E S I C
Chinta Se Mukti
STANDARD NOTE
ON
EMPLOYEES’ STATE INSURANCE SCHEME
AS ON 01.01.2015
Employees’ State Insurance Corporation
(ISO 9001-2008 Certified)
Panchdeep Bhawan, C.I.G. Marg. New Delhi-110002
www.esic.nic.in
[
Sl.
No.
CONTENTS Page
No.
1. Coverage
1
2. Administration
1-2
3. Finance
2
4. Extension of ESI Scheme to new areas of employment.
2
5. Provision of Social Security for workers in the Organised Sector.
2-3
6. Amendments in the ESI Act. 1948.
3
7. Medical Benefits Provided Under ESI Scheme
4-17
8. General Policy
17-21
9. Indian Systems of Medicine.
22
10. Recovery of Contribution.
22-23
11. Recovery of Arrears
23-25
12. Prosecution Cases
25-26
13. Public Grievances Redressal Machinery set-up in ESIC.
26-28
14. Management Service Unit
29-30
15. Public Relations
30-32
16. RTI Act
32-33
17. Training
33-45
18. Procurement Cell
45
19. Recruitment Division
45-47
20. Information Communication Technology Division
48-49
21. General Information and Statistical Data regarding the Employees’
State Insurance Scheme.
50-72
I. Statement showing the details of benefits
provided under the ESI Act. 1948.
II. Benefits & Contributory conditions.
III. General Information regarding ESI
Scheme.
IV. Revenue & Expenditure of Corporation.
V. Statistical Data regarding ESI Scheme
(All India).
VI. Progress made under ISM/AYUSH as on
01.01.2015.
Annexure-I 51-55
Annexure-II 57-60
Annexure-III 61-64
Annexure-IV 65
Annexure-V 67
Annexure-VI 69-72
22. Rate Contract Cell.
73-75
1
STANDARD NOTE ON
EMPLOYEES’ STATE INSURANCE SCHEME
(As on 1.1.2015)
The Employees’ State Insurance Act, 1948 is a social security legislation that provides for
medical care and cash benefit in the contingencies of sickness, maternity, disablement and death due to
employment injury to workers. A statement indicating the broad details of various benefits provided
under the Act is at Annexure-I.
1. COVERAGE
The Employees' State Insurance Act, 1948 applies to non-seasonal factories employing 10 or
more persons. The provisions of the Act are being extended area-wise in phased manner. The Act
contains an enabling provision under which the "appropriate government" is empowered to extend the
provisions of the Act to any other establishment or class of establishments - industrial, commercial,
agricultural or other-wise. State Governments have extended the provisions of the Act to shops, hotels,
restaurants, cinemas including preview theatres, road motor transport undertakings, newspaper
establishments, educational (23 States)and medical institutions(24 States) employing 20 or more
employees. Twenty four State Governments have reduced the threshold of coverage of shops and
establishments from 20 to 10 or more persons. Under these provisions, Central Government has also
extended the scheme to Shops, Hotels, Restaurants, Road Transport establishment, Cinema including
preview theatres, Newspaper establishment & Establishment engaged in insurance business belonging to
or under the control of Central Government vide notification no. S-38025/5/20087-SS-I dated 20.7.2009.
Employees of the factories and establishments covered under the Act drawing monthly wages upto
Rs. 15,000/- per month are covered under the scheme. The ceiling for persons with Disabilities is Rs.
25,000/- per month. As on 31/03/2014, the scheme applied to 6.70 lakh employers employing 1.95 crore
insured persons at 815 centers.
2. ADMINISTRATION
The Hqrs. of the ESI Corporation is located at Delhi and has 66 Field Offices which include 23
Regional Offices, 37 Sub-Regional Offices, 1 Divisional Office, 2 Camp Offices and 3 Liaison Offices
throughout the country. Besides, there are 627 Branch Offices and 185 Pay Offices for administration of
2
cash benefits to Insured Persons. For inspection and coverage of factories/Establishment, 422 Inspection
Offices are also set up across the Country.
3. FINANCE
The ESI Scheme is financed mainly by contributions from employers and employees. The rate of
contribution by employer is 4.75% of the wages payable to employees. The employees’ contribution is at
the rate of 1.75% of the wages payable to an employee.
4. EXTENSION OF ESI SCHEME TO NEW AREAS OF EMPLOYMENT.
Extension of ESI scheme to the New areas and new sectors of employment is a continuous
process. The Corporation extends the scheme in a phased manner as follows:-
1. Periodical survey is conducted by the Regional Offices/Sub Regional Offices in non-implemented
area to identify the area where scheme can be extended/notified.. On the basis of data received from
field offices, the phased programme is prepared for implementation of the scheme in consultation
with the State Govt. in the new area. As and when, the concerned state Govt. provides medical
facilities, the notification is issued by the Central Govt. for implementation of scheme.
2. The threshold for coverage of factories has been reduced from 20 to 10 or more persons
irrespective of whether power is used in manufacturing process or not and various State Govts. have
also reduced the threshold limit of coverage from 20 to 10 persons or more in case of establishment
covered under Sec. 1(5).
3. The scheme has also been extended to the new sectors of employment viz. educational institutions
and private medical institutions. As on 1.1.2015, 23 States/UTs have notified educational institutions
whereas 24 States/UTs have notified Medical institutions.
4. A scheme for non-ESI beneficiaries has been made in the Act vide Employees' State Insurance
(Amendment) 2010 under section 73-A for providing medical care to non-ESI beneficiaries in the
underutilized ESI Hospitals (with occupancy below 60%) on payment of user charges.
5. ESI Scheme is not applicable to Plantation, Mines,etc.
5. PROVISION OF SOCIAL SECURITY FOR WORKERS IN THE ORGANISED
SECTOR
The ESI Act covers workers in the organized sector only. As on 31.03.2014 about
18.6 million workers are covered under the Employees' State Insurance Act. The remaining workers
in the organized sector to which the ESI Act does not apply remain outside the social security
umbrella, inter-alia, due to the following reasons:-
3
(i) Employees of Central and State Govts. who are provided social protection under the rules of the
respective Governments;
(ii) Workers of factories/establishments employing less than 10 persons.
(iii) Workers of factories/establishments situated in the non-implemented areas, where the ESI
Scheme has not been implemented;
(iv) Workers of seasonal factories/establishments;
(v) Workers drawing wages exceeding Rs.15,000/- per month.(i.e. present ceiling limit for coverage)
Factories and establishments located in non-implemented areas having sufficient concentration of
workers are being brought under the ESI Act gradually as per the phased programme drawn in
consultation with the State Governments.
The ESI Scheme framed under the ESI Act, 1948 provides a uniform package of benefits but the
employer-employee relationship is a pre-requisite for implementation/extension of the scheme.
6. AMENDMENTS IN THE E.S.I. ACT, 1948.
The ESI Act, 1948, has been amended vide ESI (Amendment) Act, 2010 since 1-6-2010 for
enhancing the Social Security coverage, streamlining the procedure for assessment of dues and for
better services to the beneficiaries. The salient features of the Amendments in the Act are as under:-
A uniform threshold of 10 or more persons for coverage of factories has been prescribed vide
ESI(Amendment) Act, 2010, and for counting 10 persons for initial coverage of a factory, all persons
employed irrespective of their wage ceiling are to be counted.
Enhancing age limit of dependent children for eligibility to dependants benefit from 18 years to 25
years;
Extending medical benefit to dependant minor brother/sister in case of IPs not having own family and
whose parents are also not alive;
Continuing medical benefit to insured persons retiring under VRS scheme or taking premature
retirement;
Treating commuting accidents as employment injury;
Made an enabling provision for extending medical care to non-ESI beneficiaries against payment of
user charges under Section 73-A of the ESI Act from under-utilized ESI Hospitals.
Empowering State governments to set up autonomous Corporations for administering medical benefit
in the States for bringing autonomy and efficiency in the working.
4
7. MEDICAL BENEFITS PROVIDED UNDER ESI SCHEME
The Employees’ State Insurance Scheme provides comprehensive medical care in the form of medical
attendance, treatment, drugs and injections, specialist consultation and hospitalization to Insured Persons
and also to their dependants.
An Insured Person and his dependants are entitled to medical benefits from the day of entry into
insurable employment. Insured Persons and their families are being provided medical care which
includes outpatient care/ inpatient care, specialized medical care and super specialty medical care as per
requirement of the patient. Besides, medical facilities under AYUSH i.e. Ayurveda, Yoga, Unani, Siddha
and Homeopathy are also provided.
Medical care to beneficiaries is provided through a large infrastructure comprising Hospitals,
Dispensaries, Annexes, Specialist centers, Model Dispensaries- cum- Diagnostic Centers (MDDC), IMP
clinics and arrangements with other health institutions. The range of medical services provided covers
preventive, promotive, curative and rehabilitative services. In-patient services are provided through ESI
Hospitals and through empanelment with tie up private hospitals.
OUT PATIENT MEDICAL CARE
1. INSURANCE MEDICAL PRACTITIONER
2. SERVICE DISPENSARY
3. HOSPITAL OPD
1. INSURANCE MEDICAL PRACTITIONER
Private Medical Practitioners are appointed as panel doctors. A panel doctor is expected
to have his own consulting room and dispensary. Each panel doctor is allowed to register upto
2000 IP family units. The IMP shall collect specified medicines from the designated nearest
ESIS Dispensary for supplying the same to the beneficiaries and also provide the
investigation facilities of Urine (albumin & sugar) Heamoglobin and Blood Sugar. At
present, the panel system is in operation in West Bengal and Maharashtra (except Nagpur area),
Goa, Gujarat (Ahmedabad), M.P, Punjab, Andhra Pradesh, Assam and Karnataka. The IMPs
under the panel system are paid capitation fee (Rs.300/- per IP per year) for providing medical
care to the ESI beneficiaries. As on date, there are 1017 IMPs all over the country.
5
2. SERVICE DISPENSARY
The out-patient medical care including essential lab investigations in relatively heavy
dispensaries under the ESI Scheme is provided through the service system i.e. through
dispensaries established under the Scheme for the exclusive use of the Insured Persons and their
families, manned largely by full-time Medical Officers. There are 1418 service dispensaries
under ESI scheme all over the country.
3. HOSPITAL OPD
Outpatient services under various specialties and super specialties like Medicine,
Surgery, Paediatrics, Gyne. & Obst., ENT, Eye, Cardiology, Nephrology, Neurology, Urology,
CTVS etc. are being provided through ESI hospital OPDs all over the country and also in house
Cath-lab, CT MRI through PPP.
IN PATIENT MEDICAL CARE
In-patient services are provided through a chain of 151 ESI hospitals spread across the country
which includes 36 directly run ESIC hospitals & 115 State ESI hospitals with a total bed strength of
23188. The provision for Super specialty services for beneficiaries are mainly through tie-up
arrangements with reputed corporate hospitals {In future tie-up arrangement shall be made by State
Executive Committee of concerned State Government}. Tie-up arrangement for super specialty treatment
has been made with more than 1000 hospitals across India.
PROVISION OF DRUGS, DRESSINGS, APPLIANCES & EQUIPMENTS
ESI Corporation provides Drugs & Dressing material through Running Rate Contracts formulated
at Rate Contract Cell, ESIC Hqrs. Office. These are used by ESI Institutions, all over country to ensure
uniform supply of quality generic drugs to ESI Beneficiaries at competitive rates.
Drugs and Vendor selection is achieved by adherence to prescribed procedures and pre defined
Eligibility Criteria.
Rate Contract Cell at Hqrs. Office, in addition to finalising Rate Contracts also monitors Supply
and quality of drugs and initiates punitive actions against firms not complying with Terms & Conditions
of the tender.
Insured person and their dependants are also provided artificial limbs, aids and appliances. The
Corporation has enhanced the ceiling on the cost of frames of the Spectacles from Rs.100/- to Rs.500/-
per frame. The Insured Persons and Family Members are provided with Artificial limbs, Hearing Aids,
IOL (Intra Ocular Lens), Spinal Supports, Cervical Collar, Walking Calipers, Clutches, Wheel Chair,
6
Cardiac Pacemaker, Cochlear implant. Other medical equipments which are considered essential are also
provided to the beneficiaries.
IMMUNIZATION & FAMILY WELFARE SERVICES
ESIC follow National Immunization Policy. Selective immunization during the epidemic
breakout is also carried out along with the immunization programme. ESIC participates in all national
health programmes under the aegis of Health Schemes of Govt. of India, which are extended to the
beneficiaries through our hospitals & dispensaries.
ESIC also promotes National Family Welfare Programme. Facilities for all temporary &
permanent methods of family welfare services are provided. Apart from cash benefit as per CHS, the
ESI Corporation has also extended additional cash incentive to Insured Persons to promote acceptance of
sterilization method by providing sickness cash benefit equal to full wage for a period of 7 days for
vasectomy and 14 days for Tubectomy.
EXPENDITURE ON MEDICAL CARE
Detail of Expenditure on medical care is as under:
1. SHARING OF EXPENDITURE BETWEEN ESIC AND VARIOUS STATE GOVT. UPTO
A CEILING.
2. SHAREABLE EXPENDITURE OUTSIDE THE CEILING.
3. EXPENDITURE FULLY BORNE BY ESIC {OUTSIDE THE CEILING}
1. SHARING OF EXPENDITURE BETWEEN ESIC AND STATE GOVT. UPTO A
CEILING.
Expenditure on medical care is shared between ESI Corporation and the State Government in the
ratio of 7:1 within the prescribed ceiling which is revised from time to time. The current ceiling
w.e.f. 1.4.2014, is Rs.2000 per IP family unit per annum with the following two sub heads:-
A) Administrative expenditure : Rs. 1000/- per IP per annum.
B) Drugs & dressing and other expenditure : Rs.1000/- per IP per annum.
In addition to this, the Corporation has also approved reimbursement of Rs. 200/- per IP per
annum to the State Governments, where the bed occupancy in all the State ESI Hospitals is more than
70% during the concluded financial year. This reimbursement is given to the State Governments to
facilitate the optimum utilization of the existing infrastructure and also to encourage them to provide
staff and equipment as per ESIC Norms. This amount will be non sharable and will totally be borne
7
by ESI Corporation. Further this amount will be untied and State Governments will be free to use it
on any sub heads i.e. “Administrative” or the ‘others’.
2. SHAREABLE EXPENDITURE OUTSIDE THE CEILING
a) Initial purchase of equipment for hospitals and dispensaries.
b) Equipments costing more than Rs.25000/- per unit:
Expenditure for replacement of costly equipments like X-ray machine etc. or addition of
new department in a hospital, the equipment costing more than Rs.25,000/- and above,
which is considered essential, is to be shared between the Corporation and the State
Govts. outside the ceiling.
c) Purchase of vehicles:
The expenditure on purchase of new Ambulances, Mobile dispensary Vans, Hearse
Vans, Office vehicles or replacement thereof is to be made from the shareable pool,
outside the ceiling on expenditure on medical care.
d) Nurses training school.
e) Disposal of Biomedical Waste
f) Training upto 0.5% of the total budget.
g) Purchase of following non-medical equipment, costing above Rs.25,000/-:-
1. Gas Pipelines
2. Photostat Machine / Fax
3. Public address system for general areas and conference rooms.
4. Projectors (over head projectors, slight projectors, LCD projectors.)
5. EPABX
6. Air conditioners
7. Water coolers
8. Walk- in coolers
9. Water treatment plant ( water softener and Reverse osmosis)
10. Display system
11. Close circuit television (CCTV)
12. DG set
13. Autoclaves
8
3. EXPENDITURE FULLY BORNE BY ESIC BEYOND THE CEILING
a) Construction of buildings for hospitals and dispensaries.
b) Repair and maintenance of own buildings.
c) Purchase of computers for hospitals.
d) Newly implemented areas for first three years.
e) Newly implemented areas in North East States for first five years.
f) New AYUSH units for initial period of five years.
g) Equipment for hospital with bed occupancy more than 70%.
h) Model Hospitals/ESIC Hospital and Occupational Disease Centers.
i) MDDC (Model Dispensaries cum Diagnostic Center).
