Who can avail of ESIC Sickness Benefits? ESIC Guidelines

Employees’ State Insurance Corporation (ESIC) Sickness Benefit can be availed if IP contribution is paid for not less than 78 days.

Sickness Benefit During periods of certified sickness for a maximum of 91 days per year, insured workers are entitled to Sickness Benefits in the form of cash compensation at the rate of 70% of salaries.

To be eligible for illness benefits, the injured person must contribute for 78 days during the course of a 6-month period.

ESIC shared a tweet from the official Twitter handle saying, “To become eligible for Sickness Benefit under ESI Scheme, an IP should have paid contribution for not less than 78 days during the corresponding contribution period.”

“The facility of claim and payment of maternity, sickness, extended sickness and temporary disablement benefits are available online at ESIC’s Official Website ‘http://esic.gov.in’, the tweet added.

To become eligible for Sickness Benefit under ESI Scheme, an IP should have paid contribution for not less than 78 days during the corresponding contribution period. pic.twitter.com/3nZjr11C5B

— ESIC – स्वस्थ कार्यबल-समृद्ध भारत (@esichq) May 18, 2023

1. Extended Sickness Benefit(ESB): SB extendable upto two years in the case of 34 malignant and long-term diseases at an enhanced rate of 80 per cent of wages. 
2. Enhanced Sickness Benefit: Enhanced Sickness Benefit equal to full wage is payable to insured persons undergoing sterilization for family planning upto 7 days/14 days for Vasectomy and Tubectomy respectively.

(a) Maternity Benefit (MB): Maternity Benefit for confinement/pregnancy is payable for Twenty Six (26) weeks, which is extendable by a further one month on medical advice at the rate of full wage subject to contribution for 70 days in the preceding two Contribution Periods.

(b) Disablement Benefit

1. Temporary disablement benefit (TDB): From day one of entering insurable employment & irrespective of having paid any contribution in case of employment injury. Temporary Disablement Benefit at the rate of 90% of wage is payable so long as the disability continues.
    
2. Permanent disablement benefit (PDB): The benefit is paid at the rate of 90% of the wage in the form of monthly payment depending upon the extent of loss of earning capacity as certified by a Medical Board

(c) Dependants Benefit(DB): DB paid at the rate of 90% of wage in the form of monthly payment to the dependants of a deceased Insured person in cases where death occurs due to employment injury or occupational hazards.

In addition, the scheme also provides some other need-based benefits to insured workers.

1. Vocational Rehabilitation: To permanently disabled Insured Persons for undergoing VR Training at VRS.
2. Physical Rehabilitation: In case of physical disablement due to employment injury.