Hello everyone.
There is one question in my mind.
can anyone help me to understand if any employee
During work got injured; or something got miss happened during working.
Like -. He lost his hand; legs. Or any miss happen occurred.
Then during this time who bear the expenses of workers treatment or hospital expenses.??
So please help me out.
Thanks
Om Prabh
From India, Delhi
2There is one question in my mind.
can anyone help me to understand if any employee
During work got injured; or something got miss happened during working.
Like -. He lost his hand; legs. Or any miss happen occurred.
Then during this time who bear the expenses of workers treatment or hospital expenses.??
So please help me out.
Thanks
Om Prabh
From India, Delhi
The totla medical expenditure on treatment till declared fit, loss of pay and if injury results loss of earning capacity then compensation to be borne by the employer. In absence of ESIC coverage.
From India, Mumbai
From India, Mumbai
Hi
No doubt. The employer is liable.
If the Employee is covered under ESI Act the compensation and medical expenses can be claimed from ESI
If not, then the employer is liable to pay compensation, medical expenses and loss of pay, if any, arising out of the accident under the provisions of the Employees Compensation Act
Regards
P.S.Lakshmanan
S. G. Management Services
(PAN INDIA Consultant – Labour Law Compliance,
PF, ESI, P Tax, Benefit Management &
POSH COMPLIANCE
Kolkata
From India, Kolkata
No doubt. The employer is liable.
If the Employee is covered under ESI Act the compensation and medical expenses can be claimed from ESI
If not, then the employer is liable to pay compensation, medical expenses and loss of pay, if any, arising out of the accident under the provisions of the Employees Compensation Act
Regards
P.S.Lakshmanan
S. G. Management Services
(PAN INDIA Consultant – Labour Law Compliance,
PF, ESI, P Tax, Benefit Management &
POSH COMPLIANCE
Kolkata
From India, Kolkata
Dear Omprabh, ESI Act,Employees Compensation Act will take care of Accidents arising during the course of Work.
From India, New Delhi
From India, New Delhi
First of Thanks to everyone
But. Lakshmanan the employee has covered under esic.
And the hospital treatment expenses is more then esic amount.
So that. All treatment expenses
Company will bear ?
Or.
Some amounts 50,% of expenses will bear by esic which has covered for employee and rest amount by company./ Employers
Cause I am confused
So pls clarify.
Thanks
Om
From India, Delhi
But. Lakshmanan the employee has covered under esic.
And the hospital treatment expenses is more then esic amount.
So that. All treatment expenses
Company will bear ?
Or.
Some amounts 50,% of expenses will bear by esic which has covered for employee and rest amount by company./ Employers
Cause I am confused
So pls clarify.
Thanks
Om
From India, Delhi
Dear Om,
If the employee fits in the norms of ESIC as minimum of 2 years of service then complete amount and medication is been taken care by the ESIC but you need to ensure to take the complete treatment from ESIC hospital only. It not only includes the treatment which is free of cost but also the loss of pay at certain percentage will be paid to the employee.
Other than that if any amount which goes over and above for any reasons it should be done by the employer only.
If the employee fits in the norms of ESIC as minimum of 2 years of service then complete amount and medication is been taken care by the ESIC but you need to ensure to take the complete treatment from ESIC hospital only. It not only includes the treatment which is free of cost but also the loss of pay at certain percentage will be paid to the employee.
Other than that if any amount which goes over and above for any reasons it should be done by the employer only.
Dear OM
Firstly, the period of minimum of 2 years of service is applicable in normal cases. If the insured person is in ESI coverage for at least 2 years from the date of Online Registration, contributed for not less than 156 days and IP is eligible for Sickness Benefit in any one of the contribution period and is suffering from any of the 34 specified long term diseases, the medical benefit is admissible till the incapacity lasts or up to 730 days during a period of 3 years for self and family.
Further, If the insured person is in ESI coverage for at least 2 years from the date of Online Registration, contributed for not less than 156 days before the date of diagnosis and IP/IW is eligible for Sickness Benefit in at least two contribution period then he along with his family members will be eligible for getting super specialty treatment
In case of an Accident in respect of IP/IW himself or his/her family member this contributory condition shall not be applicable for SST treatment
Secondly, In the event of serious cases of accident or illness the hospital expenses are reimbursable under the following circumstances:
1. Serious cases of accident or illness admitted directly into recognised hospitals where owing to the clinical condition of the patient, being unconscious or otherwise, it was not possible to reveal his identity as an ESI patient and the hospital authorities recovered hospital expenses directly from the patient or the employer
2. Serious cases of accident/illness where a beneficiaries was admitted directly at a private hospital or in a non-recognised hospital where admission in a hospital recognised under the scheme would have seriously jeopardised his health like sudden heart attacks, fracture of the spine, cerebral haemorrhage, etc.
Regards
P.S.Lakshmanan
S. G. Management Services
(PAN INDIA Consultant – Labour Law Compliance,
PF, ESI, P Tax, Benefit Management &
POSH COMPLIANCE) - KOLKATA
From India, Kolkata
Firstly, the period of minimum of 2 years of service is applicable in normal cases. If the insured person is in ESI coverage for at least 2 years from the date of Online Registration, contributed for not less than 156 days and IP is eligible for Sickness Benefit in any one of the contribution period and is suffering from any of the 34 specified long term diseases, the medical benefit is admissible till the incapacity lasts or up to 730 days during a period of 3 years for self and family.
Further, If the insured person is in ESI coverage for at least 2 years from the date of Online Registration, contributed for not less than 156 days before the date of diagnosis and IP/IW is eligible for Sickness Benefit in at least two contribution period then he along with his family members will be eligible for getting super specialty treatment
In case of an Accident in respect of IP/IW himself or his/her family member this contributory condition shall not be applicable for SST treatment
Secondly, In the event of serious cases of accident or illness the hospital expenses are reimbursable under the following circumstances:
1. Serious cases of accident or illness admitted directly into recognised hospitals where owing to the clinical condition of the patient, being unconscious or otherwise, it was not possible to reveal his identity as an ESI patient and the hospital authorities recovered hospital expenses directly from the patient or the employer
2. Serious cases of accident/illness where a beneficiaries was admitted directly at a private hospital or in a non-recognised hospital where admission in a hospital recognised under the scheme would have seriously jeopardised his health like sudden heart attacks, fracture of the spine, cerebral haemorrhage, etc.
Regards
P.S.Lakshmanan
S. G. Management Services
(PAN INDIA Consultant – Labour Law Compliance,
PF, ESI, P Tax, Benefit Management &
POSH COMPLIANCE) - KOLKATA
From India, Kolkata
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