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S T A N D A R D N O T E ON EMPLOYEES STATE INSURANCE SCHEME

(As on 1.1.2013)
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 health insurance related 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 stages. The Act contains an enabling provision under which the "appropriate government" is empowered to extend the provisions of the Act to other classes of establishments - industrial, commercial, agricultural or other-wise. Under these provisions, the State Governments have extended the provisions of the Act to shops, hotels, restaurants, cinemas including preview theatres, road motor transport undertakings, newspaper establishments, educational and medical institutions employing 20 or more employees. Twenty one State Governments have reduced the threshold of coverage of shops and establishments to 10 or more persons. Employees of factories and establishments covered under Act and 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 31/03/2012, the scheme applied to 5.80 lakh employers employing 1.71 crore insured persons at 807 centres. The scheme has been extended to the state of Sikkim w.e.f. 1/12/2012.
2.

ADMINISTRATION
The Hqrs. of the ESI Corporation is located at Delhi and has 64 field offices which include 23

Regional Offices, 31 Sub-Regional Offices, 6 Divisional Offices, 2 Camp Offices and 3 Liaison Offices throughout the country. Besides, there are 623 Branch Offices and 184 Pay Offices for administration of cash benefits to Insured Persons. For inspection and coverage of factories/Establishment, 383 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. The State Governments

share of expenditure on the provision of Medical Care is to the extent of 12.5%. The maximum sharable amount is subject to the ceiling prescribed by the Corporation from time to time. Expenditure beyond the prescribed ceiling is solely borne by the State Govts. 4. ABSOLVING OF LIABILITY UNDER OTHER ENACTMENTS

Employers coming under the purview of ESI Act, 1948, are absolved of their liabilities under the Employees Compensation Act, 1923 and the Maternity Benefit Act, 1961, as these social security provisions become the responsibility of the ESI Scheme. 5. PROVISION FOR EXEMPTION FROM THE OPERATION OF THE ACT

An appropriate government may grant or renew exemption under Section 87 of the Act in respect of a Factory/Establishment or class of factories or establishments in any specified area if the employees in such factory/establishment are in receipt of benefits substantially similar or superior to the benefits provided under the Act for a period not exceeding one year at a time to take effect only prospectively. Provided that an application for renewal shall be made three months before the date of expiry of the exemption period and a decision on the same shall be taken by the appropriate Government within two months of receipt of such application. As per provisions of the Act no exemption shall be granted unless a reasonable opportunity is given to the Corporation to make any representation and the same is considered by the appropriate Govt. The appropriate government may also grant exemption to any person or class of persons employed in a factory/establishment or class of factories/establishments under Section 88 of the Act.

Exemption under Section 90 is granted to a factory/establishment belonging to a local authority such as a Municipality/Corporation, etc. if employees in any such factories/establishments are otherwise in receipt of benefits substantially similar or superior to the benefits provided under the Act. 6. EXTENSION OF ESI SCHEME TO NEW SECTORS OF EMPLOYMENT.

The Committee on Perspective Planning (1972) of the ESI Corporation which had been appointed, inter-alia, to work out a viable programme for phased extension of the Scheme, had formulated the following criteria for extension of the Scheme to a larger cross section of wage earners:(a) (b) (c) Need for health insurance protection; Feasibility of building upon expanding viable medical facilities; and Amenability of the establishments to enforcement by the Corporation.

Applying the above mentioned criteria, the Committee came to the conclusion that extension of the scheme should be accomplished in three phases, as given below:(i) In the first phase, factories run with power and employing 10 to 19 workers; factories run without power employing 20 or more workers and shops, cinemas including preview theater, road motor transport undertakings and newspaper establishments, hotels and restaurants employing 20 or more workers are to be covered. (ii) The organized mines and plantations might be covered in the second phase. In the case of mines and plantation the recommendation of the Committee was to extend the Scheme only partially i.e. only the cash benefits might be provided since medical care was already available to the workers free of cost. (iii) The unorganized or semi-organised sectors about which accurate statistical data is not available would come later in the third phase. In pursuance of the above recommendations, extension of the scheme to the categories of establishments included in the first phase has already been carried out. Further, 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. The scheme has also been extended to educational institutions in 22 States/UTs and to private medical institutions in 20 States/UTs. A provision has been made in the Act vide Employees' State Insurance (Amendment) Act, 2010 under which medical care from underutilized ESI Hospitals can be provided to other beneficiaries on payment of user charges. 7. PROVISION

OF SOCIAL UNORGANISED SECTOR

SECURITY

FOR

WORKERS

IN

THE

Out of the total work force of about 459 millions in India, 27.55 million workers are in the organized sector, (17.67 million in public sector and 9.87 million in private sector) and the rest are in the unorganized sector. The ESI Act covers workers in the organized sector only. At present about 15.5 million workers (i.e. 56.26% of organized sector) are covered under the Employees' State Insurance Act, which represents only about 3.37% of the total work force in the country. The remaining workers in the organized sector to which the ESI Act does not apply remain outside the social security umbrella due to the following reasons:(i) Employees of Central and State Govts. who are provided social protection under the rules of the respective Governments; (ii) (iii) Workers of factories/establishments employing less than 10 persons. Workers of factories/establishments situated in the non-implemented areas, where the ESI Scheme has not been implemented; (iv) (v) Workers of seasonal factories/establishments; Workers drawing wages exceeding Rs.15,000/- per month. The workers employed in the organized sector and working in the smaller factories and establishments can be brought under the ESI Scheme by gradually lowering the threshold limit for coverage under the ESI Act. Likewise, the workers who are drawing wages above the wage limit

Rs.15,000/- per month can be brought under the ambit of the ESI Scheme by enhancing or removing the wage limit altogether. Vide ESI (Amendment) Act, 2010, the threshold limit for coverage of factories has been brought down to 10 or more persons irrespective of whether power is used in the manufacturing process or not. Twenty one State Governments have also reduced the threshold limit for coverage of shops and other establishments from 20 to 10 or more persons. Rest of the State Governments are also in the process of doing so. Many State Governments have also extended the provisions of the Act to the educational and private medical institutions. 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. As the ESI Scheme framed under the ESI Act, 1948 provides a uniform package of benefits at a uniform rate of contribution; and employer-employee relationship is a pre-requisite for extension of the scheme, the scheme is not suited for extension to workers in the unorganized sector in its present form. However, as per amendment in the ESI Act, 1948 w.e.f. 01/06/2010 vide ESI (Amendment) Act, 2010, medical benefit under the scheme can be extended to other beneficiaries on payment of user charges subject to framing of schemes by the Central Government. Further the Govt. of India, Ministry of Labour & Employment, has introduced a Scheme called "Rashtriya Swasthya Bima Yojana" for providing social security to BPL (Below Poverty Line) workers in the unorganized sector.

8. AMENDMENTS IN THE E.S.I.ACT, 1948. The ESI Act, 1948, was amended vide ESI (Amendment) Act, 2010 w.e.f. 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 are to be counted. Enhancing age limit of dependant 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; 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. Empowering State governments to set up autonomous Corporations for administering medical benefit in the States for bringing autonomy and efficiency in the working.

9. 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. 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 promotive, preventive, curative and rehabilitative services. Besides, the outpatients services provided through ESI dispensaries, IMP Clinics and Employer Utilization Dispensaries (EUD), in-patient services are provided through ESI Hospitals and through empanelment/tie up with private hospitals. Insured Persons and their families are being provided comprehensive 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.

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 1000 IP family units. Under the panel system, the doctor is expected to issue medicines to the beneficiary, from his own dispensary. Special and costly medicines are dispensed through approved chemists as well as State Government Medical Stores. At

present, the panel system is in operation in West Bengal and Maharashtra (except Nagpur area), Goa in certain areas, Gujarat (Ahmedabad), M.P, Punjab, Andhra Pradesh, Assam and Karnataka. The IMPs under the panel system are paid capitation fee for providing medical care to the Insured Persons and beneficiaries. As on date, there are about 1400 IMPs all over the country.

2. SERVICE DISPENSARY The out-patient medical care 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 by full-time Medical Officers. There are about 1400 service dispensaries under ESI scheme all over the country.

3. HOSPITAL OPD Out patient services under various specialties and super specialties like medicine, surgery,

pediatrics, gyne & obst., ENT, eye, cardiology, nephrology, neurology, urology, CTVS etc. are being provided through ESI hospital OPDs all over the country. The Corporation has also set up revolving fund in all States except Meghalaya, Puducherry, Chandigarh (U.T), Maharashtra and Rajasthan on consent of State Govt. for making advance payments/ reimbursements in respect of specialty / super specialty treatment. The Corporation has also extended the scope of Revolving Fund to include purchase of Drugs and Dressings, Equipments and their repair & maintenance (including annual maintenance contracts).

IN PATIENT MEDICAL CARE In patient services are provided through a chain of 151 ESI hospitals spread across the country which includes 34 directly run ESIC hospitals & 117 State ESI hospitals with a total bed strength of 19143. The provision for Super specialty services for beneficiaries is mainly through tieup arrangements with reputed corporate hospitals. Tie up arrangement for super specialty treatment has been made with more than 800 hospitals across India.

PROVISION OF DRUGS, DRESSINGS & EQUIPMENTS ESIC prepares its own rate contract for drugs, called as DG ESIC Rate Contract. All drugs & dressings and vaccines are procured by DG, ESIC Rate Contract. Insured persons 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, Cardiac Pacemaker, Cochlear implants. Other medical equipments considered essential are also provided to the beneficiaries. Previously, the provision of Denture, Capping of teeth and Spectacles were given to only the Insured Persons and artificial Wigs (only to Insured Women). Now, with effect from 19/11/2007, the spectacles, Dentures and capping of teeth facilities are also available to the dependants of Insured Persons. Procurement Cell at ESIC Hqrs. facilitate ESI Hospital and Dispensaries for making procurement of best quality medical equipments.

IMMUNIZATION & FAMILY WELFARE SERVICES ESIC follows 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. Such facilities are also provided to non ESI beneficiaries. 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. SHARABLE EXPENDITURE OUTSIDE THE CEILING. 3. EXPENDITURE FULLY BORNE BY THE ESIC OUTSIDE THE CEILING

1. SHARING OF EXPENDITURE BETWEEN ESIC AND VARIOUS 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. 1.4.2012, is Rs.1500 per IP family unit per annum with the following two sub heads:A) B) Administrative expenditure Drugs & dressing and other expenditure : Rs. 900/- per IP per annum. : Rs.600/- per IP per annum.

In addition, 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 equipments as per ESIC Norms. This amount will be non sharable and will totally be borne 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. Further more, the ESI Corporation has also taken a decision that w.e.f. 1.4.2009, the total expenditure under the head Administration will be shared, between the ESIC and the State Govt. in the ratio of 7:1, subject to fulfillment of certain specified conditions.

2. SHAREABLE EXPENDITURE OUTSIDE THE CEILING a) b) Initial purchase of equipments for hospitals and dispensaries. 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) e) f) g) Nurses training school. Biomedical Waste disposal. training upto 0.5% of the total budget. 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 h) Disposal of Bio-medical Waste i) Replacement of costly equipments j) Expenditure on purchase of Vehicles

3. EXPENDITURE FULLY BORNE BY ESIC BEYOND THE CEILING a) b) c) d) e) f) Construction of buildings for hospitals and dispensaries. Repair and maintenance of own buildings. Purchase of computers for hospitals. Newly implemented areas for first three years. Newly implemented areas in North East States for first five years. For establishment of new AYUSH units for initial period of five years.

g) h) i) j)

Equipment for hospital with bed occupancy more than 70%. Model Hospitals and Occupational Disease Centers. MDDC (Model Dispensaries cum Diagnostic Center). Super specialty treatment : To provide cashless and hassle free medical services, ESI Corporation in its 143
rd

meeting held on 08.07.2008 has taken a decision for bearing the super specialty

expenditure directly w.e.f. 01.08.2008. For this, tie up arrangements have been made directly by ESIC with reputed Govt. / corporate/ private hospitals for super specialty investigations and treatment. Entire expenditure is borne by ESIC & the expenditure incurred is outside ceiling limit. 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 having average occupancy of 70% and Rs.15 per IP per annum above in ESI Hospitals of State.

OR In States where no ESI Hospital is

commissioned and existence of adequate tie up facilities are made available. 2. States where staff is provided as per ESIC Rs.20/-per IP per annum Norms and standards in respect of both dispensaries and hospitals.

3.

Achievement of 75% targets or above for Rs.10/- per IP per annum implementation of ESI Scheme in New Areas in the State as fixed under the phased programme by ESIC annually.

4.

States which get their all hospitals graded / Rs.5/- per IP per annum. ISO certified.

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 HOSPITALS The ESI Corporation in its meeting held on 16.02.2001 had approved the setting up of one Model Hospital in each State. On 16th February, 2002, the ESI Corporation agreed in principle to set up one Model Hospital in each State. A number of Hospitals were taken over by Corporation with the consent of the concerned State Governments and are aimed to provide state of art secondary care/super speciality medical facilities. The entire expenditure on these hospitals is being borne by the ESI Corporation itself. At present, the ESI Corporation is directly running following ESI Hospitals. LIST OF HOSITALS DIRECTLY RUN BY ESIC Sl. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11 12 13 14 15 16 17 18 19 20 21 22 23 24. 25. 26. Andhra Pradesh Assam Jharkhand Karnataka Kerala Orissa Punjab Rajasthan Uttar Pradesh Bihar Gujarat Jammu NCT Delhi Maharashtra West Bengal Tamil Nadu Madhya Pradesh Chandigarh (UT) NCT of Delhi NCT of Delhi NCT of Delhi Jharkhand Kerala Kerala Kerala Haryana Nacharam, Hyderabad Beltola Ranchi Rajajinagar , Bangalore Asarmam, Kollam Rourkela Ludhiana Jaipur Noida Phulwari sharif Bapu Nagar, Ahmedabad Bari Brahma Basaidarapur Andheri, Mumbai Joka, Kolkata KK Nagar, Chennai Indore Chandigarh Jhilmil Okhla Rohini Adityapur Udyogmandal Ezhukone Peripally Gurgaon 200 50 50 420 115 50 269 236 300 50 600 50 600 650 300 500 75 50 200 100 270 50 150 150 100 100 State Place Bed capacity

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27. 28. 29. 30. 31. 32. 33. 34.

