Organization :ESI Corporation Tamil Nadu
Facility : Claim Sickness/ Disablement Benefit
Home Page :https://www.esic.nic.in/
Download Forms here :esicoimbatore.org/forms/esic_forms_sickness.htm
Sickness Benefit :
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.
Extended Sickness Benefit :
After exhausting the Sickness Benefit payable upto 91 days, an insured person if suffering from Tuberculosis/Leprosy, mental and malignant diseases or any other specified long-term disease, he is entitled to Extended Sickness Benefit at a higher cash benefit rate of about 70% of average daily wage for a period of two years. more info
Enhanced Sickness Benefit :
For undergoing sterilization operations for family planning, Insured Persons are eligible to Enhanced Sickness Benefit at double the rate of sickness benefit more info
Sickness Benefit Claims :
An insured person intending to claim sickness benefit has to submit a claim for benefit in one of the forms 12,13 or 14 appropriate to the circumstances of the case to the concerned branch office.
Sickness Benefit Eligibility :
** To qualify for sickness benefit, the contribution should have been paid or payable for 78 days in the corresponding contribution period.
** In case of new entrant, for whom a shorter contribution period is available, he will be qualified for sickness benefit if the contribution in respect of him is payable for not less than half the no. of days in that contribution period.
** For a new entrant, the benefit period shall commence on the expiry of the period of 9 months from the date of joining insurable employment.
** The daily rate of sickness benefits during any benefit period shall be the standard benefit rate corresponding to the average daily wages of that person during the the corresponding contribution period.