Lok Sabha Question No. 74 (UNSTARRED), answered on 2024-11-25
Subject: Employees' State Insurance Scheme
Ministry: LABOUR AND EMPLOYMENT
Asked by: Dr. Kalanidhi Veeraswamy

## GOVERNMENT OF INDIA MINISTRY OF LABOUR AND EMPLOYMENT LOK SABHA

## UNSTARRED QUESTION NO. 74

TO BE ANSWERED ON 25.11.2024

## EMPLOYEES' STATE INSURANCE SCHEME

## 74.    DR. KALANIDHI VEERASWAMY:

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

- (a)the  details  of  the  current  statistics  on  the  number  of  workers enrolled  under  the  Employees'  State  Insurance  (ESI)  Scheme across the country including Tamil Nadu, State/sector-wise;
- (b)the  measures  that  are  being  taken  to  increase  awareness  and enrollment among workers in informal sectors, particularly in rural and semi-urban areas, who may be eligible for the ESI Scheme but remain uninsured;
- (c)the manner in which the Government assess effectiveness of ESI Scheme  in  providing  healthcare  and  social  security  benefits  to enrolled workers and the details of improvements that have been
- made based on this assessment;
- (d)whether  there  are  specific  initiatives  in  place  to  enhance  the quality  of  healthcare  services  provided  under  the  ESI  Scheme, particularly in terms of accessibility and response times and if so, the details thereof; and
- (e)the steps being taken by the Government to address issues related to  delays  in  claims  processing  and  service  delivery  for  workers enrolled under the ESI Scheme?

## ANSWER

## MINISTER OF STATE FOR LABOUR AND EMPLOYMENT (SUSHRI SHOBHA KARANDLAJE)

The details of employees enrolled under Employees' State Insurance  (ESI)  Scheme  as  on  31.3.2024  in  the  country  including

(a): Tamil Nadu is annexed.

(b): ESI  Act  is  applicable  to  factories  and  establishments employing 10 or more persons (including factories belonging to the Govt.)  other  than  seasonal  factories  and  drawing  wages  up  to  Rs 21,000/- per month (Rs. 25,000/- per month in case of persons with disability) in the notified area. As such, the Act does not apply to the Informal  Sectors  (unorganized  sector).      ESIC  carries  out  public awareness  about  ESI  Scheme  benefits  through  its  website  and various social media handles.

(c) to (e): ESIC has formulated Common Support Mission to review the  ESIS  medical  infrastructure  and  identify  the  gap  areas  for improvement  and  upgradation  of  ESIS  medical  infrastructure.  The Medical  Commissioners,  Zonal  Officers  visit  regularly  to  the  ESI Health  facilities  to  assess  effectiveness  and  suggest  remedial measures. Besides, effectiveness is also assessed through regular meetings in the headquarter. Further, ESIC has designed the Service Level to ensure high standards of patient care, safety and service delivery.

ESIC has been regularly monitoring timely settlement of medical reimbursement claim bills of Insured Persons. Field offices have  been  instructed  to  settle  the  medical  re-imbursement  claim within 30 days from the receipt of the bill.

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## ANNEXURE

## ANNEXURE  REFERRED  TO  IN  REPLY  TO  PART  (a)  OF  LOK  SABHA  UNSTARRED QUESTION NO. 74  FOR  25.11.2024  BY  DR.  KALANIDHI VEERASWAMY  REGARDING EMPLOYEES' STATE INSURANCE SCHEME.