Gujarat Haryana Himachal Pradesh Rajasthan Andhra Pradesh Gujarat Karnataka Tamil Nadu

Naroda Manesar Baddi Bhiwadi S.S. Sanath Nagar Vapi Peenya Tirunelveli

225 100 100 50 150 100 100 50

The Model Hospital shall have the facilities for all General specialty services, Cardiology with ICCU facilities, round the clock emergency services, Intensive Care Unit, Dialysis facilities, Radio-Diagnostic and Laboratory facilities including arrangements for safe blood transfusion services, MRD, pharmacy, Dietary, CSSD, Laundry, Waste Management, Engineering etc. proper MIS, Patient information system and Hospital communication, safety and security arrangements, continuing Medical Education, health Education and training programmes. The entire service facilities shall be supported with modern equipments and shall be computerized. ESIC has set up a super-specialty hospital at Kollam in Kerala primarily for Cardiology discipline. Pending regular recruitment of Specialists, ESIC has engaged contractual Cardiologists, G.I. Specialists and Urologists. ESIC is also running super speciality hospital at Sanathnagar, Hyderabad with super specialties such as Cardiology, Neurology, Neurosurgery, Pediatrics surgery, nephrology, urology, dialysis etc. The Corporation has also decided to set up following new hospitals:Sl.No. 1. 2. 3. 4. 5. Name of Hospital/ Location Tirupur (Tamil Nadu) Dehradun (Uttrakhand) Ankleshwar (Gujarat) Sidkul area Haridwar (Uttrakhand) Sidkul area Udham Singh Nagar (Uttrakhand) 6. 7. 8. 9. 10. 11. 12. 13. Udaipur (Rajasthan) Dubri, Jajpur (Orissa) Angul (Orissa) Bhilai (Chhattisgarh) Korba (Chhattisgarh) Lalru,SAS Nagar (Punjab) Doddaballapur (Karnataka) Tuticorin (Tamil Nadu) 100 100 100 100 100 100 100 100 Bed Strength 100 100 100 100 100

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14. 15. 16. 17. 18. 19. 20. 21. 22.

Siliguri (West Bengal) Kashipur (Uttrakhand) Haldia (West Bengal) Bommsandra (Karnataka) Raipur (Chhattisgarh) Kanyakumari (Tamil Nadu) Vizianagaram (Andhra Pradesh) Sriperumbudur (Tamil Nadu) Perumbavoor (Kerala)

100 100 100 200 100 100 100 100 100

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 from any of the tie -up/ net work hospital of ESIC all over the country. This would give them a wider choice. The instructions have come into effect from 15-01-10.

PROVISION FOR AVAILABILITY OF PRIMARY AND SECONDARY MEDICAL CARE SERVICES WITHIN A REASONABLE DISTANCE. ESIC has taken a decision to provide primary, secondary and tertiary medical care services directly in the areas where there is no ESI Hospital within a distance of 25 kms and concentration of IPs is more than 25000 and no ESI Dispensary within a distance of 8 kms where the concentration of IPs is more than 5000 and the total expenditure will be borne by ESIC till ESICs own infrastructure is created in these areas. The norms for no. of IPs for providing secondary care services have been revised as under:Sl. No. 1. 2. 3. Distance from ESI No. of IPs

hospital (in kms) 25 to 75 75 to 125 >125 25000 >15000 >10000

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REVISION OF NORMS FOR SETTING UP OF NEW HOSPITALS BY ESI CORPORATION ESI Corporation during its 153rd meeting held on 29.7.2011 has approved new norms for setting up of ESI Hospitals based on No. of IP Family units as under:Sl. No. 1. No. of beds *50 bedded hospital Pre- revised Norms 25,000 IP family units Revised Norms -------

2. 3. 4. 5.

100 bedded hospital 150 bedded hospital 200 bedded hospital 250 bedded hospital

1,00,000 IP family units 1,50,000 IP family units 2,00,000 IP family units 2,50,000 IP family units

25,000 IP family units 1,00,000 IP family units 1,50,000 IP family units 2,00,000 IP family units

6. 7. 8. 9. 10.

300 bedded hospital 350 bedded hospital 400 bedded hospital 500 bedded hospital 600 bedded hospital

3,00,000 IP family units ------4,00,000 IP family units 5,00,000 IP family units 6,00,000 IP family units

2,50,000 IP family units 3,00,000 IP family units 3,50,000 IP family units 4,00,000 IP family units 5,00,000 IP family units

*No 50 bedded hospital will be setup by ESI Corporation.

REVISION OF NORMS FOR CREATING MEDICAL INFRASTRUCTURE IN NORTH EAST STATES & HILLY AREAS. ESI Corporation during its 155th meeting held on 18.01.2012 at Chennai 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 1. Setting up of one Doctor Dispensary 2. Setting up of Two Doctor Dispensary 3. Setting up of diagnostic centres 4. Setting up of 100 bedded hospital

No. of IPs required 1000 or more 2000 or more 5000 or more 15000 or more

ENHANCEMENT OF CAPITATION FEES AND SPECIALIZED MEDICINES CHARGES FOR EMPLOYERS UTILIZATION DISPENSARIES. ESI Corporation during its 154th meeting held on 15.12.2011 at New Delhi has approved the enhancement of capitation fees and specialized medicine charges for Employers Utilization

Dispensaries from the existing rates of Rs. 100/- to 250/- per IP per family unit per annum and Rs. 80/- to Rs. 200/- per IP family unit respectively. This amount will be fully borne by the ESI Corporation outside the ceiling.

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HIRING OF ACCOMMODATION FOR ESIC DISPENSARIES BY ESIC. ESIC has approved hiring of accommodation for housing the dispensaries whenever need arises either for starting new dispensaries or for shifting from existing dispensaries of the state. The total expenditure on hiring of these dispensaries would be borne by ESIC directly. The detailed guidelines including the indicative area and norms for hiring dispensaries building have also been laid down.

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. Total expenditure on the same is borne by ESIC. These specialists are provided till the vacancies are filled by the State Govt. Remuneration to part time specialists/ super specialists has also been enhanced.

SETTING UP OF HOSPITAL DEVELOPMENT COMMITTEE FOR ESIS/ESIC HOSITALS. In order to improve the functioning of ESIC/ ESIS Hospital, the ESIC in its 143rd meeting held on 08-07-08 approved the constitution of HDCs for all ESIS/ ESIC Hospitals run by the State Govt. and ESIC. HDCs were given administrative and financial powers also. The various functions to be looked after by the HDC are as under: a) Such administrative and/ or executive functions as may, from time to time be entrusted or delegated by the Director General. b) To take decisions from time to time in regard to improvements in the day to- day functioning of the hospitals/ dispensaries attached. c) To review the availability of various facilities in the hospital/ attached dispensaries and recommend / decide up-gradation of facilities for improving the delivery of health care services in the hospital/ attached dispensaries. d) To review from time to time, the working of the hospital/ attached dispensaries and to decide on measures to improve administration of medical benefits and in particular strengthening of promotive and preventive health measures including occupational health services, safety and hygiene. e) To look after the repair and maintenance of the hospital building and buildings of the attached dispensaries. f) To obtain ISO Certificate for the hospitals and attached dispensaries. g) To look into general grievances, complaints and difficulties of insured persons and dependent patients as is considered necessary.

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The HDCs are comprised of representatives of employers, employees, State Govts. and medical superintendents of ESIS/ESIC hospitals as Chairman. The HDC has also been given powers for sanctioning of expenditure on the purchase of equipments costing more than 2 lacs per unit ranging from Rs. 25 lacs to Rs. 1 crore depending upon the bed occupancy of the hospital. These instructions have been implemented with immediate effect. A hand book on HDC giving the powers and functions has also been published and issued to all concerned.

OCCUPATIONAL DISEASE CENTERS ESI Corporation has set up one IOHER Centre at Basaidarapur & four zonal Occupational Disease centers for providing medical treatment. ESIC Model Hospital, KK Nagar for South Zone, ESIC Model Hospital, Thakurpukur for East Zone, ESIC Model Hospital, Andheri for West Zone, and ESIC Model Hospital, Indore for Central Zone. Further, ODC at Basaidarapur has been upgraded to Institute of Occupational Health, environment & research (IOHER)to act as a nodal Institute for improving occupational health to International standard in all ESI health care establishment throughout India. An MoU has been signed between IVPS & ESIC for coordination and cooperation academic training & sharing data on occupational diseases.

NOTE ON MEDICAL EDUCATION IN ESIC


The issue of shortage of medical and para-medical personnel being reason for deficient services was raised by the Members of the Corporation, in its 139th meeting held on 14.7.2007. The Chairman suggested that the Corporation should have its own Medical Colleges / PG Medical Institutes / Training schools for training Para-medical staff to ensure sufficient availability of these personnel. 31 ESIC Medical Education projects have been sanctioned by ESIC to be set up spread over 17 States. The details of Medical /Dental /Nursing colleges and Para-medical Institutions (State wise) are given below in the table. In addition 11 Post-Graduate Institutions of Medical Sciences and Research (PGIMSRs) are also sanctioned. Six of these are commissioned and running PG courses. PG courses are planned in the other five, in future. Institutions S.No States MEDICAL COLLEGE Sanath Nagar, Hyderabad Bihta , Patna Naroda Ahmedabad Faridabad DENTAL COLLEGE Nacharam, Hyderabad Naroda, Ahmedabad NURSING COLLEGE PARA-MEDICAL TRAINING INSTT.

1. 2. 3. 4. 5.

Andhra Pradesh Bihar Gujarat Haryana

Himachal Pradesh Mandi

15

Karnataka

Rajaji Nagar, Bangalore Gulbarga Paripally Kollam Mulund , Thane Nanda Nagar, Indore Basaidarapur, New Delhi Bhubaneswar

Gulbarga Ezhukone, Kollam** Vashi, Navi Mumbai Nanda Nagar, Indore Rohini, Delhi Bharat Nagar, Ludhiana

Indira Nagar Bangalore Gulbarga

Gulbarga

7. 8. 9. 10. 11. 12. 13. 14.

Kerala Maharashtra Madhya Pradesh New Delhi Orissa Punjab Rajasthan Tamil Nadu

**

Alwar K.K. Nagar, Chennai Coimbatore Pandu Nagar, Kanpur Haridwar Joka, Kolkata Baltikuri, Kolkata Joka, Kolkata

15. 16. 17.

Uttar Pradesh Uttarakhand West Bengal

18 10 (9**) 2 1 (2**) ** Setting up of Para-medical institution in lieu of Dental College at Ezhukone, Kollam, Kerala was approved in the 158th meeting of the Corporation held on 10th November, 2012. Standalone Dental colleges are now not being permitted by Dental Council of India. 1. Details of Under-graduate ME Institutions commissioned as on date a. Bachelor of Dental Surgery (BDS) course has been started at ESIC Dental College, Rohini Delhi from academic session 2010-11 with intake of 50 students annually. The third batch of students was admitted in 2011-13 session. b. Bachelor of Medicine & Bachelor of Surgery (MBBS) course has been started at ESIC Medical College & PGIMSR Rajaji Nagar, Bangalore from academic session 2012-13 with intake of 100 students annually. 2. Details of Under-graduate ME Institutions on the anvil Applications have also been submitted for grant of Letter of Permission (LOP) to the following Regulatory bodies: i. Medical Council of India (MCI) - To Start Bachelor of Medicine & Bachelor of Surgery (MBBS) course from Academic Session 2013-14 at a. ESIC Medical College & PGIMSR Joka-Kolkata, b. ESIC Medical College & PGIMSR KK Nagar-Chennai c. ESIC Medical College Gulbarga-Karnataka.

ii. Indian Nursing Council To Start B.Sc.(Nursing) course from academic session 201314.

a. Indira Nagar, Bangalore b. Gulbarga, Karnataka 16

STATISTICAL DATA REGARDING ESI SCHEME (All India) as on 01.01.2013. Total No. of ESI Hospitals Hospitals run by ESI Corporation Hospitals run by State Government Total number of Dispensaries Total number of ISM unit Total number of hospital beds Total number of Doctors Total number of IMP clinics 10. 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 Centres, 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 building for various purpose. Further, 28 Medical Institutions( Medical College / P. G. Institute / Nursing College / Dental College) are under execution. 151 34 117 1372 91 22823 7340 1380

A. Medical Building

SI. No. 1. 2. 3. 4. 5. 6.

Name of Project ESI Hospitals Super Speciality Hospital ESI Annexes ESI Dispensaries Diagnostic Centre Administrative (M)

Nos. 151 1 42 392 02 01

B. Administrative Building

SI. No. 1. 2. 3.

