Rules and Regulations of India

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EMPLOYEES’ STATE INSURANCE (GENERAL) REGULATIONS,1950

Employees’ State Insurance (General) Regulations, 1950

Contents

Sections

Particulars

Chapter I 

 

1

Short title and extent

2

Definitions

3

The manner in which the Corporation may exercise its powers

3A

Exercise of powers by an office

4

Contribution and benefit periods

5

[***]

6

Meetings of the Corporation, the Standing Committee and the Medical Benefit Council

7

Decision by majority

8

Mode of exercising vote

9

Matters to be brought before the Corporation

10

Regional Boards

10A

Local committees 

Chapter II

Collection Of Contributions, Etc. 

10B

Registration of factories or establishments

11

Declaration by persons in employment on appointed day

12

Declaration by persons engaged after the appointed day

13

[***]

14

Declaration form to be sent to appropriate office

15

Allotment of insurance numberRegistration of families

15A

Registration of families

15B

Changes in family

16

Corporation to receive assistance from employers

17

Identity cards

17A

Issue of a certificate of employment

17B

Issue of permanent acceptance card

18

Loss of identity card

19-24.

***

25

***

26

Return of contributions to be sent to appropriate office

27

Issue of certificate of contributions

28

***

29

Payment of contribution

30

***

31

Time for payment of contribution

31A

Interest on contribution due, but not paid in time

31B

Recovery of interest

31C

Damages or contributions or any other amount due, but not paid in time

32

Register of employees engaged by immediate employer

33

Other modes of payment of contribution

34

***

35

***

36

Employment for part of a wage period

37

***

38

Scheme by joint employers

39

Reckoning of wages of employee employed by two or more employers in the same 17[wage period]

40

Refund of contribution erroneously paid

41 to 43.

*** 

Chapter III

Benefits 

44

Claims for benefits

45

When claim becomes due

46

Availability of claim forms

47

Claim on wrong form

48

Evidence in support of claim

49

Defective claim

50

Claim for inappropriate benefit

51

Authority for certifying eligibility of claimants

52

Benefits when payable

52A

Abstention verification

53

Evidence of sickness and temporary disablement

54

Persons competent to issue medical certificate

55

Medical certificate

56

Time of granting medical certificate

57

Medical certificate on first examination

58

Final medical certificate

59

Intermediate certificate

60

Final medical certificate before commencing work for wages

61

Intermediate certificate for a longer period

62

[Omitted]

63

Form of claim for sickness or temporary disablement

64

Failure to submit medical certificate

65

Notice of accident

66

Maintenance of accident book

67

Notice otherwise than by an entry in accident book

68

Report of accident by an employer

69

Employer to arrange first aid

70

Employer to furnish further particulars of accident

71

Directions by the Corporation

72

Reference to a Medical Board

73

Report of Medical Board

74

Occupational disease

75

Constitution of Medical Board/Special Medical Boards

76

Appeal Tribunals

76A

Submission of claims for permanent disablement benefit

76B

Commutation of permanent disablement benefit

77

Report of death of insured person by employment injury

78

Disposal of body of an insured person dying by employment injury

79

Issue of death certificate

80

Submission of claim for dependants benefit

81

Notice for dependants’ benefit

82

Intimation of decision regarding dependants’ benefit

83

Date of accrual of dependants’ benefit

83A

Submission of claims for periodical payments of dependants’ benefit

84

Review of dependants’ benefit

85

[Omitted]

86

Appointment of another guardian

87

Notice of pregnancy

88

Claim for maternity benefit commencing before confinement

89

Claim for maternity benefit only after confinement or for miscarriage

89A

Claim for maternity benefit after the death of an insured woman leaving behind the child

31

[***]

89B

Claim for maternity benefit in case of sickness arising out of pregnancy, confinement, premature birth of child or miscarriage

