The Employees’ State Insurance Corporation (ESIC) vide its notification dated 21st January 2022 has fixed 1st January 2022 as the date from which the medical benefit as laid down in the Regulation 95-A of the Employees’ State Insurance (General) Regulations, 1950 and the Assam Employees’ State Insurance (Medical Benefit) Rules, 1958 shall be extended to the families of insured persons in the entire area of Barpeta, Bangaigaon, Bishwanath, Cachar, Chirang, Darrang, Dhemaji, Dhubri, Golaghat, Goalpara, Karbi Anglong, Karimganj, Lakhimpur, Majuli, Nalbari, Marigaon, Nagaon, Sibsagar, South Salmara Mankachar, Udalguri, West Karbi Anglong districts in the State of Assam, in addition to the already implemented area in the district.
As per regulation 95-A, The family of an insured person shall become entitled to medical benefit from the day the insured person himself becomes entitled to medical benefit and shall continue to be so entitled so long as the insured person is entitled to receive medical benefit for himself, or in the case of death of the insured person till such date upto which the insured person would have remained entitled to medical care, had he survived.
Further the nature and scale of medical benefit to which the family of an insured person shall be entitled shall be such as may be specified by the State Government in consultation with the Corporation from time to time and the appropriate office shall arrange to add in Form 4, Form 4-A, the particulars of the family entitled to medical benefits.
