ESIC prescribes format in which insured woman must submit self-declaration for claiming Maternity Benefit

ESIC prescribes format in which insured woman must submit self-declaration for claiming Maternity Benefit

July 24, 2017 Labour 0

The Employee State Insurance Corporation (“ESIC”) by way of a Circular dated 18th July, 2017 has directed that insured woman with two surviving children on the date of presenting maternity benefit claim must submit a Self-Declaration.

Background:

The ESIC had earlier amended the Employees’ State Insurance (Central) Rules, 1950 (“ESIC Rules”) on 20th January, 2017 to bring it in sync with the Maternity Benefit (Amendment) Act, 2017 which enhances maternity leave to twenty-six weeks.

By way of the amendment in the ESIC Rules, an insured woman will be entitled to receive maternity benefit of 26 weeks of which not more than 8 weeks shall precede the expected date of confinement. However, an insured woman with two or more surviving children will be entitled to receive maternity benefit during 12 weeks of which not more than 6 weeks shall precede the expected date of confinement.

The ESIC had observed that the family particulars of the insured women vary from those available in the ESIC’s portal which lead to undue benefit.

Current scenario:

In order to curb the issue relating to undue benefit being received by the insured woman, the ESIC has directed the following:

  • The insured woman must submit a self-declaration pertainingto the details of her surviving children, as on date of presenting the maternity benefit claim.

[Note: The self- declaration form is attached with this mail].

  • For settlement of maternity benefit claim, the insured woman must fileForm No. 19along with the self-declaration prescribed in the present circular.
  • Employee State Insurance CorporationIn case of any variation in the details of the family data available in the ESIC’s IP portal and the Self-declaration submitted, the respective branch manager will ensure payment of the entitled 12 weeks of maternity benefit immediately.

In case of any balance payment to be made to the insured woman, the Branch Manager must make payment to insured woman within a period of 14 days after the verification of the records of the employer.

[Please note that this update is based on the current position and the office order dated of the ESI dated 6th February, 2017 relating to the same issue is not available in the public domain]

Source:  Employee State Insurance Corporation

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