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Overview

                The Employees’ State Insurance Corporation (ESIC) is a self-financing social security and health insurance scheme for Indian workers. It is managed by the Employees’ State Insurance Corporation, an autonomous body under the Ministry of Labour and Employment. The ESIC provides medical care and financial benefits to employees in the event of sickness, maternity, disablement, and death due to employment injury.

Why ESIC is Important?

Health Benefits

            Provides comprehensive medical care for insured persons and their families.

Monetary Benefits

            Includes sickness benefits, maternity benefits, and compensation for injury or disability.

Social Security

            Acts as a safety net for employees, offering financial protection during periods of illness or injury.

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Retirement Security

            Includes pension benefits for permanent disablement and dependent family members in case of the insured’s death.

Who Needs to Contribute to ESIC?

Employers

           Companies with 10 or more employees (20 in some states) must contribute to the ESIC scheme.

Employees

           Employees earning up to ₹21,000 per month (₹25,000 for disabled employees) are mandatorily covered under ESIC.

Benefits of ESIC

Medical Benefits

           Comprehensive medical care for insured employees and their families.

Sickness Benefits

           Employees receive a cash benefit during periods of certified illness, up to 70% of wages for a maximum of 91 days.

Maternity Benefits

           Paid maternity leave for female employees for up to 26 weeks.

Disablement Benefits

           Compensation for temporary or permanent disablement due to an employment injury.

Dependents' Benefits

           Monthly pension to dependents in case of death due to employment injury or occupational hazards.

Funeral Expenses

           A lump sum payment to dependents for funeral expenses.

Eligibility for ESIC

Employees

           Any employee earning a gross salary of up to ₹21,000 per month (₹25,000 for disabled employees) is eligible for ESIC coverage.

Employers

           Companies with 10 or more employees (20 in some states) must enroll their eligible employees in ESIC.

Documents Required for ESIC Registration

$

Aadhar Card of Employees

$

PAN Card of the Employer

$

 Bank Account Details

$

Address Proof of the Company

$

List of Employees with Salary Details

$

Employer’s Registration Certificate 

Steps to Register for ESIC Online

Visit the ESIC Portal

           Go to [www.esic.in](https://www.esic.in) and create an employer login.

Employer Registration

           Register the company by providing necessary details such as establishment name, address, bank details, and employee details.

Employee Registration

           Register the eligible employees under the scheme by providing their personal details and generating the employee’s insurance number.

Contribution Payment

           Calculate the employer and employee contributions (employer 3.25% and employee 0.75% of wages) and submit the contributions monthly via the ESIC portal.

Issue of ESIC Cards

           Employees will be issued an ESIC card, which they can use to avail of benefits.

FAQs on ESIC

1. What is the contribution rate for ESIC?

           Employers contribute 3.25% of the employee’s gross wages, while employees contribute 0.75%.

2. Who is eligible for ESIC benefits?

          Employees earning a gross salary of ₹21,000 or less per month (₹25,000 for disabled employees) are eligible for ESIC coverage.

3. Can an employee opt-out of ESIC?

          No, ESIC is mandatory for eligible employees as per the provisions of the ESI Act.

4. What medical benefits are provided under ESIC?

          ESIC covers full medical care, including outpatient services, hospitalization, and specialist services for employees and their families.

5. How long do ESIC benefits last?

          Medical benefits continue even after retirement or cessation of employment under certain conditions, such as when the employee has contributed for at least five years.

6. Is ESIC applicable to all companies?

          ESIC is applicable to companies with 10 or more employees (20 in some states), covering eligible employees with gross wages up to ₹21,000 per month.

7. What is the wage limit for ESIC contribution?

          The wage limit for ESIC contribution is ₹21,000 per month, except for disabled employees, where the limit is ₹25,000.

8. What happens if ESIC contributions are not paid on time?

          Late payments may attract interest, penalties, and even prosecution under the ESI Act.

9. How can an employee avail of medical treatment under ESIC?

          An employee can use their ESIC card at any ESIC dispensary or hospital to receive medical treatment.