ADDITIONAL INCENTIVE TO STATE GOVERNMENT BASED ON PERFORMANCE OF
STATE ESI SCHEME
In addition, the Corporation has also approved that an incentive of Rs.50/- per IP per annum with
100% sharing of ESIC will be given to the State Govts. based on the performance of the preceding
financial year as per the following criteria:-
1. States where staff is provided as per ESIC Norms and standards in
respect of both dispensaries and hospitals. Rs.20/-per IP per annum
2. Achievement of 75% targets or above for implementation of ESI
Scheme in New Areas in the State as fixed under the phased
programme by ESIC annually.
Rs.10/-per IP per annum
3. States which get their all hospitals graded / ISO certified. Rs.5/- per IP per annum.
ESI Corporation has also earmarked a separate budgetary allocation of Rs.20/- per IP family unit
per annum for promotion of preventive health services including occupational health services.
SETTING UP OF MODEL HOSPITALS & ESIC HOSPITAL
The ESI Corporation in its meeting held on 16.02.2001 had approved the setting up of one Model
Hospital in each State. On 16.02.2001, ESI Corporation agreed in principle to set up one Model
Hospital/ESIC Hospital in each State. A number of Hospitals were taken over by Corporation with
consent of the concerned State Governments for setting up of ESIC Model hospitals. The entire
expenditure on these hospitals is borne by the ESI Corporation outside the ceiling limit.
At present, the ESI Corporation is directly running following ESI Hospitals.
9
LIST OF HOSPITALS DIRECTLY RUN BY ESIC
Sl.
No.
State Place Beds
1. Andhra Pradesh Nacharam, Hyderabad * 250
2. Assam Beltola * 50
3. Jharkhand Namkum, Ranchi * 50
4. Karnataka Rajajinagar , Bangalore * 500
5. Kerala Asramam, Kollam * 200
6. Orissa Rourkela * 50
7. Punjab Ludhiana * 262
8. Rajasthan Jaipur * 300
9. Uttar Pradesh Noida * 300
10. Bihar Phulwari sharif * 50
11. Gujarat Bapu Nagar, Ahmedabad * 300
12. Jammu Bari Brahma * 50
13. NCT Delhi Basaidarapur * 600
14. Maharashtra Andheri, Mumbai * 350
15. West Bengal Joka, Kolkata * 350
16. Tamil Nadu KK Nagar, Chennai * 400
17. Madhya Pradesh Indore * 300
18. Chandigarh (UT) Chandigarh 70
19. NCT of Delhi Jhilmil 300
20. NCT of Delhi Okhla 216
21. NCT of Delhi Rohini 300
22. Jharkhand Adityapur 100
23. Kerala Udyogmandal 100
24. Kerala Ezhukone 148
25. Kerala Paripally 300
26. Haryana Gurgaon * 150
27. Gujarat Naroda 100
28. Haryana Manesar 100
29. Himachal Pradesh Baddi * 100
30. Rajasthan Bhiwadi 50
31. Telangana S.S. Sanath Nagar 100
32. Gujarat Vapi 100
33. Karnataka Peenya 100
34. Tamil Nadu Tirunelveli 50
35. Haryana Faridabad 300
36. Tamil Nadu Coimbatore 500
* Model Hospitals
ESIC has set up a Super-specialty Services at Kollam in Kerala for Cardiology and Nephrology.
Pending regular recruitment of Specialists, ESIC has engaged contractual Cardiologists, G.I. Specialists
and Urologists.
10
ESIC is also running a super speciality hospital at Sanathnagar, Hyderabad with super specialties
such as Cardiology, Neurology, Neurosurgery, Pediatrics surgery, nephrology, urology, dialysis etc.
Further, In House Super-speciality Services are also provided in the following ESIC Hospitals:-
Sl. No. State Hospital SST Services
1. Telangana Sanath Nagar,
Hyderabad
Dialysis on PPP mode
Cath Lab on PPP mode
In house services:
Nephrology
Urology
Cardiology
Neurology
Neuro surgery
Paediatric surgery
2. Karnataka Rajaji Nagar,
Bangalore
Cardiology – on PPP mode
In house services:
Plastic surgery
Urology
Oncology
Endocrinology
Gastro Enterology
Neurology
3 Maharashtra Andheri Nephrology
Urology
Plastic surgery
Cardiology
Neurology
4 Kerala Kollam Cath Lab – on PPP mode
In house services:
Dialysis
Urology
Neurology
5 Delhi Basai In house services:
Nephrology
Dialysis
Urology
Cardiology
Paediatric surgery
Plastic Surgery
11
REVISION OF NORMS FOR SETTING UP OF NEW HOSPITALS BY ESI CORPORATION
ESI Corporation during its 163rd meeting held on 04.12.2014 has approved new norms for setting up of
ESI Hospitals based on minimum No. of IPs as under:-
Sl. No. No. of beds Min. No. of IPs
1. 100 bedded hospital 50,000
2. 150 bedded hospital 1,00,000
3. 200 bedded hospital 1,50,000
4. 250 bedded hospital 2,00,000
5. 300 bedded hospital 2,50,000
6. 350 bedded hospital 3,00,000
7. 400 bedded hospital 3,50,000
8. 500 bedded hospital 4,00,000
9. 600 bedded hospital 5,00,000
The IP population should be taken in a radius of 25 Km and that there should not be any other
ESI Hospital within a radius of 50 Km. If there is another ESI Hospital within 50 Km, then each ESI
Hospital should fulfill these norms in the respective catchment areas (for example, if the two ESI
Hospitals are at a distance of 40 Km, then each hospital should satisfy these norms within a radius of 20
Km.
The Corporation has also decided to set up following new hospitals:-
Table-A:- Hospitals that fulfill the criteria as per revised norms:
SL. NO. NAME OF HOSPITAL STATE
1 Raipur Chattisgarh
2 Bhilai Chattisgarh
3 North Goa Goa
4 Doddabalapur Karnataka
5 Bommsanadra Karnataka
6 Tirupur Tamil Nadu
7 Sriperumbudur Tamil Nadu
8 Dehradun Uttrakhand
9 Sidkul area Haridwar Uttrakhand
10 Sidkul area Udhamsingh Nagar Uttrakhand
11 Pithampur Madhya Pradesh
12 Guntur Andhra Pradesh
12
Table B:- Hospitals which do not fulfill the criteria as per revised norms but shall be commissioned
after achieving the required IP population as per revised norms:
AVAILING SUPER SPECIALTY TREATMENT FROM ANY OF THE TIE-UP/NETWORK
HOSPITALS OF ESIC IN THE COUNTRY.
To remove difficulties being faced by IPs and their families in getting the super specialty
investigations and treatment due to tie- up hospitals being very far off and some of the facilities not
available in their states and for which they have to seek permission for getting treatment from another
state, ESIC approved that IPs and their family members can get super specialty treatment after getting
referral from the parent dispensary. The instructions have come into effect from 15.01.2010.
REVISION OF NORMS FOR CREATING MEDICAL INFRASTRUCTURE IN NORTH EAST
STATES & HILLY AREAS.
ESI Corporation during its 155th meeting held on 18.01.2012 has approved adoption of following
norms for the North Eastern States & other Hilly Areas of the Country for creating infrastructure for
augmenting the implementation of ESI Scheme in these areas as under:-
Sl. No. Facilities/Infrastructure No. of IPs required
1. Setting up of one Doctor Dispensary 1000 or more
2. Setting up of Two Doctor Dispensary 2000 or more
3. Setting up of diagnostic centres 5000 or more
4. Setting up of 100 bedded hospital 15000 or more
Sl. No. NAME OF HOSPITAL STATE
1 Vizianagaram Andhra Pradesh
2 Korba Chattisgarh
3 Perambavoor Kerala
4 Buti-bori Maharashtra
5 Duburi Odisha
6 Angul Odisha
7 Lalru, SAS Nagar Punjab
8 Udaipur Rajasthan
9 Tuticorin Tamil Nadu
10 Kanyakumari Tamil Nadu
11 Kashipur Uttrakhand
12 Firozabad Uttar Pradesh
13 Haldia West Bengal
14 Siliguri West Bengal
13
INDICATIVE AREA NORMS FOR HIRING DISPENSARY BUILDING (APPROX.)
1. Two Doctor Dispensary 150 sq. meter
2. Three Doctors Dispensary 200 sq. meter
3. Four Doctors Dispensary 300 sq. meter
4. Five or more Doctors Dispensary 400 sq. meter
INDICATIVE AREA OF AMENITIES
1. Doctors room 3x4 sq. meter
2. Pharmacy 3x5 sq. meter
3. Lab 3x4 sq. meter
4. F.W./inj. Room 3x4 sq. meter
5. Dressing room 3x3 sq. meter
6. Office room 3x4 sq. meter
7. Registration 3x4 sq. meter
The building should have male/female toilets for staff and beneficiaries separately and proper
waiting space.
Note: - Requirement includes above amenities, room sizes for various functional area in the
dispensary.
ENGAGEMENT OF PART TIME SPECIALIST/SUPER SPECIALIST BY ESIC DIRECTLY.
ESIC in its 150th meeting held on 03-09-10 has taken decision to recruit part time specialist/ super
specialists for State run hospitals where infrastructure is lying unutilized because of non availability of
specialist/ super specialist due to non filling of vacancies by the State Govt. Remuneration to part time
specialists/ super specialists has also been enhanced as under:-
1) Part Time Super Specialist:
a) Rs. 60,000/- per month for three hours session per day for five days in a week.
b) For extra session of two hours – Rs. 2000/- per week.
c) On giving under taking to be available for emergency call duty after the schedule timings
–Rs. Rs. 10, 000/- per month.
2) Part time Specialist:
a) Rs. 40,000/- per month for two hours session per day for five days in a week.
b) For extra session of two hours- Rs. 1000/- per week.
c) On giving under taking to be available for emergency call duty after the schedule timing-
Rs. 8000/- per month.
14
3) The powers for recruitment of part time specialists and part time super specialists for the ESI
Hospitals run by the State Govt. are delegated to SSMC/SMC.
4) The recruitment shall be done by following the prescribed procedure.
5) For the State ESI Hospitals, the recruitment shall be made by SSMC/SMC though a
Committee consisting of SMC/SMC, Medical Superintendent of the concerned hospital, local
representative of Finance & A/cs.
6) The expenditure shall be booked under the head “Medical Benefit”.
7) SSMC/SMC should ensure necessary justification for appointment of part time super
specialist and specialists in ESI Hospitals and these recruitments should be made only in
hospitals where there is unutilized infrastructure due to non availability of specialists/super
specialists).
8) These specialists shall be provided for a period of one year initially subject to extension from
time to time as pre recruitment.
SETTING UP OF HOSPITAL DEVELOPMENT COMMITTEE FOR ESIS/ESIC HOSPITALS.
In order to improve the functioning of ESIC/ESIS Hospital, the ESIC in its 143rd meeting held on
08.07.2008 approved the constitutions of HDCs for all ESIS/ESIC hospitals run by the State Govt. and
ESIC.
The ESI Corporation in its 162nd Meeting held on 31.07.2014 modified the composition of HDC
to the extent as given below:-
Two representatives each, representing Employers and Employees shall be nominated by
DIMS of concerned State provisionally, for a period of six months at a time, till the
nomination from State Govt. is received.
A representative from the office of SMC shall also be part of this committee.
Representative of State Labour Department shall be replaced with representative from
DIMS.
There is a need for constituting a separate sub-committee of the HDC, comprising the following
members to look into the issues of State run ESI dispensaries attached with ESIC hospitals,
regarding improvement activities and
Expenditure incurred in these activities would be met and booked by SMCs.
DIMS/JDIMS Member
Dy. MS of Hospital Convener
Representative of SSMC/SMC Member
Dispensary in-charges concerned Member
15
The SMCs shall allocate the budget allotted by Hqrs Office for ARM of the Hospitals & Dispensaries
proportionately, among the HDCs in the State depending upon the size of the hospitals, number of
attached dispensaries, staff quarters, etc, to ensure equitable distribution of budget.
State Govt. shall delegate concomitant power to their MSs of the respective hospitals. Procurements,
as sanctioned by HDC, shall be made by the MS, following applicable procedures of GFR/Financial
Rules.
Hospital having bed occupancy of 50% or more, based on statistical data of 2012-13 shall be provided
with one time improvement fund for procurement of medical instruments and equipments as non
sharable expenditure up to the amount of Rs. 10.00 lac for the year 2014-15 (extendable up to
September, 2015). To draw this fund, the eligibility criteria shall be that the hospital shall have
adopted the Dhanwantri module with online registration, admission and discharges which shall be
certified by ESIC Hqrs, New Delhi.
ESI Dispensary shall be granted incentive for implementation of Dhanwantri Module for 3 years
starting from 2014-2015 subject to fulfilling the following criteria:-
a) In the financial year 2014-2015 each dispensary having OPD attendance of at least 30
patients per day would be eligible to get Rs.10,000/-.
b) For the 2nd Year i.e. 2015-2016 the dispensary has to satisfy two conditions to get the grant of
Rs. 10,000/-
i. It should have implemented the Dhanwantri Module; and,
ii. Average OPD attendance as per Dhanwantri Module should be at least 45 patients
per day.
c) In 2016-17 the dispensary has to satisfy the following two conditions for the grant of Rs.
10,000/-.
i. It should have implemented the Dhanwantri Module; and,
ii. Average OPD attendance as per Dhanwantri Module should be at least 60 patients
per day.
The HDC meetings shall be held as per requirement but minimum of four meetings shall be held in a
year. MS in-charge shall invite the members of HDC for participation in the Suvidha Samagam
meetings being organised by RD/MS.
16
The Annual Repair Maintenance (ARM) works of buildings and services shall follow the norms &
yardsticks of ARM activities as defined in CPWD Maintenance Manual for all such activities,
including manpower required for day to day maintenance, frequency of painting, etc.
The cleaning services mentioned in the circular issued vide U -16/18/186/07-Med-I dated 15.04.2010
is clarified as cleaning of external drains in the compounds, sewer lines, manholes inspection
chambers, water sumps, overhead tanks, and periodic terrace cleaning before and after the onset of
monsoon for both dispensaries and hospitals and the expenditure shall be met out from the “HDC-
Repair & Maintenance of the Building Fund”.
The cleaning/mopping of floors/circulation area inside the buildings/wards and compound is part of
Housekeeping Services and hence to be treated as “administrative expenditure”.
The ARM work of the staff quarters situated in the compound of ESI Hospitals/ Dispensaries shall be
looked after by the HDC.
