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ESIC Scheme

The document provides information on the Employees' State Insurance Scheme (ESIS) in India. Some key details include: - ESIS is a social security program that provides sickness, maternity, disability and death benefits to insured workers. - It currently covers around 2.47 crore employees across India under the ESI Act, 1948. - Benefits include medical care, sickness benefits that pay 70% of wages for up to 91 days of illness, maternity benefits, disability benefits, and death benefits for dependents. - The ESI Act was subsumed under the new Code on Social Security, 2020, which aims to expand coverage nationwide for establishments with 10+ employees.

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Gaurav Ramrakhya
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0% found this document useful (0 votes)
575 views77 pages

ESIC Scheme

The document provides information on the Employees' State Insurance Scheme (ESIS) in India. Some key details include: - ESIS is a social security program that provides sickness, maternity, disability and death benefits to insured workers. - It currently covers around 2.47 crore employees across India under the ESI Act, 1948. - Benefits include medical care, sickness benefits that pay 70% of wages for up to 91 days of illness, maternity benefits, disability benefits, and death benefits for dependents. - The ESI Act was subsumed under the new Code on Social Security, 2020, which aims to expand coverage nationwide for establishments with 10+ employees.

Uploaded by

Gaurav Ramrakhya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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STANDARD NOTE ON

EMPLOYEES’ STATE INSURANCE SCHEME


(As on 01.01.2022)

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.

1) General aspect of ESI Scheme


a) Coverage under ESI Act, 1948
The ESI Act, 1948 applies to factories employing 10 or more persons. The provisions of
the Act are being brought into force in district 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 class of establishments, industrial, commercial, agricultural or
otherwise. 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, medical institutions employing 10 or
more employees. The Central Govt. has extended the coverage under Section 1(5) to Shops,
Hotels, Restaurants, Road Motor Transport establishments, Cinema including preview theatres,
Newspaper establishments, establishment engaged in Insurance Business, Non-Banking
Financial Companies, Port Trust, Airport Authorities, Warehousing establishments employing
20 or more Persons. Thirty-one State Governments/UTs have reduced the threshold for
coverage of shops and establishments to 10 or more persons. The employees of registered
factories and establishments drawing wages up to Rs. 21000/- per month (Rs. 25,000/- for
Persons with Disability) are covered under the Act. The status of coverage under ESI Act, 1948
as on 01-01-2022 is as under:
Sl No Particulars Details
1. No. of Districts in which ESI Scheme has been notified. 592
2. No. of Districts fully notified under ESI Act, 1948 439
3. No. of Districts partially notified under ESI Act, 1948 153
4. No. of employers registered under ESI Act, 1948 14.82 Lakh
5. No. of employees registered under ESI Act, 1948 2.47 Crore
6. No. of Insured Persons covered 3.39 Crore
7. No. of beneficiaries 13.16 Crore
General information regarding implementation of ESI Scheme is placed at Annexure-I.

(b) Provision of Social Security for workers in the organised sector.


The ESI Act covers workers in the organized sector. As on 31.03.2021, 2.47 crores employees
are covered under the Employees’ State Insurance Act covering 3.39 crores insured persons
family entities with total 13.16 crores beneficiaries. The remaining workers in the organized

1
sector to which the ESI Act does not apply remain outside the social security umbrella inter-
alia, 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. Employees of factories/establishments employing less than 10 persons.
iii. Employees of factories/establishments situated in the non-implemented areas/districts
where the ESI Scheme has not been notified so far.
iv. Employees of seasonal factories;
v. Employees drawing wages exceeding Rs. 21,000/- per month.
vi. Employees of those category of establishments, which have not been notified by
appropriate Govt. under Section 1(5) of ESI Act, 1948.

The employees employed in the organized sector and working in the smaller factories and
establishments can be brought under the ESI Scheme gradually by lowering the threshold limit
for coverage under the ESI Act. Likewise, the workers who are drawing wages above the
wage limit of Rs. 21,000/- per month can be brought under the ambit of the ESI Scheme by
enhancing the wage ceiling limit. More categories of Establishments can also be notified by
"appropriate Government" for bringing them under the coverage of ESI Act, 1948.

(c) The ESI Act under the Code on Social Security, 2020:
The ESI Act, 1948 along with 8 other Central Labour enactments, have been subsumed
in the Code on Social Security, 2020 (Act 36 of 2020). The Code on Social Security, 2020 has
not yet been implemented. The Central Govt. has notified the draft rules namely the Code on
Social Security (Central) Rules, 2020 in the Gazette of India on 13.11.2020 for stakeholder
consultation.
Benefits available under the ESI Act have been retained in the Code. Any member or
beneficiary of the Social Security Code including under ESI Scheme would be required to seed
their Aadhaar for seeking benefits as per provisions of Section 142 of the Code on Social
Security.
In the Code of Social Security 2020, the coverage of the ESI scheme shall be extended
pan India to all establishments employing 10 or more employees, as against the notified
district/areas. However, contribution from employers and employees will be collected from the
notified date when the benefits are provided by ESIC.
As per section 1(7) of the Code on Social Security, 2020 read with its First Schedule,
provision for voluntary coverage of establishment with less than 10 persons has been
incorporated. Coverage for plantations as an establishment, on opting by the employer has
been provisioned in the Code. A major change has been brought in the coverage under ESI
whereby as per the proviso of First Schedule of the Code (ibid), establishments engaged in
hazardous or life-threatening occupation will have to cover every employee employed by them.
The Central Govt. by notification shall notify the hazardous industries and life-threatening
occupation.
Provision for special scheme for unorganized workers, gig workers, platform workers
and other beneficiaries have been included in the Code.

2
2) BENEFITS PROVIDED UNDER ESI SCHEME
The section 46 of the ESI Act, 1948 envisages following six social security benefits: -
a) Medical benefit
b) Sickness benefit
c) Maternity benefit
d) Disablement benefit
e) Dependants benefit
f) Other cash benefits (Funeral Expenses, Confinement Expenses)
In addition to the above mentioned benefits, the scheme also provides some other need-based
reliefs to insured persons. The details of the various benefits are as under. The eligibility
conditions for various cash benefits is given at Annexure-II.

(i) MEDICAL BENEFIT


The Employees’ State Insurance Scheme provides comprehensive medical care in the form of
medical attendance, treatment, drugs and dressings, specialist consultation and hospitalization
to Insured Persons and also to their family. An Insured Person and Members of his family are
entitled to medical benefits from the day of entry into insurable employment. Apart from the
above there are also provisions for medical care to the IPs who cease to be in insurable
employment due to permanent disablement, retirement on superannuation, Voluntary
retirement as under: -
(a)Medical Benefit to insured persons who ceases to be in insurable employment
on account of permanent disablement:
The Medical Benefit has been extended to permanently disabled insured person who ceased to
be in insurable employment due to employment injury and his/her spouse with effect from
01.02.1991. This benefit is provided on payment of contribution by the IP at the rate of Rs.10
per month in lump sum for one year in advance till the date on which IP/IW would have
vacated the employment on attaining the age of superannuation, had he not sustained such
permanent disablement. This benefit is also be made available to widows of Insured Person,
who were in receipt of dependent benefit, on payment of contribution as prescribed under
Rule 60 till the date on which IP/IW would have vacated the employment on attaining the age
of superannuation.
(b)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 Rs.10/- per month in lump sum for one year in advance.

The details about administration of Medical Benefit is given below in succeeding


paragraph.

(ii) SICKNESS BENEFIT


(a) Sickness Benefit represents periodical payments made to an insured person during the

3
period of certified sickness. To qualify for this benefit, contribution should have been paid
/ payable for at least 78 days in the relevant contribution period. The maximum duration
of Sickness benefit is 91 days in two consecutive benefit periods. Sickness Benefit for the
first two days of sickness is not paid in case of a spell of sickness following at an interval
of not more than 15 days, the spell of sickness for which Sickness Benefits were last paid.
The Sickness Benefit rate is 70% of the average daily wages of an insured person w.e.f.
01.07.2011.
(b) After exhausting the Sickness Benefit payable upto 91 days, an insured person, if suffering
from Tuberculosis/Leprosy, mental and malignant diseases or any other specified long-
term disease, is entitled to Extended Sickness Benefit at a higher rate of 80% of average
daily wage for a period of two years, provided he has been in continuous service for a
period of 2 years or more in a factory or establishment to which the provisions of the Act
applies and fulfills the contributory conditions. The list of these long-term diseases is
constantly reviewed and 34 diseases are included presently. The Director General/Medical
Commissioner have also been authorized to extend the benefit to Insured Persons
suffering from other rare diseases.
(c) Enhanced Sickness benefit at the rate full average daily wage is also provided to insured
person eligible to sickness benefit, for undergoing sterilization operations for family
planning, for upto 7 days in case of vasectomy and upto 14 days for tubectomy, the period
being extendable in cases of post-operative complications etc.

(iii) MATERNITY BENEFIT


Maternity Benefit implies periodical payment to an insured woman in case of confinement or
miscarriage or sickness arising out of pregnancy, confinement, pre-mature birth of child or
miscarriage. This benefit is provided to the 'Insured woman' which means a woman who is or
was an employee in respect of whom contribution is or were payable under the Act and who is
by reason thereof entitled to any of the benefits provided under the Act and extended to a
'commissioning mother' who as biological mother wishes to have a child and prefers to get
embryo implanted in any other woman and a woman who legally adopts a child of up to three
months of age.
For entitlement to Maternity Benefit, the insured woman should have contributed for
not less than seventy days in the immediately preceding two consecutive contribution periods
with reference to the benefits periods in which the confinement occurs or it is expected to
occur. The daily rate of benefit is 100% of average daily wage.
Maternity Benefit is payable for a maximum period of 26 weeks upto 2 surviving
children in case of confinement of which not more than 8 weeks shall precede the expected
date of confinement. Further maternity benefit is payable for 6 weeks in case of miscarriage
and additional one month in case of sickness arising out of pregnancy, confinement, pre-
mature birth of child or miscarriage or medical termination of pregnancy. Maternity Benefit
continues to be payable for the whole of the period if she dies leaving behind the child but if
the child also dies during the said period then for the days upto and including the day of the
death of the child.
Further that the insured woman shall be entitled to twelve weeks of maternity benefit

4
from the date the child is handed over to the commissioning mother after birth or to
adopting mother as the case may be.
Furthermore, also that the insured woman having two or more than two surviving
children shall be entitled to receive maternity benefit during a period of twelve weeks of which
not more than six weeks shall precede the expected date of confinement.

(iv)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 than three days excluding the date of
accident. Where the disablement due to an employment injury results in permanent, partial or
total loss of earning capacity, the periodical cash payments are made to the insured persons
for life depending on the loss of earning capacity, as may be certified by a duly constituted
Medical Board. The cash benefit rate is revised periodically to protect against erosion in the
value of benefit due to inflation etc. subject to availability of funds.
However, commutation of periodical payment is permissible where the permanent
disablement stands assessed as final and the daily rate of benefit does not exceed Rs.10/- per
day, and where Benefit rate exceeds Rs.10/- per day but commuted value does not exceed Rs.
60,000/- at the time of the commencement of final award of his permanent disability.

(v) DEPENDANTS’ BENEFIT


Periodical payments are paid to dependents of an insured person who dies as a result of
employment injury. The widow & widowed mother receives 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 2/5 th
of the disablement benefit. Son get benefit till 25 years of age, provided, in case of infirmity,
the benefit continues to be paid, till the infirmity lasts. Daughters are entitled to share
dependents benefit till marriage. However, it is subject to the condition that the total
dependents 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 dependents is,
proportionately reduced. In case the insured person does not leave behind any widow or child
or widowed mother, the benefit is payable to other dependents. 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
Dependent 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
(vi)FUNERAL EXPENSES
Funeral expenses are paid towards the expenditure on the funeral of a deceased insured
person are reimbursed. The amount is paid either to the eldest surviving member of the
family or in his absence to the person who incurs the expenditure on the funeral of the

5
deceased insured person. The amount of funeral expenses is Rs. 15000/-.
Other need-based benefits/ reliefs:
(a) CONFINEMENT EXPENSES
The scheme of medical bonus was introduced on 16.11.96 under Rule 56-A of the ESI
(Central) Rules 1950. According to this Rule an insured woman and an insured person in
respect of his wife shall be paid medical bonus on account of confinement expenses as
prescribed and approved by the ESI Corporation, provided the confinement occurs at a place
where necessary medical facilities under the Employees State Insurance Scheme are not
available. Confinement expense are payable for two confinements only. Amount of medical
Bonus under confinement expense is Rs.7500/-.
(b) REHABILITATION ALLOWANCE
Rehabilitation allowance is paid to the insured persons for each day on which they remain
admitted in an Artificial limb center at double the Standard Benefit rate.
(c) 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.
(d) Rajiv Gandhi Shramik Kalyan YOJANA (RGSKY)
Under Rajiv Gandhi Shramik Kalyan Yojana, which was introduced w.e.f. 01.04.2005,
unemployment allowance is paid to the insured person for a maximum period of twenty four
months (w.e.f. 06.09.2016) 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 two years prior to the loss of employment. The Insured
Person and his/her family is also entitled to medical care during this period. 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 for first 12 months and 25% of
average wages of IP/IW for last 12 months.
(e) Atal Beemit Vyakti Kalyan Yojana (ABVKY)
The Atal Beemit Vyakti Kalyan Yojana is a welfare scheme of the Employees State Insurance
Corporation, under which unemployed insured persons are provided cash relief for a period of
maximum 90 days. The rate of relief initially was twenty-five per cent (25%) of the average
daily earning of the claimant. The scheme came into force on 01.07.2018. It was initially
implemented on a pilot basis for a period of two years. The scheme has since been extended
twice by one year each time. The rate of relief has been enhanced from 25% to 50% of
average daily yearning of the IP and eligibility conditions have been relaxed. To be eligible for
relief under the scheme, the insured person must be in insurable employment for a minimum
period of 12 months immediately before his/ her unemployment and should have contributed
for not less than 78 days in the one completed contribution period in 12 months immediately
preceding to unemployment.

6
3. AMENDMENTS IN THE E.S.I. ACT, 1948
a) The ESI Act under the Code on Social Security, 2020:
The ESI Act, 1948 along with 8 other Central Labour enactments, have been subsumed
in the Code on Social Security, 2020 (Act 36 of 2020). The Code on Social Security, 2020 has
not yet been implemented. The Central Govt. has notified the draft rules namely the Code on
Social Security (Central) Rules, 2020 in the Gazette of India on 13.11.2020 for stakeholder
consultation.
Benefits available under the ESI Act have been retained in the Code. Any member or
beneficiary of the Social Security Code including under ESI Scheme would be required to seed
their Aadhaar for seeking benefits as per provisions of Section 142 of the Code on Social
Security.
In the Code of Social Security 2020, the coverage of the ESI scheme shall be extended
pan India to all establishments employing 10 or more employees, as against the notified
district/areas. However, contribution from employers and employees will be collected from the
notified date when the benefits are provided by ESIC.
As per section 1(7) of the Code on Social Security, 2020 read with its First Schedule,
provision for voluntary coverage of establishment with less than 10 persons has been
incorporated. Coverage for plantations as an establishment, on opting by the employer has
been provisioned in the Code. A major change has been brought in the coverage under ESI
whereby as per the proviso of First Schedule of the Code (ibid), establishments engaged in
hazardous or life-threatening occupation will have to cover every employee employed by them.
The Central Govt. by notification shall notify the hazardous industries and life-threatening
occupation.
Provision for special scheme for unorganized workers, gig workers, platform workers
and other beneficiaries have been included in the Code.
b) Sickness Benefit to the Insured Women who do not fulfill the required
contributory conditions as they were availing Maternity Benefit:

Rule 55 of ESI (Central) Rules, 1950 has been amended to provide Sickness Benefit to those
IWs who do not fulfill the required contributory conditions for Sickness benefit i.e. minimum 78
days contribution in the relevant contribution period, as they were availing Maternity Benefit.

Now, an insured woman who is in receipt of maternity benefit and due to reason of which a
shorter contribution period is available to her in the contribution period in which the maternity
benefit falls, shall be qualified to claim sickness benefit in the corresponding benefit period if
the contribution in respect of her was payable for not less than half the number of days
available for working in such contribution period. The amendment is effective from
20.01.2017.

7
4. ADMINISTRATION
The Headquarters of ESI Corporation is located at New Delhi having 24 Regional
Offices, and 39 Sub-Regional Offices throughout the country. 599 Branch offices for
administration of cash benefits to Insured Persons & 80 Dispensary Cum Branch Offices
(DCBO) have been established for administration of both cash and primary medical care to
Insured Persons as on 01.01.2022.
The updated total sanctioned strength of officers (including Director General, Finance
Commissioner and Chief Vigilance Officer) and staff in the Corporation is 20473 as on
01.01.2022 and as of the latest status. It does not include medical and para-medical and
nursing staff and employees under the direct control of the State Governments.
The details of RO/SRO and DCBO is given at Annexure- III.
5. FINANCE
(i) GENERAL ASPECT:
The ESI Scheme is financed by contribution received from employers and employees. In
accordance with the decision taken by ESI Corporation in its 175th Meeting held on
18.09.2018, the Hon’ble Chairman, ESIC had approved the proposal of rationalization of
contribution income by reducing the combined rate of contribution equal to 4 percent of the
wages payable to an employee out of which 3.25 percent being the employers’ share and 0.75
percent being the employees’ share in place of the existing 4.75 percent and 1.75 percent
respectively. In pursuance of the decision, Rule 51 of the ESI (Central), Rules, 1950 has been
amended by issue of Notification by Ministry of Labour and Employment. The amended
provisions have come into effect from 1st July, 2019.
The expenditure on provision of medical care (except in Delhi and dispensaries in Noida, U.P.
where the Scheme is directly administered by the Corporation) is shared between the
Corporation and the concerned State Governments in the prescribed ratio of 7:1. The ESI
Corporation in its 185th meeting held on 10.09.2021 revised the entire policy on "on account
payment to State Government" and fixed the per capita ceiling of sharing expenditure with
State Govts. u/s 58 (3) of ESI Act, 1948 at Rs. 3,000/- per Insured Person with enhanced
ceiling of Rs. 2600/- per IP per annum an entitlement for medical care with a sub-ceiling of Rs.
1300/- under “Administration” head, Rs. 200 per IP per annum for incurring expenditure under
Project Implementation Plan (PIP) and Rs. 200 per IP per annum on pro-rate basis based on
extent of implementation of ESIC Dhanwantari module in State ESI hospitals & dispensaries
during previous financial year. Additionally, ESIC gives funds to all states for preventive &
promotive health services to the beneficiaries @Rs. 20/- per IP per annum and Rs. 200/- per
IP per annum as an incentive for bed occupancy over 70% or more during last financial year in
that State over and above the ceiling.
The details of Revenue Income and Expenditure of ESI Corporation for the FY’ 2021-22
is given at Annexure- IV.

