In patient services are provided through a chain of 151 ESI hospitals spread across the

country which includes 34 directly run ESIC hospitals & 117 State ESI hospitals with a total bed

strength of 19143. The provision for Super specialty services for beneficiaries is mainly through tie-

up arrangements with reputed corporate hospitals. Tie – up arrangement for super specialty treatment

has been made with more than 800 hospitals across India.

PROVISION OF DRUGS, DRESSINGS & EQUIPMENTS

ESIC prepares its own rate contract for drugs, called as DG ESIC Rate Contract. All drugs &

dressings and vaccines are procured by DG, ESIC Rate Contract.

Insured persons and their dependants are also provided artificial limbs, aids and appliances.

The Corporation has enhanced the ceiling on the cost of frames of the Spectacles from Rs.100/- to

Rs.500/- per frame. The Insured Persons and Family Members are provided with Artificial limbs,

Hearing Aids, IOL (Intra Ocular Lens), Spinal Supports, Cervical Collar, Walking Calipers, Clutches,

Wheel Chair, Cardiac Pacemaker, Cochlear implants. Other medical equipments considered essential

are also provided to the beneficiaries.

Previously, the provision of Denture, Capping of teeth and Spectacles were given to only the

Insured Persons and artificial Wigs (only to Insured Women). Now, with effect from 19/11/2007, the

spectacles, Dentures and capping of teeth facilities are also available to the dependants of Insured

Persons.

Procurement Cell at ESIC Hqrs. facilitate ESI Hospital and Dispensaries for making

procurement of best quality medical equipments.

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IMMUNIZATION & FAMILY WELFARE SERVICES

ESIC follows National Immunization Policy. Selective immunization during the epidemic

breakout is also carried out along with the immunization programme. ESIC participates in all national

health programmes under the aegis of Health Schemes of Govt. of India, which are extended to the

beneficiaries through our hospitals & dispensaries.

ESIC also promotes National Family Welfare Programme. Facilities for all temporary &

permanent methods of family welfare services are provided. Such facilities are also provided to non

ESI beneficiaries. Apart from cash benefit as per CHS, the ESI Corporation has also extended

additional cash incentive to Insured Persons to promote acceptance of sterilization method by

providing sickness cash benefit equal to full wage for a period of 7 days for vasectomy and 14 days

for Tubectomy.

EXPENDITURE ON MEDICAL CARE

Detail of Expenditure on medical care is as under:

1. SHARING OF EXPENDITURE BETWEEN ESIC AND VARIOUS STATE GOVT.

UPTO A CEILING.

2. SHARABLE EXPENDITURE OUTSIDE THE CEILING.

3. EXPENDITURE FULLY BORNE BY THE ESIC OUTSIDE THE CEILING

1. SHARING OF EXPENDITURE BETWEEN ESIC AND VARIOUS STATE GOVT.

UPTO A CEILING.

Expenditure on medical care is shared between ESI Corporation and the State Government in

the ratio of 7:1 within the prescribed ceiling which is revised from time to time. The current

ceiling w.e.f. 1.4.2012, is Rs.1500 per IP family unit per annum with the following two sub

heads:-

A) Administrative expenditure : Rs. 900/- per IP per annum.

B) Drugs & dressing and other expenditure : Rs.600/- per IP per annum.

In addition, the Corporation has also approved reimbursement of Rs. 200/- per IP per

annum to the State Governments, where the bed occupancy in all the State ESI Hospitals is more

than 70% during the concluded financial year. This reimbursement is given to the State

Governments to facilitate the optimum utilization of the existing infrastructure and also to

encourage them to provide staff and equipments as per ESIC Norms. This amount will be non

sharable and will totally be borne by ESI Corporation. Further this amount will be untied and

State Governments will be free to use it on any sub heads i.e “Administrative” or the ‘others’.

Further more, the ESI Corporation has also taken a decision that w.e.f. 1.4.2009, the total

expenditure under the head Administration will be shared, between the ESIC and the State Govt.

in the ratio of 7:1, subject to fulfillment of certain specified conditions.

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2. SHAREABLE EXPENDITURE OUTSIDE THE CEILING

a) Initial purchase of equipments for hospitals and dispensaries.

b) Equipments costing more than Rs.25000/- per unit:

Expenditure for replacement of costly equipments like X-ray machine etc. or addition

of new department in a hospital, the equipment costing more than Rs.25,000/- and

above, which is considered essential, is to be shared between the Corporation and the

State Govts. outside the ceiling.

c) Purchase of vehicles:

The expenditure on purchase of new Ambulances, Mobile dispensary Vans, Hearse

Vans, Office vehicles or replacement thereof is to be made from the shareable pool,

outside the ceiling on expenditure on medical care.

d) Nurses training school.

e) Biomedical Waste disposal.

f) training upto 0.5% of the total budget.

g) Purchase of following non-medical equipment, costing above Rs.25,000/-:-

1. Gas Pipelines

2. Photostat Machine / Fax

3. Public address system for general areas and conference rooms.

4. Projectors (over head projectors, slight projectors, LCD projectors.)

5. EPABX

6. Air conditioners

7. Water coolers

8. Walk- in coolers

9. Water treatment plant ( water softener and Reverse osmosis)

10. Display system

11. Close circuit television (CCTV)

12. DG set

13. Autoclaves

h) Disposal of Bio-medical Waste

i) Replacement of costly equipments

j) Expenditure on purchase of Vehicles

3. EXPENDITURE FULLY BORNE BY ESIC BEYOND THE CEILING

a) Construction of buildings for hospitals and dispensaries.

b) Repair and maintenance of own buildings.

c) Purchase of computers for hospitals.

d) Newly implemented areas for first three years.

e) Newly implemented areas in North East States for first five years.

f) For establishment of new AYUSH units for initial period of five years. 8

g) Equipment for hospital with bed occupancy more than 70%.

h) Model Hospitals and Occupational Disease Centers.

i) MDDC (Model Dispensaries cum Diagnostic Center).

j) Super specialty treatment :

To provide cashless and hassle free medical services, ESI Corporation in its

143rd meeting held on 08.07.2008 has taken a decision for bearing the super specialty

expenditure directly w.e.f. 01.08.2008. For this, tie up arrangements have been made

directly by ESIC with reputed Govt. / corporate/ private hospitals for super specialty

investigations and treatment. Entire expenditure is borne by ESIC & the expenditure

incurred is outside ceiling limit.

ADDITIONAL INCENTIVE TO STATE GOVERNMENT BASED ON PERFORMANCE OF

STATE ESI SCHEME

In addition, the Corporation has also approved that an incentive of Rs.50/- per IP per annum with

100% sharing of ESIC will be given to the State Govts. based on the performance of the preceding

financial year as per the following criteria:-

1. States having average occupancy of 70% and

above in ESI Hospitals of State.

Rs.15 per IP per annum

OR

In States where no ESI Hospital is

commissioned and existence of adequate

tie up facilities are made available.

2. States where staff is provided as per ESIC

Norms and standards in respect of both

dispensaries and hospitals.

Rs.20/-per IP per annum

3. Achievement of 75% targets or above for

implementation of ESI Scheme in New

Areas in the State as fixed under the phased

programme by ESIC annually.

Rs.10/- per IP per annum

4. States which get their all hospitals graded /

ISO certified.

Rs.5/- per IP per annum.

ESI Corporation has also earmarked a separate budgetary allocation of Rs.20/- per IP family unit

per annum for promotion of preventive health services including occupational health services.

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SETTING UP OF MODEL HOSPITALS & ESIC HOSPITALS

The ESI Corporation in its meeting held on 16.02.2001 had approved the setting up of one

Model Hospital in each State. On 16th February, 2002, the ESI Corporation agreed in principle to set

up one Model Hospital in each State. A number of Hospitals were taken over by Corporation with the

consent of the concerned State Governments and are aimed to provide state of art secondary

care/super speciality medical facilities. The entire expenditure on these hospitals is being borne by the

ESI Corporation itself.

At present, the ESI Corporation is directly running following ESI Hospitals.

LIST OF HOSITALS DIRECTLY RUN BY ESIC

Sl.

No.

State Place Bed capacity

1. Andhra Pradesh Nacharam, Hyderabad 200

2. Assam Beltola 50

3. Jharkhand Ranchi 50

4. Karnataka Rajajinagar , Bangalore 420

5. Kerala Asarmam, Kollam 115

6. Orissa Rourkela 50

7. Punjab Ludhiana 269

8. Rajasthan Jaipur 236

9. Uttar Pradesh Noida 300

10. Bihar Phulwari sharif 50

11 Gujarat Bapu Nagar, Ahmedabad 600

12 Jammu Bari Brahma 50

13 NCT Delhi Basaidarapur 600

14 Maharashtra Andheri, Mumbai 650

15 West Bengal Joka, Kolkata 300

16 Tamil Nadu KK Nagar, Chennai 500

17 Madhya Pradesh Indore 75

18 Chandigarh (UT) Chandigarh 50

19 NCT of Delhi Jhilmil 200

20 NCT of Delhi Okhla 100

21 NCT of Delhi Rohini 270

22 Jharkhand Adityapur 50

23 Kerala Udyogmandal 150

24. Kerala Ezhukone 150

25. Kerala Peripally 100

26. Haryana Gurgaon 100

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27. Gujarat Naroda 225

28. Haryana Manesar 100

29. Himachal Pradesh Baddi 100

30. Rajasthan Bhiwadi 50

31. Andhra Pradesh S.S. Sanath Nagar 150

32. Gujarat Vapi 100

33. Karnataka Peenya 100

34. Tamil Nadu Tirunelveli 50

The Model Hospital shall have the facilities for all General specialty services, Cardiology

with ICCU facilities, round the clock emergency services, Intensive Care Unit, Dialysis facilities,

Radio-Diagnostic and Laboratory facilities including arrangements for safe blood transfusion services,

MRD, pharmacy, Dietary, CSSD, Laundry, Waste Management, Engineering etc. proper MIS, Patient

information system and Hospital communication, safety and security arrangements, continuing

Medical Education, health Education and training programmes. The entire service facilities shall be

supported with modern equipments and shall be computerized.

ESIC has set up a super-specialty hospital at Kollam in Kerala primarily for Cardiology

discipline. Pending regular recruitment of Specialists, ESIC has engaged contractual Cardiologists,

G.I. Specialists and Urologists.

ESIC is also running super speciality hospital at Sanathnagar, Hyderabad with super

specialties such as Cardiology, Neurology, Neurosurgery, Pediatrics surgery, nephrology, urology,

dialysis etc.

The Corporation has also decided to set up following new hospitals:-

Sl.No. Name of Hospital/ Location Bed Strength

1. Tirupur (Tamil Nadu) 100

2. Dehradun (Uttrakhand) 100

3. Ankleshwar (Gujarat) 100

4. Sidkul area Haridwar (Uttrakhand) 100

5. Sidkul area Udham Singh Nagar

(Uttrakhand)

100

6. Udaipur (Rajasthan) 100

7. Dubri, Jajpur (Orissa) 100

8. Angul (Orissa) 100

9. Bhilai (Chhattisgarh) 100

10. Korba (Chhattisgarh) 100

11. Lalru,SAS Nagar (Punjab) 100

12. Doddaballapur (Karnataka) 100

13. Tuticorin (Tamil Nadu) 100

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AVAILING SUPER SPECIALTY TREATMENT FROM ANY OF THE TIE UP/NETWORK

HOSPITALS OF ESIC IN THE COUNTRY.

To remove difficulties being faced by IPs and their families in getting the super specialty

investigations and treatment due to tie- up hospitals being very far off and some of the facilities not

available in their states and for which they have to seek permission for getting treatment from another

state, ESIC approved that IPs and their family members can get super specialty treatment from any of

the tie -up/ net work hospital of ESIC all over the country. This would give them a wider choice. The

instructions have come into effect from 15-01-10.

PROVISION FOR AVAILABILITY OF PRIMARY AND SECONDARY MEDICAL CARE

SERVICES WITHIN A REASONABLE DISTANCE.

ESIC has taken a decision to provide primary, secondary and tertiary medical care services

directly in the areas where there is no ESI Hospital within a distance of 25 kms and concentration of

IPs is more than 25000 and no ESI Dispensary within a distance of 8 kms where the concentration of

IPs is more than 5000 and the total expenditure will be borne by ESIC till ESIC’s own infrastructure

is created in these areas. The norms for no. of IPs for providing secondary care services have been

revised as under:-

14. Siliguri (West Bengal) 100

15. Kashipur (Uttrakhand) 100

16. Haldia (West Bengal) 100

17. Bommsandra (Karnataka) 200

18. Raipur (Chhattisgarh) 100

19. Kanyakumari (Tamil Nadu) 100

20. Vizianagaram (Andhra Pradesh) 100

21. Sriperumbudur (Tamil Nadu) 100

22. Perumbavoor (Kerala) 100

Sl.

No.

Distance from ESI

hospital (in kms)

No. of IPs

1. 25 to 75 25000

2. 75 to 125 >15000

3. >125 >10000

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REVISION OF NORMS FOR SETTING UP OF NEW HOSPITALS BY ESI CORPORATION

ESI Corporation during its 153rd meeting held on 29.7.2011 has approved new norms for setting up

of ESI Hospitals based on No. of IP Family units as under:-

Sl. No. No. of beds Pre- revised Norms Revised Norms

1. *50 bedded hospital 25,000 IP family units -------

2. 100 bedded hospital 1,00,000 IP family units 25,000 IP family units

3. 150 bedded hospital 1,50,000 IP family units 1,00,000 IP family units

4. 200 bedded hospital 2,00,000 IP family units 1,50,000 IP family units

5. 250 bedded hospital 2,50,000 IP family units 2,00,000 IP family units

6. 300 bedded hospital 3,00,000 IP family units 2,50,000 IP family units

7. 350 bedded hospital ------- 3,00,000 IP family units

8. 400 bedded hospital 4,00,000 IP family units 3,50,000 IP family units

9. 500 bedded hospital 5,00,000 IP family units 4,00,000 IP family units

10. 600 bedded hospital 6,00,000 IP family units 5,00,000 IP family units

*No 50 bedded hospital will be setup by ESI Corporation.

REVISION OF NORMS FOR CREATING MEDICAL INFRASTRUCTURE IN NORTH

EAST STATES & HILLY AREAS.

ESI Corporation during its 155th meeting held on 18.01.2012 at Chennai has approved adoption of

following norms for the North Eastern States & other Hilly Areas of the Country for creating

infrastructure for augmenting the implementation of ESI Scheme in these areas as under:-

Sl. No. Facilities/Infrastructure No. of IPs required

1. Setting up of one Doctor Dispensary 1000 or more

2. Setting up of Two Doctor Dispensary 2000 or more

3. Setting up of diagnostic centres 5000 or more

4. Setting up of 100 bedded hospital 15000 or more

ENHANCEMENT OF CAPITATION FEES AND SPECIALIZED MEDICINES CHARGES

FOR EMPLOYERS UTILIZATION DISPENSARIES.

ESI Corporation during its 154th meeting held on 15.12.2011 at New Delhi has approved the

enhancement of capitation fees and specialized medicine charges for Employers Utilization

Dispensaries from the existing rates of Rs. 100/- to 250/- per IP per family unit per annum and Rs.

80/- to Rs. 200/- per IP family unit respectively.

This amount will be fully borne by the ESI Corporation outside the ceiling.

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HIRING OF ACCOMMODATION FOR ESIC DISPENSARIES BY ESIC.

ESIC has approved hiring of accommodation for housing the dispensaries whenever need

arises either for starting new dispensaries or for shifting from existing dispensaries of the state. The

total expenditure on hiring of these dispensaries would be borne by ESIC directly. The detailed

guidelines including the indicative area and norms for hiring dispensaries building have also been laid

down.

ENGAGEMENT OF PART TIME SPECIALIST/SUPER SPECIALIST BY ESIC DIRECTLY.

ESIC in its 150th meeting held on 03-09-10 has taken decision to recruit part time specialist/

super specialists for State run hospitals where infrastructure is lying unutilized because of non

availability of specialist/ super specialist due to non filling of vacancies by the State Govt. Total

expenditure on the same is borne by ESIC. These specialists are provided till the vacancies are filled

by the State Govt. Remuneration to part time specialists/ super specialists has also been enhanced.

SETTING UP OF HOSPITAL DEVELOPMENT COMMITTEE FOR ESIS/ESIC HOSITALS.