OCCUPATIONAL DISEASE CENTRES (ODCs)
ESI Corporation has set up one IOHER Centre at Basaidarapur & four zonal Occupational
Disease centers for providing early detection & prompt treatment, apart from taking steps for preventive
& promotive aspect pertaining to occupational health.
These institutions are as under:-
North Zone ESIC Hospital Basaidarapur, New Delhi (IOHER)
South Zone K.K. Nagar, Chennai
East Zone Joka, Kolkata
West Zone Andheri, Mumbai
Central Zone Nandanagar, Indore
Institute of Occupational Health, Environment & Research (IOHER) has been established to act
as a nodal Institute for improving occupational health.
17
STATISTICAL DATA REGARDING ESI SCHEME (All India) as on 01.01.2015.
Total No. of ESI Hospitals 151
Hospitals run by ESI Corporation 36
Hospitals run by State Government 115
Total number of Dispensaries 1418
Total number of ISM unit 140
Total number of hospital beds (Including annexes/revised beds) 23188
Total number of Doctors 7763
Total number of IMP clinics 1017
8. GENERAL POLICY:-
The Corporation had decided to run all the ESI Hospitals/Dispensaries/Regional
Offices/Branch Offices in its own buildings as far as feasible. Construction of other buildings such as
Specialist Centers, Offices of the Directorate Medical of ESI Scheme in the State, Central Medical Stores
etc. are sanctioned on merits in each case. ESI Corporation has built the following buildings (details in
Table A and B below) for various purposes.
A. Medical Buildings:-
Sl. No. Name of Project Nos.
1. ESI Hospitals 153
2. Super Speciality Hospital 1
3. ESI Annexes 42
4. ESI Dispensaries 400
5. Diagnostic Centres 02
6. Administrative (M) 01
7 DIMS Building 01
18
B. Administrative Buildings:-
Sl. No. Name of Project Nos.
1. Regional Office Buildings 24
2. Sub Regional Office – Divisional
Office Buildings
28
3. Branch Office Buildings 615
List of Major projects under execution is as per ANNEXURE ‘A’.
19
ANNEXURE-A
Sr.
No. Medical Education & Related Works
1 PG Institute cum Medical College at Sanath Nagar, Hyderabad
2 Renovation of ESI Hospital & Dental College, Nacharam, Hyderabad
3 Construction of Medical College at Bihta, Patna, Bihar
4 PG Institute cum Medical College, ESI Hospital, Basaidarapur, New Delhi
5 Medical College at Faridabad, Haryana
6 Construction of Medical College, Mandi, H.P.
7 Construction of Medical College, Dental College and Nursing College at Gulbarga, Karnataka
8 ESIC Para Medical and Allied Health Science Centre at Gulbarga
9 PGI & Upgradation/Face Lifting of ESIC Model Hospital at Rajaji Nagar, Bangaluru
10 Medical College at Rajajinagar, Bengaluru
11 Nursing College & Hostel & 1000 Seater Auditorium at Indira Nagar, Bangaluru
12 Medical College, Parippally, Kollam, Kerala
13 PGIMSR & Renovation of Hospital at MGM Hospital, Parel, Mumbai
14 PGIMSR & Renovation of ESIC Hospital, Andheri, Mumbai
15 Construction of ESIC Medical College at Alwar, Rajasthan
16 PGI & Medical College at K.K.Nagar, Chennai
17 Construction of Medical College at Coimbatore
18 PG Institute at Ayanavaram, Chennai
19 PG Institute cum Medical College at Joka, Kolkata
20 Construction of ESI Hospital & PG College at Maniktala,Kolkata
20
Sr.
No. Hospitals
1 Renovation/Facelifting of ESI Hospital, Tirupati,
2 Renovation and Expansion of ESI Hospital, Okhla, Delhi
3 Renovation/Upgradation of ESI Hospital, Margaon, Goa
4 Construction of 100 Bedded ESI Hospital at Ankleshwar , Gujarat
5 Renovation /Facelifting of existing 100 Bedded ESI Hospital Hubli, Karnataka
6 Renovation/Facelifting of 100 Bedded ESI Hospital Mysore, Karnataka
7 Renovation /Facelifting of existing ESI Hospital Devengiri, Karnataka
8 ESI Hospital, Kandivali, Mumbai
9 Renovation/Facelifting of ESI Hospital, Bhubaneswar, Odisha
10 Construction of 100 Bedded Trauma Centre and Renovation of existing ESI Hospital, Sarojini
Nagar, Lucknow, U.P.
11 Construction of Staff Quarters at ESI Hospital Campus, Sector - 24, Noida/Facelifting of
Interior Existing Hospital Block
12 Face Lifting/Expansion of ESI Hospital at Vashi, Mumbai
13 Renovation/Facelifting of 300 Bedded ESIC Hospital, Jaipur, Rajasthan
Sr.
No. Dispensary/Branch office
1 Construction of ESI Dispensary cum Branch Office at Auto Nagar, Vijayawada
2 ESI Dignostic Centre and ESIC Dispensary at Jeedimetla
3 Renovation of ESI Dispensary at NIA-I, Karampura, Delhi
4 Renovation of ESI Dispensary at Mayapuri – I, Delhi
5 Renovation of ESI Dispensary Mayapuri – II, Delhi
6 Construction of 2 Doctor Dispensary at Vilakudy, Kerala
7 Construction of 5 Doctor Dispensary at Kadampanad, Kerala
8 Construction of 2 Doctor Dispensary at Vadavathoor, Kerala
9 Construction of 2 Doctor Dispensary at Kulashekhrapuram, Kerala
21
Sr.
No. Regional Office(RO)/Sub-Regional Office(SRO)
1 Construction of SRO, Vijaywada
2 Facelifting of RO, Bangaluru
3 RO Colaba
4 SRO Thane, Mumbai
5 Modernization/Upgradation of RO, Chandigarh
6 Facelifting/Renovation of RO Chennai
7 Renovation of RO Puducherry
8 Construction of Regional Office Building for ESIC / ESI MB at Salt Lake, Kolkata
9 Construction of SRO Building, Hubli, Karnataka.
22
9. INDIAN SYSTEMS OF MEDICINE
The details of progress made under ISM as on 01.01.2015 is placed at Annexure VI
10. RECOVERY OF CONTRIBUTION
Contribution under ESI Act are payable by the Principal employer of factory/establishment in the
first instance but he is authorized to recover from the employees, the employees’ share of contribution by
deduction from their wages and not otherwise, provided that no such deduction is to be made from any
wages other than those relating to the period in respect of which contribution is payable. The employer is
not entitled to recover the employer’ share of contribution from the wages of the employees. The rate of
contribution has been laid down in Rule 51 of ESI (Central) Rules, 1950, as amended.
1. POSITION REGARDING ARREARS OF ESI DUES
1. The arrears of ESI dues as on 31.3.2014 were Rs.1754.14. crores as per details given below:-
(Rs. in Crores)
i. Recoverable dues 630.79
ii Non-Recoverable dues for the present 1123.35
Total 1754.14
Out of the dues of Rs.1754.14 Crores category –wise classification is as follows:-
a) Govt./Public Sector 269.31
Factories / Estt.
b) Private Factories/Estt. 1484.83
Total 1754.14
23
STATEMENT SHOWING THE POSITION OF ARREARS OF ESI DUES AS ON 31.03.2014
(Rs. in Crores) BREAK UP As on 31.3.2014
A) ARREARS RECOVERABLE Private Public Total
Amount pending with Recovery Officers 600.39 30..40 630.79
Total
600.39 30.40 630.79
B) ARREARS NOT RECOVERABLE FOR THE PRESENT
(i) Amount of arrears disputed in Courts 530.08 199.60 729.68
(ii) Amount due from Factories/Estts. which have gone
into liquidation
154.83 22.92 177.75
(iii) Amount pending with Claim Commissioner 2.35 4.63 6.98
(iv) Amount due from Factories/Estts. which have closed
and whereabouts of employers not known.
89.21 0.12 89.33
(v) Decree obtained and execution proceedings in
progress.
0.85 0.00 0.85
Total (i to v)
777.32 227.27 1004.59
C) DUES FROM SICK INDUSTRIES/EXEMPTION
GRANTED BY STATE/CENTRAL GOVT.
(i) Factories regd. with BIFR but rehabilitation scheme
yet to be sanctioned
64.36 6.34 70.7
(ii) Factories/establishments which have been declared
sick and rehabilitation scheme sanctioned by BIFR
42.75 5.31 48.06
Total (i to iv)
107.11 11.65 118.76
GRAND TOTAL (A+B+C)
1484.82 269.32 1754.14
11. RECOVERY OF ARREARS
The Recovery Machinery started functioning in Regions/Sub-Regions by stages. The date of
such setting up of Recovery Machinery, target and the amount recovered during 2013-2014 are shown as
under :-
(Amount in Crore)
Sl.
No.
Name of the Region/Sub-
Region
Date of setting up of
Recovery Machinery
Target
fixed
Amount
recovered
1. Andhra Pradesh 01.01.1992 5.72 7.68
2. Karnataka 01.01.1992 7.36 7.46
3. Madhya Pradesh 01.01.1992 2.12 2.15
4. Mumbai 01.01.1992 9.00 9.77
5. Uttar Pradesh 01.01.1992 0.75 2.50
6. West Bengal 01.01.1992 9.79 9.86
7. Gujarat 01.12.1992 3.84 3.17
8. Bihar 01.12.1992 1.52 2.68
24
9. Haryana 01.12.1992 2.15 2.36
10. Kerala 01.12.1992 3.87 3.87
11. Rajasthan 01.12.1992 4.98 4.05
12. Orissa 01.12.1992 3.75 3.80
13. Delhi 01.12.1992 5.73 5.80
14. Pune 01.12.1992 6.29 6.30
15. Tamil Nadu 01.12.1992 15.08 16.05
16. Coimbatore 01.12.1992 10.62 9.68
17. Madurai 01.03.1993 4.85 4.88
18. Nagpur 01.03.1992 2.86 1.89
19. Punjab 01.06.1993 3.13 1.60
20. H.P. 01.06.1993 0.57 0.57
21. J & K 01.06.1993 0.65 0.24
22. Goa 01.09.1997 0.48 0.83
23. Assam 01.09.1997 1.93 2.48
24. Marol 22.04.2003 5.09 5.09
25. Thane 22.04.2003 3.22 4.98
26. NOIDA 12.08.2003 1.69 2.10
27 Jharkhand 30.09.2003 2.26 2.26
28 Pondicherry 01.06.2004 1.20 1.69
29 Hubli 01.05.2003 1.42 2.33
30. Vijayawada 01.06.2004 2.74 3.42
31. Chhattisgarh 01.06.2004 2.20 2.77
32. Uttaranchal 01.06.2004 1.53 1.62
33. Aurangabad 01.04.2008 1.43 1.39
34 Vadodara 01.04.2010 1.12 2.17
35 Surat 01.04.2010 1.02 4.08
36 Ludhiana 01.04.2010 1.60 1.08
37 Salem 01.04.2010 1.23 1.25
38 Tirunelveli 01.04.2010 4.55 3.37
39 Barrackpore 01.04.2010 2.96 2.99
40 Rohini 01.04.2010 1.31 1.18
41 Okhla 01.04.2010 1.79 1.80
42 Gurgaon 01.04.2011 1.72 3.30
43 Peenya 01.04.2011 6.59 7.60
44 Bommasandra 01.04.2011 2.67 3.94
45 Ernakulam 01.04.2011 3.83 3.93
46 Kollam 01.04.2011 2.71 2.40
47 Udaipur 01.04.2011 1.13 0.73
48 Varanasi 01.04.2011 1.65 1.34
49 Visakhapatnam 01/04/2012 0.76 1.13
25
50 Lucknow 01/04/2012 2.95 1.78
51 Jalandhar 01/04/2012 1.51 1.62
52 Mysore 01/04/2013 1.62 0.85
53 Durgapur 01/04/2013 2.46 2.21
Total 175.00 186.07
The total arrears outstanding as on 31.3.2014 were Rs.1754.14 crores, out of which Rs. 630.79
crores falls under the category of recoverable arrears and an amount of Rs.1123.35 crores under the
category of non-recoverable arrears for the present due to claims disputed in the Courts, factories having
gone into liquidation, factories registered with BIFR, amount pending with Claims Commissioner, closure
of the factories and whereabouts of the defaulting employers in certain cases not known. The Regions are
advised to gear up the recovery machinery not only to achieve the target but surpass the annual target for
the year 2014-15. Special drives are being launched every year to recover ESI dues . The Recovery
Officers of the Corporation had recovered Rs.186.07 crores from the defaulting employers in 2013-14
against the target of Rs. 175.00 crores. A target of Rs.192.06 crores towards recovery of arrears has
been fixed for the year 2014-15. The Recovery Officers have since recovered the dues of Rs.154.58
crores during the period from April 2014 to December 2014.
12. PROSECUTION CASES
ESI Act has empowered ESI Corporation to initiate prosecution against employees & employers
under section 84 & 85 of Act respectively and under section 406/409 of Indian Penal Code for the
following offences:-
1. For false statement made by employees under section 84.
2. Failure to pay contribution under section 85 (a)
3. Deducts or attempts to deduct from the wages of an employee the whole or any part of the
employer’s contribution.
4. In contravention of section 72, reduces the wages or any privileges or benefits admissible to an
employee.
5. In contravention of section 73 or any regulation dismisses discharges, reduces or otherwise
punishes an employee.
6. Fails or refuses to submit any return required by the regulations, or makes a false return.
7. Obstructs any Inspector or other official of the Corporation in the discharge of his duties.
8. Is guilty of any contravention of or non-compliance with any of the requirements of this Act or
the rules or the regulations in respect of which no special penalty is provided.
26
9. Breach of trust by employer.
Enhanced punishment for committing subsequent offence after previous conviction is also
envisaged under section 85A.
DETAILS OF PROSECUTION CASES UNDER SECTION 85 & 406/409 FROM 31.12.2014
S.No. Particulars Section 84 of
the ESI Act
Section 85
of the ESI
Act
Section 406/409
of the IPC
1 No. of cases pending at the beginning
of the year
478 15087 1149
2 No. of Prosecution cases filed during
the period
5 700 13
Total (1+2) 483 15787 1162
3 Total no. of cases decided during the
year 2014
7 1225 50
Defaulters convicted with
imprisonment
0 140 3
Defaulters convicted with fine 4 589 28
Cases acquitted/Dismissed 0 51 0
No. of cases closed by the court 3 445 19
4 No. of cases withdrawn 1 371 0
Total (3+4) 8 1596 50
5 No. of Prosecution cases pending as
on 31.12.2014
475 14191 1112
.
13. PUBLIC GRIEVANCES REDRESSAL MACHINERY SET-UP IN ESIC
1. The Cabinet Secretariat, Government of India vide Notification no. A-11013/1/88-Ad-I dated
02.06.98 has extended the jurisdiction of Directorate of Public Grievances to Employees State
Insurance Corporation, Hqrs. Office/ Regional/Sub-Regional/Divisional Office’s/ESI Hospitals
and Dispensaries directly managed by the ESI Corporation.
