STANDARD NOTE - Employees' State Insurance · PDF fileE S I C Chinta Se Mukti STANDARD NOTE ON EMPLOYEES’ STATE INSURANCE SCHEME AS ON 01.01.2015 Employees’ State Insurance Corporation

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

[

http://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


(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








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


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


for Personal Asstts.

Personal Asstts. 08.08.2014 to

09.08.2014

24 NTA

15. Mandatory In-

Service Training

Prog. For Ads

(Batch II).


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


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


Management.

--- 06.02.2014 131 Hqrs.


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


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


Programme for

newly recruited

Doctors

Delhi/NCR.

Newly recruited

Doctors

Delhi/NCR.

19/20.06.2014 23 NTA

38


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.


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


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.


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


Chennai

08/1/14


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


B'lore

20/2/14 to

21/2/14


B'lore

3/3/14 to

4/3/14


B'lore

10/3/14 to

11/3/14


B'lore

20/3/14 to

21/3/14


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


Tirunelveli

27/3/14 to

28/3/14


Nacharam

20/3/14 to

21/3/14


Nacharam

22/3/14 to

23/3/14


Nacharam

25/3/14 to

26/3/14


Nacharam

27/3/14 to

28/3/14


Nacharam

1/4/14 to

2/4/14


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:-


Admn. Matters

Assts/HCs 15 RO, B'lore 23/6/14 to

24/6/14


Admn. Matters

Assts/HCs 19 RO, B'lore 26/6/14 to

27/6/14


Admn. Matters

Assts/HCs 26 RO, Trichur 17/7/14 to

18/7/14


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


Nacharam

11/9/14 to

12/9/14


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


Nacharam

28/11/14 to

29/11/14


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




Medical College, K.K. Nagar, Chennai (in

14 specialties).

Professor 06 04




Medical College, Gulberga(Karnataka) (in

21 specialties).

Professor 09 07




Medical College, Paripally (Kerala) (in 26

specialties).

Professor 08 04




Rajaji Nagar, Bengalore (in 09 specialties).

Professor 05 05




Medical College, Faridabad, Haryana ( in

22 specialties).

Professor 06 03




Medical College, Joka (Kolkata) ( in 16

specialties).

Professor 07 05




MC Coimbatore (Tamil Nadu) ( in 19

specialties).

Professor 05 03



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


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


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.


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.


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



3. Total Expenditure (Capital Account)

(Excluding Staff Cars)

Actual Expenditure from 1.4.2014 to 30.09.2014 50,100.00



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.

70

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

71

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


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 -


10. Telangana 06 06 -

11. Uttar Pradesh 13 15 -

12. West Bengal 06 06 -

Total 62 64 06

72

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.

73

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.

74

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.

75

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.

********

Documents

STANDARD NOTE - Employees' State Insurance · PDF fileE S I C Chinta Se Mukti STANDARD NOTE ON EMPLOYEES’ STATE INSURANCE SCHEME AS ON 01.01.2015 Employees’ State Insurance Corporation