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Benefits under the ESI Scheme
The section 46 of the Act envisages following six social security benefits :-

In addition, the scheme also provides some other need based benefits to insured workers.

These includes :

  1. Rehabilitation Allowance
  2. Vocational Rehabilitation
  3. Unemployment Allowance

An interesting feature of the ESI Scheme is that the contributions are related to the paying capacity as a fixed percentage of the workers wages, whereas, they are provided social security benefits according to individual needs without distinction.

Cash Benefits are disbursed by the Corporation through its Branch Offices and Pay Offices, subject to certain contributory conditions.

BENEFITS UNDER THE E.S.I. SCHEME AND CONTRIBUTORY CONDITIONS ETC.

BENEFITS

CONTRIBUTORY CONDITIONS

DURATION

RATE OF PAYMENT

SICKNESS
BENEFIT

On payment of contribution for not less than 78 days in the relevant contribution period

Upto 91 days in any two consecutive benefit periods in the event of sickness

50 % of the wages (approx.)

 (a)  Extended 
 Sickness  Benefit (For 34 specified long-trm diseases)

 Continuous employment for a period of two years

124/309 days, which may be extended upto Two years on medical advice during a period of three years

70 % of the wages (approx.)

(b)Enhanced
Sickness Benefit

(For Tubectomy/ Vasectomy operations)

Same as against (I) above

14 days for tubectomy extendable on medical advice. 7 days for vasectomy    

Full  wages (approx.)

DISABLEMENT BENEFIT

No Condition

As   long   as   temporary disablement   lasts   and for    life,    in    case   of permanent  disablement

70% of wages for TDB & proportionate to loss of earning capacity for permanent disability.

DEPENDANTS’ BENEFIT

No Condition

For life, to the widow /
widowed mother or until her re - marriage and to
each legitimate or adopted son until eighteen years of age and in case of unmarried daughter until she attains 18 years of age or marriage, whichever is earlier

 

proportionate rate based on 70% of the wages. (approx)

MATERNITY BENEFIT

Payment of contribution for 70 days in two preceding consecutive contribution
periods

12 weeks in case of normal delivery

Full wages (approx.)

MEDICAL BENEFIT Insured Persons/families eligible from the date of entry into insurable employment. Medical Benefit is also available against a monthly contribution of Rs. 10/- to;

(a) Retired Insured Persons (and their spouses) with a minimum of 5 years service.

(b) Disabled Insured Persons (due to Employment Injury) and their spouses, till the age of super-annuation.
 
Till the temporary disability/disease lasts.

Period for which, contribution is paid.

Period for which, contribution is paid, till attaining the age of super-annuation
Full medical care for Insured Persons, Families are provided full/expanded/restricted medical facilities depending on the facilities extended to the centre.
Funeral Expenses No condition Not Applicable Actual funeral expenses subject to a maximum of Rs. 2,500.00
Rehabilitation Allowance No condition For the period an Insured Person remains admitted in an artificial limb centre 50% of the wages (approx.)
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