ESIC: Complete Guide on Employees' State Insurance Scheme & Benefits

Imagine you just joined a new job; on the day of reporting, you are introduced to a portal where all the facilities you would avail of as an employee can be easily accessed, like medical care, maternity leave, or even disability compensation. 

This portal is the Human Resource Management System (HRMS) for ESIC. For employees using it for the first time, navigating the portal might feel overwhelming, but with this guide, we’ll make it straightforward.

What is ESIC?

It is the Employees' State Insurance Corporation that runs the ESI scheme. The scheme delivers all-rounded social security to employees earning less than ₹21,000 per month. They get medical care, sickness, maternity, and disability/employment injury benefits.

A Brief History of ESIC

The ESIC scheme was established on 24th February 1952 under the Employees' State Insurance Act of 1948, one of the first significant social security legislations in the newly independent country. The launching ceremony was held in Kanpur, Uttar Pradesh, and Prime Minister Pandit Jawaharlal Nehru was the guest of honour. It started with merely 120,000 employees but soon spread to serve millions of working people and their families.

The foundation of ESIC is rooted in providing dignity and protection to workers against financial and medical crises. Its lit lamp symbol represents hope and assistance to countless families across India.

How to Register on the ESIC Portal?

Registering on the ESIC portal is a straightforward process if followed step-by-step. Here’s how you can get started:

1. Access the Official Portal
   • Visit the official ESIC portal at https://esic.gov.in 
     
     
2. Navigate to the Registration Section
   • On the homepage, look for the employer login.
   • Click on "Sign Up".
     
     
3. Fill in Employer Details
   • Enter all necessary employer details, including:
     • Name of the organisation.
     • Address of the establishment.
     • Contact details (phone number and email).
   • Upload required documents such as:
     • PAN Card.
     • Registration certificate (Factories Act/Establishment Act).
     • Address proof of the establishment.
       
       
4. Provide Employee Details
   • Enter information for each employee:
     • Name.
     • Date of birth.
     • Gender.
     • Monthly salary.
     • Bank account details.
     • Aadhaar number (if applicable).
       
       
5. Generate Login Credentials
   • Once you’ve submitted the details, you’ll receive:
     • A user ID.
     • A password for future logins.
       
       
6. Make the Initial Contribution Payment
   • Calculate contributions as per the employee’s salary.
   • Pay the contributions online using Net Banking, UPI, or debit/credit cards.
     
     
7. Receive Registration Certificate
   • After payment, download the registration certificate, which includes your ESIC registration number.
   • This certificate is essential for accessing benefits.

How to Log in to the ESIC Portal?

Once registered, logging in is simple:

1. Go to the ESIC portal.
2. Click on the "Employer Login" button.
3. Enter your username and password.
4. Enter “Captcha.”
5. Click "Login."
   
   

Forgot Your Password? Here’s How to Reset It

If you forget your password, follow these steps to reset your ESIC password:

1. Go to the login page of the ESIC portal.
2. Click on the "Forgot Password" link.
3. Enter your registered email ID or user ID.
4. Follow the instructions sent to your email to reset your password.

Apps and Platforms for Accessing ESIC Services

To make ESIC services more accessible, the corporation offers several platforms and apps:

1. UMANG App for both Android and iOS users
   • Unified Mobile Application for New-age Governance (UMANG) allows users to access ESIC mobile services.
     
     
2. ESIC Mobile App 
   • The official ESIC app provides easy access to benefits, claim status, and registration details.
     
     
3. ESIC Portal
   • The primary platform for all registrations, contributions, and benefit claims.
     
     
4. Third-party Platforms
   • Authorised platforms for employers to manage contributions and employee details.

Tips for First-Time Users to Make Sure the Process is Secure

Key Features of ESIC HRMS

1. Simplified Navigation

The ESIC portal is designed with a user-friendly interface. First-time users can follow the categorised menus to access services like claim submissions, certificate downloads, and employee details.

2. Assistance Tools

Dedicated help sections, FAQs, and toll-free helplines are provided for quick query resolutions.

