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EPF and ESIC Scheme at a glance

ESIC Hospitals in the Backward Areas Employees’ State Insurance Corporation (ESIC) has taken following steps to improve the condition of ESI Hospi

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ESIC Hospitals in the
Backward Areas

Employees’ State
Insurance Corporation (ESIC) has taken following steps to improve the condition
of ESI Hospitals:-

1.             ESIC has increased the ceiling on reimbursement
of expenditure on medical care from Rs. 1200/- to Rs. 1500/- per Insured
Person (IP) family unit per annum w.e.f. 01.04.2012. In addition Rs. 200/- per IP family unit per annum is also available to States
if bed occupancy in all State ESI Hospitals is more than 70% during last
completed year.
2.             Hospital Development Committee has been
constituted in each ESI Hospital and the Committee has been given adequate financial &
administrative powers for taking decisions for improvement in medical care
facilities.
3.             To facilitate early sanction of equipments,
State Medical Commissioner (SMC), ESIC has been delegated power to sanction
equipments up to Rs. 25 lakhs per unit at their level.
4.             ESIC has formulated norms and standards for
staff and equipments for smooth functioning of hospitals and dispensaries. For
ensuring regular supply of medicines, ESIC formulates rate contract for
allopathic and Ayurvedic drugs at Head Quarter level and the same is sent to all the State
Government for procurement of medicines for ESI beneficiaries.
5.             Up-gradation and modernisation of ESI Hospitals is undertaken in a phased
manner.
6.             The expenditure on super speciality treatment is being borne wholly by ESI
Corporation outside the ceiling since 01.08.2008. ESI has also entered into
tie- up arrangement with reputed Government/Private hospitals for super specialityservices and is providing cashless services to
the ESI beneficiaries.
7.             ESIC, in its meeting held in August 2009, has
decided that henceforth all new hospitals proposed and under construction will
be run directly by ESIC and total expenditure on these will be borne by ESIC.
8.             ESIC has recently opened five new hospitals.
9.             Functioning of Hospitals is being computerised.
To overcome shortage of specialists in State ESI Hospitals, ESIC
is appointing part-time specialist/supers specialists directly in State ESI
Hospitals to ensure that proper services are made available to ESI
beneficiaries.
(f): A provision of Rs. 2,107/- crore has been made for medical care expenditure
during current financial year i.e. 2012-13.
State-wise details of total number of employees registered under Employees’ Provident Fund (EPF) and Employees’
State Insurance (ESI) schemes during the last three years are annexed (I &
II). Figures for the current year i.e. 2012-2013 have not been finalised.
(b):  State-wise details of
total contribution received by Employees’ Provident
Fund Organisation (EPFO) and Employees’ State Insurance Corporation (ESIC) during
the last three years are annexed (III & IV). Figures for the current year
i.e. 2012-2013 have not been finalised.
(c):  The condition of ESI
Hospitals in the country is generally satisfactory.
This information was
given by the Union Labour & Employment Minister Shri Mallikarjun Kharge in reply to a written question in the Lok Sabha today.
ANNEXURE I
STATE-WISE NUMBER OF
EMPLOYEES COVERED UNDER THE EPF SCHEME
(Figures in lakhs)
STATES
2008-09
2009-10
2010-11
Andhra Pradesh
30.58
31.94
35.55
Bihar
3.03
2.77
3.59
Chhattisgarh
3.90
4.01