In order to improve the functioning of ESIC/ ESIS Hospital, the ESIC in its 143rd meeting

held on 08-07-08 approved the constitution of HDCs for all ESIS/ ESIC Hospitals run by the State

Govt. and ESIC. HDCs were given administrative and financial powers also. The various functions to

be looked after by the HDC are as under:

a) Such administrative and/ or executive functions as may, from time to time be

entrusted or delegated by the Director General.

b) To take decisions from time to time in regard to improvements in the day –to- day

functioning of the hospitals/ dispensaries attached.

c) To review the availability of various facilities in the hospital/ attached

dispensaries and recommend / decide up-gradation of facilities for improving the

delivery of health care services in the hospital/ attached dispensaries.

d) To review from time to time, the working of the hospital/ attached dispensaries

and to decide on measures to improve administration of medical benefits and in

particular strengthening of promotive and preventive health measures including

occupational health services, safety and hygiene.

e) To look after the repair and maintenance of the hospital building and buildings of

the attached dispensaries.

f) To obtain ISO Certificate for the hospitals and attached dispensaries.

g) To look into general grievances, complaints and difficulties of insured persons

and dependent patients as is considered necessary.

14

The HDCs are comprised of representatives of employers, employees, State Govts. and medical

superintendents of ESIS/ESIC hospitals as Chairman. The HDC has also been given powers for

sanctioning of expenditure on the purchase of equipments costing more than 2 lacs per unit ranging

from Rs. 25 lacs to Rs. 1 crore depending upon the bed occupancy of the hospital. These instructions

have been implemented with immediate effect.

A hand book on HDC giving the powers and functions has also been published and issued to all

concerned.

OCCUPATIONAL DISEASE CENTERS

ESI Corporation has set up one IOHER Centre at Basaidarapur & four zonal Occupational

Disease centers for providing medical treatment. ESIC Model Hospital, KK Nagar for South Zone,

ESIC Model Hospital, Thakurpukur for East Zone, ESIC Model Hospital, Andheri for West Zone, and

ESIC Model Hospital, Indore for Central Zone. Further, ODC at Basaidarapur has been upgraded to

Institute of Occupational Health, environment & research (IOHER)to act as a nodal Institute for

improving occupational health to International standard in all ESI health care establishment

throughout India. An MoU has been signed between IVPS & ESIC for coordination and cooperation

academic training & sharing data on occupational diseases.

NOTE ON MEDICAL EDUCATION IN ESIC

The issue of shortage of medical and para-medical personnel being reason for deficient

services was raised by the Members of the Corporation, in its 139th meeting held on 14.7.2007. The

Chairman suggested that the Corporation should have its own Medical Colleges / PG Medical

Institutes / Training schools for training Para-medical staff to ensure sufficient availability of these

personnel.

31 ESIC Medical Education projects have been sanctioned by ESIC to be set up spread over

17 States. The details of Medical /Dental /Nursing colleges and Para-medical Institutions (State wise)

are given below in the table. In addition 11 Post-Graduate Institutions of Medical Sciences and

Research (PGIMSRs) are also sanctioned. Six of these are commissioned and running PG courses. PG

courses are planned in the other five, in future.

S.No States

Institutions

MEDICAL COLLEGE

DENTAL COLLEGE

NURSING COLLEGE

PARA-MEDICAL TRAINING INSTT.

1. Andhra Pradesh Sanath Nagar, Hyderabad

Nacharam, Hyderabad

2. Bihar Bihta , Patna

3. Gujarat Naroda Ahmedabad Naroda, Ahmedabad

4. Haryana Faridabad 5. Himachal Pradesh Mandi

15

6 Karnataka Rajaji Nagar, Bangalore Gulbarga Indira Nagar

Bangalore Gulbarga

Gulbarga Gulbarga

7. Kerala Paripally Kollam Ezhukone, Kollam** **

8. Maharashtra Mulund , Thane Vashi, Navi Mumbai

9. Madhya Pradesh Nanda Nagar, Indore

Nanda Nagar, Indore

10. New Delhi Basaidarapur, New Delhi Rohini, Delhi

11. Orissa Bhubaneswar

12. Punjab Bharat Nagar, Ludhiana

13. Rajasthan Alwar

14. Tamil Nadu K.K. Nagar, Chennai

Coimbatore

15. Uttar Pradesh Pandu Nagar, Kanpur

16. Uttarakhand Haridwar 17. West Bengal Joka, Kolkata Joka, Kolkata

Baltikuri, Kolkata 18 10 (9**) 2 1 (2**)

** Setting up of Para-medical institution in lieu of Dental College at Ezhukone, Kollam, Kerala was approved in the 158th meeting of the Corporation held on 10th November, 2012. Standalone Dental colleges are now not being permitted by Dental Council of India.

1. Details of Under-graduate ME Institutions commissioned as on date

a. Bachelor of Dental Surgery (BDS) course has been started at ESIC Dental College, Rohini Delhi from academic session 2010-11 with intake of 50 students annually. The third batch of students was admitted in 2011-13 session.

b. Bachelor of Medicine & Bachelor of Surgery (MBBS) course has been started at ESIC Medical College & PGIMSR Rajaji Nagar, Bangalore from academic session 2012-13 with intake of 100 students annually.

2. Details of Under-graduate ME Institutions on the anvil

Applications have also been submitted for grant of Letter of Permission (LOP) to the following Regulatory bodies: i. Medical Council of India (MCI) - To Start Bachelor of Medicine & Bachelor of Surgery

(MBBS) course from Academic Session 2013-14 at a. ESIC Medical College & PGIMSR Joka-Kolkata, b. ESIC Medical College & PGIMSR KK Nagar-Chennai c. ESIC Medical College Gulbarga-Karnataka.

ii. Indian Nursing Council – To Start B.Sc.(Nursing) course from academic session 2013-14.

a. Indira Nagar, Bangalore b. Gulbarga, Karnataka

16

STATISTICAL DATA REGARDING ESI SCHEME (All India) as on 01.01.2013.

Total No. of ESI Hospitals 151

Hospitals run by ESI Corporation 34

Hospitals run by State Government 117

Total number of Dispensaries 1372

Total number of ISM unit 91

Total number of hospital beds 22823

Total number of Doctors 7340

Total number of IMP clinics 1380

10. GENERAL POLICY: The Corporation had decided to run all the ESI Hospitals/Dispensaries/Regional

Offices/Branch Offices in its own buildings as far as feasible. Construction of other buildings such as

Specialist Centres, Offices of the Directorate Medical of ESI Scheme in the State, Central Medical

Stores etc. are sanctioned on merits in each case. ESI Corporation has built the following building for

various purpose. Further, 28 Medical Institutions( Medical College / P. G. Institute / Nursing College

/ Dental College) are under execution.

A. Medical Building

SI. No. Name of Project Nos.

1. ESI Hospitals 151

2. Super Speciality Hospital 1

3. ESI Annexes 42

4. ESI Dispensaries 392

5. Diagnostic Centre 02

6. Administrative (M) 01

B. Administrative Building

SI. No. Name of Project Nos.

1. R. O. Buildings 24

2. S. R. O. – Division office buildings 26

3. Branch Office - Local Office Building 611

17

C. Capital Construction Outlay

The details of Budget allocated for capital construction for the year 2012-13 is as follows:-

SI. No. Name of Project Amount Sanctioned

(Rs. In Crores)

1. Medical Colleges 1757.85

3. ESI Hospital /dispensaries/offices of Directorate of ESI Scheme/ Central Medical Stores etc.

640.00

4. Regional Offices/Branch Offices/Staff Quarters 145.00

Total 2542.85

List of Major Projects under execution is as per Annexure `A’

18

Annexure-A

Sr.No. Medical Education & related works

1 PG INSTITUTE CUM MEDICAL COLLEGE AT SANATH NAGAR, HYDERABAD

2 RENOVATION OF ESI HOSPITAL & DENTAL COLLEGE, NACHARAM, HYDERABAD

3 CONSTRUCTION OF MEDICAL COLLEGE AT BIHTA, PATNA, BIHAR

4 PG INSTITUTE CUM MEDICAL COLLEGE, ESI HOSPITAL, BASAIDARAPUR, NEW DELHI

5 MEDICAL COLLEGE AT FARIDABAD

6 CONSTRUCTION OF MEDICAL COLLEGE, MANDI, H.P.

7 CONSTRUCTION OF MEDICAL COLLEGE, DENTAL COLLEGE AND NURSING COLLEGE AT GULBARGA, KARNATAKA

8 ESIC PARA MEDICAL AND ALLIED HEALTH SCIENCE CENTRE AT GULBARGA

9 PGI & UPGRADATION/FACE LIFTING OF ESIC MODEL HOSPITAL AT RAJAJI NAGAR, BANGALURU

10 MEDICAL COLLEGE AT RAJAJINAGAR, BENGALURU 11 NURSING COLLEGE & HOSTEL & 1000 SEATER AUDITORIUM AT INDIRA

NAGAR 12 MEDICAL COLLEGE, PARIPPALLY, KOLLAM, KERALA

13 PGIMSR & RENOVATION OF HOSPITAL AT MGM HOSPITAL, PAREL, MUMBAI

14 FACE LIFTING/EXPANSION OF ESI HOSPITAL AT VASHI, MUMBAI 15 PGIMSR AT ESIC HOSPITAL, ANDHERI, MUMBAI

16 CONSTRUCTION OF ESIC MEDICAL COLLEGE AT ALWAR

17 PGI & MEDICAL COLLEGE AT K.K.NAGAR, CHENNAI

18 CONSTRUCTION OF MEDICAL COLLEGE AT COIMBATORE

19 PG INSTITUTE AT AYANAVARAM, CHENNAI

20 CONSTRUCTION OF ESIC DENTAL COLLEGE AND RENOVATION OF ESIC HOSPITAL AT PANDU NAGAR, KANPUR

21 PG INSTITUTE CUM MEDICAL COLLEGE AT JOKA, KOLKATA

22 CONSTRUCTION OF ESI HOSPITAL & PG COLLEGE AT MANIKTALA,KOLKATA

19

Sr.No. Hospital

1 RENOVATION/FACELIFTING OF ESI HOSPITAL, TIRUPATI, ANDHRA PRADESH

2 RENOVATION AND EXPANSION OF ESI HOSPITAL, OKHLA

3 RENOVATION/UPGRADATION OF ESI HOSPITAL, MARGAON, GOA

4 CONSTRUCTION OF 100 BEDDED ESI HOSPITAL AT ANKLESHWAR

6 RENOVATION /FACELIFTING OF EXISTING 100 BEDDED ESI HOSPITAL HUBLI, KARNATAKA

7 RENOVATION/FACELIFTING OF 100 BEDDED ESI HOSPITAL MYSORE

8 RENOVATION /FACELIFTING OF EXISTING ESI HOSPITAL DEVENGIRI, KARNATAKA

9 ESI HOSPITAL, KANDIVALI, MUMBAI

10 RENOVATION/FACELIFTING OF ESI HOSPITAL, BHUBANESWAR

11 CONSTRUCTION OF ESI MODEL HOSPITAL, JAIPUR

12 CONSTRUCTION OF ESI HOSPITAL & SRO TIRUNELVELI.

13 CONSTRUCTION OF 100 BEDDED TRAUMA CENTRE AND RENOVATION OF EXISTING ESI HOSPITAL, SAROJINI NAGAR, LUCKNOW

14 CONSTRUCTION OF STAFF QUARTERS AT ESI HOSPITAL CAMPUS, SECTOR - 24, NOIDA/FACELIFTING OF INTERIOR EXISTING HOSPITAL BLOCK

Sr.No. Dispensary/Branch office

1 CONSTRUCTION OF ESI DISPENSARY CUM BRANCH OFFICE AT AUTO NAGAR, VIJYAWADA

2 ESI DIGNOSTIC CENTRE AND ESIC DISPENSARY AT JEEDIMETLA

3 RENOVATION OF ESI DISPENSARY AT NIA-I, KARAMPURA

4 RENOVATION OF ESI DISPENSARY AT MAYAPURI – I

5 RENOVATION OF ESI DISPENSARY MAYAPURI – II

6 CONSTRUCTION OF ESI DISPENSARY CUM DIAGNOSTIC CENTRE, MANI NAGAR, AHMEDABAD

7 DISPENSARY AND BRANCH OFFICE AT CHINCHWAD (PUNE)

8 BRANCH OFFICE & DISPENSARY, WALUJ, AURANGABAD, MAHARASHTRA

9 CONSTRUCTION OF ESIC DISPENSARY, BRANCH OFFICE & STAFF QUARTERS AT JHARSUGUDA, ODISHA

10 CONSTRUCTION OF 2 Dr DISP. BRANCH OFFICE AND STAFF QUARTERS AT JAGATPUR

11 DISPENSARY-CUM-DIAGNOSTIC CENTRE & BRANCH OFFICE AT COLABA, MUMBAI.

12 3 DOCTOR DISPENSARY AT PORUVAZHY, KERALA.

20

Sr.No. RO/SRO

1 CONSTUCTION OF SRO, VIJAYWADA

2 RENOVATION OF REGIONAL OFFICE AT PANJIM, GOA

3 FACELIFTING OF RO, BANGALURU

4 SRO CHIKHALTHANA, AURANGABAD

5 SRO THANE, MUMBAI

6 MODERNIZATION/UPGRADATION OF RO, CHANDIGARH

7 FACELIFTING OF RO, JAIPUR

8 FACELIFTING/RENOVATION OF RO CHENNAI

9 RENOVATION OF RO PUDUCHERRY

10 CONSTRUCTION OF REGIONAL OFFICE BUILDING FOR ESIC / ESI MB AT SALT LAKE, KOLKATA

11 INTERNAL RENOVATION, REPAIRING AND PAINTING 'A','B','C','D' & 'N' TYPE STAFF QUARTERS AT GB BLOCK, SALT LAKE, KOLKATA

12 CONSTRUCTION OF SRO BUILDING, HUBLI, KARNATAKA.

21

11. INDIAN SYSTEMS OF MEDICINE

The details of progress made under ISM as on 01.01.2013 is placed at Annexure VI

12. REVENUE INCOME

Against the Target of Rs. 6700 Crores, Contribution Income Received upto Dec. 2012 is

Rs. 6110.96 Crores. Regions wise position of Contribution Income received during the period

upto Dec. 2012 is given below:-

ANALYSIS OF REGION WISE COLLECTION OF CONTRIBUTION INCOME UPTO DEC.2013 (Rs. In lakhs)

Name of the Region

Target of contribution

income

Proportionate target upto

the month of Dec., 2012

contribution received

upto Dec, 2012

Increase/Decrease as compare to proportionate

target

% Increase/ Decrease

compare to proportionate

target Andhra Pradesh 41531.38 31148.54 35848.26 4699.72 199.64 Assam 3138.83 2354.12 2864.92 510.80 21.70 Aurangabad 5007.86 3755.89 4371.3 615.41 16.39 Baroda 7025.68 5269.26 6274.3 1005.04 19.07 Barrackpore 7689.11 5766.83 7311.45 1544.62 26.78 Bihar 2951.31 2213.49 3157 943.51 42.63 Bomansandram 21861.73 16396.30 19562.85 3166.55 19.31 Chhatisgarh 5773.20 4329.90 6384.88 2054.98 47.46 Coimbatore 15085.74 11314.30 13262.75 1948.45 17.22 Delhi 21175.00 15881.25 17802.99 1921.74 12.10 Ernakullam 9751.77 7313.83 9766.98 2453.15 33.54 Goa 6014.73 4511.05 4369.97 -141.08 -3.13 Gujarat 15170.32 11377.74 13009.25 1631.51 14.34 Gurgaon 26507.81 19880.86 23477.05 3596.19 18.09 Haryana 20053.85 15040.39 14290.13 -750.26 -4.99 Himachal & P. 6089.12 4566.84 5658.45 1091.61 23.90 Hubli 5326.84 3995.13 6413.78 2418.65 60.54 Jammu 1836.42 1377.31 1994.71 617.40 44.83 Jalandhar 7814.00 5860.50 5445.57 -414.93 -7.08 Jharkand 7330.39 5497.79 6498.42 1000.63 18.20 Karnataka 34319.21 25739.41 30464.42 4725.01 18.36 Kerala 7749.24 5811.93 7700.28 1888.35 32.49 Kollam 6738.29 5053.72 7073.33 2019.61 39.96 Lucknow 3702.00 2776.50 5287.19 2510.69 90.43 Ludhiana 10950.23 8212.67 9237.76 1025.09 12.48 Madurai 8094.71 6071.03 7179 1107.97 18.25 Marol 26195.00 19646.25 27677.44 8031.19 40.88 MP 14166.51 10624.88 13653.87 3028.99 28.51 Mumbai 30421.00 22815.75 23068.5 252.75 1.11 Nagpur 3536.00 2652.00 4908.08 2256.08 85.07 Noida 23932.54 17949.41 20484.47 2535.06 14.12

22

13. RECOVERY OF CONTRIBUTION

Contribution under ESI Act is payable by the Principal employer of factory/establishment in

the first instance but he is authorized to recover from the employees, the employees’ share of

contribution by deduction from their wages and not otherwise, provided that no such deduction is to

be made from any wages other than those relating to the period in respect of which contribution is

payable. The employer is not entitled to recover the employer’ share of contribution from the wages

of the employees. The rate of contribution has been laid down in Rule 51 of ESI (Central) Rules,

1950, as amended.