(ii) INVESTMENT OF ESIC FUND THROUGH PORTFOLIO MANAGERS


Prior to April 2019, ESIC was investing its surplus fund in Fixed Deposits of Public Sector Banks
under Rule 27 of ESI (Central) Rules, 1950. For diversification in investment of ESIC surplus

8
fund and better returns, Portfolio Managers have been appointed by the ESIC. Portfolio
Managers have been investing ESIC surplus fund in Govt. securities, AAA rated PSU bonds etc.
as per approved investment policy w.e.f. 01st April 2019. Apart from Portfolio Managers,
Custodian and External Concurrent Auditor (ECA) have also been appointed. ESIC has been
able to earn an interest of 6.78 percent in Financial Year 2020-2021.
The broad break up of investments made by ESIC as on 31.12.2021.
(Rs. In crore)
Govt. Security/Bonds/State Development Loan 74,219
AAA PSU Bonds+FD 23,425
Tri-Party Repo (TREOS), Short Term FD etc. 5,118
Special Deposit Account (SDA) with Govt. of India 18,182
Total 1,20,944
Up-to November, 2021 (Unaudited figures) ESIC received contribution of 9,714 Crore and
incurred total expenditure of 9,363 Crore out of which 74 percent is medical expenditure &
12 percent is for cash and other benefits.

6. (a) EXTENSION OF ESI SCHEME TO NEW AREAS OF EMPLOYMENT


(i) Extension of ESI scheme to the New areas and new sectors of employment is a
continuous process for which medical arrangement by State Govt. is a pre-requisite. The
Corporation extends the scheme in phased manner as follows: -

a. Periodical survey is conducted by the ESIC Regional Offices/Sub Regional Offices in


non-implemented area to identify the area where scheme can be extended/notified.
Once the concerned state Govt. arranges the primary and secondary care medical
facilities, or makes a request to ESIC to arrange the medical facilities in new areas, on
completion of such medical facilities, a notification is issued by the Central Govt. for
implementation of scheme.
b. The threshold for coverage of factories is 10 or more persons and State Govts. have
reduced the threshold limit of coverage of establishment from 20 to 10 persons or
more under Sec. 1(5) of ESI Act.
c. The scheme has also been extended to the new sectors of employment viz. educational
institutions and private medical institutions. As on 01.01.2022, 28 States/UTs have
notified educational institutions whereas 27 States/UTs have notified Medical
institutions. Notifying Municipal Corporations & Municipal bodies have also been taken
up with the States. Assam, Bihar, Delhi, Goa, Haryana, Jharkhand, Manipur, Mizoram,
Meghalaya have already notified the contract & casual employees of Municipal
Corporation/bodies for coverage under ESI Scheme. The Central Govt. has accorded its
approval under section 1(5) to all States for coverage of contract and casual employees
of Municipal Corporations/ Municipal Bodies vide letter no S-38025/07/2021-SS-I dt.
09.06.2021. Hence the States can issue notification without seeking individual approval
of Central Govt. for coverage of such employees.
d. Scheme is not applicable to Plantations and Mines etc. as they are separately covered
under the respective Acts.

9
(ii) The following States/UTs have not notified educational & medical institutions as
establishments coverable under ESI Act, 1948:

Sl. No. Educational Institutions Medical Institutions


1 Arunachal Pradesh Arunachal Pradesh
2 Gujarat Gujarat
3 Maharashtra Maharashtra
4 Meghalaya Meghalaya
5 Andaman & Nicobar Island Andaman & Nicobar Island
6 Dadar and Nagar Haveli Puducherry
7 Daman & Diu Dadar and Nagar Haveli
8 Lakshadweep Daman & Diu
9 Lakshadweep

6(b) Formation of State Autonomous Body/Society by States


The ESI Corporation in its 167th meeting approved the broad structure of State Autonomous
Body and subsequently in the 172nd meeting of the Corporation, new structure of the State ESI
Society has been approved, to be formed under section 58 of ESI Act, 1948. The States shall
register the body as a Society as well as a Trust and ESIC shall release the fund directly to the
bank account to the society. As on date, 19 States/UTs have consented to form the State ESI
Society. Central Government has accorded approval for formation of society to seven States
viz, Tamil Nadu, Chhattisgarh, Maharashtra, Nagaland, Tripura, Punjab & Arunachal Pradesh.
Presently, ESI Societies are in operation in the States of Maharashtra, Chhattisgarh, Tripura
and Himachal Pradesh. Fund transfer to these States are being made directly to the Bank
Account of the Society.
Formation of State ESI Society shall give flexibility for the states to improve the medical
benefit service delivery to the Insured Persons and the beneficiaries of the ESI Scheme by way
of better Primary & Secondary Care.

7. MEDICAL BENEFITS PROVIDED UNDER ESI SCHEME: -


A) General aspect:
The Employees’ State Insurance Scheme provides comprehensive medical care in the form of
medical attendance, treatment, drugs and dressings, specialist consultation and hospitalization
to Insured Persons and also to their dependants.
An Insured Person and his dependants are entitled to medical benefits from the day of entry
into insurable employment. Insured Persons and their families are being provided medical
care which includes outpatient care/ inpatient care, specialized medical care and super
specialty medical care as per requirement of the patients. Besides, medical facilities under
AYUSH i.e. Ayurveda, Yoga, Unani, Siddha and Homeopathy are also provided.

10
Medical care to beneficiaries is provided through a large infrastructure comprising Hospitals,
Service Dispensaries, Dispensary-cum-Branch Offices (DCBOs), IMP clinics and tie-up
arrangements with other health institutions. The range of medical services provided covers
preventive, promotive, curative and rehabilitative services. In-patient services are provided
through ESI Hospitals and through empanelment with private and Govt. hospitals.
MEDICAL INFRASTRUCTURES OF ESIC/ESIS AT A GLANCE

Total No. of ESI Hospitals 160

Hospitals run by ESI Corporation 50

Hospitals run by State Government 110

Total number of Dispensaries 1527(31.03.22)


Total number of DCBOs 76

Total number of ISM unit 350

Total number of Sanctioned beds in ESIC/ESIS hospitals 25776


Total number of Commissioned beds in ESIC/ESIS hospitals 19836

Total number of Doctors 8626

Total number of IMPs 1003

The list of hospitals being run by ESIC on its own & by State Governments under ESI Scheme
is as under:
i) LIST OF HOSPITALS DIRECTLY RUN BY ESIC
BED
S.No BED
NAME OF THE COMMISSIONE
. SANCTIONED
STATE HOSPITAL D
1 Assam Beltola 50 50
2 Bihar Phulwari sharif 100 50
3 Bihar Bihta 330 330
4 Chandigarh (UT) Chandigarh 100 70
5 Chattisgarh Raipur 100 50
6 Chattisgarh Korba 100 50
7 Delhi Basaidarapur 1000 600
8 Delhi Jhilmil 300 250
9 Delhi Okhla 500 305
10 Delhi Rohini 300 280
Gujarat Bapu Nagar, 300 264
11
Ahmedabad
12 Gujarat Naroda 100 50
13 Gujarat Vapi 100 75

11
14 Gujarat Ankleshwar 100 100
15 Haryana Gurgaon 200 150
16 Haryana Manesar 100 100
Haryana(Med. Faridabad 510 510
17
Collage)
18 Himachal Pradesh Baddi 100 100
19 Jammu Bari Brahma 100 50
20 Jharkhand Namkum, Ranchi 200 50
21 Jharkhand Adityapur 100 50
22 Karnataka Rajajinagar,Bangalore 750 500
23 Karnataka Peenya 150 150
24 Karnataka Gulbarga 470 470
25 Kerala Asramam, Kollam 250 212
26 Kerala Udyogmandal 100 80
27 Kerala Ezhukone 150 150
28 Madhya Pradesh Indore 300 300
29 Maharashtra Andheri, Mumbai 500 220
30 Maharashtra Kolhapur 100 30
31 Maharashtra Bibvewadi 100 92
32 Odisha Rourkela 75 50
33 Odisha Angul 100 0
34 Punjab Ludhiana 300 300
35 Rajasthan Jaipur 300 300
36 Rajasthan Bhiwadi 50 50
37 Rajasthan Alwar 330 220
38 Rajasthan Udaipur 100 50
39 Tamil Nadu KK Nagar,Chennai 550 508
40 Tamil Nadu Tirunelveli 100 100
41 Telangana S.S. Sanath Nagar 150 150
42 Telangana Santhnagar 1000 759
43 Uttar Pradesh Noida 300 300
44 Uttar Pradesh Jajmau 100 50
45 Uttar Pradesh Sahibabad 200 129
Uttar Pradesh Sarojini Nagar, 150 75
46
Lucknow
47 Uttar Pradesh Varanasi 150 150
48 Uttar Pradesh Bareilly 100 50
49 Uttrakhand Rudrapur 100 50
50 West Bengal Joka 650 470
TOTAL 12465 9499

12
ii) LIST OF HOSPITALS RUN BY STATE GOVT. UNDER ESIS
BED BED
S.N
SANCTIONE COMMISSI
o.
STATE NAME OF THE HOSPITAL D ONED
1 Andhra Pradesh Tirupathi 50 50
2 Andhra Pradesh Visakhapatnam 200 125
3 Andhra Pradesh Rajamahendravaram 50 50
4 Andhra Pradesh Vijayawada Gunadala 110 0
5 Assam Tinsukia 100 0
6 Bihar Dalmia Nagar 72 0
7 Bihar Munger 30 0
8 Goa Margao 100 100
9 Gujarat Bhavnagar, Rajkot 30 30
10 Gujarat Jamnagar, Rajkot 50 50
11 Gujarat Kalol, Ahemdabad 50 40
12 Gujarat Rajkot 50 50
13 Gujarat Rajpur-Hirpur, Ahemdabad 50 50
14 Gujarat Surat 100 22
15 Gujarat Vadodara (General Hospital) 200 200
Vadodara (Chest Disease
25 0
16 Gujarat Hospital)
17 Haryana Ballabhgarh (Faridabad) 50 50
18 Haryana Bhiwani 50 0
19 Haryana Jagadhari 80 80
20 Haryana Panipat 75 75
21 Himachal Pradesh Parwanoo 50 50
22 Jharkhand Maithan 110 110
23 Karanatak Mangalore 100 100
24 Karnataka Belgaum 50 50
25 Karnataka Dandeli 25 25
26 Karnataka Davanagere 100 50
27 Karnataka Hubli 100 50
28 Karnataka Indira Nagar 300 210
29 Karnataka Mysore 100 65
30 Kerala Ernakulam 65 65
31 Kerala Feroke Kozhikode 100 90
32 Kerala Vadavathur, Kottyam 65 65
33 Kerala Thottada 50 50
34 Kerala Alleppy 55 55
35 Kerala Perookada 128 128
36 Kerala Mulamkunnathukam 110 90
37 Kerala Olarikara 102 102
38 Kerala Palakkad 50 50
39 Madhya Pradesh Bhopal 100 85

13
40 Madhya Pradesh Dewas 50 50
41 Madhya Pradesh Gwalior 100 100
42 Madhya Pradesh Indore (T.B.) 75 75
43 Madhya Pradesh Nagda 50 50
44 Madhya Pradesh Ujjain 50 50
45 Maharashtra Aurangabad 100 100
46 Maharashtra Kandiwali 300 220
47 Maharashtra Nagpur 200 130
48 Maharashtra Nasik 100 100
49 Maharashtra Parel, MGM 330 138
50 Maharashtra Thane 100 30
51 Maharashtra Ulhasnagar 100 0
52 Maharashtra Vashi, Navimumbai 100 0
53 Maharashtra Worli, Mumbai 300 80
54 Maharashtra Chinchwad 100 100
55 Maharashtra Sholapur 150 100
56 Maharashtra Mulund 400 200
57 Odisha Kansbahal 50 50
58 Odisha Bhubaneshwar 100 31
59 Odisha Choudwar 100 100
60 Odisha Jaykapur 25 25
61 Odisha Brajrajnagar 50 0
62 Odisha Barbil 6 0
63 Puducherry Gorimedu Hospital 75 75
64 Punjab Hoshiarpur 50 50
65 Punjab Jalandhar 100 100
66 Punjab Mandi Gobindgar 30 30
67 Punjab Mohali 30 30
68 Punjab Phagwara 50 50
69 Punjab Amritsar 125 65
70 Rajasthan Bhilwara 50 30
71 Rajasthan Jodhpur 50 33
72 Rajasthan Kota 60 60
73 Rajasthan Pali 50 20
74 Tamilnadu Hosur 50 50
75 Tamilnadu Madurai 209 185
76 Tamilnadu Salem 50 50
77 Tamilnadu Ayanavaram, Chennai 616 466
78 Tamilnadu Sivakasi 100 100
79 Tamilnadu Tirucharapally 50 50
80 Tamilnadu Vellore 50 50
81 Tamilnadu coimbatore 330 330
82 Telangana Nacharam 450 272

14
83 Telangana R.C. Puram 100 100
84 Telangana Sirpurkagarnagar 62 62
85 Telangana Warangal 50 50
86 Telangana Jeedimetla (Diagnostic Centre) 50 10
87 Telangana Nizamabad (Diagnostic Centre) 50 20
88 Uttar Pradesh Sarvodaynagar 100 100
89 Uttar Pradesh Pandunagar 130 130
90 Uttar Pradesh Kidwainagar 100 100
91 Uttar Pradesh Azadnagar 100 100
92 Uttar Pradesh Agra 100 100
93 Uttar Pradesh Prayagraj 100 100
94 Uttar Pradesh Modinagar 124 124
95 Uttar Pradesh Aligarh 60 60
96 Uttar Pradesh Saharanpur 50 50
97 Uttar Pradesh Pipri 60 60
98 West Bengal Bandel 250 220
99 West Bengal Asansol 150 100
100 West Bengal Baltikuri 230 230
101 West Bengal Sealdah 254 254
102 West Bengal Bellur-Belly 200 200
103 West Bengal Budge-Budge 300 244
104 West Bengal Durgapur 150 150
105 West Bengal Gourhati 216 100
106 West Bengal Kalyani 250 250
107 West Bengal Kamarhati 350 350
108 West Bengal Manicktala 500 392
109 West Bengal Serampur 216 216
110 West Bengal Uluberia 216 178
Total 13311 10337

B) Primary Care
i) Service Dispensaries
The out-patient medical care including essential lab investigations in relatively heavy
dispensaries under the ESI Scheme is provided through the service system i.e. through
dispensaries established under the Scheme for the exclusive use of the Insured Persons and
their families, manned largely by full-time Medical Officers.
ii)Dispensary Cum Branch Office (DCBOs)
ESI Corporation in its 174th Meeting, held on 29th May 2018, decided that a Dispensary cum
Branch Office (DCBO) is to be opened in all notified districts which will be directly run by ESI
Corporation. DCBOs are planned to supplement existing Primary Medical Care Services
administered by State Govts. so as to add to the quality & quantity of such Primary Medical
Care services. At present, DCBOs has been made functional in 76 districts. A DCBO Would

15
perform the functions of both dispensary and branch office. Besides providing medicines to
patient attending DCBO, it would distribute medicines to IMP/EUD referred patients. It would
also make referrals for secondary care, payment of bills of empaneled chemist/diagnostic
center and would provide it help care services to IPs/employers.100% of the establishment
and operational cost of DCBO would be borne by ESIC and the State concerned would not be
bearing any expenditure under this head.

iii) Hospital OPDs:


Outpatient 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 network of ESI hospitals all over the country.
iv) Additional Primary Care arrangements:
Usually, in newly implemented/ existing areas where ESIC does not have its own
infrastructure, primary care medical services are being delivered through Empanelment of
Insurance Medical Practitioners (IMPs) or Employer Utilization Dispensary (EUD).
a) INSURANCE MEDICAL PRACTITIONERS (IMP):-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 up to 2000 IP family units. At
present, the panel system is in operation in West Bengal, Maharashtra, Andhra Pradesh,
Goa, Gujarat, M.P, Telangana, Bihar, Assam, Odisha, Rajasthan and Jharkhand etc. The
IMPs under the panel system are paid capitation fee (Rs.500/- per IP per year) w.e.f. 8th
September, 2016 for providing medical care to the ESI beneficiaries which include
consultation, basic lab investigation and cost of medicine. Further in order to make IMP
scheme more attractive, modified IMP (mIMP) has recently been launched.
The state-wise details of Insurance Medical Practitioners (IMPs) are as under: -

Sl. No. State State-wise No. of IMPs


1. Andhra Pradesh 0
2. Arunachal Pradesh 0
3. Assam 30
4. Bihar 07
5. Chandigarh (Adm.) 0
6. Chhattisgarh 0
7. Delhi 0
8. Goa 4
9. Gujarat 1
10. Haryana 1
11. Himachal Pradesh 0
12. Jammu & Kashmir (UT) 0
13. Jharkhand 10
14. Karnataka 1
15. Kerala 0
16. Madhya Pradesh 3

16
17. Maharashtra 611
18. Manipur 0
19. Meghalaya 0
20. Mizoram 0
21. Nagaland 0
22. Odisha 01
23. Puducherry (UT) 0
24. Punjab 0
25. Rajasthan 51
26. Sikkim 0
27. Tamil Nadu 0
28 Telangana 40
29. Tripura 0
30. Uttar Pradesh 0
31. Uttarakhand 0
32. West Bengal 243
Total 1003

b) EMPLOYER UTILIZATION DISPENSARY (EUD): In the areas where employer has


its own set up or agrees to have its own set up in the form of Employer Utilization
Dispensary (EUD), ESIC pays capitation fees to the employer based on per IP family
unit per annum. In this scheme employer opens up the dispensary in his premises and
provides the primary care services to the workers of its own establishment and is paid
@ Rs.450/- per IP per annum. Further in order to make EUD scheme more attractive,
modified EUD (mEUD) has also been operationalized.
C) Secondary Medical Care
In-patient services are being provided through a chain of 160 ESI hospitals spread across
the country which includes 50 directly run ESIC hospitals & 110 State ESI hospitals with a
total bed strength of 21072. The services which are not available in ESIC/ESIS hospitals are
provided through cashless tie-up arrangements with reputed private hospitals.
D) Tertiary Medical Care
In addition to facilities available in ESIC / ESIS hospitals comprehensive tie-up arrangement
for all super specialty treatment has been made with more than 1000 public/private hospitals
across India.
E) FACILITY OF MEDICAL TREATMENT THROUGH AYUSHMAN BHARAT-PM-JAY
ESIC in its 178th meeting held on 13.09.2019 has given approval for collaboration with
Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) scheme for providing in-
house secondary and tertiary medical care services to ESI beneficiaries in newly implemented
area of 102 designated districts/locations through PMJAY empaneled hospitals. To scale up
partnership, the mutually agreed 55 districts in the state of Maharashtra, Madhya Pradesh and
Chhattisgarh in addition to 102 districts have also been implemented for which addendum with
the terms and conditions of earlier executed MOU dated 30.09.2019 was signed on 01-01-
2021 between NHA and ESIC.

