STANDARD NOTE

ON
EMPLOYEES’ STATE INSURANCE SCHEME
AS ON 01.07.2021

कर्मचारी राज्य बीर्ा निगर्

(श्रर् एवं रोजगार र्ंत्रालय, भारत सरकार)
Employees’ State Insurance Corporation
(Ministry of Labour & Employment, Govt. of India)
www.esic.nic.in
Sl. No. CONTENTS Page No.

1. General aspect of ESI Scheme 1-3

2. Benefits provided under ESI Scheme 3-8

3. Amendments in the ESI Act 1948, E.S.I(Central) Rules, 1950 & 8-9
E.S.I.(General) Regulations, 1950

4. Administration 9

5. Finance 9-11

6. (a) Extension of ESI Scheme to new areas of employment. 11-12

(b) Formation of State Autonomous Body/Society by States
7. Medical Benefits Provided Under ESI Scheme 12-21

8. Setting up of ESIC Hospital & ESI Dispensaries 21-24

9. Occupational Disease Centres (ODCs) 25

10. Expenditure on Medical Care 25-28

11. Measures taken by ESI Corporation during COVID-19 pandemic 28-29

12. Medical Education 30-31

13. Property Management Division 31-33

14. Indian Systems of Medicine 33-34

15. Recovery of Contribution & Details of Prosecution Cases 34-35

16. Conduct of inspection through Central Analysis and Intelligence 36

Unit (CAIU)

17. Public Grievances Redressal Machinery set-up in ESIC 36-38

18. Public Relations 38

19. Compliance under RTI Act, 2005 38

20. Training 39
21. (a)Functions of Procurement Cell 39-40
(b)Function of Rate Contract Cell

22. Super Specialty Treatment Cell 41-42

23. Recruitment Division 42-43

24. Information & Communication Technology Division 43-47

25. e-Procurement/Government at e-Market Places/Swachhta 48

Action Plan(SAP)
26. General Information and Statistical Data regarding the 49-73
Employees’ State Insurance Scheme.
I. General Information regarding ESI Annexure-I 50-53
Scheme.
II. Benefits & Contributory conditions. Annexure-II 54-59
III. List of Regional Office/Sub-Regional Annexure-III 60-64
Office/Dispensary cum Branch Office
IV. Revenue & Expenditure of Corporation. Annexure-IV 65
V. Progress made under ISM/AYUSH as on Annexure-V 66-68
01.07.2021.
VI. Policy decisions taken in view of COVID Annexure-VI 69-71
2nd wave for facilitation of essential
supplies and management of COVID
pandemic Annexure-VII 72-73
VII. Process of formulation of Rate Contract
 STANDARD NOTE ON
EMPLOYEES’ STATE INSURANCE SCHEME
(As on 01.07.2021)

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 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/- (Rs.25,000/- for Person with Disability) are
covered under the Act. The status of coverage under ESI Act, 1948 as on 01-07-2021 is as
under:
Sl No Particulars Details
1. No. of Districts in which ESI Scheme has been notified. 583
2. No. of Districts fully notified under ESI Act, 1948 399
3. No. of Districts partially notified under ESI Act, 1948 184
4. No. of employers registered under ESI Act, 1948 12.36 Lakh
5. No. of employees registered under ESI Act, 1948 3.09 Crore
6. No. of Insured Persons covered 3.41 Crore
7. No. of beneficiaries 13.24 Crore

The ESI Act has been notified in the State of Arunachal Pradesh for the first time w.e.f.
01.11.2020. General information regarding implementation of ESI Scheme is placed at
Annexure-I.

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b) Provision of Social Security for workers in the organised sector.
The ESI Act covers workers in the organized sector. As on 31.03.2020, 3.09 crores employees
are covered under the Employees’ State Insurance Act covering 3.41 crores insured persons
family entities with total 13.24 crores beneficiaries. The remaining workers in the organized
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/establishments;
v) Employees drawing wages exceeding Rs. 21,000/- per month.
vi) Employees 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.

(c) The ESI Act under the Code on Social Security, 2020:

The ESI Act, 1948 along with 8 other Central Labour Acts, have been subsumed in the Code
on Social Security, 2020 (Act 36 of 2020). The Social Security Code 2020 has not been made
effective as on 01.07.2021 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 has been extended pan
India to all establishments employing 10 or more employees as against notified district/areas.
However, contribution from employers and employees will be collected from the notified date
when the facilities are made available on the ground by the 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 granted 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 single employee employed by them. The

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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) 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
benefits to insured workers. The details of the various benefits is as under. The eligibility
conditions for various cash benefits is given at Annexure-II.

(i) MEDICAL BENEFIT

Full medical care is provided to an Insured person and his family members from the day
he enters insurable employment. There is no ceiling on expenditure on the treatment of an
Insured Person or his family member. Medical care is also provided to retired and permanently
disabled insured persons and their spouses on payment of a token annual premium of
Rs.120/-. The details about administration of Medical Benefit is given below in succeeding
paragraph.

(ii) SICKNESS BENEFIT

Sickness Benefit represents periodical payments made to an insured person during the period
of certified sickness. To qualify for this benefit, contribution should have been paid / 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 (i.e. in one year). 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 from 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.
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.
Enhanced Sickness benefit at the rate full average daily wage is also provided to insured

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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 (IW) in case of confinement
or mis-carriage or sickness arising out of pregnancy 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 includes 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 mis-carriage and
additional one month in case of sickness arising out of pregnancy, confinement, pre-mature
birth of child or miscarriage or medical termination of pregnancy. Maternity Benefit continues
to be payable for the whole of the period if IW 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 the insured woman shall be entitled to twelve weeks of maternity benefit from the
date the child is handed over to the commissioning mother after birth or to adopting mother
as the case may be.
Furthermore, 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 did not work for wage.
This 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 upon the extent of loss of earning capacity, as may be certified by a duly

4
constituted Medical Board. The rate of Permanent Disablement Benefit is revised periodically
to protect it against erosion in the value of benefit due to inflation etc. subject to availability of
funds.
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 dependants of an insured person who dies as a result of
employment injury. An amount equivalent to 3/5 of dependent benefit rate is payable to the
widow for life or until remarriage. Widowed mother gets an amount equivalent to 2/5 of
Dependent Benefit rate for life. Each child share among themselves an amount equivalent to
2/5th of the disablement benefit. Sons get dependant benefit till 25 years of age and
daughters get dependants benefit till marriage. In case the child is infirm, the benefit
continues to be paid till the infirmity lasts. However, it is subject to the condition that the total
dependants benefit distributed does not exceed, at any time, the full rate of disablement
benefit. In case it exceeds the above ceiling; the share of each of the dependants is,
proportionately reduced.
In case the insured person does not leave behind any widow or child or widowed mother, the
benefit is payable to other dependants.
The rate of dependent benefit is revised from time to time to compensate for loss of its real
value due to inflation etc. Last revision of DB rates was done in the year 2019.
The minimum amount of the periodical monthly payment of Dependent benefit payable to all
eligible dependants shall not be less than Rs.1200/- (Rs. One thousand to hundred only).

(vi) OTHER CASH BENEFITS PROVIDED UNDER ESI ACT, 1948

(a) FUNERAL EXPENSES
Funeral expenses of Rs. 15000/- (w.e.f. 01.05.2019) is paid towards the expenditure on the
funeral of a deceased insured person.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 deceased insured person.

(b) 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 has been increased for Rs 5000/- to Rs.7500/- w.e.f. 27.10.2020.

5
(vii) DETAILS OF SOME OTHER NEED BASED BENEFITS PROVIDED UNDER ESI
SCHEME
(a) 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.
(b) MEDICAL BENEFIT TO INSURED PERSONS WHO CEASES TO BE IN
INSURABLE EMPLOYMENT BECAUSE 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.

(c) 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.

(d) 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.

(e) RAJIV GANDHI SHRAMIK KALYAN YOJANA (RGSKY)

Under RGSKY, which was introduced w.e.f. 01.04.2005, unemployment allowance is paid to the
insured person for a maximum period of 24 months 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 for a
period of twelve months (w.e.f. 01.02.2009) from the date of unemployment. This allowance
shall cease to be payable in case the Insured Persons gets re-employment or attains the age
of superannuation or 60 years, whichever is earlier. Daily rate of Unemployment Allowance is
50% of average daily wages drawn by the IP/IW during the last four completed contribution
periods, for first twelve months and 25% of average daily wage drawn by IP for the last 12
months.

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(f) ATAL BEEMIT VYAKTI KALYAN YOJANA (ABVYK)

i) The Employees’ State Insurance Corporation started ATAL BEEMIT VYAKTI KALYAN
YOJNA, a welfare measure for employees covered under Section 2(9) of the ESI Act
w.e.f. 01.07.2018, as a Pan India Pilot project under Section 19 of the Act. Under the
scheme eligible IPs are provided cash compensation at the rate of 25% of average daily
earnings up to Ninety (90) days in case they become unemployed. The relief under the
scheme can be claimed after three months in one or more spells on becoming
unemployed; provided the employee has completed two years of insurable employment
and contributed not less than Seventy-eight (78) days in each of the four consecutive
contribution periods immediately preceding to the claim of relief. The relief under the
scheme can be availed once in lifetime of the IP. Atal Beemit Vyakti Kalyan Yojana was
extended by the ESI Corporation for another year i.e. from 01.07.2020 to 30.06.2021 and
the eligibility conditions of the scheme were relaxed along-with enhancement of the rate
of relief w.e.f. 24.03.2020 as under, to provide relief to the Insured Persons who lost
their jobs during COVID-19 Pandemic.
ii) Rate of relief was doubled, from 25% of Average daily earnings of the Insured Person to
50% of the average daily earnings of the IP during the previous four contribution periods.
iii) The Insured Person should have been in insurable employment for a minimum period of
two years immediately before his/ her unemployment and should have contributed for not
less than 78 days in the contribution period immediately preceding the unemployment
and minimum 78 days in one of the three contribution periods in two years prior to
unemployment. Earlier this condition was minimum contribution of 78 days in four
contribution periods prior to unemployment with minimum two years insurable
employment. Claim shall be due 30 days after date of unemployment. Earlier this period
was 90 days.
iv) The claim of the IP need not be forwarded by the employer. The claim can be submitted
by an IP in the prescribed claim form duly completed, directly to the ESIC Branch office.
v) The facility of online submission of claim for relief by the IP has also been provided to the
Insured Person.
vi) Atal Beemit Vyakti Kalyan Yojana has again been extended for one year i.e. from
01.07.2021 to 30.06.2022 with above-mentioned relaxation in the eligibility conditions
and enhanced rate of relief under the scheme.

