Lok Sabha Question No. 4276 (UNSTARRED), answered on 2016-12-12
Subject: Criteria for Granting Pension and Medical Facilities
Ministry: LABOUR AND EMPLOYMENT
Asked by: SUSHIL KUMAR SINGH

## MINISTRY OF LABOUR AND EMPLOYMENT

## GOVERNMENT OF INDIA LOK SABHA

## UNSTARRED QUESTION NO. 4276 TO BE ANSWERED ON 12.12.2016

## CRITERIA FOR GRANTING PENSION AND MEDICAL FACILITIES

4276. SHRI SUSHIL KUMAR SINGH:

Will the Minister of LABOUR AND EMPLOYMENT be pleased to state:

(a)the  details  of  the  norms  or  criteria  for  granting  pension  and medical  facilities  in  ESIC  hospitals  to  the  dependents  of  the deceased employee, in the private sector companies;

(b)whether  the  Government  has  come  across  any  cases  of  false claims relating to pension by the heirs of the deceased and if so, the details thereof;

(c)the  mechanism  put  in  place  by  the  Government  to  monitor genuine and bonafide disbursal of pension and medical facilities to dependents;

(d)the details of the various schemes which are applicable to Widow of the pensioners;

(e)the details of the beneficiaries of the pension schemes in the last three years and current year, State /UT-wise; and

(f)the  details  of  the  amount  sanctioned  and  spent  on  pension  and healthcare schemes during the said period, State /UT-wise?

## ANSWER

MINISTER OF STATE (IC) FOR LABOUR AND EMPLOYMENT (SHRI BANDARU DATTATREYA)

(a): There is no provision under Employees' State Insurance(ESI) Act to provide 'pension' as such to a worker post retirement or to his  widow  and  other  dependents.  However,  under  Rule  58  of  ESI (Central) Rule 1950, the dependents of the deceased employee who dies due to employment injury is entitled to the dependent benefit. No  medical facilities are provided to the dependents  of the deceased employee as there is no provision for medical facilities to the dependents of the deceased employee.

Contd..2/-

::  2  ::

(b): No case of false claim relating to dependent benefits by the heirs of the deceased employee has been received in ESIC.

(c): ESIC has put in place following mechanism to ensure genuine and bona-fide disbursal of dependent benefits and medical facilities to dependents:

- 1)  The  details,  furnished  by  the employer  in  the  Declaration  Form, are used for matching information of the dependents when the latter comes for receiving payments.
- 2) Pehchan  cards  are  also  being  issued  for  Insured  Person  as well as his family members. The information captured in the cards, including  biometric  details,  are  used  for  ascertaining  genuineness of the claimants.
- 3) Aadhar Cards are also being seeded to Pehchan cards of the Insured Persons for authentication.

(d): Medical Benefits are extended to widow of retired/ deceased Insured person in accordance with Rule 60 and 61 of  ESI (Central) Rule 1950.

(e): The details of the beneficiaries of the Dependent Benefits for last three years (State/UT Wise) is at Annexure-I.

(f): Details are at Annexure-II.

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ANNEXURE-I

STATEMENT  REFERRED  TO  IN  REPLY  TO  PART  (e)  OF  LOK  SABHA UNSTARRED QUESTION NO. 4276 FOR 12.12.2016 BY SHRI SUSHIL KUMAR SINGH  REGARDING  CRITERIA  FOR  GRANTING  PENSION  AND  MEDICAL FACILITIES.