Name of Project R. O. Buildings S. R. O. Division office buildings Branch Office - Local Office Building

Nos. 24 26 611

17

C. Capital Construction Outlay The details of Budget allocated for capital construction for the year 2012-13 is as follows:SI. No. Name of Project Amount Sanctioned (Rs. In Crores) 1. 3. 4. Medical Colleges ESI Hospital /dispensaries/offices of Directorate of ESI Scheme/ Central Medical Stores etc. Regional Offices/Branch Offices/Staff Quarters Total 1757.85 640.00 145.00 2542.85

List of Major Projects under execution is as per Annexure `A

18

Annexure-A
Sr.No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Medical Education & related works


PG INSTITUTE CUM MEDICAL COLLEGE AT SANATH NAGAR, HYDERABAD RENOVATION OF ESI HOSPITAL & DENTAL COLLEGE, NACHARAM, HYDERABAD CONSTRUCTION OF MEDICAL COLLEGE AT BIHTA, PATNA, BIHAR PG INSTITUTE CUM MEDICAL COLLEGE, ESI HOSPITAL, BASAIDARAPUR, NEW DELHI MEDICAL COLLEGE AT FARIDABAD CONSTRUCTION OF MEDICAL COLLEGE, MANDI, H.P. CONSTRUCTION OF MEDICAL COLLEGE, DENTAL COLLEGE AND NURSING COLLEGE AT GULBARGA, KARNATAKA ESIC PARA MEDICAL AND ALLIED HEALTH SCIENCE CENTRE AT GULBARGA PGI & UPGRADATION/FACE LIFTING OF ESIC MODEL HOSPITAL AT RAJAJI NAGAR, BANGALURU MEDICAL COLLEGE AT RAJAJINAGAR, BENGALURU NURSING COLLEGE & HOSTEL & 1000 SEATER AUDITORIUM AT INDIRA NAGAR MEDICAL COLLEGE, PARIPPALLY, KOLLAM, KERALA PGIMSR & RENOVATION OF HOSPITAL AT MGM HOSPITAL, PAREL, MUMBAI FACE LIFTING/EXPANSION OF ESI HOSPITAL AT VASHI, MUMBAI PGIMSR AT ESIC HOSPITAL, ANDHERI, MUMBAI CONSTRUCTION OF ESIC MEDICAL COLLEGE AT ALWAR PGI & MEDICAL COLLEGE AT K.K.NAGAR, CHENNAI CONSTRUCTION OF MEDICAL COLLEGE AT COIMBATORE PG INSTITUTE AT AYANAVARAM, CHENNAI CONSTRUCTION OF ESIC DENTAL COLLEGE AND RENOVATION OF ESIC HOSPITAL AT PANDU NAGAR, KANPUR PG INSTITUTE CUM MEDICAL COLLEGE AT JOKA, KOLKATA CONSTRUCTION OF ESI HOSPITAL & PG COLLEGE AT MANIKTALA,KOLKATA

19

Sr.No.
1 2 3 4 6 7 8 9 10 11 12 13 14

Hospital
RENOVATION/FACELIFTING OF ESI HOSPITAL, TIRUPATI, ANDHRA PRADESH RENOVATION AND EXPANSION OF ESI HOSPITAL, OKHLA RENOVATION/UPGRADATION OF ESI HOSPITAL, MARGAON, GOA CONSTRUCTION OF 100 BEDDED ESI HOSPITAL AT ANKLESHWAR RENOVATION /FACELIFTING OF EXISTING 100 BEDDED ESI HOSPITAL HUBLI, KARNATAKA RENOVATION/FACELIFTING OF 100 BEDDED ESI HOSPITAL MYSORE RENOVATION /FACELIFTING OF EXISTING ESI HOSPITAL DEVENGIRI, KARNATAKA ESI HOSPITAL, KANDIVALI, MUMBAI RENOVATION/FACELIFTING OF ESI HOSPITAL, BHUBANESWAR CONSTRUCTION OF ESI MODEL HOSPITAL, JAIPUR CONSTRUCTION OF ESI HOSPITAL & SRO TIRUNELVELI. CONSTRUCTION OF 100 BEDDED TRAUMA CENTRE AND RENOVATION OF EXISTING ESI HOSPITAL, SAROJINI NAGAR, LUCKNOW CONSTRUCTION OF STAFF QUARTERS AT ESI HOSPITAL CAMPUS, SECTOR 24, NOIDA/FACELIFTING OF INTERIOR EXISTING HOSPITAL BLOCK

Sr.No. 1 2 3 4 5 6 7 8 9 10 11 12

Dispensary/Branch office CONSTRUCTION OF ESI DISPENSARY CUM BRANCH OFFICE AT AUTO NAGAR, VIJYAWADA ESI DIGNOSTIC CENTRE AND ESIC DISPENSARY AT JEEDIMETLA RENOVATION OF ESI DISPENSARY AT NIA-I, KARAMPURA RENOVATION OF ESI DISPENSARY AT MAYAPURI I RENOVATION OF ESI DISPENSARY MAYAPURI II CONSTRUCTION OF ESI DISPENSARY CUM DIAGNOSTIC CENTRE, MANI NAGAR, AHMEDABAD DISPENSARY AND BRANCH OFFICE AT CHINCHWAD (PUNE) BRANCH OFFICE & DISPENSARY, WALUJ, AURANGABAD, MAHARASHTRA CONSTRUCTION OF ESIC DISPENSARY, BRANCH OFFICE & STAFF QUARTERS AT JHARSUGUDA, ODISHA CONSTRUCTION OF 2 Dr DISP. BRANCH OFFICE AND STAFF QUARTERS AT JAGATPUR DISPENSARY-CUM-DIAGNOSTIC CENTRE & BRANCH OFFICE AT COLABA, MUMBAI. 3 DOCTOR DISPENSARY AT PORUVAZHY, KERALA.

20

Sr.No. 1 2 3 4 5 6 7 8 9 10 11 12

RO/SRO CONSTUCTION OF SRO, VIJAYWADA RENOVATION OF REGIONAL OFFICE AT PANJIM, GOA FACELIFTING OF RO, BANGALURU SRO CHIKHALTHANA, AURANGABAD SRO THANE, MUMBAI MODERNIZATION/UPGRADATION OF RO, CHANDIGARH FACELIFTING OF RO, JAIPUR FACELIFTING/RENOVATION OF RO CHENNAI RENOVATION OF RO PUDUCHERRY CONSTRUCTION OF REGIONAL OFFICE BUILDING FOR ESIC / ESI MB AT SALT LAKE, KOLKATA INTERNAL RENOVATION, REPAIRING AND PAINTING 'A','B','C','D' & 'N' TYPE STAFF QUARTERS AT GB BLOCK, SALT LAKE, KOLKATA CONSTRUCTION OF SRO BUILDING, HUBLI, KARNATAKA.

21

11. INDIAN SYSTEMS OF MEDICINE


The details of progress made under ISM as on 01.01.2013 is placed at Annexure VI 12. REVENUE INCOME Against the Target of Rs. 6700 Crores, Contribution Income Received upto Dec. 2012 is Rs. 6110.96 Crores. Regions wise position of Contribution Income received during the period upto Dec. 2012 is given below:ANALYSIS OF REGION WISE COLLECTION OF CONTRIBUTION INCOME UPTO DEC.2013 (Rs. In lakhs)
Name of the Region Target of contribution income Proportionate target upto the month of Dec., 2012 31148.54 2354.12 3755.89 5269.26 5766.83 2213.49 16396.30 4329.90 11314.30 15881.25 7313.83 4511.05 11377.74 19880.86 15040.39 4566.84 3995.13 1377.31 5860.50 5497.79 25739.41 5811.93 5053.72 2776.50 8212.67 6071.03 19646.25 10624.88 22815.75 2652.00 17949.41 contribution received upto Dec, 2012 35848.26 2864.92 4371.3 6274.3 7311.45 3157 19562.85 6384.88 13262.75 17802.99 9766.98 4369.97 13009.25 23477.05 14290.13 5658.45 6413.78 1994.71 5445.57 6498.42 30464.42 7700.28 7073.33 5287.19 9237.76 7179 27677.44 13653.87 23068.5 4908.08 20484.47 Increase/Decrease as compare to proportionate target 4699.72 510.80 615.41 1005.04 1544.62 943.51 3166.55 2054.98 1948.45 1921.74 2453.15 -141.08 1631.51 3596.19 -750.26 1091.61 2418.65 617.40 -414.93 1000.63 4725.01 1888.35 2019.61 2510.69 1025.09 1107.97 8031.19 3028.99 252.75 2256.08 2535.06 % Increase/ Decrease compare to proportionate target 199.64 21.70 16.39 19.07 26.78 42.63 19.31 47.46 17.22 12.10 33.54 -3.13 14.34 18.09 -4.99 23.90 60.54 44.83 -7.08 18.20 18.36 32.49 39.96 90.43 12.48 18.25 40.88 28.51 1.11 85.07 14.12

Andhra Pradesh Assam Aurangabad Baroda Barrackpore Bihar Bomansandram Chhatisgarh Coimbatore Delhi Ernakullam Goa Gujarat Gurgaon Haryana Himachal & P. Hubli Jammu Jalandhar Jharkand Karnataka Kerala Kollam Lucknow Ludhiana Madurai Marol MP Mumbai Nagpur Noida

41531.38 3138.83 5007.86 7025.68 7689.11 2951.31 21861.73 5773.20 15085.74 21175.00 9751.77 6014.73 15170.32 26507.81 20053.85 6089.12 5326.84 1836.42 7814.00 7330.39 34319.21 7749.24 6738.29 3702.00 10950.23 8094.71 26195.00 14166.51 30421.00 3536.00 23932.54

22

Okhla Orissa Peenya Pondicherry Pune Punjab Rajasthan Rohini Salem Surat Tamil Nadu Thane Tirunelveli U.P Udaipur Uttrakhand Varanassi Vijayawada Vishkapatnam West Bengal Hqrs. Office TOTAL

21986.00 7199.94 14593.51 3491.44 25892.00 10407.05 13479.00 6328.61 7265.16 7903.12 52290.00 18820.74 3595.38 6214.00 3716.66 8364.77 1420.00 7365.04 6187.98 36540.00 0.00 670000.00

16489.50 5399.96 10945.13 2618.58 19419.00 7805.29 10109.25 4746.46 5448.87 5927.34 39217.50 14115.55 2696.54 4660.50 2787.49 6273.58 1065.00 5523.78 4640.98 27405.00 0.00 502500.16

19147.7 8082.37 12460.96 3042.48 24233.32 11089.58 14562.67 6092.66 6372.05 7226.55 48122.26 16267.74 3537.72 7687.35 3406.18 9546.81 1455.39 7548.42 5492.59 31062.22 159.73 611096.1

2658.20 2682.41 1515.83 423.90 4814.32 3284.29 4453.42 1346.20 923.18 1299.21 8904.76 2152.19 841.18 3026.85 618.69 3273.23 390.39 2024.64 851.61 3657.22 159.73 108595.94

16.12 49.67 13.85 16.19 24.79 42.08 44.05 28.36 16.94 21.92 22.71 15.25 31.19 64.95 22.20 52.17 36.66 36.65 18.35 13.35 0.00 21.61

13. RECOVERY OF CONTRIBUTION


Contribution under ESI Act is 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.

14. POSITION REGARDING ARREARS OF ESI DUES


The arrears of ESI dues as on 31.3.2012 were Rs.1472.72.00 crores as per details given below:-

(Rs. in Crores) i. ii Recoverable dues Non-Recoverable dues for the present Total 1031.19 1472.72 441.53

23

Out of the dues of Rs.1472.72 Crores category wise classification is as follows:a. Govt./Public Sector Factories / Estt. Private Factories/Estt. Total 1123.98 1472.72 348.74

b.

STATEMENT SHOWING THE POSITION OF ARREARS OF ESI DUES AS ON 31.3.2012 (Rs. in Crores) BREAK UP As on 31.3.2012 Private A) ARREARS RECOVERABLE Amount pending with Recovery Officers Total 408.61 408.61 Public 32.92 32.92 Total 441.53 441.53

B) ARREARS NOT RECOVERABLE FOR THE PRESENT Amount of arrears disputed in Courts (i) (ii) (iii) (iv) Amount due from Factories/Estts. which have gone into liquidation Amount pending with Claim Commissioner Amount due from Factories/Estts. which have closed and whereabouts of employers not known. Decree obtained and execution proceedings in progress. Total (i to v)

385.45 149.75 2.05 74.46 1.27 612.98

275.86 22.69 4.02 0.26 0 302.83

661.31 172.44 6.07 74.72 1.27 915.81

(v)

C) DUES FROM SICK INDUSTRIES.

(i)

Factories regd. with BIFR but rehabilitation scheme yet to be sanctioned Factories/establishments which have been declared sick and rehabilitation scheme sanctioned by BIFR Total (i to ii) GRAND TOTAL (A+B+C)

65.78

7.16

72.94

(ii)

36.96 102.74 1124.33

5.48 12.64 348.39

42.44 115.38 1472.72

24

The following measures have been/are being taken to bring down the arrears:i. Consequent to adding of new provisions under Section 45-C to 45-I in the Principal Act. 1948 through the ESI (Amendment) Act, in 1989, for setting up of independent Recovery Machinery in the ESI Corporation on the analogy of the 2nd and 3rd Schedule of the Income Tax Act, the Corporation has set up its own Recovery Machinery. Accordingly officers of the cadre of Deputy Directors and Assistant Directors have been notified to work as Recovery Officer. This measure would help in tiding over the shortage of Recovery Officers who shall exclusively carryout the revenue recovery work. ii. Prosecution action is taken against the defaulting employers under Section 85, 85-A of the ESI Act and under Section 406/409 of Indian Penal Code. Penal damages are imposed under Section 85-B of the Act. iii. Besides taking legal actions under provisions of the Act, administrative and persuasive measures i.e. publishing the name of defaulters in local News Papers/ESIC web-site are also being taken for early recovery of arrears.

15. 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 2011-2012 are shown as under :(Amount in Crore) Amount recovered

Sl. No.

Name of the Region/Sub-Region

Date of setting up of Recovery Machinery

Target fixed

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18.

Andhra Pradesh Karnataka Madhya Pradesh Maharashtra Uttar Pradesh West Bengal Gujarat Bihar Haryana Kerala Rajasthan Orissa Delhi Pune Chennai Coimbatore Madurai Nagpur

01.01.1992 01.01.1992 01.01.1992 01.01.1992 01.01.1992 01.01.1992 01.12.1992 01.12.1992 01.12.1992 01.12.1992 01.12.1992 01.12.1992 01.12.1992 01.12.1992 01.12.1992 01.12.1992 01.03.1993 01.03.1992

4.01 7.98 1.56 8.12 3.23 10.97 2.79 1.38 1.55 2.39 3.65 2.75 5.21 3.60 13.66 9.52 3.38 2.86

4.76 8.16 1.25 8.18 1.40 11.12 2.82 0.96 1.58 2.84 3.66 1.10 1.96 4.62 13.71 9.65 3.56 1.01

25

19. 20. 21. 22. 23. 24. 25.