14. POSITION REGARDING ARREARS OF ESI DUES

The arrears of ESI dues as on 31.3.2012 were Rs.1472.72.00 crores as per details given below:-

(Rs. in Crores)

i. Recoverable dues 441.53

ii Non-Recoverable dues for the present 1031.19 Total 1472.72

Okhla 21986.00 16489.50 19147.7 2658.20 16.12 Orissa 7199.94 5399.96 8082.37 2682.41 49.67 Peenya 14593.51 10945.13 12460.96 1515.83 13.85 Pondicherry 3491.44 2618.58 3042.48 423.90 16.19 Pune 25892.00 19419.00 24233.32 4814.32 24.79 Punjab 10407.05 7805.29 11089.58 3284.29 42.08 Rajasthan 13479.00 10109.25 14562.67 4453.42 44.05 Rohini 6328.61 4746.46 6092.66 1346.20 28.36 Salem 7265.16 5448.87 6372.05 923.18 16.94 Surat 7903.12 5927.34 7226.55 1299.21 21.92 Tamil Nadu 52290.00 39217.50 48122.26 8904.76 22.71 Thane 18820.74 14115.55 16267.74 2152.19 15.25 Tirunelveli 3595.38 2696.54 3537.72 841.18 31.19 U.P 6214.00 4660.50 7687.35 3026.85 64.95 Udaipur 3716.66 2787.49 3406.18 618.69 22.20 Uttrakhand 8364.77 6273.58 9546.81 3273.23 52.17 Varanassi 1420.00 1065.00 1455.39 390.39 36.66 Vijayawada 7365.04 5523.78 7548.42 2024.64 36.65 Vishkapatnam 6187.98 4640.98 5492.59 851.61 18.35 West Bengal 36540.00 27405.00 31062.22 3657.22 13.35 Hqrs. Office 0.00 0.00 159.73 159.73 0.00 TOTAL 670000.00 502500.16 611096.1 108595.94 21.61

23

Out of the dues of Rs.1472.72 Crores category –wise classification is as follows:-

a. Govt./Public Sector 348.74 Factories / Estt.

b. Private Factories/Estt. 1123.98 Total 1472.72

STATEMENT SHOWING THE POSITION OF ARREARS OF ESI DUES AS ON 31.3.2012

(Rs. in Crores)

BREAK UP As on 31.3.2012

A) ARREARS RECOVERABLE Private Public Total

Amount pending with Recovery Officers 408.61 32.92 441.53 Total

408.61 32.92 441.53

B) ARREARS NOT RECOVERABLE FOR THE PRESENT

(i) Amount of arrears disputed in Courts

385.45 275.86 661.31

(ii) Amount due from Factories/Estts. which have gone into liquidation 149.75 22.69 172.44

(iii) Amount pending with Claim Commissioner 2.05 4.02 6.07

(iv) Amount due from Factories/Estts. which have closed and whereabouts of employers not known.

74.46 0.26 74.72

(v) Decree obtained and execution proceedings in progress. 1.27 0 1.27

Total (i to v)

612.98 302.83 915.81

C) DUES FROM SICK INDUSTRIES.

(i) Factories regd. with BIFR but rehabilitation scheme yet to be sanctioned

65.78

7.16 72.94

(ii) Factories/establishments which have been declared sick and rehabilitation scheme sanctioned by BIFR

36.96 5.48 42.44

Total (i to ii)

102.74 12.64 115.38

GRAND TOTAL (A+B+C) 1124.33 348.39 1472.72

24

The following measures have been/are being taken to bring down the arrears:-

i. Consequent to adding of new provisions under Section 45-C to 45-I in the Principal

Act. 1948 through the ESI (Amendment) Act, in 1989, for setting up of independent

Recovery Machinery in the ESI Corporation on the analogy of the 2nd and 3rd Schedule of

the Income Tax Act, the Corporation has set up its own Recovery Machinery.

Accordingly officers of the cadre of Deputy Directors and Assistant Directors have been

notified to work as Recovery Officer. This measure would help in tiding over the

shortage of Recovery Officers who shall exclusively carryout the revenue recovery work.

ii. Prosecution action is taken against the defaulting employers under Section 85, 85-A

of the ESI Act and under Section 406/409 of Indian Penal Code. Penal damages are

imposed under Section 85-B of the Act.

iii. Besides taking legal actions under provisions of the Act, administrative and

persuasive measures i.e. publishing the name of defaulters in local News Papers/ESIC

web-site are also being taken for early recovery of arrears.

15. RECOVERY OF ARREARS

The Recovery Machinery started functioning in Regions/Sub-Regions by stages. The date of

such setting up of Recovery Machinery, target and the amount recovered during 2011-2012 are

shown as under :-

(Amount in Crore)

Sl. No.

Name of the Region/Sub-Region

Date of setting up of Recovery

Machinery

Target fixed Amount recovered

1.

Andhra Pradesh

01.01.1992

4.01 4.76

2. Karnataka 01.01.1992 7.98 8.16 3. Madhya Pradesh 01.01.1992 1.56 1.25 4. Maharashtra 01.01.1992 8.12 8.18 5. Uttar Pradesh 01.01.1992 3.23 1.40 6. West Bengal 01.01.1992 10.97 11.12 7. Gujarat 01.12.1992 2.79 2.82 8. Bihar 01.12.1992 1.38 0.96 9. Haryana 01.12.1992 1.55 1.58 10. Kerala 01.12.1992 2.39 2.84 11. Rajasthan 01.12.1992 3.65 3.66 12. Orissa 01.12.1992 2.75 1.10 13. Delhi 01.12.1992 5.21 1.96 14. Pune 01.12.1992 3.60 4.62 15. Chennai 01.12.1992 13.66 13.71 16. Coimbatore 01.12.1992 9.52 9.65 17. Madurai 01.03.1993 3.38 3.56 18. Nagpur 01.03.1992 2.86 1.01

25

19. Punjab 01.06.1993 3.41 2.53 20. H.P. 01.06.1993 0.42 0.42 21. J & K 01.06.1993 0.59 0.34 22. Goa 01.09.1997 0.34 0.35 23. Assam 01.09.1997 1.19 1.75 24.

Marol 22.04.2003 3.74 2.59

25. Thane

22.04.2003 2.91 2.93

26. NOIDA

12.08.2003 1.54 1.35

27 Jharkhand

30.09.2003 2.05 0.91

28 Pondicherry

01.06.2004 0.49 1.09

29 Hubli

01.05.2003 1.27 1.29

30. Vijayawada 01.06.2004 1.23 2.01 31. Chhattisgarh 01.06.2004 0.34 2.00 32. Uttaranchal 01.06.2004 1.37 1.39 33. Aurangabad 01.04.2008 1.05 0.62 34 Vadodara 01.04.2010 1.80 1.82

35 Surat 01.04.2010 0.46 0.93

36 Ludhiana 01.04.2010 1.60 0.45

37 Salem 01.04.2010 1.11 1.12

38 Tirunelveli 01.04.2010 3.08 4.14

39 Barrackpore 01.04.2010 2.31 2.69

40 Rohini 01.04.2010 1.19 0.89

41 Okhla 01.04.2010 1.63 1.30

42 Gurgaon 01.04.2011 1.56 0.78

43 Peenya 01.04.2011 1.71 5.99

44 Bommasandra 01.04.2011 2.34 2.43

45 Ernakulaqm 01.04.2011 2.81 1.92

46 Kollam 01.04.2011 1.99 1.62

47 Udaipur 01.04.2011 1.03 0.76

48 Varanasi 01.04.2011 0.83 1.50

136.00 132.26

The total arrears outstanding as on 31.3.2012 were Rs. 1472.72 crores, out of which Rs.

441.53 crores falls under the category of recoverable arrears and an amount of Rs.1031.19 crores

under the category of non-recoverable arrears for the present due to claims disputed in the Courts,

factories having gone into liquidation, factories registered with BIFR, amount pending with Claims

Commissioner, closure of the factories and whereabouts of the defaulting employers in certain cases

not known. The Regions are advised to gear up the recovery machinery not only to achieve the target

26

but surpass the annual target for the year 2012-13. Special drives are being launched every year from

1st December to 31st March to recover ESI dues .This year also D.O. Letter has been issued on

31.1.2013 to launch special drive from 1st February 2013 to March 2013. The Recovery Officers of

the Corporation had recovered Rs.132.26 crores from the defaulting employers in 2011-12 against

the target of Rs. 136.00 crores. A target of Rs.149.71 crores towards recovery of arrears has been

fixed for the year 2012-13. The Recovery Officers have since recovered the dues of Rs.107.27 crores

during the period from April 2012 to December 2012..

16. POSITION OF REVENUE RECOVERY

(Rs. in Crore) Sl. No.

Region Arrears presently not recoverable as on 31.3.2011.

Recoverable arrears as on 31.3.2011.

Target fixed for 2011-12.

Recovery made April 2011 to December 2011.

1 2 3 4 5 6

1 A.P. 23.58 10.71 4.01 3.55

2 Vijayawada 8.23 6.85 1.23 1.5

3 Assam 4.65 3.72 1.19 1.28

4 Bihar 6.32 2.39 1.38 0.8

5 Jharkhand 12.89 3.26 2.05 0.55

6 Delhi 11.78 9.48 5.21 0.68

7 Goa 1.64 2.36 0.34 0.28

8 Ahmedabad 66.24 10.46 2.79 1.77

9 Baroda 4.00 0.58 1.80 1.02

10 Surat 5.96 0.43 0.46 0.72

11 Haryana 31.28 1.68 1.55 1.06

12 Gurgaon 31.28 1.68 1.56 0.47

13 Bangalore 11.93 21.02 7.98 5.67

14 Peenya 2.68 11.91 1.71 4.71

15 Bommasandra 5.00 4.73 2.34 1.66

16 Hubli 59.59 1.50 1.27 0.5

17 Kerala 7.20 10.17 2.39 2.41

18 Ernakulam 4.59 3.19 2.81 1.2

19 Kollam 5.64 9.92 1.99 0.98

20 M.P. 22.06 13.84 1.56 0.83

21 Chhattisgarh 10.94 2.09 0.34 1.34

22 Mumbai 22.52 17.22 8.12 7.82

23 Marol 8.22 16.05 3.74 2.11

24 Thane 7.44 14.53 2.91 1.45

27

25 Nagpur 4.36 2.74 2.86 0.57

26 Aurangabad 10.03 1.02 1.05 0.19

27 Pune

20.80 33.15 3.60 3.23

28 Orissa 14.68 14.30 2.75 0.36

29 Punjab 5.42 14.38 3.41 1.9

30 Ludhiana 0.34 3.65 1.60 0.31

31 H.P. 1.27 0.91 0.42 0.24

32 J. & K. 5.62 1.21 0.59 0.11

33 Rajasthan 5.94 15.52 3.65 2.24

34 Udaipur 0.75 6.49 1.03 0.45

35 Chennai 157.27 21.93 13.66 9.19

36 Salem 14.24 3.73 1.11 0.8

37 Pondicherry 8.14 0.88 0.49 0.8

38 Coimbatore 14.78 14.41 9.52 7.54

39 Madurai 12.16 12.81 3.38 2.74

40 Tiruunelveli 11.16 6.05 3.08 1.14

41 U.P. 26.51 10.04 3.23 0.49

42 Varanasi 0.57 5.05 0.83 0.07

43 Uttranchal 4.05 2.43 1.37 0.69

44 Noida 2.00 3.99 1.54 0.87

45 West Bengal 184.48 36.13 10.97 8.12

46 Barrackpore 60.07 2.79 2.31 1.02

47 Rohini 28.14 3.93 1.19 0.55

48 Okhla 1.51 1.13 1.63 1.09

Total 969.92 398.45 136.00 89.07

During the period from April 2011 to December 2011 recovery of arrears of Rs.89.07

crore has been made by the Recovery Machinery of the Corporation.

17. PROSECUTION CASES

ESI Act has empowered ESI Corporation to initiate prosecution against employees &

employers under section 84 & 85 of Act respectively and under section 406/409 of Indian Penal Code for

the following offences:-

1. For false statement made by employees under section 84.

2. Failure to pay contribution under section 85 (a)

3. Deducts or attempts to deduct from the wages of an employee the whole or any part of the

employer’s contribution.

28

4. In contravention of section 72 reduces the wages or any privileges or benefits admissible to an

employee.

5. In contravention of section 73 or any regulation dismisses discharges, reduces or otherwise

punishes an employee.

6. Fails or refuses to submit any return required by the regulations, or makes a false return.

7. Obstructs any Inspector or other official of the Corporation in the discharge of his duties.

8. Is guilty of any contravention of or non-compliance with any of the requirements of this Act

or the rules or the regulations in respect of which no special penalty is provided.

9. Breach of trust by employer.

Enhanced punishment for committing subsequent offence after previous conviction is also

envisaged under section 85A.

DETAILS OF PROSECUTION CASES UNDER SECTION 85 & 406/409 FROM 31.12.2012 S.No. Particulars Section 84 of the

ESI Act Section 85 of the ESI Act

Section 406/409 of the IPC

1 No. of cases pending at the beginning of the year

582 16098 1237

2 No. of Prosecution cases filed during the period

6 799 16

Total (1+2) 588 16897 1253 3 Total no. of cases decided during the

year 2012 15 1029 39

• Defaulters convicted with imprisonment

0 52 1

• Defaulters convicted with fine 6 592 23 • Cases acquitted/Dismissed 0 65 2 • No. of cases closed by the court 9 320 13 4 No. of cases withdrawn 69 764 18 Total (3+4) 84 1793 57 5 No. of Prosecution cases pending as

on 31.12.2012 504 15104 1196

Efforts made to liquidate pending cases.

(i) Launch of New Amnesty Scheme: - New Amnesty Scheme 2010 was launched

w.e.f. 01/03/2010 & was effective till 28/02/2011. The objective of Scheme was to

reduce the no of litigation & unlock the dues stuck up is court. Under this scheme pending

cases filed u/s 84, 85, 75 upto 28/02/2010 could be settled. During the scheme 2278 no

application were received for withdrawal of court cases & 1495 no of cases were

withdrawn. This also result in receipt of dues amounting to Rs. 11.31 Cr.

(ii) Release of Revenue Manual:- The ESI Corporation has been in operation for over

six decades and during this period a lot of changes have taken place in the law and

procedure relating to Revenue administration. Though efforts were made on many

occasions in the past to bring out collections of instructions relating to revenue matters for

29

different periods, it is for the first time that the entire gamut of law and procedure and all

available instructions/judgments relating to revenue administration have been compiled in

book form in a systematic and lucid manner. This manual is of immense help to the

Officers and staff of Revenue branches and Social Security Officers for efficient

discharge of their duties.

(iii) Change of designation of Insurance Inspector:- The designation of Insurance

Inspector has been changed to Social Security Officer with effect from 01/06/2010.

(iv) Provision of Appellate Authority:-Appellate Authority has been created by

insertion of new section 45AA in the Act. As per this provision if employer is not

satisfied with the order passed u/s 45-A, he may prefer an appeal to an Appellate

Authority as may be provided by regulation within 60 days of date of such order by

depositing 25% of contribution or as per his own calculation whichever is higher provided

that if employer finally succeeds in the appeal, the corporation shall refund such deposit

to the employer alongwith such interest as may be specified in the regulation

(v) Time limit for assessment of contribution:- Section 45-A has been amended to

include that no order under this section shall be passed to claim contribution for the

period beyond 5 years from the date on which contribution become payable.