| S.No.   | State                | Employees   |
|---------|----------------------|-------------|
|         | ANDHRAPRADESH        |             |
| 1       | I)VIJAYAWADA         | 594990      |
| 2       | II)TIRUPATHI         | 270400      |
| 3       | iii)VISAKHAPATNAM    | 341380      |
|         | NORTH-EAST REGION    |             |
| 4       | ASSAM                | 292640      |
| 5       | ARUNACHALPRADESH     | 1700        |
| 6       | MEGHALAYA            | 14360       |
| 7       | NAGALAND             | 4500        |
| 8       | TRIPURA              | 18380       |
| 9       | MANIPUR              | 4300        |
| 10      | MIZORAM              | 2550        |
| 11      | BIHAR                | 418110      |
| 12      | CHANDIGARH(UT)       | 124700      |
| 13      | CHATTISGARH          | 525460      |
|         | DELHI                |             |
| 14      | I) RAJENDER PLACE    | 294560      |
| 15      | ii)NAND NAGARI       | 157820      |
| 16      | iii) ROHINI          | 219520      |
| 17      | iv) OKHLA            | 511700      |
| 18      | GOA                  | 174170      |
|         | GUJARAT              |             |
| 19      | i) AHMEDABAD         | 750680      |
| 20      | ii) VADODRA          | 423870      |
| 21      | iii) SURAT           | 451780      |
|         | HARYANA              |             |
| 22      | I) FARIDABAD         | 888450      |
| 23      | II)GURGOAN           | 1067750     |
| 24      | iii) KARNAL          | 288850      |
| 25      | HIMACHALPRADESH      | 345100      |
| 26      | JAMMU&KASHMIR        | 126580      |
| 27      | JHARKHAND            | 487560      |
|         | KARNATAKA            |             |
| 28      | i) BANGALORE         | 867770      |
| 29      | ii) HUBLI            | 355490      |
| 30      | III)PEENYA           | 452430      |
| 31      | IV)BOMASUNDRA        | 594510      |
| 32      | V) GULBARGA          | 183620      |
| 33      | VI) MYSORE           | 245880      |
| 34      | vii) MANGALORE       | 185780      |
|         | KERALA               |             |
| 35      | I)THRISSUR           | 146310      |
| 36      | II)ERNAKULAM         | 359010      |
| 37      | III)KOLLAM           | 124400      |
| 38      | IV) KOZHIKODE        | 157170      |
| 39      | v) THIRUNANTHANPURAM | 118750      |
|         | MADHYA PRADESH       |             |

| 40       | i) INDORE             | 639480   |
|----------|-----------------------|----------|
| 41       | ii)BHOPAL             | 441570   |
|          | MAHARASHTRA           |          |
| 42       | i) LOWER PAREL        | 427840   |
| 43       | ii) MAROL             | 659790   |
| 44       | iii) THANE            | 676540   |
| 45       | iv) NAGPUR            | 361730   |
| 46       | V) AURANGABAD         | 284160   |
| 47       | v) PUNE               | 1327730  |
| 48       | VI) NASIK             | 247920   |
|          | ODISHA                |          |
| 49       | i) BHUBANESHWAR       | 695000   |
| 50       | ii) JHARSUGUDA        | 217020   |
| 51       | PUDUCHERRY&MAHE&YENAM | 101180   |
|          | PUNJAB                |          |
| 52       | I)CHANDIGARH (PUNJAB) | 474100   |
| 53       | II)JALANDHAR          | 305400   |
| 54       | III)LUDHIANA          | 393020   |
|          | RAJASTHAN             |          |
| 55       | I)JAIPUR              | 686090   |
| 56       | ii)UDAIPUR            | 223500   |
| 57       | III)JODHPUR           | 196150   |
| 58       | iv)ALWAR              | 282690   |
| 59       | SIKKIM                | 25970    |
|          | TAMILNADU             |          |
| 60       | i) CHENNAI            | 1709800  |
| 61       | ii)AN ISLANDS         | 5010     |
| 62       | iii) TRIRUNELVELLI    | 196440   |
| 63       | iv) SALEM             | 525830   |
| 64       | v) COIMBATORE         | 781290   |
| 65       | vi) MADURAI           | 437820   |
| 66       | TELANGANA             | 1553610  |
|          | UTTAR PRADESH         |          |
| 67       | I)KANPUR              | 507350   |
| 68       | ii) VARANASI          | 145960   |
| 69       | III) NOIDA            | 1257530  |
| 70       | IV) LUCKNOW           | 602550   |
| 71       | UTTRAKHAND            | 583850   |
|          | WEST BENGAL           |          |
| 72       | i) KOLKATA            | 1320800  |
| 73       | ii) BARRACKPORE       | 304290   |
| 74       | III) DURGAPUR         | 295130   |
| ALLINDIA | ALLINDIA              | 31487120 |

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