2. Accordingly, the ESI Corporation has set up the Public Grievance Redressal System at
Headquarters office and all RO/SRO/DO/BOs/ Hospitals and dispensaries to ensure expeditious
disposal of complaints and redressal of grievances. Public Grievance Cell set-up at ESIC, Head
Quarter Office, is headed by a senior officer of the Corporation. This Cell monitors the
grievance redressal machinery in the entire ESI set-up comprising of Regional/ Sub-
Regional/Divisional Office’s/ Branch Offices, ESI Hospitals and Dispensaries managed &
controlled by the E.S.I. Corporation directly. Further, in all the field offices and hospitals, a
designated Grievance Officer has been nominated to ensure prompt and effective redressal of
27
grievances. Detailed guidelines have also been issued by the Hqrs. Office vide Memo No. Z-
14/11/4/98-Ins-I dated 8.05.98 to all concerned to look into the public grievances of the
stakeholders and settle their grievances within the stipulated time frame.
3. An Instruction on Public Grievance policy has been issued vide DO letter no. Z-14/11/04/2009-
PG dated 23/11/2009 to all RDs/SSMCs/Director/JD,I/Cs/SMCs/MSs/ D(M)D to redress the
grievances on top priority and a copy endorsed to Trade Unions/ Employer’s Associations.
4. Centralized Public Grievance Redressal and Monitoring system (CPGRAMS) has been
installed wherein online grievances related to ESI Corporation are being received through PG
Portal of Govt. of India. Instruction in this regards has been issued to all RDs/ Dir’s/Joint
Director’s, vide letter no. Z-14/11/04/2009-PG dated 09.10.2009 and 03.12.2009 for checking/
monitoring the same at their level for settlement of online grievances within stipulated time
frame.
5. Grievances and complaints received through the Cabinet Secretariat (Directorate of Public
Grievances), Ministry of Labour & Employment & Prime Minister's Office etc. are promptly
taken up and efforts are made to redress them within stipulated time as per instructions on the
subject.
6. From 1st January 2014 (including brought forward cases) to 31st December 2014, a total number
of 3995 grievances/complaints were received from various quarters, out of which 3933
grievances have been disposed off through the internal grievance handling mechanism and
remaining are under process of settlement. Thus the percentage of closure to receipt within the
year is 98.44%.
7. The Public Grievance Cell has displayed its e-mail address on our website from November,
2004 and the complaint/ grievances received in the email are forwarded to concerned Regional
Director/Joint Directors/Medical Superintendents etc. for redressal of the same.
8. In order to bring transparency in the system and to facilitate stake holders to access the
information pertaining to ESIC and to make the ESI Scheme customer friendly, a Toll Free
Helpline number 1800-11-2526 has been installed and activated since 01.12.2006. Now this
helpline is functional 24x7 w.e.f. 01.07.2011. Advertisement has also been issued in all national
28
leading newspapers in this connection. The system is functioning under the direct supervision
of Public Grievance Cell.
9. Some of the other measures taken by the Corporation to ensure prompt settlement of Public
Grievances are as follows: -
(a) Educating the target public through internal publications of the ESI Bulletins (ESI
Samachar), Citizens' Charter, Pamphlets on Benefits Employees /Employers' Guide etc.
(b) Suvidha Samagam for quick redressal of Public Grievances of beneficiaries are
periodically arranged at Regional Offices/ Sub-Regional Office/ Divisional offices on
every second Wednesday (AN) of each month and at Branch Offices on 2nd Friday of
each month regularly (if holiday, then next working day). Medical Superintendent, of
the ESIC/ ESIS Hospitals, where the ESIC and ESIS Hospitals are located in the same
town/ city, have been directed to attend the Suvidha Samagam organized by the
Regional Office/ Sub-Regional Office/ Divisional office. However the Medical
Superintendent, of ESIC/ ESIS Hospitals located in different city/ town/ at distance
away from Regional Office/ Sub-Regional Office/ Divisional office have been directed
to hold Suvidha Samagam at Hospital level. Instructions in this regard were also issued
vide no. V-11/14/2/2010-PG dated 16.01.2013.
(c) The Corporation has opened facilitation Centres in all the Regional Offices/ Sub-
Regional Offices/ ESI Hospitals & Model Hospitals including Hqrs. office in order to
have a better interaction with the beneficiaries of the scheme. The Corporation
conducts workshops and seminars on public grievances for its officers & staff.
Instructions, circulars and other important information are also uploaded on the website
www.esic.nic.in.
(d) Advertisement is also issued in all national leading newspapers periodically giving the
details of new initiatives of ESI Corporation like scheme of incentives to employers for
providing employment to persons with differently abled, Rajiv Gandhi Shramik
Kalyan Yojna and Project Pehchan etc.
29
14. MANAGEMENT SERVICE UNIT
The RFD seeks to address three basic questions: (a) What are department’s main objectives for
the year? (b) What actions are proposed to achieve these objectives? (c) How would someone know at the
end of the year the degree of progress made in implementing these actions? That is, what are the relevant
success indicators and their targets?
The ESI Corporation is participating in this monitoring system of the Cabinet Secretariat /PMO
both as an independent organization called responsibility centre as well as a part of Ministry of Labour
& Employment, Govt. of India. A total of 31 success indicators covering all the divisions of the
Headquarters have been included in this document. Out of this 31 success indicators 5 are part of
MoL&E’s RFD which carries weight of 5%.
The RFD also contains 11 mandatory actions under four objectives with weight of 14% are as under;
1. Efficient functioning of the
RFD system
: i) Timely submission of draft RFD i.e. 5th March.
ii) Timely submission of result for RFD i.e. 1st May.
2. Administrative Reforms : i) Implementation of ISO 9001:2008 as per approved
action plan.
ii) Implementation of milestones of approved
Innovation Action
iii) Implementation of agreed milestones of approved
Mitigating Strategies for Reduction of potential risk
of corruption (MSC).
3. Improving internal efficiency/
responsiveness/ service
delivery of Ministry/
department. Action-
Implementation of Sevottam.
: i) Rating from Independent Audit of implementation
of Citizens’ / Clients’ Charter (CCC)
ii) Independent Audit of implementation of Grievance
Redress Management (GRM) system
4 Improve Compliance with the
Financial Accountability
Framework
i) Timely submission of ATNs on Audit paras of
C&AG
ii) Timely submission of ATRs to the PAC Sectt. on
PAC Reports.
iii) Early disposal of pending ATNs on Audit Paras of
C&AG Reports presented to Parliament before
31.3.2014.
iv) Early disposal of pending ATRs on PAC Reports
presented to Parliament before 31.3.2014.
30
The RFD achievement as per RFMS monitoring system for the year 2013-14 in respect of ESIC as
responsibility centre was 84.81%.
I) ISO 9001:2008 certification in ESIC :
All Regional/ Sub-Regional Offices, D(M)D, ESIC Model hospitals were expected to get themselves
audited for quality & get certified under the latest version of QMS i.e. ISO 9001:2008. As on 31.03.2014,
49 no. of Regional Offices and 22 no. of ESIC Hospitals has obtained ISO 9001:2008 certificates.
II) Productivity Linked Bonus :
The PLB for the Financial Year 2013-14 have been paid to all eligible employees for 60 days.
15. PUBLIC RELATIONS
The ESI Corporation has a set up of Public Relations Division with Insurance Commissioner
(PR) as the divisional head consisting of full fledged P.R. Branch at Hqrs. Office, New Delhi assisted by
one Nodal Officer each at the Regional, Sub-Regional & Hospital level. The major activities of Public
Relations Division in ESIC are:-
(i) Publicity and interacting with media for dissemination of information on new initiatives
through Advts., Press Releases etc.
(ii) Organizing meetings, seminars, outreach programmes, exhibitions, awareness camps,
foundation stone laying/inaugural ceremonies etc.
(iii) Publication of brochures/pamphlets/booklets/Annual Report and other literature for the
Corporation.
During the year 2013-14, sustained efforts have been made to highlight the activities of the
Corporation as well as to raise the level of awareness of the target public about various aspects of the
social security programme administered under the ESI Scheme. Some major public relations activities
organized during the year 2013-14 are given below:
1. The Hqrs. Office and the Regional/Sub-Regional and Divisional Offices issued press releases
from time to time to the national, regional and language newspapers highlighting the
activities of the scheme. In all about 289 press releases were issued by the Hqrs. Office,
during the year either directly or through news agencies including the Press Information
Bureau, Govt. of India and Directorates of Information and Public Relations of the State
Governments.
2. The Regional Offices and the Hqrs. issued a number of advertisements in various national
and regional newspapers aimed at raising the awareness level of the employers and
31
employees etc. about various provisions of the ESI Act, incentive scheme for the employers
for employing disabled persons and Suvidha Samagam etc. Hqrs. Office issued various
display advertisements in leading newspapers in the country on different new initiatives of
the Corporation to bring ESIC closer to its stakeholders, especially the employers and
employees.
3. Emphasis is laid on educating the insured population about various benefits available under
the Scheme and about aspects of public grievance redressal mechanism by producing
adequate printed educational material about the ESI Scheme. Posters, pamphlets, brochures,
manuals, booklets etc. are produced for distribution among the insured persons and the
employers through a network of Branch Offices, ESI Hospitals and Dispensaries all over the
country. For the first time, ESIC brought out its Diary in 2014. The Calendar for the year
2014 brought out by ESIC, showcasing various benefits of ESI Scheme, was well appreciated
by all.
4. The corporate website of ESIC is a dynamic one designed with user friendly approach. The
website is properly maintained and updated on day-to-day basis. During the year 2013-14, for
the first time, compliance of CMS and GIGW (Guidelines for Indian Govt. Website) were
introduced. The structured information is displayed both in Hindi and English, which can be
accessed with ease. Tenders, recruitments, instructions, directories etc. are uploaded and
updated on a daily basis. People centric information in sections like Citizen’s Charter, RTI,
ESI Schemes, Benefits, Recruitment, Tenders, News & Events, Publications, Photo Gallery,
“What’s New” etc. gives full information to the visitors of the website. The website also
displayed all important information, advertisements on public awareness and messages
received from Hon’ble Ministers and Director General in its opening page from time to time.
5. The bi-lingual ‘ESIC Samachar’, the quarterly house journal of the Corporation and the Hindi
magazine ‘Panchdeep Bharati’ continued to be brought out for dissemination of information
about ESIC among the employees and other stakeholders.
6. Radio programmes on the ESI Scheme were arranged in co-ordination with Akashwani
authorities and other local radio channels. Most of these programmes were in the form of
panel discussions, talks and interviews etc. This popular medium was also utilized to cover
certain important developments like foundation stone laying/inauguration ceremonies of
Hospitals/Dispensaries/Regional Offices and other off-the-routine activities.
Major television news channels, Doordarshan, All India Radio (Akashvani), web
portals and other electronic channels as well as print media covered news related to ESIC’s
corporate events.
32
7. For disseminating information and creating awareness among various stakeholders of ESIC,
the Corporation undertook a one month long outreach programme from 20.01.2014 to
20.02.2014 in the States of Andhra Pradesh, Punjab, Maharashtra, West Bengal, Tamil Nadu
and Karnataka. The activities of the outreach programmes included visit of ESIC branded
vehicle displaying the message of ESIC/ESI Scheme in various industrial areas.
“Nukkad Natak” was also performed side by side with the visit of the vehicle. The outreach
programme served as a platform for one-to-one communication with the IPs and their family
members and proved to be very effective.
8. The Regional/Sub-Regional & Divisional Offices/ESIC Hospitals of the Corporation also
organized seminars/workshops on different aspects of ESI scheme for employees and
employers of their respective areas. Regional Directors and other senior officers of
Corporation participated and made presentations at important seminars/workshops sponsored
by leading Chambers of Commerce and industry and employers organizations etc.
16. RTI ACT
1. The Right to information Act’2005 has been implemented in all offices in ESI Corporation
including ESI Hospitals and Dispensaries directly run by the Corporation. Central Public
Information Officer (CPIO) have been designated in all Regional/Sub-Regional/Divisional
Offices/Hospitals, Dispensaries, Branch Offices, Directorate (Medical) Delhi, Directorate
(Medical) Noida, /NTA and Hqrs. Office. Appellate Authority has also been designated for each
office.
2. The applicant may make the application for information under RTI Act’05 and deposit
application fee of Rs.10/- in cash in any of our Office or in the designated branch of State Bank of
India by Challan or through Indian Postal Order or Demand Draft drawn in favour of ESIC Fund
A/c No.1.
3. The information to the applicant is ordinarily provided in the form in which it is sought.
4. Manual of the Right to Information has been published as per provisions of RTI Act, 2005. 991
requests for information were received during the period April 2014 to Dec.2014 out of which
information was provided in 794 cases and rejected in 1 case. 70 Appeals were also decided
during this period.
33
5. The name and the address of the Appellate Authority is mentioned in the reply/decisions
communicated to the applicant.
PROGRESS OF RTI REQUESTS/APPEALS
RECEIVED AND DISPOSED OF DURING
APRIL-2014 TO DECEMBER-2014
Total No. of Applications received : 991
No. of Applications transferred to
CPIOs of other Public Authorities : 196
Cases in which information provided : 794
Cases in which information denied : 1
No. of First Appeals received /decided : 70
No. of cases in which hearings attend in
2nd Appeals before CIC : 14
17. TRAINING
The National Training Academy (NTA) is the apex training centre of ESIC under Training
Division with the Commissioner as head of NTA. Its job is to impart training to all groups ‘A’ and
‘B’ (including medical and non-medical) officers of ESIC.
There are 04 ZTIs working under NTA viz. ZTI(NZ), ZTI(SZ), ZTI(WZ) and ZTI(EZ) headed by
Director/ Joint Director.
Setting up of ESIC National Training Academy
In the year 2005, the National Training Academy of ESIC was set up to impart training to all
groups ‘A’ and ‘B’ Officers of ESIC with Additional Commissioner as its Head and it started
functioning from ESIC Regional Office, Mumbai building.
In addition, following 4 ZTIs were also set up to impart training to group ‘C’ and ‘D’ staff of ESIC:
ZTI(NZ) , Delhi at RO Delhi
ZTI (SZ), Bangalore
ZTI (WZ) Mumbai &
ZTI (EZ), Kolkata
34
Shifting of NTA from Mumbai to Delhi
In December 2005, the NTA was shifted to Delhi and it started functioning from ESI Hospital
premises, Rohini, Delhi.
The NTA infrastructure was developed in one of the patients’ ward of ESIH Rohini and it
functioned from there till 2009 and when it was shifted to RO, Delhi. In April 2010, the National
Training Academy was once again shifted to the office space rented on 2nd floor in the NRPO
Building, EPFO Complex, Sector – 23, Dwarka, New Delhi.
In the year 2014, a total number of 107 training programme were conducted by NTA and two
ZTIs ( West Zone and South Zone ) where 4711 participants were trained during 2014.
Training conducted from 1st Jan. 2014 to 31st Dec., 2014
(General Cadre)
Sl.
No.