| Details of the beneficiaries of dependent benefits for last three years   | Details of the beneficiaries of dependent benefits for last three years   | Details of the beneficiaries of dependent benefits for last three years   | Details of the beneficiaries of dependent benefits for last three years   | Details of the beneficiaries of dependent benefits for last three years   |
|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|
| S.No                                                                      | State                                                                     | 2013-14                                                                   | 2014-15                                                                   | 2015-16                                                                   |
| 1                                                                         | ANDHRA PRADESH (Including Telengan)                                       | 8104                                                                      | 4546                                                                      | 5255                                                                      |
| 2                                                                         | ASSAM , MEHGALAYA NAGALAND, SIKKIM & TRIPURA                              | 608                                                                       | 341                                                                       | 394                                                                       |
| 3                                                                         | BIHAR                                                                     | 5243                                                                      | 2941                                                                      | 3400                                                                      |
| 4                                                                         | CHANDIGARH(UT)                                                            | 456                                                                       | 256                                                                       | 296                                                                       |
| 5                                                                         | CHHATTISGARH                                                              | 783                                                                       | 439                                                                       | 508                                                                       |
| 6                                                                         | DELHI                                                                     | 2987                                                                      | 1676                                                                      | 1937                                                                      |
| 7                                                                         | GOA                                                                       | 497                                                                       | 279                                                                       | 322                                                                       |
| 8                                                                         | GUJARAT                                                                   | 5723                                                                      | 3210                                                                      | 3711                                                                      |
| 9                                                                         | HARYANA                                                                   | 5538                                                                      | 3106                                                                      | 3591                                                                      |
| 10                                                                        | H.P.                                                                      | 797                                                                       | 447                                                                       | 517                                                                       |
| 11                                                                        | J & K                                                                     | 668                                                                       | 375                                                                       | 433                                                                       |
| 12                                                                        | JHARKHAND                                                                 | 1232                                                                      | 691                                                                       | 799                                                                       |
| 13                                                                        | KARNATAKA                                                                 | 5655                                                                      | 3172                                                                      | 3667                                                                      |
| 14                                                                        | KERALA                                                                    | 3180                                                                      | 1784                                                                      | 2062                                                                      |
| 15                                                                        | M. P.                                                                     | 2725                                                                      | 1529                                                                      | 1767                                                                      |
| 16                                                                        | MAHARASHTRA                                                               | 8732                                                                      | 4898                                                                      | 5662                                                                      |
| 17                                                                        | ORISSA                                                                    | 2343                                                                      | 1314                                                                      | 1519                                                                      |
| 18                                                                        | PONDICHERRY                                                               | 401                                                                       | 225                                                                       | 260                                                                       |
| 19                                                                        | PUNJAB                                                                    | 4479                                                                      | 2512                                                                      | 2904                                                                      |
| 20                                                                        | RAJASTHAN                                                                 | 5271                                                                      | 2957                                                                      | 3418                                                                      |
| 21                                                                        | TAMIL NADU                                                                | 10451                                                                     | 5863                                                                      | 6777                                                                      |
| 22                                                                        | UTTAR PRADESH                                                             | 14035                                                                     | 7873                                                                      | 9101                                                                      |
| 23                                                                        | UTTRAKHAND                                                                | 1130                                                                      | 634                                                                       | 733                                                                       |
| 24                                                                        | WEST BENGAL                                                               | 5293                                                                      | 2969                                                                      | 3432                                                                      |
|                                                                           | Total                                                                     | 96333                                                                     | 54037                                                                     | 62465                                                                     |

## STATEMENT REFERRED TO IN REPLY TO PART (f) OF LOK SABHA UNSTARRED QUESTION NO.4276 FOR 12.12.2016 BY SHRI SUSHIL KUMAR SINGH REGARDING CRITERIA FOR GRANTING PENSION AND MEDICAL FACILITIES.