90

Other evidence in lieu of a certificate

91

Notice of work for remuneration

92

Date of payment of maternity benefit

93

Disqualification for maternity benefit

94

Authority which may issue certificate

95

Obligations of insurance medical officer

95A

Medical benefit to families of insured persons

95B

Report of death of insured person

95C

Issue of death certificate

95D

Other evidence in lieu of a certificate

95E

Submission of claim for funeral 18[expenses]

Chapter IV

Miscellaneous 

96

Authority for determining benefits

96A

Reimbursement of expenses incurred in respect of medical treatment

97

Discontinuation or reduction of benefits

98

Discharge, etc. of employee under certain conditions

99

Suspension of sickness or temporary disablement benefit

99A

Sickness or temporary disablement benefit during strike

100

Relaxation

101

[Omitted]

102

Certain officers to have powers of inspection

102A

Inspection book

103

Medical benefit during disablement

103A

Medical benefit after contribution ceases to be payable

103B

Medical benefit to insured person who ceases to be in insurable employment on account of permanent disablement

104

Production of document for medical benefit

105

Further certificates

106

Change of circumstances to be notified

107

Certificate in respect of a person claiming permanent disablement benefit

107A

Declaration by and certificate in respect of a person claiming dependants’ benefit

107B

Personal attendance of a person claiming permanent disablement benefit or dependants’ benefit

108

***

109

Submission of additional information by employer or insured person

Form 01           

Employees’ Registration Form

Form 1       

Declaration Form

Form 1A     

Family Declaration Form

Form 1B           

Changes In Family Declaration Form

Form 2       

Contribution Card

Form 3       

Return Of Declaration Forms

Form 4       

Identity Card

Form 4A     

Family Identity Card

Form 5       

Receipt For Contribution Card

Form 6       

Return Of Contributions

Form 6A   

Statement Of Advance Payment Of Contributions Contribution Period Ended __

Form 7       

Register Of Employees

Form 8       

First Certificate

Form 9       

Final Certificate

Form 10           

Intermediate Certificate

Form 11           

Special Intermediate Certificate

Form 12           

Sickness Or Temporary Disablement Benefit

Form 12A    

Maternity Benefit For Sickness

Form 13           

Sickness Or Temporary Disablement Or Maternity Benefit For Sickness

Form 13A    

Maternity Benefit For Sickness

Form 14           

Sickness Or Temporary Disablement Or Maternity Benefit For Sickness

Form 14A    

Maternity Benefit For Sickness

Form 15           

Accident Book

Form 16           

Accident Report From Employer

Form 17           

Dependants’ Or Funeral Benefit

Form 18           

Dependants’ Benefit

Form 18A         

Dependants’ Benefit

Form 19           

Maternity Benefit

Form 20           

Maternity Benefit

Form 21           

Maternity Benefit

Form 22           

Claim For Maternity Benefit

Form 23           

Maternity Benefit

Form 24           

Maternity Benefit

Form 24A         

Maternity Benefit After The Death Of An Insured Woman Leaving Behind The Child

Form 24B    

Maternity Benefit Death Certificate

Form 25           

Claim For Permanent Disablement Benefit

Form 25A         

Funeral 18[Expenses]

Form 26           

Certificate For Permanent Disablement Benefit

Form 27           

Declaration And Certificate For Dependants’ Benefit

Form 28           

Reply to be Furnished by the Employer in Respect of Form no.23 Query

Form 28A

Reply to be Furnished by the Employer

Schedule

Schedule I

[Omitted by Notification No. N-12/13/1/90-P & D, dt. 17th. May, 1991, w.e.f. 15th. June, 1991]

Schedule II

[Omitted by Notification No. N-12/13/1/90-P & D, dated 17th. May, 1991, w.e.f. 15th. June, 1991]

Schedule III

Commutation Values For Permanent Disablement Benefit

 

Foot Notes

[Notification No. RS/5/48, dated 17-10-1950]

In exercise of the powers conferred by section 97 of the Employees’ State Insurance Act, 1948 (34 of 1948), the Employees’ State Insurance Corporation is pleased to make the following regulations, the same having been previously published as required by sub-section (1) of the said section, namely: –

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