In pursuance of powers conferred by Section 32 2 of the Code on Social Security, 2020 36 of 2020 and Regulation 95 A of the Employees State Insurance General Regulations, 1950 read with section

**Executive Summary** This notification issued by the Employees' State Insurance Corporation (ESIC) mandates the extension of medical benefits to the families of insured persons in four districts of Meghalaya. Effective from April 1, 2026, the order is issued under the Code on Social Security, 2020, and the ESI (General) Regulations, 1950. The primary objective is to broaden the scope of healthcare coverage for eligible beneficiaries in the identified regions. **Key Points / Main Content** * **Implementation Details** * The effective date for the commencement of these benefits is fixed as April 1, 2026. * The notification was officially issued on April 13, 2026, and published in the Gazette of India on April 27, 2026. * **Legal Framework** * The extension is authorized under Section 32(2) and Section 164(2)(b) of the Code on Social Security, 2020. * The provisions are governed by Regulation 95-A of the Employees' State Insurance (General) Regulations, 1950. * **Geographic Scope** * The medical benefits apply to all areas within the following districts of Meghalaya: * West Khasi Hills * South West Khasi Hills * Eastern West Khasi Hills * East Jaintia Hills * **Benefit Provision** * The extension specifically covers "medical benefits" as laid down in Regulation 95-A. * The coverage is extended from the insured persons to include their families. **Impact Analysis** **Families of Insured Persons in Specified Meghalaya Districts** **Impact** Family members of insured workers in the four designated districts become eligible to receive medical benefits under the ESI scheme as of the effective date. **Action Required** Beneficiaries should ensure that family details are correctly updated in the ESIC portal to avail of medical services at designated facilities. **Employers in West Khasi Hills, South West Khasi Hills, Eastern West Khasi Hills, and East Jaintia Hills** **Impact** Employers in these regions must recognize the expanded benefit eligibility for their employees' dependents. **Action Required** Employers should facilitate the registration of their employees' families under the ESI scheme and ensure all administrative records reflect the current statutory requirements. **ESIC Administrative and Healthcare Providers** **Impact** There will be an increase in the volume of beneficiaries seeking medical services within the specified districts. **Action Required** Authorities must ensure that medical infrastructure and administrative support in these districts are prepared to handle the expanded coverage and provide the required medical benefits from April 1, 2026.

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