Currently for the Insured Persons (IPs) under ESIC, after death or disablement of the IP due to employment injury a pension equivalent to 90% of average daily wage drawn by the worker is available to
- Spouse and widowed mother for life long and
- For children till they attain the age of 25years
- For the female child, the benefit is available till her marriage.
To support the families of Insured Persons (IP) under the ESIC scheme, it has been decided that :
- All dependent family members of IPs who have been registered in the online portal of the ESIC prior to their diagnosis of COVID disease and subsequent death due to the disease, will be entitled to receive the same benefits and in the same scale as received by the dependents of insured persons who die as a result of employment injury, subject to the following eligibility conditions:
- The IP must have been registered on the ESIC online portal at least three months prior to the diagnosis of COVID disease resulting in death.
- The IP must have been employed for wages and contributions for at least 78 days should have been paid or payable in respect of deceased IP during a period of one year immediately preceding the diagnosis of COVID disease resulting in death.
The IPs, who fulfil the eligibility conditions, and have died due to COVID disease, their dependants will be entitled to receive monthly payment @90% of average daily wages of the insured person during their life. This benefit will be available retrospectively with effect from 24.03.2020 and for all such cases till 24.03.2022.
Submission of claim for dependants’ benefit. — :
A claim for dependants’ benefit shall be submitted to the appropriate Branch Office by post otherwise in Form 15 (Attached) by the dependant or dependants concerned or by their legal representative or, in case of a minor, by his guardian, and such claim shall be supported by documents proving —
- that the death is due to an employment injury and died due to COVID disease.
- that the person claiming is a dependent entitled to claim as provided in rule 58 of the Employees’ State Insurance (Central) Rules, 1950 (medical certificate)
- the age of the claimant ;
- the infirmity of the dependant claiming to be infirm within the purview of rule 58 of the Employees’ State Insurance (Central) Rules, 1950, by a certificate of such medical or other authority as the Director-General may, by a general or special order specify in this behalf .