ESIC eases conditions for women to avail sickness benefit

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The ESIC on Monday decided to give relaxation in contributory conditions to avail sickness benefit to the insured women availing maternity benefit.

NEW DELHI :
The Employees State Insurance Corporation (ESIC) on Tuesday took steps, akin to enjoyable contributory conditions for insured women to avail sickness benefit and choice to arrange extra hospitals, for enhancing supply of providers for insured individuals underneath its medical insurance scheme.

“The Employees’ State Insurance Corporation (ESIC), during its 184th meeting held on February 22, 2021, under the chairmanship of Santosh Kumar Gangwar, Minister of State for Labour and Employment (Independent Charge)…has taken several significant decisions to improve its service delivery mechanism and to strengthen the medical infrastructure benefiting its insured workers,” the labour ministry mentioned in an announcement.

The ESIC on Monday determined to give leisure in contributory conditions to avail sickness benefit to the insured women availing maternity benefit.

After the enhancement in period of maternity benefit to 26 weeks from 12 earlier, in some circumstances insured women weren’t eligible to avail sickness benefit within the corresponding benefit interval after availing maternity benefit. This is as a result of the necessary contributory conditions of minimal 78 days weren’t met being the insured women underneath receipt of maternity benefit and depart.

In such circumstances, it has been now determined that an insured women will likely be certified to declare sickness benefit within the corresponding benefit interval if the contribution in her respect have been paid or payable for not lower than half the variety of days out there for working in such shorter contribution interval, it mentioned.

The leisure will likely be efficient from January 20, 2017, the date from which the improved period of maternity benefit is efficient.

The ESIC additionally gave leisure in contributory conditions to avail sickness and maternity advantages for the benefit interval of January to June this yr.

The nation was positioned into lockdown in March 2020 to curb the unfold of the COVID-19 pandemic, which resulted within the closure of factories/institutions for a number of months. It resulted in non-entitlement to avail sickness and maternity advantages for many insured individuals and women because the necessary days of contribution couldn’t be met.

The ESIC has now determined to lengthen the reduction to the insured individuals (IPs) by enjoyable the contributory conditions for availing the sickness and maternity advantages for the benefit interval of January 1, 2021 to June 30, 2021, it mentioned.

Now, an insured girl (IW) will likely be entitled to avail maternity benefit, if the contributions in respect of her have been payable not lower than 35 days in instantly previous two consecutive contribution intervals.

In case of IPs or IWs appointed earlier than the contribution interval April-September 2020, the eligibility situation to avail sickness benefit will likely be selected the idea of their contribution within the earlier contribution interval (September 2019-March 2020).

However, the IPs or IWs appointed through the contribution interval (April-September 2020) will likely be eligible for sickness benefit within the benefit interval of January-June 2021 if contribution in respect of them have been payable for not lower than half the variety of days out there for working to them through the contribution interval (April-September 2020).

The ESIC has determined to assemble a 300-bed hospital, together with 50 superspecialty beds at Haridwar, Uttarakhand. The hospital will present medical care providers to round 2.55 lakh insured staff and their relations.

The ESIC has additionally determined to assemble 350-bed hospital at Vishakhapatnam, Andhra Pradesh. The proposed hospital, after development, will present medical providers to round 14 lakh beneficiaries coated underneath the ESI scheme in Vishakhapatnam and surrounding areas.

The ESIC has additionally determined institution of a unfavourable stress ICU (intensive care unit) at ESIC Super Specialty Hospital & Medical College at Hyderabad, Telangana. The choice to set up the unfavourable stress ICU at ESIC Super Specialty Hospital and Medical College at Hyderabad, Telangana, was additionally taken through the assembly.

The institution of the unfavourable stress ICU will lower the burden of an infection to the healthcare staff and also will lower secondary infections to different critically sick sufferers admitted within the ICU.

The ESIC has additionally authorized the revised estimates and finances estimates for the yr 2020-21 and 2021-22, and efficiency finances for the yr 2021-22 through the assembly.

Besides these, round 25 different agenda gadgets pertaining to enchancment in service supply mechanism have been additionally reported and authorized by the ESIC.

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