17
At present, the convergence between ESIC and Ayushman Bharat-PMJAY scheme has been
implemented in a total of 157 districts, through PMJAY empaneled hospitals. The state-wise
details of the districts covered under Pradhan Mantri Jan Arogya Yojana (PMJAY) are as
under: -

Sr. State Districts covered (157)


No.

1. Assam Biswanath, Chirang, Lakhimpur, Majuli, Sibsagar, and Udalguri (06)

2. Chhattisgarh Balod, Baloda Bazar, Balrampur, Bastar, Bemetara, Bijapur, Bilaspur,


Dantewada, Dhamtari, Durg, Gariaband, Janjgir-Champa, Jashpur,
Kabirdham, Kanker, Kondagaon, Koriya, Mahasamund, Mungeli,
Narayanpur, Raigarh, Rajnandgaon, Sukma, Surajpur, Gaurella-Pendra-
Marwahi, and Surguja (26)

3. Jammu & Anantnag, Bandipore, Baramula, Doda, Ganderbal, Kishtwar, Kulgam,


Kashmir Kupwara, Poonch, Rajauri, Ramban, and Shopian (12)

4. Ladakh Kargil, and Leh (02)

5. Jharkhand Chatra, Dumka, Garhwa, Godda, Gumla, Jamtara, Khunti, Latehar,


Lohardaga, Pakaur, Palamu, Pashchimi, Singhbhum, and Simdega (13)

6. Karnataka Bidar, Chickmagloor, Chikballapur, and Kodagu (04)

7. Madhya Agar, Alirajpur, Anuppur, Ashok Nagar, Balaghat, Barwani, Betul, Bhind,
Pradesh Bhopal, Burhanpur, Chhatarpur, Chhindwara, Damoh, Datia, Dewas,
Dhar, Dindori, Guna, Gwalior, Harda, Hoshangabad, Jabalpur, Jhabua,
Katni, Khandwa (East Nimar), Khargone (West Nimar), Mandla,
Mandsaur, Morena, Narsinghpur, Neemuch, Panna, Raisen, Rajgarh,
Ratlam, Rewa, Sagar, Satna, Sehore, Seoni, Shahdol, Shajapur,
Sheopur, Shivpuri, Sidhi, Singrauli, Tikamgarh, Ujjain, Umaria, and
Vidisha (50)

8. Maharashtra Ahmednagar, Akola, Amrawati, Aurangabad, Beed, Bhandara,


Buldhana, Chandrapur, Dhule, Gondia, Hingoli, Jalgaon, Jalna, Latur,
Mumbai Suburban, Nagpur, Nanded, Nandurbar, Nashik, Osmanabad,
Palghar, Parbhani, Raigad, Ratnagiri, Sangli, Satara, Sindhudurg,
Solapur, Thane, Wardha, Washim, Yavatmal, and Gadchiroli (33)

9. Manipur Imphal East (01)

10. Nagaland Mokokchung (01)

11. Rajasthan Baran, Churu, Jalore, Karauli, and Pratapgarh (05)

12. Tripura Dhalai, Gomati, North Tripura, and Sipahijala (04)

18
F) AYUSH MEDICAL SERVICES
ESI Corporation has enhanced provision of AYUSH (Ayurveda, Yoga, Unani, Siddha and
Homeopathy) medical facilities in ESI hospitals and dispensaries.

G) OPENING OF ESIC HOSPITALS TO NON-INSURED PERSONS


ESI Corporation, in recent years, has taken initiatives to provide health services to people
other than its insured persons by granting approval to open its underutilized hospitals (less
than 60% bed occupancy) for general public on user charge basis. At present, seven ESIC
Hospitals are providing medical services to general public which are as under:
i) ESIC Hospital, Gulbarga, Karnatak
ii) ESIC Hospital, Bihta, Bihar
iii) ESIC Hospital, Alwar
iv) ESIC Hospital, Bareilly, UP
v) ESIC Hospital, Varanasi, UP
vi) ESIC Hospital, Jajmau, UP
vii)ESIC Hospital, Sarojani Nagar, UP
Further ESIC has also entered MOU with NHA to provide medical services to PMJAY
beneficiaries through its underutilized Hospitals and following 15 ESIC Hospitals for such
purpose have been identified and are providing treatment to PMJAY beneficiaries. MoU for
above mentioned services have already been signed by ESIC with PMJAY.
i) ESIC Hospital, Bihta, Bihar
ii) ESIC Hospital, Naroda Gujarat
iii) ESIC Hospital, Ankleshwar, Gujarat
iv) ESIC Hospital, Gulbarga, Karanataka
v) ESIC Hospital, Andheri, Maharashtra
vi) ESIC Hospital, Kolhapur, Maharashtra
vii)ESIC Hospital, Bibvewadi, Pune, Maharashtra
viii) ESIC Hospital, Bhiwadi, Rajasthan
ix) ESIC Hospital, Jaipur, Rajasthan
x) ESIC Hospital, Alwar, Rajasthan
xi) ESIC Hospital, Lucknow, U.P.
xii) ESIC Hospital, Kanpur, U.P.
xiii) ESIC Hospital, Varanasi, U.P.
xiv) ESIC Hospital, Bareilly, U.P.
xv) ESIC Hospital, Rudrapur, Uttarakhand

19
8. SETTING UP OF ESIC HOSPITAL & ESI DISPENSARIES

i) GENERAL POLICY
The ESI Corporation in its 167th meeting held on 18.12.2015 had approved the setting up of
two ESIC Hospitals and one Super Speciality Hospital in each State. These numbers may be
more considering the futuristic IP population and geographical necessity. The entire
expenditure on these hospitals is being borne by the ESI Corporation outside the ceiling limit.

ii) NORMS FOR SETTING UP OF NEW HOSPITALS BY ESI CORPORATION


As approved by ESI Corporation, new norms for setting up of ESI Hospitals based on minimum
no. of IPs is as under: -

Sl. No. No. of beds Min. No. of IPs


1. 30 bedded hospital 20,000
2. 100 bedded hospital 50,000
3. 150 bedded hospital 1,00,000
4. 200 bedded hospital 1,50,000
5. 250 bedded hospital 2,00,000
6. 300 bedded hospital 2,50,000
7. 350 bedded hospital 3,00,000
8. 400 bedded hospital 3,50,000
9. 500 bedded hospital 4,00,000
10. 600 bedded hospital 5,00,000

The IP population should be taken in a radius of 25 Km and there should not be any other ESI
Hospital within a radius of 50 Km. If there is another ESI Hospital within 50 Km, then each ESI
Hospital should fulfill these norms in the respective catchment areas (for example, if the two
ESI Hospitals are at a distance of 40 Km, then each hospital should satisfy these norms within
a radius of 20 Km).

Further, the ESI Corporation in its 167th meeting held on 18th December, 2015 has approved
that the health facilities should be created not based on the present IP population but on the
basis of projected population of the IP after a period of three years for dispensaries and five
years for hospitals and also the geographical necessity.

20
iii) NORMS FOR SETTING UP 2 DOCTOR / 3 DOCTOR / 5 DOCTOR DISPENSARIES:
The norms for setting up 2 Doctor / 3 Doctor / 5 Doctor dispensaries is as under
Sl.No. IP family units Category of Dispensary
1. 3000-5000 2 Doctor Dispensary

2. 5000-10000 3 Doctor Dispensary

3. 10000- & above 5 Doctor Dispensary

iv) REVISION OF NORMS FOR CREATING MEDICAL INFRASTRUCTURE IN NORTH


EAST STATES & HILLY AREAS.
ESI Corporation during its 155th meeting held on 18.01.2012 has approved adoption of
following norms for the North Eastern States & other Hilly Areas of the Country for creating
infrastructure for augmenting the implementation of ESI Scheme in these areas as under: -

Sl. No. Facilities/Infrastructure No. of IPs required


1. Setting up of one Doctor Dispensary 1000 or more
2. Setting up of Two Doctors Dispensary 2000 or more
3. Setting up of diagnostic centers 5000 or more
4. Setting up of 100 bedded hospital 15000 or more

v) The Corporation has also decided to set up following new hospitals: -

Sl. State Location Sanctioned Beds Status


No.
Newly Approved Hospitals in Construction stage
1. Andhra Kakinada 100 Under construction
Pradesh
2. Chhattisgarh Bhillai 200 Under construction

3. Chhattisgarh Raigarh 100 Under construction

4. Delhi Narela 80 Under construction

5. Haryana Bawal 100 Under construction

6. Karnataka Dodaballapur 100 Under construction

7. Karnataka Shivamoga 100 Under construction

21
8. Rajasthan Bikaner 30 Under construction

9. West Bengal Siliguri 100 Under construction

10. West Bengal Haldia 100 Under construction

11. J&K (UT) Ompura, 100 Under construction


Srinagar
12. Tamil Nadu Tirupur 100 Under construction

13. Uttarakhand Sidkul, Haridwar 300 Under construction


Newly approved Hospitals where construction has not started
1. Andhra Vizianagaram 100 Approval of Building
Pradesh plans awaited
2. Andhra Vishakhapatnam 400 Approval of Building
Pradesh plans awaited

3. Himachal Kala Amb 30 Approval of Building


Pradesh plans awaited
4. Maharashtra Butibori, Nagpur 200 Approval of Building
plans awaited
5. Haryana Bahadurgarh 100 Approval of Building
plans awaited
Newly approved Hospitals in pre-construction stage
1. Haryana Manesar 500 Concept plan stage

2. Karnataka Bommsandra 200 Cost Estimation stage


3. Madhya Pithampur 100 Concept plan stage
Pradesh
4. Odisha Bhubaneswar 150 Concept plan stage

5. Tamil Nadu Sriperumbudur 100 Concept plan stage

6. Tamil Nadu Tuticorin 100 Cost Estimation stage

7. Uttar Pradesh Shahjahanpur 30 Concept plan stage

8. West Bengal Garshyamnagar 100 Concept plan stage


Newly approved Hospitals in allotment/possession of land stage
1. Andhra Atchyutapuram 30 Possession of land stage
Pradesh
2. Karnataka Narsapura 100 Possession of land stage

3. Karnataka Haroholli 100 Possession of land stage

4. Odisha Duburi 100 Possession of land stage

5. Uttar Pradesh Meerut 100 Possession of land stage

22
6. Andhra Penukonda 100 Allotment of land stage
Pradesh
7. Andhra Sri City, Nellore 100 Allotment of land stage
Pradesh
8. Andhra Guntur 100 Allotment of land stage
Pradesh
9. Bihar Muzzafarpur 100 Allotment of land stage
10. Goa North Goa 100 Allotment of land stage

11. Gujarat Alang 50 Allotment of land stage

12. Jharkhand Deoghar 100 Allotment of land stage

13. Jharkhand Bokaro 100 Allotment of land stage


14. Karnataka Bellary 100 Allotment of land stage

15. Kerala Perambavoor 100 Allotment of land stage

16. Leh ( UT) Leh 30 Allotment of land stage


17. Odisha Paradeep 30 Allotment of land stage

18. Punjab SAS Nagar, Lalru 50 (upgradable to Allotment of land stage


100 beds)
19. Rajasthan Chittorgarh 30 Allotment of land stage

20. Sikkim Rangpo 30 Allotment of land stage


21. Tamil Nadu Kanyakumari 100 Allotment of land stage

22. Tamil Nadu Dindigul 100 Allotment of land stage

23. Tamil Nadu Vaniyamvadi 100 Allotment of land stage

24. Telangana Ramagundam 100 Allotment of land stage


25. Uttar Pradesh Firozabad 30 Allotment of land stage

26. Uttar Pradesh Gajraula 30 Allotment of land stage

27. Uttarakhand Dehradun 100 Allotment of land stage

28. Uttarakhand Kashipur 100 Allotment of land stage


TOTAL 54 5830

23
vi) STATUS OF MEDICAL INFRASTRUCTURE UNDER ESI SCHEME IN NORTH
EAST REGION
Nos. of No. of
Sl. Date of implementation
State Insured
No. of ESI Scheme IMP
Persons Hospitals Dispensaries

Arunachal
1 01.11.2020 58 - 1(DCBO) -
Pradesh

2 Assam 28.09.1958 2,82,492 1 26+1(DCBO) 30

3 Manipur 01.06.2018 1,970 - 1(DCBO) -

4 Meghalaya 28.09.1980 15,404 - 2 -

5 Mizoram 01.12.2015 1,410 - 1 -

6 Nagaland 01.03.2008 3,332 - 3 -

8 Tripura 01.01.2009 16,224 - 5 -

9 Sikkim 01.12.2012 28,110 - 3

9. OCCUPATIONAL DISEASE CENTRES (ODCs)


As per policy decisions of the Corporation taken on 8.12.88 and 24.2.93, the ESI Corporation
has set up five Zonal Occupational Diseases Centres with a view to providing facilities for early
detection and diagnosis of Occupational Diseases among ESI beneficiaries. These Zonal
Occupational Diseases Centres cater to the needs of ESI beneficiaries of the neighbouring
States also. The suspected cases of Occupational Diseases are referred to these Centers by
the States concerned.
ESI Corporation has set up one IOHER Centre at Basaidarapur & four Zonal Occupational
Disease centers for providing early detection & prompt treatment, apart from taking steps for
preventive & promotive aspect pertaining to occupational health. These institutions are as
under: -
1 North Zone ESIC Hospital Basaidarapur, New Delhi (IOHER)

2 South Zone K.K. Nagar, Chennai

3 East Zone Joka, Kolkata

4 West Zone Andheri, Mumbai

5 Central Zone Nandanagar, Indore

Institute of Occupational Health, Environment & Research (IOHER) has been established to act
as a nodal Institute for improving occupational health.
A large number of Medical Professionals, Paramedical, Nursing Staff and other Health Care
Workers needs to be sensitized and trained in Occupational Health.
The occupational health services basically aim at safeguarding the health of the workers. This
is possible by conducting environmental surveillance along with the other clinical measures
(preventive, promotive, curative, rehabilitation, compensation).

24
10. EXPENDITURE ON MEDICAL CARE
State Governments are being reimbursed at a ceiling rate of ₹3,000/- per Insured Person per
annum. Various sub-ceilings under this broader ceiling of ₹3000/- are as under:
a) Annual ceiling on entitlement for medical care expenditure has been enhanced to ₹2,600
per IP per annum from existing ceiling of ₹2150/- with maximum sub ceiling of ₹1,300 for
expenditure under “Administration” head.
b) Entitlement of ₹200 per IP per annum for incurring expenditure under Project
Implementation Plan (PIP).
c) Entitlement of 200 per IP per annum on pro-rata basis based on extent of implementation
of ESIC Dhanwantri module in State ESI hospitals & dispensaries during previous financial
year.
Besides, Additional Entitlement of ₹200 per IP per annum as incentive where bed occupancy in
all the State ESI Hospitals is more than 70% during the concluded financial year and ₹20 per
IP per annum for expenditure under preventive and promotive health services, are being
reimbursed over and above the ceiling of ₹3,000/-.
Additionally, the expenditure on super specialty treatment is being totally borne by ESIC.
Further, ESI Corporation has decided to bear entire expenditure (within the ceiling) on medical
care incurred by the State Government for a period of 3 (Three) years w.e.f. 2019-20.

11. MEASURES TAKEN BY ESI CORPORATION DURING COVID-19 PANDEMIC


To deal with very challenging situation due to COVID-19 Pandemic, Employees’ State
Insurance Corporation (ESIC) has taken many decisions/steps so as to make provisions for
providing medical services to IPs, beneficiaries and Staff including general public at large, as
under:
a) 33 ESIC Hospitals with around 4000 dedicated Covid beds having 400 ventilators
provided exclusive COVID medical services to the IPs and general public of the area as
either dedicated COVID Hospital or as Hospital with dedicated Covid beds, as per
requirement of local administration.
b) During Covid pandemic starting from April, 2020 till date, more than 50000 Covid
patients have been provided IPD treatment services through ESIC Hospitals across the
country.
c) Alternate provisions were made for providing routine medical services to ESI
Beneficiaries through Tie-up Hospitals, in case an ESIC Hospital was declared as a
dedicated Covid Hospital to cater exclusively to Corona suspected/confirmed cases. In
such cases, ESI beneficiaries could be referred to tie-up Hospitals for providing
prescribed secondary/SST consultation/admission/investigation during the period for
which concerned ESIC Hospital functions as dedicated Covid-19 Hospital. ESI
Beneficiaries were also allowed to seek Emergency/non-Emergency medical treatment
from tie-up hospital directly without referral letter, in accordance with his/her
entitlement.

25
d) ESIC Hospitals are continuously adopting all updated guidelines being issued by
MoH&FW, Govt. of India, on regular basis for delivering better and prompt medical
services. Implementation of all such measures is being regularly monitored at ESIC
Hqrs. Office through regular Video Conference meetings with ESIC hospitals across the
country.
e) Instruction was issued to each ESIC hospital to function with a minimum of 20% of its
bed capacity as dedicated Covid beds for ESI IPs, beneficiaries, staff & pensioners.
f) In order to ease out the hardship of ESI Beneficiaries in this tough time, ESIC has
allowed purchase of medicines by beneficiaries from private chemists and its
subsequent reimbursement by ESIC.
g) Proposal for requirement/allocation of PSA Oxygen plant at 37 ESIC hospital locations
across the country have been shared with MoL&E and the process is on for installation
of the same. At present, 23 PSA plants in 19 ESIC hospitals have been installed.
h) Steps are constantly being taken to make available various Covid treatment related
medicines viz. Remdesivir, Tocilizumab, Amphotericin B etc. to various ESIC Hospitals as
per requirement.
i) Instructions have been issued for Incentivizing doctors (Faculty/SRs) to join at various
ESIC Hospitals.
j) Consolidated Remuneration package to retired Army Medical Teacher (Broad Speciality)
as per SRESTA Scheme for joining on contract basis at ESIC Medical Education
Institution have been provisioned.
k) Ventilators, BIPAP machines are being made available to various ESIC Hospitals
including those received as donation through Ministry of health and Family welfare,
Govt of India/ other State govt/Private bodies.
l) Upward revision of Special Delegation of Power to Purchase Committee in respect of
procurement for Covid supplies from Rs 2.5 lacs to Rs 10 Lacs for ESIC Hospital for a
period of around 02 months (starting from 07.05.2021) was approved.
m) Employers were allowed to file return of contribution for period April, 2019 to
September, 2019 and October, 2019 to March, 2020 upto 15/5/2020 &15/06/2020
respectively.
n) ESI beneficiaries who are unable to deposit the advance lump sum contribution under
Rule - 60 & 61 @ Rs.10/- Per month due to lockdown. Relaxation has been granted to
such beneficiary to avail medical benefit till 30-06-2020.
o) Considering the difficulty being faced in availing medical benefit to migrant worker (ESI
beneficiary) across the country, relaxation was granted to seek medical care services
from ESIC hospital nearest to their home town, in case of emergency.
p) In view of the challenging situations due to lockdown ESIC has also allowed one-time
relaxation in contributory condition for entitlement to receive medical benefit including
Super Specialty Treatment.