## Details of the amount sanctioned and spent on dependent benefits and healthcare schemes during three years

|       |                | 2015-16   | 2015-16   | 2015-16          | 2014-15   | 2014-15   | 2014-15          | 2013-14   | 2013-14   | 2013-14          |
|-------|----------------|-----------|-----------|------------------|-----------|-----------|------------------|-----------|-----------|------------------|
| S.N . | Name of State  | PD B      | DB        | Medica l Benefit | PD B      | DB        | Medica l Benefit | PD B      | DB        | Medica l Benefit |
| 1     | ANDHRA PRADESH | 13.54     | 12.6      | 490.62           | 14.06     | 9.65      | 520.83           | 10.48     | 9.45      | 459.06           |
| 2     | ASSAM          | 0.54      | 8 0.91    | 66.20            | 0.38      | 0.64      | 57.35            | 0.40      | 0.51      | 44.25            |
| 3     | BIHAR          | 3.36      | 4.61      | 35.01            | 3.54      | 4.32      | 39.66            | 3.68      | 4.54      | 28.15            |
| 4     | CHATTISGARH    | 1.28      | 2.57      | 26.59            | 1.07      | 2.14      | 78.42            | 1.03      | 1.91      | 86.54            |
| 5     | DELHI          | 12.36     | 5.87      | 1310.95          | 10.41     | 4.71      | 1037.49          | 10.08     | 4.39      | 885.35           |
| 6     | GOA            | 0.68      | 0.80      | 23.69            | 0.60      | 0.61      | 40.79            | 0.57      | 0.51      | 18.96            |
| 7     | GUJRAT         | 13.26     | 11.2      | 243.94           | 11.67     | 8.44      | 250.91           | 10.67     | 7.66      | 162.58           |
| 8     | H.P.           | 2.22      | 1 1.48    | 61.65            | 1.48      | 0.89      | 63.88            | 1.27      | 0.94      | 48.24            |
| 9     | HARYANA        | 17.84     | 10.2      | 315.26           | 14.12     | 8.40      | 282.89           | 12.77     | 6.70      | 279.78           |
| 10    | J&K            | 0.47      | 4 0.80    | 28.74            | 0.38      | 0.62      | 23.60            | 0.38      | 0.49      | 18.08            |
| 11    | JHARKHAND      | 1.73      | 1.69      | 76.92            | 1.28      | 1.43      | 69.13            | 1.29      | 1.27      | 62.14            |
| 12    | KARNATAKA      | 10.13     | 8.38      | 518.51           | 8.30      | 6.50      | 675.19           | 8.17      | 6.60      | 595.82           |
| 13    | KERALA         | 9.32      | 6.75      | 348.03           | 7.55      | 5.10      | 316.59           | 7.05      | 4.97      | 256.05           |
| 14    | MADHYA PRADESH | 8.45      | 4.71      | 142.92           | 7.63      | 3.79      | 174.47           | 6.95      | 3.75      | 98.93            |
| 15    | MUMBAI         | 30.89     | 17.9 1    | 451.86           | 25.17     | 13.6 8    | 331.23           | 24.08     | 12.9 7    | 367.53           |
| 16    | ORRISA         | 2.28      | 2.63      | 77.46            | 1.97      | 2.39      | 85.17            | 2.09      | 2.24      | 72.06            |
| 17    | PUDUCHERRY     | 0.79      | 0.54      | 15.91            | 0.67      | 0.41      | 18.62            | 0.63      | 0.39      | 14.68            |
| 18    | CHANDIGARH     | 0.84      | 0.76      | 42.83            | 0.72      | 0.59      | 33.47            | 0.65      | 0.55      | 27.46            |
| 19    | PUNJAB         | 18.15     | 9.32      | 223.31           | 15.36     | 6.95      | 205.39           | 12.92     | 7.12      | 181.96           |
| 20    | JAIPUR         | 6.97      | 7.63      | 176.93           | 7.29      | 7.08      | 177.23           | 5.67      | 6.13      | 126.74           |
| 21    | CHENNAI        | 13.81     | 15.6 9    | 446.92           | 10.94     | 12.7 1    | 417.19           | 10.90     | 11.8 0    | 348.24           |
| 22    | UTTAR PRADESH  | 15.46     | 16.0 4    | 353.27           | 13.28     | 13.7 8    | 300.07           | 13.05     | 12.6      | 282.87           |
| 23    | UTTARAKHAND    | 2.36      | 1.82      | 46.30            | 1.29      | 1.23      | 47.95            | 1.17      | 7 1.29    | 22.72            |
| 24    | WEST BENGAL    | 26.85     | 9.96      | 471.87           | 26.26     | 8.37      | 368.27           | 20.31     | 7.60      | 293.36           |
|       | TOTAL          | 213.57    | 155.01    | 5995.68          | 185.40    | 124.43    | 5615.80          | 166.27    | 116.45    | 4781.57          |

PDB- Permanent Disability Benefit

DB- Disability Benefit

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