Punjab H.P. J&K Goa Assam Marol

01.06.1993 01.06.1993 01.06.1993 01.09.1997 01.09.1997 22.04.2003 22.04.2003

3.41 0.42 0.59 0.34 1.19 3.74 2.91 1.54 2.05 0.49 1.27 1.23 0.34 1.37 1.05 1.80 0.46 1.60 1.11 3.08 2.31 1.19 1.63 1.56 1.71 2.34 2.81 1.99 1.03 0.83 136.00

2.53 0.42 0.34 0.35 1.75 2.59 2.93 1.35 0.91 1.09 1.29 2.01 2.00 1.39 0.62 1.82 0.93 0.45 1.12 4.14 2.69 0.89 1.30 0.78 5.99 2.43 1.92 1.62 0.76 1.50 132.26

Thane 26. NOIDA 27 Jharkhand 28 Pondicherry 29 30. 31. 32. 33. 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Hubli Vijayawada Chhattisgarh Uttaranchal Aurangabad Vadodara Surat Ludhiana Salem Tirunelveli Barrackpore Rohini Okhla Gurgaon Peenya Bommasandra Ernakulaqm Kollam Udaipur Varanasi 01.05.2003 01.06.2004 01.06.2004 01.06.2004 01.04.2008 01.04.2010 01.04.2010 01.04.2010 01.04.2010 01.04.2010 01.04.2010 01.04.2010 01.04.2010 01.04.2011 01.04.2011 01.04.2011 01.04.2011 01.04.2011 01.04.2011 01.04.2011 01.06.2004 30.09.2003 12.08.2003

The total arrears outstanding as on 31.3.2012 were Rs. 1472.72 crores, out of which Rs. 441.53 crores falls under the category of recoverable arrears and an amount of Rs.1031.19 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

26

but surpass the annual target for the year 2012-13. Special drives are being launched every year from 1st December to 31st March to recover ESI dues .This year also D.O. Letter has been issued on 31.1.2013 to launch special drive from 1st February 2013 to March 2013. The Recovery Officers of the Corporation had recovered Rs.132.26 crores from the defaulting employers in 2011-12 against the target of Rs. 136.00 crores. A target of Rs.149.71 crores towards recovery of arrears has been

fixed for the year 2012-13. The Recovery Officers have since recovered the dues of Rs.107.27 crores during the period from April 2012 to December 2012..

16. POSITION OF REVENUE RECOVERY


(Rs. in Crore) Recovery made April 2011 to December 2011. 6 3.55 1.5 1.28 0.8 0.55 0.68 0.28 1.77 1.02 0.72 1.06 0.47 5.67 4.71 1.66 0.5 2.41 1.2 0.98 0.83 1.34 7.82 2.11 1.45

Sl. No.

Region

1 1 2 3 4 5 6 7 8 9 A.P.

Arrears presently not recoverable as on 31.3.2011. 3 23.58 8.23 4.65 6.32 12.89 11.78 1.64 66.24 4.00 5.96 31.28 31.28 11.93 2.68 5.00 59.59 7.20 4.59 5.64 22.06 10.94 22.52 8.22 7.44

Recoverable arrears as on 31.3.2011. 4 10.71 6.85 3.72 2.39 3.26 9.48 2.36 10.46 0.58 0.43 1.68 1.68 21.02 11.91 4.73 1.50 10.17 3.19 9.92 13.84 2.09 17.22 16.05 14.53

Target fixed for 2011-12.

5 4.01 1.23 1.19 1.38 2.05 5.21 0.34 2.79 1.80 0.46 1.55 1.56 7.98 1.71 2.34 1.27 2.39 2.81 1.99 1.56 0.34 8.12 3.74 2.91

Vijayawada Assam Bihar Jharkhand Delhi Goa Ahmedabad Baroda

10 Surat 11 Haryana 12 Gurgaon 13 Bangalore 14 Peenya 15 Bommasandra 16 Hubli 17 Kerala 18 Ernakulam 19 Kollam 20 M.P. 21 Chhattisgarh 22 Mumbai 23 Marol 24 Thane

27

25 Nagpur 26 Aurangabad 27 Pune 28 Orissa 29 Punjab 30 Ludhiana 31 H.P. 32 J. & K. 33 Rajasthan 34 Udaipur 35 Chennai 36 Salem 37 Pondicherry 38 Coimbatore 39 Madurai 40 Tiruunelveli 41 U.P. 42 Varanasi 43 Uttranchal 44 Noida 45 West Bengal 46 Barrackpore 47 Rohini 48 Okhla Total

4.36 10.03 20.80 14.68 5.42 0.34 1.27 5.62 5.94 0.75 157.27 14.24 8.14 14.78 12.16 11.16 26.51 0.57 4.05 2.00 184.48 60.07 28.14 1.51 969.92

2.74 1.02 33.15 14.30 14.38 3.65 0.91 1.21 15.52 6.49 21.93 3.73 0.88 14.41 12.81 6.05 10.04 5.05 2.43 3.99 36.13 2.79 3.93 1.13 398.45

2.86 1.05 3.60 2.75 3.41 1.60 0.42 0.59 3.65 1.03 13.66 1.11 0.49 9.52 3.38 3.08 3.23 0.83 1.37 1.54 10.97 2.31 1.19 1.63 136.00

0.57 0.19 3.23 0.36 1.9 0.31 0.24 0.11 2.24 0.45 9.19 0.8 0.8 7.54 2.74 1.14 0.49 0.07 0.69 0.87 8.12 1.02 0.55 1.09 89.07

During the period from April 2011 to December 2011 recovery of arrears of Rs.89.07 crore has been made by the Recovery Machinery of the Corporation.

17. 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 employers contribution.

28

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. 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 31.12.2012

S.No.

Particulars

Section 84 of the ESI Act 582 6 588 15 0 6 0 9 69 84 504

Section 85 of the ESI Act 16098 799 16897 1029 52 592 65 320 764 1793 15104

1 2

4 5

No. of cases pending at the beginning of the year No. of Prosecution cases filed during the period Total (1+2) Total no. of cases decided during the year 2012 Defaulters convicted with imprisonment Defaulters convicted with fine Cases acquitted/Dismissed No. of cases closed by the court No. of cases withdrawn Total (3+4) No. of Prosecution cases pending as on 31.12.2012

Section 406/409 of the IPC 1237 16 1253 39 1 23 2 13 18 57 1196

Efforts made to liquidate pending cases. (i) Launch of New Amnesty Scheme: - New Amnesty Scheme 2010 was launched w.e.f. 01/03/2010 & was effective till 28/02/2011. The objective of Scheme was to reduce the no of litigation & unlock the dues stuck up is court. Under this scheme pending cases filed u/s 84, 85, 75 upto 28/02/2010 could be settled. During the scheme 2278 no application were received for withdrawal of court cases & 1495 no of cases were withdrawn. This also result in receipt of dues amounting to Rs. 11.31 Cr. (ii) Release of Revenue Manual:- The ESI Corporation has been in operation for over six decades and during this period a lot of changes have taken place in the law and procedure relating to Revenue administration. Though efforts were made on many occasions in the past to bring out collections of instructions relating to revenue matters for

29

different periods, it is for the first time that the entire gamut of law and procedure and all available instructions/judgments relating to revenue administration have been compiled in book form in a systematic and lucid manner. This manual is of immense help to the Officers and staff of Revenue branches and Social Security Officers for efficient discharge of their duties. (iii) Change of designation of Insurance Inspector:- The designation of Insurance Inspector has been changed to Social Security Officer with effect from 01/06/2010. (iv) Provision of Appellate Authority:-Appellate Authority has been created by insertion of new section 45AA in the Act. As per this provision if employer is not satisfied with the order passed u/s 45-A, he may prefer an appeal to an Appellate Authority as may be provided by regulation within 60 days of date of such order by depositing 25% of contribution or as per his own calculation whichever is higher provided that if employer finally succeeds in the appeal, the corporation shall refund such deposit to the employer alongwith such interest as may be specified in the regulation (v) Time limit for assessment of contribution:- Section 45-A has been amended to include that no order under this section shall be passed to claim contribution for the period beyond 5 years from the date on which contribution become payable.

18. IMPROVEMENTS EFFECTED IN THE ESI SCHEME (a) COVERAGE 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 15 States/UTs. The Scheme was extended to 68 areas covering 1.14 lakh employees during 2010-11 and to 60 areas covering 1.57 lakh employees during 2011-12. During the current year 2012-13, the scheme has been extended to 55 areas covering 1.73 lakh employees upto 1-2-2013. Revenue income of the Corporation increased to 6980.60 crores in 2010-11. (b) CASH BENEFITS Corporation disbursed 685.05 crores as cash benefits in the year 2011-12 as against 8393.55 crores in the year 2011-12 from

496.56 crores in the year 2010-11. 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.

30

The Corporation, in its meeting held in October 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.

The Corporation, in its meeting held in October,2012, also decided to enhance the Confinement Expenses for confinement taking place outside ESI Dispensary/Hospital from Rs.2500/- to Rs. 5000/-.

The Corporation also decided to enhance the Limit for Daily rate of PDB for Commutation. Payment of long-term benefits (PDB/DB) through Electronic Clearing System. Renovation of Branch Offices and dispensaries with provision all amenities for visiting beneficiaries. 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 for initial three years. (c) IT- ENABLEMENT ESICs IT Project Panchdeep, one of the largest e-governance project, has been launched. All ESI Institutions have been networked under this Project. Two smart cards christened 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 about 85 lakhs Insured Persons have already been captured to generate these smart cards. Aawareness campaigns have been launched to inform, educate & communicate about Project Panchdeep to the stakeholders. IT Project Panchdeep has been rolled out throughout the country. Registration of factories/establishments and their employees is now on-line and employers are able to generate code number for their establishment and temporary identity cards for their employees 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 data base through Pehchan, Pashan, Dhanwantari and Milap modules of IT enablement project. (d) MEDICAL BENEFIT (i) The families of insured persons who were previously entitled to medical Benefit, 13 weeks after the date on which the insured person himself became entitled to medical

31

Benefit have been made entitled from the same day as the insured person himself. This has come into force from 17.12.1977. (ii) Since 1978, the medical treatment in cases of insured persons who go out of coverage of the Scheme during the period of treatment would not be discontinued till the spell of sickness ends or in the case of long term ailments so long as insured persons (excluding members of the families0 required active treatment. (iii) Since February, 1991 Medical Benefit has been extended to retired insured persons and their spouses, on attaining the age of superannuation and to insured persons who cease to be in insurable employment on account of permanent disablement caused due to employment injury and their spouses on payment of contribution of Rs.120/- per annum. 19. 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 ESI Hospitals and Dispensaries directly managed by the ESI Corporation under the Ministry of Labour.

2. Accordingly, the ESI Corporation has set up the Public Grievance Redressal System at Headquarters office and all RO/SRO/DO/BOs and ESIC Hospitals to ensure expeditious disposal of complaints and redressal of grievances. Under the ESI Scheme, various measures have been taken by the Corporation for the same. A Public Grievance Cell has been set-up in ESIC, Head Quarter Office which 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 Offices, Sub-Regional Offices, Branch Offices, ESI Hospitals and Dispensaries managed and controlled directly by the E.S.I. Corporation. Further, in all field offices and hospitals a designated Grievance Officer has been nominated to ensure prompt and effective redressal of grievances. Detailed guidelines have also been issued from 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 these within the stipulated time frame.

3. A new Instruction on Public Grievance policy has been issued vide DO letter no. Z14/11/04/2009-PG dated 23/11/2009 to all RDs/SSMC/JD,I/C/SMC/MS/ D(M)D to settle the grievances on top priority. A copy of which was also sent to Trade Unions/ Employers Associations.

4. To ensure that online grievances related to ESI Corporation is being received through PG Portal Govt. of India, Centralized Public Grievance redress and Monitoring system (CPGRAMS) has been installed so that cases can be settled through online within stipulated

32

time frame. Instruction in this regards has been issued to all RDs/ Dirs/JD I/c, vide letter no. Z-14/11/04/2009-PG dated 09.10.2009 and 03.12.2009.

5. Grievances and complaints are not only received directly but are also received through the Cabinet Secretariat (Directorate of Public Grievances), Ministry of Labour & Employment & Prime Minister's Office etc. These complaints are promptly taken up and efforts are made to redress them within the time frame. 6. From January 2012 (including B/F) to 31st December 2012, a total number of 5305 grievances/complaints were received from various quarters and out of which 5116 grievances have been disposed through the internal grievance handling mechanism and rest are under process of settlement.

7. The Public Grievance System has displayed its e-mail address on Internet from November, 2004. Through this e-mail address, representations/ complaints can be forwarded to concerned Regional Director/Joint Directors/Medical Superintendents 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 1.12.2006 (functioning all the working days from 9:30 A.M. to 5:30 P.M.). 24x7 toll free helpline (except Sunday) has started functioning w.e.f. 01.04.2011. Now this helpline is functional for 7 days round the clock w.e.f. 01.07.2011. Advertisement has also been issued in all national leading dailies in this connection. The system is functioning under the direct supervision of Public Grievance Cell and reviewed by the Insurance Commissioner & Director General.

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' Guide/Employers' Guide etc. available under the Scheme.

(b)

Suvidha Samagam for quick redressal of Public Grievances of beneficiaries are periodically arranged once in a month at the level of Regional Offices, Branch Offices and ESI Hospitals etc. Latest instruction was issued on Suvidha Samagam vide letter no V-11/14/2/2010-PG dated 16.01.2013.

33

(c)

Facilitation Centers have been opened in the offices of the Corporation such as Hqrs. Office, Regional Office, Branch Offices and ESI Hospitals managed directly by the E.S.I. Corporation.

(d)

Advertisement is also issued in all national leading dailies newspaper periodically giving the details of new initiatives of ESI Corporation like scheme of incentives to employers for providing employment to persons with disabilities, Rajiv Gandhi Shramik Kalyan Yojna and Project Pehchan work etc.

20. MANAGEMENT SERVICE UNIT I) Results-Framework Document (RFD) A Results-Framework Document (RFD) is a record of understanding between a Minister representing the peoples mandate and the Secretary of a Department responsible for implementing this mandate. This document contains not only the agreed objectives, policies, programs and projects but also Success Indicators and Targets to measure progress in implementing them. The RFD seeks to address three basic questions: (a) What are departments 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 34 success indicators covering all the divisions of the Head Quarters have been included in this document. Out of this 34 success indicators 4 are part of MoL&Es RFD which carries weight of 6%. The RFD also contains 3 mandatory success indicators with weight of 11%. These are; 1. Efficient functioning of the RFD system ii) : i) Timely submission of draft RFD ie 5th March. Timely submission of result for RFD ie 1st May. 2. Administrative Reforms : i) Implementation of ISO 9001 as per approved action plan. ii) Prepare an action plan for innovation.

34

3.

Improving internal efficiency/ responsiveness/ service delivery of Ministry/ department. ActionImplementation of Sevottam.

i)

Independent audit of implementation of citizen charter.

ii)

Independent audit of implementation of public grievances redressal system.