26
12. Annual Preventive Health Check-up Programme and onsite Mobile heath check-
up recently launched by ESIC.
A dedicated programme focusing on preventive health check-up of ESI Insured Persons/
Insured Women (IPs/IW) was launched on pilot basis during its 186 th meeting held on 4th
December, 2021 as Annual Preventive Health Check-up Programme for (IPs/IW) aged 40 years
and above. The programme was launched from 4 locations through:

i. ESIC Medical College Faridabad (Haryana),


ii. Joka (West Bengal),
iii. Hyderabad (Telangana); and
iv. ESIC hospital Bapu Nagar (Gujrat).

Later, during the ongoing pilot, ESIC Hospital, Varanasi (UP) and 4 ESIC Medical
Colleges at Bihta (Bihar), Alwar (Rajasthan), Rajajinagar (Karnataka) and KK
Nagar (Tamilnadu) have also been roped in for conduction of this programme.

The objective of this programme is to regularly conduct health check-up of targeted IPs/IWs at
ESI hospitals through appointment system and to also equip ESI hospitals with all required lab
services and other related facilities for beneficiaries who are referred through screening camps
for further investigations/management.

The RDs have been entrusted with the responsibility to identify the factory/establishment
locations prioritizing hazardous industries and channelize the requisite number from identified
IP clusters to attend the hospital for preventive health check-up. The employers have been
asked to motivate the targeted beneficiaries for enrolment under the programme.

Daily updates from all 9-center running the pilot on the annual health check-up are being
collated at ESIC. As on date 31st March, 2022 a total of 10313 IPs/IWs have undergone
preventive health check-up.

Further, ESIC has also decided to conduct onsite preventive health check-up of Insured
Persons (IPs) at the industrial clusters in following 15 cities:

1. Faridabad (Haryana)
2. Kolkata (West Bengal)
3. Hyderabad (Telangana)
4. Bihta, Patna (Bihar)
5. Alwar (Rajasthan)
6. Jaipur (Rajasthan)
7. Bangalore (Karnataka)
8. Chennai (Tamil Nadu)
9. Ahmedabad (Gujarat)
10. Varanasi (Uttar Pradesh)
11. Indore (Madhya Pradesh)

27
12. Kollam (Kerala)
13. Pune (Maharashtra)
14. Delhi
15. Guwahati (Assam)
As on date 31st March, 2022 a total of 18440 IPs/IWs have undergone preventive health
check-up at Industrial clusters.

13.On-boarding of ESIC hospitals at E-sanjeevani portal.


E-Sanjeevani is a national tele-consultation service of Ministry of Health & Family Welfare to
provide online OPD services to all citizens of the country. To overcome the challenges faced
by Insured Persons / family units in availing services at ESIC / ESIS Hospitals due to ongoing
COVID pandemic, especially for consultation and prescriptions, ESI has decided to go on-board
with all its hospitals on the e-Sanjeevani portal.
The services are being provided on pattern of ‘Hub and Spoke Model services’ at three levels.
Level-I: HUB is created at ESIC Medical College Hospital and ESIC Super Specialty Hospital
for providing consultation to Doctors of ESI dispensaries & Model hospitals.
Level-II: ESI hospital will take Tele-Medicine services calls from Level III and can seek Tele-
Medicine services from Level I.
Level-III: ESI dispensaries will take Telemedicine calls from Insured Persons and can seek
Tele-Medicine services from Level II.
Key features of the latest version of e-Sanjeevani application are as follows:
a. Centrally hosted
b. Web Based application compatible with mobile phone
c. Enables doctor to doctor consultation
d. Supports in-built videoconferencing & text chatting
e. Supports viewing for X-RAY/CT-Scan/MRI
f. Integrated e-Prescription feature
g. Hosts a comprehensive dashboard (with useful information / indicators) for users
h. Integrated with MoHFW’s My Health Record (Personal Health Record Management
System-PHRMS) to enable lifetime archival of health records in patient’s PHR profile
i. Updates users through SMS notifications and alert
j. Being planned for integration with ESIC Dhanwantri

ESI is getting support of MoH&FW and CDAC Mohali on the following aspects for on-boarding:
MoHFW  Financially supporting
 Providing guidelines for preparation of proposals
 Necessary Technical support
CDAC-  Hosting of standardized Tele-medicine application
Mohali  Support for integration with equipment already available at Health &
wellness centers (HWCs)
 Training
 Providing necessary handholding and support during operations of the
project

28
 Regular updating of e-Sanjeevani Application with necessary
patches/updates.

The Regional directors and nodal officers at Level 1 have been assigned the following roles:
Regional Offices  Ensuring required bandwidth at HUB and Spokes
of ESIC
Level I (ESIC)  Training and regular reviews to ensure that required Tele-
consultations are taking place.

The virtual training is also being provided by CDAC Mohali to prepare the e-Training modules
in e-Sanjeevani application for staff at HUBs.
As on date 31st March, 2022, all ESIC Hospitals/locations and 1950 doctors are on-
board on e-Sanjeevani. A total of 17243 e-consultations have been provided by various on-
board ESI Health centers.

14. MEDICAL EDUCATION: -


The Corporation has decided to establish Medical Colleges, Nursing Colleges and
training Institutes for its para-medical staff and other employees with a view to improve the
quality of services provided under the ESI Scheme. Accordingly, Medical Education Project
have been set-up at various location. The projects set-up and being run by ESIC are: -
1) PG Institutes:
PG courses are running at 06 Postgraduate Institutes of Medical Sciences & Research
(PGIMSRs) at Rajajinagar, Bengaluru (Karnataka); K.K. Nagar, Chennai (TN); Joka, Kolkata
(WB); Manicktala, Kolkata (WB); Basaidarapur, New Delhi & Andheri (E), Mumbai (MH).
Admission in PG Institute at Manicktala (WB) has been discontinued from A.Y. 2020-21
in pursuance of decision of 178th Meeting of ESI Corporation. Admission in PG Institute at
Andheri(E), Mumbai has been stopped from A.Y 2019-20 due to fire incident happened on
17.12.2018 and will continue after re-commissioning the Hospital.
2) Medical Colleges:
ESIC has established and is running 06 ESIC Medical Colleges at Rajaji Nagar, Bengaluru
(Karnataka); K. K. Nagar, Chennai (TN); Joka, Kolkata (WB); Gulbarga (Karnataka); Faridabad
(Haryana) and Sanathnagar, Hyderabad (Telangana). Recognition has been granted by MCI
for all these ESIC Medical Colleges.
Further, Letter of Permission has been received from National Medical Commission
(NMC) to start ESIC Medical College at Alwar (Rajasthan) and Bihta, Patna (Bihar) from
Academic Year 2021-22.
3) Dental Colleges:
ESIC is running 02 Dental Colleges at Rohini, Delhi [recognition granted by DCI] and Gulbarga,
Karnataka [5th batch BDS students (2021-22) is to be admitted].
4) Nursing College: ESIC is running 02 Nursing Colleges at Indiranagar, Bengaluru, Karnataka
and Gulbarga, Karnataka. ESIC Nursing College, Indiranagar, Bengaluru has been started in
2013-14 and ESIC Nursing College, Gulbarga, Karnataka has been started in 2015-16.

29
5) Para Medical Institute:
ESIC is running 01 Para Medical Institute at Gulbarga, Karnataka. Two Courses i.e. Diploma in
OT & Anaesthesia Technology; and Diploma in Medical Records Technology, have been started
in 2019-20 at ESIC Para-medical Institute, Gulbarga, Karnataka.
Presently, the institute is running Para Medical Courses in 08 disciplines.
6) Start of DNB Courses:
ESIC has started DNB courses in 09 hospitals not associated with Medical Colleges/ PG Institutes
so that there is no conflict with courses run under MCI. However, DNB courses have also been
started at ESIC Medical College, Sanathnagar from 2019-20.
7) Proposed ESIC Medical Colleges - Transfer of existing infrastructure to State
Governments / Starting MBBS course in existing infrastructure
Due to review of decision by the Corporation regarding Medical Education, the proposed ESIC
Medical Colleges at (i) Coimbatore, Tamilnadu (ii) Paripally, Kerala and (iii) Mandi, Himachal
Pradesh were transferred to respective State Governments who have started MBBS courses at
these locations.

15. PROPERTY MANAGEMENT DIVISION


The Project Management Division of ESIC is responsible for construction of building of
ESIC/ESIS institution and upkeep thereof. It also formulates policies relating to Annual Repair
& Maintenance and Special Repair & Maintenance of ESIC/ESIS buildings.

(i) General Policy: -


The Corporation had decided to run all the ESI Hospitals/Dispensaries/Regional Offices/Branch
Offices in its own buildings as far as feasible. Construction of other buildings such as
Specialist Centers, Offices of the Directorate Medical of ESI Scheme in the State, Central
Medical Stores etc. are sanctioned on merits in each case. ESI Corporation has built the
following building for various purpose.

List of major projects(Capital works) under execution during 01.07.2021 to


31.12.2021

Sl.No. Hospitals/Dispensaries
1 Construction of 100 bedded Hospital at Adityapur, Jharkhand
2 Construction of 100 bedded Hospital at Haldia, W.B.
3 Construction of 100 bedded Hospital at Ranchi, Jharkahand (expandable to 200 beds)
4 Construction of 50 Bedded ESI Hospital at Phulwarisharif, Patna, Bihar(Expandable to
100 Bedded)
5 Construction of 100 bedded Hospital at Raipur, Chhattisgarh.
6 Construction of 50 bedded Hospital at Asansol, W.B.
7 Construction of 100 bedded Hospital at Siliguri, W.B.
8 Construction of 100 bedded Hospital at Raigarh, Chhattisgarh

30
9 Construction of 30 bedded ESI Hospital (Upgradable to 100 beds) at Bikaner,
Rajasthan
10 Construction of Dispensary at Neemrana, Rajasthan
11 Construction of Dispensary at Sitapura, Rajasthan
12 Construction of 100 bedded Hospital at Bhilai, Chhattisgarh.
13 Construction of DIMS Building, Haryana
14 Construction of Model Dispensary, Pydibhimavaram, Andhra Pradesh
15 Construction of 200 bedded Hospital(upgradable to 300 beds) at Surat, Gujarat.
16 Construction of 100 bedded Hospital at Doddabalapur, Karnataka.
17 Construction of 100 Bedded ESI Hospital at Kakinada Andhra Pradesh
18 Construction of 100 Bedded ESI Hospital at Rajamahendravaram, Andhra Pradesh
19 Construction of 100 Bedded ESI Hospital at Shivamogga, Karnataka.
20 Construction of Dispensary at Gorakhpur, Uttar Pradesh
21 Construction of 200 bedded ESI Hospital at Beltola, Assam
22 Construction of 100 bedded ESI Hospital at Tirupur, T.N.
23 Construction of 300 bedded(including 50 beds SST) Hospital at Haridwar,
Uttarakhand.
24 Construction of 100 bedded ESI Hospital at Ompura, J&K
25 Construction of Dispensary cum Diagnostic Centre and office for ESIC at Mayur Vihar,
Phase-I, Delhi
26 Construction if 4 Dr. ESIC Dispensary cum Branch Office at Gaya Bihar
27 Construction of 3 Dr. Dispensary at Behror, Rajasthan
28 Construction of 300 bedded(upgradable to 500 bedded) hospital at Indore, M.P.
29 Construction of 100 bedded ESI Hospital at Bareilly to replace old hospital, U.P.
30 Construction of 2 Dr. Dispensary, Branch office & Staff Quarter at Abu Road,
Rajasthan
31 Construction of 100 bedded Hospital at Bawal, Haryana
32. Construction of 05 Dr. ESIC Dispensary cum Branch Office & TOR at Selaqui,
Uttarakhand
33 Construction of 02 Dr. ESIC Dispensary at Nunhai, Agra, U.P.
34 Construction of new OPD Block Sanathnagar with 200 beds, Telangana
35 Construction of 100 bedded ESI Hospital, Ulhasnagar, Maharashtra.

Sl.No. FOUNDATION STONE LAYING(01.01.2021 TO 31.12.2021)


1 Foundation Stone for 100 bedded ESI Hospital at Shahjahanpur, U.P.

Sl.No. INAUGURATIONS
1 Construction of ESI Dispensary cum Branch Office, Panki, U.P.
2. Construction of ESI Dispensary cum Branch Office, Raibareilly, U.P.

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Capital Construction outlay
Sanctioned cost for Construction of Hospitals, Annexes, Dispensaries and other offices is as
follows: -
Sl.No. Name of the Project Amount sanctioned
(Rs. In Crores)
1. Medical Institute --
2. ESI Hospitals/Dispensaries/Offices of Directorate of ESI 2900.07
Scheme/Central Medical Stores etc.
3. Regional Offices/Branch Offices/Staff Quarters *
Total 2900.07

*The sanctioned cost of DCBO is included in Sl.No.2.

16. INDIAN SYSTEMS OF MEDICINE


E.S.I. Corporation is committed to promote AYUSH (Ayurveda, Yoga, Unani, Siddha and
Homeopathy) facilities along with Allopathy System of Medicine in all ESIC and ESIS Hospitals
and Dispensaries across the country. Accordingly, AYUSH facilities have been developed in
phased manner.
ESI Corporation has taken various steps for strengthening of AYUSH and bringing those
services for the benefit of insured persons and their families. The details are as under: -
1. In order to encourage the State Government to run the AYUSH units, the ESI
Corporation in its 134th meeting held on 21.12.2005 has decided to bear the entire
expenditure for the first five years on setting up of new AYUSH units in the States.
2. ESI Corporation further decided in its 185th meeting to Revised ESI policy on AYUSH
and Yoga facilities in ESI hospitals and dispensaries issued on 16/10/2021 for
establishment of AYUSH facilities in ESI hospitals and dispensaries across the country.
3. ESI Corporation formulating Central Ayurvedic Rate Contract for supply of good quality
Ayurvedic drugs for procurement in all its hospitals and dispensaries in order to ensure
the quality.
4. ESI Corporation formulating Central Homeopathic Rate Contract for procurement of
Homeopathic drugs in all ESIC/ESIS Hospitals and Dispensaries.
5. ESIC has been participating in International Arogya fair, Ayurveda Parv, exhibitions and
health melas displaying the progress of AYUSH and popularizing AYUSH services
available across the country.
6. AYUSH division of ESIC Head Quarters office conducting CMEs under AYUSH UPASANA
webinar series time to time for promoting AYUSH in ESI hospitals and dispensaries all
over the country.
7. AYUSH facilities available in ESIC and ESIS Hospitals and Dispensaries as on
01.01.2022 is at Annexure V.

32
17. RECOVERY OF CONTRIBUTION AND DETAILS OF PROSECUTION CASES
i) Recovery of contribution
A total contribution of Rs. 13086.73 Crores was collected during the year 2020-2021 as
against the target of Rs. 12500 Crores. The contribution income received from April 2021 to
Nov. 2021 is Rs 9719.68 Crores. Target for the Financial Year 2021-22 is Rs.14500 Crores.
The contribution income also includes the contribution income recovered from the defaulting
employers by the Recovery Officers.

Arrear of contribution amounting of Rs.4459.69 Crores is outstanding as on 31.03.2021.


An amount of Rs. 2163.49 crores (1943.22+220.27) is not immediately recoverable dues at
present due to various reasons which are furnished as under: -

A. Arrears of not immediately recoverable dues as on 31/03/21.


Amount in Crores

a) Amount of dues disputed in courts 1477.35


b) Amount under liquidation 274.00
c) Amount pending with Claim Commissioner 5.67
d) Amount due from factories/Establishment closed or 184.81
whereabouts of employers not known.
f) Amount for which decree obtained but not executed 1.39
Total 1943.22

B. Dues from sick industries


Cases in respect of Factories/Estts. registered with BIFR/NCLT 129.64
but rehabilitation scheme yet to be sanctioned
II) Factories/Establishments which have been declared sick but 90.63
rehabilitation scheme has been sanctioned.
Total 220.27

C. Immediately Recoverable dues


Employers whereabouts known but unit is closed 143.47
Immediately Recoverable dues pending for recovery action with 2152.73
Recovery Officer
Total 2296.20

Grand Total (A+B+C) 4459.69

ii) PROSECUTION CASES: -

Prosecution cases were filed against defaulting employers under section 85 of the ESI Act and
under section 406/409 of the Indian Penal Code. The details of cases pending at the
beginning of the financial year, filed and decided during the year 2020-2021 under the above
provisions is as under:

33
Sec. 85 (a
Sec.406
to g) of
S.No Particulars & 409 of Total
ESI Act
IPC
1948

No. of Prosecution cases pending as on 01/


1
04/20 11748 926 12674

No. of prosecution cases filed during the year


2
2020-21 428 0 428

3 Total (1+2) above 12176 926 13102

4 Cases withdrawn 2 0 2

Total No. of prosecution cases decided during


5
the period 448 11 459

a) Convicted with imprisonment 13 0 13

b) Convicted with fine 187 0 187

c) Acquitted 35 1 36

d) Closed/Dismissed 213 10 223

6 Total (4+5) above 450 11 461

Number of prosecution cases pending as on


7
31.03.21 (3-6) 11726 915 12641

iii) RECOVERY OF DUES:-


The total dues outstanding as on 31.03.2021 were Rs. 4459.69 crores, out of which
Rs.2296.20 crores fall under the category of immediately recoverable dues and an amount of
Rs. 2163.49 crores under the category of not immediately recoverable dues 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 Recovery Officers of the Corporation
had recovered Rs.305.81 crores from the defaulting employers in 2020-21 against the target
of Rs. 533.07 crores. A target of Rs. 580.07 crores towards recovery of dues has been fixed
for the year 2021-22. The Recovery Officers have since recovered the dues of Rs. 231.75
crores during the period from April-2021 to November 2021.