(g) ESIC COVID-19 Relief Scheme

In order to provide help and succor to the families of the IPs who died due to COVID-19,
Employees’ State Insurance Corporation has started ESIC COVID-19 Relief Scheme a welfare
measure for IPs who are employees under section 2(9) of the Act. Under this scheme 90% of
average wages of deceased Insured Person shall be paid to the eligible dependents of the
Insured Person who died due to COVID-19. The Scheme will be effective for a period of two
years w.e.f. 24.03.2020. The eligibility conditions for relief under the scheme are:-
1. The IP who died due to COVID-19 disease must have been registered on the ESIC online
portal at least three months prior to the date of diagnosis of COVID-19 disease resulting
in his/ her death.

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2. The deceased IP must have been in employment on the date of diagnosis of COVID-19
disease and contributions for at least 70 days should have been paid or payable in
respect of him/ her during a period of maximum one year immediately preceding the
diagnosis of COVID-19 disease resulting in death.

Main Features of the Scheme

a) The claimant for the relief will submit their claim for relief under the scheme enclosing
the COVID-19 positive report and death certificate of IP in any nearest Branch Office of
ESIC. All verifications and other formalities will be done by the ESIC Branch office.
b) Proof of the age and identity of dependants shall be given by means of Aadhar or birth
certificate issued by the competent authority.
c) The IP/IW who were availing maternity Benefit (MB) or Temporary Disablement Benefit
(TDB) or Extended Sickness Benefit (ESB) and died due to COVID-19 and who fall short
of the required 70 days of contribution due to being on MB, TDB or ESB , the number
of days they were on MB, TDB or ESB during the period of one year prior to the
diagnosis of COVID-19 will be counted for their eligibility for relief under the scheme.
d) There may be cases of death even after recovery from COVID-19 and discharge from
hospital. In such cases, if the death results within 30 days of recovery and discharge
from hospital, then the case shall be decided on recommendation of a Medical board.
In cases where the date of recovery from COVID-19 cannot be ascertained for want of
COVID-19 negative certificate, the post COVID death up to 45 days after testing
COVID-19 Positive shall be considered for relief under the scheme.
e) Spouse of the deceased IP/IW shall be eligible for Medical care on depositing Rs 120/-
in lump-sum for one year.

3. AMENDMENTS IN THE E.S.I. ACT, 1948, E.S.I(CENTRAL) RULES, 1950 &

E.S.I.(GENERAL) REGULATIONS, 1950
The ESI Act, 1948, has last been amended vide ESI (Amendment) Act, 2010 and the amended
provisions made applicable since 01-06-2010 for enhancing the Social Security coverage,
streamlining the procedure for assessment of dues and for better services to the beneficiaries.
The details of the recent amendments done in ESI (Central) Rules, 1950 and ESI (General)
Regulations, 1950 is as under.
a) The following amendments in ESI (Central) Rules, 1950 have been recently made.
i) Amendment to Rule 56-A of ESI (Central) Rules, 1950 regarding enhancing the
Confinement expenses benefit amount payable for Maternity expenses availed outside
ESI Dispensaries/Hospital from Rs. 5000/- to Rs.7500/- (Notification issued on
27.10.2020).
ii) Deletion of Rule 51B of ESI (Central) Rules, 1950, which contained provision relating to
contribution for the initial twenty-four months from date of new implementation.
(Notification issued on 27.10.2020).
iii) ESI Scheme has been extended to Arunachal Pradesh for the first time. A notification
to this effect has been issued by the Central Government for notifying the district of

8
 Papum Pare effective from 1st of November 2020. The Papum Pare district consists of
Itanagar, which is the capital of Arunachal Pradesh.

b) Following amendments to ESI (General) Regulations, 1950 have been made recently.
i) Amendment in Regulation 10A regarding constitution of Local Committees.
ii) Insertion of new Regulation 87A, 88A, 89C, 89D regarding entitlement to Maternity
Benefit.
iii) Extension of unemployment cash benefit namely “Atal Beemit Vyakti Kalyan Yojana”
with relaxed norms introduced during COVID-19 pandemic and enhancement of benefit
from 25% of wages to 50% of wages payable for 90 days of
unemployment(Notification issued on 14.10.2020).

4. ADMINISTRATION
The Headquarters of ESI Corporation is located at New Delhi and has 64 field offices which
includes 24 Regional Offices, and 40 Sub-Regional Offices throughout the country. There are
592 Branch offices for administration of cash benefits to Insured Persons & 68 Dispensary Cum
Branch Offices (DCBO) for administration of both cash and primary medical care to Insured
Persons as on 30.06.2021. The details of RO/SRO and DCBO is given at Annexure-III.

5. FINANCE
(i) GENERAL ASPECT:
The ESI Scheme is financed by contributions from employers and employees. In accordance
with the decision taken by ESI Corporation in its 175 th Meeting held on 18.09.2018, the
Hon’ble Chairman, ESIC has approved the proposal of rationalization of contribution income by
reducing the combined rate of contribution to a sum 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 was, upto March 2019, shared
between the Corporation and the concerned State Governments in the prescribed ratio of 7:1.
However, as per the decision taken in the 177th meeting of the Corporation held on
19.02.2019, the entire expenditure on running the ESI Scheme, up to the prescribed ceiling,
shall be borne by the ESIC for three years starting from 2019-20. The maximum shareable
amount is subject to the ceiling fixed by the Corporation from time to time. ESI Corporation
presently has 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 sub ceiling of Rs. 1,250/- for
Administration and Rs. 1,750/- for others for the year 2020-21. In addition, ESIC gives funds
to states for preventive & promotive health services of Rs. 20 per IP per annum and Rs. 200/-
per IP per annum as incentive for bed occupancy over 70 % in that State over and above the
ceiling. ESIC gave Rs. 3,926 Cr. to states in 2020-21 (Unaudited figure). In addition, ESIC

9
incurred expenditure of Rs. 5,605 Cr. on ESIC hospitals, SST cases & Medical Education
separately.
The details of Revenue Income and Expenditure of ESI Corporation for the FY’ 2020-21 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
fund and better returns, Portfolio Managers have been appointed by the ESIC. Portfolio
Managers have been investing ESIC surplus fund in Govt. securities, govt. Bonds AAA 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 2020-21 due to new
Investment Policy.

The broad break up of investments made by ESIC as on 30-06-2021.

Rs. in Crores

Govt. Security/Bonds / State Development Loan 72,610

AAA PSU Bonds+FD 20,592
Tri-Party Repo(TREPS), Short term FD etc. 5,501
Special Deposit Account with Govt. of India(SDA) 18,182
Total 1,16,885

In 2020-21 (Unaudited figures) ESIC received contribution of Rs. 13,788 Cr. & incurred an
expenditure of Rs. 13,767 Cr. Out of total expenditure 69 % was Medical expenditure while 20
% was for giving cash benefits. The average expenditure incurred per IP was Rs. 4,037 &
average contribution received was Rs. 4,043.

(iii) COLLECTION OF ESI CONTRIBUTION THROUGH OTHER NATIONALISED BANKS

AND ICICI, HDFC and AXIS BANK UNDER MULTI BANK MODULE
Earlier ESIC revenue was collected through the bank branches of SBI only. For Ease of Doing
Business and reduction in collection charges, it was decided to collect ESI contribution through
other Nationalized Banks namely Bank of Baroda, Canara Bank, IDBI and “any Scheduled
Banks authorized for Government Agency Business” at “Zero transaction charges” through
their internet banking channel.
Rule 21 of ESI (Central) Rule, 1950 has been amended by replacing Nationalized Banks with
“any Scheduled Banks authorized for Government Agency Business”. 03 Private Banks viz.
ICICI Bank, HDFC Bank and AXIS Bank which are authorised for conducting Government
Agency Business by Ministry of Finance have been empaneled with ESIC for collecting ESIC
revenue under Multi Bank Module.

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Accordingly, collection of ESI Contribution through internet banking channel of 06 banks
namely Axis Bank, Bank of Baroda, Canara Bank, HDFC Bank, ICICI bank and IDBI bank has
been started.
Further, integration with other 07 Nationalized Banks namely Bank of India, Bank of
Maharashtra, Central Bank of India, Indian Bank, Indian Overseas Bank, Punjab National Bank
and Union Bank is under process in view of proposed common challan for ESIC & EPFO.
Empanelment of Kotak Mahindra Bank is also under process as per circular of Ministry of
Finance dated 24th February, 2021 and RBI guidelines dated 10th May, 2021, in this regard, in
view of proposed Common ECR for ESIC & EPFO.

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. agrees to provide medical facilities, or makes a request
to ESIC to arrange medical facilities in new areas, on completion of 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 01.01.2021, 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. Haryana, Bihar & Goa 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.

(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

11
 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 subsidiary
Corporation at State level and subsequently in the 172 nd meeting of the Corporation, new
structure of the State Autonomous Body/Society has been approved 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 to the bank account to the society directly. 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
benefits 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.