The MOL&E vide its letter No. Z-20025/10/2011-RFD (Pt-I) dated 28/6/2012 communicated Ministrys achievement for the year 2011-12 as 95.04% and ESICs achievement in Ministrys RFD was 99.16%.. II) 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 31.03.2013 49 no. of Offices and 22 no. of ESIC Hospitals have been awarded ISO 9001:2008. III) VIP/ MP References A total of 110 no of queries from VIP/ MP from different Ministries, as and when received, have been finally replied after compilation of relevant data collected from different Branches & respective field formations. IV) Productivity Link Bonus The PLB for the Financial Year 2011-12 have been paid to all eligible employees for 60 days. V) Monthly D.O. to the D.G. The Monthly DO to DG is the important instrument for monitoring functions of the Regional/ SubRegional offices. A new format had been designed & implemented during 2012-13 with a view to

monitor speedy implementation of computerization in ESIC besides overall working of the Region.

21. PUBLIC RELATIONS


The ESI Corporation has a set up of Public Relations Division consisting of full fledged P.R. Branch at Hqrs. Office, New Delhi assisted by one each Nodal Officer at the Regional and SubRegional level. Brochures/pamphlets/booklets/Annual Report and other literature for the Corporation are published centrally, apart from interacting with media for dissemination of information on new initiatives, meetings, seminars, exhibitions, health check-up camps, health melas, awareness camps etc. During the year 2011-12, massive 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

35

social security programme administered under the ESI Scheme. activities organized during the year 2011-12 are reproduced below:

Some major public relations

1. The Regional/Sub-Regional & Divisional Offices of the Corporation organized 309 seminars/workshops on ESI scheme for employees and employers of their respective areas. The programme content of the workshops comprised presentations on various aspects of the scheme, Project Pehchan, awareness about Project Panchdeep (IT Roll out), distribution of publicity material, group discussions and question answer sessions. Senior Officers of the Corporation including Director General, Insurance Commissioner, Medical Commissioner, Commissioners and Regional Directors also participated and made presentations at important seminars/workshops sponsored by leading Chambers of Commerce and industry and employers organizations etc.

2. The Hqrs. Office and the Regional Offices of the Corporation have arranged TV programmes on the ESI Scheme in co-ordination with Doordarshan authorities and other local news 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 commissioning of foundation stone laying/inauguration ceremonies of Hospitals/Dispensaries/Regional Offices and other off-the-routine activities. Major events including meetings of the Corporation, inauguration/foundation stone laying ceremonies of new ESIC establishments and medical service outlets were covered by AIR/Doordarshan and other electronic news channels as well as print media. 3. 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 about the highlights of activities of the scheme. In all about 247 press releases were issued by the Corporate Offices, 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. 4. The grand finale of the Diamond Jubilee Celebration was celebrated on 24th February, 2012. Shri Pranab Mukherjee, than Honble Union Minister of Finance, Govt. of India, Shri Kapil Sibal, Honble Union Minister of Human Resource Development and Communications & Information Technology and Shri Mallikarjun Kharge, Honble Union Minister of Labour & Employment were graced the occasion. A book titled ESIC The Sparkling Diamond containing the history of ESIC from 1952 to 2011 and details of activities/fulfillment of commitments made during the Diamond Jubilee Year was released on this occasion. Besides this, a Commemorative Postal Stamp on ESIC was also released.

36

On this occasion, ESICians also took a pledge to make the organization a shining example to follow for all other social security delivery organization. 5. The Regional Offices and the Hqrs. issued a number of advertisements to various national and regional newspapers to bring up the level of awareness among the employers and employees etc. concerning various provisions of the ESI Act, various aspects of project Pehchan and project Panchdeep, incentive scheme for the employers for employing disabled persons etc. The Hqrs. issued various display advertisements in leading

newspapers in the country on different new initiatives of the Corporation to bring ESIC closer to people.

6. Emphasis was laid on educating the insured population about the benefits and contributory conditions under the Scheme and about different aspects of IT Roll Out project during the year under report by producing adequate printed educational material about the ESI Scheme. A pamphlet on Medical Benefit provided under ESI Scheme, revised edition of Citizens Charter, a handbook of ESIC Hospital named Arogyam were produced for distribution among the insured persons through the network of Branch Offices, ESI Hospitals and dispensaries all over the country. This years highlight was that every publicity material was released simultaneously in Hindi, regional languages as well as in English.

7. In compliance of the Meetings of the ESI Corporation regarding awareness campaign, the ESI Corporation have done a massive media and awareness campaign on various Benefits of ESI Scheme, project Panchdeep (IT Roll Out Plan), Indian System of Medicine (ISM) etc. for educating the target audience which included the Insured Persons, their family members and the employers covered under the ESI Scheme. In this media campaign, all kinds of media like television, radio, newspapers, magazines, hoardings, other outreach programmes at the national, state and the local level. 8. In order to make ESIC Website a powerful PR tool for the organization, the ESIC Corporate Website, www.esic.nic.in has been reframed and redesigned, making it more presentable and useful for general public. The website has been developed in both the languages, Hindi and English to give it a wide appeal and make it suitable for people of all classes and segments. In a nutshell, the ESICs website is now making the life of all the visitors simple by providing accurate and updated information with a better user interface.

9. During the year under report, some Outreach/One-to-One Contact Programmes were also organized through Road Shows/Nukkad Nataks in Uttar Pradesh, Jharkhand, Chattisgarh,

37

Orissa, Madhya Pradesh and Bihar for Reaching Out to the Stakeholders and getting feedback from them, directly. These seminars and meetings helped the ESIC to understand the actual feelings of the stakeholders (i.e. employees & employers). All the stakeholders participated widely in these outreach programmes. Some stakeholders also provided specific advice for further improvements at the grass root level. However, the overall feedbacks were very positive and encouraging. A. COMMITMENTS MADE AND ACHIEVED COMMITMENTS MEDICAL DIVISION WELLNESS MOBILE VANS TO BE STARTED IN ALL SUCH ESIC HOSPITALS SETTING UP OF AYUSH UNITS (ISM) IN ALL ESIC HOSPITALS ORGANIZING OF ONE HEALTH CAMP IN EACH MONTH BY EACH ESIC HOSPITALS OPENING OF 05 ESIC GREENFIELD HOSPITALS UPGRADATION/MODERNIZATION CENTRE IN EACH ESIC HOSPITAL FACILITATION/COUNSELING CENTRE IN EACH ESIC HOSPITALS ESTABLISHMENT OF DIAMOND JUBILEE MODEL DISPENSARIES WITH DIAGNOSTIC FACILITIES ACHIEVEMENT Target: 31, Operational : 31 Target: 31, Achieved : 31 Target: 341, Held : 1031 Target: 05, Achieved : 05 Target: 05, Achieved : 04 Target: 31, Achieved : 31 Finalized : 13 State Govt. Approval Awaited : 04 Under Construction : 02 100% 100% 302% 100% 80% 100%

INSURANCE DIVISION ENROLMENT/COVERAGE DRIVE FOR MORE MEMBERS UNDER ESI SCHEME BENEFIT PAYMENT THROUGH ECS FOR PDB CASES

New Unit : 34699 New Employees : 9.76 lakh Total Cases : 73.52 lakh 99% Cases Paid through ECS : 72.55 Lakh 99% BENEFIT PAYMENT THROUGH ECS FOR Total Cases: 18.20 Lakh Cases Paid through ECS: DB CASES 17.99 Lakh 93% NO PUBLIC GRIEVANCE CASES REMAIN Cases : 511, Settled : 473 PENDING FOR DISPOSAL BEYOND 15 DAYS ONE FACILITATION CONCLAVE Scheduled : 6809, Held : 104% (SUVIDHA SAMAGAM) FOR 7084 EMPLOYERS/EMPLOYEES TO BE ORGANISED ONCE IN A MONTH BY EACH BRANCH OFFICES TO MAKE 25 BRANCH OFFICES ALL OVER Achieved : 71 INDIA WITH SAFE DRINKING WATER AND ALL THE AMENITIES 284%

PDB/DB CASES TO BE SETTLED WITHIN No. of Cases: 1389, Settled : 81% 1126 ONE MONTH

38

ALL APPEAL CASES FROM EMPLOYERS TO BE DISPOSED WITHIN 60 DAYS SETTLEMENT & PAYMENT OF MEDICAL BOARD CASES WITHIN THREE DAYS FACILITATION CENTRE IN ESIC HQRS./REGIONAL OFFICE/SROS/DOS/BRANCH OFFICES FINANCE DIVISION PAYMENT TO ALL CLIENTS WITHIN 10 DAYS THROUGH ECS (TO REGULAR CLIENTS) COMPUTERISATION OF MONTHLY AND ANNUAL ACCOUNTS

No. of Cases: 519, Settled : 83% 431 No. of cases : 1205, Settled : 94% 1129 Target : 677, Achieved : 594 88%

No. of Bills : 1.52 Lakh Settled : 1.35 Lakh No. of Accounting Units : 91 Achieved : 88

89%

97%

ORGANIZING OF 100 TRAINING Target: 100, Achieved: 309 PROGRAMMES ON ETIQUETTES/PEOPLE HANDLING/COURTESY PEHCHAN CARD WILL BE GIVEN TO THE No. of Cards issued : 15.66 INSURED PERSONS WITHIN 7 DAYS Lakh AFTER DATA CAPTURING REAL TIME ONLINE REGISTRATION FOR Employers : 19422/IPs: 34.03 Lakh EMPLOYERS AND INSURED PERSONS

309%

22. RTI ACT 1. The Right to information Act2005 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 Act05 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. 724 requests for information were received during the period April 2012 to Dec.2012 out of which information was provided in 704 cases and rejected in 20 cases. 141 Appeals were also decided during this period. 5. The name and the address of the Appellate Authority is mentioned in the reply/decisions communicated to the applicant.

39

23. TRAINING
Standard Note on National Training Academy, ESIC as on 01.01.2013 The National Training Academy 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 group A and B (including medical and non-medical) officers of ESIC. There are 4 Zonal Training Institutes working under NTA viz. ZTI NZ, ZTI SZ, ZTI WZ, and ZTI EZ headed by Director/Joint Director assisted by 1 or 2 staff members. 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 group A & B officers of ESIC with Additional Commissioner as its Head and it started functioning from ESIC Regional Office Mumbai building. In addition, 4 Zonal Training Institutes were also set up to impart training to group C and D staff of ESIC. Zonal Training Institute, North Zone, Delhi at RO Delhi Zonal Training Institute, South Zone, Bangalore, Zonal Training Institute, West Zone Mumbai, and Zonal Training Institute, East Zone, Kolkata 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 end when it was shifted to RO Delhi. In April 2010, the National Training Academy was once again shifted to the Office Space rented on the 2nd floor in the NRPO Building, EPFO Complex, Sector-23, Dwarka, New Delhi. In the year 2012, a total number of 177 training programs were conducted by NTA and the four ZTIs where 5288 participants were trained during 2012. The programmes were conducted both Inhouse and in association with various renowed training academies like NIAR LBSNAA, DTRTI, XIMB etc. Training Conducted from 1st January to 31st December, 2012 (General Cadre) Sl. Name of Training Type of Date No. Of Place No. Participants Traine es 1. Training on Finance for Finance & 9th to 13th Jan., 24 RO, Chennai Non-Finance Officers (South Accounts Officers 2012 & East Zone)

40

2. 3. 4.

Training for Assistant Executive Engineers Inner Engineering Program Two days Work shop on Project Management for Engineers Training on Finance for Non-Finance Officers (North & West Zone) Training on Revenue Recovery

Engineers AD/DD Engineers, Nodal Officers, DD Finance & Accounts Officers Recovery Officers

24th Jan. to 25th Feb., 2012 1st to 7th Feb., 2012 7th to 8th Feb., 2012 13th to 17th Feb., 2012 7th to 9th May, 2012 11th to 12th May, 2012 22nd to 23rd May, 2012 11th to 18th June, 2012

12 05 88

NTA, New Delhi Tyagraj Stadium, New Delhi NTA, New Delhi

5.

29

SRO, Marol, Mumbai Direct Taxes Regional Training Institute (DTRTI), Bangalore DTRTI, Bangalore

6.

30

7.

8.

9.

Training for DDOs of ESIC Officers (South & West Zone) Training for DDOs of ESIC Officers (North & East Zone) Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next higher level reg. (JD to Dir.) Ist Batch (Ist Spell) Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next higher level reg. (JD to Dir.) Ist Batch (IInd Spell) Training Programme on Accounting Basis Reforms for ESIC Officials

DDOs

35

DDOs

30

DTRTI, Kolkata

24 Regular Joint Directors & Ad-hoc Directors NTA, New Delhi

10.

26 Regular Joint Directors & Ad-hoc Directors 25th to 30th June, 2012

Xavier Institute of Management, Bhubaneshwar (XIMB)

11.

All concerned Officers

28th to 30th June, 2012

23 NTA, New Delhi

12.

Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next higher level reg. (JD to Dir.) Ist Batch (IIIrd Spell)

Regular Joint Directors & Ad-hoc Directors

9th to 16th July, 2012

30

13. 14.

15.

One Day Hindi Workshop Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next higher level reg. (JD to Dir.) IInd Batch (Ist Spell) Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next

All Hindi Officers Regular Joint Directors & Ad-hoc Directors

19th July, 2012 23rd July to 1st Aug., 2012

31 32

National Institute of Administrative Research, Lal Bahadur Shastri National Academy of Administration (LBSNAA), Mussoorie NTA, Delhi NTA, New Delhi

Regular Deputy Directors & ADhoc Joint

3rd to 14th Aug., 2012

39 NIAR, LBSNAA, Mussoorie

41

16.

17.

18.

higher level reg. (DD to JD)- Ist Spell Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next higher level reg. (JD to Dir.) IInd Batch (IInd Spell) Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next higher level reg. (JD to Dir.) IInd Batch (IIIrd Spell) Mandatory In-Service Training Programme for ESIC Officers before Regular Promotion to next higher level reg. (DD to JD)- IInd Spell

Directors 6th Aug. to 11th Aug., 2012 30 Xavier Institute of Management, Bhubaneshwar (XIMB) 30 NIAR, LBSNAA, Mussoorie

Regular Joint Directors & Ad-hoc Directors

Regular Joint Directors & Ad-hoc Directors

21st to 25th Aug., 2012

Regular Deputy Directors & Ad-hoc Joint Directors

27th Aug. to 6th Sep., 2012

39 NTA, Delhi

19.

