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Details of Employee State Insurance and Provident Fund1. ESIC Challans2. P.F.Challans3. Nomination and Declaration (Form 2)4. P.F. (Form 5,10 & 12A)5. PF annual returns ( form 6A and 3A)6. Payment of wages act (Form IV)7. Maternity benefit Act (Form K,L,M, & N)8. Halfyearly returns of ESIC (Form 6)9. ESIC forms for newly joining covered under ESIC (Form 3)10. PF (Form 13 for transfer of PF account) ESI Act The promulgation of Employees’ State Insurance Act, 1948 envisaged an integrated need based social insurance scheme that would protect the interest of workers in contingencies such as sickness, maternity, temporary or permanent physical disablement, death due to employment injury resulting in loss of wages or earning capacity. the Act also guarantees reasonably good medical care to workers and their immediate dependants. Following the promulgation of the ESI Act the Central Govt. set up the ESI Corporation to administer the Scheme. The Scheme, thereafter was first implemented at Kanpur and Delhi on 24th February 1952. The Act further absolved the employers of their obligations under the Maternity Benefit Act, 1961 and Workmen’s Compensation Act 1923. The benefit provided to the employees under the Act are also in conformity with ILO conventions.ESIC CONTRIBUTIONE.S.I. Scheme being contributory in nature, all the employees in the factories orestablishments to which the Act applies shall be insured in a manner provided by theAct. The contribution payable to the Corporation in respect of an employee shallcomprise of employer’s contribution and employee’s contribution at a specified rate. Therates are revised from time to time. Currently, the employee’s contribution rate(w.e.f. 1.1.97) is 1.75% of the wages and that of employer’s is 4.75% of thewages paid/payable in respect of the employees in every wage period. Employees inreceipt of a daily average wage upto Rs.70/- are exempted from payment ofcontribution. Employers will however contribute their own share in respect of theseemployees.The State Governments, as per provisions of the Act, contribute 1/8th of theexpenditure of medical benefit within a per capita ceiling of Rs. 1200/- perInsured Person per annum.Collection of ContributionAn employer is liable to pay his contribution in respect of every employee and deductemployees contribution from wages bill and shall pay these contributions at the abovespecified rates to the Corporation within 21 days of the last day of the Calendar month inwhich the contributions fall due. The Corporation has authorized designated branches of theState Bank of India and some other banks to receive the payments on its behalf.Contribution Period and Benefit PeriodThere are two contribution periods each of six months duration and two correspondingbenefit periods also of six months duration as under.Contribution period Corresponding Cash Benefit periodContribution Period Cash Benefit Period
1st April to 30th Sept. 1st January of the following year to 30th June. 1st July to 31st December of the year1st Oct. to 31st March following BENEFITSThe section 46 of the Act envisages following six social security benefits :-(a) Medical Benefit : Full medical facilities for self and family from day one of enteringinsurable employment.(b) Sickness Benefit(SB) : Payment of contribution for 78 days in correspondingcontribution period of six months. 1. Extended Sickness Benefit(ESB) : Same as above 2. Enhanced Sickness Benefit : For 34 specified long term diseases, Continuous insurable employment for two years with 156 days contribution in four consecutive contribution periods.(c) Maternity Benefit(MB)(d) Disablement Benefit 1. Temporary disablement benefit (TDB) : From day one of entering insurable employment & irrespective of having paid any contribution in case of death due to employment injury. 2. Permanent disablement benefit (PDB) : Same as above(e) Dependants’ Benefit(DB) : From day one of entering insurable employment &irrespective of having paid any contribution in case of death due to employment injury.(f) Other Benefits :- Funeral Expenses : An amount of Rs. 5000/- is payable to the dependents or to the personwho performs last rites from day one of entering insurable employment.- Confinement Expenses : An Insured Women or an I.P.in respect of his wife in caseconfinement occurs at a place where necessary medical facilities under ESI Scheme are notavailable.In addition, the scheme also provides some other need based benefits to insuredworkers.- Vocational Rehabilitation : In case of physical disablement due to employment injury.- Physical Rehabilitation : In case of physical disablement due to employment injury.- Rajiv Gandhi Shramik Kalyan Yojana - This scheme of Unemployment allowance wasintroduced w.e.f. 01-04-2005. An Insured Person who become unemployed after beinginsured three or more years, due to closure of factory/establishment, retrenchment orpermanent invalidity are entitled to :- • Unemployment Allowance equal to 50% of wage for a maximum period of upto one year. • Medical care for self and family from ESI Hospitals/Dispensaries during the period IP receives unemployment allowance. • Vocational Training provided for upgrading skills - Expenditure on fee/travelling allowance borne by ESIC.An interesting feature of the ESI Scheme is that the contributions are related to the payingcapacity as a fixed percentage of the workers wages, whereas, they are provided socialsecurity benefits according to individual needs without distinction.Cash Benefits are disbursed by the Corporation through its Branch Offices (BOs) / PayOffices (POs), subject to certain contributory conditions.