12
Medical care to beneficiaries is provided through a large infrastructure comprising Hospitals,
Service Dispensaries, Dispensary-cum-Branch Office (DCBO) Specialist centers, IMP clinics and
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 1520

Total number of DCBOs 68

Total number of ISM unit 308

Total number of Sanctioned beds in
25323
ESIC/ESIS hospitals
Total number of Doctors 8626

Total number of IMPs 1287

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

Sl. No of Beds No of Beds

State Place
No. Sanctioned Commissioned
1. Assam Beltola * 50 50
2. Bihar Phulwari sharif * 50 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 300 300
9. Delhi Okhla 500 350
10. Delhi Rohini 300 300

13
 Bapu Nagar,
11. Gujarat 300 206
Ahmedabad *
12. Gujarat Naroda 100 50
13. Gujarat Vapi 100 75
14. Gujarat Ankleshwar 100 100
15. Haryana Gurgaon * 200 150
16. Haryana Manesar 100 100
Haryana(Med.
17. Faridabad 510 510
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 * 200 200
26. Kerala Udyogmandal 100 100
27. Kerala Ezhukone 150 150
28. Madhya Pradesh Indore * 300 300
29. Maharashtra Andheri, Mumbai * 500 320
30. Maharashtra Kolhapur 100 50
31. Maharashtra Bibvewadi 100 50
32. Orissa Rourkela * 75 50
33. Punjab Ludhiana * 300 300
34. Rajasthan Jaipur * 300 300
35. Rajasthan Bhiwadi 50 50
36. Rajasthan Alwar 330 330
37. Rajasthan Udaipur 100 50
38. Tamil Nadu KK Nagar,Chennai * 400 400
39. Tamil Nadu Tirunelveli 100 50

14
 40. Telangana S.S. Sanath Nagar 150 150
41. Telangana Santhnagar 1000 558
42. Uttar Pradesh Noida * 300 300
43. Uttar Pradesh Jajmau 100 50
44. Uttar Pradesh Sahibabad 200 100
45. Uttar Pradesh Sarojini Nagar, Lucknow 150 75
46. Uttar Pradesh Varanasi 150 150
47. Uttar Pradesh Bareilly 100 50
48. Uttrakhand Rudrapur 100 50
49. West Bengal Joka, Kolkata * 650 470
50. Odisha Angul 100 50
*Model Hospital

ii) LIST OF HOSPITALS RUN BY STATE GOVT. UNDER ESIS

Sl.
State Name of Hospital Bed Strength
No.
Andhra Pradesh
1 Visakhapatnam 30
2 Rajamahendravaram 50
3 Tirupati 50
4 Vijayawada 110
Total 240
Asam
5 Tinsukia ( Annexe ESIS Hospital) Currently non-functional
Bihar
6 DalmiaNagar Currently non-functional
7 Munger Currently non-functional
Goa
8 Margao 100
Total 100
Gujarat
9 Baroda 200
10 Bhavnagar 30
11 Jamnagar 50
12 Kalol 40
13 Rajkot 50
14 Rajpur Hirpur 50
15 Surat 22
Total 442

15
 Haryana
16 Ballabgarh 50
17 Bhiwani 50
18 Jagadhari 80
19 Panipat 75
Total 255
Himachal Pradesh
20 Parwanoo 50
Total 50

Jharkhand
21 Maithan 110
Total 110
Karnataka
22 Belgaum 50
23 Dandeli 25
24 Devangare 100
25 Hubli 100
26 Indiranagar 210
27 Shahbad Currently non-functional
28 Mangalore 100
29 Mysore 100
Total 685
Kerala
30 Alleppy 55
31 Ernakulam 100
32 Feroke 100
33 Mulamkunnathukam 110
34 Olarikara 102
35 Palakkad 50
36 Perookada 128
37 Thottada 50
38 Vadavathur 65
Total 760
Madhya Pradesh
39 Bhopal 100
40 Dewas 50
41 Gwalior 100
42 Indore (T.B.) 75
43 Nagda 50
44 Ujjain 50
Total 425
Maharashtra
45 Aurangabad 100
46 Chinchwad (Pune) 100
47 Kandivali 300

16
48 MGM 650
49 Mulund 400
50 Nagpur 200
51 Nasik 100
52 Sholapur 150
53 Thane 100
54 Ulhasnagar 100
55 Washi 100
56 Worli 650
Total 2950
Odisha
57 Kansbahal 50
58 Bhubaneshwar 100
59 Choudwar 100
60 Jaykapur 25
61 Brajarajanagar Currently non-functional
62 Barbil Currently non-functional
63 Rajgangpur
Total 275
Puducherry
64 Gorimedu Hospital 75
Total 75
Punjab
65 Amritsar 125
66 Hoshiarpur 50
67 Jalandhar 100
68 Mandi Gobindgar 30
69 Mohali 30
70 Phagwara 50
Total 385
Rajasthan
71 Bhilwara 30
72 Jodhpur 25
73 Kota 60
74 Pali 20
Total 135
Tamil Nadu
75 Ayanavaram, Chennai 616
76 Hosure 50
77 Madurai 209
78 Salem 50
79 Sivakasi 100
80 Tirucharapally 50
81 Coimbatore 330

17
 82 Vellore 50
Total 1455
Talengana
83 Nacharam 450
84 Nizamabad 50
85 R.C. Puram 100
86 Sirpurkagarnagar 62
87 Warangal 50
Total 712
Uttar Pradesh
88 Agra 100
89 Aligarh 60
90 Azad Nagar, Kanpur (Chest) 100
91 Kidwai Nagar 100
92 Modi Nagar 100
93 Naini Allahabad 100
94 Pandunagar, Kanpur 130
95 Pipri 60
96 Saharanpur 50
Sarvodyanagar, Kanpur
97 100
(MAT)
Total 900
West Bengal
98 Asansol 100
99 Baltikuri 230
100 Bandel 250
101 Bellur Belly 200
102 Budge-Budge 300
103 Durgapur 150
104 Gourhati 216
105 Kalyani 250
106 Kamarhati 350
107 Manicktola 422
108 Sealdah 254
109 Serampore 216
110 Uluberia 216
Total 3154
Grand Total 13108

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.

18
 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) 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 68 districts. The district wise
details of DCBO is given at Annexure-III.
iii) Hospital OPDs:
Outpatient services under various specialties and super specialties like Medicine, Surgery,
Paediatrics, 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, Odissa, Rajasthan and
Jharkhand. 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.
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) Provision of primary Medical Treatment through empanelled hospitals:-
Considering difficulties faced by ESIC beneficiaries in availing medical services due to
non-availability of Hospital/Dispensaries in the vicinity within a radius of 10 kms of their
residence, ESI Corporation in its 183rd meeting held on 07.12.2020 has allowed ESI
beneficiaries to seek medical services from nearby empaneled hospital directly without
referral.

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

19
 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 TRHOURH AYUSHMAN BHARAT(PM-JAY)

ESIC in its 178th meeting held on 13.09.2019 has given approval for Employee’s State
Insurance Corporation (ESIC) collaboration with Ayushman Bharat – Pradhan Mantri Jan
Arogya Yojana (AB PM-JAY) scheme for providing 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 Chattisgarh 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.

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, Bihita, 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

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 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

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

21
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.
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 centres 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. No. State Location Bed strength

1 Andhra Pradesh Guntur 100
2 Andhra Pradesh Vizianagaram 100

22
3 Andhra Pradesh Kakinada 100
4 Andhra Pradesh Penukonda 100
5 Andhra Pradesh Vishakhapatnam 400
6 Andhra Pradesh Sri City, Nellore 100
7 Andhra Pradesh Atchyutapuram 30
8 Bihar Muzzafarpur 100
9 Chhatisgarh Bhillai 50
10 Chhattisgarh Raigarh 100
11 Delhi Narela 30
12 Goa North Goa 100
13 Gujarat Alang 50
14 Haryana Bahadurgarh 100
15 Haryana Bawal 100
16 Himachal Pradesh Kala Amb 30
17 Jammu & Kashmir ( UT) Ompura, Srinagar 100
18 Jharkhand Deoghar 100
19 Karnataka Doddabalapur 100
20 Karnataka Bommsandra 200
21 Karnataka Shivamoga 100
22 Karnataka Narsapura 100
23 Karnataka Haroholli 100
24 Karnataka Bellary 100
25 Kerala Perambavoor 100
26 Leh ( UT) Leh 30
27 Madhya Pradesh Pithampur 100
28 ESIC SS hospital,
Odisha Jagannath Prasad, 150
Bhubaneswar
29 Odisha Duburi 50
30 Rajasthan Bikaner 100
31 Rajasthan Chittorgarh 30

23
 32 Tamil Nadu Tirupur 100
33 Tamil Nadu Sriperumbudur 100
34 Tamil Nadu Dindigul 100
35 Tamil Nadu Vaniyamvadi 100
36 Tamil Nadu Tuticorin 100
37 Tamil Nadu Kanyakumari 100
38 Telangana Ramagundam 100
39 Uttar Pradesh Meerut 100
40 Uttar Pradesh Firozabad 30
41 Uttar Pradesh Gajraula 30
42 Uttarakhand Dehradun 100
43 Uttarakhand Sidkul area Haridwar 300
44 West Bengal Siliguri 100
45 West Bengal Haldia 100
46 West Bengal Garshyamnagar 100

vi) STATUS OF MEDICAL INFRASTRUCTURE UNDER ESI SCHEME IN NORTH

EAST REGION

Date of Nos. of No. of

Sl.
State implementation of Insured
No. Hospitals Dispensaries IMP
ESI Scheme Persons

Arunachal
1 01.11.2020 - - 1(DCBO) -
Pradesh

2 Assam 28.09.1958 2,81,292 1 26 15

3 Manipur 01.06.2018 954 - 1(DCBO) -

4 Meghalaya 28.09.1980 15,647 - 2 -

5 Mizoram 01.12.2015 1,181 - 1 -

6 Nagaland 01.03.2008 3,268 - 3 -

8 Tripura 01.01.2009 15,707 - 1 -

24
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 Centres 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 aims 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).

10. EXPENDITURE ON MEDICAL CARE

The expenditure on medical care to the Insured Persons and their family is shared between
the ESIC and respective State Govt. under the provisions of Section 58(3) of the ESI Act in the
ratio of 7:1. ESIC share is being paid to the State Govt. in advance through “On Account”
payment. ESI Corporation in its 177th meeting held on 19/02/2019 has decided to bear State
Govt. 1/8th share of medical expenditure to empower State Govt. financially, to formulate
policies and plan expenditure towards upgrading the medical services in state run ESI
hospitals/dispensaries. The Corporation funding of 100 % shall be for three years i.e. FY
2019-20 to 2021-22 and on actual expenditure made by the State Govt. or the ceiling amount,
whichever is less.
Further, in order to facilitate State Governments for making adequate provision of medical
services to ESI beneficiaries, Chairman, ESIC, in supersession of all previous communication

25
regarding modalities for release On Account payment has approved revised policy for releasing
On Account payment to State ESI Scheme / Society w.e.f. FY 2021-22 in following manner:

A. Modalities for fund allocation/release for FY 2021-22 onward:

i) No change in overall ceiling of ₹3,000/- per IP per annum. However, various Sub-ceiling
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 Dhanwantari module in State ESI hospitals & dispensaries
during previous financial year.
ii) Additional Entitlement of ₹200 per IP per annum as incentive, over and above the ceiling of
₹3,000/- where bed occupancy in all the State ESI Hospitals is more than 70% during the
concluded financial year.
iii) Additional entitlement of ₹20 per IP per annum, over and above the ceiling of ₹3,000/- for
expenditure under preventive and promotive health services.
iv) i) a) will be on basis of utilisation of funds, as explained at “C” below, while release of
funds against, i) b), c) and ii) and iii) will be on basis of claims by States.