Two Days Hindi Workshop for DDs

Deputy Directors

25th and 26th Sep., 2012 10th and 11th October, 2012 12th and 13th October, 2012 15th to 17th October, 2012

13

NTA, Delhi

20.

Accounting ESIC Accounting ESIC

Reforms

in AD(F), DD(F)

33

NTA, Delhi

21.

Reforms

in

AD (F), DD(F)

40

NTA, Delhi

22.

Training on Preventive Vigilance (West & South Zone) Training on Preventive Vigilance (North & East Zone) VC Purchase Procedure VC Occupational Health in ESI NABH Training Eagle-7 Medical Vigilance training Etiquette Programme VC on laparoscopy surgery Second Inning Programme MDP for Nursing Administration Teaching Faculties

AD/DD Dealing with Vigilance Matters

35

ESIMH, Rajaji Nagar, Bangalore

23.

24. 25. 26. 27. 28. 29. 30. 31. 32. 33.

AD/DD 5th to 7th Dealing with November, 2012 Vigilance Matters Medical Side All Model 9.01.2012 Hospital Doctors All Model 20.01.2012 Hospital Doctors SAG/NFSG 11,12,13.01.12 SMC, MS, RD, 16 to 20.01.2012 Dir, JD CMO, IMO, SAG. 30 & 31. 01. NFSG 2012 NO/Nurses 9.2.2012 All Model 10.2.2012 Hospital Doctors All SAG Dir. 11.02.2012 NO/Nurses 16 & 17 .02. 2012 Assistant 27 & 28.02.2012 Professors

34

RO, Kolkata

180 170 35 25 29 27 200 15 28 21

Hqrs. Hqrs. NTA, New Delhi RO, Cochin NTA, New Delhi NTA, New Delhi Hqrs. NTA, New Delhi NTA, New Delhi NTA, New Delhi

42

34. 35. 36.

FMS Training Eagle 8 Induction Doctors Programme

NFSG SMC, MS, RD, Dir, JD IMO Gr. II

21.02. to 2.3.2012 12 to 16 .03.2012 27 & 28 .3.2012

25 25 20

NTA, New Delhi Srinagar ESIMH, Rajaji Nagar ESIMH, Peenya SRO, Marol

37. 38.

Induction Programme for Newly Recruited Doctors Orientation programme for Training Faculties of PGIMSR MGM

IMO Asst. Professor

8 & 9 .05.2012 17 & 18.05.2012

32 23

39.

40.

Orientation programme for Training Faculties of Rohini & Basaidarapur Orientation programme for Doctors at Ranchi Orientation programme for Doctors at Ezhukon Orientation programme for Doctors at Ludhiana

Asst. Professor

22 & 23.05.2012

28

NTA, New Delhi

IMO Gr. II

4 & 5.06.2012

24

ESIMH, Ranchi

41. 42.

Specialist IMO

7 & 8 .06.2012 20 & 21.06

20 16

ESIMH, Ezhukon ESIMH, Ludhiana

43.

Orientation programme for Doctors at Gujarat Workshop on Administrative Orientation programme for CMO, RO Delhi Eagle 9 Orientation programme on Change of Organization culture for IMO Gr.I Orientation programme for Doctors of Andhra Pradesh at ESI Hospital Sanath Nagar Orientation programme for Doctors, ESI Model Hospital Jammu Communication Skill Workshop on Financial & vigilance Orientation programme for Doctors, Orientation programme on change organization Culture VC Super Specialty MDP for west Bengal ESI Nursing Administration

IMO

26 & 27.06.2012

25

44. 45. 46. 47.

MS, SMC CMO SMC, MS, RD, Dir, JD IMO Gr. I

5 & 6.07.2012 9 & 10.07.2012 16 to 20.07.2012 23 &24.08.2012

17 23 25 21

ESIMH, Bapunagar (Ahemdabad) RO, Kolkata RO, Delhi RO, Coimbatore NTA, New Delhi

48.

IMO, SMC

28 & 29.08.2012

30

ESIMH, Sanath Nagar

49.

IMO Gr. II

13 & 14.08.2012

21

ESIMH, Jammu

50. 51. 52. 53. 54. 55.

SAG, Doctors SSMC, MS, AD IMO Gr. II IMO Gr. II MSs, SMCs ANS

20 & 21.09.2012 27 & 28.09.2012 4 & 5.10.2012 10 & 11.10.2012 19.10.2012 7 & 8.11.2012

20 32 24 20 120 25

NTA, New Delhi SRO, Marol, Mumbai RO, Rajasthan ESI Jhilmil Hospital Hqrs. ESI Nursing School Kolkata

43

56.

Orientations programme on change in organization culture Workshop on Medico Legal Issue in Health care Delivery System for Specialist Orientations programme on change in organization culture Etiquette and Public Handling Courtesy in r/o Hospital Jammu Etiquette and Public Handling Courtesyin r/o Hospital Jammu Etiquette and Public Handling Courtesy in r/o RO Baddi Etiquette and Public Handling Courtesy in r/o RO, SRO Chandigarh & Ludhiana Etiquette and Public Handling Courtesy in r/o SRO Jallandhar & Hospital Jammu Training Programme for MTS (Non-Matric) in r/o RO, SRO Delhi Training Programme for MTS (Non-Matric) in r/o ESI Hospital Orientation Programmein r/o Delhi & NCR Induction Coursein r/o RO, SRO & Hqrs Training Programme on Computer Application Training Programme for Steno Hindi in r/o Northern Region

IMO

21 & 22.11.2012

20

GOA

57.

Specialist

4.12.2012

24

NTA, New Delhi

58.

MO/ IMO II

17 & 18.12.2012

18

ESIMH, Ram Durbar Punjab ESIC Model Hospital, Jammu ESIC Model Hospital, Jammu ESIC Regional Office, Baddi ESIC Sub Regional Office, Ludhiana

59.

North Zone (ZTI) Paramedical Staff 02/01/12 / Nursing Orderly Paramedical Staff / Nursing Orderly Assistant / UDC 03/01/12

25

60.

21

61.

09/01/12

21

62.

Assistant / UDC

20/01/12

27

63.

Assistant / UDC / LDC

23/01/12

23

ESIC Sub Regional Office, Jallandhar

64.

MTS (NonMatric)

27/02/12 to 02/03/12

27

ESIC Regional Office, Delhi

65.

MTS (NonMatric) Newly Recruited Steno MTS LDC STENO

19/03/12 to 27/03/12 23/04/12 to 27/04/12 3/05/12 to 04/05/12 21/05/12 to 22/05/12 24/05/12 to 25/05/12

19

ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi

66. 67. 68. 69.

23 36 18 10

70.

71.

Management & Leadershipin r/o Northern Region Orientation Coursein r/o Hospital Delhi

SSO

11/06/12 to 12/06/12 18/06/12 to 19/06/12

31

ESIC Regional Office, Delhi ESIC Regional Office, Delhi

Nursing Orderly

22

44

72.

Organization Culture in r/o Hospital Delhi

Para-Medical Staff

27/06/12

41

ESIC Regional Office, Delhi

73.

Customer Relationship Satisfaction in r/o Hospital Jammu Insurance & Benefit

Para-Medical Staff

28/06/12

41

ESIC Regional Office, Delhi

74.

UDC (New Recruited) UDC (New Recruited) UDC (New Recruited) UDC (New Recruited) Assistants Assistants Assistants / UDC Assistants / UDC Assistants / UDC Assistants / UDC MTS ( Newly Recruited) MTS

09/07/12 to 11/07/12 12/07/12 23/07/12 to 26/07/12 27/07/12 06/08/12 to 08/08/12 09/08/12 28/08/12 to 29/08/12 30/08/12 to 31/08/12 04/09/12 to 05/09/12 06/09/12 to 07/09/12 13/09/12 to 14/09/12 18/09/12 to 19/09/12

29

ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi ESIC Regional Office, Delhi

75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85.

Etiquette Revenue & Benefit Etiquette Revenue & Benefit Etiquette Revenue Administration Revenue Administration Administration Administration & Working system of ESIC

29 42 42 40 40 17 17 47 47 14 27

86.

Administration & Working system of ESIC

Junior Hindi Translator

24/09/12 to 25/09/12

10

ESIC Regional Office, Delhi

87.

Functional Hindi Incentive Programme

Junior Hindi Translator

26/09/12 to 28/09/12

10

ESIC Regional Office, Delhi

88.

Administration & Working system of ESIC

LDC/MTS

03/10/12 to 05/10/12

37

ESIC Regional Office, Delhi

89.

Administration & functioning system of ESIC

LDC / MTS

10/10/12 to 12/10/12

47

ESIC Regional Office, Delhi

90.

Administration & functioning system of ESIC

Nursing Orderly

17/10/12 to 19/10/12

24

ESIC Regional Office, Delhi

45

91.

Administration, Revenue & Benefits

UDC (Newly Recruited)

25/10/12 to 31/10/12

26

ESIC Regional Office, Delhi

92.

Vigilance / Departmental Proceeding

Para-Medical Staff

01/11/12 to 03/11/12

29

ESIC Model Hospital, Gurgaon

93.

Revenue & Administration

MTS

07/11/12 to 09/11/12 21.11.12 to 23.11.12 27/11/12 to 30/11/12

38

94.

Vigilance & Administrative Matters Preventive Vigilance, Procedure & Departmental Proceeding Preventive Vigilance, Procedure & Departmental Proceeding

Assistants / UDC

23

95.

SSO

27

ESIC Sub Regional Office, Ludhiana ESIC Regional Office, Chandigarh ESIC Regional Office, Delhi

96.

Assistants

05/12/12 to 07/12/12

16

ESIC Regional Office, Delhi

97.

Preventive Vigilance, Procedure & Departmental Proceeding Preventive Vigilance, Procedure & Departmental Proceeding

Para-Medical Staff

12/12/12 to 14/12/12

21

ESIC Regional Office, Delhi

98.

Office Superintendent / Assistants

19/12/12 to 21/12/12

27

ESIC Regional Office, Delhi

99. ETIQUETTE 100. -DO101. -DO102. -DO103. -DO104. -DO105. -DO106. -DO107. 108. -DO-DO-

East Zone (ZTI) UDC 19/06/12 UDC 19/07/12 MTS 20/07/12 UDC 26/07/12 MTS 27/07/12 MTS 27/08/12 UDC 28/08/12 NURSE 20/09/12 NURSE NURSE NURSE UDC UDC UDC 21/09/12 11/10/12 12/10/12 19/03/12 TO 23/03/12 16/04/12 TO 20/04/12 14/05/12 TO 18/05/12

25 25 23 25 25 19 23 23 24 27 28 25 25 24

ZTI (E.Z.) RANCHI -DOPATNA -DOGUWAHATI -DOADITYAPUR, JAMSHEDPUR -DONAMKUM, RANCHI -DOZTI (E.Z.) -DO-DO-

109. -DO110. INDUCTION 111. 112. -DO-DO-

46

113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126.

-DO-DO-DO-DO-DO-DOFUNCTIONAL -DO-DO-DO-DO-DO-DO-DO-

UDC MTS MTS MTS MTS MTS UDC UDC HC/ASST -DO-DOSSO -DO-DO-

21/05/12 TO 25/05/12 11/06/12 TO 13/06/12 12/09/12 TO 14/09/12 01/11/12 TO 02/11/12 06/12/12 TO 07/12/12 20/12/12 TO 21/12/12 25/06/12 TO 27/06/12 06/08/12 TO 08/08/12 07/05/12 TO 09/05/12 02/07/12 TO 04/07/12 22/08/12 TO 23/08/12 04/06/12 TO 06/06/12 16/07/12 TO 18/07/12 29/08/12 TO 31/08/12

17 24 24 25 22 20 22 20 24 24 22 21 23 18

-DO-DO-DO-DO-DO-DO-DO-DO-DO-DO-DO-DORANCHI GUWAHATI

127. Induction Programme Recruited (03days) 128. Induction Programme Recruited (03days) 129. Induction Programme Recruited (03days)

Training for Newly LDCs. for Training for Newly UDCs. for Training for Newly UDCs. for

West Zone (ZTI) 01/02/2012 to LDC 03/02/2012 21/02/2012 to 23/02/2012 27/02/2012 to 29/02/2012

22

S. R.O. Pune

26

UDC

S. R.O. Aurangabad

UDC

25

S. R.O. Surat

130. Induction Training Course for LDCs Newly Promoted from MTS Cadre for (03days) 131. Functional Training Course on REVENUE AND REVENUE RECOVERY for Assistants/ UDCs. for (02days) 132. Induction Training Programme for Newly Recruited UDCs. and Newly Promoted LDCs from MTS Cadre for (03days)

LDC

13/03/2012 to 15/03/2012

30

S. R.O. Marol

ASST/UDC 21/03/2012 to 22/03/2012 LDC 03/04/2012 to 05/04/2012

22

S. R.O Nagpur

S. R.O. Marol 28

47

133. Functional Training Course ASST/UDC on REVENUE AND REVENUE RECOVERY for Assistants/ UDCs. for (03days) 134. Functional Training Course on REVENUE AND ASST/UDC REVENUE RECOVERY for Assistants/ UDCs. for (03days) 135. Functional Training Course on REVENUE AND REVENUE RECOVERY ASST/UDC for Assistants/ UDCs. for (03days) 136. Induction Training Programme for Newly UDC Recruited UDCs. for (03days) 137. Functional Training Course on REVENUE AND REVENUE RECOVERY for Assistants/ UDCs. and LDC. for (03days) 138. Functional Training Course on REVENUE AND REVENUE RECOVERY for Assistants/ UDCs. for (03days) 139. Functional Training Course on REVENUE AND REVENUE RECOVERY for Assistants/ UDCs.LDC. for (03days) 140. Functional Training Course on REVENUE AND REVENUE RECOVERY for Assistants/ UDCs. for (03days) 141. Induction Training Programme for Newly Recruited UDCs. and Newly Promoted LDCs from MTS Cadre for (03days) 142. Induction Training Programme for Newly Recruited MTS Cadre for (02days) 143. One day training course on Courtesy, Etiquette & PR skills for ESIS Hospital & dispensary staff 144. One day training course on Courtesy, Etiquette & PR skills for ESIS Hospital & dispensary staff

