The Employees’ State Insurance Corporation has invited comments and suggestions on Draft Employees’ State Insurance (General) Amendment Regulations, 2025 (“Draft Amendment”) to further amend the Employees’ State Insurance (General) Regulations, 1950 (“Principal Regulations”) by 4th May, 2025. The proposed amendment inserts a new regulation for providing medical benefit to retired beneficiaries.
The objections and suggestions, if any, may be addressed to Shri Deepak Joshi, Insurance Commissioner (Benefit) Employees’ State Insurance Corporation, Panchdeep Bhawan, C.I.G. Marg, New Delhi- 110002 (email: ac-benefit@esic.nic.in).
Key Proposal of the Draft Amendment:
The Draft amendment proposes to insert a new regulation i.e. Regulation 103AA in the Principal Regulations to provide medical benefit to retired beneficiaries. It states that an employee in respect of whom contribution is or was payable for not less than five years after 01.04.2012 and who subsequently ceased to be covered under the Act due to exceeding the wage limit, superannuating on attaining the age of superannuation, retiring under a Voluntary Retirement Scheme or taking premature retirement with wages up to rupees thirty thousand per month on or after 01.04.2017, will be eligible to receive medical benefit for self and his/her spouse.
This will be subject to the following conditions:
- the fulfilment of other conditions of the scheme notified by the Corporation
- production of certificate from the employer in the form which may be specified by the Director General for the purpose.
- the payment of contribution at the rate and manner as notified in the scheme by the Corporation.
Source: Employees’ State Insurance Corporation
