Executive Summary:
This notification announces draft amendments to the Employees' State Insurance (ESI) General Regulations, 1950, under the Employees' State Insurance Act, 1948. It invites objections or suggestions to the draft regulations within thirty days from the date the gazette is available to the public. The proposed amendments concern the constitution and functioning of Local Committees within the ESI framework.
Key Points / Main Content:
Local Committee Composition (Regulation 10A1 Amendments):
* A Local Committee can be set up in each notified District.
* The Committee includes a Chairperson nominated by the Regional Director, a State Government official, six employee representatives, six employer representatives, and the Officer In-charge of the District as an ex-officio Member Secretary.
* Additional employer and employee representatives (up to two from each side) may be nominated by the Chairman, Regional Board.
* A member representing local Insurance Medical Practitioners may be co-opted in areas with a panel system for medical care.
Term of Office (Regulation 10A2 Amendments):
* Members nominated under clauses c and d of sub-regulation 1 hold office for three years from the notification date by the Regional Director and continue until their successor is notified.
* Members nominated under clauses a and b of sub-regulation 1 hold office at the pleasure of the nominating authority.
Resignation (Regulation 10A3 Amendments):
* A member may resign by writing to the Regional Director, and their seat becomes vacant upon acceptance.
Cessation of Membership (Regulation 10A4 Amendments):
* A member who misses three consecutive meetings may lose membership, but it can be restored by the Regional Director if the absence was unavoidable.
* The Regional Director can remove a member who no longer represents the employers or employees they were nominated to represent.
Complaint Referrals (Regulation 10A9 Amendments):
* The Local Committee can refer complaints to the Regional Director or, for medical benefit complaints, to the State Government or its authority.
Impact Analysis:
Employees' State Insurance Corporation:
Impact: The Corporation is responsible for considering objections/suggestions to the draft regulations and implementing the final amendments.
Action Required: Review any objections or suggestions received, finalize the amendments, and publish the final notification.
Regional Directors:
Impact: Responsible for nominating members to the Local Committees, restoring membership after absences, and removing members who no longer represent their constituents.
Action Required: Review and update procedures for nominations, membership management, and complaint referrals based on the amended regulations.
State Governments:
Impact: Nominate an official to the Local Committee and may receive referrals for medical benefit complaints.
Action Required: Ensure appropriate representation on Local Committees and establish processes for handling medical benefit complaints referred by the committees.
Employers and Employees:
Impact: Changes affect the composition of Local Committees, potentially impacting their representation and influence.
Action Required: Review the updated regulations and participate in the nomination process for Local Committee members. Provide feedback or suggestions regarding the draft regulations within the specified timeframe.
Key Entities Referenced
Employees' State Insurance Corporation: A statutory body responsible for administering the Employees' State Insurance scheme, mentioned in the context of proposing amendments to regulations.
Employees State Insurance General Regulations, 1950: The regulations being amended by the notification.
Employees State Insurance Act, 1948: The Act under which the Employees' State Insurance Corporation derives its powers to make regulations. Act 34 of 1948 is specifically mentioned.
New Delhi: The city where the notification was issued and the location of the Employees' State Insurance Corporation's office (Panchdeep Bhawan, C.I.G. Marg).
A. K. Sinha: The Insurance Commissioner of the Employees' State Insurance Corporation to whom objections and suggestions regarding the draft regulations should be addressed.
Regional Director: An authority within the Employees' State Insurance Corporation responsible for nominating members to the Local Committee.
State Government: The government of a state in India that nominates an official to the Local Committee and is involved in addressing complaints concerning medical benefits.
Local Committee: A committee to be set up in each notified District with members from the employees, employers and government, which would be nominated by the Regional Director and State Government.
रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. NO. D. L.-33004/99
सी.जी.-डी.एल.-अ.-05032020-216114
xxxGIDHxxx
CG-DL-E-05032020-216114
xxxGIDExxx
असाधारण
EXTRAORDINARY
भाग III—खण् ड 4
PART III—Section 4
प्राजधकार स ेप्रकाजित
PUBLISHED BY AUTHORITY
स.ं 51] िई दिल्ली, र्गं लवार, फरवरी 11, 2020/र्ाघ 22, 1941
No. 51] NEW DELHI, TUESDAY, FEBRUARY 11, 2020/MAGHA 22, 1941
कर्चम ारी राज्य बीर्ा जिगर्
अजधसचू िा
िई दिल् ली, 27 ििवरी, 2020
स.ं-एि-12/13/1/2019-यो.एव ं जव.–कर्मचारी राज्य बीर्ा जवजियर्ावली (सार्ान् य), 1950 र् ें आग े
संिोधि हते ु जिम्ि जलजखत प्रारूप जवजियर्ावली को जिस े कर्मचारी राज्य बीर्ा जिगर्, कर्मचारी राज्य बीर्ा
अजधजिजयर्, 1948 (1948 का 34) की धारा 97 की उपधारा (1) के अंतगमत प्रित् त िजियों का प्रयोग करते हुए
बिािे का प्रस्ट् ताव करता ह,ै उससे प्रभाजवत हो सकिे वाले सभी व् यजियों के सूचिार्म एतद्द्वारा प्रकाजि त दकया िाता
ह ै तर्ा एतद्द्वारा िोटिस दिया िाता ह ै दक सरकारी रािपत्र जिसर् ें यह अजध सूचिा प्रकाजित की िाएगी, ििता को
उपलब् ध होि े की जतजर् स े तीस दििों की अवजध सर्ाप् त होिे के पश् चात, उक्त प्रारूप जवजियर्ावली पर जवचार
दकया िाएगा :-
1. उक्त प्रारूप जवजियर्ावली के संबंध र् ें दकसी व् यजि से उपयुमक्त जवजिर्िष्म ि अवजध के भीतर कोई आपजि अर्वा
सुझाव प्राप् त होता ह ैतो कर्मचारी राज्य बीर्ा जिगर् द्वारा उस पर जवचार दकया िाएगा।
2. यदि कोई आपजि तर्ा सुझाव हों, तो श्री ए.के.जसन् हा, बीर्ा आयुक् त, कर्मचारी राि य बीर्ा जिगर्, पंचिीप
भवि, सी.आइ.िी.र्ाग,म िई दिल् ली-110002 को संबोजधत दकया िाए। (ई-र्ेल-dir-pnd@esic.nic.in)
प्रारूप जवजियर्ावली
1. ये जवजियर् कर्मचारी राज्य बीर्ा संिोजध त (सार्ान् य) जवजियर्, 2020 कह े िाएंगे।
826 GI/2020 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]
2. वे अंजतर् अजधसूचिा प्रकािि की जतजर् स े प्रभावी होंगे।
3. कर्मचारी राज्य बीर्ा जिगर् (सार्ान् य) जवजियर्, 1950 र् ें; जवद्यर्ाि जवजियर् 10 क के उप-खंडों र् ें
संिोधि जिम्ि ािुसार होंगे :-
(I) जवजियर् 10क(1) र्,ें जिम्ि ािसु ार प्रजतस्ट्र् ाजपत होगा :-
1) प्रत् यके अजध सूजचत जिले र् ें ऐसे क्षेत्रों के जलए, जिसे उपयुक त सर्झा िाए, स्ट् र्ािीय सजर्जत स्ट् र्ाजप त की
िाए तर्ा इसर् ें जिम्ि जलजखत सिस्ट् य िाजर्ल होंग े :-
क. राज्य /संघ राज्य क्षत्रे के क्षेत्रीय जििेिक द्वारा िाजर्त अध् यक्ष।
ख. राज्य सरकार द्वारा राज्य के एक अजधकारी को िाजर्त दकया िाए।
ग. कर्मचाटरयों के छह प्रजतजिजध, जििर् ें स े (i) ऐसे क्षत्रे के सवामजधक योगिाि िेिे वाले िो कर्मचारी (ii)
क्षत्रे के कर्मचाटरयों के 2 प्रजतजिजध, िो कर्मचाटरयों के संगठि का प्रजतजिजधत्व करते हों (iii) क.रा.बी.
पंिीकृत लघ,ु र्ध् यर् और सूक्ष्र् उद्योग स्ट्र् ापिां स े िो कर्मचारी जिन् ह ें राज्य /संघ क्षत्रे के क्षेत्रीय
जििेिक द्वारा िाजर्त दकया िाए।
घ. जियोक्त ां के छह प्रजतजिजध, जििर् ें स े (i) िो जियोक्त ा, िो गत तीि वर्षों के िौराि सवामजधक
योगिाि िेि े वाल े हों, (ii) िो जियोक्त ा लघ,ु र्ध् यर् और सूक्ष्र् उद्योग वग म की पंिीकृत क.रा.बी.