3. Real-Time Tracking

Once a claim is submitted, users can track their applications in real-time to stay informed about their status.

4. Comprehensive Mobile Access

Using the UMANG and ESIC mobile apps, first-time users can seamlessly access their profiles, benefits, and payment histories.

Key Services Provided by ESIC

Statistical Information on ESIC HRMS

The Employees' State Insurance Corporation has a dashboard that offers live statistics on the operations and services it conducts. This portal is available at https://portal.esic.gov.in/Dashboard/Default.aspx. Here is an overview of the key data:

Healthcare Infrastructure

• Hospitals:
  • Total ESI Hospitals: 165
    • ESIC Hospitals: 59
    • ESIS Hospitals: 106
      
      
• Dispensaries:
  • Total ESI Dispensaries: 1,574
    • ESIC Dispensaries: 36
    • ESIS Dispensaries: 1,538

Claims Settled in December 2024

• Maternity Benefit Claims: 13,797
• Sickness Benefit Claims: 50,241
• Permanent Disablement Benefit Claims: 188,062
• Dependent Benefit Claims: 103,343
• Atal Beemit Vyakti Kalyan Yojana (ABVKY) Claims: 46

ABVKY Claim Status (Since 01-07-2018)

• Total Claims Received: 90,906
  • From Inception to 23-03-2020: 1,745
  • From 24-03-2020 to Current: 90,493
• Total Claims Approved: 68,797
  • From Inception to 23-03-2020: 120
  • From 24-03-2020 to Current: 68,677
• Total Claims Rejected: 19,978
  • From Inception to 23-03-2020: 264
  • From 24-03-2020 to Current: 19,714

Other Achievements

• Universal Account Numbers (UAN) Seeded: 2,18,80,076
• Mobile Numbers Seeded: 10,31,21,822
• Bank Account Numbers Seeded: 10,89,33,388

Insurance Statistics

• Insured Persons Eligible for ESI Benefits (as of 30.09.2024): 400.81 lakhs

New Registrations

• New Employees Registered (in lakhs): 17.01 lakhs in December, 2024
• Establishments Registered (till Sept’24) (in lakhs): 22.93 Lakhs
• New Establishments Registered: 20360 in December, 2024

Healthcare Statistics (December 2024)

• Hospital Count: 165
• OPD Attendance in Hospitals (in lakhs): 12.16
• Dispensary Count: 1574
• Dispensary OPD Attendance (in lakhs): 11.74

Contact Information for ESIC

If you need assistance or have any queries, here’s how you can reach out:

• Toll-Free Helpline: 1800-11-2526
• Email: grievance@esic.in
• Website: https://www.esic.gov.in
• Regional Offices: Visit the ESIC website to locate the nearest office.

Tips to Make the Process Easier

1. Keep Documents Handy: Having scanned copies of required documents reduces delays during registration and claims.
2. Ensure Accuracy: Double-check all details before submitting forms to avoid rejections.
3. Utilize Helplines: If you encounter any issues, don’t hesitate to call the ESIC helpline at 1800-11-2526 or email grievance@esic.in.
4. Familiarise Yourself with Deadlines: Ensure you understand the timelines for claims and contributions to avoid penalties or missed benefits.

Conclusion

The ESIC HRMS portal allows easy access to the most significant benefits for its employees. Medical care up to maternity leave serves many services toward the welfare of workers and their families. Hence, with this guide's help, users can first register, log in, and obtain all the benefits under the ESI scheme. Remember that the ESIC system is there to take good care of every employee's financial and medical well-being.

FAQs Related to ESIC

1. Who is eligible for ESIC?

Any employee earning ₹21,000 or less per month is eligible for ESIC benefits.

2. Can I register on ESIC if I am self-employed?

No, ESIC is designed for salaried employees working in establishments registered under the ESIC Act.

3. How can I claim benefits?

You can claim benefits by logging into the portal, filling out the required forms, and submitting the necessary documents.

4. What should I do if I face technical issues on the portal?

Contact the ESIC helpline or email their support team for assistance.

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