18. IMPROVEMENTS EFFECTED IN THE ESI SCHEME

(a) COVERAGE

• Threshold for coverage of factories reduced from 20 to 10 or more persons.

• Threshold for coverage of shops and other establishments also reduced from 20 to 10 in 15

States/UTs.

• The Scheme was extended to 68 areas covering 1.14 lakh employees during 2010-11 and to

60 areas covering 1.57 lakh employees during 2011-12. During the current year 2012-13, the

scheme has been extended to 55 areas covering 1.73 lakh employees upto 1-2-2013.

• Revenue income of the Corporation increased to 8393.55 crores in the year 2011-12 from

6980.60 crores in 2010-11.

(b) CASH BENEFITS

• Corporation disbursed 685.05 crores as cash benefits in the year 2011-12 as against

496.56 crores in the year 2010-11.

• Daily rate of Sickness Benefit has been enhanced from 60% to 70% of average daily wage.

The daily rate of permanent disablement benefit and dependants benefit was enhanced from

75% of wages to 90% of wages.

30

• The Corporation, in its meeting held in October 2012 decided to enhance the rates of

permanent disablement benefit and dependants benefit to protect the value of these benefits

against rise in the cost of living index.

• The Corporation, in its meeting held in October,2012, also decided to enhance the

Confinement Expenses for confinement taking place outside ESI Dispensary/Hospital from

Rs.2500/- to Rs. 5000/-.

• The Corporation also decided to enhance the Limit for Daily rate of PDB for Commutation.

• Payment of long-term benefits (PDB/DB) through Electronic Clearing System.

• Renovation of Branch Offices and dispensaries with provision all amenities for visiting

beneficiaries.

• Payment of Permanent Disablement Benefit within 3 days of Medical Board decision.

• Permanently disabled persons working in factories and establishments covered under the ESI

Act and drawing wages upto 25,000/- per month have been brought under the scheme

w.e.f.1-4-2008. In order to encourage employment of disabled persons, the employers’ share

of contribution in respect of such disabled employees will be paid by the Central Government

for initial three years.

(c) IT- ENABLEMENT

• ESIC’s IT Project ‘Panchdeep’, one of the largest e-governance project, has been launched.

• All ESI Institutions have been networked under this Project.

• Two smart cards christened as “Pehchan” cards, one for Insured Person and other for the

family have been issued. This enables the Insured Persons and their family members to avail

medical benefit from anywhere anytime, even if living at separate locations.

• Bio-metric details of about 85 lakhs Insured Persons have already been captured to generate

these smart cards.

• Aawareness campaigns have been launched to inform, educate & communicate about Project

Panchdeep to the stakeholders.

• IT Project Panchdeep has been rolled out throughout the country.

• Registration of factories/establishments and their employees is now on-line and employers are

able to generate code number for their establishment and temporary identity cards for their

employees online after which the biometric details and photograph of employees are captured

and Pehchan cards are issued by designated offices of ESIC. Entitlements to benefits,

processing of benefit payments, revenue management, and medical history of patients will all

be available in the data –base through Pehchan, Pashan, Dhanwantari and Milap modules of

IT enablement project.

(d) MEDICAL BENEFIT

(i) The families of insured persons who were previously entitled to medical Benefit, 13

weeks after the date on which the insured person himself became entitled to medical

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Benefit have been made entitled from the same day as the insured person himself. This

has come into force from 17.12.1977.

(ii) Since 1978, the medical treatment in cases of insured persons who go out of coverage of

the Scheme during the period of treatment would not be discontinued till the spell of

sickness ends or in the case of long term ailments so long as insured persons (excluding

members of the families0 required active treatment.

(iii) Since February, 1991 Medical Benefit has been extended to retired insured persons and

their spouses, on attaining the age of superannuation and to insured persons who cease to

be in insurable employment on account of permanent disablement caused due to

employment injury and their spouses on payment of contribution of Rs.120/- per annum.

19. PUBLIC GRIEVANCES REDRESSAL MACHINERY SET-UP IN ESIC

1. The Cabinet Secretariat, Government of India vide Notification no. A-11013/1/88-Ad-I

dated 02.06.98 has extended the jurisdiction of Directorate of Public Grievances to ESI

Hospitals and Dispensaries directly managed by the ESI Corporation under the Ministry of

Labour.

2. Accordingly, the ESI Corporation has set up the Public Grievance Redressal System at

Headquarters office and all RO/SRO/DO/BOs and ESIC Hospitals to ensure expeditious

disposal of complaints and redressal of grievances. Under the ESI Scheme, various

measures have been taken by the Corporation for the same. A Public Grievance Cell has

been set-up in ESIC, Head Quarter Office which is headed by a senior officer of the

Corporation. This Cell monitors the grievance redressal machinery in the entire ESI set-up

comprising of Regional Offices, Sub-Regional Offices, Branch Offices, ESI Hospitals and

Dispensaries managed and controlled directly by the E.S.I. Corporation. Further, in all field

offices and hospitals a designated Grievance Officer has been nominated to ensure prompt

and effective redressal of grievances. Detailed guidelines have also been issued from the

Hqrs. Office vide Memo No. Z-14/11/4/98-Ins-I dated 8.05.98 to all concerned to look into

the public grievances of the Stakeholders and settle these within the stipulated time frame.

3. A new Instruction on Public Grievance policy has been issued vide DO letter no. Z-

14/11/04/2009-PG dated 23/11/2009 to all RDs/SSMC/JD,I/C/SMC/MS/ D(M)D to settle

the grievances on top priority. A copy of which was also sent to Trade Unions/ Employer’s

Associations.

4. To ensure that online grievances related to ESI Corporation is being received through PG

Portal Govt. of India, Centralized Public Grievance redress and Monitoring system

(CPGRAMS) has been installed so that cases can be settled through online within stipulated

32

time frame. “Instruction in this regards has been issued to all RDs/ Dir’s/JD I/c, vide letter

no. Z-14/11/04/2009-PG dated 09.10.2009 and 03.12.2009.

5. Grievances and complaints are not only received directly but are also received through the

Cabinet Secretariat (Directorate of Public Grievances), Ministry of Labour & Employment

& Prime Minister's Office etc. These complaints are promptly taken up and efforts are made

to redress them within the time frame.

6. From January 2012 (including B/F) to 31st December 2012, a total number of 5305

grievances/complaints were received from various quarters and out of which 5116

grievances have been disposed through the internal grievance handling mechanism and rest

are under process of settlement.

7. The Public Grievance System has displayed its e-mail address on Internet from November,

2004. Through this e-mail address, representations/ complaints can be forwarded to

concerned Regional Director/Joint Directors/Medical Superintendents for redressal of the

same.

8. In order to bring transparency in the system and to facilitate stake holders to access the

information pertaining to ESIC and to make the ESI Scheme customer friendly, a Toll Free

Helpline number 1800-11-2526 has been installed and activated since 1.12.2006

(functioning all the working days from 9:30 A.M. to 5:30 P.M.). 24x7 toll free helpline

(except Sunday) has started functioning w.e.f. 01.04.2011. Now this helpline is functional

for 7 days round the clock w.e.f. 01.07.2011. Advertisement has also been issued in all

national leading dailies in this connection. The system is functioning under the direct

supervision of Public Grievance Cell and reviewed by the Insurance Commissioner &

Director General.

9. Some of the other measures taken by the Corporation to ensure prompt settlement of Public

Grievances are as follows: -

(a) Educating the target public through internal publications of the ESI Bulletins (ESI

Samachar), Citizens' Charter, Pamphlets on Benefits Employees' Guide/Employers'

Guide etc. available under the Scheme.

(b) Suvidha Samagam for quick redressal of Public Grievances of beneficiaries are

periodically arranged once in a month at the level of Regional Offices, Branch

Offices and ESI Hospitals etc. Latest instruction was issued on Suvidha Samagam

vide letter no V-11/14/2/2010-PG dated 16.01.2013.

33

(c) Facilitation Centers have been opened in the offices of the Corporation such as

Hqrs. Office, Regional Office, Branch Offices and ESI Hospitals managed directly

by the E.S.I. Corporation.

(d) Advertisement is also issued in all national leading dailies newspaper periodically

giving the details of new initiatives of ESI Corporation like scheme of incentives to

employers for providing employment to persons with disabilities, Rajiv Gandhi

Shramik Kalyan Yojna and Project Pehchan work etc.

20. MANAGEMENT SERVICE UNIT

I) Results-Framework Document (RFD)

A Results-Framework Document (RFD) is a record of understanding between a Minister

representing the people’s mandate and the Secretary of a Department responsible for implementing

this mandate. This document contains not only the agreed objectives, policies, programs and projects

but also Success Indicators and Targets to measure progress in implementing them.

The RFD seeks to address three basic questions: (a) What are department’s main objectives

for the year? (b) What actions are proposed to achieve these objectives? (c) How would someone

know at the end of the year the degree of progress made in implementing these actions? That is, what

are the relevant success indicators and their targets?

The ESI Corporation is participating in this monitoring system of the Cabinet Secretariat

/PMO both as an independent organization called responsibility centre as well as a part of Ministry

of Labour & Employment, Govt. of India. A total of 34 success indicators covering all the divisions

of the Head Quarters have been included in this document. Out of this 34 success indicators 4 are part

of MoL&E’s RFD which carries weight of 6%.

The RFD also contains 3 mandatory success indicators with weight of 11%. These are;

1. Efficient functioning of the

RFD system

: i) Timely submission of draft RFD ie 5th

March.

ii) Timely submission of result for RFD ie

1st May.

2. Administrative Reforms : i) Implementation of ISO 9001 as per

approved action plan.

ii) Prepare an action plan for innovation.

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3. Improving internal

efficiency/ responsiveness/

service delivery of Ministry/

department. Action-

Implementation of Sevottam.

: i) Independent audit of implementation of

citizen charter.

ii) Independent audit of implementation of

public grievances redressal system.

The MOL&E vide its letter No. Z-20025/10/2011-RFD (Pt-I) dated 28/6/2012 communicated

Ministry’s achievement for the year 2011-12 as 95.04% and ESIC’s achievement in Ministry’s

RFD was 99.16%..

II) ISO 9001:2008 certification in ESIC

All Regional/ Sub-Regional Offices, D(M)D, ESIC Model hospitals were expected to get themselves

audited for quality & get certified under the latest version of QMS i.e. ISO 9001:2008. As on

31.03.2013 49 no. of Offices and 22 no. of ESIC Hospitals have been awarded ISO 9001:2008.

III) VIP/ MP References

A total of 110 no of queries from VIP/ MP from different Ministries, as and when received, have been

finally replied after compilation of relevant data collected from different Branches & respective field

formations.

IV) Productivity Link Bonus

The PLB for the Financial Year 2011-12 have been paid to all eligible employees for 60 days.

V) Monthly D.O. to the D.G.

The Monthly DO to DG is the important instrument for monitoring functions of the Regional/ Sub-

Regional offices. A new format had been designed & implemented during 2012-13 with a view to

monitor speedy implementation of computerization in ESIC besides overall working of the Region.

21. PUBLIC RELATIONS

The ESI Corporation has a set up of Public Relations Division consisting of full fledged P.R.

Branch at Hqrs. Office, New Delhi assisted by one each Nodal Officer at the Regional and Sub-

Regional level. Brochures/pamphlets/booklets/Annual Report and other literature for the Corporation

are published centrally, apart from interacting with media for dissemination of information on new

initiatives, meetings, seminars, exhibitions, health check-up camps, health melas, awareness camps

etc.

During the year 2011-12, massive efforts have been made to highlight the activities of the

Corporation as well as to raise the level of awareness of the target public about various aspects of the 35

social security programme administered under the ESI Scheme. Some major public relations

activities organized during the year 2011-12 are reproduced below:

1. The Regional/Sub-Regional & Divisional Offices of the Corporation organized 309

seminars/workshops on ESI scheme for employees and employers of their respective

areas. The programme content of the workshops comprised presentations on various

aspects of the scheme, Project ‘Pehchan’, awareness about Project ‘Panchdeep’ (IT Roll

out), distribution of publicity material, group discussions and question answer sessions.

Senior Officers of the Corporation including Director General, Insurance Commissioner,

Medical Commissioner, Commissioners and Regional Directors also participated and

made presentations at important seminars/workshops sponsored by leading Chambers of

Commerce and industry and employers organizations etc.

2. The Hqrs. Office and the Regional Offices of the Corporation have arranged TV

programmes on the ESI Scheme in co-ordination with Doordarshan authorities and other

local news channels. Most of these programmes were in the form of panel discussions,

talks and interviews etc. This popular medium was also utilized to cover certain important

developments like commissioning of foundation stone laying/inauguration ceremonies of

Hospitals/Dispensaries/Regional Offices and other off-the-routine activities.

Major events including meetings of the Corporation, inauguration/foundation stone laying

ceremonies of new ESIC establishments and medical service outlets were covered by

AIR/Doordarshan and other electronic news channels as well as print media.

3. The Hqrs. Office and the Regional/Sub-Regional and Divisional Offices issued press

releases from time to time to the national, regional and language newspapers about the

highlights of activities of the scheme. In all about 247 press releases were issued by the

Corporate Offices, during the year either directly or through news agencies including the

Press Information Bureau, Govt. of India and Directorates of Information and Public

Relations of the State Governments.

4. The grand finale of the Diamond Jubilee Celebration was celebrated on 24th February,

2012. Shri Pranab Mukherjee, than Hon’ble Union Minister of Finance, Govt. of India,

Shri Kapil Sibal, Hon’ble Union Minister of Human Resource Development and

Communications & Information Technology and Shri Mallikarjun Kharge, Hon’ble

Union Minister of Labour & Employment were graced the occasion. A book titled ‘ESIC

– The Sparkling Diamond’ containing the history of ESIC from 1952 to 2011 and details

of activities/fulfillment of commitments made during the Diamond Jubilee Year was

released on this occasion. Besides this, a Commemorative Postal Stamp on ESIC was

also released.

36

On this occasion, ESICians also took a pledge to make the organization a shining example

to follow for all other social security delivery organization.

5. The Regional Offices and the Hqrs. issued a number of advertisements to various national

and regional newspapers to bring up the level of awareness among the employers and

employees etc. concerning various provisions of the ESI Act, various aspects of project

‘Pehchan’ and project ‘Panchdeep’, incentive scheme for the employers for employing

disabled persons etc. The Hqrs. issued various display advertisements in leading

newspapers in the country on different new initiatives of the Corporation to bring ESIC

closer to people.

6. Emphasis was laid on educating the insured population about the benefits and

contributory conditions under the Scheme and about different aspects of IT Roll Out

project during the year under report by producing adequate printed educational material

about the ESI Scheme. A pamphlet on ‘Medical Benefit provided under ESI Scheme’,

revised edition of ‘Citizens’ Charter’, a handbook of ESIC Hospital named ‘Arogyam’

were produced for distribution among the insured persons through the network of Branch

Offices, ESI Hospitals and dispensaries all over the country. This year’s highlight was

that every publicity material was released simultaneously in Hindi, regional languages as

well as in English.

7. In compliance of the Meetings of the ESI Corporation regarding awareness campaign, the

ESI Corporation have done a massive media and awareness campaign on various Benefits

of ESI Scheme, project Panchdeep (IT Roll Out Plan), Indian System of Medicine (ISM)

etc. for educating the target audience which included the Insured Persons, their family

members and the employers covered under the ESI Scheme. In this media campaign, all

kinds of media like television, radio, newspapers, magazines, hoardings, other outreach

programmes at the national, state and the local level.

8. In order to make ESIC Website a powerful PR tool for the organization, the ESIC

Corporate Website, ‘www.esic.nic.in’ has been reframed and redesigned, making it more

presentable and useful for general public. The website has been developed in both the

languages, Hindi and English to give it a wide appeal and make it suitable for people of

all classes and segments. In a nutshell, the ESIC’s website is now making the life of all

the visitors simple by providing accurate and updated information with a better user

interface.

9. During the year under report, some Outreach/One-to-One Contact Programmes were also

organized through Road Shows/Nukkad Nataks in Uttar Pradesh, Jharkhand, Chattisgarh,

37

Orissa, Madhya Pradesh and Bihar for “Reaching Out to the Stakeholders” and getting

feedback from them, directly.

These seminars and meetings helped the ESIC to understand the actual feelings of the

stakeholders (i.e. employees & employers). All the stakeholders participated widely in

these outreach programmes. Some stakeholders also provided specific advice for further

improvements at the grass root level. However, the overall feedbacks were very positive

and encouraging.

