This notification announces the extension of medical benefits under the Employees' State Insurance (ESI) scheme to the families of insured persons in specified districts of Uttar Pradesh, effective November 1, 2023.
Key Changes
Effective date: November 1, 2023.
Extension of medical benefits as per Regulation 95-A of the Employees’ State Insurance (General) Regulations, 1950, and the Uttar Pradesh Employees' State Insurance (Medical Benefit) Rules, 1958.
The medical benefits are extended to the families of insured persons.
The extension covers all areas within the following districts of Uttar Pradesh: Lalitpur, Kushinagar, Kaushambi, Budaun, Sultanpur, Deoria, Ballia, Jaunpur, Azamgarh, Baghpat, Chitrakoot, Sambhal and Ayodhya.
Impact Analysis
Insured Persons and their Families
Action Item: Insured persons should familiarize themselves with the procedures for availing medical benefits under the ESI scheme in their respective districts.
Employees' State Insurance Corporation (ESIC)
Action Item: ESIC should ensure adequate healthcare infrastructure and personnel are available in the newly covered districts. ESIC should also monitor the utilization of medical benefits and address any issues related to access or quality of care.
Healthcare Providers
Action Item: Healthcare providers should consider empanelment with ESIC to cater to the increased demand for medical services. They should also ensure that they have the necessary infrastructure and personnel to provide quality care to ESI beneficiaries.
Employers
Action Item: Employers should ensure that all eligible employees are registered under the ESI scheme and that contributions are paid on time. They should also familiarize themselves with the ESI regulations and procedures.
State Government of Uttar Pradesh
Action Item: The state government should coordinate with ESIC to ensure smooth implementation of the ESI scheme in the specified districts. They should also monitor the impact of the scheme on healthcare access and outcomes.
Key Entities Referenced
Employees' State Insurance Act, 1948: The principal legislation governing the Employees' State Insurance scheme in India.
Employees’ State Insurance (General) Regulations, 1950: Regulations framed under the ESI Act, 1948, providing detailed rules and procedures for the administration of the ESI scheme.
Uttar Pradesh Employees' State Insurance (Medical Benefit) Rules, 1958: State-specific rules governing the provision of medical benefits under the ESI scheme in Uttar Pradesh.
Director General, ESIC: The Director General of the Employees' State Insurance Corporation, responsible for the overall administration of the ESI scheme.
Regulation 95-A of the Employees’ State Insurance (General) Regulations, 1950: Regulation specifying the medical benefits.
रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99
सी.जी.-डी.एल.-अ.-04122023-250397
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CG-DL-E-04122023-250397
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असाधारण
EXTRAORDINARY
भाग III—खण् ड 4
PART III—Section 4
प्राजधकार स ेप्रकाजित
PUBLISHED BY AUTHORITY
स.ं 794] िई दिल्ली, िुक्रवार, दिसम्बर 1, 2023/अग्रहायण 10, 1945
No. 794] NEW DELHI, FRIDAY, DECEMBER 1, 2023/AGRAHAYANA 10, 1945
कर्चम ारी राज्य बीर्ा जिगर्
अजधसचू िा
िई दिल्ली, 22 िवम्बर, 2023
फा. स.ं- N-17011/1/उत्तर प्रिेि/2023-यो एव ं जव.—कर्मचारी राज्य बीर्ा (सार्ान्य) जवजियर्, 1950 के
जवजियर् 95-क के साथ पठित कर्मचारी राज्य बीर्ा अजधजियर् 1948, (1948 का 34) की धारा 46(2) द्वारा प्रित्त
िजियों के अिुसरण र्ें र्हाजििेिक िे 01.11.2023 ऐसी तारीख के रूप र् ें जिजित की ह ै जिसर्ें उि जवजियर् 95-क
तथा उत्तर प्रिेि कर्मचारी राज्य बीर्ा (जचदकत्सा जहतलाभ) जियर्, 1958 र्ें जिर्िष्टम जचदकत्सा जहतलाभ उत्तर प्रिेि राज्य
के लजलतपुर, कुिीिगर, कौिाम्बी, बिायूूँ, सुल्तािपरु , िेवठरया, बजलया, िौिपुर, आज़र्गढ़, बागपत, जचत्रकूट, संभल और
अयोध्या जिलों के सभी क्षेत्रों र् ेंबीर्ांदकत व्यजियों के पठरवार पर प्रवृत होंगे।
िीपक िोिी, बीर्ा आयिु (यो एवं जव)
[जवज्ञापि-III/4/असा./576/2023-24]
7474 GI/2023 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
EMPLOYEES' STATE INSURANCE CORPORATION
NOTIFICATION
New Delhi, the 22nd November, 2023
F. No. N-17011/1/Uttar Pradesh/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 01/11/2023 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 Lalitpur, Kushinagar, Kaushambi,
Budaun, Sultanpur, Deoria, Ballia, Jaunpur, Azamgarh, Baghpat, Chitrakoot, Sambhal and Ayodhya districts in the
State of Uttar Pradesh.
DEEPAK JOSHI, Insurance Commissioner (P&D)
[ADVT.-III/4/Exty./576/2023-24]
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.