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ESI Policy India

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ESI Policy India

ESI Policy India

Company Name
Effective Date
Policy Owner
Approved By
ESI Code Number

1. Purpose & Scope

(a)This policy outlines the Organization's obligations under the Employees' State Insurance Act, 1948, for providing social security and health insurance benefits to eligible employees. It applies to all employees drawing wages up to the ESI wage ceiling of Rs. 21,000 per month.

(b)The HR and Payroll departments shall ensure that all eligible employees are registered under the ESI scheme within 10 days of joining and that contributions are remitted by the 15th of the following month.

2. Contribution Rates & Wage Definition

(a)The employee's contribution rate is 0.75% of gross wages, and the employer's contribution rate is 3.25% of gross wages, totalling 4.00%. Employees earning up to Rs. 176 per day are exempt from their share of contribution.

(b)ESI coverage operates in two contribution periods (April-September and October-March) with corresponding benefit periods (January-June and July-December). Once covered, an employee remains covered for the full benefit period even if wages exceed the ceiling during the contribution period.

3. Benefits Under the Esi Scheme

(a)Covered employees and their dependants are entitled to medical benefits at ESI hospitals and dispensaries. Additional benefits include sickness benefit (70% of wages for up to 91 days), maternity benefit (full wages for 26 weeks), and disablement benefit (90% of wages during temporary disablement).

(b)Dependants' benefit in the form of a monthly pension is payable to the dependants of an insured person who dies as a result of an employment injury or occupational disease. Funeral expenses up to Rs. 15,000 are also payable.

4. Employee Obligations & Claim Process

(a)Employees shall obtain their ESI Pehchan Card and register their family members with the nearest ESI dispensary. To claim sickness or disablement benefits, employees must submit the prescribed forms and medical certificates to the local ESI office through the HR department.

5. Compliance & Record Keeping

(a)The Organization shall maintain all ESI records, including the Attendance Register (Form 12), Accident Book (Form 11), and Inspection Book, as prescribed under the ESI (General) Regulations, 1950. Non-compliance shall attract penalties under Section 85 of the ESI Act.

The guide

Everything you need to know about the ESI policy India

What Is an ESI Policy in India?

An ESI policy explains how the company complies with the Employees' State Insurance scheme under the ESI Act, 1948. ESI is a social security scheme providing medical care and cash benefits to workers earning below a wage threshold and their dependents. The policy documents which employees are covered, the contribution rates for employee and employer, and the range of benefits members can access, from sickness and maternity to disablement cover.

Why Companies Need an ESI Policy

ESI is mandatory for covered establishments, and non-compliance attracts interest, damages, and legal action. A clear policy ensures the company registers eligible employees, deducts and deposits contributions on time, and files returns correctly. It also helps employees understand valuable benefits they often do not realize they have, such as free medical treatment at ESI hospitals. Documented procedures make onboarding, wage-threshold checks, and monthly compliance far easier for the HR and payroll teams.

What an ESI Policy Should Include

State the governing law, the wage threshold for coverage, and how eligibility is assessed when salaries change during a contribution period. List the contribution rates, currently 0.75 percent from the employee and 3.25 percent from the employer on gross wages. Explain the benefits available: medical, sickness, maternity, disablement, and dependents' benefits. Cover registration, the issue of ESI cards or insurance numbers, contribution periods, and monthly return deadlines.

Next

Keep your hiring moving

  1. 1HR ChecklistsTurn the policy into a step-by-step checklist people follow.
  2. 2HR LettersThe formal letters that go with your policies.
  3. 3Culture Fit TestCheck values alignment before the policy has to.

FAQ

Questions about the ESI policy India

Employees earning gross wages up to the notified threshold, currently 21,000 rupees per month (25,000 for employees with disabilities), are covered in establishments that fall under the Act. Once enrolled, an employee remains covered until the end of the running contribution period even if wages rise.

The employee contributes 0.75 percent of gross wages and the employer contributes 3.25 percent, for a total of 4 percent. These rates apply to gross monthly wages, and the employer is responsible for depositing both shares by the due date.

ESI offers full medical care for the insured person and dependents, plus cash benefits including sickness, maternity, disablement, and dependents' benefit in case of death from employment injury. Treatment is provided through ESI hospitals and dispensaries at no additional cost to the member.

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