B. Modalities for calculation of Budgetary Estimates (BE) for “On Account”

payment to State ESI Schemes.
The release of funds and review of expenditure as well approval of BE will be made in the
meeting with the State Govt. in the month of March & October.
Entitlement of State ESI Schemes shall be estimated based on average of actual per IP
expenditure incurred during last three completed financial year. As increase in medical
expenditure ceiling has been enhanced from ₹2,150/- to ₹2,600/- (which is around 21%
increase), the average of actual per IP expenditure will be enhanced by 21% to arrive at
budgetary estimate (BE) for FY’ 2021-22.
Illustration: - If average per IP expenditure incurred during last three completed (2017-18,
2018-19 and 2019-20) year is ₹100 then Per IP Budget Estimate 2021-22 will be fixed as ₹100
+ ₹21 i.e. ₹121/-.
For calculation of Budgetary Estimate (BE) of subsequent financial years, average of actual
expenditure will be enhanced by 10% considering cost of inflation and increase in nos. of IPs
subject to prevailing maximum ceiling.
In case the State Govt. desires additional allocation of funds over and above the approved BE
for the year but within its overall entitlement, it may submit a proposal with justification with
details of expenditure and utilization certificate for the purpose of Revised Estimate by
October. The proposal will be submitted before Director General for approval. Further, the

26
Director General may also be authorized to approve re-appropriation of budget among States
from within the total approved budget for any financial year.
The preparation of the revised estimates for On Account payment to State should be done by
30th November and budgetary provision circular with details instructions and guidelines must
be issued by 15th December prior to subsequent financial year.
C. Modalities for release of “On Account” payment.
Out of the calculated budgetary estimate (BE) as above, after holding 10% of BE for release
subsequent to submission of Audit certificate, 90% shall be released in two installments by the
15th of April and October, as per following:
i) First Instalment (April to September): 50% of 90% of BE shall be released by 15th
April after adjustment for unutilized fund (if any) which was provided to State ESI Scheme
for one year prior to preceding financial year as reflected through its utilization certificate.
Due date for UC will be 30th September of following year.
Illustration 1- for calculating first instalment for FY 2021-2022, if the 90% of BE amount is
₹100/- and during one year prior to preceding financial year (FY 2019-20), ESI Scheme has
spent ₹80 out of released amount of ₹90, then First instalment calculation shall be 50% of 100
– (₹90 - ₹80) i.e. ₹50 – ₹10 = ₹40/-.

ii) Second Instalment (October to March): Remaining 50% of 90% of BE shall be

released by 15th October. While releasing 2nd installment following may be taken care
of:
a) In case of unspent balances of one year prior to the preceding F.Y. get spent in
previous F.Y. as reflected through utilization certificate (due date of is 30th Sept of
following year), adjustment made during 1st installment may also be released in
addition to 2nd installment.
b) In case in the review meeting with State in the 1st week of October of financial year, it
reveals that the 50% of fund released during 1st installment not exhausted till the
end of 30th sept, 2nd installment may be given in proportionate basis.
Further, the adjustment of released instalment amount and utilisation certificate from financial
year 2021-22 onwards will be carried out as under:

1st instalment: Released during April, 2021 – UC of FY 2019-20.

1st Instalment: Released during April, 2022 – UC of FY 2020-21.
1st Instalment: Released during April, 2023 – UC of FY 2021-22 and so on.

iii) Additional Instalment: The State Govt. may be allowed to submit additional
requirement of fund through submission of revised estimate as explained in Para B
above. Additional fund, if approved, shall be released by 31st December of the same
financial year subject to total allocation of the year being within the entitlement of
ceiling amount including sub-ceiling.

iv) No sub-ceiling for Others head: At present payment to States are done within a
sub-ceiling of Administration & Others (Drugs & Dressing etc.) in an effort to control

27
 excess expenditure on salaries in the ratio of 50:50. Instances have been seen where
some of the State are incurring expenditure on Others above the sub-ceiling
entitlement. It is proposed that the ceiling of Others may not be restricted subject to
within the overall entitlement ceiling to encourage expenditure on service to IPs with
ceiling on Administrative expenditure to continue.

v) PIP Fund Instalment: To avail the Project Implementation Plan (PIP) fund, the State
Government shall submit plan in advance by 15th Oct for subsequent financial year.
This will be examined at ESIC Hqrs’. level and after getting approval from Director
General, the sanction will be communicated to State Government by 31st Dec for
subsequent financial year. Utilisation Certificate in case of PIP may be taken by
considering period of 12 months before preceding year. While sanction for the
subsequent financial year will be communicated to the States before commencement of
the financial year, the release will be spread over the year irrespective of any ceiling of
90% with audit certificate to be furnished with On Account payment audit certificate.

vi) Full & final Settlement: Audit certificate of concerned financial years shall be
required for release of balance fund spent by State ESI Scheme subject to various sub-
heads and broader ceiling.

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.
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

28
 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.
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.
q) In order to prepare ESIC health system for likely third wave of Covid, a Strategic Group
has been constituted which has prepared its draft report. Based on its
recommendation, other Covid related measures will be taken accordingly.

29
12. 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: -
i) PG Institutes:
PG courses are running at 06 Postgraduate Institutes of Medical Sciences & Research
(PGIMSRs) at Rajajinagar, Bangalore (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.

ii) Medical Colleges:

ESIC has established and is running 06 ESIC Medical Colleges at Rajaji Nagar, Bangalore
(Karnataka); K. K. Nagar, Chennai (TN); Joka, Kolkata (WB); Gulbarga (Karnataka); Faridabad
(Haryana) and Sanathnagar, Hyderabad (Telangana).
In the academic year 2020-21, 4th Batch of UG (MBBS) students has been admitted at ESIC
Medical College, Rajajinagar, Bangalore after grant of recognition of MBBS Courses in 2017. 3 rd
Batch of UG (MBBS) students has been admitted at ESIC Medical Colleges at K.K. Nagar,
Chennai; Joka, Kolkata & Gulbarga, Karnataka after grant of recognition of MBBS Course in
2018. 1st Batch of UG (MBBS) students has been admitted at ESIC Medical College Faridabad,
Haryana after grant of recognition of MBBS Courses in 2020. 5 th batch of UG (MBBS) students
has been admitted at ESIC Medical College at Sanathnagar, Hyderabad.

iii) Dental Colleges:

ESIC is running 02 Dental Colleges at Rohini, Delhi and Gulbarga, Karnataka. Dental college at
Rohini, New Delhi entered its 11th year of commencement. 4th Batch of BDS students (2020-
21) has been admitted at ESIC Dental College, Gulbarga.

iv) Nursing College:

ESIC is running 02 Nursing Colleges at Indranagar, Bangalore, Karnataka and Gulbarga,
Karnataka. ESIC Nursing College, Indranagar, Bangalore has been started in 2013-14 and ESIC
Nursing College, Gulbarga, Karnataka has been started in 2015-16.

v) Para Medical Institute:

Para Medical Courses were started (2019-20), i.e. Diploma in OT & Anaesthesia Technology;
and Diploma in Medical Records Technology, at ESIC Para-medical Institute, Gulbarga,
Karnataka. New courses were added in 2020-21 i.e. Diploma in Medical Laboratory
Technology, Diploma in Medical Imaging Technology, Diploma in Ophthalmic Technology,
Diploma in Health Inspector, Diploma in Dental hygiene and Diploma in Dental Mechanics.

30
vi) Start of DNB Courses:
ESIC has started DNB courses in 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 as an interim measure till PG
courses under MCI/NMC are started.

vi) 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 have been transferred to respective State Governments under MoU in 2015 (Paripally)
and 2016 (Coimbatore, Mandi). The State Governments have started MBBS courses at these
locations.
Meanwhile, in continuation of starting medical services at associated Hospitals of proposed
Medical College Alwar, Rajasthan and Bihta, Patna, Bihar, ESIC has submitted applications to
NMC for starting MBBS courses at these locations from 2021-22. Appropriate steps are being
taken to meet regulatory requirements in this regard, on continuing basis.

13. 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.

(ii) List of major projects under execution during 01-01-2020 to 01-07-2021

Sl.No. MEDICAL EDUCATION & RELATED WORKS

1 PGIMSR & Renovation of ESIC Hospital, Andheri, Mumbai.

Sl.No. Hospitals/Dispensaries

1 Construction of Hospital at Nacharma, Hyderabad, Telangana.

2 PG Institute cum Medical College, ESI Hospital at Basaidarapur, New Delhi.

3 Upgradation & renovation of 50 to 100 bedded Hospital at Bibvewadi,

Pune(Maharashtra)

31
4 Construction of 100 bedded Hospital at Adityapur, Jharkhand

5 Construction of 100 bedded Hospital at Haldia, W.B

6 Construction of 100 bedded Hospital at Ranchi, Jharkahand (expandable to 200 beds)

7 Renovation of existing Hospital and setting up of 50 bedded SST facilities at Pandu

Nagar, Kanpur, Uttar Pradesh

8 Construction of ESI Hospital at Okhla, Delhi

9 Construction of 50 Bedded ESI Hospital at Phulwarisharif, Patna, Bihar(Expandable to

100 Bedded)

10 Construction of 100 bedded Hospital at Raipur, Chhattisgarh.

11 Construction of 50 bedded Hospital at Asansol, W.B.

12 Construction of 100 bedded Hospital at Siliguri, W.B

13 ESIC Ayush Hospital, Narela, Delhi

14 Construction of 100 bedded Hospital at Raigarh, Chhattisgarh

15 Construction of 30 bedded ESI Hospital (Upgradable to 100 beds) at Bikaner,

Rajasthan

16 Construction of Dispensary at Neemrana, Rajasthan

17 Construction of Dispensary at Sitapura, Rajasthan

18 Construction of 100 bedded Hospital at Bhilai, Chhattisgarh.

19 DIMS Building, Haryana

20 Construction of Model Dispensary, Pydibhimavaram

21 Construction of 200 bedded Hospital at Surat, Gujarat.

22 Construction of 100 bedded Hospital at Doddabalapur, Karnataka.

23 100 Bedded ESI Hospital at Kakinada Andhra Pradesh

24 100 Bedded ESI Hospital at Rajamahendravaram Andhra Pradesh

25 Construction of back side Road and allied services at ESIC Medical college and
Hospital Bihta, Patna.

26 Renovation Work of existing ESIC Hospital at Kolhapur, Maharashtra.

27 Special Repairs works of existing old building of ESI Hospital at Malkapuram,

Vishakhapatnam Andhra Pradesh.

