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Draft Regulation 96C of Employees' State Insurance (General) Reg. 1950

Employees' State Insurance Corporation Notification dated the 26th November, 2018 :-

No. N-12/13/1/2016-P&D.—The following draft regulations further to amend the Employees’ State Insurance (General) Regulations, 1950, which the Employees' State Insurance Corporation purposes 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 under 59A of the said Act 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 S. Ravichandran, Additional Commissioner (P&D), Employees' State Insurance Corporation, Panchdeep Bhawan, C.I.G. Marg, New Delhi-110002 (e-mail: dir-pnd@esic.nic.in )

DRAFT REGULATIONS

In the Employees' State Insurance (General) Regulations, 1950, a new Regulations 96-C shall be inserted as under:

Regulation 96C: REFERRAL FOR SUPER SPECIALITY TREATMENT TO TIE-UP HOSPITALS AND EXPENDITURE TO BE DIRECTLY INCURRED BY EMPLOYEES' STATE INSURANCE CORPORATION.

Subject to the provisions of the Act and the Regulations, the Corporation or State Government may refer a beneficiary to a tie-up arranged medical facilities, where cost of such facility is borne directly by the Corporation and where the fund permits; an Insured person should have completed a minimum of six months of insurable employment from the date of registration and have contributed not less than seventy eight (78) days in the relevant contribution period including in which registration was made. However, where the facility has been extended to the family members, an Insured Person should have completed a minimum of one year of insurable employment and have contributed for not less than seventy eight (78) days in each of the two (2) contribution period and such benefit shall be available to an insured person or a beneficiary in the corresponding benefit period.

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