18. Conduct of inspection through Central Analysis and Intelligence Unit (CAIU):
With an aim to achieve the objective of simplifying business regulations, a transparent
inspection policy, with system driven triggers equipped with relevant norms and criteria, has
been framed by ESIC, with due approval of Ministry of Labour and Employment, Govt. of
India. The scheme envisages objective criteria for selection of the units for inspections and in
cases of complaints, to ensure more accountability, transparency and to minimize frequent

34
inspection of the same unit. It also emphasizes the objective of conducting
inspections/investigations, only on the basis of evidence-based inputs after analyzing the field
level data. To deal with complaint cases and in pursuance of the Govt. of India policy for
making transparent and accountable Labour Inspection system, Central Analysis and
Intelligence Unit (CAIU), has been setup by ESIC at headquarters. The mandate is, to analyze
the available data of compliance/to call for additional information if required from the field
offices with reference to the complaint and decide the necessity of the investigation/inspection
of records against such complaint. A detailed methodology for selection criteria of the cases by
the CAIU has been worked out accordingly. Field offices have been directed to forward all such
complaints to CAIU that cannot be redressed without investigation/inspection of records
relating to default in compliance by factories/establishment, along with the
feedback/recommendation in the matter.

Besides, field offices have also been advised to review the cases identified under System
Driven Inspection Criteria as per provisions made in Inspection Policy of ESIC and the
Guidelines/Instruction issued by headquarters on functioning of CAIU and send such cases to
CAIU for inspection approval with full justification. During the year 2021, total 2227
complaints/references received in CAIU, in which 17 received from PMOPG Portal, 32 received
from RTI and 43 received from Ministry. Out of which 1357 cases have been approved from
inspection/Investigation/Surprises Physical Verification, after analysis of data of compliance.
Remaining cases are examined and actions deemed fit are taken and intimated to respective
field offices.

19. PUBLIC GRIEVANCES REDRESSAL MACHINERY SET-UP IN ESIC

 The ESI Corporation being a premier social security Organisation is catering to the
needs of more than 13.50 crores of ESI Beneficiaries i.e. about 10% of the population
of the country. Being a service Organisation ESIC is handling numerous Public
grievances/queries from its stake-holders throughout the year.
 In pursuance of the instructions issued by the Directorate of Public Grievances, Govt.
of India, the Corporation is making all out efforts for qualitative and speedy redressal
of all the Public Grievances received.
 Public Grievances are received through various channels like Telephone, Postal, Email,
CPGRAMS, Social Media etc.
 The Corporation monitors Public Grievances through a vast network of designated
Public Grievance Officers posted in all the field offices/ESIC hospitals.
 To provide guidance/information to the stake holders/beneficiaries and making the
grievance filing easy and convenient, the Corporation has set up a 24-hour Toll-Free
helpline number 1800-11-2526 through which Stakeholders & public can register their
grievances telephonically and get a grievance registration number for the same. They
can also seek status of their grievance from this helpline by providing such grievance
registration number. This facility has helped those IPs/IWs who are either illiterate or
lacking writing/computer skills.

35
 All out efforts are made to redress all grievances at the earliest and within the
maximum time limit of 30 days. As a result, the Corporation has been able to settle
following number of grievances received on CPGRAMS portal satisfactorily during the
period 01-01-2021 to 31-12-2021.

Year Brought Receive Settled Average Pending as On


forwarded d Disposal Time 31/12/2021
(Days)
01.01.2021 to 218 12364 12220 9 362*
31.12.2021
*
Pending as On Pending 0-15 Pending 16- Pending 31- Pending 46-
31.12.2021 Days 30 Days 45 Days 60 Days
362 265 75 19 3

 For quick and on the spot redressal of Grievances of beneficiaries Suvidha Samagams
are also periodically arranged at Regional Offices/Sub-Regional Offices/Divisional
Offices on second Wednesday(AN) (If holiday, then next working day) of each month
and at Branch offices on 2nd Friday of each month regularly. Medical Superintendent of
the ESIC/ESIS Hospitals, where the ESIC and ESIS Hospitals are located in the same
town/city are also part of these Suvidha Samagam organized by the Regional
Offices/Sub-Regional Offices/Divisional offices and on the spot medical related
grievances are settled through them.
 In many cases where telephone numbers are available, feedback/Satisfaction level are
also obtained from the complainant and in case of any dissatisfaction remedial
measures are taken promptly.
 The Director General, ESIC himself/herself takes efforts on his/her part by reviewing at
least 20 grievances every week to check qualitative and speedy redressal of
grievances.
 A detailed standard operating procedure (SOP) for timely redressal of public
grievances at each level with timelines has also been issued directing all offices to
redress all the public grievances following the procedure.
 Video conferences are also arranged periodically to monitor speedy and appropriate
disposal of grievances received at various ESIC offices/Hospitals.

20. PUBLIC RELATIONS: -


The ESI Corporation has a setup of Public Relations Branch with Insurance Commissioner (PR)
as the Divisional Head consisting of full-fledged P.R. Branch at Hqrs. Office, New Delhi assisted
by one Nodal Officer each at the Regional, Sub-Regional & Hospital level. The major activities
of Public Relations Branch in ESIC are: -

36
 Publicity and interacting with media for dissemination of information on new initiatives
through Advts., Press Releases etc.
 Organizing meetings, seminars, outreach programmes, exhibitions, health check-up
camps, health melas, awareness camps, foundation stone laying/inaugural ceremonies
etc.
 Publication of brochures/pamphlets/booklets/Annual Report and other literature for the
Corporation.
 Monitoring & updating of ESIC Information Website- ‘www.esic.nic.in’.
 Managing & handling of all the official Social Media Handles of ESIC.

21. COMPLIANCE UNDER RTI ACT, 2005

1. The Right to Information Act 2005 has been implemented in all offices in ESI
Corporation including ESI Hospitals and Dispensaries directly run by the Corporation.
2. 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.
3. The applicant may give the application for information under RTI Act 2005 along with
payment of Rs.10/-by way of depositing in cash or challan or banker’s cheque or Indian
Postal Order or DD drawn in favour of ESIC fund Account Number 1. Payment can also
be made by the applicant online through the payment link of RTI Portal.
4. The information to the applicant is ordinarily provided in the form in which it is sought.
5. Manual of the Right to Information has been published as per provisions of RTI Act,
2005, 11866 requests for information were received during the period 01.01.2021 to
31.12.2021 out of which information was provided in 10505 cases, 107 cases
transferred to CPIOs of other Public Authorities and 102 cases were rejected.
6. 951 Appeals were also received during this period out of which 827 Appeals decided.
7. The name and the address of the Appellate Authority is mentioned in the
reply/decisions communicated to the applicant.

22.TRAINING: -
i) Details of Training Academy
In the year 2005, National Training Academy of ESIC was set up to impart training to all group
‘A’ and ‘B’ officers of ESIC with the Additional Commissioner as its head and it started
functioning from ESIC Regional Office, Mumbai Building. The National Training Academy is the
apex training centre of the ESIC under Training Division with the Insurance 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. Presently the NTA is situated at Dwarka, Delhi.
In addition, following Zonal Training Institutes (ZTIs) were also set up to impart training to
group ‘C’ & ‘D’ staff of ESIC headed by ZTI in-charge of the level of Director/Joint Director.
1. ZTI (North Zone) at R.O. Delhi.
2. ZTI (South Zone) at ESIC Medical College Gulbarga.

37
3. ZTI (West Zone) at R.O. Mumbai.
4. ZTI (East Zone) at R.O. Kolkata.
ii) Training Programme
In the calendar year 2020 a total number of 76 training programme of 108 days were
conducted by NTA and Two ZTIs (South & West Zone), where 13969 participants were
trained.

iii) Keeping pace with the times


With the advent of new technologies and need of the hour, NTA has also geared up its
mechanism of imparting trainings. In the changed times, NTA is devising and imparting e-
trainings by Video Conference tools and other suitable online applications, cutting costs on one
hand and ensuring maximum participation on the other.
During the period January 2021 to December 2021 online training for 200 days has been
imparted to 15890 participants.

23. FUNCTION OF PROCUREMENT CELL & RATE CONTRACT CELL

(a) The functions of Procurement Cell is as under:


 Policy matters related to equipment procurement
 Sanction / Approval of equipment proposals received from ESIC Institutions outside
ESIC Norms and/or beyond DOP of Deans/Medical Superintendents for procurement by
user units.
 Issue of instructions and monitoring statutory adherence of all Public Procurement
guidelines including Make in India guidelines.
 Augmenting and strengthening of equipment capacity for ESI Institutions requiring
equipment for delivery of Super Speciality services.
 Ensuring optimum utilisation of equipment.
 GeM coordination and follow up for incorporation for procurement modalities and issue
of instructions in respect of updated decisions on procurement of equipment related to
GeM (Demonstration of equipment, freezing of cost for procurement of accessories,
consumables, AMC/CMC inter alia etc.) for ease of procurement by ESIC Institutions.
 Enhancement of Delegation of powers of Deans/Medical Superintendents of ESI
institutions in respect of procurement of equipment.
 Updation/ Revision of medical equipment norms for ESI Institutions.
 Standardisation of high-end equipment specification for uniformity across ESI
Institutions eg. Cathlab, Opthalmic Operating Microscope, Radiation Oncology and Nuclear
medicine (under process of evaluation at Hqrs’ office).
 Coordination with concerned authorities (GeM, Ministry of Health & Family Welfare,
DPIIT, Deptt of Pharmaceuticals etc.) for resolution of issues/ complaints of ESI
Institutions in procurement of equipment.

38
 Enhancing the financial DOP for purchase committee, facilitating optimum time period
for procurement /receiving donations of equipment/consumables for management of
COVID.
 Coordination with GeM for creation of online category in respect of new equipment.
 Release/Return of EMD and PBG in coordination with user units.

(b) RATE CONTRACT CELL:-


ESI Corporation established under the ESI Act, 1948, provides comprehensive Medical Care
Services through a large network of Health Institutions. ESI Corporation provides Drugs &
Dressings material through Running DGESIC Rate contracts formulated at ESIC Hqrs. office.
These are used by ESI Institutions, all over the country to ensure uniform supply of quality
generic drugs to the end users at competitive rates. As on date the following Rate Contracts
are valid. The process of formulation of Rate Contract is given at Annexure-VI.

S. DG ESIC Rate Contract Validity of RC No. of items


No. approved
1 DG ESIC RC No. 142B to 146B Valid upto 29.03.2022, 177 items
Extended upto
30.09.2022
DG ESIC RC No. 147A Valid upto 29.03.2022 9 items
2 DG ESIC RC No. 142C to 146C & Valid upto 31.10.2023 569 items
147B

24. SUPER SPECIALTY TREATMENT CELL: -

ESI Corporation in its 143rd Meeting has approved Super Specialty Treatment (SST) services on
cashless basis to its beneficiaries w.e.f. 01.08.2008 which is provided through the tie-up
arrangement with Corporate/Trust/ Private Hospitals at CGHS rates. The expenditure on SST is
borne by the ESI Corporation only over and above the ceiling prescribed for expenditure on
medical care from time to time.

Accordingly, Hospitals are empaneled and ESI beneficiaries are referred so as to avail
cashless Super Specialty Services (Specialty therapeutic and diagnostic services).
The SST Cell, Hqrs Office facilitate and ensure smooth and seamless delivery of this
cashless medical treatment services via empaneled hospitals.
Major Initiatives taken during 2021-22:
I. In order to deal with rare diseases, ESIC on 15.03.21 has framed “Operational
Guidelines on Rare Diseases” along with teaching and training module for health
workers and IEC material for general public which has been circulated to all the filed
locations.
II. All ESI Empanelled Hospitals to mandatorily update the address fields (Location) on the
UTI module so as to enable geo tagging to UMANG APP for the ease of ESI
Beneficiaries.

In addition to above, Ministry of Health & Family Welfare, Directorate of CGHS had issued
various rate updations & advisories which have been duly adopted and circulated by ESIC for
all its empaneled hospitals and stakeholders so as to provide upmost medical facilities to its

39
beneficiaries. During the period 21-22, the following initiatives have been undertaken by SST
Cell Hqrs. Office which have been duly intimated to all stake holders through web site upload.
Sl. No. Web site uploaded letter No. Subject
1 F. No: U-16/30/632/2017- SST/ERT ESIC guidelines on Rare Diseases
2. F. No: U-16/30/534/2017- (UTI. Provision of rare disease marking alert in the HIS
Integ.)/SST application.
3. F. No: U-16/30/68- High Cost Treatment cases.
V.Shanvika/2021/SST/HCT
Cases/WUL.
CGHS Initiatives
4. F. No.: U-16/30/580/2017- SST/CGHS Adoption of CGHS rates for 21 treatment
procedures/investigations in continuation of CGHS
rates 2014.
5. F. No.: U-16/30/580/2017- SST/CGHS Adoption of CGHS O.M. on guidelines and ceiling rates
for permission/reimbursement for Bariatric Surgery
procedures under CGHS/CS (MA) rules 1944.
6. F. No.: U-16/30/580/2016- SST/CGHS Updating codes for CGHS package rates for code no.
1781 to 1853.

25. RECRUITMENT DIVISION

The activities of Recruitment Division in ESIC mainly involve around conduct of recruitment
and selection for vacancies in Teaching, Medical, Paramedical & Nursing, Administrative and
Technical cadres for which consultation of UPSC is not necessary. The Recruitment Division
publishes advertisements, holds Examinations and Interviews, compile, declare and publishes
the results.

During the year 2021, the Recruitment Division notified multiple recruitment
notifications to fill up huge number of vacancies in various cadres as detailed hereunder:

Medical Posts:

Sl. No. of Present Status


Post
No. vacancies
Advertisement released on
14.12.2021.
1120 Receipt of Online Applications from
1. Recruitment of IMO Gr. II
31.12.2021 to 31.01.2022.
Written Examinations held on 30th
March, 2022.
Advertisement released on 19th
November, 2020.
Recruitment of Specialist Grade-
Interviews conducted from 13-15,
2. II (Jr. Scale) for Chhattisgarh 15
September, 2021.
region.
Result declared on 29th September,
2021.
Advertisement released on 23rd
Recruitment of Specialist Grade-
December, 2020 and applications
3. II (Jr. Scale) for Uttarakhand 07
received.
regions.
Interviews to be conducted shortly.
4. Recruitment of Specialist Grade- 47 Advertisement released on 29th

40
II (Sr. Scale & Jr. Scale) for September, 2021 and applications
Himachal Pradesh, Odisha, received.
Assam and Tamilnadu regions. Interviews to be conducted shortly.
Advertisement released in 22nd
Recruitment of Specialist Grade- December, 2022 and applications are
II (Sr. Scale & Jr. Scale) for being received.
5. 44
Haryana, Punjab and Bihar Interviews to be conducted after
regions. receipt of closing date of application
i.e. 31.01.2022.
Advertisement released in 29th
Recruitment of Specialist Grade- December, 2022 and applications are
II (Sr. Scale & Jr. Scale) for UP, being received.
6. 157
Gujarat, Rajasthan and Interviews to be conducted after
Maharashtra regions. receipt of closing date of application
i.e. 14th February, 2022.
Advertisement released in 16th
Recruitment of Dean for 11 ESIC
December, 2022 and applications are
7. Medical/Dental teaching 11
being received.
institutions.
Interviews held in April, 2022.
Administrative Posts

Sl. No. Of Details of Present Status


Post
No. vacancies Recruitment
Advertisement released for 26
ESIC Regions/Offices on
27.12.2021.
UDC-1769
Recruitment to the Advertisement Receipt of Online Applications
Steno. -165
1 post of UDC, Steno. released on from 15.01.2022 to
MTS–1948
& MTS 27.12.2021 15.02.2022.
Written Examinations
scheduled from March to June,
2022.
Limited Departmental Competitive Examination

Sl. Details of Present Status


Recruitment Activity
No. Recruitment
Result of successful
Advance Increment
1. Advance Increment Test for existing candidates was
Test was conducted
Stenographers. declared on
08.11.2021.
10.12.2021.
2. Half Yearly Computer Skill Test for Half Yearly Computer Notification issued on
Employees appointed to the post of Skill Test scheduled 12.01.2022.
UDC on the Compassionate for 25.2.2022.
Ground/under Sports Quota

Recruitment process for filling up vacancies in rest of the Medical, Paramedical & Nursing
and Administrative Cadre is under initiation and recruitment notifications for the same are
proposed to be issued in the year 2022.

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26. INFORMATION COMMUNICATION TECHNOLOGY DIVISION

PREAMBLE:
1. PANCHDEEP 1.0: ESIC’S E-GOVERNANCE PROJECT (09 – 21)
In order to provide hassle-free health and social security services to the stakeholders as well
as for transforming its business into total e-governance, ESIC rolled out a very ambitious
project “Panchdeep” through a national digital network, on a big bang approach, in all the
2300+ locations. Project Panchdeep is one of the largest e-governance programs of the
country to provide online facilities to the Employers, Insured Persons, ESI Staff, Third party &
government agencies, Suppliers and other stake holders. It provides registration of
employers & beneficiaries, deposition of contribution, disbursement of cash benefits and
documentation of medical services for all insured people. The task for conceiving,
integrating, capacity building, application development & implementing the project was
assigned in 2009 to a System Integrator on a BOOT model (live in 2011) and included on-
premise Data Centre, Recovery Centre, procurement, provisioning & management of
Infrastructure, MPLS connectivity, Facility management and IT Infrastructure procurement in
all 2300 locations, for 5 years. Presently it is being maintained (O & M) on best efforts basis
through a System Integrator.

2. PANCHDEEP PROJECT 1.0 BREAK-UP


The project has five components, namely, Pehchan which includes all services related
to identification, authentication and verification of Insured Persons (IPs). It initially included
capturing of biometry of the beneficiaries (for deduplication) and work related to issuance of
two Smart Identity Cards (one for IP and one for his family) for availing Benefit from any ESI
institution, anywhere in the country, anytime. Later, with inclusion of the e-Pehchan, these
were discontinued. Aadhaar is yet to be implemented; Milap comprises of all services related
to provisioning network and bandwidth; Pashaan consists of services related to hardware for
Data Centre, Disaster Recovery, desktops /PCs and Middleware; Dhanwantri includes all
services related to Hospitals, Dispensaries, OPD, IPD, Laboratories, Imaging Services and
Pragati for all services related to ERP, Insurance, Benefit, HRMS, Material Management and
Finance.

