ESI is an autonomous organization under the Ministry of LaborLabour and Employment, Government of India. Employee's State Insurance (ESI) is a self-financing social security and health insurance scheme for Indian workers.
The Employees' State Insurance Act, 1948 was enacted by the legislature as an integrated need based on the social insurance scheme. ESIC stands for Employee State Insurance Corporation which is an autonomous body created by the Ministry of LaborLabour and Employment that governs and regulates the Employee State Insurance in India.
Employee State Insurance is a self-financing social security scheme, initiated for the benefits of the Indian workers by providing them with the necessary benefits such as medical facility, monetary facilities and such other benefits from his employer.
This scheme was started for Indian workers. The workers are provided with a huge variety of medical, monetary and other benefits from the employer. Any non-seasonal factory and company having more than 10 employees (in some states it is 20 employees) who have a maximum salary of Rs. 21,000/- has to mandatorily register itself with the ESIC.
Under this scheme, the employer needs to contribute an amount of 3.25% of the total monthly salary payable to the employee whereas the employer needs to contribute only 0.75% of his monthly salary every month of the year. The only exemption to the employee in paying his contribution is whose salary is less than Rs. 176/- per day.
Following Entities Employing 10 or more Employees are Liable to get ESI Registration Done:-
Above mentioned entities, if employed ten or more employees at any time during the previous year shall mandatory get ESIC Registration. But insurance is deducted for only those employees earning monthly income up to INR 21000 (Basic wages + Dearness Allowance). In a few states, the coverage of ESIC applicability limited to a minimum employee is 20 or more.
ESI scheme provides several benefits to employees covered under ESI with a large network of dispensaries, hospitals, and medical clinics for providing quick medical care to the insured person. An entity needs to take an ESI registration certificate within 15 days of becoming applicable. However, ESIC regulations are different for different states, and thus, certain rules and provisions vary accordingly.
Sickness Benefits
Sickness benefits are provided to the employee at the rate of 70% of his salary in case such sickness continued for exceeding 91 days in a year, and the same is also certified.
Medical Benefits :
Medical benefits are provided to the insured person along with his family members. Full medical care is provided to all persons registered under ESI and their family members – from the day the person enters insurable employment. There is no ceiling on expenditure on the treatment of an Insured Person or his family member. Medical care is also provided to retired and permanently disabled insured persons and their spouses on payment of a token annual premium of Rs.120/-.
Maternity Benefits :
Maternity benefits are provided to the women in the form of paid leaves. Maternity benefit for confinement/pregnancy is provided for three months, which is extendable by further one month on medical advice at the rate of full wage subject to contribution for 70 days in the preceding year.
Deceased Employee :
90% of the salary of the insured person is given to the family of a deceased employee, in case such death occurred while in employment.
Funeral Expenses :
Funeral expenses are provided in case of death of any employee covered under ESIC. An amount of Rs.10, 000/- is payable to the dependents or to the person who performs last rites from day one of entering insurable employment.
Retirement Benefits :
Medical care and benefits are provided after retirement or in old age.
Benefits for Permanent Disablement :
In case there is any permanent disablement to the insured person, 90% of his salary is provided as a monthly payment in the form of insurance benefit.
Unemployment Benefits :
An insured person having insurance for more than three years is provided unemployment benefits which become unemployed. Under the Rajiv Gandhi Shramik Kalyan Yojana, unemployment allowance is payable to an insured Person who become unemployed after being insured three or more years, due to closure of factory/establishment, retrenchment or permanent invalidity. The applicable unemployment allowances provided are:
1. Unemployment Allowance equal to 50% of wage for a maximum period of upto one year.
2. Medical care for self and family from ESI Hospitals/Dispensaries during the period IP receives unemployment allowance.
3. Vocational Training provided for upgrading skills – Expenditure on fee/travelling allowance borne by ESIC.
Since the procedure for registration is online, no physical documents are required to be submitted. Following documents are required during the online filing of ESI application, which are as follows:-
1. Factories Act, or
2. Shops and Establishment Act
1. If any employee is already registered under ESIC:0
a. Employee Insurance Number
b. Date of Appointment
2. If an employee is not registered with ESIC
a. Name of employee
b. Name of employee’s father/husband
c. Address
d. Date of Birth
e. Date of appointment
f. Details of nominees (name, address, mobile no, email id, relationship details etc.)
g. Bank Account Details (Account number, Branch name, bank name, IFSC code etc.)
h. Employer code no.
i. Details of the previous employer
j. Name of employer
k. Employer Insurance no.
l. Contact no of employer
m. Address of employer
3. Details of current employer
a. Employer code no.
b. Employer Insurance number
c. Name of employer
d. Address of employer
e. Contact no of employee
Step 1: Log in to ESIC Portal
Step 2: Confirmation Mail
Step 3: Employer Registration Form-1
Step 4: Payment for Registration
Step 5: Registration Letter
In case of any non-compliance by an employer, such as failure to get ESIC employer registration online or not fulfilling ESI return filing procedure, he shall be liable for a fine of INR 10,000/-
Once the entity is covered under ESIC, it needs to comply with mandatory guidelines as issued by the Act:-
The scheme of ESI is contributory in nature. Both employee’s and employer’s contribution is required at a specific rate. Though, rates are amended from time to time. Following is the monthly contribution rate that is contributed mandatorily by both employer and employee:-
Employee :
Employee has to contribute 0.75% of his basic wages to the ESI Fund.
Employer :
Employer has to contribute 3.25% of the basic wage paid to employees.
Employees who earn up to Rs137 of daily average wage are not entitled to be a part of contribution. However, it is the responsibility of the employer to contribute their own shares in respect of these employees.
Returns Filed Every Year after the Registration is Finalized
After the registration ESI Returns have to be filed twice a year. The following documents are required for the filing of the returns:
Yes, every entity eligible under the ESIC Act shall get the certificate by registering its entity under ESIC. The applicant can apply online through the official website of ESIC.
Yes, entities once registered under ESIC are required to comply with the provisions of ESIC such as half-yearly return, a deposit of monthly contribution online, maintenance of other books and accounts as required, and updating the changes if any relating to business activity, ownership, management, etc.
Once the unit is registered under the ESIC act is allotted 17 digits unique identification number, also known as ESIC Code.
Wages covered under ESIC is the total of Basic Pay plus Dearness Allowances that doesn't include any overtime done by such employee.
If the employer fails to pay the online contribution within 21 days of the end of the month, shall be liable to pay damages at the rate of 12% per annum for each day of such default in contribution.
The ESI Scheme is administered by a corporate body called the 'Employees' State Insurance Corporation' (ESIC), which has members representing Employers, Employees, the Central Government, State Government, Medical Profession, and the Parliament. The Director-General is the Chief Executive Officer of the Corporation and is also an ex-officio member of the Corporation.
The ESI scheme is a self-financing scheme. The ESI funds are primarily built out of contribution from employers and employees payable monthly at a fixed percentage of wages paid.
Employees whose monthly wages are Rs 21,000 or below are covered under the ESI Act. The wage limit for coverage under the Act had been increased from Rs 15,000 per month to Rs 21,000 in December 2016.
ESI is a compulsory for entities employing 10 or more persons, Earlier it was 20 revised to 10. ESI contribution is required for all the employees earning wages less than Rs. 21,000/- per month.
All employees of a covered unit, whose monthly incomes (excluding overtime, bonus, leave encashment) does not exceed Rs. 21,000 per month, are eligible to avail benefits under the Scheme. Employees earning daily average wage up to Rs. 176 are exempted from ESIC contribution.