|
Sickness Benefits |
|
|
|
BENEFITS :- |
| Sickness Benefit represents periodical cash payments made to an IP during the period of certified sickness occurring in a benefit period when IP requires medical treatment and attendance with abstention from work on medical grounds. Prescribed certificates are; Forms 8,9,10,11 & ESIC-Med.13. Sickness benefit is roughly 50% of the average daily wages and is payable for 91 days during 2 consecutive benefit periods.
Sickness Benefit represents periodical cash payments made to an IP during the period of certified sickness occurring in a benefit period when IP requires medical treatment and attendance with abstention from work on medical grounds. Prescribed certificates are; Forms 8,9,10,11 & ESIC-Med.13. Sickness benefit is roughly 50% of the average daily wages and is payable for 91 days during 2 consecutive benefit periods.
|
|
|
|
|
|
Qualifying Conditions |
- To become eligible to Sickness Benefit, an IP should have paid contribution for
not less than 78 days during the corresponding contribution period.
- A person who has entered into insurable employment for the first time has to wait for nearly 9 months before becoming eligible to sickness benefit, because his corresponding benefit period starts only after that interval
- Sickness Benefit is not payable for the first two days of a spell of sickness except in case of a spell commencing within 15 days of closure of earlier spell for which sickness benefit was last paid. This period of 2 days is called "waiting period". This provision should be clearly understood by IMOs/IMPs as actual experience shows that such of IPs who want to avail medical leave on flimsy grounds generally come for First Certificate/First & Final Certificate within 15 days of earlier spell, usually on unpaid holidays and/or on each weekly off etc, to avoid loss of benefit for 2 days due to fresh waiting period
|
|
|
|
Enhanced Sickness Benefits
|
|
It was introduced w.e.f 1.8.1976 as an incentive to IPs/IWs for undergoing Vasectomy
/Tubectomy. Insured Persons eligible to ordinary sickness benefit are paid enhanced
sickness benefit at double the rate of sickness benefit i.e., about full average
daily wage for undergoing sterilisation operations for family welfare. Duration
of enhanced Sickness Benefits is upto 7 days in the case of Vasectomy and upto 14
days in the case of the Tubectomy from the date of operation or from the date of
admission in the hospital as the case may be. The period is extendable in case of
post operative complications.
|
|
|
|
|
|
Extended Sickness Benefit (ESB) |
|
IPs suffering from long term diseases were experiencing great hardship on expiry
of 91 days Sickness benefit. Often they, though not fit for duty, pressed for a
Final certificate. Hence, a provision for paying Sickness Benefit for an extended
period (Extended Sickness Benefit)of upto 2 years in a ESB period of 3 years.
|
|
|
|
|
|
|