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3. PANCHDEEP 1.0 SUB-SYSTEMS

Panchdeep Subsystems

Facility Management
Infrastructure at Field Locations Centralized
Applications

Hardware Infra at Network Infra


DC, DRC & at 2300 at DC, DRC &
Locations 2300 Locations ERP+ Medical
Insurance + IP
Information
Identification
Benefit System

PEHCHAN
PASHAN MILAP PRAGATI DHANWANTRI CARD*

* Pehchan Scheme (Smart Card & Biometry) was discontinued with the initiation of Aadhaar Scheme of GoI. Alternate Paper e-
Pehchaan started without Biometry. Aadhaar is planned again to be seeded, authenticated, verified at PoS 14

43
4. PANCHDEEP APPLICATION SUITE

5. PANCHDEEP APPLICATION SUITE (SALIENT FEATURES)


The suite of applications is a centralized web-based solution that enables users of various ESI
offices to access the applications from web browsers in addition to through the dedicated
LAN/WAN. The solution is driven by a flexible & configurable workflow engine to ensure it
meets all workflow requirements of ESI scheme such as administration, requirement of
medical facilities, contribution made by employers and administration of ESIC employees. The
solution also consists of a self-service portal for the employees covered under the scheme. The
key application system is captured in the diagram below:

44
Presently, while running status quo, the Operation & Maintenance Support for Data
Centre & Disaster Recovery Centre is outsourced to a Service Provider. O & M also includes
support for all Panchdeep Applications and 3rd party Integration and consultancy support to
ESIC for taking AMC, ATS for Middleware and Hardware at DC /DRC as & when required at an
additional cost to ESIC. However, Field locations Hardware, Network, Bandwidth (Including DC
& DRC), Facility Management are out of scope of the service provider and are to be done by
ESIC. Similarly ESIC has taken over the job of procurement of IT assets and renewal of AMC,
ATS, License subscription of these assets of DC & DRC ESIC. The connectivity solution through
SDWAN in all the locations is done by another third-party vendor.
As on 01.02.2022, following new value-added provisions have been made for ease of doing
business by the stakeholders:

Beneficiary-centric value-added initiatives

1) The Atal Bimit Vyakti Kalyan Yojana (ABVKY) scheme has been made simpler &
easier. The beneficiaries need not visit their ex-employers for validation of their Claim
applications, nor they are required to visit any of the ESIC offices, in person, to submit
claim documents. They have also been empowered with the tools of ‘self-declaration’,
‘self-attestation’, ‘online-uploading’ thus abolishing the earlier requirement of Non-
Judicial Stamp Papers, certification by a Notary and physical presence, in line with the

45
vision of the Prime Minister. These small changes in the process not only saved the
beneficiaries of monetary expenses, but also prevented them of unwarranted hassles in
the current situation of Covid-19 Pandemic. The eligibility conditions have been
drastically relaxed so that more and more of the beneficiaries take relief under the
scheme to mitigate the hardship during these difficult days of national disaster. The
relief amount has been doubled and incorporated for auto-calculation by the system
defined logic. The ease of making an online claim and getting relief thereafter has been
grossly simplified. Necessary validations and system defined verifications have been
implemented for lesser human intervention and instantaneous relief amount calculation
as well as direct transfer of relief money to the beneficiary’s bank account.
2) Integration of Panchdeep Module with PMJAY for real-time eligibility check before
availing services through ‘Ayushman Bharat’ in specified districts for the benefit of the
Insured Persons.
3) A Performance Dashboard is published in www.esic.in depicting status on various Key
Performance Indicators, adding value to the organization’s credibility and deliverables.
4) A management Dashboard comprising of construction dashboard & Hospital dashboard
has been developed & deployed for the top management.
5) Unified Account Number (UAN) Seeding: About 70 Lakh UAN have been seeded against
the Insured persons by the Employers in the Panchdeep Application (Insurance Module).
The target of 75 Lakh UAN seeding, shall be met by 15 th Feb, 2022 celebrate Azadi ka
Amrit Mahotsav.
6) An API is also under making for integration with EPFO Database for authentication
deduplication of seeded UAN by the Employers.
7) For the target delivery of benefits to the bonafide Beneficiaries and for dissemination of
information from time to time, the Mobile number seeding of the newly registered
employees were made mandatory in ESIC database. The authentication of Mobile
Numbers is done through a mechanism of validation through the OTPs, up till now about
2.61 Crore mobile numbers have been seeded.
8) The seeding of Bank Account details of the newly registered employees was made
mandatory in ESIC database. The system automatically validates the IFS Codes and
fetches credentials of the bank for uniform data seeding. System prevents duplication of
bank account credentials and thus ensures target delivery of cash benefits by removing
bogus data.
9) Online verification of bank Account credentials of beneficiaries through NPCI is being
planned to be integrated. Uptill now about 2.67 Crore of Bank accounts have been
seeded in database.
10) The provisioning of Bulk uploading and seeding of Bank account details of existing
IPs/Employees made in Panchdeep application facilitated employers to quickly update
data of the existing beneficiaries.
11) E-Payment facility has been provisioned for direct disbursing of benefits to the bank
accounts of beneficiaries through SBI gateway.
12) For the convenience of the Employers / establishments, ESIC has integrated with
different Banks (SBI, BoB, ICICI, IDBI, Axis, Canara, HDFC, etc.) for online payment of
contribution by the employers using Internet Banking (Corporate and Retail) for Real

46
time remittance. Integration with other Banks is in the process for enabling employers to
make contribution payment through bank of their choice.
13) UTI-ITSL has been a partner of ESIC as 3rd party Bill Processing Agency for
processing and scrutinizing online claims and bills of private hospitals from where ESI
procures medical services in special cases mainly for tertiary care services. The software
module of UTI-ITSL has been successfully integrated with various modules of
Panchdeep. This has facilitated online referral to processing to scrutinizing and clearing
of payment against the bills raised, resulting in transparency, promptness and efficiency
of providing cashless medical services of ESIC, in case ESIC desires to procure a service
for the beneficiary that is not-available inhouse.
14) The ‘Ask An Appointment’ Mobile App has been fortified with provisions for seeking
appointment in Hospitals. A beneficiary, who has been referred to a hospital online by a
dispensary doctor, can seek an appointment for registration in OPD of a referred
department of a referred hospital, on a particular day. Furthermore, if a doctor in a
hospital has advised a beneficiary for a review visit (follow up) online, the patient can
seek an appointment to prevent waste of time in queues. Appointment facility through a
mobile app was earlier available for seeking appointment in dispensaries only. Presently,
Delhi State (DMD) has implemented this facility in dispensaries. Hospitals are being
trained to adopt the provisions .The States of Telangana and Goa are also being trained
to adopt the Appointment module. These hospitals/states are about to make necessary
configurations in the holiday master for the state/hospital /dispensary, defining time
slots based on resource availability in each of the departments/ hospitals/ dispensaries,
and the days when these departments function /operate. The one-time configuration for
each dispensary / hospital is resource intensive and is dependent on the adoption /
ownership of the controlling office. However, the module is Nation-Ready.
15) ESIC has given an option to Employers to create their account on National Career
Services (NCS) Portal on single click through Employer portal in www.esic.in. This
integration of ESIC with NCS helps Employers to further post the vacancies in their
industries on NCS portal resulting in value addition proposition to the beneficiaries.
16) The www.esic.in portal has been revamped for a new look and ease of accessing.
Security compliances of www.esic.in, as mandated by GIGW and VAPT, have already
been made.
17) The www.esic.in is being gradually made multilingual. To start with provision for
selection of Marathi, Punjabi, Telugu, Tamil, Malayalam, Gujarati & Kannada languages
have been made in the IP Portal in addition to Hindi and English.
18) The UMANG Mobile App: Many Panchdeep value-added information and functionalities
are provided to the beneficiaries through the Unified Mobile Application platform for
New-age Governance (UMANG) of Government of India. The facilities of the UMANG App
has been successfully enhanced (May-June 2021) with added features. Any ESI centre or
a tie-up hospital (PMJAY or UTI-ITSL) can be searched in the app, based on distance
and /or services available therein. This data-intensive enhancement is an
important achievement considering the intricacies & complexities, which has become
possible due to inter-departmental coordinated efforts of the ESIC ICT Team with the

47
ESI field locations, Tie-up hospitals, Ayushman Bharat, UTI-ITSL and NeGD and their
respective IT Service Providers, Business Analysts, etc.
It is a matter of pride that recently, ESIC bagged “Award of Excellence 2020” and
was selected as UMANG Silver Partner for achieving 5 – 10 lakh average transactions per
month for the services being offered through UMANG ESIC Chinta Se Mukti App.
19) DHANWANTRI Mobile App: The Dhanwantri Mobile App is an extension of the
Dhanwantri Web App and is meant for ESIC & ESIS Doctors, modified Insurance Medical
Practitioners (mIMPs), Chemists/ Diagnostic Centres of mIMP scheme. It has been
enhanced (May-June 2021) further successfully to help Doctors prescribe pre-defined
terms of drugs, diagnosis and tests. mIMPs can capture clinical data through hand-held
devices. The App has now features as per the expected outcome. International
Classification of Disease ver-10 (ICD 10) and the Systemic Nomenclature of Medical and
Clinical Terminology (SNOMED-CT) as available in the Dhanwantri web module, are also
linked to this Mobile App for capturing of standardised terms of diagnosis/ disease,
without requiring extended typing by the physicians.
20) Changing Dispensary by IP at ease: New Facility has been provisioned for the
Insured Persons to generate request online, at his comfort to Change Dispensary / IMP
Clinic of his choice, subject to the permissible limit and conditions. This shall empower
the beneficiary to access services at ease and prevent his unnecessary travels to the
offices/ employer.
21) Multilingual SMSs to the IPs: The Beneficiaries are being facilitated for opting
language in which value-addition SMSs may be sent to them. Now IP can choose or
change Language of his choice for receiving SMSs. He shall have any one of the 12
different languages to choose, in addition to the National Language. By default, it shall
be in Hindi for North India and in English for South India. The module is made ready and
deployed. However, translation of SMSs in regional languages are in progress and shall
be implemented soon.
22) COVID-19 Dashboard in www.esic.in: A new value-added feature has been
implemented for the benefit of the citizen of the Nation to help during these difficult
periods of the COVID-19 Pandemic. An information Dashboard has been developed
which depicts the near-Realtime status of the availability of vacant beds, oxygen and ICU
facilities. RT-PCR testing capability, availability and Vaccination programme related
information. Even though, it is a small step, but it has earned wide appreciation from the
patients and attendants requiring such information.
23) Engagement of a professional IT Consulting Entity: ESIC is in the process of
engaging a professional IT Consulting Entity of repute for revamping of 12 years
old IT system of ESIC ‘Panchdeep 1.0’ to ‘Panchdeep 2.0’. The engaged professional
body shall not only examine and recommend on the quantum and nature of the resource
requirements in ESIC IT set up, but also be responsible for advising on commissioning &
operationalization of critical technical modernization processes and activities of ‘Project
Panchdeep’. The actionable deliverables shall include suggesting appropriate technology
solutions and hiring of managed services, infrastructural and connectivity solution and
other technological upgradation in line with the vision of ESIC, as well as identify the
requirement for technical manpower at Hqrs Office, DC/DR and field units for building an

48
inhouse IT team. The entity may be engaged through the Government agencies such as
NICSI, C-DAC, etc., or from the open market. The proposal was approved by the
Standing Committee in its 220th Meeting, held on 26.11.2020.
24) ESIC has been permitted by UIDAI to become sub-AUA of Ministry of Labour &
Employment for performing online authentication of Aadhar in addition to storing the
complete eKYC, as per Regulation 16(2) of the Aadhaar ( Authentication & Offline
verification) Regulation, 2021, in the Aadhaar Data Vault to be procured by ESIC. UIDAI
has provided approval for registration of un-organised worker or any other person, as
mandated in The Code of Social Security, 2020.
25) ESIC has on boarded in “PRAYAS”(prayas.nic.in) and is sharing 2 Keys Performance
Indicators(KPIs) on the outpatient services of the ESI health Centres and showcasing
information in the PRAYAS Dashboard.

27. e - Procurement/Government at e-Market Places/ Swachhta Action Plan (SAP)


e-Procurement:

e-PROCUREMENT

ESIC has undertaken e-Tender through NIC/NICSI from 01-02-2019 and onward on Central
Public Procurement Portal (CPPP). Thus, ESIC has complied the directive of Govt. of India
issued vide circular No. D-11/12/Hqrs.Misc/2015-Genl. Dated 14-03-2019 for making it
compulsory that e-Procurement of all tenders should be done through on CPPP.

GOVERNMENT e-Market Place

As per direction of Govt. of India Circular No. F-13/4/2017-PPD (PT) dated 3rd May, 2016, all
procurements have to be made through GeM. Accordingly, ESIC issued a Circular No. D-
13/11/All India Circular/2016-Genl. Dated 25.072017 for making it compulsory for all
Ros/SROs/Hospitals to procure all goods & services available on portal through GeM.
Accordingly, ESIC is complying the directives of Govt. of India.

SWACHHTA ACTION PLAN (SAP)

As per direction of Ministry of Labour & Employment, Govt. of India vide their letter No. D-
Adm-II dated 25/06/2018, ESIC has undertaken activities fo-2014/3/31016r
cleanliness/Awareness drive during Swachhta Action Plan commencing fromThe .2018/04/01
directives circulated to all theRegional Office/Sub-Regionaloffices/ESIC Hospital &
Medical/Dental Colleges across the country for compliance.

49
28. Management Services Unit:

ISO Certificate in ESIC: - All Regional/Sub Regional Offices, D(M)D, ESIC Model Hospital
were expected to get themselves audited for quality Services and get certified under the latest
QMS. As on 01.01.2022, Total 79 field units have been awarded ISO Certificate.

VIP/MP reference: - Coordination in respect of 236 No. MP/VIP reference received during
the year has been done with respective branches of Hqrs. Office.

Productivity Linked Bonus: - On the basis of calculation done by MSU payment of


Productivity Linked Bonus (PLB) has been made to employees of the Corporation for the year
2020-21.

Review of Citizen/Clients Charter:- Citizen’s / Clients Charter of Employees’ State


Insurance Corporation for the year 2020-21 has been prepared/ finalised after getting relevant
data from respective branches of Hqrs. Office.

50
29. 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. General Information regarding ESI Scheme Annexure – I 52-57


2. Benefits & Contributory conditions Annexure - II 58-62
3. List of Regional Office/Sub-Regional Annexure – III 63-67
Office/Dispensary-cum-Branch Office
4. Revenue & Expenditure of Corporation Annexure – IV 68
5. Progress made under ISM/AYUSH as on Annexure – V 69-75
01.01.2022
6. Process of formulation of Rate Contract Annexure – VI 76-77

51
Annexure-I(A)

29(I)(a) GENERAL INFORMATION REGARDING EMPLOYEES’ STATE INSURANCE


SCHEME

1. COVERAGE UNDER THE ESI ACT, 1948:

i. The Act is applicable to factories employing 10 or more persons.


ii. 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 10 or more coverable employees in 31
States/UTs. (Except – Arunachal Pradesh, Manipur, Andaman & Nicobar Island, Dadar
& Nagar Haveli Daman & Diu and Lakshadweep)
iii. The Scheme has further been extended under Section 1(5) of the Act to Educational
Institutions in 28 States/UTs. (Except - Arunachal Pradesh, Gujarat, Maharashtra,
Manipur, Andaman & Nicobar Island, Chandigarh, Dadar and Nagar Haveli Daman &
Diu and Lakshadweep) and to Private Medical Institutions in 27 the States/UTs. (Except
- Arunachal Pradesh, Gujarat, Maharashtra, Manipur, Andaman & Nicobar Island, Dadar
and Nagar Haveli Daman & Diu, Lakshadweep and Puducherry)
iv. The scheme is also being extended to contract & casual employees of Municipal
Corporation & Municipal bodies
v. The existing wage-limit for coverage under the Act, is Rs. 21,000/- per month w.e.f.
01.01.2017(Rs. 25000/- per month in case of persons with disability)

2. AREAS COVERED.

The ESI Scheme is being implemented District wise in stages. The Scheme has already been
implemented in different areas in the following States/Union Territories: -

I. States: All the States.


II. Union Territories: Notified in all union territories except Lakshadweep.

Out of the 35 notified States & UT's, entire area in 13 states/UT's are notified for coverage
under ESI Scheme.
3. EXPANSION OF ESI SCHEME (Vision 2022)

In furtherance of second generation reforms ESIC 2.0, ESIC has worked out an action plan for
All India coverage of ESI scheme with the following targets as per Vision – 2022.

S. No. Subject Target Year


1 To fully implement the Scheme in 153 Districts where it is 31st March, 2022
partially notified and 148 Districts where scheme is non-
notified.

Simultaneous with expansion of ESI Scheme to a vast geographical area of the country, ESIC
shall make the benefits of social security available to all eligible employees and their family
members under ESI Scheme.

52
Code on Social security, 2020 (Act 36 of 2020) has been notified for information. The effective
date of implementation is also expected to be notified shortly. The code subsumes ESI Act,
1948 along with eight other central enactments in the field of Social Security. Once notified,
the entire area of the country shall be implemented for the purposes of ESI Scheme under
Section 1(3) of the Code.

Medical arrangement through State Govt. is being expedited by respective Regional Directors
for extending the coverage of ESI Scheme. In cases where NOC is given by the State Govt.,
ESIC is directly making the medical arrangement in the non-implemented area. For this ESIC
has framed following policy for setting up of new DCBOs/operationalisation of earlier approved
DCBOs in consultation with Ministry of Labour & Employment, Govt. of India: -

1. DCBOs would be established/ operationalized in only such districts which have no


ESI Dispensary and have IP Population of 3000 or more within a radius of 10 Km.
In case a Branch office is already there in such district, then the branch office may
be converted into DCBO.
2. In districts having less than 3000 IPs with 10 Km, medical facilities may be
provided through IMP Clinic / private empanelled hospitals.

3. There shall be minimum two (2) doctors in each DCBO.


4. There should be no IMP within a radius of 10 Km of DCBO, and if so, the same
shall be dis-empanelled.
5. DCBO should be located at such place which is easily accessible by public transport
from every corner of the district and have the maximum IP population.

The revised policy has been reviewed and accepted by 185th meeting of ESI corporation held
on 07.09.2021.
RECENT INITIATIVES FOR EXPANDING COVERAGE UNDER THE SCHEME.
Under Vision 2022, the scheme is being notified in entire area of the Districts where
the scheme is either partially notified in centers or non-notified. The Scheme has been
extended to 439 Complete Districts & in 153 districts where it is partially implemented in
Districts Hqrs. Area & prominent industrial centers.
Vision 2022 proposes to expand the coverage of ESIC to the entire nation covering all
Districts by the year 2022.

