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8 Jul 2023

ESI fullform, eligibility and benefits

The primary objective of ESI is to provide social security and health insurance coverage to employees working in certain specified sectors and their dependents.


What is ESI full form?

ESI stands for the Employees' State Insurance.

What is ESI?

It is a self-financing social security and health insurance scheme provided by the Employees' State Insurance Corporation (ESIC), which is a statutory body under the Ministry of Labour and Employment, Government of India.

The Employees' State Insurance Act, 1948, governs the ESI scheme in India. The primary objective of ESI is to provide social security and health insurance coverage to employees working in certain specified sectors and their dependents.

Under the ESI scheme, both the employer and employee contribute a percentage of the employee's wages towards the ESI fund. The employer is responsible for deducting the employee's contribution from their salary and contributing the employer's share as well. These contributions are used to provide employees with medical, sickness, maternity, and other benefits.

What are benefits of ESI scheme?

The ESI scheme provides the following benefits to eligible employees and their dependents:

  1. Medical Benefits: ESI provides comprehensive medical care to insured employees and their family members. This includes outpatient treatment, specialist consultations, diagnostic tests, medicines, hospitalization, surgeries, and more.
  2. Sickness Benefits: Insured employees are entitled to cash benefits during periods of sickness. The benefit is provided in the form of a fixed percentage of wages paid during the sickness period.
  3. Maternity Benefits: Female employees are eligible for maternity benefits, including paid leave during pregnancy and childbirth, as well as medical expenses related to maternity.
  4. Disablement Benefits: In case of temporary or permanent disablement due to an employment-related injury or illness, insured employees receive cash benefits.
  5. Dependent Benefits: If an insured employee dies due to an employment-related injury or illness, the dependents are eligible for a monthly pension.
  6. ESI coverage is mandatory for employees earning up to a specified wage limit and working in establishments with a minimum prescribed number of employees. The specific wage limit and other criteria for coverage may vary from time to time as per government regulations.
  7. Employers are responsible for registering their employees under the ESI scheme, making timely contributions, and ensuring compliance with ESI regulations.

Overall, the ESI scheme in India aims to provide social security and health insurance benefits to employees and their dependents, ensuring access to medical care and financial support during times of need.

What is the eligibility for ESI Registration in India?

In India, certain criteria determine the eligibility for ESI (Employees' State Insurance) registration. The ESI Act, 1948, mandates the following conditions for an establishment to be eligible for ESI registration:

  1. Employee Strength: The ESI Act applies to establishments that employ ten or more employees. In some states, the threshold limit is 20 employees. However, certain establishments, such as those engaged in specific industries or notified areas, may require registration regardless of the number of employees.
  2. Salary/Wage Limit: Employees earning wages up to a specified limit are eligible for ESI coverage. Currently, the wage limit is Rs. 21,000 per month (as of September 2021). This means that employees earning wages up to Rs. 21,000 are covered under the ESI scheme.
  3. It's important to note that the wage limit is subject to revision by the government, and you should verify the current limit at the time of registration.
  4. Geographic Scope: The ESI Act applies to establishments located in implemented areas. The Act is implemented by the Employees' State Insurance Corporation (ESIC), and specific areas and regions are notified by the ESIC for the applicability of the ESI scheme.

It's essential to check whether the establishment is located in an implemented area or zone where the ESI Act is in force.

If an establishment meets the above eligibility criteria, it is required to register under the ESI Act within 15 days of becoming eligible.

Once registered, the employer is responsible for deducting the employee's contribution from their wages and contributing the employer's share as well. These contributions are then deposited with the ESIC.

It's important to consult the official website of the Employees' State Insurance Corporation (ESIC) or seek professional advice to ensure accurate and up-to-date information regarding ESI eligibility criteria and registration process, as these requirements may be subject to changes or specific exemptions based on the nature of the establishment and prevailing government regulations.

What are the ESI contribution rates?

The ESI contribution rates in India are determined based on the wages/salary earned by employees. Both employers and employees make contributions to the Employees' State Insurance (ESI) scheme. As of my knowledge cutoff in September 2021, the contribution rates are as follows:

Employer's Contribution:

  • The employer's contribution rate is 4.00% of the employee's wages/salary.
  • Out of this 4.00%, 3.25% is allocated towards the Employees' State Insurance (ESI) fund, and 0.75% is allocated towards the Employee Deposit Linked Insurance (EDLI) scheme.

Employee's Contribution:

  • The employee's contribution rate is 0.75% of their wages/salary.
  • This 0.75% is contributed towards the ESI fund.

It's important to note that these contribution rates are subject to change based on government regulations. Therefore, it is advisable to refer to the official website of the Employees' State Insurance Corporation (ESIC) or consult with relevant authorities for the most up-to-date contribution rates at the time of your inquiry.

Additionally, there is a wage/salary threshold for ESI coverage. Employees earning wages/salary up to a specified limit (currently Rs. 21,000 per month as of September 2021) are covered under the ESI scheme. Wages/salary above this limit are not subject to ESI contributions.

Please keep in mind that the contribution rates and wage limits may change over time, so it's essential to refer to the official sources or consult with the ESIC or qualified professionals to obtain the most accurate and up-to-date information regarding ESI contribution rates.

What is the penalty for non-payment or late payment of contributions?

In India, if an employer fails to pay the Employees' State Insurance (ESI) contributions on time or does not pay the contributions at all, penalties may be imposed. The penalties are levied under the provisions of the Employees' State Insurance Act, 1948. The specific penalty provisions and rates are as follows:

  1. Penalty for Late Payment: If an employer fails to pay the ESI contributions within the specified due date, they may be liable to pay simple interest on the delayed amount. As of my knowledge cutoff in September 2021, the applicable interest rate for late payment is 12% per annum. However, it's important to note that the interest rate may vary, and you should verify the current rate at the time of the payment.
  2. Penalty for Non-Payment: If an employer fails to pay the ESI contributions altogether, they may be subject to penalties that can include both monetary fines and legal consequences. The specific penalties may vary based on the duration and extent of non-payment.
  3. Legal Consequences: In addition to penalties, non-payment or delayed payment of ESI contributions can lead to legal actions and proceedings. This can include legal notices, inspections by ESI authorities, and potential prosecution under the provisions of the Employees' State Insurance Act.

It's important for employers to fulfill their ESI obligations, including timely payment of contributions, to avoid penalties and legal complications. Employers should consult the official website of the Employees' State Insurance Corporation (ESIC) or seek professional advice to understand the current penalty provisions and rates, as these may be subject to changes or specific regulations based on the applicable laws and government policies.

Please note that my response is based on information available up to September 2021, and it's crucial to refer to the official sources or consult with the ESIC or qualified professionals for the most accurate and up-to-date information regarding penalties for non-payment or late payment of ESI contributions.


FAQ - Frequently Asked Question


What is ESI full form in Hospital?

ESI stands for the Employees' State Insurance in Hospital.

What is ESI full form in Medical?

ESI stands for the Employees' State Insurance in Medical.

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Aashutosh Kumar Yadav

By Aashutosh Kumar Yadav

He is a PHP-based UI/Web designer and developer by profession and very interested in technical writing and blogging. He has been writing technical content for about 10 years and has proficient in practical knowledge and technical writing.
@www.infotokri.in

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