09/04/2012 to 11/04/2012

S. R.O Marol 28

16/04/2012 to 18/04/2012

25

R.O Indore

25/04/2012 to 27/04/2012 08/05/2012 to 10/05/2012

27

S. R.O Marol

R.O. Ahmedabad 30

ASST/UDC

14/05/2012 to 16/05/2012

S. R.O Marol 28

ASST/UDC

21/05/2012 to 23/05/2012

30

S. R.O. Pune

ASST/UDC

18/06/2012 to 20/06/2012

30

R.O. Ahmedabad

ASST/UDC 27/06/2012 to 29/06/2012 S.R.O. Marol 30

LDC/UDC

16/07/2012 to 18/07/2012

R.O. AHMEDABAD 26

MTS

29/08/2012 & 31/08/2012

29

R.O. MUMBAI

DOCTORS & PARAMEDICAL STAFF DOCTORS & PARAMEDICAL STAFF

06/09/2012

25

SRO NAGPUR

07/09/2012

22

SRO NAGPUR

48

145. Induction Training Programme for Newly MTS Recruited MTS Cadre for (02days) 146. Induction Training Programme for Newly UDC Recruited UDCs. for (03days) 147. Skill Upgradation Trg. For Gr.D Gr.D Paramedical Staff of Paramedical ESIC Model Hospital, Staff Andheri 148. Pre-Exam. Trg. For Assts Appearing for LDCE for ASST/ ADHOC SSO post SSO 149. Induction Training Programme for Newly Recruited UDCs. for (03days) 150. Induction Training Programme for Newly Recruited MTS Cadre for (02days) 151. Induction Training Programme for Newly Recruited UDCs. for (03days) 152. Induction Programme Recruited (03days) 153. Induction Programme Recruited (03days) Training for Newly UDCs. for Training for Newly UDCs. for

11.10.2012 To 12.10.2012 17.102012 To 19.102012 6.11.2012 To 9.11.2012

SRO PUNE 27

MUMBAI 24

Mumbai 25 Mumbai 35

19.11.2012 To 21.11.2012 26.11.2012 To 28.11.2012 29.11.2012 To 30.11.2012 12.12.2012 To 14.12.2012

MUMBAI 30

UDC

MTS

MUMBAI 27

UDC

MUMBAI 24

UDC

19.12.2012 To 21.12.2012 26.12.2012 To 28.12.2012

SURAT 25

UDC

32

P UNE

ZTI (SZ) 154. Orientation/ Induction Training UDC programme for newly recruited LDCs of R.O. Hyderabad jurisdiction. 155. Orientation/ LDC Induction Training programme for newly recruited LDCs of RO Chennai, SRO Coimbatore, SRO Madurai , Tirunelveli & Salem. 156. Orientation/ NO/Nurses Induction Training for newly recruited Staff Nurses & paramedical staff of ESIC.Hospital Peenya Blore 4th, 5th & Jan2012 6th 29 R.O.Hyderabad

11th

,12th & 13th Jan2012

28

ESIC SROCoimbatore

17th & Jan2012

18th

30

ESIC Model Hospital,Rajajinag ar,Bangalore.

49

157. Orientation/ Induction Training for newly recruited Staff Nurses & paramedical staff of ESIC. Hospital Peenya Blore 158. Orientation/ Induction Training for newly recruited Staff Nurses & paramedical staff of ESIC.Hospital Peenya Blore 159. Soft skill Training Programme on Etiquettes & People Handling 160. Soft skill Training Programme on Etiquettes & People Handling 161. Soft skill Training Programme on Etiquettes & People Handling

NO/Nurses

23rd & Jan12

24th

29

ESIC Model Hospital,Rajajinag ar,Bangalore.

NO/Nurses

27th & Jan2012

28th

32

ESIC Model Hospital,Rajajinag ar,Bangalore.

Staff 20th Jan2012 Nurse/Paramedical Staff Staff 25th Jan2012 Nurse/Paramedical Staff Staff 30th Jan2012 Nurse/Paramedical Staff

30

29

32

ESIC Model Hospital,Rajajinag ar,Bangalore. ESIC Model Hospital,Rajajinag ar,Bangalore. ESIC Model Hospital,Rajajinag ar,Bangalore.

162. Orientation/ Nursing Orderlies Induction Training programme for newly recruited Nursing orderlies.

2nd Feb2012 32

ESIC Model Hospital,Rajajinag ar,Bangalore-10

163. Soft skills Training Programme on Etiquettes & People Handling. 164. Orientation/ Induction Training for newly recruited LDCs(now UDCs)SRO Kollam & ESIC Hospital Ashramam., Paripally & Ezukone Kollam. 165. Soft skills Training Programme on Etiquettes & People Handling 166. Refresher training programme for SSOs/Br.Managers/ Office Supdts 167. Training Programme on Revenue Recovery Module of WIPRO for the staff members working in Revenue Recovery branch in association with Wipro. 168. Refresher Training Programme for SSOs in Insurance, Benefits and legal. 169. Functional Training Programme for Newly

Nursing Orderlies

3rd Feb2012 15, 16th & 17th Feb2012

32

UDC

33

ESIC Model Hospital,Rajajinag ar,Bangalore-10 ESIC Model Hospital, Ashramam, Kollam

All cadres from SSOs to MTS SSOs/Br. Managers/Office Supdt.

25th Feb2012 26th & Feb2012 27th

24

Hotel Bell, Bangalore. Hotel Bell,Bangalore

26

Staff members in 28th & 29th Revenue Recovery Feb2012/

16

Hotel Bell,Bangalore

SSOs

03.04.2012 to 04.04.2012 11.04.2012 to

26

ESIC, SRO, Ernakulum

LDC/UDC

25

RO, ESIC, Bangalore

50

Promoted LDCs from MTS cadre and UDCs 170. Functional Training Programme for Newly Promoted Assistants Assistants

13.04.2012

25.04.2012 to 27.04.2012

26

171. Induction training programme for Professors, Ass.Professors, Specialists and IMOs conducted by NTA, New Delhi. 172. Workshop on Recent ESI Amendments of 2010 alongwith Rules and Regulations, PG/RTI and Vigilance matters for SSOs/BM Gr.II & OS. 173. Induction training programme for newly recruited Staff Nurse and Other para-medical staff 174. Functional Training Programme for Newly Promoted LDCs from MTS cadre and UDCs 175. Soft Skills Training programme on Etiquettes/and People handling for Staff Members of ESIC Model Hospital and Directorate, ESIS (M) Services Bangalore 176. Refresher Training Programme for newly promoted SSOs/Branch Manager Gr.-II 177.

Asst. Professors, Specialists/IMOs

08 & 09.05.2012

32

Training Programme held at Hotel Bell, Blore RO, ESIC, Bangalore Training Programme held at Hotel Bell, Blore ESIC MH, Rajajinagar, Bangalore

SSOs/BM Gr. II & O.S

21.05.2012 to 22.05.2012

26

ESIC, SRO, Kollam

Staff Nurses/Paramedical Staff

24.05.2012 to 25.05.2012

29

ESIC MH, Rajajinagar, Bangalore ESIC, RO, Chennai

LDC

28

Staff Nurses

29

RO, ESIC, Bangalore Training Programme held at Hotel Bell, Blore

SSOs/BM Gr.II

26

Induction Training Stenographers Progromme for newly recruited Stenographers of South Zone No. of Trainings conducted by NTA = 58 No. of Trainings conducted by ZTIs =119 Total No. of Trainings =177

29

RO, ESIC, Bangalore Training Programme held at Hotel Bell, Blore RO, ESIC, Trissur

No. of Participants of NTA No. Of Participants of ZTIs Total No. of Participants

= 2120 = 3168 = 5288

51

24. 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 Aug, 2009 for availing benefits any where any time in India. Till Dec 31st, 2012 approximately 98 Lakh IPs have been enrolled at ESI Pehchan Camps. Photo/Bio-metric details of IP and their dependents are being captured. Issuing of Pehchan Card is a continuous process and is being carried out in all regions. Step like organizing Hybrid Pehchan 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. Training to staff including doctors and nurses across all locations has been arranged and refresher / repeat training arranged every quarter imparting training to about 6500 staff, doctors and nurses. Till now two refresher training has been arranged in each State/UT and presently the third Refresher Course Training is being organized across all locations in the country. Nearly 2024 sites are live and rest are being done and site discrepancies and other requirements are being addressed for rectification. Two Training Centers/Video Conferencing Centers 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(IPs) 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 Geteway 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. In the Insurance Module, Payment/Contribution details of Employers 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 itcare@esic.in and problems related to IT that are faced by the ESI Employees are addressed at ithelpdesk@esic.in and at VOIP(Voice Over Internet Protocol) No. 7001. Complaints are logged and a ticket no. / complaint no. is alloted for each complaint registered at itcare and ithelpdesk.

52

Based on real time feedback of errors in developed modules, viz. Benefits, Insurance, ERP, Dhanwantri, System Integrator is carrying out rectifications. Pending issues namely errors in application including reports, desktop not meeting bussiness requirement of ESIC, non-balancing of two links provided at ESI locations, slow response of application, absence of audit trail provisions, non-implementation of parameters of Service Level Agreement, Power back-up issues relating to UPS and inverter are being actively pursued with WIPRO. Action is being taken to engage NISG(National Institute of Smart Government) as consultant and also to set up Project Management Unit(PMU) with the help of NISG. Help of NISG would also be taken, as necessary, to close the pending issues.

53

25. GENERAL INFORMATION AND STATISTICAL DATA REGARDING THE EMPLOYEES STATE INSURANCE SCHEME
General information regarding benefits, coverage etc. under the ESI Scheme and the latest statistical data regarding the scheme are summarized at Annexures given below. 1. Statement showing the details of benefits provided Annexure I under the ESI Act 1948. 2. 3. 4. 5. 6. Benefits & Contributory conditions General Information regarding ESI Scheme Revenue & Expenditure of Corporation Statistical Data regarding ESI Scheme Progress made under ISM as on 01.01.2013 Annexure - II Annexure III Annexure IV Annexure V Annexure VI 59 63 65 67 69 55

54

Annexure I
51(I) (1) (i) STATEMENT SHOWING THE DETAILS OF BENEFITS PROVIDED UNDER THE ESI ACT, 1948 MEDICAL BENEFIT Medical Benefit is available to an Insured person and his family from the day he 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 services arrangements exist through ESI Hospitals or arrangements with other hospitals. The provision for Super specialty services for beneficiaries are mainly through tie-up arrangements with reputed institutions. The Corporation has also set up revolving fund with Regional Directors in respect of all States except Meghalaya, Pondicherry, on consent of State Govt. for making advance payments/ reimbursement in respect of Specialty/Super Specialty case. The Corporation has also set up Revolving Fund with Regional Directors for purchase of Drugs and Dressings, Equipments and their Repair and Maintenance (including annual maintenance contracts) in respect of Andhra Pradesh, Assam, Chandigarh Admn., Himachal Pradesh, Kerala, Karnataka and West Bengal at the request of these State Govt. ESI has developed its own pharmacopoeiae 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 lie 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 further 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 in lump-sum for one year at the rate of Rs.10 per month at a time. (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 insurable employment for at least 5 years. This benefit is provided on payment of contribution by him at the rate of ten rupees per month in lump sum for one year in advance.

55

(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 ESI Corporation. Provided that the confinement occurs at a place where necessary medical facilities under the Employees State Insurance scheme are not available. Provided further that confinement expenses shall be paid for two confinements only. At present the amount of medical bonus is Rs.2500/- The limit of this amount has been raised from Rs.2500/- to Rs.5000/- in the ESI Corporation Meeting held on 10.11.2012 (Notification in this regard is awaited)

(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 for at least 78 days in the relevant contribution period. The maximum duration of Sickness benefit is 91 days in two consecutive benefit periods. There is a waiting period of 2 days which is waived if the insured person is certified sick within 15 days of the last spell for which sickness benefit was 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, he is entitled to Extended Sickness benefit at a higher cash benefit at the 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 apply and fulfills the contributory conditions. The list of these longterm 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 is full average daily wages 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 complication etc.

(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

56

confinement occurs or it is expected to occur. The daily rate of benefit is 100% of average daily wages. Maternity Benefit is payable for a maximum period of 12 weeks incase of confinement, 6 weeks incase 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 continuers 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 real value of rupee 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.5/- per day, and where Benefit rate exceeds Rs.5/- per day but commuted value does not exceed Rs. 30,000/- at the time of the commencement of final award of his permanent disability. (5) DEPENDANTS BENEFIT Periodical payments are paid to dependants of an insured person who dies as a result of employment injury. The widow & widow 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, incase 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

57

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 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. (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 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.

58

Annexure-II
51(II). (i) (a) BENEFITS & CONTRIBUTORY CONDITIONS SICKNESS BENEFIT Payment for atleast 78 days in the relevant contribution period Continuous employment for a period of two years and contribution for 156 days in four consecutive contribution periods. Same as for Sickness Benefit. 91 days in any two As at Annexure-II-A ( consecutive periods. 70% of daily average wages) Two years 80% of daily average wages

(b)

EXTENDED SICKNESS BENEFIT (for 34 specified long term diseases)

(c)

(ii)

(a)

ENHANCED SICKNESS BENEFIT (for undergoing sterilization operation for family welfare.) DISABLEMENT BENEFIT ( EMPLOYMENT INJURY) TEMPORARY DISABLEMENT BENEFIT PERMANENT DISABLEMENT BENEFIT

7 days for vasectomy 100% of daily average and 14 days for wages tubectomy; extendable in cases in post operative complication etc.

(b)

He/She should be an Till the employee on the lasts. date of employment injury. -doFor life

incapacity

90% of the daily average wages

(iii)

DEPENDANTS BENEFIT (Rule 58)

Depends upon the loss of earning capacity of the workers which is determined by a Medical Board. The deceased should 1. To widow/widows 90% of the daily be an employee on for life or until average wages to be the date of fatal remarriage divided amongst the accident. 2. To widowed dependants in the mother during life. prescribed ratio. 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 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

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(iv)

MATERNITY BENEFIT

Payment of contribution for 70 days in immediately proceeding one or two consecutive contribution periods.

(v)

FUNERAL EXPENSES

He should be an insured person on the date of death. Entitlement to medical benefit or if disabled due to employment injury.