Name of Training Type of
Participants
Date No. of Trainees Place
1. 2 Days’ Training
Programme on
Preventive
Vigilance
Admn. & Finance
Officer
06.02.2014 to
07.02.2014
29 NTA
2. 2 Days Training
Progamme for
Private Secretaries
(Batch-I)
Private
Secretaries
13.02.2014 to
14.02.2014
30 NTA
3. 5 Days Training
Programme on
Translation
Jr./ Sr. Hindi
Translators
17.02.2014 to
21.02.2014
25 NTA
4. Training
Programme for
Private Secretaries
(Batch-II)
Private
Secretaries
21.02.2014 to
22.02.2014
33 NTA
5. Training
Programme for
Private Secretaries
(Batch-III)
Private
Secretaries
27.02.2014 to
28.02.2014
34 RO, Chennai
6. Training of
Finance Officers
Finance Officers 03.03.2014 35 NTA
7. Training on Public
Relations
PR Nodal
Officers
03.03.2014 to
07.03.2014
30 IIMC, Old JNU
Campus
8. Training on APAR
Writing
RDs/ SRO In-
charges of Delhi /
NCR
28.03.2014 28 NTA
35
9. One day Workshop
on RTI, 2005
DD/OS/Asstt/UD
C of NCR Delhi
28.05.2014 33 NTA
10. Refresher Course
on ESI Scheme for
Dy. Directors
(Fin.) recruited in
2012
Dy. Dir. (Fin.) 09.06.2014 to
13.06.2014
18 NTA
11. Training
Programme on
Handling of BIFR/
AAIFR cases and
other court cases
JD/
DD/AD/OS/UDC
of NCR Delhi &
North Zone
16.06.2014 23 NTA
12. Refresher Course
on ESI Scheme for
Dy. Director
(Admn.) (Batch-
2012-13)
Dy. Director
(Admn.)
23.06.2014 to
27.06.2014
28 NTA
13. Mandatory In-
service Training
Programme for
ADs prior to
promotion as DDs
(Batch-I)
Asstt. Directors 14.07.2014 to
25.07.2014
34 NTA
14. Refresher Course
for Personal Asstts.
Personal Asstts. 08.08.2014 to
09.08.2014
24 NTA
15. Mandatory In-
Service Training
Prog. For Ads
(Batch II).
Asstt. Directors 19.08.2014 to
29.08.2014
35 NTA
16. Training
Programme on
Modules of UWP
AD/DD 16.09.2014 102 NTA
17. Training
Programme on
Reservation and
Roster Writing
AD/DD 09.10.2014 TO
10.10.2014
53 NTA
18. Mandatory In-
service Training
Programme for
Asstt. Directors
(Batch III) before
promotion to next
higher level
Asstt. Directors 10.11.2014 to
21.11.2014
34 NTA
36
Medical Side
Sl.
No.
Name of Training Type of
Participants
Date No. of Trainees Place
19. VC on Biomedical
Management
-- 24.01.2014 185 Hqrs.
20. Workshop on
Medico Legal
issues in
Healthcare
delivery system.
-- 30.01.2014 25 NTA
21. VC on Biomedical
Management.
--- 06.02.2014 131 Hqrs.
22. VC on Biomedical
waste Management
for West & East
Zone ESI
Hospitals.
--- 21.02.2014 185 NTA
23. Inventory
Accounting in
New Accrual Base
Accounting
System of ESIC.
--- 25.02.2014 23 NTA
24. Training
Programme on
Bio-Medical
Waste
Management /
Sample Collection/
Hand Hygiene.
--- 11.03.2014 21 NTA
25. Training
Programme on
Bio-Medical
Waste
Management /
Sample Collection/
Hand Hygiene.
--- 13.03.2014 23 NTA
26. Training
Programme on
Management of
Special OPD.
--- 19.03.2014 21 NTA
27. Training
Programme on
Management of
Special OPD.
--- 27.03.2014 31 NTA
28. VC Training on
Prevention of
Hospital Acquired
Infection.
--- 28.03.2014 256 Hqrs.
37
29. Workshop on
Administrative and
Vigilance issues for
SMCs, MSs,
AMSs, DMSs of
Central Zone &
North Zone.
SMCs, MSs,
AMSs, DMSs of
Central Zone &
North Zone.
24/25.04.2014 22 NTA
30. Induction Training
for newly recruited
ESIC Doctors.
Newly recruited
ESIC Doctors.
29/30.04.2014 19 ESI Hospital
Adityapur,
Jharkhand
31. Training on
Financial &
Administration
issues for IMO
Incharge, ESI
Dispensaries Delhi
& Noida.
IMO Incharge,
ESI Dispensaries
Delhi & Noida.
21/22.05.2014 29 NTA
32. VC Training on
Prevention of
Hospital acquired
infection for East &
West Zone ESI
Hospitals.
Doctors of East &
West Zone ESI
Hospitals.
23.05.2014 95 Hqrs.
33. Workshop on
Administrative,
Financial &
Vigilance issues for
SMSs, MSs &
DMSs.
SMSs, MSs &
DMSs.
28/29/30.05.2014 23 SRO Marol,
Mumbai
34. VC on Biomedical
Management
(Occupational
Stress)
--- 06.06.2014 350 Hqrs.
35. Training on
Inventory
Management for
Medicine and other
material for
Pharmacist of ESI
Dispensaries (Delhi
and Noida)
Pharmacist of ESI
Dispensaries
(Delhi and Noida)
17.06.2014 22 NTA
36. Induction Training
Programme for
newly recruited
Doctors
Delhi/NCR.
Newly recruited
Doctors
Delhi/NCR.
19/20.06.2014 23 NTA
38
37. Induction Training
Programme for
IMO Gr.II, Delhi
Dispensary
Doctors.
IMO Gr.II, Delhi
Dispensary
Doctors.
03/04.07.2014 18 NTA
38. VC Training on
Occupational Stress
for Doctors and Sr.
Nurses for East,
West & Central
Zone.
Doctors and Sr.
Nurses for East,
West & Central
Zone.
08.07.2014 150 Hqrs.
39. Induction Training
for IMOs Gr. II of
Gujarat
(Bapunagar,
Naroda&Vapi
Doctors)
IMOs Gr. II of
Gujarat
(Bapunagar,
Naroda&Vapi
Doctors)
24/25.07.2014 20 R.O.
Ahmedabad,
Gujarat.
40. Two days training
for sr. Nurses of
Delhi/ NCR &
North ESI
Hospitals on
Administration &
Management of
Business issues on
duty.
Sr. Nurses of
Delhi/ NCR &
North ESI
Hospitals
10/11.07.2014 29 NTA
41. Inventory
Management for
Medicine and other
material for
pharmacists.
Pharmacists. 07/08.08.2014 24 NTA
42. VC Training on
Osteoporosis for
Doctors for South,
West and Central
Zone.
Doctors for South,
West and Central
Zone.
19.08.2014 180 Hqrs.
43. Training for ANMs
of Delhi/NCR
Dispensaries on
Family Welfare
Family Planning &
complete health
care of
beneficiaries.
ANMs of
Delhi/NCR
Dispensaries
20/21.08.2014 32 NTA
44. Induction Training
of IMO Gr. II /
Faculty from
Beltola&Joka ESIC
Model Hospital
Doctors
IMO Gr. II /
Faculty from
Beltola&Joka
ESIC Model
Hospital Doctors
27/28.08.2014 21 Guwahati,
Assam
39
45. VC Training on
Osteoporosis for
Doctors from Hqrs.
For North & East
Zone ESIH of
India.
North & East Zone
ESIH of India.
09.09.2014 80
16 (Centres
connected)
Hqrs.
46. VC Training on
Management of
Dengue Fever.
--- 19.09.2014 200
(21 Centres
connected)
Hqrs.
47. Induction Training
for newly recruited
Doctors in ESI
Hospital & Medical
College Faridabad.
Newly recruited
Doctors in ESI
Hospital &
Medical College
Faridabad.
03/04.09.2014
22
Faridabad
48. VC Training on
Management of
Dengue Fever for
Doctors of South
and East Zone
ESIC / ESIS
Hospitals.
Doctors of South
and East Zone
ESIC / ESIS
Hospitals.
09.10.2014 170
(32 Centres
connected)
Hqrs.
49. Training on
Prevention of HIV/
AIDS in the world
of work for Doctors
from ESIC
Hospitals in Delhi
/NCR/Dispensaries.
Doctors from
ESIC Hospitals in
Delhi
/NCR/Dispensaries
15/16.10.2014 26 NTA
50. Workshop on
Disciplinary
Proceedings for
MS ESIC Hospital,
Dean of ESIC
Medical College.
MS ESIC
Hospital, Dean of
ESIC Medical
College
19/20.10.2014 32 NTA
51. VC Training on
Sexual Harassment
for doctors of
North/
West/Central India
ESIC Hospital
Doctors of North/
West/Central India
ESIC Hospital
24.11.2014 55 Hqrs.
52. Admn. &
Management of
various Deptt. Isues
in Hospital for
ANS/ DNS/ MS
ANS/ DNS/ MS 26-27.11.2014 23 Marol
53. Induction Trng.
Programme for
newly recruited
doctors in Hosp. &
Medical College
Newly recruited
doctors in Hosp. &
Medical College
04.05.12.2014 42 K.K. Nagar,
Chennai
40
54. Training for senior
doctors preparing
for higher
responsibilities
Senior doctors 15-19.12.2014 27 NTA
55. VC Training on
Equipment
Management –
Repair &
Maintenance
--- 22.12.2014 85 Hqrs.
41
ZTI (WZ)
Sr.
No.
Name of the
Training
Designation of the
Participants
No. of
Participants
Venue Date
56. Functional
Training Course on
“Revenue, Benefit
and Administration
Matters” for ESIC
, Staff R.O. Goa.
Group “C” Staff, &
MTS R.O. Goa.
19 Goa 30.12.2013
to
01.01.2014
57. Refresher's
Training Course
for ESIC, Staff
R.O. Mumbai/SRO
Marol & Thane.
SSOs/Superintendent
and Branch office
Managers.Gr.-II
28 SRO Marol 08.01.2014
to
10.01.2014
58. Refresher's
Training Course
for ESIC, Staff
R.O. Ahmedabad/
SRO Surat &
Vadodara.
SSOs/Superintendent
and Branch office
Managers.Gr.-II
30 R.O.
Ahmedabad
15.01.2014
to
17.01.2014
59. Functional
Training Course on
'Revenue and
Benefit' for ESIC ,
Staff
R.O.Mumbai/SRO
Marol & Thane.
Assistants/UDCs 22 SRO Marol 18.02.2014
to
20.02.2014
60. Functional
Training Course on
'Revenue and
Benefit' for ESIC ,
Staff
R.O.Mumbai/SRO
Marol & Thane.
Assistants/UDCs 23 SRO Marol 26.02.2014
to
28.02.2014
61. Functional
Training Course on
'Revenue and
Benefit' for ESIC ,
Staff SRO
Nasik/Nagpur and
Aurangabad.
Assistants/UDCs. 26 SRO Nasik 04.03.2014
to
06.03.2014
62. Workshop on”
Administrative,
Financial &
Vigilance Issues”
Organized by
(NTA)
SSMCs MSs & DD's. 23 SRO Marol 28.05.2014
to
30.05.2014
42
63. Refresher's
Training Course
for ESIC, Staff
R.O. Mumbai/SRO
Marol.
LDCs/UDCs 19 SRO Marol 16.06.2014
to
18.06.2014
64. Training for Group
'D' (Non-Matric)
MTS Employees
skill Upgradation
on test. R.O.
Ahmedabad &
SRO Aurangabad
MTS 02 SRO Marol 16.06.2014
to
20.06.2014
65. Functional
Training Course on
'Revenue and
Benefits' for ESIC,
Staff Regional
office Guwahati.
Conducted by ZTI
(WZ)
SSOs/BMs/Supdts. &
Group 'C' Staff
27 R.O. Guwahati 21.07.2014
to
23.07.2014
66. Pre-examination
Training Course
for ESIC , Staff
Regional Office
Mumbai for the
Promotion to the
post of Assistants.
Assistants/UDCs. 26 R.O.
Mumbai
06.08.2014
to
08.08.2014
67. Pre-examination
Training Course
for ESIC , Staff
Sub Regional
Office
Marol/Thane &
PGIMSR Andheri,
for the Promotion
to the post of
Assistants.
Assistants/UDCs. 22 SRO Marol 11.08.2014
to
13.08.2014
68. Pre-examination
Training Course
for ESIC , Staff
Sub Regional
Office
Pune/Nagpur/
Aurangabad and
Nasik. for the
Promotion to the
post of Assistants.
Assistants/UDCs. 27 SRO Marol 26.08.2014
to
28.08.2014
43
69. Pre-examination
Training Course
for ESIC , Staff
R.O. Mumbai/SRO
Marol and Pune for
the Promotion to
the post of
Assistants.
Assistants/SSOs &
Branch Managers.
17 SRO Marol 17.09.2014
to
19.09.2014
70. Pre-examination
Training Course
for UDCs for
Promotion to the
post of Assistants
ESIC , Staff R.O.
Ahmedabad/ SRO
Surat and
Vadodara.
SSOs/BMs/Supdts. &
Group 'C' Staff
19 SRO Surat 24.09.2014
to
26.09.2014
71. Pre-examination
Training Course
for “08th Probation
Clearance
examination” for
SSOs (West Zone)
SSOs 34 SRO Marol 20.11.2014
to
22.11.2014
72. Training
Programme for
ANS/DNS/Senior
Staff Nurse (G.pay
not less than
4800/-) of West
and South Zone
ESIC Hospital on “
Adminstrative &
Management of
Various
Departmental
issues in Hospital”
on 26th & 27th
November 2014.
Deputy NSG/Asstt.
Nursing Supdt/ Staff
Nurse & Nursingh
23 SRO Marol 26.11.2014
&
27.11.2014
73. One Day Training
Programme for
SSOs Posted in
field R.O.
Mumbai/SRO
Marol and Thane
on “ Technique of
Inspection”
SSOs 30 R.O.
Mumbai
27.12.2014
44
ZTI (SZ)
Sl.
No.
Name of Training
Programme
Designation of the
Participants
No. of
Participants
Venue Date
74 Induction Trg. New UDCs 35 RO,
Hyderabad
8/1/14 to
10/1/14
75 Induction Trg. Para Medical Staff 47 K.K. Nagar,
Chennai
07/1/14
76 Induction Trg. Para Medical Staff 50 K.K. Nagar,
Chennai
08/1/14
77 Induction Trg. Para Medical Staff 51 K.K. Nagar,
Chennai
09/1/14
78 Induction Trg. UDCs 34 RO, Chennai 19/2/14 to
21/2/14
79 Induction Trg. Para Medical Staff 29 ESICMH,
B'lore
17/2/14 to
18/2/14
80 Induction Trg. Para Medical Staff 30 ESICMH,
B'lore
20/2/14 to
21/2/14
81 Induction Trg. Para Medical Staff 43 ESICMH,
B'lore
3/3/14 to
4/3/14
82 Induction Trg. Para Medical Staff 31 ESICMH,
B'lore
10/3/14 to
11/3/14
83 Induction Trg. Para Medical Staff 31 ESICMH,
B'lore
20/3/14 to
21/3/14
84 Induction Trg. Para Medical Staff 25 ESICMH,
B'lore
28/3/14 to
29/3/14
85 Induction Trg. Para Medical Staff 26 ESICH,
Tirunelveli
24/3/14 to
25/3/14
86 Induction Trg. Para Medical Staff 25 ESICH,
Tirunelveli
27/3/14 to
28/3/14
87 Induction Trg. Para Medical Staff 21 ESICH,
Nacharam
20/3/14 to
21/3/14
88 Induction Trg. Para Medical Staff 18 ESICH,
Nacharam
22/3/14 to
23/3/14
89 Induction Trg. Para Medical Staff 18 ESICH,
Nacharam
25/3/14 to
26/3/14
90 Induction Trg. Para Medical Staff 19 ESICH,
Nacharam
27/3/14 to
28/3/14
91 Induction Trg. Para Medical Staff 30 ESICH,
Nacharam
1/4/14 to
2/4/14
92 Induction Trg. Para Medical Staff 26 ESICH,
Nacharam
3/4/14 to
4/4/14
93 Induction Trg. MTS 25 RO, Chennai 28/4/14 to
29/4/14
94 Induction Trg. UDCs 33 RO, Chennai 14/5/14 to
16/5/14
95 Refresher Trg. Assts/HCs 29 RO, B'lore 21/5/14 to
23/5/14
96 Refresher Trg. On
Admn. Matters
Assts/HCs 30 Ro, B'lore 28/5/14 to
30/5/14
45
18. PROCUREMENT CELL
ESI Corporation established under the ESI Act, 1948, provides comprehensive medical care
services through a large network of health facilities.
