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I - ESIC IP Interface ROOPA

The document provides details on an employee's eligibility for various ESIC benefits. It lists the employee's name and insurance details. It then outlines the entitlement status for each benefit type, providing reasons for non-entitlement where applicable. Benefits include medical, maternity, sickness, dependent and others. Disclaimers are included at the bottom.

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Yogesh Devkare
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239 views1 page

I - ESIC IP Interface ROOPA

The document provides details on an employee's eligibility for various ESIC benefits. It lists the employee's name and insurance details. It then outlines the entitlement status for each benefit type, providing reasons for non-entitlement where applicable. Benefits include medical, maternity, sickness, dependent and others. Disclaimers are included at the bottom.

Uploaded by

Yogesh Devkare
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Employee Details

Login User 3312580468  


 
 

Language/भाषा:
Entitlement to Benefits
English
Insurance Person Number 3312580468 Insurance person Name AJIT PRAKASH BANSODE

Period Current Period Report Generated on Dated 16/08/2021  


  17:05:35
Hrs

Benefit Period Eligiblity


Contribution Period
Benefit Start Date Benefit End Date Total Wages Total Working Days Paid / Payable Contribution Period To
From

01 Jan 2021 30 Jun 2021 0.00 0 01 Apr 2020 30 Sep 2020


01 Jul 2021 31 Dec 2021 0.00 0 01 Oct 2020 31 Mar 2021
Eligiblity to ESIC Benefits
Benefit Type Entitlement Status Probable Reasons for Non-Entitlement to Benefits in case entitlement status is No
IP/IW not in insurable employment and contributory conditions are not met in the
## Medical Benefit Yes
corresponding Contribution Period
*Not an IW.
Maternity Benefit No * Less than 9 months of insurable employment on EDD / Date of delivery.
*
Less than 70 days contribution in 2 preceding Contribution Period.
*Less than 9 months of Insurable employment from the date of first appointment
* Contributed less than 78 days in the corresponding contribution period.
Sickness Benefit No
*
If entered in insurable employment for the first time in any Contribution period and
contributed for less than half no. of days of such shorter Contribution period.
*Not suffering from any of the listed 34 diseases.
*Less than two years continuous insurable employment.
Extended Sickness Benefit No
*Contributed for less than 156 days in proceeding four Contribution periods (Two years).
*
Not entitled for SB in any one of the four preceding Contribution Periods.
Enhanced Sickness Benefit No Not Entitled for Sickness Benefit.
* Not completed six months of service from Date of registration.

#Super Specialty For IP No  


* Contributed less than 78 days in a contribution period.
*Not completed one year of service from date of registration
#Super Specialty For Family No  
*
Contributed less than 78 days in each of the two contribution period.
Temporary Disablement Benefit Yes Disablement not due to Employment Injury or Occupational Disease as per the ESI Act.
Permanent Disablment Benefit Yes Disablement not due to Employment Injury or Occupational Disease as per the ESI Act.
Death of the Insured person is not due to Employment Injury or Occupational Disease as per
Dependent Benefit Yes
the ESI Act.
*Not an IP/ IW on the date of loss of Insurable Employment on account of retrenchment under
ID act, closure of the factory / establishment under ID act or permanent invalidity of not less
R.G.S.K.Y No than 40% arising out of non-employment injury.

* Less than three years (One year = 156 days) contribution paid/payable prior to loss of
employment.
*
Ward of IP' certificate as on 31-10-2018 Yes ***
*
*** This eligibility status is based only on the date of Online Registration in the System.

* The list is not exhaustive. For further details please visit nearest Branch Office or www.esic.nic.in. Eligibility status shown here is as on today's date and is further
subject to Medical Certificates and/or other conditions.

## The eligibility shown here based on the circular number V-14/11/6/2018/Med.I Misc dated 11.03.2021

# Eligibility shall be subject to decision/discretion of the treating clinician.

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