VARIOUS TYPES OF ESI FORMS :Various Types of Employee State Insurance (ESI) FormsForm No.Form 01 Form Employers Registration Form View and DownloadNameForm 01(A) Form of Annual Information on View and Download Factory/EstablishmentForm 1 Declaration Form View and DownloadForm 1A Family Declaration Form View and DownloadForm 1B Changes in Family Declaration Form View and DownloadForm 3 Return of Declaration Form View and DownloadForm 4 Identity Card View and DownloadForm 4(A) Family Identity Card View and DownloadForm 6 Return of Contributions View and DownloadForm 7 First/Intermediate/Final Certificate View and DownloadForm 8 Special Intermediate Certificate View and DownloadForm 10 Abstention verification in r/o Sickness View and Download Benefit/Temporary Disablement Benefit/MBForm 12 Sickness of Temporary Disablement Benefit View and DownloadForm 12A Maternity Benefit for Sickness View and DownloadForm 13 Sickness or Temporary disablement or View and Download maternity benefit for sicknessForm 13A Maternity Benefit for Sickness View and DownloadForm 14 Sickness or temporary disablement or View and Download maternity benefit for sicknessForm 14A Maternity Benefit for Sickness View and DownloadForm 16 Accident report from employer View and DownloadForm 17 Dependants or funeral benefit (Death View and Download Certificate)Form 18 Dependants Benefit (Claim Form) View and DownloadForm 18A Dependants Benefit (Claim for periodical View and Download payments)Form 19 Maternity Benefit (Notice of Pregnancy) View and DownloadForm 20 Maternity Benefit (Certificate of Pregnancy) View and DownloadForm 21 Maternity Benefit (Certificate of expected View and Download confinement)Form 22 Claim for Maternity Benefit View and DownloadForm 23 Maternity Benfit (Certificate of confinement View and Download or miscarriage)Form 24 Maternity Benfit (Notice of Work) View and DownloadForm 25 Claim for permanent Disablement Benefit View and DownloadForm 26 Certificate for Permanent Disablement View and Download BenefitForm 27 Declaration and Certificate for depenants View and Download benefitIf you feels anydifficultyregardingcompletion andsubmission ofthese formsplease Contact
UsFORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES PROVIDENTFUND SCHEMEFORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES PROVIDENTFUND SCHEMEForm No. 13 For transferring the Provident Fund account(Revised)Purp of a member from one establishment to View and Download ose another establishment covered under the act / scheme. 19 To be submitted by a member to withdraw his View and Download Provident Fund dues on leaving service/retirement/termination. 20 In the event of death of member, this form is View and Download to be used by a nominee / family member to claim the members Provident Fund accumilation. 31 For the use of Provident Fund members to View and Download avail advances / withdrawals as provided in the scheme.FORMS FOR CLAIMING BENEFITSUNDER THEEMPLOYEES PENSIONSCHEME 95Form No.10-CPurpose For claiming : - Refund of Employer share. - Withdrawl benefit View and Download - Scheme certificate for retention of membership 10-D To be submitted by the first claimant i.e. View and Download - member or - widow/widower or - orphan or - nominee as the case may beFORMS FORWITHDRAW AL OFINSURANCE FUNDS BENEFITS UNDEREMPLOYEES
DEPOSIT LINKEDINSURANCE SCHEME, 1976Form No. 5 To be preferred by the person eligible to View and Download(I.F.)Purpose receive the Employees Provident Fund dues of the deceased member who died while in services.If you feels anydifficultyregardingcompletion andsubmission ofthese formsplease ContactUs