ESI PPT.pptx

19th April, 1948. An Act to provide for certain benefits to employees in case of sickness, maternity and ' employment injury ' and to make provision for certain other matters in relation thereto.

1. PRESENTED BY DR.ANJALATCHI MUTHUKUMARAN VICE PRINCIPAL ERA COLLEGE OF NURSING ERA UNIVERSITY LUCKNOW EMPLOYEE STATE INSURANCE ACT ESI ACT 1948

2. Learning objectives Introduction History of ESI act To discuss new amendment in ESI act To explain the ESI act like coverage , and administration , and finance, medical facility provided through. To describe the benefits for employees. 1. Medical benefit 2. Sickness benefit 3. Maternity benefit 4. Disablement benefit 5. Dependent benefit 6. Funeral expenses 7. Rehabilitation allowance List out the dental and medical college under the ESI act Summary & conclusion .

3. INTRODUCTION Employees' State Insurance Corporation (abbreviated as ESIC) is a  statutory body  under the  ownership  of  Ministry of Labour and Employment ,  Government of India . The fund is managed by the Employees' State Insurance Corporation (ESIC) according to rules and regulations stipulated in the ESI Act 1948. HISTORY In March 1943, Prof. B.P.Adarkar was appointed by the Government of India to create a report on the health insurance scheme for industrial workers.The report became the basis for the Employment State Insurance (ESI) Act of 1948.

4. NEW AMENDENT The Employees’ State Insurance Corporation (ESIC) raised the monthly wage limit to Rs. 21,000 from the existing Rs. 15,000, for coverage with effect from 1 January 2017. The rate of contribution was reduced from 6.5% to 4% ( employer's share 3.25% and employee's share 0.75%) effective from 1 July 2019.

5. ESI act Important measure of social security & health insurance in India Cash & medical benefits to industrial employees in case of sickness, maternity & occupational injury Coverage – From 6 September 2016 act covers all employees getting up to 21000 per month. Covers all factories in India EXCLUDING - Mines, Defense & Railways. Covers all state & UTS EXCEPT-Manipur, Sikkim, Arunachal Pradesh, Mizoram, Delhi & Chandigarh

6. Cont.. Administration:- ESI Corporation Chairman- Union minister of labour (in central government) Chief executive officer - Director General - Assisted by Principal officers Insurance commissioner Medical commissioner Financial commissioner Head Office- New Delhi

7. Cont... Medical facilities provided through Inspection officer - inspect factories Dispensaries Clinics Hospitals Super specialty services - tie up with advanced medical institutions

8. Con... Finance:- Employer contributes -0.75% of total wage Employee contributes -- 3.25 % of total wage ESI Corporation share 6:7 of total cost of medical care State government- (1/8) & Central government ( 7/8) share 1:7 of medical expenditure

9. Cont .. Benefits to EMPLOYEE'S:- 1. Medical benefit 2. Sickness benefit 3. Maternity benefit 4. Disablement benefit 5. Dependent benefit 6. Funeral expenses 7 . Rehabilitation allowance

10. 1. Medical benefit Full medical care NOT a cash benefit Services:- Outpatient care In patient treatment Drugs Specialist services Pathological & radiological investigation ANC/PNC Immunization services Ambulance services

11. Cont... Medical care is provided by:- 1 . Direct pattern 1000/more employees Dispensaries/ Hospital Full time doctor Less than 750 Part time ESI Dispensaries If employees are scattered over long distance Mobile dispensaries

12. Cont... 2. Indirect pattern Panel system Registered Medical Practitioner (RMP) designated as Insurance Medical Officers. Other medical facilities Dentures, spectacles & hearing aids Artificial limbs, Walking calipers

13. 2. Sickness benefit Sickness is certified by Insurance Medical Officer 91 days 70% daily wage Extended sickness benefit:- Benefit extended for 2 years 80% wages Person is eligible if:- employment is continuous for-2 years

14. Cont.. Suffering from enlisted - 34 diseases 1. Infectious diseases- TB, AIDS 2. Neoplasm's-malignant diseases 3. Metabolic disorders- diabetic retinopathy/ nephropathy 4. Nervous systems- Parkinson's disease 5. Cardiovascular systems- CAD 6. Respiratory system- COPD 7. Digestive system-cirrhosis of liver 8. Orthopedic diseases- prolapsed IVD 9. Psychosis-Schizophrenia 10. Others- Burger's disease. Enhanced sickness benefit :- full average daily wage for duration up to 7 days in case of vasectomy & upto 14 days in the case of tubectomy

15. 3. Maternity benefit Full wages 24 weeks (6 months)-confinement (5000/confinement) 26 weeks- miscarriage or MTP 4 week s-sickness arising out of pregnancy, confinement or premature death Maternity act 2017 amendments Insured women now include o A commencing mother who wishes to have a child with surrogacy o A woman who legally adopts a child upto 3 months of age

16. Cont.. Adopting mother and commencing mother o 12 weeks from date on which child is being handed over to mother Insured women with 2 or more surviving children o 12 weeks (of which not more than 6 weeks shall precede the expected date of confinement)

17. 4. Disablement benefit The act provides for cash payments , beside for free medical treatment in the events of temporary and permanent disabled as a results of employment injury as well as occupational disease. Temporary disablement 90% wages till recovery Permanent disablement 90% wages Lifetime pension

18. 5. Dependent benefit Death as a result of employment injury Dependents get pensions at rate of 90 % of wages Son or daughter is entitled to get benefit up to age of 18 years (benefits is withdrawn If daughter gets married)

19. 6. Funeral expenses Funeral benefits is a cash payments payable on the death of an insured person towards the expansion of his funeral. Funeral expenses Cash not exceeding Rs. 15000

20. 7. Rehabilitation On monthly payment of Rs 10 to insured person & his family members continue to get medical treatment after permanent disablement all retirements ,

21. ESIC 2.0-Health reform agenda of ESIC Online availability of electronically stored health records of the ESI beneficiaries Special OPD for senior citizens & differently abled persons

22. MEDICAL AND DENTAL COLLEGE There are 8 Medical Colleges managed by the  Ministry of Labour and Employment (India)  under the ESI Corporation. They are : ESIC Medical College and PGIMSR, [10]   K. K. Nagar ,  Chennai ,  Tamil Nadu ESIC Medical College and PGIMSR, Joka , Kolkata, West Bengal ESIC Medical College and PGIMSR, Sanath Nagar,  Hyderabad  ,  Telangana ESIC Medical College and PGIMSR,  Rajaji nagar ,  Bengaluru ,  Karnataka ESIC Medical College and PGIMSR, Faridabad, Haryana ESIC Medical College and PGIMSR, Gulbarga, Karnataka ESIC Medical College and Hospital,  Alwar ,  Rajasthan ESIC Medical College and Hospital,  Bihta ,  Patna ,  Bihar

23. Bibliography K.PARKs. preventive and social medicine.23rd addition. Banarsidas bhanot publishers. New Delhi 2015. Page number 815, 914-915. R P Saxena textbook of community health nursing. Second edition. Jaypee brother publisher. 2017. Page number-539-544.   "WHO South-East Asia Region: India statistics summary (2002 - present)" . World Health Organization. Retrieved 13 January 2014 WWW. Wikipedia .com . esiact .