A. COMMITMENTS MADE AND ACHIEVED

COMMITMENTS ACHIEVEMENT MEDICAL DIVISION

• WELLNESS MOBILE VANS TO BE STARTED IN ALL SUCH ESIC HOSPITALS

Target: 31, Operational : 31 100%

• SETTING UP OF AYUSH UNITS (ISM) IN ALL ESIC HOSPITALS

Target: 31, Achieved : 31 100%

• ORGANIZING OF ONE HEALTH CAMP IN EACH MONTH BY EACH ESIC HOSPITALS

Target: 341, Held : 1031 302%

• OPENING OF 05 ESIC GREENFIELD HOSPITALS

Target: 05, Achieved : 05 100%

• UPGRADATION/MODERNIZATION CENTRE IN EACH ESIC HOSPITAL

Target: 05, Achieved : 04 80%

• FACILITATION/COUNSELING CENTRE IN EACH ESIC HOSPITALS

Target: 31, Achieved : 31 100%

• ESTABLISHMENT OF DIAMOND JUBILEE MODEL DISPENSARIES WITH DIAGNOSTIC FACILITIES

Finalized : 13 State Govt. Approval Awaited : 04 Under Construction : 02

INSURANCE DIVISION • ENROLMENT/COVERAGE DRIVE FOR

MORE MEMBERS UNDER ESI SCHEME New Unit : 34699 New Employees : 9.76 lakh

• BENEFIT PAYMENT THROUGH ECS FOR PDB CASES

Total Cases : 73.52 lakh Cases Paid through ECS : 72.55 Lakh

99%

• BENEFIT PAYMENT THROUGH ECS FOR DB CASES

Total Cases: 18.20 Lakh Cases Paid through ECS: 17.99 Lakh

99%

• NO PUBLIC GRIEVANCE CASES REMAIN PENDING FOR DISPOSAL BEYOND 15 DAYS

Cases : 511, Settled : 473 93%

• ONE FACILITATION CONCLAVE (SUVIDHA SAMAGAM) FOR EMPLOYERS/EMPLOYEES TO BE ORGANISED ONCE IN A MONTH BY EACH BRANCH OFFICES

Scheduled : 6809, Held : 7084

104%

• TO MAKE 25 BRANCH OFFICES ALL OVER INDIA – WITH SAFE DRINKING WATER AND ALL THE AMENITIES

Achieved : 71 284%

• PDB/DB CASES TO BE SETTLED WITHIN ONE MONTH

No. of Cases: 1389, Settled : 1126

81%

38

• ALL APPEAL CASES FROM EMPLOYERS TO BE DISPOSED WITHIN 60 DAYS

No. of Cases: 519, Settled : 431

83%

• SETTLEMENT & PAYMENT OF MEDICAL BOARD CASES WITHIN THREE DAYS

No. of cases : 1205, Settled : 1129

94%

• FACILITATION CENTRE IN ESIC HQRS./REGIONAL OFFICE/SROS/DOS/BRANCH OFFICES

Target : 677, Achieved : 594 88%

FINANCE DIVISION • PAYMENT TO ALL CLIENTS WITHIN 10

DAYS THROUGH ECS (TO REGULAR CLIENTS)

No. of Bills : 1.52 Lakh Settled : 1.35 Lakh

89%

• COMPUTERISATION OF MONTHLY AND ANNUAL ACCOUNTS

No. of Accounting Units : 91 Achieved : 88

97%

• ORGANIZING OF 100 TRAINING PROGRAMMES ON ETIQUETTES/PEOPLE HANDLING/COURTESY

Target: 100, Achieved: 309 309%

• PEHCHAN CARD WILL BE GIVEN TO THE INSURED PERSONS WITHIN 7 DAYS AFTER DATA CAPTURING

No. of Cards issued : 15.66 Lakh

• REAL TIME ONLINE REGISTRATION FOR EMPLOYERS AND INSURED PERSONS

Employers : 19422/IPs: 34.03 Lakh

22. RTI ACT

1. The Right to information Act’2005 has been implemented in all offices in ESI Corporation

including ESI Hospitals and Dispensaries directly run by the Corporation. Central Public

Information Officer (CPIO) have been designated in all Regional/Sub-Regional/Divisional

Offices/Hospitals, Dispensaries, Branch Offices, Directorate (Medical) Delhi, Directorate

(Medical) Noida, /NTA and Hqrs. Office. Appellate Authority has also been designated for

each office.

2. The applicant may make the application for information under RTI Act’05 and deposit

application fee of Rs.10/- in cash in any of our Office or in the designated branch of State

Bank of India by Challan or through Indian Postal Order or Demand Draft drawn in favour of

ESIC Fund A/c No.1.

3. The information to the applicant is ordinarily provided in the form in which it is sought.

4. Manual of the Right to Information has been published as per provisions of RTI Act, 2005.

724 requests for information were received during the period April 2012 to Dec.2012 out of

which information was provided in 704 cases and rejected in 20 cases. 141 Appeals were also

decided during this period.

5. The name and the address of the Appellate Authority is mentioned in the reply/decisions

communicated to the applicant.

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23. TRAINING

Standard Note on National Training Academy, ESIC as on 01.01.2013

The National Training Academy is the apex training centre of ESIC under Training

Division with the Commissioner as head of NTA. Its Job is to impart training to all group ‘A’ and

‘B’ (including medical and non-medical) officers of ESIC.

There are 4 Zonal Training Institutes working under NTA –viz. ZTI NZ, ZTI SZ, ZTI WZ, and

ZTI EZ headed by Director/Joint Director assisted by 1 or 2 staff members.

Setting up of ESIC National Training Academy

• In the year 2005, the National Training Academy of ESIC was set up to impart training to all

group A & B officers of ESIC with Additional Commissioner as its Head and it started functioning

from ESIC Regional Office Mumbai building.

• In addition, 4 Zonal Training Institutes were also set up to impart training to group C and D staff

of ESIC.

• Zonal Training Institute, North Zone, Delhi at RO Delhi

• Zonal Training Institute, South Zone, Bangalore,

• Zonal Training Institute, West Zone Mumbai, and

• Zonal Training Institute, East Zone, Kolkata

Shifting of NTA from Mumbai to Delhi

• In December 2005 the NTA was shifted to Delhi and it started functioning from ESI Hospital

premises, Rohini, Delhi.

• The NTA infrastructure was developed in one of the patients ward of ESIH Rohini and it

functioned from there till 2009 end when it was shifted to RO Delhi. In April 2010, the National

Training Academy was once again shifted to the Office Space rented on the 2nd floor in the NRPO

Building, EPFO Complex, Sector-23, Dwarka, New Delhi.

In the year 2012, a total number of 177 training programs were conducted by NTA and the four

ZTIs where 5288 participants were trained during 2012. The programmes were conducted both In-

house and in association with various renowed training academies like NIAR LBSNAA, DTRTI,

XIMB etc.

Training Conducted from 1st January to 31st December, 2012 (General Cadre) Sl.No.

Name of Training Type of Participants

Date No. Of Traine

es

Place

1. Training on “Finance for Non-Finance Officers (South & East Zone)

Finance & Accounts Officers

9th to 13th Jan., 2012

24 RO, Chennai

40

2. Training for “Assistant Executive Engineers”

Engineers 24th Jan. to 25th Feb., 2012

12 NTA, New Delhi

3. Inner Engineering Program AD/DD 1st to 7th Feb., 2012

05 Tyagraj Stadium, New Delhi

4. Two days Work shop on Project Management for Engineers

Engineers, Nodal Officers, DD

7th to 8th Feb., 2012

88 NTA, New Delhi

5. Training on “Finance for Non-Finance Officers (North & West Zone)

Finance & Accounts Officers

13th to 17th Feb., 2012

29 SRO, Marol, Mumbai

6. Training on Revenue Recovery

Recovery Officers 7th to 9th May, 2012

30 Direct Taxes Regional Training Institute (DTRTI),

Bangalore 7. Training for DDOs of ESIC

Officers (South & West Zone)

DDOs 11th to 12th May, 2012

35 DTRTI, Bangalore

8. Training for DDOs of ESIC Officers (North & East Zone)

DDOs 22nd to 23rd May, 2012

30 DTRTI, Kolkata

9. Mandatory In-Service Training Programme for ESIC Officers before ‘Regular Promotion’ to next higher level reg. (JD to Dir.) Ist Batch (Ist Spell)

Regular Joint Directors &

Ad-hoc Directors

11th to 18th June, 2012

24 NTA, New Delhi

10. Mandatory In-Service Training Programme for ESIC Officers before ‘Regular Promotion’ to next higher level reg. (JD to Dir.) Ist Batch (IInd Spell)

Regular Joint Directors &

Ad-hoc Directors

25th to 30th June, 2012

26 Xavier Institute of Management, Bhubaneshwar

(XIMB)

11. Training Programme on Accounting Basis Reforms for ESIC Officials

All concerned Officers

28th to 30th June, 2012

23 NTA, New Delhi

12. Mandatory In-Service Training Programme for ESIC Officers before ‘Regular Promotion’ to next higher level reg. (JD to Dir.) Ist Batch (IIIrd Spell)

Regular Joint Directors &

Ad-hoc Directors

9th to 16th July, 2012

30 National Institute of Administrative

Research, Lal Bahadur Shastri

National Academy of Administration

(LBSNAA), Mussoorie

13. One Day Hindi Workshop All Hindi Officers 19th July, 2012 31 NTA, Delhi 14. Mandatory In-Service

Training Programme for ESIC Officers before ‘Regular Promotion’ to next higher level reg. (JD to Dir.) IInd Batch (Ist Spell)

Regular Joint Directors &

Ad-hoc Directors

23rd July to 1st Aug., 2012

32 NTA, New Delhi

15. Mandatory In-Service Training Programme for ESIC Officers before ‘Regular Promotion’ to next

Regular Deputy Directors & AD-

hoc Joint

3rd to 14th Aug., 2012

39 NIAR, LBSNAA,

Mussoorie

41

higher level reg. (DD to JD)- Ist Spell

Directors

16. Mandatory In-Service Training Programme for ESIC Officers before ‘Regular Promotion’ to next higher level reg. (JD to Dir.) IInd Batch (IInd Spell)

Regular Joint Directors &

Ad-hoc Directors

6th Aug. to 11th Aug., 2012

30 Xavier Institute of

Management, Bhubaneshwar

(XIMB)

17. Mandatory In-Service Training Programme for ESIC Officers before ‘Regular Promotion’ to next higher level reg. (JD to Dir.) IInd Batch (IIIrd Spell)

Regular Joint Directors &

Ad-hoc Directors

21st to 25th Aug., 2012

30 NIAR, LBSNAA,

Mussoorie

18. Mandatory In-Service Training Programme for ESIC Officers before ‘Regular Promotion’ to next higher level reg. (DD to JD)- IInd Spell

Regular Deputy

Directors & Ad-hoc Joint

Directors

27th Aug. to 6th Sep., 2012

39 NTA, Delhi

19. Two Days Hindi Workshop for DD’s

Deputy Directors

25th and 26th Sep., 2012

13 NTA, Delhi

20. Accounting Reforms in ESIC

AD(F), DD(F)

10th and 11th October, 2012

33 NTA, Delhi

21. Accounting Reforms in ESIC

AD (F), DD(F)

12th and 13th October, 2012

40 NTA, Delhi

22. Training on Preventive Vigilance (West & South Zone)

AD/DD Dealing with

Vigilance Matters

15th to 17th October, 2012

35 ESIMH, Rajaji Nagar, Bangalore

23. Training on Preventive Vigilance (North & East Zone)

AD/DD Dealing with

Vigilance Matters

5th to 7th November, 2012

34 RO, Kolkata

Medical Side 24. VC Purchase Procedure All Model

Hospital Doctors 9.01.2012 180 Hqrs.

25. VC Occupational Health in ESI

All Model Hospital Doctors

20.01.2012 170 Hqrs.

26. NABH Training SAG/NFSG 11,12,13.01.12 35 NTA, New Delhi 27. Eagle-7 SMC, MS, RD,

Dir, JD 16 to 20.01.2012 25 RO, Cochin

28. Medical Vigilance training CMO, IMO, SAG. NFSG

30 & 31. 01. 2012

29 NTA, New Delhi

29. Etiquette Programme NO/Nurses 9.2.2012 27 NTA, New Delhi 30. VC on laparoscopy surgery All Model

Hospital Doctors 10.2.2012 200 Hqrs.

31. Second Inning Programme All SAG Dir. 11.02.2012 15 NTA, New Delhi 32. MDP for Nursing

Administration NO/Nurses 16 & 17 .02.

2012 28 NTA, New Delhi

33. Teaching Faculties Assistant Professors

27 & 28.02.2012 21 NTA, New Delhi

42

34. FMS Training NFSG 21.02. to 2.3.2012

25 NTA, New Delhi

35. Eagle 8 SMC, MS, RD, Dir, JD

12 to 16 .03.2012 25 Srinagar

36. Induction Programme Doctors

IMO Gr. II 27 & 28 .3.2012 20 ESIMH, Rajaji Nagar

37. Induction Programme for Newly Recruited Doctors

IMO 8 & 9 .05.2012 32 ESIMH, Peenya

38. Orientation programme for Training Faculties of PGIMSR MGM

Asst. Professor 17 & 18.05.2012 23 SRO, Marol

39. Orientation programme for Training Faculties of Rohini & Basaidarapur

Asst. Professor 22 & 23.05.2012 28 NTA, New Delhi

40. Orientation programme for Doctors at Ranchi

IMO Gr. II 4 & 5.06.2012 24 ESIMH, Ranchi

41. Orientation programme for Doctors at Ezhukon

Specialist 7 & 8 .06.2012 20 ESIMH, Ezhukon

42. Orientation programme for Doctors at Ludhiana

IMO 20 & 21.06 16 ESIMH, Ludhiana

43. Orientation programme for Doctors at Gujarat

IMO 26 & 27.06.2012 25 ESIMH, Bapunagar

(Ahemdabad) 44. Workshop on Administrative MS, SMC 5 & 6.07.2012 17 RO, Kolkata 45. Orientation programme for

CMO, RO Delhi CMO 9 & 10.07.2012 23 RO, Delhi

46. Eagle 9 SMC, MS, RD, Dir, JD

16 to 20.07.2012 25 RO, Coimbatore

47. Orientation programme on Change of Organization culture for IMO Gr.I

IMO Gr. I 23 &24.08.2012 21 NTA, New Delhi

48. Orientation programme for Doctors of Andhra Pradesh at ESI Hospital Sanath Nagar

IMO, SMC 28 & 29.08.2012 30 ESIMH, Sanath Nagar

49. Orientation programme for Doctors, ESI Model Hospital Jammu

IMO Gr. II 13 & 14.08.2012 21 ESIMH, Jammu

50. Communication Skill SAG, Doctors 20 & 21.09.2012 20 NTA, New Delhi 51. Workshop on Financial &

vigilance SSMC, MS, AD 27 & 28.09.2012 32 SRO, Marol,

Mumbai 52. Orientation programme for

Doctors, IMO Gr. II 4 & 5.10.2012 24 RO, Rajasthan

53. Orientation programme on change organization Culture

IMO Gr. II 10 & 11.10.2012 20 ESI Jhilmil Hospital

54. VC Super Specialty MSs, SMCs 19.10.2012 120 Hqrs. 55. MDP for west Bengal ESI

Nursing Administration

ANS 7 & 8.11.2012 25 ESI Nursing School Kolkata

43

56. Orientations programme on change in organization culture

IMO 21 & 22.11.2012 20 GOA

57. Workshop on Medico Legal Issue in Health care Delivery System for Specialist

Specialist 4.12.2012 24 NTA, New Delhi

58. Orientations programme on change in organization culture

MO/ IMO II 17 & 18.12.2012 18 ESIMH, Ram Durbar Punjab

North Zone (ZTI) 59. Etiquette and Public

Handling Courtesy in r/o Hospital Jammu

Paramedical Staff / Nursing Orderly

02/01/12 25 ESIC Model Hospital, Jammu

60. Etiquette and Public Handling Courtesyin r/o

Hospital Jammu

Paramedical Staff / Nursing Orderly

03/01/12 21 ESIC Model Hospital, Jammu

61. Etiquette and Public Handling Courtesy in r/o RO

Baddi

Assistant / UDC 09/01/12 21 ESIC Regional Office, Baddi

62. Etiquette and Public Handling Courtesy

in r/o RO, SRO Chandigarh & Ludhiana

Assistant / UDC 20/01/12 27 ESIC Sub Regional Office,

Ludhiana

63. Etiquette and Public Handling Courtesy

in r/o SRO Jallandhar & Hospital Jammu

Assistant / UDC / LDC

23/01/12 23 ESIC Sub Regional Office,

Jallandhar

64. Training Programme for MTS (Non-Matric)

in r/o RO, SRO Delhi

MTS (Non-Matric)