28 Construction of 100 Bedded ESI Hospital at Shivamogga, Karnataka.

29 Dispensary at Gorakhpur, Uttar Pradesh

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 S.N Laying of foundation stone for construction of ESIC/ESIS hospital during
01/01/2019 TO 01/07/2021

1 Foundation Stone for 100 bedded ESI Hospital at Kakinada, A.P

2 Foundation Stone for 100 bedded ESI Hospital at Bareilly

3 Foundation Stone for 100 bedded ESI Hospital, Ompura, J&K

E) Capital Construction outlay

The details of fund sanctioned 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 229.06
2. ESI Hospitals/Dispensaries/Offices of 2566.63
Directorate of ESI Scheme/Central Medical
Stores etc.
3. Regional Offices/Branch Offices/Staff --
Quarters
Total 2795.69

14. 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:-
i) 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.
ii) ESI Corporation further decided in its 166th meeting under implementation of reform
agenda ESIC 2.0 for expansion of AYUSH facilities in ESIC, ESIS Hospitals and
Dispensaries and formulated ESI policy on AYUSH on 30.11.2015.
iii) 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. DG ESIC Ayurvedic Rate Contract in under progress.
iv) ESI Corporation is formulating Central Homeopathic Rate Contract for procurement of
Homeopathic drugs in all ESIC/ESIS Hospitals and Dispensaries.

33
 v) 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.

The details of AYUSH facilities available in ESIC and ESIS Hospitals and Dispensaries as on
01.07.2021 is at Annexure – ‘V’.

15.RECOVERY OF CONTRIBUTION AND DETAILS OF PROSECUTION CASES

i) Recovery of contribution
A total contribution of Rs. 13787.79 Crores was collected during the year 2020-2021 against
the target of Rs. 12500 Crore. The contribution income for April, and May 2021 is Rs 2165.87
Crores. Target for the current financial year is Rs. 14500 Crore. 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 is irrecoverable arrear at present, due to various reasons which
are furnished as under: -
a) Details of Arrears not recoverable as on 31/03/21
(Amount Rs. in Crores)

a) Amount of arrears 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 whereabouts of 184.81

employers not known.

f) Amount for which decree obtained but not executed 1.39

Total 1943.22

b) Dues from sick industries

I)Cases in respect of Factories/Estts. Registered with BIFR/NCLT but 129.64

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) Recoverable arrear

34
 Employers whereabouts known but unit is closed 143.47

Recoverable dues pending for recovery action with Recovery Officer 2152.73

Total 2296.20

Grand Total (a+b+c) 4459.69

i) PROSECUTION CASES

Prosecution cases were filed against defaulting employers under section 85(a to g) 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:

Sec. 85 (a to g) Sec.406 & 409

S.No Particulars Total
of ESI Act 1948 of IPC

1 No. of Prosecution cases pending as

on 01/ 04/20 11748 926 12674
No. of prosecution cases filed during
2
the year 2020-21 428 0 428
3 Total (1+2) above 12176 926 13102
4 Cases withdrawn 2 0 2
Total No. of prosecution cases
5
decided during 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
7
pending as on 31.03.21 (3-6) 11726 915 12641

16. Conduct of inspection through Central Analysis and Intelligence Unit (CAIU):

35
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
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 2020, total 1894
complaints/references received in CAIU, in which 67 received from Ministry and PMOPG Portal,
20 received from RTI Portal. Out of which 618 cases have been approved from
inspection/Investigation/Surprises Physical Verification, after analysis of data of compliance.

17.PUBLIC GRIEVANCES REDRESSAL MACHINERY SET-UP IN ESIC

i) The ESI Corporation being a premier social security Organisation is catering to the
needs of more than 13 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.
ii) 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.
iii) Public Grievances are received through various channels like Telephone, Postal, Email,
CPGRAMS, Santusht portal, social networking etc.
iv) The Corporation monitors Public Grievances through a vast network of designated
Public Grievance Officers posted in all the field offices/ESIC hospitals.
v) To provide guidance, urgent and correct 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

36
 grievance registration number. This facility has helped those IPs/IWs who are either
illiterate or lacking writing/computer skills. The following no. of calls received during
the year 2020 & 2021:

Year Total no. of Calls received

2020 314576
2021(upto 30.06.2021) 176783
vi) Measures taken to expedite settlement of PG cases
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
year 2020 & 2021.

Year Brought Received Settled Average Pending

forwarded Disposal
Time (Days)

2020 266 6434 6482 14 218

2021(upto 218 5627 5501 8 344
30.06.2021)

a) 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.
b) In most of the cases where telephone numbers are available, feedback/Satisfaction
level are also obtained from the complainant continuously and in case of any
dissatisfaction remedial measures are taken promptly.
c) The Director General, ESIC himself/herself takes efforts on his/her part by reviewing
atleast 20 grievances every week to check qualitative and speedy redressal of
grievances.
d) Video conferences are also arranged periodically to monitor speedy and appropriate
disposal of grievances received at various ESIC offices/Hospitals.
e) A detailed standard operating procedure (SOP) for timely redressal of public grievances
at each level with timelines has also been issued recently directing all offices to redress
all the public grievances following the procedure.

18. PUBLIC RELATIONS

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

19. COMPLIANCE UNDER RTI ACT, 2005

i) 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.
ii) 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.
iii) 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.
iv) The information to the applicant is ordinarily provided in the form in which it is sought.
v) Manual of the Right to Information has been published as per provisions of RTI Act,
2005, 13404 requests for information were received during the period 01.01.2020 to
30.06.2021 out of which information was provided in 11795 cases, 104 cases
transferred to CPIOs of other Public Authorities and 124 cases were rejected.
vi) 1353 Appeals were also received during this period out of which 1221 Appeals decided.
vii)The name and the address of the Appellate Authority is mentioned in the
reply/decisions communicated to the applicant.

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20. 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.
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 April 2021 to June 2021 online training for 71 days has been imparted to
5743 participants.

21. FUNCTIONS OF PROCUREMENT CELL & RATE CONTRACT CELL

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

i) Monitoring statutory adherence to Government of India Public Procurement Policy

guidelines and Make in India policy 2017.

39
 ii) Sanction / Approval for procurement of equipment proposals received from ESIC
PGIMSRs and ESIC Hospitals (Equipment beyond DOP of Dean / Medical
Superintendents and not existing in norms).
iii) Enhancement of Delegation of powers of Deans/Medical Superintendents of ESI
institutions in respect of procurement of equipment.
iv) Updation / Revision of medical equipment norms for ESI Institutions.
v) Requirement Compilation, GeM Coordination for procurement modalities.
vi) Payment Process for equipment procured through GeM, issues resolution.
vii)Post contract management and issues resolution for equipment procured through e-
tender.
viii) Dealing complaints pertaining to equipment procurement received from user units.
ix) Policy matters related to equipment procurement.
The important policy decisions taken in view of COVID 2nd wave for facilitation of essential
supplies and management of COVID pandemic and Procurement of equipment for efficient
delivery of medical services and infrastructure development in ESIC institutions are at
Annexure- VI.

(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-VII.

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

approved

1 DG ESIC RC No. 142 to 146 Valid upto 286 items

31.08.2021
2 DG ESIC RC No. 142A to 146A Valid upto 200 items
31.08.2021
3 DG ESIC RC No. 147 Valid upto 66 items
29.08.2021
4 DG ESIC RC No. 142B to 146B & Valid upto 186 items
147A 29.03.2022
5 DG ESIC RC for Orthopaedic Valid upto 229 items
Implants (Trauma) 29.07.2021
6 DG ESIC RC for Surgical Valid upto 168 items
Consumables & disposables 29.07.2021

40
22) Super Specialty Treatment Cell:

i) ESI Corporation in its 143rd Meeting has approved Super Specialty Treatment (SST) on
cashless basis to its beneficiaries w.e.f. 01.08.2008. This SST is being 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. Subsequently, Hospitals
were empaneled and ESI beneficiaries were referred as per the ESIC guidelines issued
on time to time basis. The SST Cell, Hqrs. Office facilitate and ensure smooth and
seamless delivery of Super Specialty services to all beneficiaries across India. These
services are provided in house at selected location of ESIC Hospitals and through a
network of empaneled tie up Medical Institutions across India.

ii) Initiative taken during 2020-21: In the 180th Meeting of ESI Corporation held on
07.01.2020, it was decided that 100% bills under CGHS rates should be paid upfront
within a specified time limit as scrutinized by UTI(ITSL). The bills should be paid within
15 days of the receipt of the hardcopy of the bill. The 80% amount of non-CGHS bills
as scrutinized by UTI(ITSL) should be paid upfront without further scrutiny. For
balance amount of 20% of non-CGHS bills, random scrutiny may be done.

iii) The key changes post the above decision are enumerated below:

Types Upfront payment Pre-payment processing Post payment scrutiny (system

of bills generated random selection of
bills module developed by UTI &
ITC)

CGHS 100% of the UTI NIL  At least 10% of bills less than 1
package recommended lakh each
bills amount  At least 50% of bills more than 1
lakh each

Non 80% of the UTI Full scrutiny before release of NIL

CGHS recommended balance 20% of UTI
package amount recommended amount
bills

(iv) Other Key features:

For referral generation to tie-up hospitals, the online referral number generated through HIS
system (Dhanwantri) will be used to fetch the demographic details as in Panchdeep into UTI
system.
 Digital signatures for tie-up hospitals for uploading of bills.

41
 Tie-up hospitals to ensure proper documentation and detailed referral letter to avoid
inconvenience to the patient/beneficiary.
In addition to above, Ministry of Health & Family Welfare during COVID 19 pandemic had
issued various directions & 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
beneficiaries. Recently the following policy changes have been initiated by SST Cell Hqrs.
Office and have been duly intimated to all stake holders through web site upload.

