The Employees’ State Insurance Act,1948- Defined

The Employees’ State Insurance Scheme is an integrated measure of Social Insurance embodied in the Employees’ State Insurance Act. It aims to protect employees , as defined in the Employees’ State Insurance Act, 1948, against the impact of incidences of sickness, maternity, disablement, and death due to employment injury and to provide medical care to the insured persons and their families.

Compliances

Applicability

  • All States in India except for Nagaland, Manipur, Sikkim, Arunachal Pradesh, and Mizoram.
  • Applicable to Delhi, Chandigarh, and Puducherry.
  • Applicable to non-seasonal factories employing 10 or more persons.
  • The scheme has been extended to shops, hotels, restaurants, cinemas (including preview theatres), road-motor transport undertakings, and newspaper establishments employing 20* or more persons.
  • The scheme has been extended to private medical and educational institutions employing 20* or more persons in certain States/UTs.
  • The existing wage limit for coverage under the Act is Rs. 21,000/- per month ( w.e.f. 01.01.2017).

References

Acts & Amendments

Introduction of New Payment Mode for ESI Main Codes and Sub Codes

Press Information Bureau announces the enhanced wage limit ceiling for ESI as Rs. 21,000, from Rs. 15,000

Amendment ESI Draft Rules - 6th October 2016 - ESI coverage wage limit will be increased from 15000 to 21000

Amendment - 6th October 2016 - Revised ESI Maternity Leave from 12 weeks to 26 weeks

Amendment - 6th September 2016 - Revised ESI coverage limit

Amendment - 25th July 2016 - Gazette notification New ESI Rule for areas using ESI for the first time 2016

Bare Act

Useful Links

ESI Benefits

Employer Handbook - ESI

Employee Handbook - ESI

ESI Rules (Central)

ESI Regulations (General)

ESI FAQs

Relief to the workers affected due to COVID-19 pandemic

If you have questions related to The Employees’ State Insurance Act,1948, ask here.

3 Likes

Hi All,

A very detailed article on ESI Act. Very helpful for us, use as a bookmark.

I was looking for details on claim form for maternity benefits and found this article. Thanks team :+1:

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Greetings,

If the employee of Maharashtra state has
Basic + DA = 17084
Basic + DA + other allowances = 29546

Then the employee is covered under ESIC or not?

1 Like

Dear Team, @Megha22

Not covered

1 Like