27/02/12 to 02/03/12

27 ESIC Regional Office, Delhi

65. Training Programme for MTS (Non-Matric) in r/o

ESI Hospital

MTS (Non-Matric)

19/03/12 to 27/03/12

19 ESIC Regional Office, Delhi

66. Orientation Programmein r/o Delhi & NCR

Newly Recruited Steno

23/04/12 to 27/04/12

23 ESIC Regional Office, Delhi

67. Induction Coursein r/o RO, SRO & Hqrs

MTS 3/05/12 to 04/05/12

36 ESIC Regional Office, Delhi

68. Training Programme on Computer Application

LDC 21/05/12 to 22/05/12

18 ESIC Regional Office, Delhi

69. Training Programme for Steno Hindi

in r/o Northern Region

STENO 24/05/12 to 25/05/12

10 ESIC Regional Office, Delhi

70. Management & Leadershipin r/o Northern

Region

SSO 11/06/12 to 12/06/12

31 ESIC Regional Office, Delhi

71. Orientation Coursein r/o Hospital Delhi

Nursing Orderly 18/06/12 to 19/06/12

22 ESIC Regional Office, Delhi

44

72. Organization Culture in r/o Hospital Delhi

Para-Medical Staff 27/06/12 41 ESIC Regional Office, Delhi

73. Customer Relationship Satisfaction

in r/o Hospital Jammu

Para-Medical Staff 28/06/12 41 ESIC Regional Office, Delhi

74. Insurance & Benefit

UDC (New Recruited)

09/07/12 to 11/07/12

29 ESIC Regional Office, Delhi

75. Etiquette UDC (New Recruited)

12/07/12 29 ESIC Regional Office, Delhi

76. Revenue & Benefit UDC (New Recruited)

23/07/12 to 26/07/12

42 ESIC Regional Office, Delhi

77. Etiquette UDC (New Recruited)

27/07/12 42 ESIC Regional Office, Delhi

78. Revenue & Benefit Assistants 06/08/12 to 08/08/12

40 ESIC Regional Office, Delhi

79. Etiquette Assistants 09/08/12 40 ESIC Regional Office, Delhi

80. Revenue Assistants / UDC 28/08/12 to 29/08/12

17 ESIC Regional Office, Delhi

81. Administration Assistants / UDC 30/08/12 to 31/08/12

17 ESIC Regional Office, Delhi

82. Revenue Assistants / UDC 04/09/12 to 05/09/12

47 ESIC Regional Office, Delhi

83. Administration Assistants / UDC 06/09/12 to 07/09/12

47 ESIC Regional Office, Delhi

84. Administration MTS ( Newly Recruited)

13/09/12 to 14/09/12

14 ESIC Regional Office, Delhi

85. Administration & Working system of ESIC

MTS 18/09/12 to 19/09/12

27 ESIC Regional Office, Delhi

86. Administration & Working system of ESIC

Junior Hindi Translator

24/09/12 to 25/09/12

10 ESIC Regional Office, Delhi

87. Functional Hindi Incentive Programme

Junior Hindi Translator

26/09/12 to 28/09/12

10 ESIC Regional Office, Delhi

88. Administration & Working system of ESIC

LDC/MTS 03/10/12 to 05/10/12

37 ESIC Regional Office, Delhi

89. Administration & functioning system of ESIC

LDC / MTS 10/10/12 to 12/10/12

47 ESIC Regional Office, Delhi

90. Administration & functioning system of ESIC

Nursing Orderly 17/10/12 to 19/10/12

24 ESIC Regional Office, Delhi

45

91. Administration, Revenue &

Benefits UDC (Newly

Recruited) 25/10/12 to

31/10/12 26 ESIC Regional

Office, Delhi

92. Vigilance / Departmental

Proceeding Para-Medical Staff 01/11/12 to

03/11/12 29 ESIC Model

Hospital, Gurgaon

93. Revenue & Administration MTS 07/11/12 to

09/11/12 38 ESIC Sub

Regional Office, Ludhiana

94. Vigilance & Administrative Matters

Assistants / UDC 21.11.12 to 23.11.12

23 ESIC Regional Office,

Chandigarh 95. Preventive Vigilance,

Procedure & Departmental Proceeding

SSO 27/11/12 to 30/11/12

27 ESIC Regional Office, Delhi

96. Preventive Vigilance,

Procedure & Departmental Proceeding

Assistants 05/12/12 to 07/12/12

16 ESIC Regional Office, Delhi

97. Preventive Vigilance,

Procedure & Departmental Proceeding

Para-Medical Staff 12/12/12 to 14/12/12

21 ESIC Regional Office, Delhi

98. Preventive Vigilance,

Procedure & Departmental Proceeding

Office Superintendent /

Assistants

19/12/12 to 21/12/12

27 ESIC Regional

Office, Delhi

East Zone (ZTI)

99. ETIQUETTE UDC 19/06/12 25 ZTI (E.Z.) 100. -DO- UDC 19/07/12 25 RANCHI 101. -DO- MTS 20/07/12 23 -DO- 102. -DO- UDC 26/07/12 25 PATNA 103. -DO- MTS 27/07/12 25 -DO- 104. -DO- MTS 27/08/12 19 GUWAHATI 105. -DO- UDC 28/08/12 23 -DO- 106. -DO- NURSE 20/09/12 23 ADITYAPUR,

JAMSHEDPUR 107. -DO- NURSE 21/09/12 24 -DO-

108. -DO- NURSE 11/10/12 27 NAMKUM,

RANCHI 109. -DO- NURSE 12/10/12 28 -DO- 110. INDUCTION UDC 19/03/12 TO

23/03/12 25 ZTI (E.Z.)

111. -DO- UDC 16/04/12 TO 20/04/12

25 -DO-

112. -DO- UDC 14/05/12 TO 18/05/12

24 -DO-

46

113. -DO- UDC 21/05/12 TO 25/05/12

17 -DO-

114. -DO- MTS 11/06/12 TO 13/06/12

24 -DO-

115. -DO- MTS 12/09/12 TO 14/09/12

24 -DO-

116. -DO- MTS 01/11/12 TO 02/11/12

25 -DO-

117. -DO- MTS 06/12/12 TO 07/12/12

22 -DO-

118. -DO- MTS 20/12/12 TO 21/12/12

20 -DO-

119. FUNCTIONAL UDC 25/06/12 TO 27/06/12

22 -DO-

120. -DO- UDC 06/08/12 TO 08/08/12

20 -DO-

121. -DO- HC/ASST 07/05/12 TO 09/05/12

24 -DO-

122. -DO- -DO- 02/07/12 TO 04/07/12

24 -DO-

123. -DO- -DO- 22/08/12 TO 23/08/12

22 -DO-

124. -DO- SSO 04/06/12 TO 06/06/12

21 -DO-

125. -DO- -DO- 16/07/12 TO 18/07/12

23 RANCHI

126. -DO- -DO- 29/08/12 TO 31/08/12

18 GUWAHATI

West Zone (ZTI) 127. Induction Training

Programme for Newly Recruited LDCs. for (03days)

LDC

01/02/2012 to 03/02/2012

22

S. R.O. Pune

128. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC

21/02/2012 to 23/02/2012

26 S. R.O. Aurangabad

129. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC 27/02/2012 to 29/02/2012

25 S. R.O. Surat

130. Induction Training Course for LDCs Newly Promoted from MTS Cadre for (03days)

LDC 13/03/2012 to 15/03/2012

30 S. R.O. Marol

131. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs. for (02days)

ASST/UDC 21/03/2012 to 22/03/2012

22 S. R.O Nagpur

132. Induction Training Programme for Newly Recruited UDCs. and Newly Promoted LDCs from MTS Cadre for (03days)

LDC 03/04/2012 to 05/04/2012

28

S. R.O. Marol

47

133. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs. for (03days)

ASST/UDC 09/04/2012 to 11/04/2012

28

S. R.O Marol

134. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs. for (03days)

ASST/UDC

16/04/2012 to 18/04/2012

25

R.O Indore

135. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs. for (03days)

ASST/UDC

25/04/2012 to 27/04/2012

27

S. R.O Marol

136. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC

08/05/2012 to 10/05/2012

30

R.O. Ahmedabad

137. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs. and LDC. for (03days)

ASST/UDC

14/05/2012 to 16/05/2012

28

S. R.O Marol

138. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs. for (03days)

ASST/UDC

21/05/2012 to 23/05/2012

30

S. R.O. Pune

139. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs.LDC. for (03days)

ASST/UDC

18/06/2012 to 20/06/2012

30

R.O. Ahmedabad

140. Functional Training Course on “REVENUE AND REVENUE RECOVERY” for Assistants/ UDCs. for (03days)

ASST/UDC 27/06/2012 to 29/06/2012

30

S.R.O. Marol

141. Induction Training Programme for Newly Recruited UDCs. and Newly Promoted LDCs from MTS Cadre for (03days)

LDC/UDC

16/07/2012 to

18/07/2012

26

R.O. AHMEDABAD

142. Induction Training Programme for Newly Recruited MTS Cadre for (02days)

MTS

29/08/2012 &

31/08/2012

29

R.O. MUMBAI

143. One day training course on “Courtesy, Etiquette & PR skills” for ESIS Hospital & dispensary staff

DOCTORS & PARAMEDI- CAL STAFF

06/09/2012

25

SRO NAGPUR

144. One day training course on “Courtesy, Etiquette & PR skills” for ESIS Hospital & dispensary staff

DOCTORS & PARAMEDI- CAL STAFF

07/09/2012

22

SRO NAGPUR

48

145. Induction Training Programme for Newly Recruited MTS Cadre for (02days)

MTS

11.10.2012 To 12.10.2012

27

SRO PUNE

146. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC

17.102012 To 19.102012

24

MUMBAI

147. Skill Upgradation Trg. For Gr.D Paramedical Staff of ESIC Model Hospital, Andheri

Gr.’D’ Paramedical Staff

6.11.2012 To 9.11.2012

25

Mumbai

148. Pre-Exam. Trg. For Assts Appearing for LDCE for SSO post

ASST/ ADHOC SSO

19.11.2012 To 21.11.2012

35

Mumbai

149. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC

26.11.2012 To 28.11.2012

30

MUMBAI

150. Induction Training Programme for Newly Recruited MTS Cadre for (02days)

MTS

29.11.2012 To 30.11.2012

27

MUMBAI

151. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC

12.12.2012 To 14.12.2012

24

MUMBAI

152. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC

19.12.2012 To 21.12.2012

25

SURAT

153. Induction Training Programme for Newly Recruited UDCs. for (03days)

UDC

26.12.2012 To 28.12.2012

32

P UNE

ZTI (SZ) 154. Orientation/

Induction Training programme for newly recruited LDCs of R.O. Hyderabad jurisdiction.

UDC

4th, 5th & 6th Jan’2012

29

R.O.Hyderabad

155. Orientation/ Induction Training programme for newly recruited LDCs of RO Chennai, SRO Coimbatore, SRO Madurai , Tirunelveli & Salem.

LDC 11th ,12th & 13th Jan’2012

28 ESIC SRO-Coimbatore

156. Orientation/ Induction Training for newly

recruited Staff Nurses & paramedical staff of

ESIC.Hospital Peenya B’lore

NO/Nurses 17th & 18th Jan’2012

30 ESIC Model Hospital,Rajajinagar,Bangalore.

49

157. Orientation/ Induction Training for newly

recruited Staff Nurses & paramedical staff of ESIC.

Hospital Peenya B’lore

NO/Nurses 23rd & 24th Jan’12

29 ESIC Model Hospital,Rajajinagar,Bangalore.

158. Orientation/ Induction Training for newly

recruited Staff Nurses & paramedical staff of

ESIC.Hospital Peenya B’lore

NO/Nurses 27th & 28th Jan’2012

32 ESIC Model Hospital,Rajajinagar,Bangalore.

159. Soft skill Training Programme on Etiquettes &

People Handling

Staff Nurse/Paramedical Staff

20th Jan’2012 30 ESIC Model Hospital,Rajajinagar,Bangalore.

160. Soft skill Training Programme on Etiquettes &

People Handling

Staff Nurse/Paramedical Staff

25th Jan’2012 29 ESIC Model Hospital,Rajajinagar,Bangalore.

161. Soft skill Training Programme on Etiquettes &

People Handling

Staff Nurse/Paramedical Staff

30th Jan’2012 32 ESIC Model Hospital,Rajajinagar,Bangalore.

162. Orientation/ Induction Training programme for newly recruited Nursing orderlies.

Nursing Orderlies 2nd Feb’2012 32

ESIC Model Hospital,Rajajinagar,Bangalore-10

163. Soft skills Training Programme on Etiquettes & People Handling.

Nursing Orderlies 3rd Feb’2012 32 ESIC Model Hospital,Rajajinagar,Bangalore-10

164. Orientation/ Induction Training for newly recruited LDCs(now UDCs)-

SRO Kollam & ESIC Hospital Ashramam., Paripally & Ezukone

Kollam.

UDC 15, 16th & 17th Feb’2012

33 ESIC Model Hospital, Ashramam, Kollam

165. Soft skills Training Programme on Etiquettes &

People Handling

All cadres from SSOs to MTS

25th Feb’2012 24 Hotel Bell, Bangalore.

166. Refresher training programme for

SSOs/Br.Managers/ Office Supdts

SSOs/Br. Managers/Office Supdt.

26th & 27th Feb’2012

26 Hotel Bell,Bangalore

167. Training Programme on Revenue Recovery Module

of WIPRO for the staff members working in

Revenue Recovery branch in association with Wipro.

Staff members in Revenue Recovery

28th & 29th Feb’2012/

16 Hotel Bell,Bangalore

168. Refresher Training Programme for SSO’s in Insurance, Benefits and legal.

SSOs 03.04.2012 to

04.04.2012

26 ESIC, SRO, Ernakulum

169. Functional Training Programme for Newly

LDC/UDC 11.04.2012 to

25 RO, ESIC, Bangalore

50

Promoted LDC’s from MTS cadre and UDC’s

13.04.2012 Training Programme held at Hotel Bell, B’lore

170. Functional Training Programme for Newly Promoted Assistants

Assistants 25.04.2012 to

27.04.2012

26 RO, ESIC, Bangalore Training

Programme held at Hotel Bell, B’lore

171. Induction training programme for Professors, Ass.Professors, Specialists and IMO’s conducted by NTA, New Delhi.

Asst. Professors, Specialists/IMOs

08 & 09.05.2012 32 ESIC MH, Rajajinagar, Bangalore

172. Workshop on “Recent ESI Amendments of 2010 alongwith Rules and Regulations, PG/RTI and Vigilance matters” for SSO’s/BM Gr.II & OS.

SSOs/BM Gr. II & O.S

21.05.2012 to 22.05.2012

26 ESIC, SRO,

Kollam

173. Induction training programme for newly

recruited Staff Nurse and Other para-medical staff

Staff Nurses/Para-medical Staff

24.05.2012 to

25.05.2012

29 ESIC MH, Rajajinagar, Bangalore

174. Functional Training Programme for Newly Promoted LDC’s from MTS cadre and UDC’s

LDC 28 ESIC, RO, Chennai

175. Soft Skills Training programme on Etiquettes/and People handling for Staff Members of ESIC Model Hospital and Directorate, ESIS (M) Services Bangalore

Staff Nurses 29 RO, ESIC, Bangalore Training

Programme held at Hotel Bell, B’lore

176. Refresher Training Programme for newly

promoted SSO’s/Branch Manager Gr.-II

SSOs/BM Gr.II 26 RO, ESIC, Bangalore Training

Programme held at Hotel Bell, B’lore

177. Induction Training Progromme for newly

recruited Stenographers of South Zone

Stenographers 29 RO, ESIC, Trissur

No. of Trainings conducted by NTA = 58 No. of Trainings conducted by ZTIs =119 Total No. of Trainings =177

No. of Participants of NTA = 2120 No. Of Participants of ZTIs = 3168 Total No. of Participants = 5288

51

24. INFORMATION COMMUNICATION TECHNOLOGY DIVISION

The IT Roll Out Plan of ESIC, ‘Project Panchdeep’ has been assigned to M/s WIPRO as

System Integrator on BOOT Model.