23 RECRUITMENT DIVISION
Recruitment Division conducts publishing of vacancies in various teaching faculties, medical,
para-medical, administrative and technical cadres; holding examination, interviews,
compilation, declaration and publication of results, Recruitment Division carried out following
activities in the year 2020.
a) Medical Posts

Sl. No. of Present Status

Post
No. vacancies

1 771 Result of written examination

Recruitment of IMO Gr. II for 17 for all 17 Regions were
regions. (Assam, Bihar, Chhattisgarh, declared on 7th Feb., 2019.
Delhi, Gujarat, Haryana, Himachal
Pradesh, Jammu & Kashmir, Jharkhand,
Recruitment process completed
Madhya Pradesh, Maharashtra, Orissa,
for all 17 states by January,
Punjab, Rajasthan, Tamilnadu, Uttar
2020.
Pradesh, West Bengal)

2. Recruitment of Specialist Grade-II (Jr. 22 Interviews for Chhattisgarh

Scale) for Chhattisgarh and Uttarakhand region was initially scheduled
regions. in February 2021 but were
cancelled due to Covid
situation. Interviews for both
the regions are being re-
scheduled.

b) Administrative & Ministerial Posts

Sl. No. Of Details of Present Status

Post
No. vacancies Recruitment

1 Recruitment UDC-1719 Advertisement On-line Phase I Pre-Exam held on

to the post Steno-151 released on 14.07.2019. for the post of UDC/Steno.
of UDC & 01.03.2019 On-line Phase II, Main Exam held on
Steno 01.09.2019 for the post of UDC.

42
 Phase III Computer Skill Test for UDC &
Phase II Computer skill test/Stenography
test for the post of steno held on
20.10.2019 & 01.12.2019.
Final Result was declared by various
regions in February and March 2020.

c) Limited Departmental Competitive Examination

Sl. Present Status

Recruitment Activity Details of Recruitment
No.

Result of successful
1. Advance Increment Test for Advance Increment Test
candidates was declared
existing Stenographers. was conducted 02.11.2020.
on 01.02.2021.
2. Half Yearly Computer Skill Half Yearly Computer Skill Result of successful
Test for Employees appointed Test conducted on candidates was declared
to the post of UDC on the 25.02.2020. on 24.07.2020.
Compassionate Ground/under
Sports Quota
3. Half Yearly Computer Skill Half Yearly Computer Skill Result of successful
Test for Employees appointed Test conducted on candidates was declared
to the post of UDC on the 25.02.2021. on 05.04.2021.
Compassionate Ground/under
Sports Quota

24. INFORMATION & COMMUNICATION TECHNOLOGY DIVISION

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

43
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.
(i) 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.
(ii) PANCHDEEP 1.0 SUB-SYSTEMS

44
(iii)PANCHDEEP APPLICATION SUITE (SALIENT FEATURES)
The suite of applications is a web-based solution to enable users of various ESI offices to
access the applications from web browsers in addition to the dedicated LAN/WAN. The solution
is driven by a flexible & configurable workflow engine to ensure it meets all workflow
requirements of ESI scheme 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:

The Enterprise Intelligence (BI) solution is deployed to meet the analytical and business
intelligence requirements of the ESIC. The solution consolidates the data from different
business functions and provides a single source of truth to the end users for multi-dimensional
analysis along various parameters. It includes an Enterprise Data Warehouse coupled with an
interactive Reporting and Analytical application. There are in total 100+ daily, monthly and
adhoc reports and dashboards available in the system to users in their respective area of work
for decision making.
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

45
additional cost to ESIC. Provisioning of additional Resources as per requirement on commercial
terms for Technology improvement and Application Change Requests, on the defined rates are
additional activities for piecemeal enhancement. 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 the onus of procurement of IT assets and renewal of
AMC, ATS, License subscription of these assets is lying with ESIC. The connectivity solution
through SDWAN in all the locations is done by another third-party vendor.

As on 01.07.2021, following new value-added provisions have been made for ease of doing
business by the stakeholders:

(iv) Recent Beneficiary-centric value-added initiatives undertaken through IT

Enablement, ESIC
a. As on 01.07.2021, following new value-added provisions have been made for ease of
doing business by the stakeholders:
b. Now, the beneficiaries can submit Claims online under Atal Bimit Vyakti Kalyan
Yojana (ABVKY) scheme. 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.
c. Panchdeep Module has been integrated with PMJAY for real-time eligibility check
before availing services through ‘Ayushman Bharat’ in specified districts helping Insured
Persons.
d. 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.
e. For the target delivery of benefits to the bonafide Beneficiaries and for dissemination of
information from time to time, the Mobile numbers of the beneficiaries have been
seeded (2.61 Crores, as on date).
f. The Bank Accounts of the beneficiaries have been seeded to prevent duplication of bank
credentials and for ensuring target delivery of cash benefits. (2.67 Crores, as on date).
g. The provision of Bulk uploading and seeding of Bank account details of existing
IPs/Employees has been made in Panchdeep application to facilitate employers update
data of the existing beneficiaries, quickly.
h. E-Payment facility has been provisioned for direct disbursement of benefits to the bank
accounts of beneficiaries through SBI gateway.
i. For the convenience of the Employers / establishments, ESIC has integrated with different
Banks for online payment of contribution by the employers using Internet Banking
(Corporate and Retail) for Real time remittance.
j. UTI-ITSL has been a partner of ESIC as 3rd party Bill Processing Agency for processing
and scrutinizing of online claims and bills of private hospitals from where the 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’ for
efficiency and transparency in delivery of cashless hired services to the beneficiaries.

46
 This has also facilitated online quick referral of beneficiaries, processing, scrutinizing and
clearing of payment against the bills raised.
k. The ‘Ask An Appointment’ Mobile App has been developed for seeking appointment in
Dispensaries and 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. Dispensaries and Hospitals are
being trained in phased manner to adopt these provisions.
l. 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.
m. 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.
n. The UMANG Mobile App: Many 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. Any ESI centre / tie-up hospital can be
searched through the app, based on distance and /or services available therein.
o. DHANWANTRI Mobile App: The Dhanwantri Mobile App is meant for ESIC & ESIS
Doctors, Insurance Medical Practitioners (mIMPs), etc. It helps Doctors prescribe/capture
pre-defined terms of drugs, diagnosis and tests. The App has International Classification
of Diseases (ICD 10) and the Systemic Nomenclature of Medical and Clinical Terminology
(SNOMED-CT) for capturing of terms, without typing by the physicians.
p. 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.
q. 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.
r. 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.

47
25 e - Procurement/Government at e-Market Places/ Swachhta Action Plan
(SAP)

i) e-Procurement

ESIC has undertaken e-Tender through NIC/NICSI from 01-02-2019 and onward on
Central Public Procurement (CPPP). Thus, ESIC has complied the directive of Govt. of India
issue 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 Published on CPPP.

ii) Government at e-Market Places

As per direction of Govt. of India Circular No. F-13/4/2017-PPD (PT) dated 3rd May, 2016
all procurements have to made through GeM. Accordingly, ESIC issued a Circular No. D-
13/11/All India Circular/2016-Genl. Dated 25-07-2017 for making it compulsory for all
ROs/SROs/Hospitals to purchase all goods available on portal through GeM. Accordingly,
ESIC is complying the directive of Govt. of India.

iii) Swachhta Action Plan (SAP)

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

48
26. GENERAL INFORMATION AND STATISTICAL DATA REGARDING THE
EMPLOYEES’ STATE INSURANCE SCHEME

General information regarding coverage, benefits 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 50-53

2. Benefits & Contributory conditions Annexure – II 54-59
3. List of Regional Office/Sub-Regional Office/DCBO Annexure – III 60-64
4. Revenue & Expenditure of Corporation Annexure – IV 65
5. Progress made under ISM/AYUSH as on Annexure – V 66-68
01.07.2021.
6. Policy decisions taken in view of COVID 2nd wave Annexure – VI 69-71
for facilitation of essential supplies and
management of COVID pandemic
7. Process of formulation of Rate Contract Annexure - VII 72-73

49
 ANNEXURE – I(A)
26(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 29
States/UTs. (Except – Arunachal Pradesh, Manipur, Andaman & Nicobar Island,
Chandigarh, Dadar & Nagar Haveli, Daman & Diu and Lakshadweep, Maharashtra
iii) The Scheme has further been extended under Section 1(5) of the Act to Educational
Institutions in 27 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 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 34 notified States & UT's, entire area in 12 states/UT's are notified for coverage
under ESI Scheme.

3. RECENT INITIATIVES FOR EXPANDING COVERAGE UNDER THE SCHEME.

Under ESIC 2.0, the scheme is being implemented in Complete Districts where the scheme
was partially implemented in centers (381 Districts). In respect of non-implemented districts,
the scheme is being extended to their Districts Hqrs. area first & subsequently scheme shall be
extended to the entire District.
The Scheme has been extended to 399 Complete Districts &in 184 districts where it is partially
implemented in Districts Hqrs. Area & prominent industrial Centers.
To expand the coverage of ESIC to the entire nation covering all Districts by 2022.

50
 Annexure-I(B)
STATISTICAL DATA REGARDING ESI SCHEME (ALL INDIA)

S. Heads ALL INDIA

No.
As on 31.03.2019 As on 31.03.2020
1 No. of Employees covered 31401920 30966930
2 No. of I.P's Covered 34967080 34144140
3 No. of Beneficiaries 135672270 132479263
4 No. of Insured Women 5120174 6265035
5 No. of Emolyers’ registered 1211174 1236565
6 No. of Contributing Employer 603300

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. No State/ Region/ Area Total Contributing No. of No. of No. of

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

11 iv) OKHLA 23559 11598 654990 730370 72665

12 GOA 7496 4111 186460 209270 37279

51
 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

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

52
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) TRIRUNELVELLI 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

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

53
 Annexure-II
26(II)BENEFITS & CONTRIBUTORY CONDITIONS

Sl. Name of the benefit Contributory Duration of Benefit Quantum of Benefit

No. (s) conditions

(i) SICKNESS Payment for at least 78 91 days in any two (70% of daily average
(a) BENEFIT days in the relevant consecutive benefit wages)
contribution period periods.

