Employees State Insurance Act, 1948

  • Assessing the applicability of the enactment
  • Preparing and submitting the application with the required documents for new coverage as well as for sub-code
  • Completing the online coverage application
  • Helping to complete the inspection / assessment for coverage purposes
  • Obtaining the registration / code number for new coverage
  • Preparation of monthly challans
  • Obtaining the insurance number of all the coverable employees
  • Completing and submitting the half yearly returns in Form no. 5
  • Advising the employees for obtaining bio-metric cards and for claiming various benefits like cash benefits for sickness, maternity, accident, funeral, super medical benefits etc. available under ESI scheme
  • Advising on coverage of contractors workmen
  • Attending the regular inspection
  • Making correspondence with the department for contesting the claim

Enactments


Brief detail of the enactment
  • This is central enactment. It deals with the medical facilities to the employees and it’s families. It also deals with the accidental, maternity, funeral etc. benefits. It also provides reimbursements of wages in case of sickness. There are super specialty medical benefits like cancer, heart etc. treatment available.
Applicability
  • All factories employing 10 or more persons
  • Shops & commercial establishments employing 20 or more coverable employees
Employee’s eligibility
  • Employee (Direct / Contractual) who’s wages / salary rate is upto Rs.15,000/- pm
  • Disabled employee who’s wages / salary rate is upto Rs. 25,000/- pm
Contributions
  • 1.75% from employees and 4.75% from employer on gross earned wages
Liabilities & consequences
  • Employer is liable for both the shares of past periods
  • Contractor’s employees liability is on principal employer
  • Delay / Defaults in payments of contributions and charges leads to levy of damages, interest
  • Provisions of imprisonment and fine are there
  • Time barred for more than 5 yrs.

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