This gazette notification issued by the Employees' State Insurance Corporation (ESIC) extends medical benefits to the families of insured persons in specific districts of Uttar Pradesh.
The Director General has fixed December 1, 2023, as the date from which the extended medical benefits will be effective.
Key Changes
Medical benefits, as defined in Regulation 95-A of the Employees’ State Insurance (General) Regulations, 1950 and the Uttar Pradesh Employees' State Insurance (Medical Benefit) Rules, 1958, are extended.
The extension covers all areas of Mainpuri district (in addition to already notified areas) and all areas of Basti district in Uttar Pradesh.
The benefits are specifically for the families of insured persons.
Impact Analysis
Stakeholders: Insured Persons and their Families
Action Item: Insured persons should familiarize themselves with the specifics of the medical benefits available under Regulation 95-A and the Uttar Pradesh Employees' State Insurance (Medical Benefit) Rules, 1958.
Stakeholders: Employers
Action Item: Employers should ensure compliance with ESIC regulations and facilitate enrollment of eligible employees. They should also communicate the enhanced benefits to their employees.
Stakeholders: Employees' State Insurance Corporation (ESIC)
Action Item: ESIC should allocate resources to strengthen healthcare facilities and streamline the process for insured persons to avail medical benefits in the newly covered areas. ESIC should also conduct awareness campaigns to inform the public about the extended benefits.
Stakeholders: Healthcare Providers
Action Item: Healthcare providers should empanel with ESIC to provide services to insured persons and their families. They should also familiarize themselves with ESIC's procedures for reimbursement of medical expenses.
Key Entities Referenced
Employees' State Insurance Corporation (ESIC): The entity responsible for administering the Employees' State Insurance scheme in India.
Employees' State Insurance Act, 1948: The primary legislation governing the Employees' State Insurance scheme in India. Section 46(2) grants powers related to medical benefits.
Employees’ State Insurance (General) Regulations, 1950: Regulations framed under the Employees' State Insurance Act, 1948. Regulation 95-A specifies medical benefits.
Uttar Pradesh Employees' State Insurance (Medical Benefit) Rules, 1958: State-specific rules providing details on medical benefits under the ESIC scheme in Uttar Pradesh.
Mainpuri district, Uttar Pradesh: One of the districts in Uttar Pradesh where medical benefits are being extended to all areas.
Basti district, Uttar Pradesh: One of the districts in Uttar Pradesh where medical benefits are being extended to all areas.
रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99
सी.जी.-डी.एल.-अ.-28122023-250947
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CG-DL-E-28122023-250947
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असाधारण
EXTRAORDINARY
भाग III—खण् ड 4
PART III—Section 4
प्राजधकार स ेप्रकाजित
PUBLISHED BY AUTHORITY
स.ं 866] नई ददल्ली, बृहस्ट्प जतवार, ददसम्ब र 28, 2023/पौष 7, 1945
No. 866] NEW DELHI, THURSDAY, DECEMBER 28, 2023/PAUSHA 7, 1945
कमचम ारी राज्य बीमा जनगम
अजधसचू ना
नई ददल्ली, 4 ददसम् बर, 2023
स.ं N-17011/1/उत्तर प्रदिे (2D)/2023-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 में महाजनदिे क ने 01.12.2023 ऐसी तारीख के रूप मे जनजित की ह ै
जिसमें उि जवजनयम 95-क तथा उत्तरप्रदिे कममचारी राज्य बीमा (जचदकत्सा जहतलाभ) जनयम, 1958 में जनर्ददष्ट
जचदकत्सा जहतलाभ उत्तर प्रदिे राज्य के मैनपुरी जिले के सभी क्षेत्रों मे, पहले से अजधसूजचत क्षेत्रों के अजतठरि
और बस्ट्ती जिल े के सभी क्षेत्रों में बीमांदकत व्यजियों के पठरवार पर प्रवृत होंगे।
दीपक िोिी, बीमा आयुि (यो एवं जव)
[जवज्ञापन-III/4/असा./649/2023-24]
7983 GI/2023 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
EMPLOYEES' STATE INSURANCE CORPORATION
NOTIFICATION
New Delhi, the 4th December, 2023
No. N-17011/1/Uttar Pradesh(2D)/2023-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 01/12/2023 as
the date from, which the medical benefit as laid down in the said Regulation 95-A and the Uttar Pradesh
Employees' State Insurance (Medical Benefit) Rules, 1958 shall be extended to the families of insured
persons in all the areas of Mainpuri district, in addition to the already notified areas of the district and in all
the area of Basti district of Uttar Pradesh.
DEEPAK JOSHI, Insurance Commissioner(P&D)
[ADVT.-III/4/Exty./649/2023-24]
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.