EMPLOYEE STATE INSURANCE (GENERAL) REGULATIONS

Full Text

Preliminary
Rule 1 : Short title and extent

Rule 2 : Definition

Rule 3 : The manner in which the corporation may exercise its powers

Rule 3-A : Exercise of Powers by an Office

Rule 4 : Contribution and Benefit Periods

Rule 5 : Omitted

Rule 6 : Meetings of the Corporation, the Standing Committee and the Medical Benefit Council.

Rule 7 : Decision by majority

Rule 8 : Mode of Exercising Vote

Rule 9 : Matters to be brought before the Corporation

Rule 10 : Regional Boards.

Rule 10-A : Local committees

Collection of Contributions Etc
Rule 10-B : Registration of factories or Establishments

Rule 10-C : Submission of annual information by factories/establishments

Rule 11 : Declaration by person in employment on appointed day

Rule 12 : Declaration by persons engaged after the appointed day

Rule 13 : Omitted

Rule 14 : Declaration Form to be sent to appropriate office

Rule 15 : Allotment of Insurance Number

Rule 15-A : Registration of Families

Rule 15-B : Changes in Family

Rule 16 : The Corporation to receive assistance from employers

Rule 17 : Identity Cards

Rule 17-A : Issue of a Certificate of Employment

Rule 17-B : Issue of Permanent Acceptance Card

Rule 18 : Loss of Identity Card

Rule 19 : Omitted

Rule 20 : Omitted

Rule 21 : Omitted

Rule 22 : Omitted

Rule 23 : Omitted

Rule 24 : Omitted

Rule 25 : Refund for contribution stamps

Rule 26 : Return of contributions to be sent to appropriate Office

Rule 27 : Issue of Certificate of Contribution

Rule 28 : Omitted

Rule 29 : Payment of Contribution

Rule 30 : Omitted

Rule 31 : Time for payment of contribution

Rule 31-A : Interest on contribution due, but not paid in time

Rule 31-B : Recovery of interest

Rule 31-C : Damages or contributions or any other amount due, but not paid in time

Rule 32 : Register of employees engaged by immediate employer

Rule 33 : Other modes of payments of contribution

Rule 34 : Omitted

Rule 35 : Omitted

Rule 36 : Employment for part of a wage period

Rule 37 : Omitted

Rule 38 : Scheme by joint employers

Rule 39 : Reckoning of wages of employee employed by two or employers in the same wages period

Rule 40 : Refund of contribution erroneously paid

Rule 41 : Omitted

Rule 42 : Omitted

Rule 43 : Omitted

Benefits
Rule 44 : Claim for benefits

Rule 45 : When claim becomes due

Rule 46 : Availability of claim forms

Rule 47 : Claim on wrong form

Rule 48 : Evidence in support of claim

Rule 49 : Defective claim

Rule 50 : Claim for inappropriate benefit

Rule 51 : Authority for certifying eligibility of claimants

Rule 52 : Benefits when payable

Rule 52-A : Abstention verification

Certification and Claims For Sickness
Rule 53 : Evidence of sickness and temporary disablement

Rule 54 : Persons competent to issue medical certificate

Rule 55 : Medical certificate

Rule 56 : Time of granting medical certificate

Rule 57 : Medical certificate on first examination

Rule 58 : Final medical certificate

Rule 59 : Intermediate medical certificate

Rule 60 : Final medical certificate before commencing work for wages

Rule 61 : Intermediate certificate for a longer period

Rule 62 : Omitted.

Rule 63 : Form of claim for sickness or temporary disablement

Rule 64 : Failure to submit medical certificate

Disablement Benefit
Rule 65 : Notice of accident

Rule 66 : Maintenance of accident book

Rule 67 : Notice otherwise than by an entry in accident book

Rule 68 : Report of accident by an employer

Rule 69 : Employer to arrange first aid

Rule 70 : Employer to furnish further particulars of accident

Rule 71 : Directions by the Corporation

Rule 72 : Reference to a Medical Board

Rule 73 : Report of Medical Board

Rule 74 : Occupational Disease

Rule 75 : Constitution of Medical Board/ Special Medical Boards

Rule 76 : Appeal Tribunals

Rule 76-A : Submission of claims for permanent disablement benefit

Rule 76-B : Commutation of permanent disablement benefit

Dependants Benefit
Rule 77 : Report of death of insured person by employment injury

Rule 78 : Disposal of body of an insured person dying by employment injury

Rule 79 : Issue of death certificate

Rule 80 : Submission of claim for dependants benefit

Rule 81 : Notice for dependants benefit

Rule 82 : Intimation of decision regarding dependants benefit

Rule 83 : Date of accrual of dependants benefit

Rule 83-A : Submission of claims for dependants benefit

Rule 84 : Review of dependants benefit

Dependant's Benefit
Rule 85 : Deleted

Dependants Benefit
Rule 86 : Appointment of another guardian

Maternity Benefit
Rule 87 : Notice of pregnancy

Rule 88 : Claim for maternity benefit commencing before confinement

Rule 89 : Claim for maternity benefit only after confinement or for miscarriage

Rule 89-A : Claim for maternity benefit after the death of an insured woman leaving behind the child.

Rule 89-B : Claim for maternity benefit in case of sickness arising out of pregnancy, confinement,premature birth of child

Rule 90 : Other evidence in lieu of a certificate

Rule 91 : Notice of work for remuneration

Rule 92 : Date of payment of maternity benefit

Rule 93 : Disqualification for maternity benefit

Rule 94 : Authority which may issue certificate

Rule 95 : Obligations of Insurance Medical Officer

Medical Benefit To Families
Rule 95-A : Medical benefit to families of insured persons

Funeral Expenses
Rule 95-B : Report of death of insured person

Rule 95-C : Issue of death certificate

Rule 95-D : Other evidence in lieu of a certificate

Rule 95-E : Submission of claim for Funeral Expenses

Miscellaneous
Rule 96 : Authority for determining benefits

Rule 96-A : Reimbursement to expenses incurred in respect of Medical treatment

Rule 97 : Discontinuation or reduction of benefits

Rule 98 : Discharge , etc., of employee under certain conditions

Rule 99 : Suspension of sickness or temporary disablement benefit

Rule 99-A : Sickness or temporary disablement benefit during strike

Rule 100 : Relaxation

Rule 101 : Omitted

Rule 102 : Certain officers to have powers of inspection

Rule 102-A : Inspection book

Rule 103 : Medical benefit during disablement

Rule 103-A : Medical benefit after contribution ceases to be payable

Rule 103-B : Medical benefit to insured person who ceases to be in insurable employment on account of permanent disablement.

Rule 104 : Production of document for medical benefit

Rule 105 : Further certificates

Rule 106 : Change of circumstances to be notified

Rule 107 : Certificate in respect of a person claiming permanent disablement benefit

Rule 107-A : Declaration by and certificate in respect or a person claiming dependants benefit

Rule 107-B : Personal attendance of a person claiming permanent disablement benefit or dependents benefit.

Rule 108 : Omitted

Rule 109 : Submission of additional information by employer or insured person