(b) EXTENDED Continuous employment Two years (Maximum) 80% of daily average
SICKNESS for a period of two wages
years and contribution
BENEFIT
for 156 days in four
(For 34 specified long- consecutive contribution
term diseases) periods.

(c) ENHANCED Same as for Sickness 7 days for vasectomy 100% of daily average
SICKNESS Benefit. and 14 days for wages
tubectomy; extendable
BENEFIT
in cases in post-
(for undergoing operative complication
sterilization operation etc.
for family welfare.)

(ii) DISABLEMENT There are two types of benefits comes under Disablement Benefit which are
BENEFIT as under: -

(a) TEMPORARY He/ She should be an Till the incapacity lasts. 90% of the daily average
DISABLEMENT employee on the date wages
BENEFIT of employment injury.

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

DISABLEMENT earning capacity of the
BENEFIT workers which is
determined by a Medical
Board.

(iii) DEPENDANTS The deceased should be 1. To widow/widows for 90% of the daily average
BENEFIT an employee on the life or until remarriage wages to be divided
date of fatal accident. 2. To widowed mother amongst the dependents
during life. in the prescribed ratio.
3. to legitimate or
adopted son until he
attains the age of
twenty five years.
4. To legitimate or
adopted daughter till
marriage.
5. To legitimate or
adopted son or daughter
wholly dependent on the
earning of the insured

54
 person at the time of
his/her death, who have
attained the age of
twenty-five years and
are infirm, till infirmity
lasts.
5. To other dependents
for life or till marriage or
upto the age of 18
years, as the case may
be

(iv) MATERNITY Payment of contribution An Insured Woman shall 100% of daily average
BENEFIT for 70 days in be entitled to maternity wages.
immediately preceding benefit for 26 weeks of
two consecutive which not more than 8
contribution periods. weeks can precede the
expected date of
confinement. A
commissioning mother
who as biological
mother wishes to have a
child and prefers to get
embryo implanted in any
other woman and(ii) a
woman who legally
adopts a child upto 3
months of age is also
made entitled for
maternity benefit for 12
weeks. 6 weeks for
miscarriage and
additional one month for
sickness arising out of
pregnancy confinement,
premature birth of child
or miscarriage. Provided
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 preceded
the expected date of
confinement. These
Rules may be applicable
in respect of the cases
where the IW deliver a
child on or after
20.1.2017 or her
expected date of
confinement falls on
20.1.2017 or thereafter.

55
(v) FUNERAL He should be an insured Actual expenditure on
EXPENSES person on the date of funeral not exceeding Rs.
death. 15,000/- w.e.f.
01.05.2019.

(vi) REHABILITATION Entitlement to medical For each day on which At 100% of daily average
ALLOWANCE benefit or if disabled insured person remains wages.
due to employment admitted in Artificial
injury. Limb-Centre for
fixation/repair or
replacement of artificial
limb.

(vii) MEDICAL BENEFIT On payment of Rs.10/- Period for which Full Medical care.
TO RETIRED/ p.m. in lump-sum for contribution is paid.
DISABLED one year in advance
INSURED PERSONS (I) by insured persons
AND HIS/ HER who retire from
SPOUSE insurable employment
on attaining the age of
superannuation or
under VRS or
prematurely after being
in insurable
employment for not less
than five years IPs are entitled for full
(ii) by insured persons medical care for self and
who cease to be in spouse only, Period for
insurable employment which contribution is
on account of paid, till attaining the
permanent disablement age of superannuation.
due to an employment
injury.
(iii) This benefit is 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 Woman Up to two confinements Rs. 7500/- per case.
EXPENSES or an I.P. in respect of only.
his wife incase facilities
for confinement are not
available in ESI
Institutions.

56
(ix) VOCATIONAL Not more than 45 years All the days of training Rs. 123/- per day or the
REHABILITATION of age and disability not in Vocational actual amount charged by
ALLOWANCE SKILL le than 40% due to Rehabilitation Centre Vocational Rehabilitation
DEVELOPMENT Employment Injury Centre, whichever is
SCHEME UNDER higher.
R.G.S.K.Y.

(x) UNEMPLOYMENT An I.P. who has lost Maximum period of two IP/IW would get the
ALLOWANCE employment due to year during life time. benefit as per the
closure of factory, following slab:
retrenchment or
permanent disablement 0 to 12 13 to 24
of at least 40% arising months months
out of non-employment
injury and the 50% pf the 25% of the
contribution in respect last Av. Daily last Av.
of him have been wages Daily wages
paid/payable for a
minimum of two years
prior to the loss of
employment.

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

(xii) NEW ADDITION Conveyance Allowance -- 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.

(xiii) ATAL BIMIT VYAKTI The scheme provides Cash compensation up Per day Rate of relief
KALYAN YOJANA relief namely ‘Atal to Ninety (90) days, under ÁTAL Bimit Vyakti
(ABVKY) Beemit Vyakti Kalyan once in a lifetime, to be Kalyan Yojan is 25% of
Yojana in the form of claimed after three average earning per day
cash compensation up months in one or more during the immediately
to Ninety (90) days, spells for being rendered preceding four
once in a lifetime, to be unemployed. During consecutive contribution
claimed after three Covid-19 pandemic the periods. During Covid-19
months of being relief can be claimed pandemic the rate of relief
rendered unemployed one month after has been enhanced to
in one or more spells unemployment. 50% of average daily
for being rendered earnings of I.P.
unemployed; provided
the employee should
have completed two
years of insurable
employment and have

57
 contributed not less
than Seventy eight (78)
days in each of the four
consecutive contribution
periods immediately
preceding to the claim
of relief. The relief shall
not exceed twenty-five
per cent (25%) of the
average earning per
day.
To provide relief to the
IPs who lost their jobs
during Covid-19
pandemic, the eligibility
conditions has been
relaxed to 78 days
contribution in two
contribution periods.
One immediately
preceding the
unemployment & one
out of three remaining
contribution period in 2
years prior to
unemployment. Rate of
relief has also been
enhanced from 25% of
average daily earning to
50% of average daily
earning of the IP.

XIV ESIC COVID-19 Employees’ State 1. To spouse for life. 90% of the daily average
RELIEF SCHEME Insurance Corporation 2. To widowed mother wages to be divided
has started ESIC during life. amongst the dependents
COVID-19 Relief in the prescribed ratio.
3. to legitimate or
Scheme under which
adopted son until he
90% of average wages
attains the age of
of deceased Insured
twenty five years.
Person shall be paid to
the eligible dependents 4. To legitimate or
of the Insured Person adopted daughter till
who died due to COVID- marriage.
19. The Scheme will be 5. To legitimate or
effective for a period of adopted son or daughter
two years w.e.f. wholly dependent on the
24.03.2020. earning of the insured
Eligibility conditions are person at the time of
as under:- his/her death, who have
(1) The IP who died attained the age of
due to COVID-19 twenty-five years and
disease must have been are infirm, till infirmity
registered on the ESIC lasts.
online portal at least 5. To other dependents
three months prior to for life or till marriage or
the date of diagnosis of upto the age of 18
COVID-19 disease years, as the case may

58
resulting in his/ her be
death.
(2) The deceased IP
must have been in
employment on the
date of diagnosis of
COVID-19 disease and
contributions for at least
70 days should have
been paid or payable in
respect of him/ her
during a period of
maximum one year
immediately preceding
the diagnosis of COVID-
19 disease resulting in
death.

59
 ANNEXURE-III
26(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- REGIONAL
NO. STATE/ UT LOCATION OFFICE (SRO)

1 VIJAYWADA RO
ANDHRA
2 VISHAKHAPATNAM SRO
PRADESH
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
17 shifted to KARNAL)

HIMACHAL
BADDI
18 PRADESH RO

19 J&K JAMMU RO

20 JHARKHAND RANCHI RO

21 BANGALORE RO

22 BOMMASANDRA SRO

23 PEENYA SRO

24 KARNATAKA MANGALORE SRO

25 HUBLI SRO

26 GULBARGA SRO

27 MYSORE SRO

60
28 THRISSUR RO

THIRUVANANTHAP SRO
29 URAM
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 PUDUCHERRY PUDUCHERRY RO

44 CHANDIGARH RO

45 PUNJAB JALANDHAR SRO

46 LUDHIANA SRO

47 JAIPUR RO

48 RAJASTHAN JODHPUR SRO

49 UDAIPUR SRO

50 CHENNAI RO

51 COIMBATORE SRO

52 MADURAI SRO
TAMILNADU
53 TIRUNELVELI SRO

54 SALEM SRO

55 TRICHY SRO

56 TELANGANA HYDERABAD RO

57 NOIDA SRO

58 UTTAR PRADESH KANPUR RO

59 LUCKNOW SRO

61
 60 VARANASI SRO

61 UTTARAKHAND DEHRADUN RO

62 KOLKATA RO

63 WEST BENGAL BARRACKPORE SRO

64 DURGAPUR SRO

(b)District wise functional DCBOs

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

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

4 Andaman & Nicobar Island PORT BLAIR 7. PORT BLAIR

BHAGALPUR 8. BHAGALPUR

5 Bihar BEGUSARAI 9. BEGUSARAI

BHOJPUR 10. ARA

BHAVNAGAR 11. BHAVNAGAR

6 Gujarat BHARUCH 12. ANKELSHWAR

VALSAD 13. VAPI

FARIDABAD 14. FARIDABAD

7 Haryana
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

62
 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

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

KUMARAMBHEEM 56. SIRPUR KAGHAZNAGAR

ASIFABAD
20 Telangana
MAHABUBNAGAR 57. MAHABUBNAGAR

NIZAMABAD 58. NIZAMABAD

PEDDAPALLI 59. RAMAGUNDAM

63
 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

64
 ANNEXURE-IV
26(IV) REVENUE & EXPENDITURE OF CORPORATION

S.No. Particulars Amount (Rs. in Lakhs)

1 Revenue of ESI Corporation
Actual from 1.4.2020 to 31.3.2021 2109113.32
Revised Estimates for 2020-2021 1861561.00
Budget Estimates for 2021-22 2033914.00

2 Total Expenditure (Revenue Accounts)

Actual from 1.4.2020 to 31.3.2021 1376712.82
Revised Estimates for 2020-2021 1503069.40
Budget Estimates for 2021-22 1751318.82

3 Total Expenditure (Capital Accounts)

Actual from 1.4.2020 to 31.3.2021 48170.91
Revised Estimates for 2020-2021 110316.80
Budget Estimates for 2021-22 186548.00

65
 ANNEXURE-V

26(V) PROGRESS MADE UNDER AYUSH AS ON 01.07.2021

STATEMENT SHOWING TOTAL FACILITIES PROVIDED IN (AYUSH) AYURVEDIC,
YOGA, UNANI, SIDDHA & HOMEOPATHY IN THE VARIOUS STATES OF THE
COUNTRY AS ON 01/07/2021 in ESIC AND ESIS.