स्ट् र्ापिां स े (iii) क्षत्रे र् ें जियोक्त ा/उद्योग सघं का प्रजतजिजधत् व करत े हुए िो जियोक्त ा जिन् ह ें
राज्य /संघ राज्य क्षत्रे के क्षेत्रीय जििेिक द्वारा िाजर्त दकया िाए।
ङ. जिस जिले के जलए सजर्जत का गठि होता ह ै उसका प्रभारी अजधकारी, पिेि सिस्ट् य सजचव के रूप र्:ें
परंत,ु िहां क्षेत्रीय बोडम के अध्यक्ष के जवचार स े आवश्यक प्रतीत हो तो वह जियोिां और
कर्मचाटरयों के प्रत्येक के िो-िो अजतटरि प्रजतजिजधयों को िार्िि कर सकता ह,ै इस उद्देश्य स े दक
राज्य सरकार द्वारा िार्ांदकतों र् ें र्हत्वपूण म सगं ठिों को पयामप्त प्रजतजिजधत्व िहीं दिया गया ह ै तर्ा
इस उद्देश्य से भी दक जियोिां और कर्मचाटरयों के प्रजतजिजधयों र् ें संतलु ि बिाए रखा िा सके:
पुिः दकसी क्षत्रे र् ें पेिल-जसस्ट्िेर् के आधार पर जचदकत्सा सेवाए ँ उपलब्ध करवाई िा रही ह,ैं तो
स्ट्र्ािीय बीर्ा जचदकत्सा व्यवसाजययों के एक प्रजतजिजध को स्ट्र्ािीय सजर्जत िाजर्ल कर सकेगी।
(II) जवजियर् 10क(2) र्,ें उप-खडं (i) और (ii) जिम्ि ािसु ार प्रजतस्ट्र् ाजपत दकए िाएंग े:-
(2) (i) उप-जवजियर् (1) के खंड (ग) और (घ) के अंतगमत िार्ांदकत स्ट् र्ािीय सजर्जत के सिस्ट् यों का पि
धारण तीि वर्षम होगा िो दक क्षेत्रीय जििेिक द्वारा उिके िार्ांकि को अजधसूजचत करिे की जतजर् स े
प्रारंभ होगा बित े य े सिस्ट् य दकसी बात के होत े हुए भी उक्त अवजध की सर्ाजप्त पर, अपि े
उिराजधकारी का िार्ांकि अजधसूजचत होिे तक पि धारण करेंगे।
(2) (ii) उप-जवजियर् 1 के खंड (क) और (ख) के अंतगमत िार्ांदकत स्ट् र्ािीय सजर्जत के सिस्ट् य उन् ह ें
िार्ांदकत करिे वाले प्राजधकारी के प्रसाि पयमन्त पि धारण करेंगे।
(III) जवजियर् 10क(3) र्,ें जिम्ि जलजखत प्रजतस्ट्र् ाजपत दकए िाएंग े:-
(3) स्ट् र्ािीय सजर्जत के सिस्ट् य क्षेत्रीय जििेिक को जलजखत र् ें िोटिस द्वारा अपि े कायामलय स े त् यागपत्र ि े
सकते ह ैंतर्ा त् यागपत्र स्ट् वीकार होिे पर उिका पि टरक्त हो िाएगा।
(IV) जवजियर् 10क(4) र्,ें उप-खडं (i) और (ii) जिम्ि ािसु ार प्रजतस्ट्र् ाजपत दकया िाएगा :-
(4) (i) स्ट् र्ािीय सजर्जत के दकसी सिस्ट् य की सिस्ट् यता सर्ाप् त हो िाएगी यदि वह सजर्जत की बैठकों र् ें
लगातार तीि अवसरों र् ें उपजस्ट्र्त होिे र्ें असफल रहता ह ै बिते क्षेत्रीय जिििे क सिस्ट्य ता की
बहाली कर सकत े ह ैंयदि वह सतं ुष्ि हों दक अिुपजस्ट्र्जत अपटरहाय म कारणों स े हुई ह।ै[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3
(ii) िहां क्षेत्रीय जििेिक के जवचार र् ें स्ट् र्ायी सजर्जत र् ें जियोक्त ां या कर्मचाटरयों का प्रजतजिजधत् व
करिे के जलए िाजर्त दकसी व् यजि िे ऐस े जियोक्त ां या कर्चम ाटरयों का प्रजतजिजधत्व करिा बंि कर
दिया ह,ै क्षेत्रीय जििेिक यह घोर्षणा कर सकत े ह ैं दक उिके द्वारा जवजिर्िष्म ि तारीख स े ऐसे व्य जि की
सिस्ट् यता सर्ाप् त की िाती ह।ै
(V) जवजियर् 10क(9) र्,ें उप-खडं (ख) को जिम्ि ािसु ार प्रजतस्ट्र् ाजपत दकया िाएगा :-
(9)(ख) ऐसी जिकायत,ें िो संबंजधत क्षेत्रीय जिििे क द्वारा आवश् यक सर्झी िाए,ं अर्वा जचदकत् सा जहतलाभ के संबंध
र् ें हों, को राज्य सरकार अर्वा राज्य सरकार के ऐसे प्राजधकारी को संिर्भमत दकया िाए।
ए. के. जसन् हा, बीर्ा आयुक् त
[जवज्ञापि-III/4/असा./441/19]
EMPLOYEES' STATE INSURANCE CORPORATION
NOTIFICATION
New Delhi, the 27th January, 2020
No. N-12/13/01/2019-P&D.–The following draft Regulations further to amend the Employees’ State
Insurance (General) Regulations, 1950, which the Employees' State Insurance Corporation proposes to make in
exercise of the powers conferred under sub-section (1) of Section 97 of the Employees’ State Insurance
Act,1948 (34 of 1948), is hereby published for information of all persons likely to be affected thereby and notice
is hereby given that the said draft Regulations will be taken into consideration after expiry of a period of Thirty
days from the date on which copies of the Official Gazette in which this notification is published, are made
available to the public:-
1. Any objection or suggestion, which may be received from any person in respect of the said draft
Regulations within the period specified above, will be considered by the Employees' State Insurance
Corporation.
