Home India Employees State Insurance Corporation In pursuance of powers conferred by Section 46 2 of the Empl...
Date: 2021-09-21 Category: Extra Ordinary State: Union Government Country: India

In pursuance of powers conferred by Section 46 2 of the Employees State Insurance Act

Issued by Employees State Insurance Corporation · Not Applicable

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Executive Summary & Key Takeaways

Okay, I will analyze the provided policy text and generate the report as requested, focusing on the details within the text and making inferences only when explicitly supported. **Report on Extension of Medical Benefits under the Employees' State Insurance Act** **1. Executive Summary:** This report analyzes a notification from the Employees' State Insurance Corporation (ESIC) regarding the extension of medical benefits to families of insured persons. The core purpose is to extend these benefits, as laid down in specific regulations and rules, to additional districts within Tamil Nadu. The key finding is that this notification expands access to medical benefits under the Employees' State Insurance (ESI) scheme to the families of insured individuals in Mayiladuthurai, Vellore, and Ariyalur districts of Tamil Nadu, effective September 1, 2021. **2. Introduction:** This report aims to provide an informative overview of a notification issued by the Employees' State Insurance Corporation (ESIC) concerning the extension of medical benefits. The analysis is based solely on the text of the provided notification. **3. Policy Overview:** * This notification relates to the Employees' State Insurance Act, 1948, specifically Section 46.2, and Regulation 95A of the Employees State Insurance General Regulations, 1950. * **Core Objective:** To extend medical benefits to the families of insured persons in specified districts. **4. Background and Rationale:** * This is likely an amendment or extension of existing medical benefit provisions. The rationale, inferred from the text, is to broaden the coverage of medical benefits under the ESI scheme to additional geographic areas within Tamil Nadu, potentially addressing gaps in coverage or expanding social security benefits. **5. Key Provisions / Changes:** * This notification *amends* the existing scope of medical benefit coverage under the Employees' State Insurance scheme. * **Specific Change:** The medical benefit, as defined by Regulation 95A of the Employees State Insurance General Regulations, 1950, and the Tamil Nadu Employees' State Insurance Medical Benefit Rules, 1955, is extended. * **New Rule/Provision:** The effective date for this extension is September 1, 2021 (01.09.2021). The extension applies to the entire area of Mayiladuthurai, Vellore, and Ariyalur districts in the State of Tamil Nadu. * **Effect of Change:** The families of insured persons residing in these three districts will now be eligible to receive medical benefits under the ESI scheme, as defined by the mentioned regulations and rules. Previously, it seems only certain areas in the districts were included. **6. Target Audience and Stakeholders:** * **Directly Affected:** Families of insured persons residing in the Mayiladuthurai, Vellore, and Ariyalur districts of Tamil Nadu. * **Other Stakeholders:** The Employees' State Insurance Corporation (ESIC), healthcare providers in the specified districts, and the Tamil Nadu state government (due to the reference to Tamil Nadu specific rules). **7. Implementation Aspects (Inferred):** * **Responsible Agency:** The Employees' State Insurance Corporation (ESIC), specifically the Director General (as per the notification's authorization). * **Timeline:** The extension is effective from September 1, 2021. * **Procedures:** The notification refers to Regulation 95A of the Employees State Insurance General Regulations, 1950, and the Tamil Nadu Employees' State Insurance Medical Benefit Rules, 1955, which would outline the specific procedures and guidelines for implementing the medical benefit scheme. **8. Expected Outcomes / Impact of Changes:** * The intended outcome is to increase access to healthcare services for the families of insured persons in the newly covered districts. This expansion aims to improve the health and well-being of the beneficiary population and reduce out-of-pocket healthcare expenses for eligible families. **9. Conclusion:** The ESIC notification represents an expansion of medical benefit coverage under the Employees' State Insurance scheme. By extending benefits to the families of insured individuals in Mayiladuthurai, Vellore, and Ariyalur districts of Tamil Nadu, the notification contributes to the broader goal of social security and improved healthcare access. The change is effective from September 1, 2021 and this extension has significantly expanded the scope of the program.

Key Entities Referenced

New Delhi: Capital of India, location of notification issuance. Employees' State Insurance Corporation: The organization issuing the notification. Employees State Insurance Act, 1948: The Act that confers powers related to employee state insurance. Employees State Insurance General Regulations, 1950: Regulations related to the Employees State Insurance Act. Tamil Nadu Employees' State Insurance Medical Benefit Rules, 1955: State-specific rules regarding medical benefits under the Employees' State Insurance scheme. Tamil Nadu: State in India where the medical benefit is being extended. Mayiladuthurai district, Tamil Nadu: District in Tamil Nadu where medical benefits are extended. Vellore district, Tamil Nadu: District in Tamil Nadu where medical benefits are extended. Ariyalur district, Tamil Nadu: District in Tamil Nadu where medical benefits are extended. S. Biswas: Insurance Commissioner
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रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 xxxGIDHxxx ससीी..जजीी..--डडीी..एएललxx..x--GअअID..--E22x22xx00 9922002211--222299886644 CCGG--DDLL--EE--2222009922002211--222299886644 असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 403] नई ददल्ली, मगं लवार, जसतम्ब र 21, 2021/भाद्र 30, 1943 No. 403] NEW DELHI, TUESDAY, SEPTEMBER 21, 2021/BHADRA 30, 1943 कमचम ारी राज्य बीमा जनगम अजधसचू ना नई ददल् ली, 7 जसतम्ब र, 2021 स.ं- N-15011/1/2021-यो एव ं जव.—कममचारी राज्य बीमा (सामान्य) जवजनयम, 1950 के जवजनयम 95-क के साथ पठित कममचारी राज्य बीमा अजधजनयम 1948, (1948 का 34) की धारा 46(2) द्वारा प्रदत्त िजियों के अनुसरण म ें महाजनदेिक न े 01.09.2021 ऐसी तारीख के रूप म ें जनजित की ह ै जिसम ें उि जवजनयम 95-क तथा तजमलनाडु कममचारी राज्य बीमा (जचदकत्सा जहतलाभ) जनयम, 1955 में जनर्ददष्ट जचदकत्सा जहतलाभ तजमलनाडु राज्य के मजयलाडुतरु ै, वले रू एव ं अठरयलरू जिल े के सम्पणू म क्षेत्रों (पहल े स े अजधसूजचत क्षेत्रों के अलावा) में बीमांदकत व्यजियों के पठरवार पर लाग ू दकय े िाएंगे। एस. जबस्ट्वास, बीमा आयिु (यो एवं जव) [जवज्ञापन III/4/असा./265/2021-22] 5331 GI/2021 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] EMPLOYEES' STATE INSURANCE CORPORATION NOTIFICATION New Delhi, the 7th September, 2021 No. N-15011/1/2021-P&D.—In pursuance of powers conferred by Section 46 (2) of the Employees’ State Insurance Act, 1948 (34 of 1948), read with Regulation 95-A of the Employees’ State Insurance (General) Regulations, 1950, the Director General has fixed the 01/09/2021 as the date from, which the medical benefit as laid down in the said Regulation 95-A and the Tamil Nadu Employees' State Insurance (Medical Benefit) Rules, 1955 shall be extended to the families of insured persons in the entire area of Mayiladuthurai, Vellore and Ariyalur districts in the State of Tamil Nadu, in addition to the already implemented area in the district. S. BISWAS, Insurance Commissioner (P&D) [ADVT.-III/4/Exty./265/2021-22] Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.

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