ESIC proposes to refer beneficiaries to tie-up hospitals under Employees’ State Insurance (General) Regulations, 1950 ; expenditure of such treatment to be directly borne by ESIC

The Employee State Insurance Corporation (“ESIC”), in a recent notification has proposed to amend the Employees’ State Insurance (General) Regulations, 1950 and insert a new Regulation 96C (“New Regulation”). The New Regulation states that the Corporation or the State Government may refer a beneficiary of ESIC to tie-up arranged medical facilities where the cost for availing medical treatment from such medical facilities will be directly borne by the ESIC till fund permits, subject to following conditions:

  • The insured person should have completed a minimum of six months of insurable employment from the date of registration and have contributed not less than seventy -eight days in the relevant contribution period including in which registration was made.
  • Where the facility has been extended to the family members, an insured Person should have completed a minimum of one year of insurable employment and have contributed for not less than seventy -eight days in each of the two contribution period and such benefit will be available to an insured person or a beneficiary in the corresponding benefit period.

Comments and suggestions are invited till 26th December, 2018 to be addressed to Shri S. Ravichandran, Additional Commissioner (P&D), Employees’ State Insurance Corporation, at Panchdeep Bhawan, C.I.G. Marg, New Delhi-110002 or via e-mail at : dir-pnd@esic.nic.in .

SourceEmployee State Insurance Corporation

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