Sickness Benefit
Sickness Benefit represents
periodical cash payments made to an IP during the period of certified
sickness occurring in a benefit period when IP requires medical treatment and
attendance with abstention from work on medical grounds. Prescribed
certificates are; Forms 8,9,10,11 & ESIC-Med.13. Sickness benefit is roughly
50% of the average daily wages and is payable for 91 days during 2
consecutive benefit periods.
Qualifying Conditions
(i) To become eligible to Sickness Benefit, an IP should have paid
contribution for not less than 78 days during the corresponding contribution
period.
(ii) A person who has entered into insurable employment for the first time
has to wait for nearly 9 months before becoming eligible to sickness benefit,
because his corresponding benefit period starts only after that interval.
(iii) Sickness Benefit is not payable for the first two days of a spell of
sickness except in case of a spell commencing within 15 days of closure of
earlier spell for which sickness benefit was last paid. This period of 2 days
is called "waiting period". This provision should be clearly understood by
IMOs/IMPs as actual experience shows that such of IPs who want to avail
medical leave on flimsy grounds generally come for First Certificate/First &
Final Certificate within 15 days of earlier spell, usually on unpaid holidays
and/or on each weekly off etc, to avoid loss of benefit for 2 days due to
fresh waiting period.
Sickness Benefits
Extended Sickness Benefit
Enhanced Sickness Benefit
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