53
Annexure-I(B)

STATISTICAL DATA REGARDING ESI SCHEME (ALL INDIA)

S. Heads ALL INDIA


No.
As on 31.03.2020 As on 31.03.2021
1 No. of Employees covered 30966930 24672150
2 No. of I.P's Covered 34144140 33919370
3 No. of Beneficiaries 132479263 131607156
4 No. of Insured Women 6265035 6163406
5 No. of Emolyers’ registered 1236565 1482125
6 No. of Contributing Employer 603300 597479

The RO/SRO wise bifurcation of the data is given below:

RO/SRO-WISE NO. OF EMPLOYERS, CONTRIBUTING EMPLOYERS EMPLOYEES,


INSURED PERSONS & INSURED WOMEN AS ON 31.3.2020
Sl. State/ Region/ Area Total Contributing No. of No. of No. of
No Employers Employers Employees Insured Insured
Persons Women
1 2 3 4 5 6 7
ANDHRA PRADESH

1 i)VIJAYAWADA 23858 11758 585820 632300 169788


2 ii)TIRUPATHI 9684 3867 243100 268360 80328
3 iii)VISAKHAPATNAM 12121 5753 367650 404930 87013
ASSAM, MEGHALYA,
4 NAGALAND, TRIPURA 16897 6823 296740 318050 49651
MIZORAM & MANIPUR

5 BIHAR 16453 6182 314600 339530 27843


6 CHANDIGARH(UT) 5921 3069 153510 167850 25268
7 CHATTISGARH 18748 9159 454510 502700 54549
DELHI

8 i) RAJENDER PLACE 23707 10722 397070 432500 53915


9 ii)NAND NAGARI 16109 6035 162570 180360 19656
10 iii) ROHINI 20061 11645 230330 253120 30014

54
11 iv) OKHLA 23559 11598 654990 730370 72665
12 GOA 7496 4111 186460 209270 37279
GUJARAT

13 i) AHMEDABAD 32980 17630 769220 847240 95995


14 ii) ALKAPURI BARODA 13676 8498 405090 458440 40313
15 iii) SURAT 12844 6446 381150 416610 38252
HARYANA

16 i) FARIDABAD 30039 16504 751690 863960 96444


17 ii)GURGOAN 24568 10906 1089230 1269080 125460
18 iii)AMBALA 17641 7786 247790 273060 30513
19 H.P. 9413 4999 310200 348140 46747
20 J & K 5808 2594 121980 133440 16501
21 JHARKHAND 22252 9194 414550 446260 53482
KARNATAKA

22 i) BINNY PETH 33853 15104 1024980 1144200 311573


23 ii) HUBLI 14210 7922 328320 351580 82956
24 iii)PEENYA 16119 8007 479880 538170 185360
25 iv)BOMASUNDRA 16951 7591 728830 818540 230711
26 v) GULBARGA 8299 3772 161200 175680 25680
27 vi) MYSORE 7194 3782 234120 256820 93966
28 vii) MANGALORE 6586 4473 189680 200880 80806
KERALA & MAHE

29 i)THRISSUR 7081 4960 151890 162850 74273


30 ii)ERNAKULAM 16390 9733 402950 437870 156566
31 iii)KOLLAM 8571 4133 137350 155810 97205
32 iv) KOZHIKODE 10320 5392 160380 171050 74791
33 v) 6575 3078 136720 147430 64872
THIRUNANTHANPURAM
M. P.

34 i) INDORE 24215 10912 628560 693540 96200

55
35 ii)BHOPAL 13180 5950 325050 350900 46676
MAHARASHTRA

36 i) LOWER PAREL 30932 11707 534300 583040 85176


37 ii) MAROL 32189 14727 811110 876870 143457
38 iii) THANE 29968 15562 763880 830820 108613
39 iv) NAGPUR 14795 7292 334620 357570 31955
40 v) AURANGABAD 10900 5600 271740 302830 30517
41 vi) PUNE 50768 24248 1393050 1530890 218209
42 vii) NASIK 8140 4791 196960 216600 22008
43 ODISHA 27855 11938 685850 741390 73544
44 PUDUCHERRY & AN 4708 2224 106460 117690 37575
Islands
PUNJAB

45 i)CHANDIGARH 15937 8430 420520 466900 78606


(PUNJAB)
46 ii)JALANDHAR 11388 6984 274230 295520 60124
47 iii)LUDHIANA 17082 10208 379320 420470 60392
RAJASTHAN

48 i)JAIPUR 38888 20727 898030 1002260 109789


49 ii)UDAIPUR 7951 4502 204640 226500 28267
50 iii)JODHPUR 11669 6587 176920 196220 24650
51 SIKKIM 668 368 25760 27980 7727
TAMIL NADU

52 i) CHENNAI 62420 27140 1827520 2040390 605999


53 ii) TIRUNELVELI 9916 5118 179120 191840 78651
54 iii) SALEM 15308 7934 374910 415530 111966
55 iv) COIMBATORE 26163 14427 778640 874830 309661
56 v) MADURAI 16388 8968 415990 447100 185460
57 TELANGANA 63510 28946 1665170 1835360 427980
UTTAR PRADESH

58 i)KANPUR 25301 10967 461300 496080 44192

56
59 ii) VARANASI 5401 2584 121620 129490 11039
60 iii) NOIDA 36971 18227 1151620 1307670 153818
61 iv) LUCKNOW 17427 7190 476250 515080 46614
62 UTTRAKHAND 15611 7518 558640 644060 86035
WEST BENGAL

63 i) KOLKATA 52577 27007 1312490 1387180 157262


64 ii) BARRACKPORE 10242 5595 308970 323190 37323
65 iii) DURGAPUR 12113 5696 229140 241900 15115
ALL INDIA 1236565 603300 30966930 34144140 6265035

57
Annexure-II
29(II). BENEFITS & CONTRIBUTORY CONDITIONS
Sl. Name of the Contributory Duration of
Quantum of Benefit
No. benefit (s) conditions Benefit
(i) SICKNESS Payment for at 91 days in any two (70% of daily average
(a) BENEFIT least 78 days in the consecutive benefit wages)
relevant periods.
contribution period
(b) EXTENDED Continuous Two years 80% of daily average
SICKNESS employment for a (Maximum) wages
BENEFIT period of two years
(for 34 specified and contribution for
long-term diseases) 156 days in four
consecutive
contribution
periods.
(c) ENHANCED Same as for 7 days for 100% of daily
SICKNESS Sickness Benefit. vasectomy and 14 average wages
BENEFIT days for tubectomy;
(for undergoing extendable in cases
sterilization operation in post-operative
for family welfare.) complication etc.
(ii) DISABLEMENT
BENEFIT ( There are two types of benefits comes under Disablement Benefit
EMPLOYMENT which are as under:-
INJURY)
(a) TEMPORARY He/She should be Till the incapacity 90% of the daily
DISABLEMENT an employee on the lasts. average wages
BENEFIT date of employment
injury.

(b) PERMANENT -do- For life Depends upon the loss


DISABLEMENT of earning capacity of
BENEFIT the workers which is
determined by a
Medical Board.
(iii) DEPENDANTS The deceased 1. To 90% of the daily
BENEFIT should be an widow/widows for average wages to be
(Rule 58) employee on the life or until divided amongst the
date of fatal remarriage dependents in the
accident. 2. To widowed prescribed ratio.
mother during life.
3. to legitimate or
adopted son until
he attains the age
of twenty five

58
years.
4. To legitimate or
adopted daughter
till marriage.
5. To legitimate or
adopted son or
daughter wholly
dependent 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.
6.To other
dependents for life
or till marriage or
upto the age of 18
years, as the case
may be
(iv) MATERNITY Payment of An Insured Woman 100% of daily average
BENEFIT contribution for 70 shall be entitled to wages.
days in immediately maternity benefit
preceding two for 26 weeks of
consecutive which not more
contribution than 8 weeks can
periods. precede the
expected date of
confinement. A
commissioning
mother and an
adopting mother
are eligible for
maternity benefit
for 12 weeks.
Maternity benefit
for 6 weeks for
miscarriage and
additional one
month for sickness
arising out of
pregnancy/confine
ment/ premature
birth of child/
miscarriage is also
provided.
Insured woman

59
having two or more
than two surviving
children shall be
entitled to receive
maternity benefit
during a period of
twelve weeks of
which not more
than six weeks shall
preceded the
expected date of
confinement.
(v) FUNERAL He should be an
EXPENSES insured person on Rs. 15,000/-.
the date of death.
(vi) REHABILITATION Entitlement to For each day on At 100% of daily
ALLOWANCE medical benefit or if which insured average wages.
disabled due to person remains
employment injury. admitted in Artificial
Limb-Centre for
fixation/repair or
replacement of
artificial limb.
(vii) MEDICAL BENEFIT On payment of Full Medical care.
TO RETIRED/DISA Rs.10/- p.m. in Period for which
BLED INSURED lump-sum for one contribution is paid.
PERSONS AND year in advance
HIS/HER SPOUSE (I) by insured
persons who retire
from insurable
employment on
attaining the age of
superannuation or
under VRS or
prematurely after IPs are entitled for
being in insurable full medical care for
employment for not self and spouse
less than five years only, Period for
(ii) by insured which contribution
persons who cease is paid, till attaining
to be in insurable the age of
employment on superannuation.
account of
permanent
disablement due to
an employment
injury.
(iii) This benefit is

60
also be made
available to widows
of Insured Person,
who are in receipt
of dependent
benefit, on
payment of
contribution as
prescribed under
Rule 60 till the date
on which IP/IW
would have vacated
the employment on
attaining the age of
superannuation,
(viii) CONFINEMENT To an Insured Up to two Rs. 7500/- per case.
EXPENSES Woman or an I.P. in confinements only
respect of his wife w.e.f. 27.10.2020
incase facilities for
confinement are
not available in ESI
Institutions.
(ix) VOCATIONAL Not more than 45 All the days of Rs. 123/- per day or
REHABILITATION years of age and training in the actual amount
ALLOWANCE disability not le Vocational charged by Vocational
SKILL than 40% due to Rehabilitation Rehabilitation Centre,
DEVELOPMENT Employment Injury Centre whichever is higher.
SCHEME UNDER
R.G.S.K.Y.
(x) UNEMPLOYMENT An I.P. who has lost Maximum period of IP/IW would get the
ALLOWANCE employment due to two year during life benefit as per the
closure of factory, time w.e.f. following slab:
retrenchment or 06.09.2016 0 to 12 13 to 24
permanent months months
disablement of at
least 40% arising 50% pf 25% of
out of non- the last the last
employment injury Av. Av. Daily
and the Daily wages
contribution in wages
respect of him have
been paid/payable
for a minimum of
two years prior to
the loss of
employment

61
(xi) VOCATIONAL IP/IW should be in Short duration of Entire fee charged by
REHABILITATION receipt of ten weeks or other the Institutions is to
SKILL Unemployment longer duration be paid by the
DEVELOPMENT Allowance under courses of upto six Corporation. To and
SCHEME (UNDER Rajiv Gandhi months at Advance for Rail/Bus fare to
RAJIV GANDHI Shramik Kalyan Vocational Training IP/IW who has to
SHRAMIK KALYAN Yojana Institutions. travel to attend the
YOJANA) training programme at
AVTIs as charged, is
reimbursed.

(xii) NEW ADDITION Conveyance 10.Conveyance Under this Scheme,


Allowance Allowance to PDB beneficiaries are
Permanent paid Rs. 100/- as
Disablement Benefit conveyance allowance
(PDB) beneficiaries- on their personal visit
regarding to Branch Office for
submission of life
certificate once in a
year.
(xiii) ATAL BIMIT Atal Beemit Vyakti Cash compensation Per day Rate of relief
VYAKTI KALYAN Kalya Yojana upto Ninety (90) under ATAL Bimit
YOJANA (ABVKY) provides relief to days, once in a Vyakti Kalyan Yojan is
Insured person who lifetime, to be 50% of average
become claimed in one or earning per day.
unemployed in the more spells.
form of cash
compensation up to
Ninety (90) days @
50% average daily
earning;
Provided the
employee
have completed
one year of
insurable
employment and
have contributed
not less than
Seventy-eight (78)
days in one periods
immediately
preceding to the
claim of relief.

62
ANNEXURE – III

29(III) List of Regional Office/Sub-Regional Office/Dispensary-cum-Branch Office


(a) List of Regional Office/Sub-Regional Office:
SL. NAME OF DISTRICT/ REGIONAL OFFICE (RO)/ SUB-
NO. STATE/ UT LOCATION REGIONAL OFFICE (SRO)
1 VIJAYWADA RO
ANDHRA VISHAKHAPATNA SRO
2 PRADESH M
3 TIRUPATHI SRO
4 ASSAM GUWAHATI RO
5 BIHAR PATNA RO
6 CHATTISGARH RAIPUR RO
7 DELHI RO
8 ROHINI SRO
DELHI
9 NAND NAGRI SRO
10 OKHLA SRO
11 GOA PANAJI RO
12 AHMEDABAD RO
13 GUJARAT SURAT SRO
14 VADODARA SRO
15 FARIDABAD RO
16 GURGAON SRO
HARYANA
AMBALA (to be SRO
shifted to
17 KARNAL)
HIMACHAL
BADDI
18 PRADESH RO
19 J&K JAMMU RO
20 JHARKHAND RANCHI RO
21 BANGALORE RO
22 KARNATAKA BOMMASANDRA SRO
23 PEENYA SRO

63
24 MANGALORE SRO
25 HUBLI SRO
26 GULBARGA SRO
27 MYSORE SRO
28 THRISSUR RO
THIRUVANANTHA SRO
29 PURAM
KERALA
30 KOLLAM SRO
31 ERNAKULAM SRO
32 KOZHIKODE SRO
33 MADHYA INDORE RO
34 PRADESH BHOPAL SRO
35 MUMBAI RO
36 MAROL SRO
37 THANE SRO
38 MAHARASHTRA PUNE SRO
39 NAGPUR SRO
40 AURANGABAD SRO
41 NASIK SRO
42 ODISHA BHUBANESHWAR RO

43 JHARSUGUDA SRO
44 PUDUCHERRY PUDUCHERRY RO
45 CHANDIGARH RO
46 PUNJAB JALANDHAR SRO
47 LUDHIANA SRO
48 JAIPUR RO
49 RAJASTHAN JODHPUR SRO
50 UDAIPUR SRO
51 CHENNAI RO
52 TAMILNADU COIMBATORE SRO
53 MADURAI SRO

64
54 TIRUNELVELI SRO
55 SALEM SRO
56 TELANGANA HYDERABAD RO
57 NOIDA SRO
58 UTTAR KANPUR RO
59 PRADESH LUCKNOW SRO
60 VARANASI SRO
61 UTTARAKHAND DEHRADUN RO
62 KOLKATA RO
63 WEST BENGAL BARRACKPORE SRO
64 DURGAPUR SRO

(b)District wise functional DCBOs

NAME OF THE
S.No. State/UT LOCATION
DISTRICT

1 Assam DARRANG 1. MANGALDOI

GUNTUR 2. GUNTUR

CHITOOR 3. TIRUPATI
2 Andhra Pradesh
SRIKAKULAM 4. SRIKAKULAM

ANAKAPALLE 5. ANAKAPALLE

3 Arunachal Pradesh ITANAGAR 6. PAPUMPARE


Andaman & Nicobar
4 PORT BLAIR 7. PORT BLAIR
Island

BHAGALPUR 8. BHAGALPUR

5 Bihar BEGUSARAI 9. BEGUSARAI

BHOJPUR 10. ARA

BHAVNAGAR 11. BHAVNAGAR

6 Gujarat BHARUCH 12. ANKELSHWAR

VALSAD 13. VAPI


7 Haryana FARIDABAD 14. FARIDABAD

65
BAHADURGARH 15. JHAJJAR

8 Himachal Pradesh MANDI 16. MANDI

SRINAGAR 17. SRINAGAR

UDHAMPUR 18. UDHAMPUR

9 J&K REASI 19. KATRA

KATHUA 20. KATHUA

SAMBA 21. BARIBRAHMA

10 Jharkhand EAST SINGHBHUM 22. GHATSHILA

CHIKKABALLAPURA 23. CHIKKABALLAPURA

CHAMRAJNAGAR 24. CHAMRAJNAGAR


11 Karnataka KODAGU 25. KODAGU

UTTARA KANNADA 26. UTTARA KANNADA

27. CHIKKAMAGLURU

12 Kerala IDDUKKI 28. MUNNAR

KHARGONE 29. SANAWAD

13 Madhya Pradesh NEEMUCH 30. KHOR

SAGAR 31. BINA

MUMBAI 32. COLABA

AURANGABAD 33. WALUJ

BULDHANA 34. KHAMGAON

GONDIA 35. GONDIA

SANGLI 36. SANGLI

RAIGARH 37. PANVEL


14 Maharashtra
CHANDRAPUR 38. KORPANA

WARDHA 39. WARDHA

YAVATMAL 40. YAVATMAL

PALGHAR 41. PALGHAR

THANE 42. MURBAD

NASIK 43. SINNAR

15 Manipur WEST IMPHAL 44. WEST IMPHAL

16 Orissa SUNDERGARH 45. VEDVYAS

66
BARNALA 46. BARNALA
17 Punjab
PATIALA 47. RAJPURA

JHUNJHUNU 48. JHUNJHUNU

CHITTORGARH 49. CHITTORGARH

AJMER 50. AJMER


18 Rajasthan
PALI 51. PALI

JODHPUR 52. JODHPUR

UDAIPUR 53. UDAIPUR

54. Ambattur Industrial


19 Tamilnadu CHENNAI
Estate

HYDERABAD 55. SANATHNAGAR

56. SIRPUR
KUMARAMBHEEM
KAGHAZNAGAR
ASIFABAD

MAHABUBNAGAR 57. MAHABUBNAGAR

20 Telangana NIZAMABAD 58. NIZAMABAD

PEDDAPALLI 59. RAMAGUNDAM

SANGAREDDY 60. SADASIVPET

WARANGAL URBAN 61. WARANGAL

YADADRI BHUVANAGIRI 62. BIBINAGAR

RANGAREDDY 63. L.B. Nagar

KANPUR DEHAT 64. KANPUR DEHAT


21 Uttar Pradesh
HAPUR 65. HAPUR

MALDA 66. MALDA

22 West Bengal 24 SOUTH PARGANAS 67. FALTA

BANKURA 68. BANKURA


TOTAL FUNCTIONAL
68
DCBO

67
ANNEXURE-IV

29(IV) REVENUE & EXPENDITURE OF CORPORATION

S.No. Particulars Amount (Rs. In Crore)


1. Revenue of ESI Corporation
Actual from 1.4.2021 to 30.11.2021 14,189
(Unaudited):-

i. Contribution Income Rs. : 9,714


ii. Interest and Other Income Rs. : 4,475

2. Total Expenditure
Actual from 1.4.2021 to 30.11.2021 9,363
(Unaudited):-

i. Medical Expenditure Rs. : 6,896


ii. Cash & Other benefits Rs. : 1,103
iii. Administrative Expenditure Rs. : 1,001
iv. Capital Expenditure Rs. : 363