The project has 5 components viz, Pehchan, Dhanwantri, Pashan, Milap and Pragati meaning

Identification, Medical Information System, Hardware, Integration (Networking) and various ERP

applications respectively.

Pehchan Card (Identification Card) in duplicate is being issued to each IP (one for

himself/herself and one for his/her family) since Aug, 2009 for availing benefits any where any time

in India. Till Dec 31st, 2012 approximately 98 Lakh IPs have been enrolled at ESI Pehchan Camps.

Photo/Bio-metric details of IP and their dependents are being captured. Issuing of Pehchan Card is a

continuous process and is being carried out in all regions. Step like organizing Hybrid Pehchan

Camps (camps in the employers premises) have been taken to achieve maximum enrollment.

The ESI Scheme has started adopting computer based application usage of the Health

Information System Software – “Dhanwantri” Module across the country. Training to staff including

doctors and nurses across all locations has been arranged and refresher / repeat training arranged

every quarter imparting training to about 6500 staff, doctors and nurses. Till now two refresher

training has been arranged in each State/UT and presently the third Refresher Course Training is

being organized across all locations in the country.

Nearly 2024 sites are live and rest are being done and site discrepancies and other

requirements are being addressed for rectification.

Two Training Centers/Video Conferencing Centers have been set up in each State - one

attached with Regional Office for training on ERP to Officers/Officials and the other attached with

ESI Directorate for training in Medical Modules and other applications etc.

Insured Persons(IPs) have been empowered to check Personal Details/Contribution

Details/Entitlement Details through IP Portal on www.esic.in.

Employer has been empowered with self registration of Employer and Employees (IP)

through ESIC Portal www.esic.in. Employer has also been empowered to file and pay Monthly

Contribution through system generated challan. A facility to pay monthly contribution online through

SBI Payment Geteway is also in place. Beside this Employer has been empowered to do various

activities through different links provided on the home page of Employer Portal.

In the Insurance Module, Payment/Contribution details of Employers and Employees can be

viewed through this portal and notices for non/delayed payment can be processed and generated

through system. Inspection and Survey can also be processed through system.

Grievance of employers and IPs are addressed through online mail service at itcare@esic.in

and problems related to IT that are faced by the ESI Employees are addressed at ithelpdesk@esic.in

and at VOIP(Voice Over Internet Protocol) No. 7001. Complaints are logged and a ticket no. /

complaint no. is alloted for each complaint registered at itcare and ithelpdesk.

52

Based on real time feedback of errors in developed modules, viz. Benefits, Insurance, ERP,

Dhanwantri, System Integrator is carrying out rectifications. Pending issues namely errors in

application including reports, desktop not meeting bussiness requirement of ESIC, non-balancing of

two links provided at ESI locations, slow response of application, absence of audit trail provisions,

non-implementation of parameters of Service Level Agreement, Power back-up issues relating to UPS

and inverter are being actively pursued with WIPRO. Action is being taken to engage NISG(National

Institute of Smart Government) as consultant and also to set up Project Management Unit(PMU) with

the help of NISG. Help of NISG would also be taken, as necessary, to close the pending issues.

53

25. GENERAL INFORMATION AND STATISTICAL DATA REGARDING THE EMPLOYEES’ STATE INSURANCE SCHEME

General information regarding benefits, coverage etc. under the ESI Scheme and the latest

statistical data regarding the scheme are summarized at Annexures given below.

1. Statement showing the details of benefits provided

under the ESI Act 1948.

Annexure – I 55

2. Benefits & Contributory conditions Annexure - II 59

3. General Information regarding ESI Scheme Annexure – III 63

4. Revenue & Expenditure of Corporation Annexure – IV 65

5. Statistical Data regarding ESI Scheme Annexure – V 67

6. Progress made under ISM as on 01.01.2013 Annexure – VI 69

54

Annexure – I 51(I) STATEMENT SHOWING THE DETAILS OF BENEFITS PROVIDED UNDER THE ESI ACT, 1948 (1) MEDICAL BENEFIT (i) Medical Benefit is available to an Insured person and his family from the day he enters

insurable employment. There is a huge infrastructure comprising of hospitals, dispensaries,

annexes, Specialist centre, IMP Clinics and arrangements with other institutions to provide

medical care to beneficiaries. The range of services provided covers preventive, promotive,

curative and rehabilitative services. Besides the out-patients services through dispensaries of

IMP Clinics, the in-patient services arrangements exist through ESI Hospitals or

arrangements with other hospitals.

The provision for Super specialty services for beneficiaries are mainly through tie-up

arrangements with reputed institutions.

The Corporation has also set up revolving fund with Regional Directors in respect of all

States except Meghalaya, Pondicherry, on consent of State Govt. for making advance

payments/ reimbursement in respect of Specialty/Super Specialty case.

The Corporation has also set up Revolving Fund with Regional Directors for purchase of

Drugs and Dressings, Equipments and their Repair and Maintenance (including annual

maintenance contracts) in respect of Andhra Pradesh, Assam, Chandigarh Admn., Himachal

Pradesh, Kerala, Karnataka and West Bengal at the request of these State Govt.

ESI has developed its own pharmacopoeiae for drugs. All drugs and dressings (including

vaccine and sera that may be considered necessary and generally in accordance with

pharmacopoeia are supplied free of charge.

Insured Persons and their family members are provided artificial limbs, aids and appliance as

well. All Diagnostic facilities are provided through ESI owned hospitals and in case of

sophisticated tests lie CT Scan, MRI etc., contractual arrangements are made.

(ii) Medical Benefit to insured persons who ceases to be in insurable employment on

account of permanent disablement

The Medical Benefit has further been extended to permanently disabled insured

person and his spouse who ceased to be in insurable employment due to employment injury

with effect from 01.02.1991. This benefit is provided on payment of contribution by him in

lump-sum for one year at the rate of Rs.10 per month at a time.

(iii) Medical Benefit to retired insured persons

Medical Benefit has also been extended to the insured persons and his spouse who

retires on attaining the age of superannuation or retires under VRS or retires prematurely and

who was in insurable employment for at least 5 years. This benefit is provided on payment of

contribution by him at the rate of ten rupees per month in lump sum for one year in advance.

55

(iv) Confinement Expenses

The scheme of medical bonus was introduced on 16.11.96 under Rule 56-A of the ESI

(Central) Rules 1950. According to this Rule an insured woman and an insured person in

respect of his wife shall be paid medical bonus on account of confinement expenses as

prescribed and approved by ESI Corporation. Provided that the confinement occurs at a place

where necessary medical facilities under the Employees State Insurance scheme are not

available. Provided further that confinement expenses shall be paid for two confinements

only. At present the amount of medical bonus is Rs.2500/- The limit of this amount has been

raised from Rs.2500/- to Rs.5000/- in the ESI Corporation Meeting held on 10.11.2012

(Notification in this regard is awaited)

(2) SICKNESS BENEFIT (IN CASH)

Sickness Benefit represents periodical payments made to an insured person during the

period of certified sickness. To qualify for this benefit, contribution should have been paid

for at least 78 days in the relevant contribution period. The maximum duration of Sickness

benefit is 91 days in two consecutive benefit periods. There is a waiting period of 2 days

which is waived if the insured person is certified sick within 15 days of the last spell for

which sickness benefit was last paid. The Sickness Benefit rate is 70% of the average daily

wages of an insured person w.e.f. 01.07.2011.

After exhausting the Sickness Benefit payable upto 91 days, an insured person if

suffering from Tuberculosis/Leprosy, mental and malignant diseases or any other specified

long-term disease, he is entitled to Extended Sickness benefit at a higher cash benefit at the

rate of 80% of average daily wage for a period of two years, provided he has been in

continuous service for a period of 2 years or more in a factory or establishment to which the

provisions of the Act apply and fulfills the contributory conditions. The list of these long-

term diseases is constantly reviewed and 34 diseases are included presently. The Director

General/Medical Commissioner have also been authorized to extend the benefit to many other

rare diseases.

Enhanced Sickness benefit is full average daily wages is also provided to insured

person eligible to sickness benefit, for undergoing sterilization operations for family planning,

for upto 7 days in case of vasectomy and upto 14 days for tubectomy, the period being

extendable in cases of post-operative complication etc.

(3) MATERNITY BENEFIT

Maternity Benefit implies periodical payment to an insured woman in case of

confinement or mis-carriage or sickness arising out of pregnancy, confinement, pre-mature

birth of child or mis-carriage. For entitlement to Maternity Benefit, the insured woman

should have contributed for not less than seventy days in the immediately preceding two

consecutive contribution periods with reference to the benefits periods in which the

56

confinement occurs or it is expected to occur. The daily rate of benefit is 100% of average

daily wages.

Maternity Benefit is payable for a maximum period of 12 weeks incase of

confinement, 6 weeks incase of mis-carriage and additional one month in case of sickness

arising out of pregnancy, confinement, pre-mature birth of child or miscarriage or medical

termination of pregnancy. Maternity Benefit continuers to be payable in the event of death of

an insured woman during her confinement or during the period of 6 weeks immediately

following her confinement leaving behind a child for the whole of that period, and if the child

also dies during the said period, until the death of the child.

(4) DISABLEMENT BENEFIT

In case of temporary disability arising out of employment injury, disablement benefit

is admissible to an IP for the entire period so certified by the Insurance Medical

Officer/Insurance Medical Practitioner for which the insured person does not work for

wages. The cash benefit is not subject to any contributory conditions and is payable at a rate

of 90% of the average daily wage. The temporary disablement benefit is however, not

payable for an employment injury resulting in incapacity for less then three days excluding

the date of accident.

Where the disablement due to an employment injury results in permanent, partial or

total loss of earning capacity, the periodical cash payments are made to the insured persons

for life depending on the loss of earning capacity as may be certified by a duly constituted

Medical Board. The cash benefit rate is revised periodically to protect against erosion in the

real value of rupee subject to availability of funds.

However, commutation of periodical payment is permissible where the permanent

disablement stands assessed as final and the daily rate of benefit does not exceed Rs.5/- per

day, and where Benefit rate exceeds Rs.5/- per day but commuted value does not exceed Rs.

30,000/- at the time of the commencement of final award of his permanent disability.

(5) DEPENDANTS’ BENEFIT

Periodical payments are paid to dependants of an insured person who dies as a result

of employment injury. The widow & widow mother receive monthly pension for life or until

re-marriage. An amount equivalent to 3/5 of dependent benefit rate is payable to the widow.

Widowed mother and each child also share among themselves an amount equivalent to 2/5th

of the disablement benefit. Son get benefit till 25 years of age, provided, incase of infirmity,

the benefit continues to be paid, till the infirmity lasts. Daughters are entitled to share

dependants benefit till marriage. However, it is subject to the condition that the total

dependants benefit distributed does not exceed, at any time, the full rate of disablement

benefit. In case it exceeds the above ceiling; the share of each of the dependants is,

proportionately reduced. In case the insured person does not leave behind any widow or child 57

or widowed mother, the benefit is payable to other dependants. The periodical increases in

amount of pension linked with the cost of living index is sanctioned from time to time to

compensate for loss of real value. The minimum amount of the periodical monthly payment

of Dependant benefit payable to all eligible dependents shall not be less than Rs.1200/- (Rs.

One thousand to hundred only) w.e.f. 01.03.2012

(6) FUNERAL EXPENSES

Funeral expenses upto a maximum of Rs.10,000/- w.e.f. 01.04.2011 on the funeral of

a deceased insured person are reimbursed. The amount is paid either to the eldest surviving

member of the family or in his absence to the person who actually incurs the expenditure on

the funeral.

(7) REHABILITATION ALLOWANCE

Rehabilitation allowance is paid to the insured persons for each day on which they

remain admitted in an Artificial limb centre at double the Standard Benefit rate.

(8) RAJIV GANDHI SHRAMIK KALYAN YOJANA (RGSKY)

Under Rajiv Gandhi Shramik Kalyan Yojana, which has been introduced w.e.f.

01.04.2005, unemployment allowance is paid to the insured person for a maximum period of

twelve months (w.e.f. 01.02.2009) who has been rendered unemployed involuntarily on

account of closure of factory/establishment, retrenchment or permanent invalidity not less

than 40% arising out of non-employment injury, in case contribution in respect of him/her

have been paid or payable for a minimum of three years (w.e.f. 11.09.2009) prior to the loss

of employment. The Insured Person and his/her family is also entitled to medical care for a

period of twelve months (w.e.f. 01.02.2009) from the date of unemployment. This allowance

shall cease to be payable in case the Insured Persons gets re-employment or attains the age of

superannuation or 60 years, whichever is earlier. Daily rate of Unemployment Allowance is

50% of average daily wages drawn by the IP/IW during the last four completed contribution

periods, immediately preceding the date of unemployment.

(9) CONVEYANCE ALLOWANCE TO PDB BENEFICIARIES

Under this Scheme, PDB beneficiaries are paid Rs. 100/- as conveyance allowance on their

personal visit to Branch Office for submission of life certificate once in a year.

58

Annexure-II

51(II). BENEFITS & CONTRIBUTORY CONDITIONS

(i) (a)

SICKNESS BENEFIT

Payment for atleast 78 days in the relevant contribution period

91 days in any two consecutive periods.

As at Annexure-II-A ( 70% of daily average wages)

(b) EXTENDED SICKNESS BENEFIT (for 34 specified long term diseases)

Continuous employment for a period of two years and contribution for 156 days in four consecutive contribution periods.

Two years 80% of daily average wages

(c) ENHANCED SICKNESS BENEFIT (for undergoing sterilization operation for family welfare.)

Same as for Sickness Benefit.

7 days for vasectomy and 14 days for tubectomy; extendable in cases in post operative complication etc.

100% of daily average wages

(ii) DISABLEMENT BENEFIT ( EMPLOYMENT INJURY)

(a) TEMPORARY DISABLEMENT BENEFIT

He/She should be an employee on the date of employment injury.

Till the incapacity lasts.

90% of the daily average wages

(b) PERMANENT DISABLEMENT BENEFIT

-do- For life Depends upon the loss of earning capacity of the workers which is determined by a Medical Board.

(iii) DEPENDANTS BENEFIT (Rule 58)

The deceased should be an employee on the date of fatal accident.

1. To widow/widows for life or until remarriage 2. To widowed mother during life. 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 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

90% of the daily average wages to be divided amongst the dependants in the prescribed ratio.

59

dependants for life or till marriage or upto the age of 18 years, as the case may be

(iv) MATERNITY BENEFIT

Payment of contribution for 70 days in immediately proceeding one or two consecutive contribution periods.

12 weeks of which not more than six 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.

100% of daily average wages.

(v) FUNERAL EXPENSES

He should be an insured person on the date of death.

Actual expenditure on funeral not exceeding Rs. 10,000/-w.e.f. 01.04.2011.

(vi) REHABILITATION ALLOWANCE

Entitlement to medical benefit or if disabled due to employment injury.

For each day on which insured person remains admitted in Artificial Limb-Centre for fixation/repair or replacement of artificial limb.

At 100% of daily average wages.

(vii) MEDICAL BENEFIT

No condition (insured person and his family is eligible from the date of entry of I.P. into insurable employment)

Till the disability/disease lasts.

Full medical care (all facilities including hospitalization) for I.P. and members of their family.

(viii) MEDICAL BENEFIT TO RETIRED/DISA BLED INSURED PERSONS AND HIS/HER SPOUSE

On payment of Rs.10/- p.m. in lump-sum for one year in advance (i) by insured persons who retire from insurable 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

Period for which contribution is paid. IPs are entitled for full medical care for self and spouse only, Period for which contribution is paid, till attaining the age of superannuation.

Full Medical care.

60

an employment injury.

(ix) CONFINEMENT EXPENSES

To an Insured Woman or an I.P. in respect of his wife incase facilities for confinement are not available in ESI Institutions.

Up to two confinements only w.e.f. 01.12.2008

Rs. 2,500/- per case.

(x) VOCATIONAL REHABILITATION ALLOWANCE SKILL DEVELOPMENT SCHEME UNDER R.G.S.K.Y.

Not more than 45 years of age and disability not le than 40% due to Employment Injury

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.

(xi) UNEMPLOYMENT ALLOWANCE

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

Maximum period of one year during life time w.e.f. 01.02.2009

about 50% of average daily wage.