(vi)

REHABILITATION ALLOWANCE

(vii)

MEDICAL BENEFIT

(viii)

MEDICAL BENEFIT TO RETIRED/DISA BLED INSURED PERSONS AND HIS/HER SPOUSE

No condition (insured person and his family is eligible from the date of entry of I.P. into insurable employment) On payment of Rs.10/- p.m. in Period for which lump-sum for one contribution is paid. year in advance (i) by insured persons who retire 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

dependants for life or till marriage or upto the age of 18 years, as the case may be 12 weeks of which 100% of daily average not more than six wages. 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. Actual expenditure on funeral not exceeding Rs. 10,000/-w.e.f. 01.04.2011. For each day on At 100% of daily which insured person average wages. remains admitted in Artificial LimbCentre for fixation/repair or replacement of artificial limb. Till the Full medical care (all disability/disease facilities including lasts. hospitalization) for I.P. and members of their family.

Full Medical care.

IPs are entitled for full medical care for self and spouse only, Period for which contribution is paid, till attaining the age of superannuation.

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(ix)

CONFINEMENT EXPENSES

(x)

(xi)

VOCATIONAL REHABILITATION ALLOWANCE SKILL DEVELOPMENT SCHEME UNDER R.G.S.K.Y. UNEMPLOYMENT ALLOWANCE

an employment injury. To an Insured Woman or an I.P. in respect of his wife incase facilities for confinement are not available in ESI Institutions. Not more than 45 years of age and disability not le than 40% due to Employment Injury

Up to two confinements only w.e.f. 01.12.2008

Rs. 2,500/- per case.

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.

(xii)

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 IP/IW should be in VOCATIONAL of REHABILITATION receipt Unemployment SKILL Allowance under DEVELOPMENT Gandhi SCHEME (UNDER Rajiv Kalyan RAJIV GANDHI Shramik Yojana SHRAMIK KALYAN YOJANA)

Maximum period of one year during life time w.e.f. 01.02.2009

about 50% of average daily wage.

Short duration of ten weeks or other longer duration courses of upto six months at Advance Vocational Training Institutions.

(xiii)

NEW ADDITION

Conveyance Allowance

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. 10. Conveyance Under this Scheme, Allowance to PDB beneficiaries are Permanent paid Rs. 100/- as Disablement conveyance allowance Benefit(PDB) on their personal visit beneficiariesto Branch Office for regarding submission of life certificate once in a year.

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62

ANNEXURE III

51(III)

GENERAL INFORMATION REGARDING EMPLOYEES' STATE INSURANCE SCHEME COVERAGE UNDER THE ESI ACT, 1948 The Act was originally applicable to the factories using power and employing 20 or

1. (a)

more coverable employees; but it is now applicable to factories employing 10 or more persons irrespective 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 One State Governments (Andhra Pradesh, Assam, Tripura, Bihar, Chhatisgarh, Goa, Gujarat, Haryana, Jammu &Kashmir Jharkhand, Karnataka, Kerala, Meghalaya, Orissa, Punjab, Rajasthan, Tamilnadu, Uttrakhand, 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 States namely: Andhra Pradesh, Tripura, Bihar, Chhatisgarh, Goa, Gujarat,

Institutions in

Haryana, Jharkhand, Karnataka, Kerala, Orissa, Punjab, Rajasthan, Uttrakhand, West Bengal, New Delhi, Pondicherry, Assam, Jammu & Kashmir, Madhya Pradesh, Tamil Nadu & Uttar Pradesh (22 States/UTs) and to Private Medical Institutions in the States of Andhra Pradesh, Tripura, Bihar, Chhatisgarh, Haryana, Jammu & Kashmir, Jharkhand, Karnataka, Kerala, Orissa, Punjab, Rajasthan, Tamilnadu, Uttrakhand, West Bengal, New Delhi, Assam, Himachal Pradesh, Madhya Pradesh & Chandigarh (20 States/UTs). (d) 01/05/2010). The existing wage-limit for coverage under the Act, is Rs. 15,000/-per month (w.e.f.

2.

AREAS COVERED The ESI Scheme is being implemented area-wise by stages. The Scheme has already been implemented in different areas in the following States/Union Territories:(i) (ii) States: All the States except Manipur, Mizoram and Arunachal Pradesh. Delhi, Chandigarh and Pondicherry except Andaman & Nicobar.

Union Territories:

2.

RECENT INITIATIVES FOR IMPROVING THE SCHEME

COVERAGE 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 15 States/UTs.

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The Scheme was extended to 68 areas covering 1.14 lakh employees during 2010-11 and to 60 areas covering 1.57 lakh employees during 2011-12. During the current years 2012-13, the scheme has been extended to 55 areas covering 1.73 lakh employees upto 1-2-2013.

Revenue income of the Corporation increased to Rs. 8393.55 crores in the year 2011-12 from Rs. 6980.60 crores in 2010-11. CASH BENEFITS Corporation disbursed Rs. 685.05 crores as cash benfits in the year 2011-12 as against Rs. 496.56 crores in the year 2010-11. 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 in October 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. The Corporation, in its meeting held in October, 2012, also decided to enhance the Confinement Expenses for confinement taking place outside ESI Dispnensary/Hospital from Rs. 2500/- to Rs. 5000/-. The Corporation also decided to enhance the Limit for Daily rate of PDB for Commutation. Payment of long-term benefits (PDB/DB) through Electronic Clearing System. Renovation of Branch Offices and dispensaries with provision all amenities for visiting beneficiaries. 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 Rs. 25,000/- per month have been brought under the scheme w.e.f. 01-04-2008. 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 for initial three years.

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ANNEXURE-IV

51(IV)
1.

REVENUE & EXPENDITURE OF CORPORATION


Amount (Rs. in lakhs) 4,019,34.92 9,332,68.30 10,140,81.00

Revenue of ESI Corporation

Actual from 1.4.2012 to 30.9.2012 Revised Estimates for 2012-2013 Budget Estimates for 2013-2014 2. Total Expenditure (Revenue Account) Actual Expenditure from 1.4.2012 to 30.9.2012 Revised Estimates for 2012-2013 Budget Estimates for 2013-2014 3. Total Expenditure (Capital Account) (Excluding Staff Cars) Actual Expenditure from 1.4.2012 to 20.10.2012 Revised Estimates for 2012-2013 Budget Estimates for 2013-2014

2,253,23.08 5,894,71.00 7,119,18.00

833,72.00 2,542,85.00 2,504,00.00

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66

ANNEXURE-V

51(V) STATISTICAL DATA REGARDING ESI SCHEME (ALL INDIA)

ALL INDIA
Sl. No. 1 2 3 4 Heads No. of Employees covered No. of I.P's Covered No. of Beneficiaries No. of Centres As on 31.03.2011 154.28 Lakhs 155.3 Lakhs 602.57 Lakhs 790 As on 31.03.2012 163.49 Lakhs 171.01 Lakhs 663.52 Lakhs 807

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68

Annexure-VI

51(VI)

PROGRESS MADE UNDER ISM/AYUSH AS ON 01.01.2013


ESI Corporation, a premier Social Security Organization has been providing full 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 various 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 ISM units in all states for the first five years by ESIC Corporation instead of three years. 2. The following new AYUSH Units have been approved by ESIC in 2012. i) 11 new Ayurvedic and 11 Homeopathy units have been opened in ESI scheme in Andhra Pradesh in April 2012. ii) Approval has been granted for opening of 2 Ayurvedic units in ESI scheme in Haryana in September 2012. iii) Approval has been granted for opening of 19 AYUSH units in ESI scheme in Tamil Nadu in October 2012. 3. For providing timely and good quality medicines, the ESIC has formulated Central Ayurvedic Rate Contract Ay.-5. 4. For strengthening/enhancing of AYUSH services, norms were approved for provision of staff (Physicians and Pharmacists) for setting up of AYUSH units in ESI hospitals/dispensaries in the 9th meeting of Sub-Committee of ESIC on AYUSH/ISM held on 06/04/2011. 5. For popularization of AYUSH facilities, ESIC has participated in exhibitions/health melas and publicity material like posters; pamphlets etc., related to AYUSH were

distributed/displayed in the exhibition. The exhibitions/health melas are also organized at the level of hospitals/dispensaries for popularization of AYUSH. 6. Details of AYUSH/ISM facilities under ESI Scheme is enclosed as Annexure- A

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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 01/01/2013 in ESIC/ESIS. A) AYURVEDIC Sr. No. State No. of units in No. of Ayurvedic No. of beds in hospitals 02 30 27 02 40 -

Disp./Hospitals Physician 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Andhra Pradesh Assam Bihar Chandigarh Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Mumbai Nagpur 16. 17. 18. 19. 20. 21. 22. Orissa Punjab Rajasthan Tamil Nadu Uttar Pradesh Uttrakhand West Bengal 01 02 2 07 02 04 13 02 7 01 03 2 07 02 05 10 02 5 13 1 3 2 12 1 41 3 1 1 2 2 15 01 14 1 3 2 10+2* 1 45 3 1 1 2 3 16 01

02 10 25 -

One posted in Hqrs. Office and One in Central Store.

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Panchkarma Therapy: Rohini Delhi Bapu Nagar, Ahmadabad & 8 ESI Scheme Hospital in the State of Gujarat Lucknow (U.P.) K.K. Nagar, Chennai

Kshar Sutra Okhla, Delhi Bapunagar, Ahmadabad Lucknow (U.P.) Bari Brahmana, Jammu

B) YOGA Sr. NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. ANDHRA PRADESH ASSAM BIHAR CHANDIGARH DELHI GUJARAT HIMACHAL PRADESH JHARKHAND KARNATAKA KERALA ORISSA PUNJAB TAMIL NADU UTTAR PRADESH 01 01 01 01 27 (including 4 yoga centers in ESIC hospitals in Delhi) 10 01 01 01 01 01 06 09 02 STATE NO. OF YOGA CENTRES

C)

UNANI State No. of Units No of Unani No. of beds in Hospitals -

Sr. No.

Disp./Hospitals 1. Bihar 1

Physician 1

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D)

SIDDHA State No. of Units No of Siddha No. of beds in Hospitals 32

Sr. No.

Disp./Hospitals 1. Tamil Nadu 8

Practitioners 8

E) HOMEOPATHY Sr. No. State No. of units in Disp./Hospitals No. of Homeopathic Physician 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Andhra Pradesh Bihar Chandigarh Delhi Goa Himachal Pradesh Kerala Punjab Rajasthan Tamil Nadu Uttar Pradesh West Bengal 12 1 01 8 1 1 14 07 2 01 14 6 13 1 01 8 2 1 14 07 2 01 18 6 5 No. of beds in hospitals

AYUSH FACILITIES AVAILABLE IN ESIC HOSPITALS IN THE STATES SI. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Adityapur, Jharkhand Andheri, Mumbai Ashramam Kollam, Kerala Baddi, Himachal Pradesh Bapu Nagar, Gujarat Basaidarapur, Delhi Belatola, Assam Bharatnagar, Ludhiana (Punjab) Bhiwadi, Rajasthan Chandigarh, Punjab Ezhukone, Kerala OPD available OPD available OPD available OPD available OPD available OPD available OPD Available OPD available OPD available OPD available OPD available Available Available Available Available Available Available Available Available Available Available Available Available Available Name of the ESI Model Hospital Ayurveda Yoga Homeopathy

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12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.

Gurgaon, Haryana Jaipur, Rajasthan Jammu, Bari Brahamna Jhilmil, Delhi Joka, West Bengal K.K. Nagar, Chennai Manesar, Haryana Nacharam, Andhra Pradesh Namkum Ranchi, Jharkhand Nandanagar, Indore (MP) Noida, Uttar Pradesh Okhla, Delhi Parippally, Kerala Phulwari Sharif, Patna (Bihar) Rajajinagar, Bangalore Rohini, Delhi Rourkela, Orissa Udyogmandal, Kerala Vapi, Gujarat Trinalveli, Tamilnadu Peenia, Karnataka Sanath Nagar, Andhra Pradesh Naroda, Gujarat

OPD available OPD available OPD available OPD available OPD available OPD available OPD available OPD available OPD Available OPD available OPD available OPD available OPD available OPD available OPD available OPD available OPD available OPD available OPD available -

Available Available Available Available Available Available Available Available Available Available Available -

Available Available Available Available Available -

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26. RATE CONTRACT CELL Procurement of Drugs ESI Corporation formulates annual Rate Contract for supply of commonly used and life saving drugs & dressings manufactured by leading pharmaceuticals firms to ESI Hospitals & Dispensaries all over the country. The RC Cell in Hqrs. Office finalizes Rate Contract, monitors supply and quality of drugs simultaneously also initiates action against Rate Contract holders who are not performing as per the laid down terms & conditions. To ensure the quality of drugs, ESIC has laid down certain eligibility criteria to participate in the Tender, i.e., a pharmaceutical firm having a minimum turnover of Rs. 20 crores for formulations in each of the last three years, three years manufacturing and marketing experience of the quoted product and also Good Manufacturing Practices certificate (GMP) / WHO GMP / Regd. With DGQA. ISO Certification of the ESIC Hospitals Sl. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Place of the ESIC Hospital Basaidarapur, New Delhi Rohini, Delhi Chandigarh Jhilmil, Delhi Bari Brahma, Jammu Noida, UP Okhla, Delhi Ludhiana, Punjab Bapu Nagar, Ahemdabad Rajaji Nagar, Bangalore K.K. Nagar, Chennai Joka, Kolkata Jaipur, Rajasthan Andheri, Mumbai Kollam, Kerala Rourkela, Orissa Ranchi, Bihar Beltola, Guwahati, Assam Nacharam, Hyderabad Phulwari Sharif Patna Adityapur, Jharkhand Naroda, Ahmedabad Gurgaon,Haryana Date of Certification 04.12.2009 24.03.2011 20.02.2008 12.05.2011 25.04.2011 09.09.2011 07.10.2011 27.10.2011 13.12.2008 12.02.2009 13.11.2010 13.07.2010 20.05.2009 11.06.2009 27.06.2009 12.06.2012 31.07.2009 10.05.2010 20.07.2012 03.07.2010 20.11.2010 20.03.2011 25.03.2011 Type of certification 9001:2008 9001:2008 9001:2000 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2000 9001:2008 9001:2000 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008 9001:2008

75