Confirm eligibility for sickness benefit

• Ensure the insured person has paid contributions for at least 78 days in two consecutive contribution periods.
  
• The employee must have a valid IP number and active status in the ESIC system.
  
• Sickness must be certified by an ESIC-authorized medical officer or doctor.
  
• The benefit is payable only for certified days of illness.
  
• The insured person should not be receiving wages during the leave period.
  

Visit an ESIC dispensary or hospital

• The insured person must report to the nearest ESIC dispensary or designated medical facility.
  
• Consultation must be done with an ESI-affiliated doctor for diagnosis and treatment.
  
• The doctor will examine and issue a medical certificate or “sickness certificate”.
  
• This certificate specifies the number of days the employee is unfit to work.
  
• The certificate must be preserved and submitted for claiming benefits.
  

Submit Form 9 and medical certificate

• Fill out Form 9 (claim form for sickness benefit) with the insured person’s details.
  
• Attach the medical certificate issued by the ESIC doctor.
  
• Submit both documents to the nearest ESIC branch office within the prescribed time.
  
• The documents may also be submitted through the employer.
  
• Multiple certificates must be submitted if the illness period is extended.
  

Await verification and approval

• ESIC will verify the claim based on the contribution status and medical advice.
  
• If approved, the sickness benefit is processed and sanctioned.
  
• Any discrepancies or missing documents may lead to delays or rejections.
  
• The employee may be called for a follow-up or verification visit.
  
• Notifications of approval or rejection may be shared through post or in person.
  

Receive benefit payment

• Once approved, the benefit is disbursed directly into the employee’s registered bank account.
  
• The sickness benefit is paid at 70% of average daily wages for the certified period.
  
• Payment is typically made in bi-weekly installments for long-term sickness.
  
• Retain bank receipts and acknowledgment for future reference.
  
• Continue submitting follow-up certificates if the illness persists.