(xii) VOCATIONAL REHABILITATION SKILL DEVELOPMENT SCHEME (UNDER RAJIV GANDHI SHRAMIK KALYAN YOJANA)

IP/IW should be in receipt of Unemployment Allowance under Rajiv Gandhi Shramik Kalyan Yojana

Short duration of ten weeks or other longer duration courses of upto six months at Advance Vocational Training Institutions.

Entire fee charged by the Institutions is to be paid by the Corporation. To and fro Rail/Bus fare to IP/IW who has to travel to attend the training programme at AVTIs as charged, is reimbursed.

(xiii) NEW ADDITION Conveyance Allowance

10. Conveyance Allowance to Permanent Disablement Benefit(PDB) beneficiaries-regarding

Under this Scheme, PDB beneficiaries are paid Rs. 100/- as conveyance allowance on their personal visit to Branch Office for submission of life certificate once in a year.

61

62

ANNEXURE – III

51(III) GENERAL INFORMATION REGARDING EMPLOYEES' STATE INSURANCE SCHEME

1. COVERAGE UNDER THE ESI ACT, 1948

(a) The Act was originally applicable to the factories using power and employing 20 or

more coverable employees; but it is now applicable to factories employing 10 or more persons

irrespective whether power is used in the manufacturing process or not.

(b) Under Section 1(5) of the Act, the Scheme has been extended to shops, hotels,

restaurants, cinemas including preview theatres, road motor transport undertakings and newspaper

establishments employing 20 or more coverable employees. Twenty One State Governments

(Andhra Pradesh, Assam, Tripura, Bihar, Chhatisgarh, Goa, Gujarat, Haryana, Jammu &Kashmir

Jharkhand, Karnataka, Kerala, Meghalaya, Orissa, Punjab, Rajasthan, Tamilnadu, Uttrakhand,

West Bengal, New Delhi & Pondicherry) have brought down the threshold for coverage of shops

and other establishments from 20 to 10 or more persons.

(c) The Scheme has further been extended under Section 1(5) of the Act to Educational

Institutions in States namely: Andhra Pradesh, Tripura, Bihar, Chhatisgarh, Goa, Gujarat,

Haryana, Jharkhand, Karnataka, Kerala, Orissa, Punjab, Rajasthan, Uttrakhand, West Bengal, New

Delhi, Pondicherry, Assam, Jammu & Kashmir, Madhya Pradesh, Tamil Nadu & Uttar Pradesh (22

States/UTs) and to Private Medical Institutions in the States of Andhra Pradesh, Tripura, Bihar,

Chhatisgarh, Haryana, Jammu & Kashmir, Jharkhand, Karnataka, Kerala, Orissa, Punjab,

Rajasthan, Tamilnadu, Uttrakhand, West Bengal, New Delhi, Assam, Himachal Pradesh, Madhya

Pradesh & Chandigarh (20 States/UTs).

(d) The existing wage-limit for coverage under the Act, is Rs. 15,000/-per month (w.e.f.

01/05/2010).

2. AREAS COVERED

The ESI Scheme is being implemented area-wise by stages. The Scheme has already

been implemented in different areas in the following States/Union Territories:-

(i) States: All the States except Manipur, Mizoram and Arunachal Pradesh.

(ii) Union Territories: Delhi, Chandigarh and Pondicherry except

Andaman & Nicobar.

2. RECENT INITIATIVES FOR IMPROVING THE SCHEME

COVERAGE

• Threshold for coverage of factories reduced from 20 to 10 or more persons

• Threshold for coverage of shops and other establishments also reduced from 20 to 10 in 15

States/UTs.

63

• The Scheme was extended to 68 areas covering 1.14 lakh employees during 2010-11 and to

60 areas covering 1.57 lakh employees during 2011-12. During the current years 2012-13, the

scheme has been extended to 55 areas covering 1.73 lakh employees upto 1-2-2013.

• Revenue income of the Corporation increased to Rs. 8393.55 crores in the year 2011-12 from

Rs. 6980.60 crores in 2010-11.

CASH BENEFITS

• Corporation disbursed Rs. 685.05 crores as cash benfits in the year 2011-12 as against

Rs. 496.56 crores in the year 2010-11.

• Daily rate of Sickness Benefit has been enhanced from 60% to 70% of average daily

wage. The daily rate of permanent disablement benefit and dependants benefit was

enhanced from 75% of wages to 90% of wages.

• The Corporation, in its meeting held in October 2012 decided to enhance the rates of

permanent disablement benefit and dependants benefit to protect the value of these

benefits against rise in the cost of living index.

• The Corporation, in its meeting held in October, 2012, also decided to enhance the

Confinement Expenses for confinement taking place outside ESI

Dispnensary/Hospital from Rs. 2500/- to Rs. 5000/-.

• The Corporation also decided to enhance the Limit for Daily rate of PDB for

Commutation.

• Payment of long-term benefits (PDB/DB) through Electronic Clearing System.

• Renovation of Branch Offices and dispensaries with provision all amenities for

visiting beneficiaries.

• Payment of Permanent Disablement Benefit within 3 days of Medical Board decision.

• Permanently disabled persons working in factories and establishments covered under

the ESI Act and drawing wages upto Rs. 25,000/- per month have been brought under

the scheme w.e.f. 01-04-2008. In order to encourage employment of disabled persons,

the employers’ share of contribution in respect of such disabled employees will be

paid by the Central Government for initial three years.

64

ANNEXURE-IV

51(IV) REVENUE & EXPENDITURE OF CORPORATION

1. Revenue of ESI Corporation Amount (Rs. in lakhs)

Actual from 1.4.2012 to 30.9.2012 4,019,34.92

Revised Estimates for 2012-2013 9,332,68.30

Budget Estimates for 2013-2014 10,140,81.00

2. Total Expenditure (Revenue Account)

Actual Expenditure from 1.4.2012 to 30.9.2012 2,253,23.08

Revised Estimates for 2012-2013 5,894,71.00

Budget Estimates for 2013-2014 7,119,18.00

3. Total Expenditure (Capital Account) (Excluding Staff Cars)

Actual Expenditure from 1.4.2012 to 20.10.2012 833,72.00

Revised Estimates for 2012-2013 2,542,85.00

Budget Estimates for 2013-2014 2,504,00.00

65

66

ANNEXURE-V

51(V) STATISTICAL DATA REGARDING ESI SCHEME (ALL INDIA)

ALL INDIA Sl. No. Heads As on 31.03.2011 As on 31.03.2012 1 No. of Employees covered 154.28 Lakhs 163.49 Lakhs 2 No. of I.P's Covered 155.3 Lakhs 171.01 Lakhs 3 No. of Beneficiaries 602.57 Lakhs 663.52 Lakhs

4 No. of Centres 790 807

67

68

Annexure-VI

51(VI) PROGRESS MADE UNDER ISM/AYUSH AS ON 01.01.2013

ESI Corporation, a premier Social Security Organization has been providing full medical care

to its beneficiaries. Along with the Allopathic system of medicine, the ESI Corporation has been

giving importance to promote AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy) facilities in

ESI Scheme in various States. AYUSH facilities have been developed in a phased manner all over the

country.

In this regard the ESI Corporation has taken several steps for strengthening of AYUSH/ISM

services, the details are as under:

1. For encouraging the State Governments for setting up of AYUSH units, in the 134th meeting

of the ESIC Corporation held on 21/12/2005, it has been approved to bear the entire

expenditure on setting up of ISM units in all states for the first five years by ESIC

Corporation instead of three years.

2. The following new AYUSH Units have been approved by ESIC in 2012.

i) 11 new Ayurvedic and 11 Homeopathy units have been opened in ESI scheme in

Andhra Pradesh in April 2012.

ii) Approval has been granted for opening of 2 Ayurvedic units in ESI scheme in Haryana

in September 2012.

iii) Approval has been granted for opening of 19 AYUSH units in ESI scheme in Tamil

Nadu in October 2012.

3. For providing timely and good quality medicines, the ESIC has formulated

Central Ayurvedic Rate Contract Ay.-5.

4. For strengthening/enhancing of AYUSH services, norms were approved for provision of staff

(Physicians and Pharmacists) for setting up of AYUSH units in ESI hospitals/dispensaries in

the 9th meeting of Sub-Committee of ESIC on AYUSH/ISM held on 06/04/2011.

5. For popularization of AYUSH facilities, ESIC has participated in exhibitions/health melas

and publicity material like posters; pamphlets etc., related to AYUSH were

distributed/displayed in the exhibition. The exhibitions/health melas are also organized at the

level of hospitals/dispensaries for popularization of AYUSH.

6. Details of AYUSH/ISM facilities under ESI Scheme is enclosed as Annexure- A

69

70

Annexure - A

STATUS REPORT ON AYUSH

STATEMENT SHOWING FACILITIES PROVIDED IN ISM (OTHER THAN ALLOPATHY)

i.e. (AYUSH) AYURVEDIC, YOGA, UNANI, SIDDHA & HOMEOPATHY IN THE VARIOUS

STATES OF THE COUNTRY AS ON 01/01/2013 in ESIC/ESIS.

A) AYURVEDIC

Sr. No. State No. of units in

Disp./Hospitals

No. of Ayurvedic

Physician

No. of beds in

hospitals

1. Andhra Pradesh 13 14 -

2. Assam 1 1 02

3. Bihar 3 3 -

4. Chandigarh 2 2 -

5. Delhi 12 10+2* 30

6. Goa 1 1 -

7. Gujarat 41 45 27

8. Haryana 3 3 -

9. Himachal Pradesh 1 1 -

10. Jammu & Kashmir 1 1 02

11. Jharkhand 2 2 -

12. Karnataka 2 3 -

13. Kerala 15 16 40

14. Madhya Pradesh 01 01 -

15. Maharashtra

Mumbai

Nagpur

01

02

01

03

-

-

16. Orissa 2 2 02

17. Punjab 07 07 10

18. Rajasthan 02 02 -

19. Tamil Nadu 04 05 25

20. Uttar Pradesh 13 10 -

21. Uttrakhand 02 02 -

22. West Bengal 7 5 -

• One posted in Hqrs. Office and One in Central Store.

71

Panchkarma Therapy:

• Rohini – Delhi

• Bapu Nagar, Ahmadabad & 8 ESI Scheme Hospital in the State of Gujarat

• Lucknow (U.P.)

• K.K. Nagar, Chennai

Kshar Sutra

• Okhla, Delhi

• Bapunagar, Ahmadabad

• Lucknow (U.P.)

• Bari Brahmana, Jammu

B) YOGA

Sr.

NO.

STATE NO. OF YOGA CENTRES

1. ANDHRA PRADESH 01

2. ASSAM 01

3. BIHAR 01

4. CHANDIGARH 01

5. DELHI 27 (including 4 yoga centers in ESIC hospitals in Delhi)

6. GUJARAT 10

7. HIMACHAL PRADESH 01

8. JHARKHAND 01

9. KARNATAKA 01

10. KERALA 01

11. ORISSA 01

12. PUNJAB 06

13. TAMIL NADU 09

14. UTTAR PRADESH 02

C) UNANI

Sr. No. State No. of Units

Disp./Hospitals

No of Unani

Physician

No. of beds in

Hospitals

1. Bihar 1 1 -

72

D) SIDDHA

Sr. No. State No. of Units

Disp./Hospitals

No of Siddha

Practitioners

No. of beds in

Hospitals

1. Tamil Nadu 8 8 32

E) HOMEOPATHY

Sr. No. State No. of units in

Disp./Hospitals

No. of

Homeopathic

Physician

No. of beds in

hospitals

1. Andhra Pradesh 12 13 -

2. Bihar 1 1 -

3. Chandigarh 01 01 -

4. Delhi 8 8 -

5. Goa 1 2 -

6. Himachal Pradesh 1 1 -

7. Kerala 14 14 5

8. Punjab 07 07 -

9. Rajasthan 2 2 -

10. Tamil Nadu 01 01 -

11. Uttar Pradesh 14 18 -

12. West Bengal 6 6 -

AYUSH FACILITIES AVAILABLE IN ESIC HOSPITALS IN THE STATES

SI.

No.

Name of the ESI Model Hospital Ayurveda Yoga Homeopathy

1. Adityapur, Jharkhand OPD available - -

2. Andheri, Mumbai OPD available - -

3. Ashramam Kollam, Kerala OPD available Available Available

4. Baddi, Himachal Pradesh OPD available Available Available

5. Bapu Nagar, Gujarat OPD available Available -

6. Basaidarapur, Delhi OPD available Available Available

7. Belatola, Assam OPD Available Available -

8. Bharatnagar, Ludhiana (Punjab) OPD available - Available

9. Bhiwadi, Rajasthan OPD available - Available

10. Chandigarh, Punjab OPD available Available Available

11. Ezhukone, Kerala OPD available Available -

73

12. Gurgaon, Haryana OPD available - -

13. Jaipur, Rajasthan OPD available - Available

14. Jammu, Bari Brahamna OPD available - -

15. Jhilmil, Delhi OPD available Available Available

16. Joka, West Bengal OPD available - -

17. K.K. Nagar, Chennai OPD available Available -

18. Manesar, Haryana OPD available - -

19. Nacharam, Andhra Pradesh OPD available Available -

20. Namkum Ranchi, Jharkhand OPD Available Available -

21. Nandanagar, Indore (MP) OPD available Available -

22. Noida, Uttar Pradesh OPD available Available Available

23. Okhla, Delhi OPD available Available Available

24. Parippally, Kerala OPD available - -

25. Phulwari Sharif, Patna (Bihar) OPD available Available -

26. Rajajinagar, Bangalore OPD available Available -

27. Rohini, Delhi OPD available Available Available

28. Rourkela, Orissa OPD available Available -

29. Udyogmandal, Kerala OPD available - -

30. Vapi, Gujarat OPD available - -

31. Trinalveli, Tamilnadu - - -

32. Peenia, Karnataka - - -

33. Sanath Nagar, Andhra Pradesh - - -

34. Naroda, Gujarat - - -

74

26. RATE CONTRACT CELL

Procurement of Drugs

ESI Corporation formulates annual Rate Contract for supply of commonly used and life

saving drugs & dressings manufactured by leading pharmaceuticals firms to ESI Hospitals &

Dispensaries all over the country. The RC Cell in Hqrs. Office finalizes Rate Contract, monitors

supply and quality of drugs simultaneously also initiates action against Rate Contract holders who are

not performing as per the laid down terms & conditions. To ensure the quality of drugs, ESIC has laid

down certain eligibility criteria to participate in the Tender, i.e., a pharmaceutical firm having a

minimum turnover of Rs. 20 crores for formulations in each of the last three years, three years

manufacturing and marketing experience of the quoted product and also Good Manufacturing

Practices certificate (GMP) / WHO GMP / Regd. With DGQA.

ISO Certification of the ESIC Hospitals

Sl. No.

Place of the ESIC Hospital Date of Certification

Type of certification

1. Basaidarapur, New Delhi 04.12.2009 9001:2008 2. Rohini, Delhi 24.03.2011 9001:2008 3. Chandigarh 20.02.2008 9001:2000 4. Jhilmil, Delhi 12.05.2011 9001:2008 5. Bari Brahma, Jammu 25.04.2011 9001:2008 6. Noida, UP 09.09.2011 9001:2008 7. Okhla, Delhi 07.10.2011 9001:2008 8. Ludhiana, Punjab 27.10.2011 9001:2008 9. Bapu Nagar, Ahemdabad 13.12.2008 9001:2008 10. Rajaji Nagar, Bangalore 12.02.2009 9001:2008 11. K.K. Nagar, Chennai 13.11.2010 9001:2008 12. Joka, Kolkata 13.07.2010 9001:2008 13. Jaipur, Rajasthan 20.05.2009 9001:2008 14. Andheri, Mumbai 11.06.2009 9001:2008 15. Kollam, Kerala 27.06.2009 9001:2000 16. Rourkela, Orissa 12.06.2012 9001:2008 17. Ranchi, Bihar 31.07.2009 9001:2000 18. Beltola, Guwahati, Assam 10.05.2010 9001:2008 19. Nacharam, Hyderabad 20.07.2012 9001:2008 20. Phulwari Sharif Patna 03.07.2010 9001:2008 21. Adityapur, Jharkhand 20.11.2010 9001:2008 22. Naroda, Ahmedabad 20.03.2011 9001:2008 23. Gurgaon,Haryana 25.03.2011 9001:2008

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