A) AYURVEDIC

Sr. No. State No. of units in No. of Ayurvedic No. of beds in

Disp./Hospitals Physician hospitals

1. Andhra Pradesh 06 06 -

2. Assam 01 01 02

3. Bihar 03 03 -

4. Delhi 22 22 10

5. Goa 01 01 -

6. Gujarat 52 32 25

7. Haryana 06 06 -

8. Himachal Pradesh 02 02 -

9. Jammu & Kashmir 01 01 01

10. Jharkhand 02 02 05

11. Karnataka 03 04 -

12. Kerala 15 15 33

13. Madhya Pradesh 01 01 -

14. Maharashtra 10 11

15. Orissa 02 02 -

16. Punjab 09 05 02

17. Rajasthan 02 03 03

18. Tamil Nadu 09 10 -

19. Telangana 01 01 -

20. Uttar Pradesh 15 10 -

21. West Bengal 05 05 -

Total 168 142 81

66
Panchkarma Therapy:
 ESICH Chandigarh
 ESICH Faridabad, Haryana
 ESICH Bapu Nagar, Ahmadabad
 ESICH Lucknow (U.P.)
 ESICH K.K. Nagar, Chennai
 ESICH Ezhukone- Kerala
 ESICH Rajaji Nagar, Bengalore
 ESIH Gujarat -08
Kshar Sutra
 ESICH Beltola - Assam
 ESICH Bapunagar, Ahmadabad
 ESICH Bari Brahmna Jammu & Kashmir

B) YOGA

Sr. No. STATE NO. OF YOGA CENTRE

1. Assam 01
2. Delhi 02
3. Gujarat 09
4. Haryana 02
5. Jharkhand 01
6. Kerala 03
7. Madhya Pradesh 01
8. Orissa 01
9. Rajasthan 01
10. Tamil Nadu 04
11. Telangana 01
12. Uttar Pradesh 02
13. West Bengal 01
Total 29

67
C) UNANI

Sr. No. State No. of Units No of Unani No. of beds in

Disp./Hospitals Physician Hospitals

1. Bihar 01 01 -
2. Tamil Nadu 02 02 -

D) SIDDHA

Sr. State No. of Units No of Siddha No. of beds in

No. Disp./Hospitals Practitioners Hospitals
1. Tamil 27 27 -
Nadu

E) HOMEOPATHY

Sr. No. State No. of units in No. of No. of beds in

Disp./Hospitals Homeopathic hospitals
Physician

1. Andhra Pradesh 06 06 -

2. Assam 01 01 -

3. Bihar 02 01 -

4. Delhi 14 14 -

5. Goa 01 01 -

6. Gujarat 03 03 -

7. Haryana 03 03 -

8. Himachal Pradesh 01 01 -

9. Jharkhand 01 01 -

10. Karnataka 02 02 -

11. Kerala 16 16 03

12. Madhya Pradesh 01 01 -

13. Maharashtra 01 01

14. Punjab 02 02 -

15. Rajasthan 02 02 -

16. Tamil Nadu 04 04 -

17. Uttar Pradesh 14 14 -

18. West Bengal 07 07 -

Total 81 80 03

68
69
 Annexure-VI
26(VI) Policy decisions taken in view of COVID 2nd wave for facilitation of
essential supplies and management of COVID pandemic

S.No Procurement of Equipment for management of COVID upsurge and efficient delivery
of medical services
1 Instructions of GeM on provisions for swift procurement in current COVID upsurge
vide circular dt 04.05.2021
2 Approval for 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
Hospitals for a period of 02 months 07.05.2021 to 06.07.2021
3 Guidelines for acceptance of COVID related donation supplies from Central Govt. ,
State Govt., PSUs , Autonomous Bodies, NGOs inter alia by ESIC Institutions vide
circular dt 13-05-2021
4 Exemption of procurement through GeM portal for COVID related items extended till
30.06.2021 vide letter dt 02.06.2021
5 Based on requirements for COVID related emergency purchases, following equipment
were approved/sanctioned for respective ESIC user units under GFR Rule 166:
1.Extra Corporeal Membrane Oxygenator: ESIC Medical College Hospital Sanathnagar
2.Echocardiographic Machine Intracardiac Echo (Portable) : ESIC Medical College
Hospital Sanathnagar
3. Plasma steriliser - ESIC Medical College Hospital KK Nagar
4. Echo Cardiography - ESIC Medical College Hospital KK Nagar
5. Mobile Digital Radiography System - ESIC Medical College Hospital KK Nagar
6. Microdebrider with Microdrill - ESIC Medical College Hospital KK Nagar
7. HD camera endoscopic set- ESIC Medical College Hospital KK Nagar
8. The GeneXpert System-IV-4 - ESIC Medical College Hospital KK Nagar
9. Ventilator servo- I (Neonatal and infant)- ESIC Medical College Hospital KK Nagar
10. D-Type Oxygen Cylinder- ESIC Hospital Bapunagar
11. Liquid Medical Oxygen (LMO Tank)- ESIC Hospital Rohini
12. Neonatal Ventilator- ESIC Medical College Hospital Kalaburagi
6 In light of preparation for anticipated third wave, following equipment have been
approved to establish COVID Negative Ward & Paediatric ICU Ward at ESIC Hospital
Sahihabad Hospital Sahihabad :
1. Bubble CPAP
2. HHHFNC

70
Policy decisions in respect of Procurement of equipment for efficient delivery of
medical services and infrastructure development in ESIC institutions:

S.No. Subject
1 Enhancement of ceiling of Delegation of Power (DOP) of Deans ESIC Medical
Colleges and MS of ESIPGIMSRs with respect to procurement of Equipment
from Rs. 50lakh/Unit to Rs.2 Crore per equipment.
2 Enhancement in ceiling with respect to Procurement of all Equipment from
existing Rupees Fifty Lakhs to Rupees Two Crore per equipment to MSs of
non-teaching ESIC Hospitals with bed strength of 300 or more and where
Super specialty Services are to be started.
3 Instruction for Custom Bid, User Manual for Custom Bid for Services & Custom
catalogue creation in respect of Department of Expenditure Circular, issued
vide letter dt 10-02-2021
4 Standardization of Specifications for establishing Monoplane Cardiac Cath Lab
With Digital Subtraction Angiography
5 Clarifications in respect of Delegation of Powers DOP to Deans MSs of ESI
institutions for procurement of equipment
6 Revision/Updation of medical equipment norms for the Department of:
Dermatology,
Venereology
& Leprosy for ESIC/ESIS institutions
7 Equipment Sanctioned in last six months
Equipment Hospital
Monoplane Cardiac Cath Lab with Digital Subtraction
Angiography Jaipur
High Speed Electric drill Basaidarapur
Operating Microscope Joka
OCT Machine Basaidarapur
Anesthesia Work station Ranchi
Hormone Analyzer Ranchi
C-Arm Sanathnagar
Monoplane Cardiac Cath Lab with Digital Subtraction
Angiography Faridabad.

Monoplane Cardiac Cath Lab with Digital Subtraction Sanathnagar

71
Angiography

CT 64 Slice Alwar
CT 64 Slice Bihata
Faridabad
Digital Radiography Fluoroscopy System

72
 Annexure-VII
26(VII) PROCESS OF FORMULATION OF RATE CONTRACT
i) Rate Contract Cell frames the list of drugs / items to be included in the Rate Contract
through detailed deliberations and the recommendations of a broad-based Drug
Selection Committee consisting of representative of various State Directorates,
Specialists & Drug Controller duly constituted by Director General, ESI Corporation.
ii) Tenders are invited through e-publishing & open advertisement (through ESIC website,
e-procurement site & CPPP Portal) from general firms through two bid system i.e.
Technical and Price Bid.
iii) Rate Comparative is prepared and vetted by Finance & Accounts.
iv) Final Rate Contract is awarded after due approval from Competent Authority.

1) 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.
Currently approved Eligibility criteria for Tender Enquiry are:
i. Item wise Turnover based on annual expenditure incurred in the financial year for the
item
ii. Item wise EMD based on annual expenditure incurred in the financial year for item in
the form of DD / BG / FDR
iii. Item wise Performance Security Deposit in the form of DD / BG / FDR
2) All important Government of India Policy decisions are incorporated in the
Tender
Enquiries before published:
i. Addition of Force majeure clause
ii. Addition of Mandate Form
iii. Addition of Make in India Policy
3) Important additions:
i. Integrity Pact has been adopted first time in current Tender Enquiries i.e. 142C to 146C &
147B
ii. Procurement of all CPSU drugs through GeM Portal only under PPP.

4) Monitoring of regular uninterrupted supply of quality items.

5) Monitoring of availability of essential drugs & other items at ESIS dispensaries and
hospitals across India.
6) State Medical Officer nominated as Nodal Officer of contact with respective DIMS & ESIS
to co-ordinate and expediate issues with ESIS.
7) Video Conferencing to expediate pending bills of DG ESIC RC approved vendors &
resolution of other issues inter alia.

73
8) Procedural co-ordination with SCoGeM to facilitate all procurement of drugs/other issues
inter alia.
9) Drugs which are Not Supplied / Part Supplied by CPSU firms under PPP through GeM
Portal, will be procured through DG ESIC RC 147 & 147A.
10) Punitive action against Rate Contract Holders for not adhering to the Terms & Conditions
of the Rate Contract. (Non-supply, non-adhering to quality etc.)
11) Regular Updation / amendment in rates/ mfg. site/pack size etc. for facilitating delivery
across India from time to time.
12) 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. Details are as under:
i. Procurement of medicines for efficient service delivery in Covid upsurge
ii. Adherence to timelines of delivery by Approved DG ESIC Rate Contract Pharmaceutical
Firms during Lockdown period
iii. Exemption of procurement through GeM Portal for Covid related items

74