68
ANNEXURE-V
29(V) PROGRESS MADE UNDER AYUSH AS ON 01.01.2022
Statement Showing facilities provided in AYUSH(Ayurvedic, Yoga, Unani, Siddha, &
Homeopathy) in various State of the country as on 01/01/2022 in ESIC/ESIS

AYUSH Units in ESIC Hospitals:

Sl. Name of the Location of the Hospital Ayurveda Yoga Homeopathy Total
No. State
1. Assam Beltola, Guwahati 1 1 1 3
2. Bihar Phulwarishariff, Patna 1 - - 1
3. Delhi Basaidarapur 1 - 1 2
4. Delhi Jhilmil 1 - 1 2
5. Delhi Okhla 1 1 1 3
6. Delhi Narela 1 - 1 2
7. Delhi Rohini 1 1 1 3
8. Gujarat Ankleshwar 1 - - 1
9. Gujarat Bapunagar, Ahmedabad 1 1 - 2
10. Gujarat Naroda 1 - - 1
11. Gujarat Vapi 1 1 - 2
12. Haryana Faridabad 1 1 1 3
13. Haryana Gurgoan 1 - 1 2
14. Haryana Manesar 1 1 1 3
15. Himachal Pradesh Baddi 1 1 1 3
16. Jammu & Bari Brahmna 1 - - 1
Kashmir
17. Jharkhand Adityapur 1 - - 1
18. Jharkhand Namkum, Ranchi 1 1 1 3
19. Karnataka Rajaji Nagar, Bengalore 1 - 1 2
20. Karnataka Peenya, Bengalore 1 - 1 2
21. Kerala Ashramam, Kollam 1 - 1 2
22. Kerala Ezhukone 1 - 1 2
23. Kerala Udyogmandal 1 - 1 2
24. Madhya Pradesh Nanda nagar, Indore 1 1 1 3
25. Maharashtra Andheri, Mumbai 1 - - 1
26. Maharashtra Bibvewadi 1 - - 1
27. Orissa Rourkela 1 1 - 2
28. Punjab Chandigarh 1 - - 1
29. Punjab Ludhiana 1 - 1 2
30. Rajasthan Bhiwadi 1 - 1 2
31. Rajasthan Jaipur 1 1 1 3

69
32. Tamil Nadu K.K. nagar, Chennai 1 1 1 3
33. Tamil Nadu Tirunelveli 1 1 1 3
34. Telangana Sanathnagar, 1 1 - 2
Hyderabad
35. Uttar Pradesh Bareilly 1 - 1 2
36. Uttar Pradesh Noida Sector -24 1 1 1 3
37. Uttar Pradesh Lucknow 1 1 1 3
38. Uttar Pradesh Sahibabad 1 - - 1
39. Uttar Pradesh Varanasi 1 - - 1
40. Uttar Pradesh Jajmau, Kanpur 1 - - 1
41. West Bengal Joka 1 1 1 3
Total 41 18 26 85

AYUSH Units in ESIC Dispensaries

Sl. Location of Dispensary Ayurveda Homeopathy Total


No.
1. Azadpur 1 - 1
2. Dwaraka Sec-7 1 1 2
3. Kalkaji 1 - 1
4. Mangol puri 1 1 2
5. Maya puri 1 - 1
6. Mayur Vihar 1 - 1
7. Modi mill 1 1 2
8. Najafgarh 1 - 1
9. Nand Nagri 1 1 2
10. NIA 1 1 1 2
11. Paharganj 1 - 1
12. Rohini Sec.5 1 - 1
13. Sarojini Nagar 1 1 2
14. Seelampur 1 - 1
15. Tilak Vihar 1 - 1
16. Wazirpur 1 - 1
17. Noida Sec-12 1 1 2
18. Inderlok - 1 1
19. Jwalapuri - 1 1
20. Sabzi Mandi 1 - 1
21. Shastri Nagar - 1 1
Total 18 10 28

70
AYUSH UNITS IN ESIS HOSPITALS
Sl. Name of the State Location of the Ayur Yog Unani Siddha Homeo Total
No. hospital veda a pathy
1. Andhra Pradesh Adoni - - - - 1 1
2. Andhra Pradesh Rajahmundry 1 - - - 1 2
3. Andhra Pradesh Tirupati 1 - - - 1 2
4. Andhra Pradesh Visakhapatnam 1 - - - 1 2
5. Andhra Pradesh Vijayawada 1 - - - 1 2
6. Goa Margao 1 - - - 1 2
7. Gujarat GH Rh, 1 1 - - - 2
Ahmedabad
8. Gujarat Gh Kalol 1 1 - - - 2
9. Gujarat Gh Rajkot 1 1 - - - 2
10. Gujarat Gh Jamnagar 1 1 - - - 2
11. Gujarat Gh Bhavnagar 1 1 - - - 2
12. Gujarat Gh Vadodara 1 1 - - - 2
13. Gujarat Gh Surat 1 1 - - - 2
14. Haryana Jagadhari 1 - - - - 1
15. Haryana Panipat 1 - - - - 1
16. Himachal Pradesh Parwanoo 1 - - - - 1
17. Karnataka Indranagar, 1 - - - 1 2
Bangalore
18. Kerala Mulamkunnathuka 1 - - - - 1
vu, Thrissur
19. Maharashtra Mulund 1 - 1 - 1 3
20. Maharashtra Nashik 1 1 1 - 1 4
21. Maharashtra Nagpur 1 1 1 - 1 4
22. Maharashtra Aurangabad 1 - - - - 1
23. Maharashtra Solapur 1 - - - 1 2
24. Maharashtra Pune 1 1 - - 1 3
25. Orissa ESISH Choudwar 1 - - - - 1
26. Punjab Mohali 1 - - - - 1
27. Punjab Phagwara 1 - - - - 1
28. Punjab Mandigobindgarh 1 - - - - 1
29. Punjab Hoshiarpur 1 - - - - 1
30. Rajasthan Jodhpur - - - - 1 1
31. Tamil Nadu Ayanavaram 1 - 1 1 1 4
32. Tamil Nadu Hosur 1 1 - 1 - 3
33. Tamil Nadu Madurai 1 1 1 1 1 5
34. Tamil Nadu Salem 1 1 - 1 - 3
35. Tamil Nadu Sivakasi 1 - - 1 - 2
36. Tamil Nadu Trichy 1 1 - 1 - 3
37. Tamil Nadu Vellore 1 - - 1 - 2
38. Tamil Nadu Coimbatore 1 1 1 1 1 5
39. Telangana Nacharam 1 - - - 1 2
40. Uttar Pradesh Pandunagar, 1 - - - 1 2
Kanpur
41. Uttar Pradesh Kidwai Nagar, 1 - - - 1 2

71
Kanpur
42. Uttar Pradesh Saharanpur 1 - - - 1 2
43. Uttar Pradesh Nani, Prayagraj 1 - - - 1 2
44. Uttar Pradesh Agra 1 - - - 1 2
45. Uttar Pradesh Modi Nagar, 1 - - - 1 2
Ghaziabad
46. Uttar Pradesh Sarvodiya nagar, - - - - 1 1
Kanpur
47. West Bengal Bandel 1 - - - 1 2
48. West Bengal Budge Budge 1 - - - 1 2
49. West Bengal Kamarhati 1 - - - 1 2
50. West Bengal Sealdah 1 - - - 1 2
51. West Bengal Uluberia - - - - 1 1
52. West Bengal Gaurhati - - - - 1 1
Total Units 47 15 6 8 30 106
AYUSH UNITS IN ESIS DISPENSARIES
Sl. Name of the Location of the Ayur Yoga Unani Siddha Homeo Total
No. State Dispensary veda pathy
1. Bihar Hathidah 1 - - - - 1
2. Bihar Jamal Road 1 - - - - 1
3. Bihar Samastipur - - 1 - - 1
4. Gujarat AHD D-1 1 - - - - 1
5. Gujarat AHD D-2 1 - - - - 1
6. Gujarat AHD D-3/5/8 1 - - - - 1
7. Gujarat AHD D-10 1 - - - - 1
8. Gujarat AHD D-12 1 - - - - 1
9. Gujarat AHD D-13/14 1 - - - - 1
10. Gujarat AHD D-15 1 - - - - 1
11. Gujarat AHD D-19 1 - - - - 1
12. Gujarat AHD D-20 1 - - - - 1
13. Gujarat AHD D-22 1 - - - - 1
14. Gujarat AHD D-32 1 - - - - 1
15. Gujarat AHD D-34 1 - - - - 1
16. Gujarat AHD D-35 1 - - - - 1
17. Gujarat AHD D-36 1 - - - - 1
18. Gujarat AHD D-37/40 1 - - - - 1
19. Gujarat AHD D-42 1 - - - - 1
20. Gujarat AHD D-44 1 - - - - 1
21. Gujarat AHD D-45 1 - - - - 1
22. Gujarat AHD D-47 1 - - - - 1
23. Gujarat AHD D-49 1 - - - - 1
24. Gujarat NANDIAD D-1/2 1 - - - - 1
25. Gujarat KADI-D-1 1 - - - - 1
26. Gujarat BARODA D-6/15 1 - - - - 1
27. Gujarat BARODA D-10/11 1 - - - - 1
28. Gujarat NAVSARI D-1 1 - - - - 1
29. Gujarat BHARUCH D-1 1 - - - - 1
30. Gujarat BARODA D-2 1 - - - - 1

72
31. Gujarat BARODA D-8/17 1 - - - - 1
32. Gujarat SURAT D-1 1 - - - - 1
33. Gujarat SURAT D-6/8/9 1 - - - - 1
34. Gujarat Morbi D-1/2 1 - - - - 1
35. Gujarat Rajkot D-1 1 - - - - 1
36. Gujarat Rajkot D-2 1 - - - - 1
37. Haryana Udyog Vihar, 1 - - - - 1
Gurgaon
38. Kerala Pattathanam, Kollam 1 - - - - 1
39. Kerala Kottarakkara, Kollam 1 - - - - 1
40. Kerala Kottayam 1 - - - - 1
41. Kerala Alappuzha 1 - - - - 1
42. Kerala Ernakulam 1 - - - 1 2
43. Kerala Plakkad 1 - - - - 1
44. Kerala Poonkunnam 1 - - - - 1
Thrissur
45. Kerala Eranjipalam, 1 - - - - 1
Kozhikode
46. Kerala Kannur 1 - - - 1 2
47. Kerala Karamana, 1 - - - 1 2
Thiruvananthapuram
48. Kerala Pathirappally - - - - 1 1
Alappuzha
49. Kerala Alagappanagar, - - - - 1 1
Thrissur
50. Kerala Mulavana, Kollam - - - - 1 1
51. Kerala Kadampanadu, - - - - 1 1
Pathanamthitta
52. Kerala Vadavathoor, - - - - 1 1
Kottayam
53. Kerala Velloor, Kottayam - - - - 1 1
54. Kerala Kottayam, Kollam - - - - 1 1
55. Kerala Kalamassery, - - - - 1 1
Ernakulam
56. Kerala Aluva, Ernakulam - - - - 1 1
57. Kerala Chalappuram, - - - - 1 1
Kozhikode
58. Maharashtra Somwaripeth, 1 - - - - 1
Nagpur
59. Maharashtra Wadi, Nagpur 1 - - - - 1
60. Maharashtra Ichalkarnji, (under 1 - - - - 1
AMO Pune)
61. Maharashtra Nanded(under AMO 1 - - - - 1
Aurangabad)
62. Punjab Chandigarh 1 - - - - 1
63. Tamil Nadu Tambaram, Chennai 1 - - 1 - 2
64. Tamil Nadu Tiruvotriyur, - - - 1 - 1
Chennai
65. Tamil Nadu Triplicane, Chennai - - - 1 - 1

73
66. Tamil Nadu Avadi, Chennai 1 - - 1 1 3
67. Tamil Nadu Koratur, Chennai - - - 1 - 1
68. Tamil Nadu Sriperumputhur, - - - 1 - 1
Chennai
69. Tamil Nadu Rajapalayam, 1 - - 1 - 2
Madurai
70. Tamil Nadu Kovilpatti, Madurai - - - 1 1 2
71. Tamil Nadu Thoothukudi, 1 - 1 1 1 4
Madurai
72. Tamil Nadu Dindigul, Madurai - - - 1 - 1
73. Tamil Nadu Thirunagar, Madurai 1 - - 1 - 2
74. Tamil Nadu Pollachi, Coimbatore - - - 1 - 1
75. Tamil Nadu Thudialur, 1 - - 1 - 2
Coimbatore
76. Tamil Nadu Tiruppur I, 1 - - 1 - 2
Coimbatore
77. Tamil Nadu Udumalaipet, 1 - - 1 - 2
Coimbatore
78. Tamil Nadu Kattur I, Coimbatore - - - 1 - 1
79. Tamil Nadu Kumbakonam, 1 - - 1 - 2
Salem
80. Tamil Nadu Ambur, - - 1 1 - 2
Salem
81. Tamil Nadu Ranipet, Salem - - 1 1 - 2
82. Tamil Nadu Pallipalayam,Salem 1 - - 1 - 2
83. Tamil Nadu Perianaicken- - - - 1 - 1
palayam
84. Tamil Nadu Peelamedu - - - 1 - 1
85. Tamil Nadu Singanallur (St) - - - 1 - 1
86. Tamil Nadu Nagaercoil - - - 1 - 1
87. Tamil Nadu Munichalai - - - 1 - 1
88. Tamil Nadu Palanganatham - - - 1 - 1
89. Tamil Nadu Thirunelveli - - - 1 - 1
90. Tamil Nadu Sivakasi - - - 1 - 1
91. Tamil Nadu Vickramasinga - - - 1 - 1
puram
92. Tamil Nadu Ponnagaram - - - 1 - 1
93. Tamil Nadu 136, Nedunsalai - - - 1 - 1
Nagar, Salem
(Static)
94. Tamil Nadu Trichy (Static) - - - 1 - 1
95. Tamil Nadu Sipcot colony, Hosur - - - 1 - 1
96. Tamil Nadu Thuvakudi - - - 1 - 1
97. Tamil Nadu Nandambakkam 1 - - 1 - 2
98. Tamil Nadu Adyar, Chennai - - - 1 - 1
99. Tamil Nadu Pallavaram 1 - - 1 - 2
100. Tamil Nadu Kodambakkam, - - - 1 - 1
Chennai
101. Tamil Nadu Saidapet-I, Chennai - - - 1 - 1

74
102. Tamil Nadu Tondiarpet, Chennai - - - 1 - 1
103. Tamil Nadu Ambattur, Chennai 1 - - 1 - 2
104. Tamil Nadu Poonamallee, - - - 1 - 1
Chennai
105. Tamil Nadu Red Hills, Chennai - - - 1 - 1
106. Uttar Pradesh Kabari Market, 1 - - - - 1
Kanpur
107. Uttar Pradesh Govind Nagar, - - - - 1 1
Kanpur
108. Uttar Pradesh Kiran colony nagar, - - - - 1 1
Ghaziabad
108. Uttar Pradesh Sarojini Nagar,
Lucknow 1 - - - - 1
Total 66 - 4 43 18 131

AYUSH Units at a Glance

S. Type of Ayurveda Yoga Unani Siddha Homeopathy Total


No location
1 ESIC Hospitals 41 18 - - 26 85
2 ESIC Dispensaries 18 - - - 10 28
3 ESIS Hospitals 47 15 06 08 30 106
4 ESIS Dispensaries 66 - 04 43 18 131
Total 172 33 10 51 84 350

75
Annexure-VI
29(VI) PROCESS OF FORMULATION OF RATE CONTRACT
Rate Contract Cell, ESIC Hqrs. office finalizes DG ESIC Rate Contracts through open e-tender
on CPP Portal after seeking due exemption from SCoGeM with due approval of Competent
Authority.
I. Type of Rate Contract(s):
 Running Rate Contract with eligible Pharmaceuticals firms for Drugs &
Dressings with validity period of two years is formulated, in adherence to all statutory
Government of India decisions on public procurement guidelines of GeM/GFR, CVC &
Make in India clause inter alia.
II. Process of formulation of Rate Contract:
 Addition/deletion of drugs to be included in the forthcoming Rate
Contract(s) is done after detailed deliberations and on recommendations of a broad-
based Drug Selection Committee duly constituted by Director General, ESI
Corporation, consisting of representative of various State Directorates, Specialists &
Drug Controller.
 Notice Inviting Tenders are issued through e-publishing on CPPP Portal
and ESIC website from eligible Pharmaceutical firms under two bid system i.e.
Technical Bid and Price Bid.
 Rate Comparative is prepared for technically eligible Pharmaceutical firms and
concurred by Finance & Accounts.
 Final Rate Contract is awarded after due approval from Competent Authority.
III Eligibility Criteria for Vendor selection:
Eligibility Criteria as defined under the Tender Enquiry, play a very important role in
deciding the Right Firm with the Right Capacity capable of delivering drugs of the
Right Quality at the Right time in the Right Quantity.

Eligibility criteria for participating in DGESIC Tender Enquiry are:


 Item wise Turnover.
 Item wise EMD.
 Item wise Performance Security Deposit.
 Flexibility in submitting in the form of DD / BG / FDR.
IV All Statutory Government of India Policy decisions are incorporated in the Tender
Enquiries.

V Important Decisions:

 Integrity Pact has been incorporated in Rate Contract(s) since 01/01/2021.


 Procurement of all CPSU drugs under PPP is being done through GeM Portal.

Regularly monitoring uninterrupted supply of quality items.


VI. Monitoring of availability of essential drugs & other items at ESIS dispensaries
and hospitals across India.
VII. Procedural co-ordination with SCoGeM to facilitate all procurement of drugs/other
issues inter alia. Permission to prepare DGESIC Rate Contract (s) has been
received from SCoGeM till 31/12/2023.
VIII. Punitive action against Rate Contract Holders for not adhering to the Terms &
Conditions of the Rate Contract(s). (Non-supply, Not of Standard Quality etc.)

76
IX. Regular updatiions regarding amendment in rates/ manufacturinig site/pack size
etc. for smooth delivery across India.
X. State Medical Officer nominated as Nodal Officer for contact with respective DIMS
& ESIS to co-ordinate and expedite issues with ESIS.
XI. Regular Video Conferences done to expedite pending bills, adherence to timelines
of delivery, optimum procurement of medicines in the States & resolution of other
issues inter alia.
XII. Active facilitation for procurement of COVID related drugs issuing instructions
adherence to the prescribed procedure ensure maintaining adequate stock and
quality medicines for smooth delivery of services to ESI beneficiaries from time to
time.

77

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