Hello Auditor

What are the timelines for benefit disbursement?

Sickness Benefit

  • Payment is generally made within 7 days from submission of complete claim.
  • Claim must be supported with medical certification and leave details.
  • Benefit is disbursed biweekly for the certified period of sickness.
  • Employee must submit claims within 3 days of commencement of leave.
  • Delay in claim filing may affect timely payment processing.

Maternity Benefit

  • Disbursement usually starts within 14 days of claim submission.
  • Payment is made in advance or in installments during the leave period.
  • Supporting documents include confinement proof and employer certificate.
  • The benefit is payable for a maximum of 26 weeks for normal delivery.
  • Timely employer verification helps expedite the process.

Temporary Disablement Benefit

  • Disbursed within 15 days from the date of receipt of complete claim.
  • Requires injury report and medical certificate from ESIC-authorized doctors.
  • Payments continue during the entire certified disablement period.
  • Claims should be filed within 3 days of accident or injury.
  • Employer’s prompt reporting of the incident accelerates disbursement.

Dependent Benefit

  • Payment is generally made within 30 days after claim submission.
  • Requires death certificate, wage proof, and dependent verification.
  • Regular monthly pensions may follow initial lump sum disbursement.
  • Employer should assist dependents with the correct filing process.
  • Delay in documentation may postpone benefit release.

Funeral Expenses Benefit

  • Paid within 15 days of receiving the claim and supporting documents.
  • Fixed amount is paid to the person who incurs the funeral expenses.
  • Requires death certificate and claimant identification proof.
  • Employer may help by providing confirmation of employment status.
  • Timely submission ensures faster reimbursement of funeral cost.

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