Procurement cell, Hqrs office facilitates:
1. Sanction for procurement of Equipment as per norms and justification, for use by various ESIC
Hospitals (equipment beyond the DOP of M.S and not existing in norms)
2. Framing of Standard Specification Bank for commonly required equipments, in consultation with
Specialists of ESIC Hospitals.
3. Framing of Model Tender Document for procurement of equipments.
19. RECRUITMENT DIVISION
Examination & Recruitment Activities of Recruitment Division, Hqrs. during the period 01.01.2014
to 31.12.2014
The work of Recruitment Division involves publishing of vacancies in various Teaching Faculty,
Medical & Para Medical, Administrative and Technical cadres, holding Examination and Interviews,
compilation, declaration & publication of results. Recruitment Division carried out following activities in
the year 2014:-
97 Refresher Trg. On
Admn. Matters
Assts/HCs 15 RO, B'lore 23/6/14 to
24/6/14
98 Refresher Trg. On
Admn. Matters
Assts/HCs 19 RO, B'lore 26/6/14 to
27/6/14
99 Refresher Trg. On
Admn. Matters
Assts/HCs 26 RO, Trichur 17/7/14 to
18/7/14
100 Refresher Trg. On
Admn. Matters
Assts/HCs 22 RO,
Hyderabad
21/8/14 to
22/8/14
101 Induction Trg. Para Medical Staff 24 ESICH
Nacharam
8/9/14 to
9/9/14
102 Induction Trg. Para Medical Staff 24 ESICH
Nacharam
11/9/14 to
12/9/14
103 Induction Trg. Para Medical Staff 25 ESICH
Nacharam
18/9/14 to
19/9/14
104 Refresher Trg. PAs/Stenos 22 RO, ESIC 25/9/14 to
26/9/14
105 Refresher Trg. PAs/Stenos 12 RO, ESIC 29/9/14 to
30/9/14
106 Induction Trg. Para Medical Staff 15 ESICMH,
Nacharam
28/11/14 to
29/11/14
107 Refresher Trg. On
Admn. Matters
Assistants/HCs 36 RO, Chennai 18/12/14 to
19/12/14
46
TEACHING FACULTY POSTS
Sl.N
o.
Name of Institutions for which
recruitment done
Post Vacancy Candidates
Selected
1.
Recruitment of Teaching Faculty for ESIC
Dental College, Rohini, New Delhi ( in 15
specialties).
Professor 02 02
Associate Professor 09 04
Assistant Professor 11 11
2. Recruitment of Teaching Faculty for ESIC
ESIC Medical College, Mandi(H.P.) ( in 19
specialties).
Professor 06 03
Associate Professor 14 09
Assistant Professor 18 18
3. Recruitment of Teaching Faculty for ESIC
Medical College, K.K. Nagar, Chennai (in
14 specialties).
Professor 06 04
Associate Professor 05 04
Assistant Professor 13 12
4. Recruitment of Teaching Faculty for ESIC
Medical College, Gulberga(Karnataka) (in
21 specialties).
Professor 09 07
Associate Professor 08 06
Assistant Professor 26 20
5. Recruitment of Teaching Faculty for ESIC
Medical College, Paripally (Kerala) (in 26
specialties).
Professor 08 04
Associate Professor 14 09
Assistant Professor 23 17
6. Recruitment of Teaching Faculty for ESIC
Rajaji Nagar, Bengalore (in 09 specialties).
Professor 05 05
Associate Professor 05 03
Assistant Professor 08 07
7. Recruitment of Teaching Faculty for ESIC
Medical College, Faridabad, Haryana ( in
22 specialties).
Professor 06 03
Associate Professor 15 14
Assistant Professor 25 25
8. Recruitment of Teaching Faculty for ESIC
Medical College, Joka (Kolkata) ( in 16
specialties).
Professor 07 05
Associate Professor 12 05
Assistant Professor 14 14
9. Recruitment of Teaching Faculty for ESIC
MC Coimbatore (Tamil Nadu) ( in 19
specialties).
Professor 05 03
Associate Professor 15 09
Assistant Professor 18 18
10. Recruitment of Dean on Contractual basis (
6 regions)
Dean 06 05
11. Recruitment of Dean on Contractual basis
for ESIC MC Paripally.
Dean 01 Advertisement
has been
released in
October 2014.
Interview yet to
be conducted.
47
12. Recruitment of Teaching Faculty for ESIC
Dental College, Gulberga (in 06
specialties).
Professor 01 Advertisement
has been
released on
15.01.2014.
Interviews yet
to be
conducted.
Associate Professor 05
Assistant Professor 09
MEDICAL POSTS
Sl.
No.
Post No. of
vacancies
Selected/Remarks
1. Recruitment of Specialist Gr. II (Jr.
Scale) for ESI Model Hospital
located at 11 regions
131 35(Interviews conducted only for six regions
against vacancies 101)
Note: Interview of remaining 5 regions( 30
vacancies) are proposed to be held in Feb. 2015.
2. Recruitment of IMO Gr. II for six
regions
122 Result of written examination declared on
11.09.2014. Interview scheduled in Jan/Feb. 2015.
3. Recruitment of Medical Officer
(Ayurveda) for 8 regions
15 Advertisement released during the year 2013-14.
Written exam of MO (Ayurveda) (14 posts) held
in November 2014.
4. Recruitment of Dental Surgeon for
10 regions.
14 Advertisement has been released in October 2014.
ADMINISTRATIVE POSTS
Sl.
No.
Post No. of
Vacancies
Remarks
1. Open recruitment for the post of
JHT
62 Written examination is conducted on
02.02.2014 and Result is to be declared.
2. Recruitment of UDC Exam for
Karnataka
54 Final result declared at Regional level.
DEPARTMENTAL EXAMINATION
Sl.
No.
Post/ Exam No. of
Vacancies
Remarks
1. Half yearly computer skill test for
employees appointed on
compassionate grounds/under
sports quota
-- Exam held on 12.02.2014 for the year 2013-14
& result declared on 13.03.2014 and held in
July 2014 for the year 2014-15 and result
declared on 14.10.2014
2. Advance increment test for
Stenographer
-- Exam held in August 2014 and result declared
on 17.10.2014.
48
20. INFORMATION COMMUNICATION TECHNOLOGY DIVISION
The IT Roll Out Plan of ESIC, 'Project Panchdeep' has been assigned to M/s Wipro as System
Integrator on BOOT Model.
The Project has 5 Components viz., Pehchan, Dhanwantri, Pashan, Milap and Pragati meaning
identification, Medical Information System, Hardware Integration(Networking) and various ERP
applications respectively.
Pehchan Card(Identification Card) in duplicate is being issued to each IP(one for himself/herself
and one for his/her family) since August, 2009 for availing benefits any where any time in India. Till
November 30, 2014 approximately 1.40 Crore Insured Persons have been enrolled at ESI Pehchan
Camps. Photo / Bio-metric details of Insured Persons and their dependents are being captured. Issuing of
Pehchan Card is a continuous process and is being carried out in all regions. Steps like organizing Hybird
Camps (Camps in the employers premises) have been taken to achieve maximum enrollment.
The ESI Scheme has started adopting computer based application usage of the Health Information
System Software-”Dhanwantri” Module across the country. About 750 Hospitals and dispensaries of all
the States and Union Territories are presently working in Dhanwantri Module online and the rest are
gradually following them. All these locations are networked and medical and clinical data flowing across
the locations seamlessly. Training to staff including Doctors and Nurses across all locations are being
arranged and refresher / repeat training arranged every quarter. Refresher Course Training have been
organized across all locations in the country.
Nearly 2082 sites are live and rest is being done and site discrepancies and other requirements are
being addressed for rectification. Two Training Centres / Video Conferencing Centres have been set up in
each State – one attached with Regional Office for training on ERP to officers / Officials and the other
attached with ESI Directorate for training in Medical Modules and other applications etc.
Insured Persons have been empowered to check Personal Details / Contribution Details /
Entitlement Details through IP Portal on www.esic.in.
Employer has been empowered with self registration of Employer and Employees (IP) through
ESIC Portal www.esic.in. Employer has also been empowered to file and pay Monthly Contribution
through system generated challan. A facility to pay Monthly Contribution online through SBI Payment
Gateway is also in place. Beside this Employer has been empowered to do various activities through
different links provided on the home page of Employer Portal.
49
In the Insurance Module, Payment / Contribution details of Employer and employees can be
viewed through this portal and notices for non / delayed payment can be processed and generated through
system. Inspection and Survey can also be processed through system.
Grievance of employers and IPs are addressed through online mail service at [email protected] and
problems related to IT that are faced by the ESI Employees are addressed at [email protected] and at
VOIP (Voice Over Internet Protocol) No. 7001. Complaints are logged and a ticket No. / Complaint No.
is allotted for each complaint registered at itcare and ithelpdesk.
National Institute of Smart Government(NISG) has been engaged as Consultant and a Project
Management Unit(PMU) has been set up with the help of NISG which is monitoring the project and
suggesting measures to resolve the challenges in Project Operations.
Pending issues namely non-balancing of two links provided at ESI locations, slow response of
application, non-implementation of parameters of Service Level Agreement, Power back-up issues
relating to UPS and Inverter / Asset Management are being taken up with System Integrator with the
consistent monitoring by PMU & recommendations of NISG.
50
21. GENERAL INFORMATION AND STATISTICAL DATA REGARDING THE
EMPLOYEES’ STATE INSURANCE SCHEME
General information regarding benefits, coverage etc. under the ESI Scheme and the latest
statistical data regarding the scheme are summarized at Annexures given below.
1. Statement showing the details of benefits provided
under the ESI Act 1948.
Annexure – I 51-55
2. Benefits & Contributory conditions Annexure - II 57-60
3. General Information regarding ESI Scheme Annexure – III 61-64
4. Revenue & Expenditure of Corporation Annexure – IV 65
5. Statistical Data regarding ESI Scheme (All India) Annexure – V 67
6. Progress made under ISM/AYUSH as on 01.01.2015 Annexure – VI 69-72
51
Annexure – I
21(I) STATEMENT SHOWING THE DETAILS OF BENEFITS PROVIDED UNDER
THE ESI ACT, 1948
(1) MEDICAL BENEFIT
(i) Medical Benefit is available to an Insured Person and his / her family from the day he
/she enters insurable employment. There is a huge infrastructure comprising of Hospitals,
Dispensaries, Annexes, Specialist Centre, IMP Clinics and arrangements with other institutions to
provide medical care to beneficiaries. The range of services provided covers preventive,
promotive, curative and rehabilitative services. Besides the out-patients services through
dispensaries of IMP Clinics, the in-patient service arrangements exist through ESI Hospitals or
arrangements with other hospitals.
The provision of Super specialty services for beneficiaries is mainly through tie-up
arrangements with reputed institutions, including services on Public Private Partnership (PPP)
basis.
ESI has developed its own pharmacopoeia for drugs. All drugs and dressings (including
vaccine and sera) that may be considered necessary and generally in accordance with
pharmacopoeia are supplied free of charge.
Insured Persons and their family members are provided Artificial Limbs, Aids and
Appliance as well. All Diagnostic facilities are provided through ESI owned Hospitals and in
case of sophisticated tests like CT Scan, MRI etc., contractual arrangements are made.
(ii) Medical Benefit to insured persons who ceases to be in insurable employment on account of
permanent disablement:
The Medical Benefit has been extended to permanently disabled insured person and his
spouse who ceased to be in insurable employment due to employment injury with effect from
01.02.1991. This benefit is provided on payment of contribution by him at the rate of Rs.10 per
month in lump sum for one year in advance till the date on which IP/IW would have vacated the
employment on attaining the age of superannuation, had he not sustained such permanent
disablement.
(iii) Medical Benefit to retired insured persons :
Medical Benefit has also been extended to the insured persons and his spouse who retires
on attaining the age of superannuation or retires under VRS or retires prematurely and who was in
52
insurable employment for at least 5 years. This benefit is provided on payment of contribution by
him at the rate of Rs.10/- per month in lump sum for one year in advance.
(iv) CONFINEMENT EXPENSES:-
The scheme of medical bonus was introduced on 16.11.96 under Rule 56-A of the ESI
(Central) Rules 1950. According to this Rule an insured woman and an insured person in respect
of his wife shall be paid medical bonus on account of confinement expenses as prescribed and
approved by the ESI Corporation, provided the confinement occurs at a place where necessary
medical facilities under the Employees State Insurance Scheme are not available. Confinement
expense are payable for two confinements only. At present the amount of medical Bonus under
confinement expense is Rs.5000/- w.e.f 1.10.2013
(2) SICKNESS BENEFIT (IN CASH)
Sickness Benefit represents periodical payments made to an insured person during the
period of certified sickness. To qualify for this benefit, contribution should have been paid /
payable for at least 78 days in the relevant contribution period. The maximum duration of
Sickness benefit is 91 days in two consecutive benefit periods. Sickness Benefit for the first two
days of sickness is not paid in case of a spell of sickness following at an interval of not more than
15 days, the spell of sickness for which Sickness Benefits were last paid. The Sickness Benefit
rate is 70% of the average daily wages of an insured person w.e.f. 01.07.2011.
After exhausting the Sickness Benefit payable upto 91 days, an insured person, if
suffering from Tuberculosis/Leprosy, mental and malignant diseases or any other specified long-
term disease, is entitled to Extended Sickness Benefit at a higher rate of 80% of average daily
wage for a period of two years, provided he has been in continuous service for a period of 2 years
or more in a factory or establishment to which the provisions of the Act applies and fulfills the
contributory conditions. The list of these long-term diseases is constantly reviewed and 34
diseases are included presently. The Director General/Medical Commissioner have also been
authorized to extend the benefit to many other rare diseases.
Enhanced Sickness benefit @ full average daily wage is also provided to insured person
eligible to sickness benefit, for undergoing sterilization operations for family planning, for upto 7
days in case of vasectomy and upto 14 days for tubectomy, the period being extendable in cases
of post-operative complications etc.
53
(3) MATERNITY BENEFIT
Maternity Benefit implies periodical payment to an insured woman in case of
confinement or mis-carriage or sickness arising out of pregnancy, confinement, pre-mature birth
of child or mis-carriage. For entitlement to Maternity Benefit, the insured woman should have
contributed for not less than seventy days in the immediately preceding two consecutive
contribution periods with reference to the benefits periods in which the confinement occurs or it
is expected to occur. The daily rate of benefit is 100% of average daily wage.
