TO WHOM THE ESI SCHEME APPLIES?
The ESI Scheme applies to the persons who work in factories and other establishment’s viz. Road transport, Hotels, Restaurants, Cinemas, Newspaper, Shop and Educational/Medical Institutions wherein 10 or more persons are employed. The employees of the aforesaid categories of factories and establishments, drawing wages upto Rs.15000/- a month are entitled to social security cover under the ESI Act.
PROCEDURE FOR SUBMISSION OF MEDICAL RE-IMBURSEMENT BILLS OF INSURED PERSONS:
- To submit a re-imbursement claim bill/bills an IP has to write an application to the Administrative Medical Officer, ESI Scheme, Assam through the concerned Insurance Medical Officer i/c, ESI Scheme Dispensary along with the claim bill format which is available at Dispensary.
- They have to mention the cause of diseases.
- They have to submit a clear Xerox copy of Insured Person (IP) card, Bank Details i.e.–name of the bank, branch, IFSC code, Account number and the phone number of IP along with the bill/bills.
- The time limit for submission of claims of re-imbursement is 1 (one) year.
For more details about re-imbursement, Employer/Employees have to log in to ESIC Portal www.esic.in.