4.24
Delhi
22.52
51.60
50.87
Goa
5.84
6.60
7.16
Gujarat
26.83
31.53
33.03
Haryana
46.60
40.55
41.73
Himachal Pradesh
2.24
2.07
1.97
Jharkhand
9.30
10.20
10.08
Karnataka
44.76
80.92
88.95
Kerala
15.73
18.12
19.46
Madhya Pradesh
18.18
19.98
20.12
Maharashtra
68.06
97.20
101.98
North East Region
3.24
3.48
3.67
Orissa
6.59
6.98
7.22
Punjab
30.41
34.51
35.45
Rajasthan
11.90
12.32
12.28
Tamil Nadu
73.19
81.05
84.22
Uttar Pradesh
17.65
17.79
19.38
Uttrakhand
1.79
5.74
6.19
West Bengal
28.38
28.58
28.74
TOTAL
470.72
587.96
615.89
The Data for 2011-12 has
not been finalised.
ANNEXURE II
STATE-WISE NUMBER OF EMPLOYEES COVERED UNDER THE
ESI SCHEME
Sl. No
State/Union Territory
2008-09
2009-10
2010-11
1
Andhra Pradesh
885861
1007350
1239218
2
Assam & Meghalaya,
Nagaland & Tripura.
59883
65800
104199
3
Bihar
72045
90050
109581
4
Chandigarh
69487
69400
69524
5
Chhattisgarh
109066
130850
210056
6
Delhi
812099
856800
1077954
7
Goa
130562
128200
135114
8
Gujarat
712710
766150
882104
9
Haryana
628248
753950
1062277
10
Himachal Pradesh
148123
173700
193751
11
Jammu & Kashmir
62670
78750
59068
12
Jharkhand
152839
175750
215820
13
Karnataka
1488072
1543150
1475635
14
Kerala
542555
581100
602458
15
Madhya Pradesh
286344
295150
318169
16
Maharashtra
1755833
1784300
2069003
17
Orissa
189692
236450
250188
18
Puducherry
90495
93350
110031
19
Punjab
610107
696150
640989
20
Rajasthan
502863
528950
505463
21
Tamil Nadu
1549089
1815200
1907305
22
Uttar Pradesh
786628
852750
908307
23
Uttrakhand
175129
233500
255350
24
West Bengal
748895
955600
1026490
TOTAL
12569295
13912400
15428054
The Data for 2011-12 has not been finalised.
ANNEXURE III
STATE WISE EPF CONTRIBUTION RECEIVED DURING LAST 3 YEARS
(Rs. in Crore)
Sl.
No.
State
2008-09
2009-10
2010-11
1
Andhra Pradesh
1,898.12
2,133.95
2,613.25
2
Bihar
83.43
97.66
141.87
3
Chattisgarh
126.54
147.97
186.32
4
Delhi
2129.35
2,366.49
2,983.45
5
Goa
125.06
151.16
178.15
6
Gujarat
1231.36
1,477.80
1,743.56
7
Haryana
1148.11
1,391.11
1,710.18
8
Himachal Pradesh
143.55
164.66
195.62
9
Jharkhand
123.46
150.30
187.42
10
Karnataka
3354.63
3,774.04
4,510.21
11
Kerala
553.61
639.84
781.10
12
Madhya Pradesh
403.92
528.78
613.07
13
Maharashtra
6146.32
6,648.57
8,150.91
14
North East Region
121.19
138.29
201.37
15
Orissa
263.53
348.50
432.86
16
Punjab
633.39
718.35
854.44
17
Rajasthan
413.25
507.94
585.08
18
Tamil Nadu
2494.99
3,014.00
3,689.07
19
Uttrakhand
144.05
185.82
283.34
20
Uttar Pradesh
863.64
996.55
1,195.47
21
West Bengal
845.08
976.42
1,257.66
      TOTAL
23246.60
26,558.20
32,494.40
The Data for 2011-12 has not been finalised.
ANNEXURE IV
STATE WISE ESI CONTRIBUTION RECEIVED DURING LAST 3 YEARS
(Rs. In Crore)
Sl.No.
State
2008-09
2009-10
2010-11
1
Andhra Pradesh.
255.21
291.90
422.09
2
Assam ( N. E.)
9.95
12.07
16.99
3
Bihar
12.62
15.41
21.30
4
Chandigarh
22.89
26.54
40.15
5
Chhattisgarh
20.22
22.22
32.24
6
Delhi
308.36
266.01
546.81
7
Goa
31.42
32.21
48.53
8
Gujarat
154.03
166.79
235.98
9
Himachal Pradesh.
31.49
35.50
47.04
10
Haryana
261.79
279.98
410.57
11
J & K
9.24
13.55
17.46
12
Jharkhand
29.49
33.08
50.16
13
Karnataka
402.87
431.53
592.92
14
Kerala
107.91
142.13
179.74
15
Madhya Pradesh.
81.12
69.34
101.29
16
Maharashtra
702.02
696.64
1,019.97
17
Orissa
35.14
43.02
66.98
18
Puducherry
22.71
24.06
32.09
19
Punjab
122.07
144.15
197.74
20
Rajasthan
108.19
113.18
166.91
21
Tamil Nadu
498.66
521.82
783.01
22
Uttar Pradesh.
187.09
201.03
299.97
23
Uttaranchal
37.96
49.77
79.12
24
West Bengal
246.08
264.06
339.71
 Total
3,698.53
3,896.00
5,748.77
The Data for 2011-12 has
not been finalised

PIB
(Release ID :83248)

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