Maternity Benefit is payable for a maximum period of 12 weeks in case of confinement,
6 weeks in case of mis-carriage and additional one month in case of sickness arising out of
pregnancy, confinement, pre-mature birth of child or miscarriage or medical termination of
pregnancy. Maternity Benefit continues to be payable in the event of death of an insured woman
during her confinement or during the period of 6 weeks immediately following her confinement,
leaving behind a child for the whole of that period, and if the child also dies during the said
period, until the death of the child.
(4) DISABLEMENT BENEFIT
In case of temporary disability arising out of employment injury, disablement benefit is
admissible to an IP for the entire period, so certified by the Insurance Medical Officer/Insurance
Medical Practitioner for which the insured person does not work for wages. The cash benefit is
not subject to any contributory conditions and is payable at a rate of 90% of the average daily
wage. The temporary disablement benefit is however, not payable for an employment injury
resulting in incapacity for less then three days excluding the date of accident.
Where the disablement due to an employment injury results in permanent, partial or total
loss of earning capacity, the periodical cash payments are made to the insured persons for life
depending on the loss of earning capacity, as may be certified by a duly constituted Medical
Board. The cash benefit rate is revised periodically to protect against erosion in the value of
benefit due to inflation etc. subject to availability of funds.
However, commutation of periodical payment is permissible where the permanent
disablement stands assessed as final and the daily rate of benefit does not exceed Rs.10/- per
day, and where Benefit rate exceeds Rs.10/- per day but commuted value does not exceed Rs.
60,000/- at the time of the commencement of final award of his permanent disability.
54
(5) DEPENDANTS’ BENEFIT
Periodical payments are paid to dependants of an insured person who dies as a result of
employment injury. The widow & widowed mother receive monthly pension for life or until re-
marriage. An amount equivalent to 3/5 of dependent benefit rate is payable to the widow.
Widowed mother and each child also share among themselves an amount equivalent to 2/5th of
the disablement benefit. Son get benefit till 25 years of age, provided, in case of infirmity, the
benefit continues to be paid, till the infirmity lasts. Daughters are entitled to share dependants
benefit till marriage. However, it is subject to the condition that the total dependants benefit
distributed does not exceed, at any time, the full rate of disablement benefit. In case it exceeds
the above ceiling; the share of each of the dependants is, proportionately reduced. In case the
insured person does not leave behind any widow or child or widowed mother, the benefit is
payable to other dependants. The periodical increases in amount of pension linked with the cost
of living index is sanctioned from time to time to compensate for loss of real value. The minimum
amount of the periodical monthly payment of Dependant benefit payable to all eligible
dependents shall not be less than Rs.1200/- (Rs. One thousand to hundred only) w.e.f. 01.03.2012
(6) FUNERAL EXPENSES
Funeral expenses upto a maximum of Rs.10,000/- (w.e.f. 01.04.2011) towards the
expenditure on the funeral of a deceased insured person are reimbursed. The amount is paid
either to the eldest surviving member of the family or in his absence to the person who actually
incurs the expenditure on the funeral of the deceased insured person.
(7) REHABILITATION ALLOWANCE
Rehabilitation allowance is paid to the insured persons for each day on which they remain
admitted in an Artificial limb centre at double the Standard Benefit rate.
(8) RAJIV GANDHI SHRAMIK KALYAN YOJANA (RGSKY)
Under Rajiv Gandhi Shramik Kalyan Yojana, which has been introduced w.e.f.
01.04.2005, unemployment allowance is paid to the insured person for a maximum period of
twelve months (w.e.f. 01.02.2009) who has been rendered unemployed involuntarily on account
of closure of factory/establishment, retrenchment or permanent invalidity not less than 40%
arising out of non-employment injury, in case contribution in respect of him/her have been paid
or payable for a minimum of three years (w.e.f. 11.09.2009) prior to the loss of employment. The
55
Insured Person and his/her family is also entitled to medical care for a period of twelve months
(w.e.f. 01.02.2009) from the date of unemployment. This allowance shall cease to be payable in
case the Insured Persons gets re-employment or attains the age of superannuation or 60 years,
whichever is earlier. Daily rate of Unemployment Allowance is 50% of average daily wages
drawn by the IP/IW during the last four completed contribution periods, immediately preceding
the date of unemployment.
(9) CONVEYANCE ALLOWANCE TO PDB BENEFICIARIES
Under this Scheme, PDB beneficiaries are paid Rs. 100/- as conveyance allowance on
their personal visit to Branch Office for submission of life certificate once in a year.
56
57
Annexure-II
21(II). BENEFITS & CONTRIBUTORY CONDITIONS
(i)
(a)
SICKNESS BENEFIT
Payment for atleast
78 days in the
relevant contribution
period
91 days in any two
consecutive periods. As at Annexure-II-A (
70% of daily average
wages)
(b) EXTENDED SICKNESS BENEFIT (for 34 specified long
term diseases)
Continuous
employment for a
period of two years
and contribution for
156 days in four
consecutive
contribution periods.
Two years 80% of daily average
wages
(c) ENHANCED SICKNESS BENEFIT (for undergoing
sterilization operation
for family welfare.)
Same as for
Sickness Benefit. 7 days for vasectomy
and 14 days for
tubectomy;
extendable in cases in
post operative
complication etc.
100% of daily average
wages
(ii) DISABLEMENT
BENEFIT (
EMPLOYMENT
INJURY)
(a) TEMPORARY
DISABLEMENT
BENEFIT
He/She should be an
employee on the
date of employment
injury.
Till the incapacity
lasts. 90% of the daily
average wages
(b) PERMANENT
DISABLEMENT
BENEFIT
-do- For life Depends upon the loss
of earning capacity of
the workers which is
determined by a
Medical Board. (iii) DEPENDANTS
BENEFIT (Rule 58)
The deceased should
be an employee on
the date of fatal
accident.
1. To widow/widows
for life or until
remarriage 2. To widowed
mother during life. 3. to legitimate or
adopted son until he
attains the age of
twenty five years. 4. To legitimate or
adopted daughter till
marriage. 5. To legitimate or
adopted son or
daughter wholly
dependant on the
90% of the daily
average wages to be
divided amongst the
dependants in the
prescribed ratio.
58
earning of the insured
person at the time of
his/her death, who
have attained the age
of twenty five years
and are infirm, till
infirmity lasts. 5. To other
dependants for life or
till marriage or upto
the age of 18 years,
as the case may be (iv) MATERNITY
BENEFIT Payment of
contribution for 70
days in immediately
proceeding one or
two consecutive
contribution periods.
12 weeks of which
not more than six
weeks can precede
the expected date of
confinement; 6 weeks
for miscarriage and
additional one month
for sickness arising
out of pregnancy
confinement,
premature birth of
child or miscarriage.
100% of daily average
wages.
(v) FUNERAL EXPENSES
He should be an
insured person on
the date of death.
Actual expenditure on
funeral not exceeding
Rs. 10,000/-w.e.f.
01.04.2011. (vi) REHABILITATION
ALLOWANCE Entitlement to
medical benefit or if
disabled due to
employment injury.
For each day on
which insured person
remains admitted in
Artificial Limb-
Centre for
fixation/repair or
replacement of
artificial limb.
At 100% of daily
average wages.
(vii) MEDICAL
BENEFIT No condition
(insured person and
his family is eligible
from the date of
entry of I.P. into
insurable
employment)
Till the
disability/disease
lasts.
Full medical care (all
facilities including
hospitalization) for I.P.
and members of their
family.
(viii) MEDICAL
BENEFIT TO
RETIRED/DISA
BLED INSURED
PERSONS AND
HIS/HER SPOUSE
On payment of
Rs.10/- p.m. in
lump-sum for one
year in advance (i) by insured
persons who retire
Period for which
contribution is paid.
Full Medical care.
59
from insurable
employment on
attaining the age of
superannuation or
under VRS or
prematurely after
being in insurable
employment for not
less than five years (ii) by insured
persons who cease
to be in insurable
employment on
account of
permanent
disablement due to
an employment
injury.
IPs are entitled for
full medical care for
self and spouse only,
Period for which
contribution is paid,
till attaining the age
of superannuation.
(ix) CONFINEMENT
EXPENSES To an Insured
Woman or an I.P. in
respect of his wife
incase facilities for
confinement are not
available in ESI
Institutions.
Up to two
confinements only
w.e.f. 01.10.2013
Rs. 5000/- per case.
(x) VOCATIONAL
REHABILITATION
ALLOWANCE
SKILL
DEVELOPMENT
SCHEME UNDER
R.G.S.K.Y.
Not more than 45
years of age and
disability not le than
40% due to
Employment Injury
All the days of
training in Vocational
Rehabilitation Centre
Rs. 123/- per day or
the actual amount
charged by Vocational
Rehabilitation Centre,
whichever is higher.
(xi) UNEMPLOYMENT
ALLOWANCE An I.P. who has lost
employment due to
closure of factory,
retrenchment or
permanent
disablement of at
least 40% arising out
of non-employment
injury and the
contribution in
respect of him have
been paid/payable
for a minimum of
three years prior to
the loss of
employment
Maximum period of
one year during life
time w.e.f.
01.02.2009
about 50% of average
daily wage.
60
(xii) VOCATIONAL
REHABILITATION
SKILL
DEVELOPMENT
SCHEME (UNDER
RAJIV GANDHI
SHRAMIK
KALYAN YOJANA)
IP/IW should be in
receipt of
Unemployment
Allowance under
Rajiv Gandhi
Shramik Kalyan
Yojana
Short duration of ten
weeks or other longer
duration courses of
upto six months at
Advance Vocational
Training Institutions.
Entire fee charged by
the Institutions is to be
paid by the
Corporation. To and fro
Rail/Bus fare to IP/IW
who has to travel to
attend the training
programme at AVTIs
as charged, is
reimbursed.
(xiii) NEW ADDITION Conveyance
Allowance 10. Conveyance
Allowance to
Permanent
Disablement
Benefit(PDB)
beneficiaries-
regarding
Under this Scheme,
PDB beneficiaries are
paid Rs. 100/- as
conveyance allowance
on their personal visit
to Branch Office for
submission of life
certificate once in a
year.
61
ANNEXURE – III
21(III) GENERAL INFORMATION REGARDING EMPLOYEES' STATE INSURANCE
SCHEME
1. COVERAGE UNDER THE ESI ACT, 1948:
(a) The Act was originally applicable to the factories using power and employing 20 or more
coverable employees; but it is now applicable to factories employing 10 or more persons irrespective
of whether power is used in the manufacturing process or not.
(b) Under Section 1(5) of the Act, the Scheme has been extended to shops, hotels, restaurants,
cinemas including preview theatres, road motor transport undertakings and newspaper establishments
employing 20 or more coverable employees. Twenty four State Governments (Andhra Pradesh,
Assam, Telangana, Tripura, Bihar, Chhatisgarh, Goa, Gujarat, Haryana, Jammu &Kashmir Jharkhand,
Karnataka, Kerala, Meghalaya, Odisha, Punjab, Rajasthan,Sikkim, Tamilnadu, Uttarakhand, Utter
Pradesh,West Bengal, New Delhi & Pondicherry) have brought down the threshold for coverage of
shops and other establishments from 20 to 10 or more persons.
(c) The Scheme has further been extended under Section 1(5) of the Act to Educational Institutions
in States namely: Andhra Pradesh, Telangana,Tripura, Bihar, Chhatisgarh, Meghalaya, Haryana,
Jharkhand, Karnataka, Kerala, Odisha, Punjab, Rajasthan, Sikkim, Uttrakhand, West Bengal, New
Delhi, Pondicherry, Assam, Jammu & Kashmir, Madhya Pradesh, Tamil Nadu & Uttar Pradesh (23
States/UTs) and to Private Medical Institutions in the States of Andhra Pradesh, Telangana,Tripura,
Bihar, Chhatisgarh, Haryana, Jammu & Kashmir, Jharkhand, Karnataka, Kerala, Meghalaya, Odisha,
Punjab, Rajasthan, Sikkim, Tamilnadu, Uttrakhand, Utter Pradesh, West Bengal, New Delhi, Assam,
Himachal Pradesh, Madhya Pradesh & Chandigarh (24 States/UTs).
(d) The existing wage-limit for coverage under the Act, is Rs. 15,000/-per month (w.e.f. 01/05/2010).
2. AREAS COVERED.
The ESI Scheme is being implemented area-wise in stages. The Scheme has already been
implemented in different areas in the following States/Union Territories:-
(i) States: All the States except Manipur, Mizoram and Arunachal Pradesh.
(ii) Union Territories: Applicable in Delhi, Chandigarh and
Pondicherry except Andaman & Nicobar.
62
3. RECENT INITIATIVES FOR EXPANDING COVERAGE UNDER THE SCHEME.
Threshold for coverage of factories reduced from 20 to 10 or more persons.
Threshold for coverage of shops and other establishments also reduced from 20 to 10 in 24
States/UTs.
The Scheme was extended to 67 areas covering 2.35 lakh employees in the year 2012-13 and to
81 areas covering 2.35 lakh employees in the year 2013-14. During the current year 2014-15, the
scheme has been extended to 65 areas covering 1.07 lakh employees upto 1-1-2015.
Revenue income of the Corporation increased to 11512.87 crores in the year 2013-14 from
10138.63crores in the year 2012-13.
CASH BENEFITS/OTHERS
Corporation disbursed 601.35 crores as cash benefits in the year 2013-14 as against 761.17
crores in the year 2012-13.
Daily rate of Sickness Benefit has been enhanced from 60% to 70% of average daily wage. The
daily rate of permanent disablement benefit and dependants benefit was enhanced from 75% of
wages to 90% of wages.
The Corporation, in its meeting held on 10-11-2012 decided to enhance the rates of permanent
disablement benefit and dependants benefit to protect the value of these benefits against rise in
the cost of living index. A circular No. R-12/16/9/2012. Policy-Bft-II dated 03/01/2013 has been
issued to compensate the erosion in the real value of PDB & DB due to inflation.
The Corporation, has enhanced Confinement Expenses for confinement taking place outside ESI
Dispensary/Hospital from Rs.2500/- to Rs. 5000/- w.e.f. 1.10.2013. A circular No. R-14/13/99-
Bft.II dated 18.11.2013 has been issued to this effect for implementation.
The Corporation also decided to enhance the Limit for Daily rate of PDB for Commutation. It has
now been enhanced from Rs. 5/- to Rs. 10/- w.e.f. 01.06.2013 vide circular No. R-14/13/99-Bft.II
dated 20.11.2013j enhancing the value of commutation from Rs. 30000/- to Rs. 60000/-
Payment of Permanent Disablement Benefit within 3 days of Medical Board decision.
Permanently disabled persons working in factories and establishments covered under the ESI Act
and drawing wages upto 25,000/- per month have been brought under the scheme w.e.f.1-4-
2008. In order to encourage employment of disabled persons, the employers’ share of
contribution in respect of such disabled employees will be paid by the Central Government
initially for three years. It is still continued.
Continuing medical benefit to insured persons retiring under VRS scheme or taking premature
retirement;
63
Treating commuting accidents as employment injury;
Making an enabling provision for extending medical care to other beneficiaries against payment
of user charges to facilitate providing of medical care from under-utilized ESI Hospitals to the
BPL families covered under the Rashtriya Swasthaya Bima Yojana and other Schemes framed by
Central Government
The Corporation has decided to enhance the rates of permanent disablement benefit and
dependants benefit to protect the value of these benefits against rise in the cost of living index
w.e.f. 1.7.2011.
