Employee Insurance Act 1948

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    Employees' StateInsuranceAct, 1948

    TheEmployees' State InsuranceAct, 1948 (ESI Act)

    providesfor healthcare andcash

    benefit paymentsin the caseof sickness,maternityandemployment injury.The Actapplies to

    all non-seasonalfactoriesrun with

    power andemploying10 or more

    personsand tothose

    factorieswhich runwithout

    power andemploying20 or more

    persons.

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    TheappropriateGovernment may

    after notification in theOfficialGazette,extend the

    provisionof the Actto anyother establishm

    ent or class of establishments,industrial,commercial,agricultur e or otherwise.

    Under theAct, cash benefitsareadminister ed by theCentralGovernment throughtheEmployee

    s StateInsuranceCorporation(ESIC),whereasthe StateGovernme

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    nts andUnionTerritoryAdministr ations are

    administer ingmedicalcare.

    TheEmployees' StateInsuranceCorporation (ESIC)

    is the premier socialsecurityorganization in thecountry. Itis thehighest

    policymaking

    anddecisiontakingauthorityunder theESI Actandoverseesthefunctioning of the

    ESIScheme under theAct. Thecorporationcomprisesmembers

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    representing Centraland StateGovernments,

    employers,employees,Parliament and themedical

    profession. UnionMinister of Labour

    functionsas theChairmanof theCorporation. AStandingCommittee constituted from

    among themembersof theCorporation acts astheExecutiveBody for theadministration of the

    Scheme.The basic

    provisionsof the Actare :-

    Every

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    factor yor est

    ablishmenttowhichthisAct

    ap pliesshall

    beregistered wit

    hinsuchtimeandinsuchma

    nner asmay

    bespeci

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    fiedinthereg

    ulationsmadeinthis

    behalf.

    It pr ovidedfor anintegr

    atedneed

    basedsocialins

    uranceschemethat

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    would

    pr otect

    theinterestof workersinconti

    ngenciessuchassickness,

    mater nity,temporaryor

    per ma

    nent physicaldisablem

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    ent,deathdu

    etoem

    ploymentinjur yresult

    inginlossof wagesor ear nin

    gca

    pacity.

    Italso

    pr

    ovidedfor sixsocial

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    security

    benef

    its:-

    M

    S

    M

    D

    D

    F

    TheCentr alGover nment

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    may,

    bynotifi

    cationintheOf ficialGazette,est

    ablishaCorporationto

    bekn

    ownasthe'Employees'State

    InsuranceCorporatio

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    n'for theadmi

    nistrationof theschemeof E

    mployees'StateInsurancein

    accor dancewiththe

    pr ovisio

    nsof theAct.

    Th

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    eCorporatio

    nmay,inadditiontothesche

    meof

    benef itsspecifiedinthi

    sAct,

    pr omotemeasuresfor

    theim pr ovementof the

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    healthand

    welfareof insured

    per sonsan

    dfor therehabilitationandre-

    em ploymentof insured

    per sons

    whohave

    beendisabl

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    edor injured

    andmayincur inres

    pectof

    suchmeasuresex

    penditur e

    fromthefundsof theCorpora

    tionwithinsuchlimi

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    tsasmay

    be

    prescr ibed

    bytheCentr alGover

    nment.

    Thecontr ibutio

    n paya

    bleunder thisActin

    res pectof anem

    ploye

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    eshallcomp

    risecontr ibution

    paya

    ble by

    theem

    ployer andcontr ibution

    paya

    ble bytheem

    ployeeand

    shall be paidtotheCo

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    rporation.Th

    econtr ibutionsshall

    be paid

    atsuchratesasmay

    be prescr

    ibed

    bytheCentr alGover nment

    .

    Allcontr ibutio

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    ns paidunder

    thisactandallother moneys

    receivedon

    behalf of theCorp

    orationshall

    be paidinto afu

    ndcalledthe'Employees

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    'StateInsura

    nceFund'whichshall

    beheld

    andadminister ed

    bytheCorp

    orationfor the

    purposesof thi

    sAct.

    Whoev

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    er,for the

    purp

    oseof causinganyincrease

    in paymentor

    benef itunder thi

    sAct,or for the

    purposeof

    causingany

    payment

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    or benef itto

    bemadewhereno

    paymentor

    be

    nef itisauthorised

    byor under

    thisAct,or for the

    purpose

    of avoidingany

    paym

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    entto

    bemade

    byhimself under thisActor

    enablinganyother

    per sonto

    avoidanysuch

    payment,kn

    owinglymakesor ca

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    usesto

    bema

    deanyfalsestatementor fal

    serepresentation,shall

    be punis

    ha blewithim

    prisonmentor wit

    hfineor with

    both.

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    If the

    per

    soncommittinganoff ence

    under thisAct isacompany,

    every per son,whoatthetime

    theoff encewascom

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    mittedwas

    inchargeof,andwasres

    po

    nsi bleto,thecompanyfor theco

    nductof the

    businessof thecomp

    any,aswellastheco

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    mpany,shall

    bedeemedto

    beguiltyof theoff

    enceandshall

    belia

    bleto

    be

    pr oceededagainstand

    pu

    nishedaccor dingly.

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