2. The objections and suggestions, if any, may be addressed to Shri A. K. Sinha, Insurance Commissioner,
Employees' State Insurance Corporation, Panchdeep Bhawan, C.I.G. Marg, New Delhi-110002 (e-mail:
dir-pnd@esic.nic.in )
DRAFT REGULATIONS
1. These Regulations may be called Employees’ State Insurance (General) Amendment Regulations,
2020.
2. They shall come into force from the date of publication of final notification.
3. In the Employees’ State Insurance (General) Regulation, 1950;
The Sub-clauses of the existing Regulation 10A shall be amended as below:-
(I) In Regulation 10A(1), shall be substituted as below:-
(1) A Local Committee may be set up in each notified District for such areas as may be considered
appropriate and shall consist of the following members namely: -
(a) A Chairperson to be nominated by Regional Director of the State/Union Territory.
(b) An official of the State to be nominated by the State Government.
(c) Six representatives of employees, out of which (i) two longest contributing employees of such
area, (ii) two representatives of employees in the area, representing organizations of employees
and (iii) two employees from ESI registered MSME establishments, to be nominated by Regional
Director of the State/Union Territory.
(d) Six Representative of the Employers out of which (i) two employers who are contributing the
highest value during last three years; (ii) two employers from ESI registered establishments of4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]
MSME category and (iii) two employers representing employers/industry association in the area to
be nominated by the Regional Director of State/Union Territory.
(e) The Officer In-charge of such District for which the committee is constituted, as ex-officio
Member Secretary :
Provided that where the Chairman, Regional Board, so considers it to be expedient, he may nominate
such additional representatives of employers and employees, not exceeding two from each side, with a
view to providing for the adequate representation of important organisations not included in the
nominations of the State Government and to maintaining the parity between the number of
representatives of such employers and employees:
Provided further that in any area in which medical care is provided through a panel system, a local
committee may co-opt a member representing the local Insurance Medical Practitioners.
(II) In Regulation 10 A(2), the sub clause (i) and (ii) shall be substituted as below:-
(2)(i) The term of office of the members of local committee nominated under clause (c) and (d) of
sub – regulation (1) shall be three years commencing from the date on which their nomination is
notified by Regional Director, provided that such members shall notwithstanding the expiry of the said
period, continue to hold office until the nomination of their successor is notified.
(2)(ii) The members of a local committee nominated under clauses (a) and (b) of sub regulation 1
shall hold office during the pleasure of the authority nominating them.
(III) In Regulation 10 A (3), the following shall be substituted:-
(3) A member of a local committee may resign his office by notice in writing to the Regional
Director, and his seat shall fall vacant on the acceptance of the resignation.
(IV) In Regulation 10A (4), the sub clause (i) and (ii) shall be substituted as below:-
(4)(i) A member of local committee shall cease to be a member of the committee if he fails to attend
three consecutive meetings thereof provided that his membership may be restored by the Regional
Director, on being satisfied as to the unavoidable nature of the circumstances which led to his non-
attendance.
(ii) Where in the opinion of the Regional Director any person nominated to represent employers or
employees on a local committee has ceased to represent such employers or employees, the Regional
Director, may declare that such person shall cease to be a member thereof with effect from such date as
may be specified by him.
(V) In Regulation 10A(9), the sub clause (b) shall be substituted as below:-
(9)(b) To refer such complaints as it may consider necessary to the Regional Director concerned, or in
the case of complaint concerning medical benefit, to the State Government or such authority of the
State Government.
A. K. SINHA, Insurance Commissioner
[ADVT.-III/4/Exty./441/19]
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.