The Corporation has also decided that the minimum amount of dependants benefit payable to
dependants of deceased employees shall be Rs. 1200 per month.
Infrastructure facilities in all the offices of ESIC are being upgraded to provide proper work
environment so that the efficiency level of workers may increase. In the first phase, 71 Branch
Offices have been upgraded.
In an endeavor to reach out to the beneficiaries and make the system more customer friendly,
long-term benefits such as Permanent Disablement and Dependants Benefits are being credited to
the bank account of the beneficiaries through ECS system.
ESIC’s IT Project ‘Panchdeep’, one of the largest e-governance project, has been launched. All
ESI Institutions have been networked under this Project.
Medical Benefit under Rule 60 has been extended to the spouses of insured person/ insured
women who ceases to be in an insurable employment on account of permanent Disablement (Full
or partial) till the date on which the insured person would have vacated the employment on
attaining the age of superannuation, had he not sustained such permanent disablement.
This benefit is also extended to widows of insured persons who are in receipt of dependent
Benefit, on payment of contribution as prescribed under rule 60.
Two smart cards named as “Pehchan” cards, one for Insured Person and other for the family have
been issued. This enables the Insured Persons and their family members to avail medical benefit
from anywhere anytime, even if living at separate locations. Bio- metric details of more than One
Crore Insured Person have already been captured to generate these smart cards.
Awareness campaigns have been launched to inform, educate & communicate about Project
Panchdeep to the stakeholders.
Registration of factories/establishments and their employees is now online and employers are able
to generate code number for their establishment and temporary identity cards for their employees
64
online after which the biometric details and photograph of employees are captured and Pehchan
cards are issued by designated offices of ESIC.
Entitlements to benefits, processing of benefit payments revenue management, and medical
history of patients will all be available in the date-base through Pehchan, Pashan, Dhanwantari
and Milap modules of IT enablement project.
65
ANNEXURE-IV
21(IV) REVENUE & EXPENDITURE OF CORPORATION
1. Revenue of ESI Corporation Amount
(Rs. in lakhs)
Actual from 1.4.2014 to 31.10.2014 6,18,101.34
Revised Estimates for 2014-2015 13,11,656.00
Budget Estimates for 2015-2016 14,24,423.00
2. Total Expenditure
(Revenue Account)
Actual Expenditure from 1.4.2014 to 31.10.2014 3,27,462.76
Revised Estimates for 2014-2015 8,23,355.00
Budget Estimates for 2015-2016 8,87,737.00
3. Total Expenditure (Capital Account)
(Excluding Staff Cars)
Actual Expenditure from 1.4.2014 to 30.09.2014 50,100.00
Revised Estimates for 2014-2015 1,85,000.00
Budget Estimates for 2015-2016 2,27,600.00
66
67
ANNEXURE-V
21(V) STATISTICAL DATA REGARDING ESI SCHEME (ALL INDIA)
ALL INDIA
Sl. No. Heads As on 31.03.2013 As on 31.03.2014
1 No. of Employees Covered 1,65,04,500 1,74,12,130
2 No. of I.P's Covered 1,85,82,000 1,95,47,620
3 No. of Beneficiaries 7,20,98,160 7,58,44,766
4 No. of Centres 810 815
68
69
Annexure-VI
21(VI) PROGRESS MADE UNDER ISM/AYUSH AS ON 01.01.2015
ESI Corporation, a premier Social Security Organization has been providing required medical
care to its beneficiaries. Along with the Allopathic system of medicine, the ESI Corporation has been
giving importance to promote AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy) facilities in ESI
Scheme in all States. AYUSH facilities have been developed in a phased manner all over the country.
In this regard the ESI Corporation has taken several steps for strengthening of AYUSH/ISM
services, the details are as under:
1. For encouraging the State Governments for setting up of AYUSH units (in the 134th meeting of
the ESIC Corporation held on 21/12/2005), it has been approved to bear the entire expenditure on
setting up of new ISM units in the states for the first five years by ESIC Corporation.
2. For Strengthening/promotion of AYUSH services and for establishment of AYUSH units in ESIS
hospitals/dispensaries, norms/guidelines have been approved in the 162nd Meeting of ESI
Corporation, held on 31/07/2014. These norms/guidelines have been circulated under “ESIC
Decisions on Medical Services – July, 2014” vide letter dated 29/08/2014.
3. For providing timely and good quality medicines, the ESIC formulates Central Ayurvedic Rate
Contract for supply of Ayurvedic Medicines. To ensure quality drugs, annual turnover for
participating firms has been enhanced from existing Rs. 1 crore to Rs. 5 crores.
4. For popularization of AYUSH facilities, ESIC has been participating in exhibitions/health melas.
ESIC participated in 6th World Ayurveda Congress & Arogya Expo 2014, New Delhi (6th
November to 9th November 2014). Publicity material like posters, pamphlets & informative
material related to AYUSH were displayed /distributed in ESIC stall. Such material is also
distributed to beneficiaries through Ayurveda units functioning under ESI Scheme.
5. Details of AYUSH/ISM facilities under ESI Scheme is enclosed as Annexure- A.
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Annexure - A
STATUS REPORT ON AYUSH
STATEMENT SHOWING FACILITIES PROVIDED IN ISM (OTHER THAN ALLOPATHY) i.e.
(AYUSH) AYURVEDIC, YOGA, UNANI, SIDDHA & HOMEOPATHY IN THE VARIOUS
STATES OF THE COUNTRY AS ON 01/01/2015in ESIC/ESIS.
A) AYURVEDIC
Sr. No. State No. of units in
Disp./Hospitals
No. of Ayurvedic
Physician
No. of beds in
Hospitals
1. Andhra Pradesh 07 07 -
2. Assam 01 01 02
3. Bihar 03 03 -
4. Chandigarh 02 02 -
5. Delhi 12 12 15
6. Goa 01 01 -
7. Gujarat 49 35 25
8. Haryana 05 05 -
9. Jammu & Kashmir 01 01 02
10. Jharkhand 02 02 -
11. Karnataka 02 03 -
12. Kerala 15 14 30
13. Madhya Pradesh 01 01 02
14. Maharashtra 01 01 -
15. Orissa 02 02 -
16. Punjab 07 07 10
17. Rajasthan 02 02 -
18. Tamil Nadu 10 11 -
19. Telangana 06 06 -
20. Uttar Pradesh 13 09 -
21. West Bengal 07 05 -
Total 149 130 86
Panchkarma Therapy:
ESICH Rohini – Delhi
ESICH Bapu Nagar, Ahmadabad
ESIH Lucknow (U.P.)
ESICH K.K. Nagar, Chennai
ESICH Ezhukone- Kerala
Kshar Sutra
ESICH Bapunagar, Ahmadabad
B) YOGA
Sr.
NO.
STATE NO. OF YOGA CENTRE
1. DELHI 01
2. GUJARAT 01
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3. JHARKHAND 01
4. KARNATAKA 01
5. KERALA 01
6. ORISSA 01
7. TAMIL NADU 01
C) UNANI
Sr. No. State No. of Units
Disp./Hospitals
No of Unani
Physician
No. of beds in
Hospitals
1. Bihar 1 1 -
D) SIDDHA
Sr. No. State No. of Units
Disp./Hospitals
No of Siddha
Practitioners
No. of beds in
Hospitals
1. Tamil Nadu 28 28 -
E) HOMEOPATHY
Sr. No. State No. of units in
Disp./Hospitals
No. of
Homeopathic
Physician
No. of beds in
hospitals
1. Andhra Pradesh 06 05 -
2. Chandigarh 01 01 -
3. Delhi 08 08 -
4. Goa 01 02 -
5. Himachal Pradesh 01 01 -
6. Kerala 14 14 06
7. Punjab 01 01 -
8. Rajasthan 02 02 -
9. Tamil Nadu 03 03 -
10. Telangana 06 06 -
11. Uttar Pradesh 13 15 -
12. West Bengal 06 06 -
Total 62 64 06
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AYUSH FACILITIES AVAILABLE IN ESIC HOSPITALS IN THE STATES
SI.
No.
Name of the ESI Model Hospital Ayurveda Yoga Homeopathy
1. Adityapur, Jharkhand OPD available - -
2. Andheri, Mumbai OPD available - -
3. Ashramam Kollam, Kerala - Available OPD Available
4. Baddi, Himachal Pradesh - - OPD Available
5. Bapu Nagar, Gujarat OPD available Available -
6. Basaidarapur, Delhi OPD available - OPD Available
7. Belatola, Assam OPD Available - -
8. Bharatnagar, Ludhiana (Punjab) OPD available - OPD Available
9. Bhiwadi, Rajasthan OPD available - OPD Available
10. Chandigarh, Punjab OPD available - OPD Available
11. Coimbatore, Tamil Nadu OPD available Available OPD Available
12. Ezhukone, Kerala OPD available - -
13. Gurgaon, Haryana OPD available - -
14. Jaipur, Rajasthan OPD available - OPD Available
15. Jammu, Bari Brahamna OPD available - -
16. Jhilmil, Delhi OPD available - OPD Available
17. Joka, West Bengal OPD available - -
18. K.K. Nagar, Chennai OPD available - -
19. Manesar, Haryana OPD available - -
20. Nacharam, Andhra Pradesh OPD available - -
21. Namkum Ranchi, Jharkhand OPD Available Available -
22. Nandanagar, Indore (MP) OPD available - -
23. Noida, Uttar Pradesh OPD available - OPD Available
24. Okhla, Delhi OPD available - OPD Available
25. Parippally, Kerala OPD available - -
26. Phulwari Sharif, Patna (Bihar) OPD available - -
27. Rajajinagar, Bangalore OPD available Available -
28. Rohini, Delhi OPD available Available OPD Available
29. Rourkela, Orissa OPD available Available -
30. Udyogmandal, Kerala OPD available - -
31. Vapi, Gujarat OPD available - -
32. Trinalveli, Tamilnadu OPD available - -
* Siddha OPD available in ESIC Hospital, Coimbatore.
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22. RATE CONTRACT CELL
ESI Corporation established under the ESI Act, 1948, provides comprehensive medical care
services through a large network of health Institutions.
ESI Corporation provides Drugs & Dressing material through Running Rate Contracts formulated
at ESIC Hqrs. Office.
These are used by ESI Institutions, all over the country to ensure uniform supply of quality
generic drugs to the end users at competitive rates.
The function of RC Cell are enumerated briefly, follow:-
I. Formulation of Rate Contracts:
The DG-ESIC Central Rate contract is finalized in Rate contract Cell, Hqrs. Office after
following the tender process.
I.I Types of Rate Contracts:
Rate contract with Private Sector Pharmaceutical Firms.
Rate contract for Central Public Sector Undertaking (CPSU) Pharmaceuticals firms
The rate contracts finalized are valid for a period of two years.
I.II Process of formation of Rate Contract:
The RC Cell frames the list of drugs to be included in the Rate Contract through detailed
deliberations and the recommendations of a broad based Drug Selection Committee duly
constituted by Director General, ESIC.
Tenders are invited through e-publishing & open advertisement, from general firms through two
bid system i.e Technical and Price bid.
Rate Comparative is prepared and vetted by Finance & accounts.
Final Rate Contract is awarded after due approval from Competent Authority.
I.III Eligibility criteria for Vendor selection:
Eligibility Criteria as defined under the Tender Enquiry, play a very important role in deciding
the Right Firm with the Right Capacity capable of delivering drugs of the Right Quality at the Right time
in the Right Quantity.
Current approved Eligibility Criteria for the forthcoming Tender enquiry are:
1. Graded Turnover – Rs 20 Crores for upto 20 items.
Rs 30 Crores for upto 30 items
Rs 50 Crores for more than 30 items.
Rs 1 Crore for items for exclusive procurement from
Micro & Small Enterprises.
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2. Valid Drug manufacturing License / Import License / New Drug Certificate.
3. Non Conviction Certificate for previous Three Years.
4. Marketing & Manufacturing License for previous Three years.
5. Valid DGQA/GMP/WHO-GMP Certificate.
6. Valid Good Laboratories Practice Certificate.
7. Certificate of No Dues from the concerned Regional director-ESIC, if covered under ESI.
8. Valid Registeration Certificate of Micro &Small Enterprises under MSME Act.
I.IV Current Rate contracts: -
a) RC138for 398 drug formulations valid from 22.11.2013 to 30.11.2015
b) RC 136 for 606 drug formulationsvalid from 11.04.2012 to 30.04.2014, extended further
till 31.01.2015
c) RC137(CPSU) firms for 122 drug formulations:Finalization of Rate Contract under
process.
d) RC-139(Replacement of RC136) for 862 items isunder process.
II. Monitors Supply and Quality of drugs.
III. Initiates punitive action: against Rate Contract holders for not adhering to the Terms &
Conditions of the rate Contract.
IV. Prepares/ updates: Amendment/revision etc from time to time.
Operation of the Rate Contract:
The procurement is done through Chief Direct Demanding Officers or designated Direct
Demanding Officers.
Supply orders for Drugs, Dressing Material and I/V Fluids are placed from time to time during
the currency of the Rate Contract in exact quantities required on each occasion with the date of
delivery, as specified by the Direct Demanding Officers.
Supply orders are placed to firms with First Preference and lowest rates in the Rate Contract. In
case of Non Supply, orders are moved to the firm with the next higher rate or Local Purchase is
done, after invoking Risk purchase.
Delivery Period:
Six weeks from date of actual despatch of Supply Order to date of receipt of supplies at
FOR destination.
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Extension permitted with the permission of DDO, at a penalty of 2% per week upto a
maximum of 10% i.e five additional weeks.
Risk purchase : If items are not supplied by the scheduled date, in full or in part then the
order in respect of the quantity not supplied is liable for cancellation at Contractor’s risk
& expense. Extra expenditure so incurred from procuring supplies from elsewhere will be
recoverable from the Contractor in full at the discretion of the DDO and recovery is done
from any sum due to the Contractor.
Supplies received are inspected and accepted subject to their adherence to:
Pharmacopoeia Specifications
Provisions of Drugs & Cosmetic Act
Standard Packing /Marking and Labelling
Shelf Life– 1/4th for drugs with shelf life upto 2 yrs.
1/6th for drugs with shelf life > 2 yrs.
On receipt of Supplies, all batches of all items received are subjected to Testing.
Additional Testing may also be done anytime within the Shelf Life of the drug or whenever a
defect is noticed.
If a drug is found to be Not of Standard Quality Drugs (NSQ) then:
All DDO’s are informed to stop use of the NSQ drug, Pan India.
Replacement of the whole consignment supplied by the firm, irrespective of the usage is
initiated.
If firm fails to give replacement, then Total Recovery of Charges is initiated.
Additionally, testing Charges for the said drug are also recoverd from the firm.
If the firm fails to replace the batch or fails to make payment in lieu of that, the firm is
liable to be debarred for two years in respect of one or more or all of the items in the
DGESI-RC.
Categorisation of defects is done as per DCGI guidelines and Punitive action initiated.
Payment for the supply received is made within 4-6 weeks after receipt of goods directly by
DDO’s or through nominees to whom Bills are submitted.
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